| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING & TAX SERVICES | 8,725 | 8,725 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| EQUIPMENT, FURNITURE, AUTO & IMPROV-VARIOUS | 128,144 | 117,273 | 5,491 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| EQUIPMENT, FURNITURE, AUTO & IMPROV. | 146,849 | 122,765 | 24,084 | 44,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ADVERTISING | 777 | 777 | ||
| CONTRACT CONSULTANTS | 15,610 | 15,810 | ||
| DUES & SUBSCRIPTIONS | 1,815 | 1,815 | ||
| FOOD COST | 25,751 | 25,751 | ||
| PROPERTY & LIABILITY INSURANC | 12,213 | 12,213 | ||
| MEDICAID FEES | 627 | 627 | ||
| MEDICAID PROVIDER FEES | 73,339 | 74,331 | ||
| POSTAGE | 563 | 563 | ||
| PROFESSIONAL MEDICAL SERVICES | 4,687 | 4,687 | ||
| PURCHASED DAY SERVICES | 116,890 | 126,640 | ||
| REPAIRS & MAINTENANCE | 6,002 | 6,002 | ||
| SUPPLIES | 19,881 | 19,881 | ||
| TELEPHONE/CABLE/INTERNET | 8,614 | 8,614 | ||
| TRANSPORTATION | 3,706 | 3,706 | ||
| FLOWERS & GIFTS | 362 | 362 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| MEDICAID PAYMENTS | 734,706 | 734,706 | |
| PATIENT LIABILITY | 63,877 | 63,877 | |
| MISCELLANEOUS INCOME | 2,322 | 2,322 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| STATE GOVERNMENT FEES/BACKGROUND | 780 | 780 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PERSONAL PROPERTY TAX | 263 | 263 | ||
| LICENSES & PERMITS | 483 | 483 |