| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 16,358 | 0 | 3,889 | 1,425 |
| 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 | 47,711 | SL | 20.000000000000 | 2,835 | 0 | 2,835 | |
| BUILDING | 2001-01-01 | 516,707 | 276,464 | SL | 10.000000000000 | 24,248 | 0 | 24,248 | |
| NURSING UNIT | 2001-01-01 | 1,168,522 | 607,008 | SL | 10.000000000000 | 39,127 | 0 | 39,127 | |
| FURNITURE AND EQUIPMENT | 2001-01-01 | 296,920 | 165,306 | SL | 10.000000000000 | 22,506 | 0 | 22,506 | |
| GENERATOR | 2001-01-01 | 61,359 | 32,888 | SL | 10.000000000000 | 3,139 | 0 | 3,139 | |
| MOTOR VEHICLES | 2001-01-01 | 36,678 | 23,841 | 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 | 69,558 | 69,558 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| MUTUAL FUNDS | FMV | 2,277,097 | 2,277,097 |
| OTHER SECURITIES | FMV | 10,500 | 10,500 |
| 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 | 50,546 | 8,422 | |
| BUILDING | 516,707 | 300,712 | 215,995 | |
| NURSING UNIT | 1,168,522 | 646,135 | 522,387 | |
| FURNITURE AND EQUIPMENT | 296,920 | 187,812 | 109,108 | |
| GENERATOR | 61,359 | 36,027 | 25,332 | |
| MOTOR VEHICLES | 36,678 | 27,509 | 9,169 | |
| LAND | 6,822 | 0 | 6,822 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL | 2,010 | 0 | 1,471 | 539 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| CONSTRUCTION IN PROGRESS | 48,375 | 64,575 | 64,575 |
| Description | Amount |
|---|---|
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING EXPENSE | 55,920 | 0 | 40,927 | 14,993 |
| OFFICE SUPPLIES EXPENSE | 45,490 | 0 | 33,293 | 12,196 |
| INSURANCE EXPENSE | 26,847 | 0 | 19,649 | 7,198 |
| MEDICAL EXPENSE | 63,082 | 0 | 46,168 | 16,913 |
| HOUSEKEEPING EXPENSE | 10,718 | 0 | 7,844 | 2,874 |
| FOOD EXPENSE | 141,653 | 0 | 103,673 | 37,979 |
| OTHER EXPENSES | 30,470 | 0 | 22,301 | 8,169 |
| FUNDRAISING EXPENSE | 3,413 | 0 | 2,498 | 915 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| RESIDENT SERVICE REVENUE | 1,396,487 | 1,396,487 | |
| LIFE CARE ADMISSIONS | 540,394 | 540,394 |
| Description | Amount |
|---|---|
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| ESTIMATED OBLIGATION TO PROVIDE FUTURE SERVICES | 1,016,192 | 687,614 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 71,154 | 0 | 52,076 | 19,077 |