1. Purpose of the Financial Infrastructure Section

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* 1. Facility Name:

In the following pages, we ask several questions regarding your facility's business plan, finances, and financial infrastructure. We recognize the sensitive nature of this information and only seek it to assist you in developing a financially sustainable radiology practice. All information collected in this financial section will be kept strictly confidential unless you provide us with permission to do otherwise.

Our shared goal is to provide the highest quality sustainable care to your patients.

Your financial and business data will be used to:

1. Enhance your current financial management infrastructure to regional standards

2. Provide you with useful templates for financial documents

3. Create a sustainability plan for your facility's radiology practice

4. Incorporate business and finance topics of interest to you and your management team as part of a tailored "health care entrepreneurship" educational program

5. Help you develop an effective approach to applying for loans and other forms of capital financing to fund the purchase, operation, and maintenance of radiology equipment

6. Identify the most useful borrowing options for you as your institution grows

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14% of survey complete.

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