| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 23,107 | 11,588 | 8,944 | 2,575 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| LAND IMPROVEMENTS | 2001-01-01 | 58,968 | 41,475 | SL | 20.000000000000 | 3,402 | 0 | 3,402 | |
| BUILDING | 2001-01-01 | 421,474 | 228,337 | SL | 10.000000000000 | 23,879 | 0 | 23,879 | |
| NURSING UNIT | 2001-01-01 | 1,168,522 | 528,705 | SL | 10.000000000000 | 39,176 | 0 | 39,176 | |
| FURNITURE AND EQUIPMENT | 2001-01-01 | 270,758 | 122,134 | SL | 10.000000000000 | 20,665 | 0 | 20,665 | |
| GENERATOR | 2001-01-01 | 61,359 | 26,610 | SL | 10.000000000000 | 3,139 | 0 | 3,139 | |
| MOTOR VEHICLES | 2001-01-01 | 36,678 | 16,505 | SL | 10.000000000000 | 3,668 | 0 | 3,668 | |
| LAND | 2001-01-01 | 6,822 | L | 0 | 0 | 0 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| EQUITY SECURITIES | 76,336 | 76,336 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS | FMV | 2,396,391 | 2,396,391 |
| OTHER SECURITIES | FMV | 10,834 | 10,834 |
| LIFE INSURANCE ANNUITY CONTRACT | FMV | 4,200 | 4,200 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| LAND IMPROVEMENTS | 58,968 | 44,877 | 14,091 | |
| BUILDING | 421,474 | 252,216 | 169,258 | |
| NURSING UNIT | 1,168,522 | 567,881 | 600,641 | |
| FURNITURE AND EQUIPMENT | 270,758 | 142,799 | 127,959 | |
| GENERATOR | 61,359 | 29,749 | 31,610 | |
| MOTOR VEHICLES | 36,678 | 20,173 | 16,505 | |
| LAND | 6,822 | 0 | 6,822 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL | 3,549 | 0 | 2,756 | 793 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CONSTRUCTION IN PROGRESS | 48,374 | 48,375 | 48,375 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TELEPHONE | 3,778 | 0 | 2,933 | 845 |
| CONSULTANTS/SPECIALISTS | 18,375 | 0 | 14,267 | 4,108 |
| MISCELLANEOUS | 40,862 | 0 | 31,726 | 9,136 |
| FOOD | 117,862 | 0 | 91,511 | 26,351 |
| UTILITIES | 58,666 | 0 | 45,550 | 13,116 |
| NURSING/MEDICAL SUPPLIES | 46,975 | 0 | 36,473 | 10,502 |
| INSURANCE | 58,643 | 0 | 45,532 | 13,111 |
| MOTOR VEHICLE | 947 | 0 | 735 | 212 |
| ADVERTISING | 12,064 | 0 | 9,367 | 2,697 |
| LICENSES & FEES | 1,291 | 0 | 1,002 | 289 |
| OFFICE SUPPLIES & EXPENSE | 65,046 | 0 | 50,503 | 14,543 |
| FUNDRAISING | 834 | 0 | 648 | 186 |
| REPAIRS & MAINTENANCE | 44,211 | 0 | 34,326 | 9,885 |
| RESIDENT SERVICES | 38,056 | 0 | 29,548 | 8,508 |
| SEMINARS | 70 | 0 | 54 | 16 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| FEES FROM RESIDENTS | 476,151 | 476,151 | |
| LIFE CARE ADMISSIONS | 686,190 | 686,190 |
| Description | Amount |
|---|---|
| CHANGE IN NET UNREALIZED GAINS ON INVESTMENTS | 161,209 |
| TAX BASIS CAPITAL GAIN ADJUSTMENT | 33,675 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| ESTIMATED OBLIGATION TO PROVIDE FUTURE SERVICES | 799,176 | 1,016,192 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 76,816 | 0 | 59,642 | 17,174 |