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SCHEDULE 2, EXHIBIT B <br /> EXAMPLE FORM OF CLINIC BUDGET FOR REIMBURSABLE CHARGES <br /> Previous Previous <br /> Year Year Proposed <br /> Actuals Bud et Bud et <br /> Operations <br /> Labor (including benefits, taxes, and <br /> malpractice) <br /> Office &Operating Supplies <br /> Medical/Pharmaceutical Supplies <br /> Small Tools/Minor Equipment <br /> (< $5000; useful life < 1 year) <br /> Professional Services <br /> Off-Site Laboratory <br /> Communication <br /> (computer and printing equipment, telephone, <br /> internet, postage, fax, Clinic promotion) <br /> Training and Development and Licensure <br /> Operating Rental/Equipment Lease <br /> Real Property Lease <br /> Utility Services <br /> (gas, water, sewer, electricity, medical waste) <br /> Repairs&Maintenance <br /> Taxes <br /> Capital Outlays <br /> Improvements (tenant improvements) <br /> Machinery and Equipment <br /> (> $5000; useful life > 1 year) <br /> Miscellaneous (Line item all categories above <br /> $10,000) <br /> GRAND TOTAL - <br /> Schedule 2, Exhibit B <br />