|
Certificate of Need Forms
|
CN-1
|
Certificate of Need Application
|
doc
|
pdf
|
|
CN-2
|
Architectural Section Project Summary
|
doc
|
pdf
|
|
CN-3
|
Capital Expenditure Estimate
|
doc
|
pdf
|
|
CN-4
|
Financial Section Project Cost Estimate
|
doc
|
pdf
|
|
CN-5
|
Income Statement
|
doc
|
pdf
|
|
CN-6
|
Balance Sheet
|
doc
|
pdf
|
|
CN-7
|
Statement of Changes in Financial Position
|
doc
|
pdf
|
|
CN-8
|
Debt Service Coverage
|
doc
|
pdf
|
|
CN-9
|
Ratio Analyses
|
doc
|
pdf
|
| CN-10 |
Volume Adjusted Expenses and Revenues |
doc |
pdf |
|
CN-11
|
Financial Analysis for Individual Service
|
doc
|
pdf
|
|
CN-12
|
Sources and Uses of Funds for the Proposed Project
|
doc
|
pdf
|
|
LOI-1
|
Letter of Intent
|
doc
|
pdf
|
|
SIM-1
|
Periodic Progress Report of Certificate of Need Project
|
doc
|
pdf
|
|
SIM-2
|
Request for Changes in Issued Certificate of Need
|
doc
|
pdf
|
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