Executive Summary

Wheatland Health Services offers a unique combination of premier home health care and
community-based social services to Southeastern Kansas. Market research indicates that
there is a significant need for quality home health care and social services within this
region and we believe that by employing competent and well-educated staff and
providing them with organized and responsive management, we can become the home
health care/social service agency of choice in Southeastern Kansas.

Wheatland Health Services will be created as a Kansas Limited Liability Company based
in Wilson County, owned by its principal investors and principal operators. The initial
office will be established in quality office space on Main Street in Neodesha, Kansas,
which is the heart of Southeastern Kansas. Neodesha is also home to a hospital facility
and a renowned Wound Center, which will serve as referral bases for our agency.

Consumers of our services will be those individuals and families in need of home health
care and/or social services. These patients are usually referred by other health care
professionals such as physicians, attorneys, insurance companies and health care
facilities. Our agency has already developed an excellent reputation with many of these
professionals, through the work of our Clinical Director, who has been providing home
health care services through another agency for the past three years, and through the
presentations we have made to the community via marketing tools and personal
interactions.

Our agency must be licensed by the State of Kansas and our services reimbursed by
Medicare, Medicaid and other private insurance carriers. The process for licensure
and insurance certification has already been initiated and we are well on our way to
meeting the regulations and guidelines for providing home health care and social
services to patients in Southeastern Kansas.
There are currently only three other home health care agencies that serve Southeastern
Kansas. One is a satellite operation based out of a larger regional hospital in Bartlesville,
Oklahoma. Kellene Walker currently manages this agency's operation there, and due to
the lack of interest the parent organization has demonstrated in this satellite agency, we
believe that upon her transfer to Wheatland Health Services that agency will close its
Wilson County operation. The other home health care agencies currently operating in our
area do not offer services to all four of our target Counties; they also do not offer the
unique blend of home health care and social services which Wheatland Health Services
will be providing.

All pricing will be set according to Medicare, Medicaid and other insurance regulation so
pricing is not a major factor of consideration. Sales estimates project healthy revenues in
the first year and modest increases through year three.

WHS is incorporated as a partnership. The primary founder, Elizabeth Patzer,

MSW/PA, is a social worker and public administrator with prior experience in operating
a social service agency. The partnership will include a second, non-managing partner, M.
Brad Patzer, who will help with initial start-up funding and retain a minority equity stake.
Wheatland Health Services will be managed by Beth Patzer and Kellene Walker, our
Clinical Director.

The company plans on taking on debt in the form of a five-year loan, and has no plans for
additional debt as growth will be financed mainly through cash flow. Our plan includes
assumptions of 100% sales on credit, and sufficient cash on-hand at start-up to prevent
any problems with cash flow.

1.1 Objectives

 125 Home Health Care patients served by the end of first year.

 12 Personal Injury Case Management Clients served by the end of first year.

 Respectable gross sales by the end of first year.

 80% of Customer Satisfaction Surveys returned indicating satisfaction with
services.

1.2 Keys to Success

 Professional quality of services offered

 Reliability -- being available through on-call, and adequate staffing

 Effective collaboration with other community professionals (physicians, hospitals,

and other organizations)

1.3 Mission

Our values are simple. Wheatland Health Services strives to offer excellent and
affordable home health care and community-based social services to individuals and
families of Southeastern Kansas.
It is our goal to employ competent, caring, and well-trained individuals who are
responsive to the needs of our patients, their families, and the communities we serve.
Each staff member will meet the State of Kansas educational and training requirements
for the services they provide. We encourage and support continued education of each
service provider. In turn, our agency will provide staff with competitive compensation, an
inviting work environment, and knowledgeable, trustworthy management and direction.

Company Summary
Wheatland Health Services is a new Home Health and Social Service agency in its start-
up stages. Our agency will be located in the heart of Southeastern Kansas and will
provide the following services to patients and clients from Neodesha, Wilson,
Montgomery and Labette Counties - all within a ninety mile radius of our offices:

 Skilled Nursing

 Nursing Aide

 Social Work

 Occupational, Physical, and Speech Therapy

 Personal Injury Case Management

2.1 Company Ownership

Wheatland Health Services is a limited liability company owned and operated by

Elizabeth G. Patzer, MSW/MPA and Marlon B. Patzer, M.S./M.Ed.

2.2 Start-up Summary

Wheatland Health Services is in its start-up stage, and consequently there are start-up
costs and funding issues to address. The Start-Up Table, below, indicates in detail those
costs which include the following:

 BUSINESS DEVELOPMENT
 RENTAL EXPENSE

 OFFICE EQUIPMENT

 OFFICE SUPPLIES

 NURSING SUPPLIES

The table also demonstrates Assets needed for start-up and addresses potential funding
sources which are to include cash investments made by each Owner, as well as a five-
year 8% loan which will be needed in order to cover start-up costs.

START-UP REQUIREMENTS

Start-up Expenses

BUSINESS DEVELOPMENT $0
Attorney Fees - Setting Up Limited Liability Company $875

State of Kansas Home Health Agency License $100

Medisoft Billing Program plus Support $5,000

Professional Liability Insurance $3,000

*Assuming 25% down of $12,000.00 $0

Workman's Comp Insurance Deposit $500

Premises and Content Insurance Deposit $300

*Assuming 25% down of $1200.00 $0

Contract Retainer with PT/OT/ST $500

Inserted Row $0

RENTAL EXPENSE $0

Office Upgrades (Carpet and Paint) $3,000

Deposit plus First $400

*Assuming $200.00/Month $0

Phone Set Up (Excluding Phones) $250

Utilities Deposit $150

Post Office Box $26

Inserted Row $0

OFFICE EQUIPMENT $0

2 Computers (Fully Loaded) $3,000

4-in-1 Printer/Fax/Copier/Scanner $750

QuickBooks Pro $300

Phones $200

Pager $50

Inserted Row $0
OFFICE SUPPLIES $0

Stationary $200

Business Cards $150

Brochures $200

Other Misc. Office Supplies $450

Computer $0

NURSING SUPPLIES $2,500

TOTAL START-UP EXPENSES $21,901

Start-up Assets

Cash Required $44,599

Other Current Assets $3,500

Long-term Assets $0
 TOTAL ASSETS $48,099

Total Requirements $70,000

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START-UP FUNDING

Start-up Expenses to Fund $21,901

Start-up Assets to Fund $48,099

TOTAL FUNDING REQUIRED $70,000

Assets

Non-cash Assets from Start-up $3,500

Cash Requirements from Start-up $44,599

Additional Cash Raised $0

Cash Balance on Starting Date $44,599

TOTAL ASSETS $48,099

Liabilities and Capital

Liabilities

Current Borrowing $0

Long-term Liabilities $50,000

Accounts Payable (Outstanding Bills) $0

Other Current Liabilities (interest-free) $0

TOTAL LIABILITIES $50,000

Capital
 Planned Investment

Elizabeth Patzer $20,000

Investor $0

Additional Investment Requirement $0

TOTAL PLANNED INVESTMENT $20,000

Loss at Start-up (Start-up Expenses) ($21,901)

TOTAL CAPITAL ($1,901)

TOTAL CAPITAL AND LIABILITIES $48,099

Total Funding $70,000

Services
Wheatland Health Services offers premier home health care that includes skilled nursing,
nursing aide, social work, occupational therapy, speech therapy, and physical therapy.
We also provide personal injury case management services which include assessment,
planning, resource linkage, reporting and professional services (court testimony, etc.).

Market Analysis Summary

The consumer base for Wheatland Health Services (Home Health Care Services) will be
patients referred by physicians, health care facilities and other health care professionals.
The majority of these patients will be covered by Medicare with a smaller portion being
insured by Kansas Medicaid or other private insurance carriers.

The consumer base for the Personal Injury Case Management component of our business
will be those individuals who have been injured either on the job or in another type of
accident. These referrals will come from attorneys seeking case management services for
their clients or from insurance companies who are requesting assistance in mitigating the
injuries and loss the client suffers.

4.1 Market Segmentation

The population base in Southeastern Kansas is aging, and more individuals are opting to
stay in their own homes longer and return home following hospitalization, rather than
proceeding to a nursing home. Our primary market segment includes those patients --
typically in an older age bracket -- who require health care services by home health
nursing staff. These patients may also require other home health services, such as social
work, in order to access needed community resources.

Our secondary market will be those individuals who have suffered a personal injury and
require case management services to assist them in addressing medical, financial, and
employment issues.
MARKET ANALYSIS

YEAR YEAR YEAR YEAR YEAR

1 2 3 4 5

Potential Growth CAGR

Customers

HHC - Medicare 10% 100 110 121 133 146 9.92%

Patients

HHC - Medicaid 10% 25 28 31 34 37 10.30%

and Private
Insurance
Patients
 PICM Patients 30% 12 16 21 27 35 30.68%

Total 12.31% 137 154 173 194 218 12.31%

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4.2 Target Market Segment Strategy

Because our agency specializes in home health care and community-based social
services, we will focus on those market segments where we know our services are most
needed. Focusing on those market segments that require only home-based services will
greatly decrease overhead, since additional office space will not be required.

4.3 Service Business Analysis

Wheatland Health Services is a combined Home Health Care and Social Service Agency
serving a four-county region in Southeastern Kansas. Home health care and social
services are typically utilized by individuals and families, with service referrals coming
most often from other professionals (i.e. physicians, hospitals, attorneys, etc.).

There are currently three other Home Health Agencies serving the same area, but we are
unique in that we plan to offer community-based social services as well as home health
care.

4.3.1 Competition and Buying Patterns

The key factor considered by both consumers and referring professionals when
purchasing home health care is trust in the professional reputation, reliability and quality
of services provided by the home health Agency.

Pricing of home health services does not usually influence consumers' choices, as most
home health services are reimbursed by Medicare, Medicaid, and private insurance
companies, and reimbursement rates are set by those entities. Pricing of personal injury
case management services is a more important factor, as these services are paid for as
negotiated on a case-by-case basis at an hourly rate. When pricing personal injury case
management services, we will explain to the client that we estimate the total number of
hours needed to complete services liberally, rather than bidding low and then exceeding
the anticipated total bid price for services.

Consumers of both home health care services and personal injury case management
services rarely compare service providers directly. Usually they follow word-of-mouth
recommendations, especially when those recommendations come from their physicians.

Perhaps the most important element for assessing competition in the Home Health and
Social Service fields is how to persuade other professionals to repeatedly refer their
clients to our agency for services. As our agency demonstrates outstanding patient care,
current and pertinent qualification of service providers, and professional organization and
business management, we believe that we will be able to capture the majority of the home
health care and personal injury case management market in our designated region.

Strategy and Implementation Summary

Wheatland Health Services will focus on four counties within southeastern Kansas.
Within this geographical area we will target two specific programs: 

 home health care

 personal injury case management

Within each area, we have two target markets: the actual client, and the regional
physicians, health care facilities, attorneys and insurance companies who refer them to
our services.

5.1 Competitive Edge

We start with a competitive edge:  There are currently only three home health care
agencies serving southeastern Kansas; Kellene Walker, our Clinical Director, has been
employed with one of them for three years and has learned many of the day-to-day
administrative functions that make a home health care agency successful. Ms. Walker has
built a reputation for outstanding customer service, and it is our belief that her reputation
will help to build a strong client base even before our start-up date.

Wheatland Health Services will also stand out in integrating community-based social
services, such as Personal Injury Case Management, with our more traditional home
health care. This broader base will allow us to access additional clientele and payor bases,
adding to our financial stability. This integration also leaves room in the long-term for the
addition of other social services, such as Family Counseling, Psycho-Educational
Services, and Mental Health Case Management.

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5.2 Marketing Strategy

Marketing our service-oriented business requires establishing a reputation for expertise

and excellence. It starts with our known contacts who are in positions to recommend us
and make referrals to us, and continues with long-term efforts to develop recognition
among other professionals within the health care and social service fields.

We will develop and maintain a database of our contacts in the field. Ms. Walker is
already well-known to physicians, other nurses and hospital facilities in our market area,
and will work to maintain those relationships throughout our start-up process. Ms. Patzer
will make initial contacts in the community as she establishes the business entity and
provider status with Medicare, Medicaid, private insurance companies and local
attorneys. She will then join Ms. Walker in an effort to introduce Wheatland Health
Services to area professionals who are potential referral sources. Our communications
will be professional, as will our marketing tools such as brochures, business cards, and
advertisements.

5.3 Sales Strategy

Sales in our business means quality patient service and utmost satisfaction from referring
physicians and health care facilities. It is perpetual business. One doesn't sell home health
care and personal injury case management; rather one sells excellent care, availability,
and effective interpersonal relationships.

In a service industry, growth can mean loss of quality control, which in turn leads to
client dissatisfaction. The services we provide should always reflect the mission and
oversight of management. We want our clients to know that the quality of service they
receive will be excellent, regardless of the individual service provider performing the
service.

We will therefore avoid the temptation to broaden the scope of our services too quickly.
Rather, we will focus our immediate attentions on making the services we offer of the
highest possible quality. Only when those services are well-established and grounded in
excellence will we consider expanding our service base.

5.3.1 Sales Forecast

Annual sales reflect a conservative average of 125 new Home Health Care patients for
the first year with a modest increase per year thereafter. This figure is based on the
number of patients currently being seen by an existing home health care agency in
Southeastern Kansas. Research indicates that this agency is a satellite office of a larger
regional organization and investment in the satellite office has been minimal. We
believe that with a greater investment in marketing, employee relations, and customer
service this client base can grow significantly.

The projected annual figures for Personal Injury Case Management sales are relatively

low, as this portion of the business will initially be secondary to the Home Health Care
Services. However, we project a jumped up annual growth after the first year, as market
analysis indicates there is a significant need for these services. As the Home Health Care
portion of the business stabilizes management will focus growth efforts on the Personal
Injury Case Management program. 

 
SALES FORECAST

YEAR 1 YEAR 2 YEAR 3

Sales

Home Health Care Sales $413,740 $455,114 $500,625

Personal Injury Case Management $19,200 $24,960 $32,448

Sales

TOTAL SALES $432,940 $480,074 $533,073

Direct Cost of Sales Year 1 Year 2 Year 3

 Home Health Care Sales $21,721 $22,156 $22,599

Personal Injury Case Management $2,400 $2,520 $2,646

Sales

Subtotal Direct Cost of Sales $24,121 $24,676 $25,245

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5.4 Milestones

The accompanying table lists important program milestones, with dates and managers in
charge, and budgets for each. The milestone schedule indicates our emphasis on planning
for implementation.

What the table doesn't show is the commitment behind it. Our business plan includes
complete provisions for plan-vs.-actual analysis, and we will hold monthly follow-up
meetings to discuss the variance and course corrections.
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MILESTONES

Milestone Start Date End Date Budget Manager Department

Attorney Draws 1/1/2004 1/31/200 $875 Beth Administrator

Up LLC 3

Verify Numbers 8/1/2003 9/15/200 $0 Beth Administrator

For Budget 3
Meeting with 1/7/2004 1/15/200 $0 Beth Administrator
CPA for tax 4
advise and
request for Tax
ID

Identify Office 1/2/2004 1/15/200 $0 Beth Administrator

Location 4

Finalize 12/15/2003 1/31/200 $4,800 Beth Administrator

Application for 4
Insurance
Coverages

Apply for State 2/1/2004 2/1/2004 $100 Beth Administrator

Licensure

Apply for Bank 1/2/2004 2/1/2004 $0 Beth & Administrator

Loan Brad

Finalize Lease 2/1/2004 2/1/2004 $800 Beth Administrator

Agreement

Move Into 12/13/2004 2/20/200 $10,000 Beth Administrator

Offices and 4
Prepare for Site
Survey

Site Survey 3/19/2004 3/29/200 $0 Beth Administrator

4

Develop/Finalize 3/15/2003 4/1/2004 $350 Beth & Administrator

all forms, Kellene
 procedures,
employment
contracts

Apply for all 4/15/2004 6/1/2004 $0 Beth Administrator

Provider
Numbers

Hold First All 6/15/2004 6/15/200 $50 Beth & Administrator

Staff Meeting 4 Kellene

Totals $16,975

Management Summary
Wheatland Health Services' initial team will consist of one Administrative Director, one
Clinical Director, three employees and a contracted agency to fulfill the need for Physical
Therapists,  Occupational Therapists, and Speech Therapists. Initially, both managers will
also provide direct service. Elizabeth Patzer is a licensed social worker and will provide
all social work services during the start-up stage of the business. She will also provide all
administrative direction and will perform most of the administrative functions with
assistance from an Administrative Assistant. Kellene Walker is a registered nurse and has
experience as a Skilled Nurse and Director of Nursing for a Home Health Agency. She
will also provide direct nursing services during the initial stages of the business, as well
as supervising the nursing staff. As the need for service providers grows, both managers
will assume primary roles in management and will delegate direct service to employees.

Wheatland Health Services has no current management or personnel gaps; our plan
provides for hiring service providers only as growth demands. Job descriptions have been
written for each position and we will develop an employee handbook prior to our
Start Date. 

6.1 Personnel Plan

The following is an explanation of personnel needs, costs, and benefits as listed in the
Personnel table. The projections for the next three years are based on minimal growth in
client base and therefore no resulting impact on payroll due to increased hours of service.
A cost of living increase is noted for all employees but does not impact the
Administrative Director as she is the owner of the business and will realize increase
through profit gains.

 Administrative Director -- This position will be held by the agency owner. The
Administrative Director will also assume all Social Work hours of service during the
initial stages of the venture as those hours are projected to be minimal. It is assumed
that as need for Social Work hours increases a second Social Worker will be hired.
*Owner's compensation will be made in the form of a draw and will not include
payroll taxes, cost of insurance, etc., as these costs will be assumed by the owner;
these after-tax expenses can be found in the detailed Profit and Loss table.

 Clinical Director  -- This position will be held by Kellene Walker, who has prior
experience as Clinical Director for a home health care agency in Southeastern
Kansas. Ms. Walker's compensation will be in the form of a salary, based for the first
year on $1000/week. It has been agreed that at the end of each calendar year Ms.
Walker shall be entitled to a TBA percent of the company's net profits (less taxes and
interest expense). The company will pay employer portion of payroll taxes for Ms.
Walker and will allow for 4 weeks of paid personal leave per year and 11 paid
holidays, but benefits will not include medical insurance, retirement or other fringe
benefits. The Clinical Director will also assume the majority of Skilled Nursing
hours of service during the initial stages of the venture as that will be her primary
 role. As the need for additional Skilled Nursing hours increases, additional Skilled
Nurses will be hired.

 Administrative Assistant -- This position is based on 30 hours per week

reimbursed, at $12.00 per hour. Initially there will be no benefits attached to this
position except for four weeks of paid personal leave and 11 paid holidays to be used
at the discretion of the employee with prior notification to the Administrator.

 Skilled Nurse -- This position will be paid $18.50 per hour for direct service
hours. The total reimbursement as shown in the Personnel Table is calculated on
1040 hours per full year. In addition, the Skilled Nurse will be paid $408 per month
for On-Call Hours served. On-Call Hours are figured at $1.50/hr. x 16 hrs x 5 days +
$1.75/hr x 24 hours x 2 days x 2 weeks/month. There will be no benefits attached to
this position other than 2 weeks of paid personal leave and 5.5 paid holidays per
year, as this is a part-time position.

 Nurse's Aide -- This position will be paid $10.00 per hour for direct service hours.
The total reimbursement as shown on the Personnel Table is calculated on 1040
hours per year. There will be no benefits attached to this position other than 2 weeks
of paid personal leave and 5.5 paid holidays per year, as this is a part-time position.

 Social Worker -- This position will be paid $18.50 per hour for direct service
hours. The total reimbursement as shown in the Personnel Table is calculated on 520
hours per year. There will be no benefits attached to this position initially until the
need for more hours of service is realized.
We will also contract for other therapeutical services, as described below. These
contracted expenses can be found in the Profit and Loss table.

 Physical Therapist/Occupational Therapist/Speech Therapist -- These

positions will be contracted at a rate of $30.00 per hour. The total reimbursement is
based on 650 hours per year. There will be no benefits attached to these positions, as
they are contracted on a fee-for-service reimbursement basis only.

PERSONNEL PLAN

YEAR 1 YEAR 2 YEAR 3

Administrative Director - Elizabeth Patzer, $0 $0 $0

MSW/MPA

Clinical Director - Kellene Walker, RN $52,000 $53,560 $55,167

Administrative Assistant $18,720 $19,282 $19,860

Skilled Nurse $20,110 $24,856 $25,601

Nurses Aide $10,413 $10,712 $11,033

Social Worker $8,100 $9,912 $10,209

TOTAL PEOPLE 7 7 7
 Total Payroll $109,343 $118,322 $121,870

Financial Plan
We want to finance growth mainly through cash flow. We recognize that this means we
will have to grow more slowly than we might like.

The most important factor for our financial plan is collection of receivables. Our home
health care services will be reimbursed primarily by Medicare, Medicaid, and other
private insurances. History indicates that these payors are sometimes slow to reimburse
and receivables can get hung up in the automated payment system if not tracked closely.
As we broaden our scope of services to include a larger payor base, these lags
in collection of receivables will have less impact on cash flow.

Our figures are based on start-up capital as shown in the Start-up and Start-up Funding
tables; we will consider an additional loan if needed.

7.1 Important Assumptions

The General Assumptions table, below, shows our important (and conservative) annual
assumptions concerning interest rates, tax rates, and personnel burden. In addition:

1. We assume a strong economy, without major recession.

2. We assume, of course, that there are no significant unforeseen changes in

the federal policy that dictates Medicare and Medicaid reimbursement of Home
Health Care Services.

GENERAL ASSUMPTIONS
 YEAR 1 YEAR 2 YEAR 3

Plan Month 1 2 3

Current Interest Rate 10.00% 10.00% 10.00%

Long-term Interest Rate 8.00% 8.00% 8.00%

Tax Rate 30.00% 30.00% 30.00%

Other 0 0 0

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7.2 Break-even Analysis

The Break-even Analysis below is based on monthly fixed costs and an Average Per
Unit Variable Cost. This assumption about cost of sales may at first look low, but in our
service-based business, payroll is included with other operating expenses in our fixed
monthly amounts, so the variable costs relate to the only other cost of service provided:
mileage to and from service locations.
At these levels, we need to bill and collect the amount shown below per month to cover
our per month costs. We don't really expect to reach break-even until a few months into
the business operation.

BREAK-EVEN ANALYSIS

Monthly Revenue Break-even $17,532

Assumptions:

Average Percent Variable Cost 6%

Estimated Monthly Fixed Cost $16,555

7.3 Projected Profit and Loss

Our projected profit and loss is shown in the following table, with sales
increasing throughout the three years of the plan, and profits are notable even for the
start-up phase of this business. per month

We are projecting growth and total annual sales very conservatively, with high projected
expenses. Our cost of sales is relatively low, as this is a service agency and the primary
costs involved in providing the services are those related to payroll. The costs of sales
reflects the cost of mileage reimbursement to employees, because the services we provide
are home- and community-based and require travel to and from service locations.

The Profit and Loss table also contains our expenses for independently contracted
physical, occupational and speech therapists, as well as the owner's and Clinical
Director's after-tax draws.
PRO FORMA PROFIT AND LOSS

YEAR 1 YEAR 2 YEAR 3

Sales $432,940 $480,074 $533,073

Direct Cost of Sales $24,121 $24,676 $25,245

Other Costs of Sales $0 $0 $0

TOTAL COST OF SALES $24,121 $24,676 $25,245

Gross Margin $408,819 $455,398 $507,829

Gross Margin % 94.43% 94.86% 95.26%

Expenses

Payroll $109,343 $118,322 $121,870

Payroll Taxes $29,920 $30,423 $30,956

Depreciation $0 $0 $0

Rent $2,400 $3,600 $3,600

Heat and Lights $1,800 $1,800 $1,800

Phone $3,000 $3,000 $3,000

Cell Phones $1,800 $1,800 $1,800

Water and Garbage $600 $600 $600

Internet Access $300 $300 $300

Professional Liability Insurance $9,000 $12,000 $12,000

Workman's Comp Insurance $600 $600 $600

Premises and Content Insurance $600 $600 $600

Advertising and Marketing $1,200 $1,200 $1,200

Meals and Entertainment $600 $600 $600

Professional Development $1,200 $1,200 $1,200

Office Equipment and Supplies $4,800 $4,800 $4,800

Contracted Therapists: OT/PT/ST $19,500 $19,500 $19,500

Nursing Supplies $12,000 $12,000 $12,000

Total Operating Expenses $198,663 $212,346 $216,425

Profit Before Interest and Taxes $210,156 $243,053 $291,403

EBITDA $210,156 $243,053 $291,403

Interest Expense $4,000 $4,000 $4,000

Taxes Incurred $61,847 $71,716 $86,221

 Net Profit $144,309 $167,337 $201,182

Net Profit/Sales 33.33% 34.86% 37.74%

7.4 Projected Cash Flow

The following cash flow projections show the annual amounts only. Collection
of accounts receivable from our sales on credit will greatly affect our cash flow. Cash
flow projections are critical to our success. The monthly cash flow is shown in the
illustration, with one bar representing the cash flow per month, and the other the monthly
cash balance. The annual cash flow figures are included here and the more important
detailed monthly numbers are included in the appendix.
PRO FORMA CASH FLOW

YEAR 1 YEAR 2 YEAR 3

Cash Received

Cash from Operations

Cash Sales $0 $0 $0

Cash from Receivables $341,293 $470,096 $521,854

SUBTOTAL CASH FROM OPERATIONS $341,293 $470,096 $521,854

Additional Cash Received

Sales Tax, VAT, HST/GST Received $0 $0 $0

New Current Borrowing $0 $0 $0

New Other Liabilities (interest-free) $0 $0 $0

New Long-term Liabilities $0 $0 $0

Sales of Other Current Assets $0 $0 $0

Sales of Long-term Assets $0 $0 $0

New Investment Received $0 $0 $0

SUBTOTAL CASH RECEIVED $341,293 $470,096 $521,854

Expenditures Year 1 Year 2 Year 3

Expenditures from Operations

Cash Spending $109,343 $118,322 $121,870

Bill Payments $161,040 $196,683 $208,739

SUBTOTAL SPENT ON OPERATIONS $270,383 $315,006 $330,608

Additional Cash Spent

Sales Tax, VAT, HST/GST Paid Out $0 $0 $0

Principal Repayment of Current $0 $0 $0

Borrowing
 Other Liabilities Principal Repayment $0 $0 $0

Long-term Liabilities Principal $0 $0 $0

Repayment

Purchase Other Current Assets $0 $0 $0

Purchase Long-term Assets $0 $0 $0

Dividends $0 $0 $0

SUBTOTAL CASH SPENT $270,383 $315,006 $330,608

Net Cash Flow $70,910 $155,091 $191,246

Cash Balance $115,509 $270,600 $461,846

7.5 Projected Balance Sheet

The balance sheet in the following table shows managed but sufficient growth of net
worth, and a sufficiently healthy financial position. The monthly estimates are included in
the appendix.

PRO FORMA BALANCE SHEET

 YEAR 1 YEAR 2 YEAR 3

Assets

Current Assets

Cash $115,509 $270,600 $461,846

Accounts Receivable $91,647 $101,624 $112,843

Other Current Assets $3,500 $3,500 $3,500

TOTAL CURRENT ASSETS $210,656 $375,724 $578,189

Long-term Assets

Long-term Assets $0 $0 $0

Accumulated Depreciation $0 $0 $0

TOTAL LONG-TERM ASSETS $0 $0 $0

TOTAL ASSETS $210,656 $375,724 $578,189

Liabilities and Capital Year 1 Year 2 Year 3

Current Liabilities

Accounts Payable $18,248 $15,979 $17,262

Current Borrowing $0 $0 $0

Other Current Liabilities $0 $0 $0

SUBTOTAL CURRENT LIABILITIES $18,248 $15,979 $17,262

Long-term Liabilities $50,000 $50,000 $50,000

TOTAL LIABILITIES $68,248 $65,979 $67,262

Paid-in Capital $20,000 $20,000 $20,000

Retained Earnings ($21,901) $122,408 $289,745

Earnings $144,309 $167,337 $201,182

TOTAL CAPITAL $142,408 $309,745 $510,927

TOTAL LIABILITIES AND CAPITAL $210,656 $375,724 $578,189

 Net Worth $142,408 $309,745 $510,927

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7.6 Business Ratios

The following table shows the projected businesses ratios, and a comparison of our ratios
with standards for the home health care industry (SIC code 8082.000). We expect to
maintain healthy ratios for profitability, risk, and return.

RATIO ANALYSIS

YEAR 1 YEAR 2 YEAR 3 INDUSTRY

PROFILE

Sales Growth 0.00% 10.89% 11.04% 3.71%

Percent of Total Assets

Accounts Receivable 43.51% 27.05% 19.52% 21.90%

Other Current Assets 1.66% 0.93% 0.61% 45.48%

Total Current Assets 100.00% 100.00% 100.00% 69.58%

Long-term Assets 0.00% 0.00% 0.00% 30.42%

TOTAL ASSETS 100.00 100.00% 100.00% 100.00%

%

Current Liabilities 8.66% 4.25% 2.99% 35.62%

Long-term Liabilities 23.74% 13.31% 8.65% 21.27%

Total Liabilities 32.40% 17.56% 11.63% 56.89%

NET WORTH 67.60% 82.44% 88.37% 43.11%

Percent of Sales

Sales 100.00% 100.00% 100.00% 100.00%

Gross Margin 94.43% 94.86% 95.26% 100.00%

Selling, General & 63.87% 67.34% 66.75% 85.34%

Administrative Expenses
Advertising Expenses 0.00% 0.00% 0.00% 0.70%

Profit Before Interest and 48.54% 50.63% 54.66% 0.35%

Taxes

Main Ratios

Current 11.54 23.51 33.49 1.52

Quick 11.54 23.51 33.49 1.20

Total Debt to Total Assets 32.40% 17.56% 11.63% 62.84%

Pre-tax Return on Net Worth 144.76% 77.18% 56.25% 1.09%

Pre-tax Return on Assets 97.86% 63.62% 49.71% 2.93%

Additional Ratios Year 1 Year 2 Year 3

Net Profit Margin 33.33% 34.86% 37.74% n.a

Return on Equity 101.33% 54.02% 39.38% n.a

Activity Ratios
Accounts Receivable Turnover 4.72 4.72 4.72 n.a

Collection Days 57 73 73 n.a

Accounts Payable Turnover 9.83 12.17 12.17 n.a

Payment Days 27 32 29 n.a

Total Asset Turnover 2.06 1.28 0.92 n.a

Debt Ratios

Debt to Net Worth 0.48 0.21 0.13 n.a

Current Liab. to Liab. 0.27 0.24 0.26 n.a

Liquidity Ratios

Net Working Capital $192,408 $359,745 $560,927 n.a

Interest Coverage 52.54 60.76 72.85 n.a

Additional Ratios

Assets to Sales 0.49 0.78 1.08 n.a

 Current Debt/Total Assets 9% 4% 3% n.a

Acid Test 6.52 17.15 26.96 n.a

Sales/Net Worth 3.04 1.55 1.04 n.a

Dividend Payout 0.00 0.00 0.00 n.a

Appendix
SALES FORECAST

MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH
1 2 3 4 5 6 7 8 9 10 11 12

Sales

Home 0 $25,000 $27,000 $27,900 $29,390 $31,000 $33,000 $35,000 $37,000 $39,000 $41,000 $42,900 $45,550
Health Care %
Sales

Personal 0 $900 $1,000 $1,200 $1,200 $1,400 $1,500 $1,600 $1,800 $1,900 $2,000 $2,200 $2,500
Injury Case %
Managemen
t Sales

TOTAL $25,90 $28,00 $29,10 $30,59 $32,40 $34,50 $36,60 $38,80 $40,90 $43,00 $45,10 $48,05
SALES 0 0 0 0 0 0 0 0 0 0 0 0

Direct Cost Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Month 8 Month 9 Month Month Month
of Sales
 10 11 12

Home $1,313 $1,418 $1,465 $1,543 $1,628 $1,733 $1,838 $1,943 $2,048 $2,153 $2,252 $2,391
Health Care
Sales

Personal $113 $125 $150 $150 $175 $188 $200 $225 $238 $250 $275 $313
Injury Case
Managemen
t Sales

Subtotal $1,425 $1,543 $1,615 $1,693 $1,803 $1,920 $2,038 $2,168 $2,285 $2,403 $2,527 $2,704
Direct Cost
of Sales

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PERSONNEL PLAN

MONT MONT MONTH MONT MONT MONTH MONT MONT MONTH MONT MONT MONTH
H1 H2 3 H4 H5 6 H7 H8 9 H 10 H 11 12

Administrative 0% $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Director - Elizabeth
Patzer, MSW/MPA

Clinical Director - 0% $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333 $4,333
Kellene Walker, RN

Administrative 0% $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560 $1,560
Assistant

Skilled Nurse 0% $0 $0 $2,011 $2,011 $2,011 $2,011 $2,011 $2,011 $2,011 $2,011 $2,011 $2,011
Nurses Aide 0% $867 $867 $867 $867 $867 $876 $867 $867 $867 $867 $867 $867

Social Worker 0% $0 $0 $810 $810 $810 $810 $810 $810 $810 $810 $810 $810

TOTAL PEOPLE 7 7 7 7 7 7 7 7 7 7 7 7

Total Payroll $6,760 $6,760 $9,581 $9,581 $9,581 $9,590 $9,581 $9,581 $9,581 $9,581 $9,581 $9,581

GENERAL ASSUMPTIONS

MONT MONT MONT MONT MONT MONT MONT MONT MONT MONT MONT MONT
H1 H2 H3 H4 H5 H6 H7 H8 H9 H 10 H 11 H 12

Plan 1 2 3 4 5 6 7 8 9 10 11 12
Month

Current 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00% 10.00%
Interes
t Rate

Long- 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00% 8.00%
term
Interes
t Rate

Tax 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00% 30.00%
Rate

Other 0 0 0 0 0 0 0 0 0 0 0 0

PRO FORMA PROFIT AND LOSS

MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH
1 2 3 4 5 6 7 8 9 10 11 12

Sales $25,900 $28,000 $29,100 $30,590 $32,400 $34,500 $36,600 $38,800 $40,900 $43,000 $45,100 $48,050
Direct Cost of $1,425 $1,543 $1,615 $1,693 $1,803 $1,920 $2,038 $2,168 $2,285 $2,403 $2,527 $2,704
Sales

Other Costs of $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Sales

TOTAL COST $1,425 $1,543 $1,615 $1,693 $1,803 $1,920 $2,038 $2,168 $2,285 $2,403 $2,527 $2,704
OF SALES

Gross Margin $24,475 $26,458 $27,485 $28,897 $30,598 $32,580 $34,563 $36,633 $38,615 $40,598 $42,573 $45,346

Gross Margin % 94.50% 94.49% 94.45% 94.47% 94.44% 94.43% 94.43% 94.41% 94.41% 94.41% 94.40% 94.37%

Expenses

Payroll $6,760 $6,760 $9,581 $9,581 $9,581 $9,590 $9,581 $9,581 $9,581 $9,581 $9,581 $9,581

Payroll Taxes 15% $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493 $2,493

Depreciation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Rent $200 $200 $200 $200 $200 $200 $200 $200 $200 $200 $200 $200

Heat and Lights $150 $150 $150 $150 $150 $150 $150 $150 $150 $150 $150 $150

Phone $250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $250 $250

Cell Phones $150 $150 $150 $150 $150 $150 $150 $150 $150 $150 $150 $150

Water and $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50
Garbage

Internet Access $25 $25 $25 $25 $25 $25 $25 $25 $25 $25 $25 $25

Professional $750 $750 $750 $750 $750 $750 $750 $750 $750 $750 $750 $750
Liability
Insurance
Workman's $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50
Comp Insurance

Premises and $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50
Content
Insurance

Advertising and $100 $100 $100 $100 $100 $100 $100 $100 $100 $100 $100 $100
Marketing

Meals and $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50 $50
Entertainment

Professional $100 $100 $100 $100 $100 $100 $100 $100 $100 $100 $100 $100
Development

Office 15% $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400
Equipment and
Supplies

Contracted 15% $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625 $1,625
Therapists:
OT/PT/ST

Nursing $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000
Supplies

Total Operating $14,204 $14,204 $17,025 $17,025 $17,025 $17,034 $17,025 $17,025 $17,025 $17,025 $17,025 $17,025
Expenses

Profit Before $10,271 $12,254 $10,461 $11,872 $13,573 $15,546 $17,538 $19,608 $21,590 $23,573 $25,548 $28,321
Interest and
Taxes

EBITDA $10,271 $12,254 $10,461 $11,872 $13,573 $15,546 $17,538 $19,608 $21,590 $23,573 $25,548 $28,321

Interest $333 $333 $333 $333 $333 $333 $333 $333 $333 $333 $333 $333
Expense

Taxes Incurred $2,981 $3,576 $3,038 $3,462 $3,972 $4,564 $5,161 $5,782 $6,377 $6,972 $7,564 $8,396
Net Profit $6,957 $8,344 $7,089 $8,077 $9,268 $10,649 $12,043 $13,492 $14,880 $16,268 $17,650 $19,592

Net Profit/Sales 26.86% 29.80% 24.36% 26.41% 28.60% 30.87% 32.90% 34.77% 36.38% 37.83% 39.14% 40.77%

PRO FORMA CASH FLOW

MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH
1 2 3 4 5 6 7 8 9 10 11 12

Cash
Received

Cash from
Operations

Cash Sales $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Cash from $0 $863 $25,970 $28,037 $29,150 $30,650 $32,470 $34,570 $36,673 $38,870 $40,970 $43,070
Receivables

SUBTOTAL $0 $863 $25,97 $28,03 $29,15 $30,65 $32,47 $34,57 $36,67 $38,87 $40,97 $43,07
CASH FROM 0 7 0 0 0 0 3 0 0 0
OPERATION
S

Additional
Cash
Received

Sales Tax, 0.00 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

VAT, %
HST/GST
Received

New Current $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Borrowing

New Other $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Liabilities
(interest-
free)
New Long- $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
term
Liabilities

Sales of $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Other Current
Assets

Sales of $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Long-term
Assets

New $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Investment
Received

SUBTOTAL $0 $863 $25,97 $28,03 $29,15 $30,65 $32,47 $34,57 $36,67 $38,87 $40,97 $43,07
CASH 0 7 0 0 0 0 3 0 0 0
RECEIVED

Expenditures Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Month 8 Month 9 Month Month Month
10 11 12

Expenditures
from
Operations

Cash $6,760 $6,760 $9,581 $9,581 $9,581 $9,590 $9,581 $9,581 $9,581 $9,581 $9,581 $9,581
Spending

Bill Payments $406 $12,207 $12,880 $12,446 $12,952 $13,575 $14,284 $15,001 $15,750 $16,462 $17,175 $17,902

SUBTOTAL $7,166 $18,967 $22,46 $22,02 $22,53 $23,16 $23,86 $24,58 $25,33 $26,04 $26,75 $27,48
SPENT ON 1 8 3 5 6 2 2 4 6 3
OPERATION
S

Additional
Cash Spent

Sales Tax, $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
VAT,
HST/GST
Paid Out

Principal $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Repayment of
Current
Borrowing

Other $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Liabilities
Principal
Repayment

Long-term $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Liabilities
Principal
Repayment

Purchase $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Other Current
Assets

Purchase $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Long-term
Assets

Dividends $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

SUBTOTAL $7,166 $18,967 $22,46 $22,02 $22,53 $23,16 $23,86 $24,58 $25,33 $26,04 $26,75 $27,48
CASH 1 8 3 5 6 2 2 4 6 3
SPENT

Net Cash ($7,166 ($18,104 $3,509 $6,009 $6,616 $7,485 $8,604 $9,988 $11,342 $12,826 $14,214 $15,587
Flow ) )

Cash Balance $37,433 $19,329 $22,838 $28,847 $35,463 $42,948 $51,553 $61,541 $72,883 $85,709 $99,923 $115,50
9

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PRO FORMA BALANCE SHEET

MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH MONTH
1 2 3 4 5 6 7 8 9 10 11 12

Assets Starting
Balance
s

Current
Assets

Cash $44,599 $37,433 $19,329 $22,838 $28,847 $35,463 $42,948 $51,553 $61,541 $72,883 $85,709 $99,923 $115,50
9

Accounts $0 $25,900 $53,037 $56,167 $58,720 $61,970 $65,820 $69,950 $74,180 $78,407 $82,537 $86,667 $91,647
Receivable

Other $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500 $3,500
Current
Assets

TOTAL $48,09 $66,83 $75,86 $82,50 $91,06 $100,9 $112,2 $125,0 $139,2 $154,7 $171,7 $190,0 $210,6
CURRENT 9 3 5 4 7 33 68 03 21 89 45 89 56
ASSETS

Long-term
Assets

Long-term $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Assets

Accumulate $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
d
Depreciatio
n

TOTAL $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
LONG-
TERM
ASSETS

TOTAL $48,09 $66,83 $75,86 $82,50 $91,06 $100,9 $112,2 $125,0 $139,2 $154,7 $171,7 $190,0 $210,6
ASSETS 9 3 5 4 7 33 68 03 21 89 45 89 56

Liabilities Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Month 8 Month 9 Month Month Month
and Capital 10 11 12

Current
Liabilities

Accounts $0 $11,777 $12,465 $12,015 $12,500 $13,099 $13,785 $14,476 $15,202 $15,891 $16,579 $17,273 $18,248
Payable

Current $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Borrowing

Other $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Current
Liabilities

SUBTOTAL $0 $11,77 $12,46 $12,01 $12,50 $13,09 $13,78 $14,47 $15,20 $15,89 $16,57 $17,27 $18,24
CURRENT 7 5 5 0 9 5 6 2 1 9 3 8
LIABILITI
ES

Long-term $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000
Liabilities

TOTAL $50,00 $61,77 $62,46 $62,01 $62,50 $63,09 $63,78 $64,47 $65,20 $65,89 $66,57 $67,27 $68,24
LIABILITI 0 7 5 5 0 9 5 6 2 1 9 3 8
ES

Paid-in $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000 $20,000
Capital

Retained ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90 ($21,90
Earnings 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1)

Earnings $0 $6,957 $15,301 $22,390 $30,467 $39,735 $50,384 $62,427 $75,920 $90,800 $107,06 $124,71 $144,30
7 8 9
TOTAL ($1,90 $5,056 $13,40 $20,48 $28,56 $37,83 $48,48 $60,52 $74,01 $88,89 $105,1 $122,8 $142,4
CAPITAL 1) 0 9 6 4 3 6 9 9 66 17 08

TOTAL $48,09 $66,83 $75,86 $82,50 $91,06 $100,9 $112,2 $125,0 $139,2 $154,7 $171,7 $190,0 $210,6
LIABILITI 9 3 5 4 7 33 68 03 21 89 45 89 56
ES AND
CAPITAL

Net Worth ($1,901 $5,056 $13,400 $20,489 $28,566 $37,834 $48,483 $60,526 $74,019 $88,899 $105,16 $122,81 $142,40
) 6 7 8