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 Contact Information Bill J. Turner 2529
Central Avenue
St.
Petersburg, FL 33713
866-821-1818
727-327-1933 FAX
Bill@associatesimaging.com Preston E. Poulter 2991 Winterthur Close Kennesaw, GA 30144 678-354-7885 678-302-7135
FAX Preston@associatesimaging.com

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Sample Proforma Page
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XYZ IMAGING |
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1-Jun-06 |
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PROFORMA PAGE |
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YEAR |
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2006 |
2007 |
2008 |
2009 |
2010 |
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VOLUME-(standard) |
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20,814 |
21,854 |
22,947 |
24,094 |
25,299 |
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VOLUME - (leased) |
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0 |
0 |
0 |
0 |
0 |
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TOTAL VOLUME |
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20,814 |
21,854 |
22,947 |
24,094 |
25,299 |
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AVERAGE PAYMENT |
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124.88 |
124.02 |
121.94 |
118.69 |
114.38 |
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TECHNICAL NET REVENUE |
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2,599,274 |
2,710,419 |
2,798,115 |
2,859,824 |
2,893,730 |
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TECHNICAL NET REVENUE |
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2,599,274 |
2,710,419 |
2,798,115 |
2,859,824 |
2,893,730 |
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PROFESSIONAL NET |
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0 |
0 |
0 |
0 |
0 |
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LEASED NET REVENUE |
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0 |
0 |
0 |
0 |
0 |
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TOTAL NET REVENUE |
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2,599,274 |
2,710,419 |
2,798,115 |
2,859,824 |
2,893,730 |
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EXPENSES |
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SALARIES |
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328,086 |
358,270 |
391,231 |
427,224 |
466,529 |
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BENEFITS |
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106,626 |
118,465 |
131,655 |
146,354 |
162,737 |
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MEDICAL DIRECTOR |
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12,000 |
12,000 |
12,000 |
12,000 |
12,000 |
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MANAGEMENT FEES |
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0 |
0 |
0 |
0 |
0 |
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READING FEES |
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0 |
0 |
0 |
0 |
0 |
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SUPPLIES |
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269,294 |
296,897 |
327,329 |
360,880 |
397,870 |
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BAD DEBT |
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64,982 |
67,760 |
69,953 |
71,496 |
72,343 |
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EQUIPMENT LEASE |
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329,726 |
329,726 |
329,726 |
329,726 |
329,726 |
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EQUIPMENT MAINTENANCE |
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213,750 |
213,750 |
213,750 |
213,750 |
213,750 |
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RADIO/CT TUBES |
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56,000 |
56,000 |
56,000 |
56,000 |
56,000 |
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SPACE LEASE |
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105,293 |
106,346 |
107,409 |
108,483 |
109,568 |
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NON-INCOME TAX |
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24,450 |
24,450 |
24,450 |
24,450 |
24,450 |
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INSURANCE |
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