| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING & TAX SERVICES | 8,350 | 8,350 |
| 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 | 184,020 | 101,279 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| EQUIPMENT, FURNITURE, AUTO & IMPROV. |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| CONTRACT CONSULTANTS | 7,788 | 7,788 | ||
| DUES & SUBSCRIPTIONS | 180 | 180 | ||
| FOOD COST | 2,738 | 2,738 | ||
| LIABILITY INSURANCE | 735 | 735 | ||
| MEDICAID PROVIDER FEES | 2,365 | 7,418 | ||
| REPAIRS & MAINTENANCE | 783 | 783 | ||
| SUPPLIES | 1,550 | 1,549 | ||
| TELEPHONE/CABLE/INTERNET | 823 | 823 | ||
| TRANSPORTATION | 259 | 259 | ||
| BANK CHARGES | 278 | 278 | ||
| BAD DEBTS-UNCOLLECTED MEDICAI | 20,813 | 20,813 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| MEDICAID | 22,670 | 22,670 | |
| PATIENT LIABILITY | 1,965 | 1,965 | |
| MISCELLANEOUS INCOME | 180 | 180 | |
| INSURANCE PREMIUM REFUNDS | 5,302 | 5,302 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| STATE GOVERNMENT FEES/BACKGROUND | 719 | 719 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXCISE TAX | 3 | 3 | ||
| LICENSE AND PERMITS | 210 | 210 |