2014-07-14T08:28:46-05:00 2013-09-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2012-10-01 466015787 LANDMANN-JUNGMAN MEMORIAL HOSPITAL LAND 6055832226 600 BILLARS STREET SCOTLAND SD 570592026 JONATHAN MOE 6055862226 2014-07-08 1 LAURIE HANSON P00851848 6053391999 2014-07-08 X 2012 2015-11-30 17:44:51Z JONATHAN MOE 600 BILLARS STREET SCOTLAND SD 570592026 3782714 0 X WWW.LJMH.ORG X 1969 SD OPERATION OF A COMMUNITY CRITICAL ACCESS HOSPITAL. 9 9 49 9 0 0 54808 45302 3696534 3727776 10314 8836 1800 800 3763456 3782714 0 0 0 0 1353574 1539693 0 0 0 2546220 2214628 3899794 3754321 -136338 28393 4116606 4311547 2505614 2682031 1610992 1629516 LANDMANN-JUNGMAN MEMORIAL HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE WITH COMPASSION AND RESPECT. OUR COMMITMENT SHALL BE TO THE ETHICAL TREATMENT OF ALL PEOPLE THROUGHOUT THE CONTINUUM OF LIFE. 0 0 3357805 3727137 LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) IS A LICENSED CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS, OF WHICH 10 MAY BE USED AS SWING BEDS. THE FACILITY OFFERS INPATIENT, OUTPATIENT AND PHYSICIAN CLINIC SERVICES TO RESIDENTS IN AND AROUND THE CITY OF SCOTLAND, SD. SEVERAL VISITING SPECIALISTS SPEND TIME AT LJMH CONDUCTING OUTREACH CLINICS ON A REGULAR BASIS WHICH INCLUDE AREAS OF CARDIOLOGY, GENERAL SURGERY, OB/GYN, MOBILE MRI, CT, NUCLEAR MEDICINE AND MAMMOGRAPHY. WEST WINDS APARTMENTS IS ALSO PART OF LJMH AND SERVES AS A 16 UNIT SENIOR HOUSING APARTMENT BUILDING. LJMH IS PROUD OF THE EXCELLENT CARE IT PROVIDES FOR PATIENTS OF THE SERVICE AREA. THE FACILITY IS ALSO NOTED FOR ITS COMMUNITY SERVICE, WHICH INCLUDES AN ANNUAL HEALTH FAIR AND BI-MONTHLY BLOOD DRIVES. 3357805 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 49 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X DARCY PERMANN 6055832226 600 BILLARS STREET SCOTLAND SD 57059 KENT LEHR 1.00 X X 0 0 0 GREG GEMAR 1.00 X X 0 0 0 JARAD SCHORTZMAN 1.00 X X 0 0 0 SHIRLEY HERRBOLDT 1.00 X X 0 0 0 DAVID BAKER 1.00 X 0 0 0 RICK MEYER 1.00 X 0 0 0 JENNIFER SEDLACEK 1.00 X 0 0 0 CHARLES MOGCK 1.00 X 0 0 0 DEVIN LUBINUS 1.00 X 0 0 0 CAROL HOFER 1.00 X 0 0 0 STEVE FLETT 1.00 X 0 0 0 JONATHAN MOE 50.00 X 0 0 0 DARCY PERMANN 50.00 X 55835 0 7308 LEE BALDWIN 40.00 X 76566 0 8615 132401 0 15923 0 0 0 1 AVERA MCKENNAN 1325 S CLIFF AVE PO BOX 5045 SIOUX FALLS SD 571175045 MANAGEMENT, IT, EDUCATION 597520 1 45302 45302 NET PATIENT SERVICE RE 621110 2856087 2856087 SCOTLAND PHARMACY 446110 771848 771848 WEST WINDS REVENUE 623990 92108 92108 CHANGE IN AVERA FOUNDA 900099 7094 7094 639 639 3727776 8836 8836 800 0 800 800 800 3782714 3727137 0 10275 X 151058 151058 1201849 1133702 68147 10239 10239 94962 90770 4192 81585 73256 8329 31725 31725 678107 665497 12610 12607 38 12569 211219 143456 67763 72068 72068 2648 2275 373 82217 82217 270705 270705 30127 30127 MEDICAL SUPPLIES 739874 739874 BAD DEBT 50563 50563 CONTINUING EDUCATION 23539 22850 689 COMMUNITY & EMPLOYEE RE 5581 5581 3648 295 3353 3754321 3357805 396516 0 0 175231 380909 40173 49992 668256 573685 157018 146080 20022 18523 6570818 4022167 2490176 2548651 496747 523994 68983 69713 4116606 4311547 646218 618832 1737042 1936989 122354 126210 2505614 2682031 X 1567928 1609517 43064 19999 1610992 1629516 4116606 4311547 X 28393 6630 -16499 X 0 1 X 0 0 X 36163 36163 4448361 2373185 2075176 1966843 1565937 400906 119451 83045 36406 2548651 DEBT RESERVE FUNDS 46524 C INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 115678 F CAPITAL EXPENDITURES AND DEBT REDEMPTION 361792 F 523994 LJM APARTMENT RESIDENT FEE PAYABLE 52000 CONDITIONAL ASSET RETIREMENT OBLIGATION 66227 DAMAGE DEPOSITS PAYABLE 7983 126210 X 3738781 6630 -50563 -43933 3782714 0 3782714 3703758 0 3703758 50563 50563 3754321 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT -50,563. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 50,563. 1 1 X 1 X 1 X 1 1 0 1 1 2561 2561 0.00070 79718 67828 11890 0.00320 82279 67828 14451 0.00390 862233 432975 429258 0.11590 862233 432975 429258 0.11590 944512 500803 443709 0.11980 0 50563 0 1378355 1378261 94 X 1 1 1 1 LANDMANN-JUNGMAN MEMORIAL HOSPITAL

600 BILLARS STREET SCOTLAND SD 57059

WWW.AVERA.ORG/SCOTLAND X X X X LANDMANN-JUNGMAN MEMORIAL HOSPITAL 1 1 X X X X X X 12 1 0 1 X X X X X X 1 0 1 1 150.000000000000 1 300.000000000000 1 X X 1 1 X X 1 0 X X 1 X 0 0 2 WEST WINDS APARTMENTS

600 BILLARS STREET SCOTLAND SD 57059

SENIOR LIVING LANDMANN-JUNGMAN MEMORIAL CLINIC

600 BILLARS STREET SCOTLAND SD 57059

PROVIDER BASED CLINIC PART I, LINE 3C: PLEASE REFER TO PART V, LINE 12 FOR ADDITIONAL FACTORS USED IN DETERMINING FREE OR DISCOUNTED CARE ELIGIBILITY. PART I, LINE 6A: LJMH PREPARES A COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7 BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINES 7B AND 7G WERE OBTAINED UTILIZING THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. PART I, L7 COL(F): BAD DEBT EXPENSE OF $50,563 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART III, LINE 4: A) THE AMOUNT REPORTED ON LINE 2 REPRESENTS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS.B) LJMH BAD DEBT SYSTEM TAKES INTO ACCOUNT CONTRACTUAL ALLOWANCES AND/OR DISCOUNTS. IF AN ACCOUNT IS WRITTEN OFF TO BAD DEBTS, PAYMENTS RECEIVED AFTER THE WRITE OFF FOR THAT ACCOUNT ARE POSTED TO THE BAD DEBT RECOVERY ACCOUNT. C) THE AMOUNT OF BAD DEBT THAT MAY BE ATTRIBUTABLE TO CHARITY CARE IS UNKNOWN.D) THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 6 OF THE ATTACHED FINANCIAL STATMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR THE FISCAL YEAR ENDING 9/30/2013. PART III, LINE 9B: FINANCIAL ARRANGEMENTS WILL BE MADE ON ACCOUNTS MEETING FINANCIAL NEED AND HAVING A REMAINING BALANCE ON THEIR ACCOUNT. ARRANGEMENTS MAY BE ALTERED ACCORDING TO NEED AT THE DISCRETION OF THE ADMINISTRATOR. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: LJMH BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT BY GATHERING THE MOST RECENT STATISTICS REGARDING THE PUBLIC HEALTH OF THE COMMUNITY FROM COUNTY, STATE AND NATIONAL RESOURCES. LJMH HELD FOCUS GROUPS TO SEEK THE INPUT OF THE GENERAL PUBLIC, KEY COMMUNITY LEADERS, CITY AND COUNTY GOVERNMENT INCLUDING LAW ENFORCEMENT, SCHOOL NURSING AND ADMINISTRATION, CHURCH OFFICIALS, AND INDIVIDUALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH. THE BON HOMME COUNTY HEALTH NURSE WAS ALSO INTERVIEWED TO PROVIDE INPUT ON WHAT THE NEEDS ARE FOR THE COUNTY. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 5C: THE CHNA REPORT IS AVAILABLE AT HTTP://WWW.AVERA.ORG/SCOTLAND AND AT HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND AT HTTP://WWW.AVERA.ORG/SCOTLAND AND HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: PURSUANT TO THE IMPLEMENTATION STRATEGY ADOPTED BY LJMH, ALL IDENTIFIED NEEDS WILL BE ADDRESSED. DURING THE CURRENT YEAR,THE SHORTAGE OF EMT'S FOR THE AMBULANCE WAS NOT ADDRESSED, BUT THE ORGANIZATION IS WORKING WITH SCOTLAND EMS TO DETERMINE IF A FIRST RESPONDER COURSE SHOULD BE OFFERED TO GIVE COMMUNITY MEMBERS AN IDEA OF WHAT EMT ENTAILS IN HOPES OF FINDING PEOPLE WHO WOULD HAVE AN INTEREST IN FILLING THIS NEED. ADDITIONALLY, THE NEED FOR AN INCREASE TO ACCESS TO OUTREACH PHYSICIANS HAS BEEN ADDRESSED IN PART, AS HAS THE NEED FOR A WELLNESS CENTER FOR THE COMMUNITY. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 14G: A NOTICE IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS OR WAITING ROOMS AND IN THE FACILITY'S ADMISSIONS OFFICE ALERTING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR OBTAINING A COPY OF THE FULL POLICY. PART VI, LINE 2: LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. PLEASE REFER TO PART V, LINE 3 FOR MORE INFORMATION CONCERNING THIS PROCESS.LJMH REGULARLY CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. ADDITIONALLY, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES DURING HEALTH SCREENINGS. RESULTS OF THE QUESTIONAIRRE ARE REPORTED BACK TO THE OFFICERS AND BOARD. PART VI, LINE 3: PLEASE REFER TO PART V, LINE 14. PART VI, LINE 4: LJMH IS LOCATED IN SCOTLAND, SD, AND PRIMARILY SERVES THE COUNTIES OF BON HOMME AND HUTCHINSON. THE POPULATION OF THE SERVICE AREA IS ROUGHLY 14,413 PEOPLE, AND SCOTLAND HAS A POPULATION OF 841 PEOPLE. OF THE 14,413 PEOPLE RESIDING IN BOTH COUNTIES, AN AVERAGE OF 22.05% ARE 65 YEARS OLD AND OVER WHICH IS ATTRIBUTABLE TO THE AVERAGE OF 78.60% OF INPATIENT DAYS BEING PROVIDED TO PATIENTS 65 YEARS OLD AND OVER. IF ONE LOOKS AT THE COUNTIES AS A WHOLE, THE AVERAGE MEDIAN HOUSEHOLD INCOME IS $40,208 WITH THE MEDIAN FAMILY INCOME BEING $50,428. BOTH COUNTIES ARE CONSIDERED MEDICALLY UNDERSERVED BY HRSA AND THE SD DEPARTMENT OF HEALTH. PART VI, LINE 5: LANDMANN JUNGMAN COMMUNITY HOSPITAL IS FOCUSED ON SERVING THE NEEDS OF THE COMMUNITY. THE GOVERNING BODY OF THE HOSPITAL IS MADE UP ENTIRELY OF VOLUNTEERS FROM THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY. EXCESS FUNDS ARE USED FOR THE IMPROVEMENT OF PATIENT CARE AND FACILITIES. THE HOSPITAL IS USED BY THE UNIVERSITY OF SOUTH DAKOTA FOR NURSING CLINICALS, AS WELL AS BY THE PHARMACY AND HIM PROGRAMS. IT IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT CAREERS IN THE HEALTH CARE INDUSTRY.THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ADMINISTRATION IS VERY RECEPTIVE TO INPUT FROM THE COMMUNITY. AN AUXILLIARY SUPPORTS THE HOSPITAL AND PROVIDES THE HOSPITAL WITH FEEDBACK ON AN INFORMAL BASIS. IN ADDITION TO LJMH'S HEALTHCARE FACILITY, THEIR IS ONE OTHER CLINIC IN TOWN WHICH IS NOT AFFILIATED WITH THE HOSPITAL. PART VI, LINE 6: LJMH IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND THE HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY LJMH. AS A MANAGED FACILITY, LJMH IS ABLE TO PARTICIPATE IN AVERA E-CARE SERVICES. THESE SERVICES INCLUDE AVERA E-ICU, E-EMERGENCY, E-PHARMACY AND E-CONSULT. THESE SERVICES ALLOW RURAL PATIENTS TO BE CARED FOR AT THEIR LOCAL HOSPITALS, PROVIDE RURAL HOSPITALS ACCESS TO IMMEDIATE SPECIALTY CARE AND SUPPORT, AND HELP REDUCE HEALTH CARE COSTS AND TRAVEL.LJMH ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO LJMH AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. AVERA HEALTH AND LJMH DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. 0 0 0 0 0 0 0 0 0 JONATHAN MOE 0 0 0 0 0 0 0 0 0 0 0 0 LEE BALDWIN 76403 0 0 0 163 0 1561 0 7349 0 85476 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, QUESTION 3: COMPENSATION FOR LEE BALDWIN, ADMINISTRATOR UNTIL MAY 2013, WAS DETERMINED THROUGH A MANAGEMENT AGREEMENT WITH AVERA MCKENNAN, 800 E 21ST STREET, SIOUX FALLS, SD 57105. AVERA MCKENNAN UTILIZES A STUDY OF COMPARABLE FACILITIES OF SIMILAR SIZE TO DETERMINE THE COMPENSATION APPLICABLE FOR THE ADMINISTRATOR POSITION TO THE HOSPITAL. THE STUDY IS PROVIDED BY AVERA HEALTH. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT AND THREE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION PAYS A MANAGEMENT COMPANY FOR THE ADMINISTRATOR'S SERVICES. FORM 990, PART VI, SECTION B, LINE 11 THE ADMINISTRATOR AND CFO REVIEW THE 990 IN DETAIL. A COPY OF THE 990 IS GIVEN TO THE BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND MANAGEMENT. BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING WHETHER A POTENTIAL CONFLICT EXISTS WITH THE ADMINISTRATOR AND BOARD MEMBERS. THE ADMINISTRATOR IS RESPONSIBLE FOR DETERMINING IF THERE ARE POTENTIAL CONFLICTS OF INTEREST AMONGST MANAGEMENT. THE BOARD IS ULTIMATELY RESPONSIBLE FOR DETERMINING WHETHER AN ACTUAL CONFLICT EXISTS. ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION DOES NOT PAY ITS ADMINISTRATOR DIRECTLY, RATHER THE HOSPITAL IS PAYING THE ADMINISTRATOR THROUGH AN INDEPENDENT CONTRACTOR ARRANGEMENT WITH AVERA MCKENNAN. THE PROCESS USED TO SET THE TOP MANAGEMENT'S ANNUAL SALARY IS BASED ON A COMBINATION OF FACTORS WHICH INCLUDES THE ORGANIZATION'S AND AVERA MCKENNAN'S REVIEW OF SALARY SURVEYS ON A YEARLY BASIS COMPARING THE ORGANIZATION TO OTHERS OF SIMILAR SIZE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING ITS ANNUAL BOARD MEETING AND UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. OTHER FEES FORM 990, PART IX, LINE 11G LJM MED/SURG UNIT TEMPORARY STAFFIN : PROGRAM SERVICE EXPENSES 13,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,612. LJM LABORATORY PHYSICIAN PROF FEES : PROGRAM SERVICE EXPENSES 27,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,091. LJM LABORATORY PROFICIENCY TEST : PROGRAM SERVICE EXPENSES 2,509. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,509. LJM RADIOLOGY MAMMOGRAPHY SERVICES : PROGRAM SERVICE EXPENSES 8,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,470. LJM SCANS PHYSICIAN PROF FEES : PROGRAM SERVICE EXPENSES 8,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,785. LJM SCANS CT SERVICES : PROGRAM SERVICE EXPENSES 52,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,060. LJM SCANS MRI SERVICES : PROGRAM SERVICE EXPENSES 12,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,873. LJM SCANS NUC MED SERVICES : PROGRAM SERVICE EXPENSES 1,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,808. LJM PHARMACY PHYSICIAN PROF FEES : PROGRAM SERVICE EXPENSES 28,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,548. LJM INHALATION THER CONTRACTED LABO : PROGRAM SERVICE EXPENSES 238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238. LJM INHALATION THER PHYSICIAN PROF : PROGRAM SERVICE EXPENSES 799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 799. LJM PT CONTRACTED LABOR : PROGRAM SERVICE EXPENSES 1,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,418. LJM OT CONTRACTED LABOR : PROGRAM SERVICE EXPENSES 22,610. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,610. LJM ST PHYSICIAN PROF FEES : PROGRAM SERVICE EXPENSES 5,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,478. LJM EMERGENCY PHYSICIAN PROF FEES : PROGRAM SERVICE EXPENSES 209,212. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 209,212. LJM WEST WINDS TSA - CONTRACT : PROGRAM SERVICE EXPENSES 24. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24. LJM DIETARY CONSULTING FEES : PROGRAM SERVICE EXPENSES 2,157. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,157. LJM MAINTENANCE CONTRACTED LABOR : PROGRAM SERVICE EXPENSES 12,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,414. LJM SCOTLD PHARM CLINICAL PROF/TECH : PROGRAM SERVICE EXPENSES 44,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,322. LJM SCOTLAND CLINIC CLINICAL PROF/T : PROGRAM SERVICE EXPENSES 191,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,340. LJM SCOTLAND CLINIC CONTRACTED LABO : PROGRAM SERVICE EXPENSES 5,415. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,415. LJM SCOTLAND CLINIC PHYSICIAN PROF : PROGRAM SERVICE EXPENSES 14,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,314. LJM FISCAL SERVICES COLLECTION FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,953. LJM ADMINISTRATION TSA - CONTRACT : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,322. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,322. LJM ADMINISTRATION AGENCY FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,905. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,905. LJM MEDICAL RECORD CONTRACTED LABOR : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,430. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PROVISION FOR DOUBTFUL PLEDGES -16,499.