| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AUDIT AND ACCOUNTING FEES | 17,050 | 0 | 17,050 | 0 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| BUILDINGS, F/F AND EQUIPMENT | 2018-01-01 | 30,252,507 | 2,473,869 | 0 % | 875,310 | 0 | 875,310 | ||
| LAND | 2018-01-01 | 3,382,500 | 0 % | 0 | 0 | 0 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS, F/F AND EQUIPMENT | 30,252,507 | 3,349,179 | 26,903,328 | |
| LAND | 3,382,500 | 0 | 3,382,500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 20,048 | 0 | 20,048 | 0 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| INTANGIBLE ASSETS | 2,016,000 | 2,016,000 | 2,016,000 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING | 71,234 | 0 | 71,234 | 0 |
| INSURANCE | 84,725 | 0 | 84,725 | 0 |
| MISCELLANEOUS | 20,898 | 0 | 20,898 | 0 |
| DRUGS AND SUPPLIES | 93,398 | 0 | 93,398 | 0 |
| FOOD AND SUPPLIES | 128,334 | 0 | 128,334 | 0 |
| REPAIRS AND MAINTENANCE | 37,698 | 0 | 37,698 | 0 |
| RENTAL EXPENSES | 5,259 | 0 | 5,259 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| NET PATIENT AND RESIDENT SERVICE REVENUE | 2,568,407 | 2,568,407 | |
| LICENSED RESIDENTIAL CARE FACILTY AND LICENSED SKILLED NURSING FACILITY RENT | 1,358,384 | 1,358,384 |
| Description | Amount |
|---|---|
| UNREALIZED GAIN ON DERIVATIVE | 996,044 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| ACCRUED COMPENSATION | 54,895 | 76,207 |
| ACCRUED MANAGEMENT FEES | 70,566 | 219,903 |
| RESIDENT DEPOSITS | 995,343 | 924,737 |
| DERIVATIVE LIABILITY | 2,418,879 | 1,422,835 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SERVICE BUREAU FEES | 215,117 | 0 | 215,117 | 0 |
| MANAGEMENT AND CONSULTING FEES | 71,706 | 0 | 71,706 | 0 |
| CONTRACTED SERVICES | 292,822 | 0 | 292,822 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 72,380 | 0 | 72,380 | 0 |