| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AUDIT AND ACCOUNTING FEES | 21,000 | 0 | 21,000 | 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 | 30,565,475 | 4,212,241 | 0 % | 895,673 | 0 | 895,673 | ||
| LAND | 2018-01-01 | 3,382,500 | 0 % | 0 | 0 | 0 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| OBSOLETE EQUIPMENT DISPOSED | 2014-11 | PURCHASED | 2023-12 | 22,720 | COST | 0 | 22,720 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS, F/F AND EQUIPMENT | 30,565,475 | 5,107,914 | 25,457,561 | |
| LAND | 3,382,500 | 0 | 3,382,500 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 29,189 | 0 | 29,189 | 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 |
| DERIVATIVE ASSET | 670,498 | 492,388 | 492,388 |
| Description | Amount |
|---|---|
| UNREALIZED LOSS ON DERIVATIVE | 178,110 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ADVERTISING | 62,649 | 0 | 62,649 | 0 |
| INSURANCE | 93,874 | 0 | 93,874 | 0 |
| MISCELLANEOUS | 13,469 | 0 | 13,469 | 0 |
| DRUGS AND SUPPLIES | 76,831 | 0 | 76,831 | 0 |
| FOOD AND SUPPLIES | 216,473 | 0 | 216,473 | 0 |
| REPAIRS AND MAINTENANCE | 18,933 | 0 | 18,933 | 0 |
| RENTAL EXPENSES | 9,475 | 0 | 9,475 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| NET PATIENT AND RESIDENT SERVICE REVENUE | 2,841,307 | 2,841,307 | |
| LICENSED RESIDENTIAL CARE FACILTY AND LICENSED SKILLED NURSING FACILITY RENT | 1,021,947 | 1,021,947 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| ACCRUED COMPENSATION | 70,138 | 65,008 |
| ACCRUED MANAGEMENT FEES | 214,116 | 293,366 |
| RESIDENT DEPOSITS | 843,250 | 759,166 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SERVICE BUREAU FEES | 232,247 | 0 | 232,247 | 0 |
| MANAGEMENT AND CONSULTING FEES | 77,416 | 0 | 77,416 | 0 |
| CONTRACTED SERVICES | 284,251 | 0 | 284,251 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PAYROLL TAXES | 92,244 | 0 | 92,244 | 0 |