| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT ACCOUNTING FEES | 7,871 | 7,871 |
| Person Name | Explanation |
|---|---|
| LAWRENCE D BEALL | |
| LARRY ODOM | |
| W MARK RUSSELL | |
| CHRISTINE S RASMUSSEN |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|---|---|---|---|---|---|---|---|---|
| DEPRECIATION | 3,489 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| OFFICE EQUIPMENT | 2006-06 | PURCHASE | 2011-12 | 1,131 | -1,131 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| MACHINERY AND EQUIPMENT | 27,849 | 25,846 | 2,003 | 2,003 |
| LEASEHOLD IMPROVEMENTS | 5,445 | 2,301 | 3,144 | 3,144 |
| Item No. | 1 |
|---|---|
| Lender's Name | WELLS FARGO LINE OF CREDIT |
| Lender's Title | |
| Relationship to Insider | NONE |
| Original Amount of Loan | 10000 |
| Balance Due | 5664 |
| Date of Note | 2011-01 |
| Maturity Date | 2012-01 |
| Repayment Terms | MONTHLY INTEREST |
| Interest Rate | 0.1000 |
| Security Provided by Borrower | UNSECURED |
| Purpose of Loan | |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| BAD DEBTS | 10,859 | 10,859 | ||
| THERAPY TOOLS AND SUPPLIES | 101 | 101 | ||
| OFFICE SUPPLIES | 2,015 | 2,015 | ||
| ADVERTISING AND PROMOTION | 3,924 | 3,924 | ||
| TELEPHONE AND INTERNET FEES | 5,782 | 5,782 | ||
| INSURANCE | 2,688 | 2,688 | ||
| DUES AND SUBSCRIPTIONS | 652 | 652 | ||
| CONTINUING EDUCATION | 791 | 791 | ||
| BANK CHARGES | 1,659 | 1,659 | ||
| MEALS AND ENTERTAINMENT | 112 | 112 | ||
| EQUIPMENT REPAIRS | 266 | 266 | ||
| OFFICE EXPENSES | 1,805 | 1,805 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| PATIENT AND CONSULTING FEES | 287,201 | 287,201 | |
| OTHER EXEMPT FUNCTION INCOME | 4,435 | 4,435 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| EQUIPMENT LEASE PAYABLE | 1,959 | |
| ACCRUED PAYROLL TAXES | 1,119 | 375 |
| DUE TO OFFICER | 51,987 | 60,587 |
| ACCRUED INTEREST | 1,250 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT OTHER PROFESSIONAL FEES | 25,396 | 25,396 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT TAXES/LICENSES | 639 | 639 |