PROPRIETORSHIP and PARTNERSHIP Balance: 12/31/2016 (from 2016 2500.0) 1 Other: Prior Period Adjustment(s) 2 Capital contribution during year HCF-1 Net income Drawing during year ( ) Balance: 12/31/2018 (2500.0) 3 CORPORATION Capital Additional Retained Treasury Total Stock Paid-in earnings Stock 1 Balance: 12/31/2016 Other: Prior Period 2 Adjustment(s) of stock Additional paid-in capital HCF-1 Net income/(Loss) ( ( ) Dividends paid ) Treasury stock Purchased/Sold ( ) 3 Balance: 12/31/2018 (2620.0) (2630.0) (2650.0) (2640.0) (2500.0) 1 This amount should agree with acct. #2500.0, Total Net Worth on Schedule 9 of 2016 HCF-1. 2 Disclose all facts relative to adjustments(s) and explain on the Footnotes and Explanations page any impact on reimbursable costs as reported on prior year(s) cost report identifying the specific accounts affected. 3 This amount should agree with acct. #2500.0, Total Net Worth on Schedule 9 of 2018 HCF-1. Detail explanation for any difference.
PROPRIETORSHIP and PARTNERSHIP Balance: 12/31/2016 (from 2016 2500.0) 1 Other: Prior Period Adjustment(s) 2 Capital contribution during year HCF-1 Net income Drawing during year ( ) Balance: 12/31/2018 (2500.0) 3 CORPORATION Capital Stock Additional Paid-in Retained earnings Treasury Stock Total Balance: 12/31/2016 1 Other: Prior Period Adjustment(s) 2 of stock Additional paid-in capital HCF-1 Net income/(Loss) Dividends paid ( ) ( ) Treasury stock Purchased/Sold Balance: 12/31/2018 ( ) 3 (2620.0) (2630.0) (2650.0) (2640.0) (2500.0) 1 This amount should agree with acct. #2500.0, Total Net Worth on Schedule 9 of 2016 HCF-1. 2 Disclose all facts relative to adjustments(s) and explain on the Footnotes and Explanations page any impact on reimbursable costs as reported on prior year(s) cost report identifying the specific accounts affected. 3 This amount should agree with acct. #2500.0, Total Net Worth on Schedule 9 of 2018 HCF-1. Detail explanation for any difference.
hcf-1.docx