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B Styles N Drs. Smith and Jones Physician Group Statement of Revenue and Expense For the Period Ending June 30, 2019 REVENUE Net Patient Service

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B Styles N Drs. Smith and Jones Physician Group Statement of Revenue and Expense For the Period Ending June 30, 2019 REVENUE Net Patient Service Revenue Other Revenue TOTAL OPERATING REVENUE 1,180,000 1,180,000 EXPENSES Nursing and PA Salaries Clerical Salaries Payroll Taxes/Employee Benefits Medical Supplies Professional Fees Dues and Publications Janitorial Services Office Supplies Repairs and Maintenance Utilities and telephone Depreciation Interest Other TOTAL EXPENSES 116,650 20,150 8,800 25,000 34,000 4,800 2,000 2,500 2,500 12,000 40,000 5,100 6,000 279,500 7 INCOME FROM OPERATIONS 900,500 9 NON-OPERATING GAINS (LOSSES) Interest Income 0 52 0 33 NON-OPERATING GAINS, NET EXPENSES Nursing and PA Salaries Clerical Salaries Payroll Taxes/Employee Benefits Medical Supplies Professional Fees Dues and Publications Janitorial Services 0 Office Supplies Repairs and Maintenance Utilities and telephone Depreciation Interest Other TOTAL EXPENSES 27 INCOME FROM OPERATIONS 116,650 20,150 8,800 25,000 34,000 4,800 2,000 2,500 2,500 12,000 40,000 5,100 6,000 23 25 26 279,500 28 900,500 + 29 30 NON-OPERATING GAINS (LOSSES) Interest Income 0 31 32 0 NON-OPERATING GAINS, NET 33 34 900,500 35 NET INCOME 36 37 Drs. Smith and Jones Physician Group Balance Sheet For the Period Ending June 30, 2019 ASSETS CURRENT ASSETS $ Cash and Cash Equivalents Patients Accounts Receivable Inventories - Supplies and Drugs 125,000 80,000 10,000 Total Current Assets $ 215,000 Property, Plant and Equipment, Net Buildings Equipment Less: Accumulated Depreciation Net Depreciable Assets Land 1,500,000 875,000 2,375,000 (580,000) 1,795,000 600,000 + Property, Plant and Equipment, Net Other Assets 2,395,000 30,000 Total Assets 2,640,000 Total Assets K 2,640,000 Liabilities and Capital Current Liabilities Current Maturities of Long Term Debt Accounts Payable and Accrued Expenses 110,000 240,000 Total Current Liabilities 350,000 Long Term Debt Less: Current Portion of Long Term Debt Net Long Term Debt 480,000 (15,000) 465,000 Total Liabilities 815,000 Capital 1,825,000 Total Liabilities and Capital 2,640,000 The first two tabs of this worksheet have the Statement of Revenue and Expense and the Balance Sheet The accounts listed below can be found on those financial statements. Enter the dollar amounts from those statements on the lines below and which financial statement you the numbers came from 0 I have completed one account as an example. 12 Financial Amount Statement 125,000 Balance Sheet Cash 15 17 18 Income from Operations Accumulated Depreciation Inventories Current portion of Long term Debt Total Assets Current Liabilities Total Operating Revenue 19 20 21 22 23

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