| 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 |
|---|---|---|---|---|---|---|---|---|---|
| BUILDING | 55,641,053 | 2,243,351 | SL | 2,946,814 | 2,946,814 | 2,946,814 | |||
| LEASEHOLD | 1,592,490 | 533,371 | SL | 533,371 | 533,371 | 533,371 | |||
| LAND | 36,167,036 | SL | 494,900 | 494,900 | 494,900 | ||||
| EQUIPMENT | 4,721,003 | 209,956 | SL | 258,187 | 258,187 | 258,187 | |||
| OTHER | 1,730,194 | 444,928 | SL | 3,225 | 3,225 | 3,225 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| LAND | 36,167,036 | 0 | 36,167,036 | 36,167,036 |
| BUILDINGS | 55,641,053 | 2,243,351 | 53,397,702 | 53,397,702 |
| Leasehold improvements | 1,592,490 | 533,371 | 1,059,119 | 1,059,119 |
| Equipment | 4,721,003 | 209,956 | 4,511,047 | 4,511,047 |
| Other | 1,730,193 | 444,928 | 1,285,265 | 1,285,265 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| DUE FROM AFFILIATES | 0 | 6,067,220 | 6,067,220 |
| RIGHT OF USE ASSETS | 3,839,530 | 3,182,551 | 3,182,551 |
| DUE FROM UNITYPOINT HEALTH | 0 | 385,306 | 385,306 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OFFICE EXPENSES | 332,886 | 332,886 | 332,886 | |
| MEDICAL SUPPLIES | 7,769 | 7,769 | 7,769 | |
| INFORMATION TECHNOLOGY | 495 | 495 | 495 | |
| MISCELLANEOUS EXPENSE | 11 | 11 | 11 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| BAD DEBT RECOVERED | 37,949 | 37,949 |
| Description | Amount |
|---|---|
| INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS | 3,866,646 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| OPERATING LEASE LIABILITY | 3,995,142 | 3,182,551 |
| DUE TO AFFILIATES | 111,986 | 2,236,818 |
| ACCRUED REAL ESTATE TAX | 1,283,607 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NOTES AND LOANS RECEIVABLES | 6,127,436 | 0 | 0 % | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Housekeeping | 1,766,072 | 1,766,072 | 1,502,405 | 263,667 |
| Other Purchased Services | 959,600 | 959,600 | 959,600 | |
| Document Storage & Destruction | 4,737 | 4,737 | ||
| Bank Fees | 1,085 | 1,085 | ||
| Other Professional Services | 25 | 25 | 25 |
| Name | US / Foreign Address |
EIN | Description | Amount |
|---|---|---|---|---|
| METHODIST MEDICAL CENTER OF ILLINOIS |
611 W PARK STREET URBANA,IL61801 |
37-0661223 | RENT | 4,562,798 |
| PROCTOR HOSPITAL |
611 W PARK STREET URBANA,IL61801 |
37-0681540 | RENT | 664,149 |
| PROCTOR HEALTH SYSTEMS |
611 W PARK STREET URBANA,IL61801 |
36-4147437 | RENT | 2,963,195 |
| Total | ||||