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I , 0 0 hstrttctions -Operating Budget Schedule 1 This form is to be prepared by the Applicant and is to include data for each year, from loan closing through the first full Year of operation. Example: if only two coiums are required, use columns four (4) and five (5). income and expense items: • data entered should be on the same basis as theApplicant's Accountinu records. Le„ cash basis. accrual basis. etc.. All Operating Income: lines 1.5 List types of income as appropriate: $ 11=6— Allowances and Deductions: " (Pertains generally to Health Care Institutions, and represents the difference between Gross Income and Amounts Received or to be Received from patients and third party payors) mating Expenses UM 8-14 List types of expenses as appropriate - no IS— Interest FmHA (interest expense insured on FmM note(s)). line 16— Depreciation (total•depreciation expense for the year) Buis — Net Operating Income (Loss)) this amount represents rite net operating income or loss before adding income not related to operations below) Non Operatine Income lines 19-20 (indicate items of income derived from sources other than regular activities, Ex: interest earned) litre 22 —' Net Income (Loss) (this amount is also transferred to item A Schedule 2 Projected Cash Flow Statement) Instructions - Projected Cash Flow. Schedule 2 This form is used to Project the Flow of Cash by the Applicant for each year, from loan closing through the first full year of operation. Use the same number of columns as used on the Operating Budget, Schedule 1 These Cash Flow Projections are important in determining the adequacy of cash to cover operating expenses, transfers to debt payment, reserve accounts, etc.. Cash Basis Accounting Applicants who maintain their records strictly on the cash basis of accounting and have no Accounts Receivable and Accounts Payable, may only need to complete the following line items: A, B-1, C-1, £-I and E 3, F and G. Line Item Instructions line A Bring forward the income or loss as entered on line 22, schedule 1. line W _ Add back any depreciation or other non cash items included on Schedule 1, Operating Budget... Inc C — Complete items C-1 through C-6 as appropriate, for item changes which provide for increase in cash balances. NOTE: Do not include changes in cash Accounts in Current Assets of item C-4. Lines C-3 and C4 will in- dicate the changes in Working Capital (Current Assets and Current liabilities, Exclusive .of Cash.) Hol) — Enter the Net Total of all A, B and C items. Bu E — Complete items E-1 through E-6 as appropriate for items for which cash was expended, in F — Enter the Beginning Cash Balance(s) for the period. line G — The total of item D less E-6 plus F will be the Ending Cash Balances). This total will be reconciled by balances in the various accounts, ie., construction, revenue, debt, etc» .. w � Re.Marraa � M►ICf� an-s►n� .s . K'OK PAVE