| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING & TAX SERVICES | 12,075 | 12,075 |
| 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 | 148,962 | 130,233 | 2,264 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| EQUIPMENT, FURNITURE, AUTO & IMPROV. | 153,321 | 132,496 | 20,825 | 32,200 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ADVERTISING | 1,195 | 1,195 | ||
| CONTRACT CONSULTANTS | 23,110 | 20,960 | ||
| DUES & SUBSCRIPTIONS | 1,232 | 1,232 | ||
| FOOD COST | 24,958 | 24,958 | ||
| PROPERTY & LIABILITY INSURANC | 13,180 | 13,180 | ||
| MEDICAID PROVIDER FEES | 79,935 | 80,001 | ||
| POSTAGE | 509 | 509 | ||
| PROFESSIONAL MEDICAL SERVICES | 2,219 | 2,219 | ||
| PURCHASED DAY SERVICES | 117,000 | 87,750 | ||
| REPAIRS & MAINTENANCE | 5,884 | 5,884 | ||
| SUPPLIES | 19,913 | 19,913 | ||
| TELEPHONE/CABLE/INTERNET | 8,566 | 8,566 | ||
| TRANSPORTATION | 1,306 | 1,306 | ||
| FLOWERS & GIFTS | 1,425 | 1,425 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| MEDICAID | 750,572 | 750,572 | |
| PATIENT LIABILITY | 65,362 | 65,362 | |
| MISCELLANEOUS INCOME | 2,347 | 2,347 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| STATE GOVERNMENT FEES/BACKGROUND | 739 | 739 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LICENSES & PERMITS | 275 | 275 |