2015-01-12T09:30:00-06:00 2014-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2013-04-01 201244058 FERRELL HOSPITAL COMMUNITY FOUNDATION FERR 6182733361 1201 PINE STREET ELDORADO IL 62930 CHARLIE WILL CFO 6182733361 2014-12-23 1 JEFF PARKER P00970069 3149254300 2013 2016-03-07 17:11:31Z DON BROWN 1201 PINE STREET ELDORADO IL 62930 18494807 0 X WWW.FERRELLHOSP.ORG X 2004 IL OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 8 5 224 5 0 0 539359 226389 16914666 16580217 9925 63324 717310 1606458 18181260 18476388 0 0 0 0 9964399 9204091 0 0 0 8484226 7669557 18448625 16873648 -267365 1602740 7516025 7364276 8973697 7219208 -1457672 145068 X OPERATE ACUTE CARE HOSPITAL - DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE 0 0 16552443 17196676 MEDICAL CARE IS PROVIDED TO OUTPATIENTS AND INPATIENTS FOR SURGERY AND OTHER DIAGNOSTIC SERVICES AND EDUCATION. QUALITY HEALTHCARE IS PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDED CHARITY CARE WITH CHARGES OF APPROXIMATELY 795,000. ADDITIONALLY, FERRELL HOSPITAL COMMUNITY FOUNDATION OFFERS VARIOUS BENEFITS TO THE COMMUNITY INCLUDING BUT NOT LIMITED TO CPR/FIRST AID, PARTICIPATION IN THE SALINE COUNTY HEALTH COALITION, PARTICIPATION IN THE HEALTH FAIRS AT LOCAL HIGH SCHOOLS AND COLLEGES, POISON PREVENTION AND HEALTH CARE CAREER PRESENATIONS TO LOCAL SCHOOLS, PROVIDE TOURS OF THE HOSPITAL, HOLD FLU VACCINATION CLINICS, PERIODIC BLOOD PRESSURE AND GLUCOSE SCREENINGS, SPEAKING ENGAGEMENTS FOR COMMUNITY ORGANIZATIONS, CO-SPONSOR THE KIDNEY MOBILE, SPONSOR THE LOCAL HIGH SCHOOL SENIOR PROM, PARTICIPATE IN THE RELAY FOR LIFE, SPONSOR FUNCTIONS AT THE LOCAL SENIOR CITIZENS CENTER, HOLD WELLNESS WORKSHOPS, PROVIDE A TRAINER FOR THE LOCAL HIGH SCHOOL SPORTS TEAMS, PROVIDE FIRST AID KITS FOR LOCAL SPORTS TEAMS, PROVIDE CLOTHING FOR DOMESTIC ABUSE VICTIMS AND FINALLY PARTICIPATE IN THE SAFE HAVEN PROGRAM. 16552443 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 224 1 0 0 0 0 0 0 0 0 0 0 X 8 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X CHARLES F WILL 6182733361 1201 PINE STREET ELDORADO IL 62930 CLIFFORD EUGENE MORRIS CHAIRMAN 5.00 X X 0 0 0 JOE BUTLER SECRETARY 5.00 X X 0 0 0 E T SEELY VICE-CHAIRMAN 5.00 X X 0 0 0 ALBERT BLEDIG MD BOARD MEMBER / PHYSICIAN 40.00 X 141437 0 0 BILL JONES BOARD MEMBER 2.00 X 0 0 0 NATE OLDHAM MD BOARD MEMBER / PHYSICIAN 40.00 X 397925 0 0 JASON KASIAR BOARD MEMBER 2.00 X 0 0 0 BARB DEVOUS BOARD MEMBER / EMPLOYEE 40.00 X 51024 0 0 KEVIN BECKEMEYER BOARD MEMBER 2.00 X 0 0 0 DONALD G BROWN CEO 40.00 X 177294 0 0 LEAH POOLE CFO 40.00 X 82096 0 0 CHARLES WILL CFO 40.00 X 29329 0 0 ELLIOTT PARTRIDGE MD PHYSICIAN 40.00 X 324864 0 0 DALLAS C BASINGER PHARMACIST 40.00 X 113442 0 0 PATRICK PETERSON MD PHYSICIAN 40.00 X 125004 0 0 1442415 0 0 6 0 1 0 REGIONAL EMERGENCY DEPT STAFFING LLC 600 MARY ST EVANSVILLE IN 47747 EMERGENCY ROOM PHYSICIANS 333000 RANDY WIENTJES CRBA MA 3042 LAKEVIEW DR METROPOLIS IL 62960 ANESTHESIOLOGY 190665 OCCUPATIONAL PERFORMANCE AND REHAB 3905 ERNESTINE DR MARION IL 62959 PHYSICAL AND OCCUPATIONAL THERAPISTS 188058 SAMIR ABDO MD 12 CHERRY TREE PLACE HARRISBURG IL 62946 EMERGENCY ROOM PHYSICIAN 153426 ULTRAGROUP LLC UNIVERSITY TOWER 651 E 4TH ST SUITE CHATANOOGA TN 37403 MANAGEMENT FEES FOR SENIOR CARE 138407 12 221982 4407 226389 INPATIENT & OUTPATIENT SVC 624110 16580217 16580217 16580217 81743 81743 18257 0 18257 18257 18257 18419 -18419 -18419 -18419 OTHER 624110 889780 616459 273321 FORGIVENESS OF MANAGMENT CONTRACT 999999 357899 357899 REIMBURSEMENT OF PROPERTY TAXES 999999 239790 239790 100732 100732 1588201 18476388 17196676 0 1053323 X 888244 888244 5899074 5899074 1967702 1967702 449071 449071 2992045 2670840 321205 54630 54630 813593 813593 232973 232973 37451 37451 176104 176104 447370 447370 162279 162279 BAD DEBTS 1398787 1398787 MISC/PROVIDER TAX 638390 638390 DRUGS 513815 513815 FOOD 82535 82535 119585 119585 16873648 16552443 321205 0 338202 213293 492035 3313581 3271546 39690 22050 226432 228026 74837 62932 7242751 4168357 3372083 3074394 151200 7516025 7364276 3912567 2198685 4374696 4129680 686434 890843 8973697 7219208 X -1457672 145068 -1457672 145068 7516025 7364276 1602740 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 159712 159712 2885878 1018469 1867409 44285 31458 12827 4152876 3118430 1034446 3074394 3RD PARTY REIMBURSEMENT PROGRAMS 890843 890843 X 17090738 -1398787 -1398787 18489525 -13137 -13137 18476388 15487998 13137 13137 15474861 1398787 1398787 16873648 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATIONS'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE HOSPITAL INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE HOSPITAL IS NOT AWARE OF ANY ACTIVITES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITES THAT ARE SUBJECT TO TAX ON UNREALTED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -1,398,787. PART XI, LINE 4B - OTHER ADJUSTMENTS: ASSET IMPAIRMENT RECLASS FOR TAX -18,419. RENT RECLASS FOR TAX RETURN PRESENTATION 5,282. PART XII, LINE 2D - OTHER ADJUSTMENTS: ASSET IMPAIRMENT FOR TAX 18,419. RENT RECLASS FOR TAX RETURN PRESENTATION -5,282. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,398,787. 1 1 1 X 1 X 100.000000000000 1 1 0 329000 329000 0.01950 2385350 733127 1652223 0.09790 2714350 733127 1981223 0.11740 2714350 733127 1981223 0.11740 1 1398787 795210 6679527 7930246 -1250719 X 1 1 1 1 FERRELL HOSPITAL COMMUNITY FOUNDATION 1201 PINE STREET ELDORADO IL 62930 X X X X FERRELL HOSPITAL COMMUNITY 1 X X X X X X X X X X 12 1 0 1 X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 1J: POTENTIAL INFORMATION GAPS WERE DISCUSSED RELATED TO RESIDENTS LIVING IN POVERTY IN ELDORADO AND CARMI AND THE FERRELL HOPITAL PRIMARY SERVICE AREA. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 3: THIS ASSESSMENT HAS EXPLORED THE INSULAR NEEDS OF THE IDENTIFIED GROUPS BY SPECIFICALLY SEEKING INPUT FROM PERSONS WITH KNOWLEDGE OF THE SPECIFIC HEALTH CONCERNS. INPUT WAS ALSO SOUGHT FROM MEMBERS OF THE COMMUNITY CHARGED PROFESSIONALLY WITH ADVANCING THE HEALTH AND EDUCATION OF THE COMMUNITY AND ALL ITS MEMBERS INCLUDING SCHOOL OFFICIALS DEALING DAILY WITH YOUTH AND FAMILIES. THOSE CONSULTED INCLUDE HOSPITAL EXECUTIVE STAFF AND AN INTERNAL WORKING GROUP. THE FOCUS GROUP AND INTERVIEW PARTICIPANTS INCLUDE ANDREA MAY, RN COMMUNITY NURSE LIAISON TONYA ASHFORD, RN DIRECTOR JERRY DOUG WATSON, JUNE CSERNY BSN AUXILIARY PRESIDENT LISA ANDERSON RB CHIEF NURSE EXECUTIVE MARTHA VAUGHN BSN MEDSURG DIRECTOR JACQUE TRIPP RN EMERGENCY DEPARTMENT SUPERVISOR ANGIE HAMPTON EXECUTIVE DIRECTOR JAMIE BYRD OVERSIGHT AND PLANNING COMMITTEE TOM CLORE PRESIDENT FLECTHER JOHNSON REAL ESTATE BROKER GINA SIRACH MSN DEAN OF NURSING JIM MORSE CITY OF COUNCIL REPRESENTIVE. FERRELL HOSPITAL COMMUNITY PART V, SECTION B, LINE 20D: DISCOUNTED CHARGES 6 FERRELL HOSPITAL FAMILY PRACTICE 1036 MAPLE STREET EL DORADO IL 62930 RURAL HEALTH CLINIC EL DORADO FAMILY MEDICINE 911 4TH STREET EL DORADO IL 62930 RURAL HEALTH CLINIC LOCUST STREET CLINIC 1407 LOCUST STREET EL DORADO IL 62930 PRIMARY CARE CLINIC FERRELL HOSPITAL FAMILY PRACTICE 30 VETERNS DRIVE HARRISBURG IL 62946 PRIMARY CARE CLINIC GALATIA FAMILY PRACTICE 201 1/2 EAST MAIN STREET GALATIA IL 62935 PRIMARY CARE CLINIC RIDGWAY FAMILY MEDICINE 113 MAIN STREET RIDGWAY IL 62979 PRIMARY CARE CLINIC PART I, LINE 7: THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A OF PART 1 OF SCHEDULE H PART III, LINE 4: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABL AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT AFTER 120 DAYS. AT MARCH 31, 2014 AND 2013, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $838,000 AND $683,000, RESPECTIVELY. DURING FISCAL YEAR 2014, THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM AN AVERAGE OF 67 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT MARCH 31, 2013 TO AN AVERAGE OF 80 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT MARCH 31, 2014. IN ADDITION, THE HOSPITAL'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY $317,000 TO $1,399,000 FOR FISCAL YEAR 2014 FROM $1,716,000 FOR FISCAL YEAR 2013. PART III, LINE 8: MEDICARE ALLOWABLE COSTS INCLUDE AMOUNTS FROM THE FISCAL YEAR 2014 COST REPORT FOR MEDICARE INPATIENT MEDICARE SWING BED ROUTINE AND ANCILLARY MEDICARE OUTPATIENT AND THE RURAL HEALTH CLINIC IN ADDITION PROFESSIONAL FEES FOR EMERGENCY ROOM AND MAMMOGRAMS AS REPORTED ON THE 2014 FISCAL YEAR PSR WAS INCLUDED AFTER APPLYING THE OVERALL HOSPITAL COST TO CHARGE RATIO FROM THE 2014 COST REPORT PART III, LINE 9B: FERRELL HOSPITAL COMMUNITY FOUNDATION PROVIDES ASSISTANCE TO MEET THE NEEDS OF THE UNINSURED PATIENTS TO WHICH THEY SERVE. FOR THOSE PATIENTS WHO ARE EXPECTED TO QUALIFY UNDER THEIR FINANCIAL ASSISTANCE POLICY, THE HOSPITAL ASSIGNS THE FINANCIAL CARRIER FOR CHARITY CARE AT THE TIME OF THE REQUEST FOR THE HEALTH ASSISTANCE PROGRAM HAP APPLICATION. ONCE ASSIGNED, SEVERAL PROCEDURED ARE IN PLACE TO COMPLETE THE PROCESS INCLUDING INVESTIGATION FOR ANY OTHER AVAILABLE FUNDING SOURCES SUCH AS MEDICAID AND INCOME VERIFICATION. THOSE THAT COMPLETE THE HAP ACCURATELY AND QUALIFY UNDER THE HOSPITALS POLICY RECIEVE FREE OR DISCOUNTED CARE. PART VI, LINE 2: FERRELL HOSPITAL PARTICIPATES IN THE CREATION AND DATA GATHERING OF THE IPLAN COMMUNITY STUDY THROUGH THE EGYPTIAN HEALTH DEPARTMENT. THIS DATA IS USED FOR STEERING PURPOSES FOR THE HOSPITALS PLANS. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE PROGRAM IS ON THE FRONT PAGE OF OUR FERRELL HOSPITAL INTERNET AND HAS THE FORMS ALSO LISTED FOR THE PATIENT TO PRINT OFF IF NEEDED. THE CONTACT PHONE NUMBER OF OUR FINANCIAL COUNSELOR IS ALSO LISTED ALONG WITH HIS/HER WORK HOURS. THERE ARE FERRELL HOSPITAL FINANCIAL ASSISTANCE BROCHURES IN THE LOBBY AREAS OF THE HOSPITAL. ALL SELF PAY PATIENTS IN THE HOSPITAL ARE VISITED BY THE FINANCIAL COUNSELOR AND GIVEN THE NECESSARY PAPERWORK IF THE PATIENT REQUESTS IT. IF THE FINANCIAL COUNSELOR DOES NOT GET TO SEE THE PATIENT OR FAMILY THEN A LETTER IS MAILED ALONG WITH THE APPLICATION TO THE PATIENT. UPON REGISTRATION OF THE PATIENT THE REGISTRATION STAFF ALWAYS INFORMS THE PATIENT OF THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS AND GIVES THEM A BROCHURE. IF THE PATIENT WANTS TO TALK TO THE FINANCIAL COUNSELOR THEN THAT PERSON IS CALLED. PART VI, LINE 4: THE MAJORITY OF FERRELL HOSPITAL PATIENTS RESIDE IN SALINE, GALLATIN, WHITE AND HAMILTON COUNTIES. WE ALSO SEE SEVERAL PATIENTS FROM POPE AND HARDIN COUNTIES. OUR FACILITIES ARE LOCATED IN SALINE AND GALLATIN COUNTIES. THE UNEMPLOYMENT RATE AND POVERTY RATE OF THESE COUNTIES IS HIGHER THAN THE NATIONAL AVERAGE AND VERY CLOSE TO THE STATE OF ILLINOIS AVERAGE. THE PAYER MIX IS HEAVILY MEDICAID MEDICARE DEPENDENT. X 0 0 0 0 0 0 0 0 0 NATE OLDHAM MD BOARD MEMBER / PHYSICIAN 279100 0 0 0 118825 0 0 0 0 0 397925 0 0 0 DONALD G BROWN CEO 177294 0 0 0 0 0 0 0 0 0 177294 0 0 0 ELLIOTT PARTRIDGE MD PHYSICIAN 228180 0 0 0 96684 0 0 0 0 0 324864 0 0 0 DR NATHAN OLDHAM MD DIRECTOR BUYOUT PREVIOUS AGREEMENT/OBLIGATION X 88200 22050 0 1 1 22050 FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE MARCH 13, 2014, THE HOSPITAL AND A MANAGEMENT SERVICE PROVIDER HAVE ENTERED INTO A MANAGEMENT AGREEMENT UNDER WHICH THE HOSPITAL'S BOARD RETAINS ALL AUTHORITY. MANAGEMENT SERVICES PROVIDED TO THE HOSPITAL CONSIST OF MANAGEMENT PERSONNEL INCLUDING A CEO AND CFO, FACILITY PLANNING, STRATEGIC PLANNING, AND SEVERAL OTHER SUPPORT AND OVERSIGHT SERVICES. THE TERM OF THE AGREEMENT IS FOR A THREE YEAR PERIOD, WHICH CAN BE TERMINATED BY EITHER PARTY WITH THIRTY DAY NOTICE AND EXTENDED BEYOND THE INITIAL THREE YEAR PERIOD IF SO DESIRED. THE HOSPITAL WILL REIMBURSE THE MANAGEMENT SERVICE PROVIDER THE ACTUAL COST OF PROVIDING THE MANAGEMENT SERVICES ON A MONTHLY BASIS. IN ADDITION, THE HOSPITAL AND AN AFFILIATE OF THE MANAGEMENT SERVICE PROVIDER HAVE ENTERED INTO A STRATEGIC AFFILIATION AGREEMENT. UNDER THE AGREEMENT THE PARTIES WILL EVALUATE THE FEASIBILITY OF A LONG-TERM AFFILIATION AND DEVELOP AN AFFILIATION MODEL IF BOTH PARTIES DESIRE. FORM 990, PART VI, SECTION B, LINE 11 THE CEO AND CFO REVIEW THE COMPLETED FORM 990 AS PREPARED BY THE PAID PREPARER FOR COMPLETENESS AND ACCURACY. THE BOARD CHAIR AND THE CEO AND CFO SUBMIT THE FORM TO THE BOARD FOR FINAL APPROVAL IMMEDIATELY PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C COPIES OF THE CONFLICT OF INTEREST POLICY ARE PROVIDED TO EACH DIRECTOR, OFFICER AND MANAGEMENT PERSON AT LEAST ONCE PER YEAR, WITH THE REQUIREMENT THAT THEY COMPLETE A CERTIFICATE WHICH CONFIRMS THAT THEY UNDERSTAND THIS POLICY, AGREE TO COMPLY, INDICATE ANY KNOWN CONFLICTS, AND HAVE NO KNOWLEDGE OF ANY ADDITIONAL VIOLATIONS OF THE POLICY. ANY PERSON WITH A CONFLICT IS REQUIRED TO COMPLETE A SPECIFIC DISCLOSURE NOTICE. FORM 990, PART VI, SECTION B, LINE 15 CEO SALARY WAS DETERMINED BY COMPARISON WITH PRIOR PERSONS EMPLOYED IN POSITION, INDUSTRY COMPARISONS, RELATIVE EXPERIENCE AND KNOWLEDGE. CEO SALARY WAS APPROVED BY ENTIRE BOARD. ALL DELIBERATIONS INCLUDED IN BOARD MINUTES. CFO SALARY DETERMINED AND APPROVED IN SAME MANNER AS CEO. ALL OTHER EXECUTIVE SALARIES APPROVED BY EXECUTIVE MANAGEMENT AND ANALYSED BASED ON INDUSTRY COMPARATIVE DATA AND POSITION DESCRIPTIONS, COMMENSURATE EXPERIENCE, EXPERTISE AND TRAINING. FORM 990, PART VI, SECTION C, LINE 19 FERRELL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY FINANCIAL STATEMENTS, AND FEDERAL FORM 990 TAX RETURNS ARE AVAILABLE TO THE PUBLIC BY REQUEST MADE TO ADMINISTRATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 1,546,364. MANAGEMENT AND GENERAL EXPENSES 321,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,867,569. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,124,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,124,476. FORM 990, PAGE 12, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PROIR YEAR.