| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT ACCOUNTING FEES | 4,200 | 4,200 |
| 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 | 3,705 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| MACHINERY AND EQUIPMENT | 34,758 | 28,036 | 6,722 | 6,722 |
| LEASEHOLD IMPROVEMENTS | 5,445 | 3,390 | 2,055 | 2,055 |
| Item No. | 1 |
|---|---|
| Lender's Name | LAWRENCE BEALL |
| Lender's Title | PRESIDENT & BD CHAIRMAN |
| Original Amount of Loan | 60587 |
| Balance Due | 33644 |
| Date of Note | 2012-12 |
| Maturity Date | 2016-06 |
| Repayment Terms | MONTHLY PAYMENTS OF 1,000 |
| Interest Rate | 0.0250 |
| Security Provided by Borrower | UNSECURED |
| Purpose of Loan | WORKING CAPITAL |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ADVERTISING AND PROMOTION | 2,656 | 2,656 | ||
| BAD DEBTS | 2,300 | 2,300 | ||
| BANK CHARGES | 1,691 | 1,691 | ||
| CONTINUING EDUCATION | 465 | 465 | ||
| DUES AND SUBSCRIPTIONS | 1,068 | 1,068 | ||
| EQUIPMENT REPAIRS | 1,090 | 1,090 | ||
| INSURANCE | 3,134 | 3,134 | ||
| MEALS AND ENTERTAINMENT | 340 | 340 | ||
| OFFICE EXPENSES | 1,690 | 1,690 | ||
| OFFICE SUPPLIES | 3,629 | 3,629 | ||
| OFFICERS LIFE INSURANCE | 2,245 | 2,245 | ||
| TELEPHONE AND INTERNET FEES | 5,425 | 5,425 | ||
| THERAPY TOOLS AND SUPPLIES | 2,540 | 2,540 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| PATIENT AND CONSULTING FEES | 300,290 | 300,290 | |
| UTAH STATE GOVN. AGENCIES | 104,126 | 104,126 | |
| OTHER EXEMPT FUNCTION INCOME | 510 | 510 | |
| SALES TAX REFUNDS | 2,047 | 2,047 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| ACCRUED PAYROLL TAXES | 298 | 1,008 |
| ACCRUED SALARIES AND WAGES | 9,537 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT OTHER PROFESSIONAL FEES | 47,396 | 47,396 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INDIRECT TAXES/LICENSES | 548 | 548 |