2020-11-16T19:14:24-06:00 2019-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2019-01-01 472528627 SOMOS HEALTHCARE PROVIDERS INC SOMO 6469797613 519 EIGHTH AVENUE 14TH FLOOR NEW YORK NY 10018 TRACEY LIN CFO 6469797613 2020-11-16 1 GARRETT M HIGGINS P00543209 9143818900 24.190.81.120 2020-11-16 19:14:20 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9616F4B14A694591D1E716C270910E6FA5556DA3 2019 2021-01-29 14:40:06Z MARIO J PAREDES 519 EIGHTH AVENUE 14TH FLOOR NEW YORK NY 10018 104757963 0 X WWW.SOMOSCOMMUNITYCARE.ORG X 2014 NY SOMOS HEALTHCARE PROVIDERS, INC. IS A PERFORMING PROVIDER SYSTEM UNDER THE NYS MEDICAID DSRIP PROGRAM PROMOTING HEALTH & LESSENING THE BURDEN OF GOVERNMENT. 9 8 165 10 0 0 0 84000 180694022 101167231 2140200 3505942 0 790 182834222 104757963 350000 0 0 0 17059239 18603622 0 0 0 98451685 115080971 115860924 133684593 66973298 -28926630 251277340 238315433 35758061 51722784 215519279 186592649 X SOMOS HEALTHCARE PROVIDERS, INC.'S MISSION IS TO LESSEN THE BURDEN OF GOVERNMENT AND PROMOTE HEALTH THROUGH THE ESTABLISHMENT OF A PERFORMING PROVIDER SYSTEM ("PPS") UNDER NEW YORK STATE DEPARTMENT OF HEALTH'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT ("DSRIP") PROGRAM, BY PROVIDING SUPPORT AND OTHER ASSISTANCE TO PHYSICIANS, HOSPITALS, OUTPATIENT CLINICS, AND OTHER HEALTHCARE SERVICE PROVIDERS TO ENCOURAGE, FACILITATE, AND ENHANCE THEIR ABILITY TO COLLABORATE IN FURTHERANCE OF SUCCESSFULLY IMPLEMENTING INNOVATIVE AND EFFECTIVE PROGRAMS, PROJECTS, AND SERVICES AIMED AT ACHIEVING HEALTHCARE DELIVERY SYSTEM TRANSFORMATION, IMPROVEMENTS IN CLINICAL OUTCOMES, PATIENT SATISFACTION, AND POPULATION HEALTH MANAGEMENT AND CARE COORDINATION FOR THE BENEFIT OF MEDICAID BENEFICIARIES AND PATIENT POPULATIONS. 0 0 124412389 101167231 SOMOS HEALTHCARE PROVIDERS, INC. IS A PARTICIPANT IN NEW YORK STATE'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM. THE PROGRAM'S GOALS INCLUDE REDUCING AVOIDABLE HOSPITALIZATIONS AND ENSURING THAT PATIENTS WITH MEDICAID SWITCH TO A COMMUNITY-BASED CARE SYSTEM THAT EMPHASIZES PREVENTATIVE CARE OVER RELIANCE ON THE EMERGENCY ROOM. AS THE ONLY PHYSICIAN-LED PREFERRED PROVIDER SYSTEM (PPS), AMONG DOZENS OF PARTICIPANTS IN DSRIP, SOMOS HEALTHCARE PROVIDERS EMBODIES THE CORE VALUES OF THIS LIFE-CHANGING OPPORTUNITY FOR HUNDREDS OF THOUSANDS OF PATIENTS, MANY OF WHOM LIVE IN LOWER-INCOME AND UNDERSERVED COMMUNITIES WHERE HEALTH AND WELLNESS CAN BE IMPROVED. 124412389 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 640 0 165 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X MONTEFIORE CARE MANAGEMENT 9143786657 100 CORPORATE BLVD YONKERS NY 10701 MARIO PAREDES CEO 40.00 X 590860 0 53886 TRACEY LIN CFO 40.00 X 426709 0 45268 THOMAS HOERING ESQ VP OF LEGAL AFFAIRS 40.00 X 419646 0 52155 LIDIA VIRGIL COO 40.00 X 429769 0 30603 ALEXANDRO DAMIRON CHIEF OF STAFF & EVP 40.00 X 429769 0 27155 GLORIA WONG VP OF OPERATIONS & EVP 40.00 X 427474 0 25603 CARLOS CUEVAS EVP OF HEALTHCARE INNOVATI 40.00 X 372548 0 33454 DANIEL MCCARTHY CEO OF VBP PRE-IMPLEMENTATION 40.00 X 398615 0 0 JOHN DIONISIO CTO 40.00 X 374950 0 18422 ELIZABETH DIXON-WEBB VP OF HUMAN RESOURCES 40.00 X 318807 0 46505 DIEGO PONIEMAN CHIEF MEDICAL OFFICER 40.00 X 338836 0 14449 THOMAS GILMER CHIEF COMPLIANCE OFFICER 40.00 X 289928 0 33188 CONCETTA PRYOR FINANCIAL CONTROLLER 40.00 X 305279 0 14182 LUIS RAMIREZ DIR. OF COMMUNITY PROVIDER 40.00 X 276663 0 19064 TONGUC YAMAN FORMER CIO 0.00 X 170637 0 3676 OSCAR FUKILMAN MD SECRETARY 2.00 X X 24962 0 0 HENRY CHEN MD PRESIDENT 2.00 X X 0 0 0 RAMON TALLAJ MD CHAIRMAN 2.00 X X 0 0 0 STEVEN MEISINGER TREASURER 2.00 X X 0 0 0 WILLIAM CHEUNG MD TRUSTEE 2.00 X 0 0 0 MING ZHU MD TRUSTEE 2.00 X 0 0 0 FRANCISCO ROSARIO MD TRUSTEE 2.00 X 0 0 0 VICTOR PERALTA MD TRUSTEE 2.00 X 0 0 0 STEPHEN ROSENTHAL TRUSTEE 2.00 X 0 0 0 ALLISON MCGUIRE TRUSTEE 2.00 X 0 0 0 5595452 0 417610 46 1 1 0 EVOLENT HEALTH LLC 800 N GLEBE ROAD SUITE 500 ARLINGTON VA 22203 CARE COORDINATION SERVICES 22473329 OPTIMUS HEALTH ANALYTICS LLC 93-20A ROOSEVELT AVENUE 2ND FLOOR JACKSON HEIGHTS NY 11372 IT OPERATIONAL SERVICES 8883983 HENRY R MUNOZ III 1017 NORTH MAIN AVENUE SUITE 300 SAN ANTONIO TX 78212 CONSULTING SERVICES 8634122 PHYSICIANS OF THE FUTURE MEDICAL GROUP P 5030 BROADWAY SUITE 821 NEW YORK NY 10034 CARE SERVICES 2525720 MONTEFIORE CARE MANAGEMENT CMO 111 EAST 210TH STREET BRONX NY 10467 MANAGEMENT SERVICES 1991455 33 84000 84000 MEDICAID 623000 101167231 101167231 101167231 3505942 3505942 OTHER INCOME 900099 790 790 790 104757963 101167231 0 3506732 X 3635297 2675874 959423 13091244 9636219 3455025 158974 117018 41956 685815 504815 181000 1032292 759851 272441 1869945 1649364 220581 690455 609008 81447 58030 51185 6845 382709 382709 38424188 35461282 2962906 1286326 1246619 39707 319520 242723 76797 9929219 9678865 250354 2154909 1586188 568721 245366 180609 64757 107984 79485 28499 213486 157143 56343 DISTRIBUTIONS TO PARTIC 59378370 59378370 MISCELLANEOUS 20464 15062 5402 133684593 124412389 9272204 0 25152 23153 151408573 192491201 99060998 28533142 4398404 12121577 411472 458251 283429 246724 118145 36705 253000 253000 251277340 238315433 9957158 9690088 25800903 42032696 35758061 51722784 X 215519279 186592649 215519279 186592649 251277340 238315433 -28926630 0 X X 0 0 0 X 84000 84000 43056820 124219412 128441238 180694022 101167231 577578723 43056820 124219412 128441238 180694022 101251231 577662723 0 0 0 577662723 39378 148182 606977 2140200 3505942 6440679 39378 148182 606977 2140200 3505942 6440679 31961 1700 790 34451 43128159 124369294 129048215 182834222 104757963 584137853 0.98890 0.01100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2015 AMOUNT: $ 31,961. 2016 AMOUNT: $ 1,700. 2019 AMOUNT: $ 790. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 382709 382709 0 PART II-B, LINE 1: THE ORGANIZATION PURCHASED LOBBYING SERVICES FROM 2 LOBBYING FIRMS IN 2019. CORDO & COMPANY WAS PAID $240,000 FOR SERVICES RELATING TO LEGISLATIVE AND REGULATORY REPRESENTATION. JAMES F. CAPALINO ASSOCIATES, INC. WAS PAID $142,709 FOR SERVICES RELATING TO ASSISTING THE ORGANIZATION WITH GOVERNMENT AND COMMUNITY RELATIONS WITH THE OFFICE OF THE MAYOR OF THE CITY OF NEW YORK, THE NEW YORK CITY COUNCIL AND THE NEW YORK CITY BOROUGH PRESIDENTS. 283429 246724 36705 36705 DISTRIBUTIONS PAYABLE TO PARTICIPANTS 41981727 PREPAID RENT 50969 42032696 X 1 0 0 0 0 0 0 1 0 MARIO PAREDES CEO 537216 0 28644 0 25000 0 45517 0 8369 0 644746 0 0 0 TRACEY LIN CFO 377709 0 24000 0 25000 0 42191 0 3077 0 471977 0 0 0 THOMAS HOERING ESQ VP OF LEGAL AFFAIRS 370646 0 24000 0 25000 0 42191 0 9964 0 471801 0 0 0 LIDIA VIRGIL COO 400769 0 24000 0 5000 0 22191 0 8412 0 460372 0 0 0 ALEXANDRO DAMIRON CHIEF OF STAFF & EVP 405769 0 24000 0 0 0 17191 0 9964 0 456924 0 0 0 GLORIA WONG VP OF OPERATIONS & EVP 403474 0 24000 0 0 0 17191 0 8412 0 453077 0 0 0 CARLOS CUEVAS EVP OF HEALTHCARE INNOVATI 341548 0 21000 0 10000 0 25042 0 8412 0 406002 0 0 0 DANIEL MCCARTHY CEO OF VBP PRE-IMPLEMENTATION 384615 0 14000 0 0 0 0 0 0 0 398615 0 0 0 JOHN DIONISIO CTO 353950 0 21000 0 0 0 10010 0 8412 0 393372 0 0 0 ELIZABETH DIXON-WEBB VP OF HUMAN RESOURCES 275807 0 18000 0 25000 0 38093 0 8412 0 365312 0 0 0 DIEGO PONIEMAN CHIEF MEDICAL OFFICER 319740 0 19096 0 0 0 13678 0 771 0 353285 0 0 0 THOMAS GILMER CHIEF COMPLIANCE OFFICER 260428 0 16500 0 13000 0 24776 0 8412 0 323116 0 0 0 CONCETTA PRYOR FINANCIAL CONTROLLER 289904 0 15375 0 0 0 12211 0 1971 0 319461 0 0 0 LUIS RAMIREZ DIR. OF COMMUNITY PROVIDER 261213 0 15450 0 0 0 9100 0 9964 0 295727 0 0 0 TONGUC YAMAN FORMER CIO 0 0 0 0 170637 0 2778 0 898 0 174313 0 0 0 PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENT IN HIS W-2 IN 2019: - TONGUC YAMAN $170,637 PART I, LINE 7 THE FOLLOWING INDIVIDUALS RECEIVED ANNUAL BONUSES BASED ON EMPLOYEE PERFORMANCE EVALUATIONS. THE BONUSES WERE APPROVED BY THE BOARD AND REPORTED IN PART II, COLUMN B, II: $25,000 - MARIO PARDES $25,000 - TRACEY LIN $16,500 - THOMAS GILMER $19,096 - DIEGO PONIEMAN $24,000 - THOMAS HOERING $24,000 - LIDIA VIRGIL $24,000 - ALEXANDRO DAMIRON $24,000 - GLORIA WONG $14,000 - DANIEL MCCARTHY $21,000 - CARLOS CUEVAS $21,000 - JOHN DIONISIO $15,375 - CONCETTA PRYOR $15,450 - LUIS RAMIREZ $18,000 - ELIZABETH DIXON-WEBB FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES RAMON TALLAJ, M.D., OSCAR FUKILMAN, M.D., VICTOR PEALTA, M.D., AND FRANCISCO ROSARIO, M.D. HAVE BUSINESS RELATIONSHIPS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION PURCHASED MANAGEMENT SERVICES FROM CARE MANAGEMENT COMPANY LLC. THE MANAGEMENT COMPANY WAS PAID $1,869,945 FOR THESE SERVICES FOR THE YEAR ENDING DECEMBER 31, 2019. SERVICES PROVIDED INCLUDED, MANAGING BANK ACCOUNTS, PREPARING BUDGETS, MAKING PAYMENTS, AND PROVIDING WEEKLY REPORTS TO MANAGEMENT TO ASSIST WITH BUDGETS AND FINANCIAL PLANNING. THERE WERE NO INDIVIDUALS LISTED IN PART VII WHO WERE COMPENSATED BY THE MANAGEMENT COMPANY FOR SERVICES RENDERED TO SOMOS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS FOR SOMOS HEALTHCARE PROVIDERS, INC. INCLUDE: - AW MEDICAL OFFICE, PC - NY COMMUNITY PREFERRED PROVIDERS, LLC - MONTEFIORE MEDICAL CENTER FORM 990, PART VI, SECTION A, LINE 7A THE NUMBER OF DIRECTORS CONSTITUTING THE ENTIRE BOARD SHALL BE NINE (9) DIRECTORS. MONTEFIORE SHALL BE ENTITLED TO DESIGNATE TWO (2) DIRECTORS. AW SHALL BE ENTITLED TO DESIGNATE TWO (2) DIRECTORS. NYCPP SHALL BE ENTITLED TO DESIGNATE FIVE (5) DIRECTORS. NYPCC'S FIVE (5) DIRECTORS SHALL BE SELECTED AS FOLLOWS: THREE (3) DIRECTORS SHALL BE SELECTED BY THE ECAP MEMBER OF NYCPP, AND TWO (2) DIRECTORS SHALL BE SELECTED SHALL BE SELECTED BY THE RENAISSANCE MEMBER OF NYCPP. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING OFFICER POSITIONS ("OFFICERS OF THE CORPORATION") SHALL BE APPOINTED BY THE MEMBERS: CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF COMPLIANCE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF INFORMATION OFFICER AND CHIEF MEDICAL OFFICER. THE BOARD MAY APPOINT SUCH OTHER OFFICERS OF THE CORPORATION AS THE MEMBERS MAY DETERMINE TO BE APPROPRIATE. UNLESS APPOINTED FOR A LESSER OR GREATER TERM, AND SUBJECT TO THE RIGHT OF THE MEMBERS TO REMOVE A BOARD OFFICER, EACH BOARD OFFICER SHALL BE APPOINTED ANNUALLY AT THE ANNUAL MEETING 15 OF THE MEMBERS AND SHALL HOLD OFFICE FOR TWO (2) YEARS OR UNTIL SUCH BOARD OFFICER'S SUCCESSOR HAS BEEN APPOINTED AND QUALIFIED. NOT WITHSTANDING THE FOREGOING, THE POSITION OF CHAIR AND PRESIDENT SHALL AT ALL TIMES BE HELD BY INDIVIDUALS NOMINATED BY EITHER AW OR NYCPP, AND THE POSITION OF TREASURER SHALL AT ALL TIMES BE HELD BY AN INDIVIDUAL NOMINATED BY MONTEFIORE. THROUGHOUT THE EXISTENCE OF THE CORPORATION, THE CHAIR SHALL BE AN INDIVIDUAL NOMINATED BY AW AND THE PRESIDENT SHALL BE AN INDIVIDUAL NOMINATED BY NYCPP. THE PRESIDENT SHALL BE DETERMINED AND APPOINTED SOLELY BY THE NYCPP MEMBER AND SHALL NOT BE SUBJECT TO REMOVAL BY THE MEMBERS OTHER THAN FOR CAUSE AS SUCH TERM IS LEGALLY DEFINED WITHIN THESE BYLAWS. THE CEO SHALL BE APPOINTED BY THE MEMBERS AND SHALL REPORT DIRECTLY TO THE BOARD AND CHAIR AND SHALL CARRY OUT HIS OR HER DUTIES IN ACCORDANCE WITH THE POLICIES ESTABLISHED BY THE BOARD. WHENEVER A VACANCY OCCURS IN ANY BOARD OFFICER OR OFFICER OF THE CORPORATION POSITION BY REASON OF DEATH, RESIGNATION, INCAPACITY OR OTHERWISE, THE MEMBER WHICH APPOINTED THE OFFICER WHOSE VACANCY IS AT ISSUE, MAY FILL SUCH VACANCY FOR THE UNEXPIRED TERM. ANY BOARD OFFICER OR OTHER OFFICER APPOINTED BY THE MEMBERS MAY ONLY BE REMOVED BY THE MEMBERS WITH OR WITHOUT CAUSE PURSUANT TO THE TERMS SET FORTH IN THE BY-LAWS AND CONSISTENT WITH THE TERMS OF ANY EXECUTED CONTRACT BETWEEN THE OFFICER AND THE CORPORATION. AUTHORIZATION OF THE FOLLOWING ACTIONS SHALL REQUIRE THE AFFIRMATIVE VOTE OF AT LEAST SEVENTY-FIVE PERCENT (75%) OF THE MEMBER REPRESENTATIVES, WHICH 75% MUST INCLUDE THE AFFIRMATIVE VOTE OF THE MEMBER APPOINTED BY MONTEFIORE: (I) MATTERS THAT COULD HAVE AN ADVERSE IMPACT ON THE TAX-EXEMPT STATUS OF MONTEFIORE OR THE CONTINUED QUALIFICATION OF ANY TAX-EXEMPT BOND FINANCINGS OF MONTEFIORE, AS MAY BE DETERMINED BY MONTEFIORE, IN ITS SOLE DISCRETION IN GOOD FAITH; (II) ESTABLISHMENT AND/OR MODIFICATION OF THE DSRIP-RELATED FUNDS FLOW FORMULAE AND DISTRIBUTION METHODOLOGIES; (III) ESTABLISHMENT AND/OR MODIFICATION OF THE DSRIP-RELATED CAPITAL FUNDING, IF ANY; (IV) AMENDING THE CORPORATION'S CERTIFICATE OF INCORPORATION OR THESE BY-LAWS, FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C A POSSIBLE CONFLICT OF INTEREST MAY EXIST IF AN EMPLOYEE OR OTHER PERSON ASSOCIATED WITH SOMOS HEALTH CARE PROVIDERS, INC. IS IN A POSITION TO INFLUENCE THE BUSINESS OR OTHER DECISIONS OF THE ORGANIZATION IN A MANNER THAT COULD LEAD, OR APPEAR TO LEAD, TO THE PERSONAL GAIN OR ADVANTAGE OF THE INDIVIDUAL, HIS OR HER RELATIVES, OR A RELATED BUSINESS INTEREST. ANY INDIVIDUAL WHO BECOMES AWARE THAT HE/SHE HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST PROMPTLY DISCLOSE THIS TO THE ORGANIZATION'S COMPLIANCE OFFICER, OR HIS/HER DESIGNEE, WHO WILL REVIEW THE DISCLOSED CONFLICT OF INTEREST AND TAKE ANY ACTION(S) DEEMED REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE THE MATTER, INCLUDING BY REFERRING THE MATTER TO THE BOARD OF DIRECTORS OR DESIGNATED BOARD COMMITTEE, AS APPROPRIATE. AFTER DISCLOSING A POSSIBLE CONFLICT OF INTEREST AND UNLESS OTHERWISE EXPRESSLY APPROVED BY THE ORGANIZATION'S COMPLIANCE OFFICER, HIS/HER DESIGNEE, OR BY THE GOVERNING BODY, THE INDIVIDUAL SHALL IMMEDIATELY RECUSE HIM/HERSELF FROM PARTICIPATING IN THE TRANSACTION OR MATTER, INCLUDING BY REFRAINING FROM ATTEMPTING TO INFLUENCE DELIBERATIONS OR VOTING ON THE TRANSACTION OR MATTER, AND NOT BEING PRIVY TO ANY NON-PUBLIC INFORMATION RELATING TO THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 519 EIGHTH AVENUE, 14TH FLOOR, NEW YORK, NY 10018 OR BY CALLING THE ORGANIZATION DIRECTLY AT 646-979-7613. FORM 990, PART IX, LINE 11G IT CONSULTANTS: PROGRAM SERVICE EXPENSES 191,404. MANAGEMENT AND GENERAL EXPENSES 25,598. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,002. VALUE BASED PERFORMANCE CONSULTANTS: PROGRAM SERVICE EXPENSES 1,102,312. MANAGEMENT AND GENERAL EXPENSES 28,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,130,722. MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 236,305. MANAGEMENT AND GENERAL EXPENSES 6,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,395. COMPLIANCE CONSULTANTS: PROGRAM SERVICE EXPENSES 46,548. MANAGEMENT AND GENERAL EXPENSES 1,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,748. CARE COORDINATION FEES: PROGRAM SERVICE EXPENSES 18,205,282. MANAGEMENT AND GENERAL EXPENSES 2,434,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,639,996. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,097,904. MANAGEMENT AND GENERAL EXPENSES 389,123. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,487,027. TRAINING AND RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 581,527. MANAGEMENT AND GENERAL EXPENSES 77,771. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 659,298. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.