This document contains revenue, volume, and expense assumptions and forecasts for an internal medicine practice from 2017-2020. It includes reimbursement rates and patient volumes for Medicare/Medicaid and other payers. Total projected revenue and expenses are provided for each year, as well as projected net income. Common size and horizontal financial analyses are also included.
2. 33,56599214$106.83677$72,32499214$ 106.83677$
72,32499214$ 106.83677$ 72,32499214$ 106.83677$
72,32499215$142.90650$92,88599215$ 142.90650$
92,88599215$ 142.90650$ 92,88599215$ 142.90650$
92,88599385$140.0099385993859938599386$160.00993869938
69938699387$160.0099387993879938799395$175.0099395993
959939599396$175.0099396993969939699397$175.009939799
39799397Totals5892$536,845Totals5892$
536,845Totals5892$ 536,845Totals5892$ 536,845Provided
Data - Other PayerForecast - Other PayerForecast - Other
PayerForecast - Other PayerIMA REVENUEIMA
REVENUEIMA REVENUEIMA REVENUEYear Ended
December 31, 2017Year Ended December 31, 2018Year Ended
December 31, 2019Year Ended December 31, 2020CPT
CodeReimb. RateOther Payer Patient VolumeOther Payer
Patient RevenueCPT CodeReimb. RateOther Payer Patient
VolumeOther Payer Patient RevenueCPT CodeReimb. RateOther
Payer Patient VolumeOther Payer Patient RevenueCPT
CodeReimb. RateOther Payer Patient VolumeOther Payer
Patient
Revenue99201$43.89198$8,69099201992019920199202$74.511
80$13,41299202992029920299203$108.19562$60,80399203992
039920399204$164.67367$60,43499204992049920499205$203.
80599$122,07699205992059920599211$20.41318$6,490992119
92119921199212$43.89454$19,92699212992129921299213$72.
81150$10,92299213992139921399214$106.83481$51,38599214
992149921499215$142.90328$46,87199215992159921599385$
140.0078$10,92099385993859938599386$160.0050$8,0009938
6993869938699387$160.0064$10,24099387993879938799395$
175.00433$75,77599395993959939599396$175.00339$59,3259
9396993969939699397$175.00280$49,000993979939799397Tot
als4881$614,269Totals0$0Totals0$0Totals0$0
Income Statement ForecastInternal Medicine AssociatesInternal
Medicine AssociatesInternal Medicine AssociatesIncome
StatementFORCASTED Income StatementCOMMON SIZE
Income StatementFor the years ended December 31, 2015
3. through 2017For the years ended December 31, 2018 through
2020For the years ended December 31, 2015 through
2020201720162015202020192018202020192018RevenueRevenu
ePatient Service Revenue$1,151,114$983,979$992,431Patient
Service RevenueMiscellaneous
Income1,1201,200895Miscellaneous Income Total
Revenue$1,152,234$985,179$993,326 Total
RevenueExpensesExpensesWages$709,086$700,291$630,093Wa
gesEmployee benefits93,49294,54258,249Employee
benefitsPayroll taxes51,38853,29750,068Payroll taxesRent
expense62,05066,60048,000Rent
expenseDepreciation7,4825,5896,528DepreciationInsurance40,4
3447,88728,408InsuranceUtilities15,51115,13110,624UtilitiesIn
terest6231,5601,832InterestOffice
supplies14,75712,1479,773Office suppliesService
contracts13,92110,5638,965Service contractsCleaning &
Maintenance12,71814,3337,280Cleaning &
MaintenanceTelephone/pager11,82513,8408,667Telephone/page
rProfessional fees11,7204,9753,450Professional feesMisc.
operating expenses53,71259,58437,440Misc. operating expenses
Total Expenses$1,098,719$1,100,339$909,377 Total
Expenses Net Income (Loss)$53,515($115,160)$83,949
Net Income (Loss)
Financial AnalysisInternal Medicine AssociatesInternal
Medicine AssociatesCOMMON SIZE
ANALYSISHORIZONTAL ANALYSIS For the years ended
December 31, 2015 through 2020For the years ended December
31, 2015 through
2020202020192018201720162015202020192018201720162015
RevenueRevenuePatient Service RevenuePatient Service
RevenueMiscellaneous IncomeMiscellaneous Income Total
Revenue Total
RevenueExpensesExpensesWagesWagesEmployee
benefitsEmployee benefitsPayroll taxesPayroll taxesRent
expenseRent
expenseDepreciationDepreciationInsuranceInsuranceUtilitiesUti
4. litiesInterestInterestOffice suppliesOffice suppliesService
contractsService contractsCleaning & MaintenanceCleaning &
MaintenanceTelephone/pagerTelephone/pagerProfessional
feesProfessional feesMisc. operating expensesMisc. operating
expenses Total Expenses Total Expenses Net Income
(Loss) Net Income (Loss)
Persuasive Speech: Save the Children
Helen Borges
INTRODUCTION
1. Attention Getter: What can you do with $70? The answer to
this question may
vary depending on who you are. Many people may choose to
buy a pretty dress, a
pair of shoes, a game that just came out, a huge supply of
McDonald’s food… But
how many people you know can say that with only $70 they can
provide education
for a girl in Afghanistan for a whole year, school fees, uniforms
and supplies
included? Not many, right? Well, that’s a shame, because it’s
true, and it is made
possible thanks to the hard work of the people from Save the
Children.
2. Audience Relevance: According to the 2012 Census, 21
percent of children in
America live in poverty. That is 16 million children who
understand all too well what
5. it means to go without things that may seem so simple, but are
critical in a child’s
life, such as books, proper nutrition, and a place to play and
learn. As Dr. Eugene
Lewit explains in his article for The Future of the Children
published in 1993, poor
children encounter multiple problems during their childhood.
They are more likely
than their more affluent counterparts to go hungry, to be
inadequately housed and
clothed, and to receive inadequate medical care as well as
insufficient social support.
Save the Children’s mission is to turn those things around, and
do whatever is
possible to save the children, not only in the U.S. but all over
the world.
3. Credibility: As a child, I knew all too well what it meant to
“go
without”. Growing up in a third world country, it wasn’t all
that rare to see myself
and my friends going without proper schooling, books,
activities and even food. I
know how important those simple things are, and I can say that
I know that when
you live in poverty, $50, $20 or even $10 can be the what
defines whether you will
go to bed hungry or not.
4. Thesis: After listening to this speech, you will have a better
understanding of the
amazing work that Saving the Children does and how a small
donation can make a
big impact in the life of an impoverished child.
5. Preview of Main Points: In this speech, I will first briefly
6. talk about the history
of Save the Children. Second, I will talk about their impact in
the lives of children in
present days. Then, I will talk about how even a small donation
can make such a big
difference in the lives of impoverished children not only in the
U.S. but all over the
world.
Main Point #1: Save the Children has a long history of helping
children around the world
when they need it most.
Sub-Point 1: Save the Children is a non-government
organization that has a
mission of protecting children’s rights and providing support
for children in around
120 countries worldwide. According to Save the Children’s
official website, last
updated in 2014, the foundation was established in the United
Kingdom in April of
1919, less than a year after the end of World War 1. More than
60 million military
personnel were mobilized for the war efforts, and the casualty
rates were
staggering. With that, destruction was widespread throughout
Europe, and many
children became orphans of the war. When Save the Children
was created, its goal
helen borges� 3/2/2014 10:34 PM
Comment [1]: Rhetorical
narrative
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Comment [2]: Statistics
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Comment [3]: Scholarly
Article
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Comment [4]: Explanation
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Comment [5]: Narrative
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Comment [6]: Description
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Comment [7]: Website
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Comment [8]: Explanation
was to provide basic needed resources, such as education, health
care, and
emergency aid for those affected by the war.
Sub-Point 2: According to Save the Children’s official website,
last updated in
8. 2014, by 1921, only 2 years after it was created, they had raised
over £1,000,000,
and conditions for children in Central Europe were improving
due to their
efforts. The efforts of Save the Children would continue to
change children’s lives
throughout history. They were highly active in helping children
in need during crisis
such as the Russian Famine of 1921 when, as University of
Nottingham senior
lecturer James Muckle explains in his article for The Slavonic
and East European
Review, more than one hundred and twenty million meals were
served to children
and millions more to adults; working with refugee children and
displaced people in
former occupied Europe, including holocaust survivors after
World War 2, helping
children who were affected by the Korean War, as well as
becoming active in
previous colonies of the British empire after its decline.
Transition: Now that you’ve seen the amazing work Save the
Children has done protecting
children and defending their rights in several countries all
throughout history, I would like to
second discuss the impact Save the Children has had in recent
times.
Main Point #2: Save the Children continues to come to the
rescue of children in need all
around the world
Sub-Point 1: In 2010, a magnitude 7.0 earthquake hit Haiti,
9. killing thousands of
people and displacing millions. According to the Save the
Children website, last
updated in 2014, 1.6 million Haitians including 700,000
children were provided with
shelter materials, food and water, health care, hygiene, and
sanitation. With the
Syrian civil war, thousands of children were killed and many
more were
displaced. Even in such dangerous conditions, Save the
children was quick to
respond, helping keep the children safe and providing basic
needs such as food,
shelter, and helping the children cope.
Sub-Point 2: Save the Children has also come to the rescue of
the American
children when they needed the most. In 2005, the US Gulf
Coast saw widespread
devastation from hurricane Katrina, which displaced hundreds
of thousands of
children. In response, Save the Children set up schools, camps,
child care and
counseling center in order to provide help for those in need. In
2012, Hurricane
Sandy devastated the East Coast. In response, Save the
Children mobilized every
available resource in order to protect the children affected by
the disaster, providing
protection through our Child Friendly Spaces in emergency
shelters.
Transition: Now that you have a better idea of the amazing
work Save the Children has
done by providing quick response aiding the children in need,
10. even in the most dangerous
situations, we will finally talk about how you can be a part of
this cause
Main Point #3: When helping save the children in need, every
dollar counts
Sub-Point 1: Many people share my great admiration with the
great cause of
charities like save the children, however, as Pia Rebello Britto
from the Yale school of
medicine explains in her book “Handbook of Early Childhood
Development Research
and its Impact on Global Policy” published in 2013, over one-
third of children
worldwide under five years of age still fail to achieve their full
developmental
potential due to malnutrition, poverty, disease, neglect, and lack
of learning
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Comment [9]: Website
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Comment [10]: Example
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Comment [11]: Scholarly
Article
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Comment [12]: Example
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Comment [13]: Website
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Comment [14]: Example
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Comment [15]: Example
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Comment [16]: Example
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Comment [17]: Book
opportunities. Save the Children has done everything in their
power to help children
in need throughout history, but the only reason they have been
able to do so is
because of the great people who believe in their cause and
donate. Many people say
“Well, I don’t have a lot of money, my donation wouldn’t make
a difference”, and to
those people I say: When the cause is to save the children,
every dollar makes a
difference. Those children are our future lawyers, our future
engineers, our future
doctors, our future politicians. Without things such as proper
education and proper
12. health care, those children, our future generation, will be in big
trouble.
Sub-Point 2: As I said in the beginning, with only $70 dollars
you can provide
education to a child in Afghanistan, uniforms, supplies and
school fees included, for a
whole year. That is a tiny price for such a big impact in another
person’s
life. According to the World Health Organization website last
updated in 2014, about
45% of all deaths of children under 5 are linked to malnutrition.
Why wouldn’t you
want to turn that around? You don’t have to donate that
amount. You can donate
any amount you want. $60, $50, $20, $10 dollars can make a
huge
difference. Wouldn’t you want to participate in such an
amazing cause? Every
donation, large or small, is a vital part of the work Save the
Children does. For even
a small amount of money, you can make a huge difference in a
child’s life.
Transition and signal closing: As I conclude this speech, I hope
you have a
better idea of how great is the influence of Save the Children in
the lives of children
around the world.
C. CONCLUSION
Restate Thesis: After listening to this speech, you hopefully
gained a better
13. understanding of the amazing work that Saving the Children
does, and how a small
donation can much a big impact in the life of an impoverished
child.
Review Main-Points: In this speech, I briefly talked about the
history of Save the
Children. Then, we discussed their impact in the lives of
children in present
days. Finally, we examined how even a small donation can
make such a big
difference in the lives of impoverished children not only in the
U.S. but all over the
world.
Closure: Save the children has been doing amazing work
providing care and
protection for children in need throughout history. From World
War 1, through the
Russian Famine, through the Haitian earthquake and Hurricane
Katrina, save the
children has using every resource available to give children in
the U.S. and around
the world what they deserve – a healthy start, the opportunity to
learn and
protection from harm. With a simple donation, you can be part
of this amazing
journey to save our future generation. Do you want to be a vital
part of this
amazing cause? Do you want to make a difference? Then
donate, because every
donation is valuable in helping children all over the world.
Make a difference. Help
save the children.
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Comment [18]: Statistic
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Comment [19]: Website
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Comment [20]: Statistic
References
Britto, P. R. Engle, P. L. Super , C. M. (Eds.). (2013).
Handbook of early childhood
development research and its impact on global policy. New
York, NY: Oxford
University Press.
Lewit, E. (1993). The Future of Children, Adoption, 3, 176-
182.
Muckle, J. (1990). Saving the Russian children: Materials in
the archive of Save the
Children fund relating to Eastern Europe in 1920-1923. The
Slavonic and East
European Review, 68, 507-511.
Save the Children (2014) Save the Children Foundation.
Retrieved
fromhttp://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.6
15. 115947/k.8D6E/Offici
al_Site.htm
U.S. Census Bureau (2012) Social, Economic, and Housing
Statistics Division: Poverty.
Retrieved from http://www.census.gov/hhes/www/poverty/data/
World Health Organization (2014) MDG 1: eradicate extreme
poverty and hunger. Retrieved
from
http://www.who.int/topics/millennium_development_goals/hung
er/en/
World Health Organization (2014) Children: Reducing
Mortality. Retrieved from
http://www.who.int/mediacentre/factsheets/fs178/en/
Problem, Cause,
Solution
Template Outline
I. Introduction
A. Attention Getter:
B. Audience Relevance:
C. Speaker Credibility:
D. Thesis:
E. Preview:
16. Transition to first main point:
II. Body
A. Main Point 1: Problems
1. Sub point 1: Problem 1
2. Sub point 1: Problem 2
Transition (signpost, summary, preview):
B. Main Point 2: Causes
1. Sub point 1: Cause 1
2. Sub point 2: Cause 2
Transition (signpost, summary, preview):
C. Main Point 3: