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The tabs below contain worksheets, templates, and helpful information. If you have any questions or issues, please call 615-741-2364.
1. Worksheet to Help Calculate Fair Market Value for Project Cost and Project Cost Chart
2. Worksheet to Calculate Development Schedule
3. Worksheet to Calculate Payor Source Percentage
5. Letter of Intent Newspaper Template for Home Health/Hospice Agencies
7. Relocation Exemption Word Template
**NEW** In projects involving Establishing a New Health Care Institution, please choose under Facility Type Other (Specify) type the following statement "Newly Formed Entity".
Medical Equipment Information Attachment
Tennessee County Map (To Indicate Service Area)