Simple Accounting Worksheet For Midwives Page 17
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21Instructions: Simple Accounting Worksheet
Tender Loving Care Maternal Clinic
Income Statement
Monthly
REVENUES (Income)
Deliveries (births)
8000
Family Planning Services
Counseling
100
Injection for Family Planning
IUD
Other Family Planning Services
Maternal Child Care Services
Pre-Natal Consultation
Tetanus Toxoid Vaccination
Birth Plan Development
Nutrition Information for Pregnant and Lactating Women
Post-natal Consultation
Other Maternal Care Services
Treatment of Child Diarrhea
Newborn Screening
Other Child Care Services
Family planning products
100
Other services
150
Other products
Interest on deposits
TOTAL REVENUES (Income)
8350
EXPENSES
Cost of Medical Supplies
Cost of Stocks (Family planning products, drugs, vitamins for sale)
50
Wages (midwife, cleaner, etc.)
Rent
Water
650
Electricity
300
Telephone
Forms / Stationery/ Brochures
Insurance fees
Transportation
150
Training fees
500
Interest Expense
Other Expenses
TOTAL EXPENSES
3350
EARNINGS (LOSS) BEFORE TAXES
Income Tax Expense
NET INCOME (LOSS)
5000
17
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