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POFOA | Proof of Financial Ability to Operate

Fixed Operating Costs

Office sublease
US$
General liability insurance
US$
Total Fixed Costs
US$

Clinical Staffing (Contracted)

Administrator per hour rate
US$
CFO per hour rate
US$
Medical staff per hour rate
US$
Medical director
US$
Total Clinical Personnel:
US$

Operational Costs

Medical supplies (needles, kits, PPE, etc.)
US$
EMR / scheduling software
US$
Phone / internet
US$
Office supplies
US$
Total Operations:
US$

Marketing / Business Development

Website and marketing
US$

Miscellaneous / Contingency

Estimated buffer
US$
This would bring the estimated monthly operating budget to approximately:
US$
For the POFA requirement, showing approximately three months of operating reserves would be:
US$
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