1. (a) The compiled five year forecast shall consist of the following:

   1. (1) a balance sheet;
   2. (2) a statement of operations;
   3. (3) a statement of cash flows; and
   4. (4) a narrative detailing all significant assumptions.

2. (b) The balance sheet shall include individual categories or line items that sum into the following sub‑totals, at a minimum:

   1. (1) current assets;
   2. (2) restricted assets, including a line item for operating reserve assets;
   3. (3) fixed assets, including property, plant, and equipment;
   4. (4) total assets;
   5. (5) current liabilities;
   6. (6) long‑term debt;
   7. (7) total liabilities;
   8. (8) deferred revenue‑refundable;
   9. (9) deferred revenue‑nonrefundable;
   10. (10) equity or fund balance‑unrestricted; and
   11. (11) equity or fund balance‑restricted.

3. (c) The statement of operations shall include the following individual categories or line items, at a minimum:

   1. (1) monthly fee revenues;
   2. (2) amortization of entrance fees;
   3. (3) health care revenues;
   4. (4) investment/interest income;
   5. (5) contributions/gifts;
   6. (6) health care expenses;
   7. (7) operations expenses, consisting of at least maintenance, laundry, and housekeeping;
   8. (8) dietary expenses;
   9. (9) administrative expenses;
   10. (10) interest expenses; and
   11. (11) depreciation.

History Note: Authority G.S. 58‑2‑40; 58‑64‑20; 58‑64‑65;
Eff. April 1, 1993;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 20, 2015.