| Total Community Benefit Expense |
| 1. |
Direct costs |
1. _______________ |
| 2. |
Indirect costs |
2. _______________ |
| 3. |
Total community benefit expense (add lines 1 and 2; enter on Part I, line 7h, column (c)) |
3. _______________ |
| Direct Offsetting Revenue |
| 4. |
Other revenue (enter on Part I, line 7h, column (d)) |
4. _______________ |
| 5. |
Net community benefit expense (subract line 4 from line 3; enter on Part I, line 7h, column (e)) |
5. _______________ |
| 6. |
Total expense (enter amount from Form 990, Part IX, Line 25, column (A), and include the organization's share of joint venture expenses.) |
6. _______________ |
| 7. |
Percent of total expense (divide line 5 by line 6; enter on Part I, line 7h, column (f)) |
7. _______________ |
