2026-08-11T11:32:40-05:00 2025-09-30 390859910 BAKER TILLY ADVISORY GROUP LP 4747 EXECUTIVE DR SUITE 1300 SAN DIEGO CA 92121 990 2024-10-01 941502014 SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL SOUT 8313856000 300 CANAL STREET KING CITY CA 93930 RENA SALAMACHA CEO 8313856000 2026-08-10 1 1 NATALIE RODRIGUEZ P01971783 8586271400 2026-08-10 2024 2025-03-06 01:10:19Z MEE MEMORIAL HEALTHCARE SYSTEM RENA SALAMACHA 300 CANAL STREET KING CITY CA 93930 80743805 0 X WWW.MEEMEMORIAL.COM X 1959 CA COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS. 5 3 459 16 0 0 865781 982728 70877271 79042075 546446 529969 150550 176945 72440048 80731717 0 0 0 0 35654142 38598708 0 0 0 36935229 34650456 72589371 73249164 -149323 7482553 59576618 70860236 12145276 15944863 47431342 54915373 MEE MEMORIAL HEALTHCARE SYSTEM IS COMMITTED TO PROVIDING CULTURALLY SENSITIVE AND PATIENT-CENTERED HEALTHCARE, DELIVERED WITH THE HIGHEST QUALITY OF SERVICE. 0 0 48722719 0 79042075 MEE MEMORIAL OPERATES A 25 ACUTE CARE BED AND 48 SKILLED NURSING BED LICENSED FACILITY THAT PROVIDES COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS, AND SERVES AS A CRITICAL ACCESS HOSPITAL FOR THE REGION. IN ADDITION, MEE MEMORIAL HAS A NETWORK OF FOUR CLINICS TO SERVE ITS CLIENTELE, THREE IN KING CITY AND ONE IN GREENFIELD. TYPES OF CARE OFFERED INCLUDE ACUTE, LONG-TERM, AND RURAL HEALTH CLINIC SERVICES. OVER THE SEPTEMBER 30, 2025 FISCAL YEAR, TOTAL PATIENT DAYS WERE 15,740. THE EMERGENCY SERVICE DEPARTMENT HAD 16,660 VISITS AND OUTPATIENT SERVICES HAD 31,024 IN THERAPY TREATMENTS/SURGERIES/X-RAYS DURING THE FISCAL YEAR. THE HOSPITAL'S FOUR RURAL CLINICS RECEIVED 79,756 VISITS/PATIENTS IN ADDITION TO HOSPITAL SERVICES. 48722719 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 1 158 0 1 459 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X EMILY EMERY-SHEA 8313857160 300 CANAL STREET KING CITY CA 93930 X MICHAEL HOWARD CHAIR 2.00 X X 0 0 0 JAMES EWART VICE CHAIR 2.00 X X 0 0 0 ROGER BORZINI SECRETARY-TREASURER 2.00 X X 0 0 0 TIMOTHY WATSON MD - TRUSTEE / CHIEF OF STAFF (THRU 01/2025) 40.00 X 967188 0 0 GILBERT FLORES MD - TRUSTEE / CHIEF OF STAFF (START 01/2025) 40.00 X 308000 0 0 RENA SALAMACHA BS MS TRUSTEE / CHIEF EXECUTIVE OFFICER 40.00 X X 387754 0 45428 EMILY EMERY-SHEA - CHIEF FINANCIAL OFFICER (START 06/2025) 40.00 X 0 0 0 NOAH HAWTHORNE MD CHIEF MEDICAL OFFICER 40.00 X 471406 0 0 KIRSTEN FEATHERSTONE CHIEF NURSING OFFICER 40.00 X 235517 0 40563 HEIDI PATTISON DIRECTOR OF OUTPATIENT SERVICES 40.00 X 222275 0 21678 JORGE FERIA MD MEDICAL DIRECTOR 40.00 X 415227 0 230 RUTH PEDRAZA MD PHYSICIAN - FAMILY MEDICINE/OB 40.00 X 346532 0 18802 HILDA ALEJANDRE MD PHYSICIAN - INTERNAL MEDICINE 40.00 X 304025 0 987 CARLOS HERNANDEZ MD PHYSICIAN - PEDIATRICS 40.00 X 292492 0 22065 CHRISTINA CHOW MD PHYSICIAN - PEDIATRICS 40.00 X 286299 0 1018 4236715 0 150771 97 0 1 0 ORACLE AMERICA INC PO BOX 884471 LOS ANGELES CA 900884471 SYSTEM SERVICES 3054905 SODEXO INC & AFFILIATES PO BOX 3610170 PITTSBURGH PA 152516170 DIETARY & ENVIRONMENTAL SVCS 2725095 VITUITY 2100 POWELL STREET SUITE 400 EMERYVILLE CA 94608 MEDICAL SERVICES 2270095 FTG BUILDERS INC 1565 LAFAYETTE STREET SANTA CLARA CA 950503912 CONSTRUCTION SERVICES 2126444 PACIFIC REHABILITATION & PAIN 32692 COAST RIDGE DRIVE CARMEL CA 93923 MEDICAL SERVICES 1125480 66 761120 221608 982728 NET PATIENT SERVICE REVENUE 624100 77285297 77285297 OTHER OPERATING REVENUE 624100 1745659 1745659 REBATES AND REFUNDS 624100 11119 11119 79042075 528681 528681 57570 12076 45494 45494 45494 1300 12 1288 1288 1288 CAFETERIA 722514 131451 131451 131451 80731717 79042075 0 706914 X 2899346 1212261 1687085 25436259 19731915 5704344 300904 213180 87724 7724153 5551750 2172403 2238046 1585578 652468 384450 384450 577050 577050 18398619 12526793 5871826 65958 65958 192474 88952 103522 2425133 614375 1810758 32367 18237 14130 64391 64391 1801649 1801649 806616 70842 735774 NON MEDICAL SUPPLIES 5170793 4783828 386965 REPAIRS & MAINTENANCE 4039670 378637 3661033 691286 144722 546564 73249164 48722719 24526445 0 1149009 1563533 9675630 18369652 8697375 7501817 981397 755284 360830 399168 63253367 39690523 22921399 23562844 10936 12414 15780042 18695524 59576618 70860236 5646649 6449795 37500 5218855 2402536 1472522 4058591 2803691 12145276 15944863 X 47431342 54395373 520000 47431342 54915373 59576618 70860236 7482553 1478 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10411 10411 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, A LEADER REPRESENTING THE INTERESTS OF CALIFORNIA HOSPITALS AND HEALTH SYSTEMS WITH THE LEGISLATURE, ADMINISTRATION, AND REGULATORY AGENCIES. OF THE $35,692 OF DUES PAID DURING THE SEPTEMBER 30, 2025 FISCAL YEAR, 29.17% ($10,411) WERE ALLOCATED TO LOBBYING EXPENDITURES. 769735 769735 36876281 20836317 16039964 20740630 17580673 3159957 4866721 1273533 3593188 23562844 HOSPITAL PROVIDER FEE RECEIVABLE 16568633 OPERATING LEASE - RIGHT-OF-USE ASSETS 1022267 OTHER RECEIVABLES 438366 FINANCE LEASE - RIGHT-OF-USE ASSETS 401069 DEPOSITS 265189 18695524 OPERATING LEASE LIABILITY 1022267 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT PAYABLE 754889 ESTIMATED SELF-INSURED HEALTHCARE CLAIMS 503440 FINANCE LEASE LIABILITY 356095 LITIGATION RESERVE 167000 2803691 X 80745271 1478 1478 80743793 -12076 -12076 80731717 73261240 12076 12076 73249164 0 73249164 PART X, LINE 2: THE HOSPITAL ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE HOSPITAL RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2025 AND 2024, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES TO STATEMENT OF REVENUE -12,076. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES TO STATEMENT OF REVENUE 12,076. 1 1 X 1 X 1 X 1 0 1 1 634035 634035 0.00870 41623789 24490524 17133265 0.23390 42257824 24490524 17767300 0.24260 677193 740146 0 0.00000 16625 16625 0.00020 693818 740146 16625 0.00020 42951642 25230670 17783925 0.24280 1 3972253 1588901 24837937 11227132 13610805 X 1 1 1 1 GEORGE L MEE MEMORIAL HOSPITAL 300 CANAL STREET KING CITY CA 93930 WWW.MEEMEMORIAL.COM 070000047 X X X X GEORGE L MEE MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.MEEMEMORIAL.COM/ABOUT-MEE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 25 1 HTTPS://WWW.MEEMEMORIAL.COM/ABOUT-MEE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.MEEMEMORIAL.COM/PATIENTS-VISITORS/HELP-PAYING-YOUR-BILL/ X HTTPS://WWW.MEEMEMORIAL.COM/PATIENTS-VISITORS/HELP-PAYING-YOUR-BILL/ X HTTPS://WWW.MEEMEMORIAL.COM/PATIENTS-VISITORS/HELP-PAYING-YOUR-BILL/ X X X X X X 1 X 0 X X X X 1 X 0 0 GEORGE L. MEE MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: MEE MEMORIAL'S 2025 COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATES INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH: (I) A COMMUNITY HEALTH SURVEY AND (II) A KEY INFORMANT SURVEY.FOR THE COMMUNITY HEALTH SURVEY, TO ENSURE BEST REPRESENTATION OF THE POPULATION SURVEYED, A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED TARGETED SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE) OR THROUGH ONLINE QUESTIONNAIRES, AS WELL AS A COMMUNITY OUTREACH COMPONENT PROMOTED BY THE STUDY SPONSOR THROUGH SOCIAL MEDIA POSTINGS AND OTHER COMMUNICATIONS. THESE SURVEYS WERE ADMINISTERED AND COLLECTED BETWEEN MARCH 1, 2025 AND MAY 30, 2025. ALL IN ALL, A TOTAL OF 212 RANDOM-SAMPLE SURVEYS AND 151 COMMUNITY OUTREACH SURVEYS WERE COMPLETED. ONCE THE INTERVIEWS WERE COMPLETED, THE RESULTS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE MEE MEMORIAL HEALTHCARE SYSTEM SERVICE AREA AS A WHOLE.TO SOLICIT INPUT FROM KEY INFORMANTS (THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY), A COUNTYWIDE ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE MONTEREY COUNTY HEALTH NEEDS COLLABORATIVE. THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 96 COMMUNITY LEADERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY BETWEEN MARCH 1, 2025 AND MAY 30, 2025. A FULL LIST OF THE ORGANIZATIONS THESE INDIVIDUALS REPRESENT CAN BE FOUND ON THE CHNA POSTED ON THE ORGANIZATION'S WEBSITE. GEORGE L. MEE MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THE MEE MEMORIAL HEALTHCARE SYSTEM 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH MONTAGE HEALTH, AND SALINAS VALLEY HEALTH. GEORGE L. MEE MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: THE MEE MEMORIAL HEALTHCARE SYSTEM 2025 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH MONTEREY COUNTY HEALTH DEPARTMENT, NATIVIDAD, CSUMB, CCAH, AND UNITED WAY MONTEREY COUNTY; IN ADDITION, COORDINATION WAS PROVIDED FROM HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA. GEORGE L. MEE MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE MEE MEMORIAL HEALTHCARE SYSTEM 2025 CHNA YIELDED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR OUR COMMUNITY:1. MENTAL HEALTH2. DIABETES3. ACCESS TO HEALTH CARE SERVICES4. SUBSTANCE USE5. NUTRITION, PHYSICAL ACTIVITY & WEIGHT6. HEART DISEASE & STROKE7. INJURY & VIOLENCE8. CANCER9. INFANT HEALTH & FAMILY PLANNING10. RESPIRATORY DISEASESIN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THROUGH THE CHNA PROCESS, AND TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS, AND STRATEGIC PRIORITIES, IT WAS DETERMINED THAT MEE MEMORIAL WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE:1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT2. DIABETES3. ACCESS TO HEALTH CARE SERVICESTO ADDRESS THE HEALTH NEED OF NUTRITION, PHYSICAL ACTIVITY & WEIGHT, MEE MEMORIAL INTENDS TO: LAUNCH HEALTHY SOUTH COUNTY CAMPAIGN FOCUSED ON HEALTHY EATING, MOVEMENT, AND WEIGHT MANAGEMENT; EXPAND WALKING MAP PROGRAM TO SOLEDAD WITH DIGITAL AND PRINTED DISTRIBUTION; INTEGRATE NUTRITION AND WEIGHT MONITORING INTO REMOTE PATIENT MONITORING FOR CHRONIC DISEASE PATIENTS; CREATE SOCIAL MEDIA AND WEBSITE RESOURCES ON PORTION CONTROL, HYDRATION, AND ACCESS TO LOCAL PRODUCE; AND COLLABORATE WITH SCHOOLS AND YOUTH ORGANIZATIONS TO PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING EDUCATION.TO ADDRESS THE HEALTH NEED OF DIABETES, MEE MEMORIAL INTENDS TO: CONTINUE HEALTHY-LIVING BOOTHS AT COMMUNITY FAIRS; EXPAND WALKING MAP PROGRAM TO SOLEDAD AND LINK MAPS AND WELLNESS TIPS ON THE WELLNESS WEBPAGE; PROMOTE ANNUAL DIABETES MONTH CAMPAIGNS IN LOCAL MEDIA AND AT THE SALINAS VALLEY FAIR; OFFER GROUP DIABETES EDUCATION SESSIONS AND REMOTE PATIENT MONITORING FOR HIGH-RISK PATIENTS; AND INTEGRATE DIABETES PREVENTION MESSAGING WITH NUTRITION AND PHYSICAL ACTIVITY INITIATIVES.TO ADDRESS THE HEALTH NEED OF ACCESS TO HEALTH CARE SERVICES, MEE MEMORIAL INTENDS TO: MAINTAIN ACTIVE RECRUITMENT FOR MISSION-DRIVEN PROVIDERS USING COUNTY/STATE INCENTIVE PROGRAMS; CONTINUE PHASE 26 OF THE ED/DIAGNOSTIC IMAGING UPGRADE AND MONITOR UTILIZATION OF THE NEW PEDIATRIC CLINIC, ADJUSTING STAFFING AND HOURS TO MEET DEMAND; LAUNCH A HEALTH NAVIGATOR/COMMUNITY HEALTH WORKERS PROGRAM TO GUIDE THE COMMUNITY THROUGH INSURANCE ENROLLMENT AND APPOINTMENT SCHEDULING; AND IMPLEMENT LUMA'S HEALTH PATIENT SUCCESS PLATFORM TO STREAMLINE APPOINTMENT SCHEDULING, MOBILE INTAKE, AUTOMATED REMINDERS, AND SECURE MESSAGING TO IMPROVE PATIENT ACCESS AND REDUCE NO-SHOWS.IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, MEE MEMORIAL HEALTHCARE SYSTEM DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST-UNDER-ADDRESS, AND/OR MOST WITHIN ITS ABILITY TO INFLUENCE.HEART DISEASE & STROKE IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM RECOGNIZES THE IMPORTANCE OF HEART DISEASE AS A COMMUNITY HEALTH NEED AND COLLABORATES WITH PARTNER ORGANIZATIONS THAT ARE BEST EQUIPPED TO PROVIDE SPECIALIZED CARDIAC CARE. WE SUPPORT THIS WORK THROUGH PATIENT EDUCATION, PREVENTION RESOURCES, AND REFERRALS TO ENSURE INDIVIDUALS RECEIVE COMPREHENSIVE HEART HEALTH SUPPORT.SUBSTANCE USE IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM HAS LIMITED RESOURCES AND CAPACITY TO ADDRESS ALCOHOL, TOBACCO, AND OTHER SUBSTANCE USE ISSUES. WE COLLABORATE WITH ORGANIZATIONS SUCH AS SUN STREET CENTERS, WHICH HAVE THE SPECIALIZED PROGRAMS AND INFRASTRUCTURE NEEDED TO EFFECTIVELY SUPPORT THIS PRIORITY.HOUSING IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM ACKNOWLEDGES HOUSING AS AN IMPORTANT COMMUNITY FACTOR; HOWEVER, THIS AREA IS MORE APPROPRIATELY LED BY THE COUNTY AND ORGANIZATIONS SUCH AS CHISPA AND CCA, GIVEN THEIR EXPERTISE AND RESOURCES.INFANT HEALTH & FAMILY PLANNING IS NOT BEING ADDRESSED AS THIS NEED IS BEING ACTIVELY ADDRESSED THROUGH THE NEWLY OPENED MEE MEMORIAL CHILDREN'S HEALTH AND WELLNESS CENTER, WHICH PROVIDES COMPREHENSIVE SERVICES FOR INFANTS AND FAMILIES.INJURY & VIOLENCE IS NOT BEING ADDRESSED AS THIS PRIORITY AREA IS BEST ADDRESSED THROUGH THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS WITH DEDICATED PROGRAMS AND EXPERTISE. MEE MEMORIAL SUPPORTS COMMUNITY AWARENESS AND PREVENTION EFFORTS BUT DOES NOT LEAD PRIMARY INITIATIVES IN THIS SPACE.CANCER IS NOT BEING ADDRESSED AS MEE MEMORIAL HEALTHCARE SYSTEM ANTICIPATES THAT IMPROVED ACCESS TO HEALTH SERVICES WILL CONTRIBUTE TO EARLIER CANCER DETECTION. ONGOING ENHANCEMENTS TO MAMMOGRAPHY, FLUOROSCOPY, AND OTHER DIAGNOSTIC SERVICES FURTHER SUPPORT THIS COMMUNITY NEED.RESPIRATORY DISEASE IS NOT BEING ADDRESSED AS, WHILE RESPIRATORY THERAPY SERVICES ARE AVAILABLE AT MEE MEMORIAL, BROADER COMMUNITY-WIDE RESPIRATORY HEALTH INITIATIVES ARE MORE APPROPRIATELY LED BY THE COUNTY HEALTH DEPARTMENT AND PARTNER ORGANIZATIONS.MENTAL HEALTH IS NOT BEING ADDRESSED AS MEE MEMORIAL SUPPORTS MENTAL HEALTH NEEDS BY PROVIDING REFERRALS TO EXTERNAL PARTNERS SUCH AS MOOD HEALTH AND BY SHARING EDUCATIONAL RESOURCES ON OUR WELLNESS WEBPAGE AND SOCIAL MEDIA. OTHER SPECIALIZED ORGANIZATIONS HAVE THE INFRASTRUCTURE AND PROGRAMS NECESSARY TO PROVIDE THE MORE COMPREHENSIVE SERVICES THE COMMUNITY REQUIRES. PART V, SECTION B, LINE 7A HTTPS://WWW.MEEMEMORIAL.COM/ABOUT-MEE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/PART V, SECTION B, LINE 10AHTTPS://WWW.MEEMEMORIAL.COM/ABOUT-MEE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 4 1 - CHILDREN'S HEALTH AND WELLNESS CENTER 809 BROADWAY STREET SUITE D KING CITY CA 93930 OUTPATIENT HEALTH CLINIC 2 - ALBERT AND DONNA OLIVEIRA CLINIC 467 EL CAMINO REAL GREENFIELD CA 93927 OUTPATIENT HEALTH CLINIC 3 - KING CITY CLINIC 210 CANAL STREET KING CITY CA 93930 OUTPATIENT HEALTH CLINIC 4 - REHABILITATIVEPHYSICAL THERAPY SERVICES 809 BROADWAY STREET SUITE C KING CITY CA 93930 OUTPATIENT REHAB CENTER PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSE ON PART I, LINE 7B. PART III, LINE 2: THE ORGANIZATION RECORDS ACCOUNTS SENT TO COLLECTIONS AS A BAD DEBT AND ALSO ACCRUES BAD DEBT EXPENSE BASED ON AN ESTIMATE FROM AGED ACCOUNTS RECEIVABLE. PART III, LINE 3: THE ORGANIZATION HAS IDENTIFIED ACCOUNTS RECEIVABLE ATTRIBUTABLE TO SELF-PAY PATIENTS; REDUCTIONS ARE MADE TO THE ACCOUNTS RECEIVABLE FOR SELF-PAY PATIENTS BASED-OFF HISTORICAL TRENDS AND PATTERNS, WHICH IS REFLECTED ON SCHEDULE H, PART III, LINE 3. PART III, LINE 4: THE AUDITED FINANCIAL STATEMENTS DO NOT HAVE A FOOTNOTE WHICH ADDRESSES "BAD DEBT EXPENSE", HOWEVER, THE FOOTNOTES WHICH DESCRIBE "ACCOUNTS RECEIVABLE", AND "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGES 8 AND 15 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. PART III, LINE 8: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS A RATIO OF PATIENT COSTS TO CHARGES. PART III, LINE 9B: COLLECTION PRACTICES FOR QUALIFIED PATIENTS:IT IS THE POLICY OF MEE MEMORIAL HEALTHCARE SYSTEM TO PROVIDE EXCELLENT CUSTOMER SERVICE TO ALL PATIENTS, AND ASSIST ALL UNINSURED PATIENTS WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, AND CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES. IF SUCH COVERAGE IS NOT AVAILABLE TO THE PATIENT, THE HOSPITAL WILL PROVIDE APPROPRIATE HEALTHCARE TO THE PATIENT, AND THE HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE BASED ON THE CURRENT FEDERAL POVERTY LEVEL, AND PER THE HOSPITAL'S POLICY, IN ACCORDANCE WITH CALIFORNIA STATE LAW, EMTALA, AND MEDICARE REGULATIONS. FURTHER, SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INCOME WILL BE PROVIDED WITH SEVERAL OPTIONS FOR PAYMENT OF THEIR BILLS. IT IS THE HOSPITAL'S POLICY TO:- ASSIST ALL UNINSURED PATIENTS WITH OBTAINING COVERAGE FROM GOVERNMENT SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES. - PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT NO COST TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BELOW 200% OF THE CURRENT FEDERAL POVERTY LEVEL. - PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 50% DISCOUNT TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BETWEEN 201% AND 300% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, THE DISCOUNT SHALL BE APPLIED TO THE AMOUNT GENERALLY BILLED (AGB) TO MEDICARE PATIENTS. THE EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES. - PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 35% DISCOUNT TO ELIGIBLE PATIENTS BETWEEN 301% AND 400% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, THE DISCOUNT SHALL BE APPLIED TO THE AMOUNT GENERALLY BILLED (AGB) TO MEDICARE PATIENTS. THE EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES. - PROVIDE INTEREST-FREE PAYMENT PLANS FOR ELIGIBLE PATIENTS UNDER THIS POLICY. - FORGO REPORTS TO CREDIT BUREAUS, REFERRAL OF ACCOUNTS TO COLLECTION AGENCIES, LIENS AGAINST PROPERTY OR WAGE GARNISHMENT FOR ELIGIBLE PATIENTS WHO ARE MEETING AN AGREED-UPON PAYMENT PLAN, AS WELL AS PATIENTS WHO HAVE APPLIED FOR FINANCIAL ASSISTANCE AND ARE AWAITING A DETERMINATION.- PROVIDE ADEQUATE NOTICE OF THIS POLICY IN ALL ADMITTING AND RECEPTION AREAS. - OFFER FREE FINANCIAL COUNSELING TO ALL UNINSURED PATIENTS FOR FINANCIAL MATTERS RELATED TO THEIR HOSPITAL BILLS. PART VI, LINE 2: THE MEE MEMORIAL HEALTHCARE SYSTEM CHNA WAS PREPARED BY PRC, A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. SIGNIFICANT HEALTH NEEDS (OR "AREAS OF OPPORTUNITY") WERE DETERMINED IN MEE MEMORIAL HEALTHCARE SYSTEM'S CHNA AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. AFTER REVIEWING THE CHNA FINDINGS, INTERNAL TEAM MEMBERS AND COMMUNITY STAKEHOLDERS MET TO EVALUATE AND PRIORITIZE THE TOP HEALTH NEEDS FOR MEE MEMORIAL HEALTHCARE SYSTEM'S COMMUNITY. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: 1) SCOPE AND SEVERITY OF THE ISSUE; AND 2) THE HOSPITAL'S/COMMUNITY'S ABILITY TO IMPACT THAT ISSUE. INDIVIDUAL RATINGS FOR EACH CRITERION WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. PART VI, LINE 3: UPON PRESENTATION TO OUR ADMITTING PROCESS, ONCE THE PATIENT IDENTIFIES THEY ARE WITHOUT INSURANCE, WE INFORM/EDUCATE THEM ABOUT THEIR OPTIONS WITH GOVERNMENT PROGRAMS AND PROVIDE CONTACT INFORMATION TO ACCESS THOSE PROGRAMS. ADDITIONALLY, WE PROVIDE THE PATIENT WITH OUR POLICIES RELATED TO CHARITY AND A CHARITY APPLICATION SHOULD THEY WISH TO PURSUE THAT ASSISTANCE.ADDITIONALLY, PATIENTS ARE INFORMED OF MEE MEMORIAL HEALTHCARE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM IN SEVERAL WAYS, WHICH INCLUDE:1. NOTIFICATIONS POSTED IN ALL PATIENT ACCESS AND EMERGENCY AREAS.2. INCLUDED WITHIN MEE MEMORIAL HEALTHCARE SYSTEM'S CONDITIONS OF ADMISSIONS FORM3. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED ON ALL PATIENT STATEMENTS, IN PLAIN LANGUAGE, WITH PHONE NUMBERS TO CALL FOR FURTHER INFORMATION.4. ALL FINANCIAL ASSISTANCE PROGRAM INFORMATION IS ADVERTISED ON MEE MEMORIAL HEALTHCARE SYSTEM'S WEBSITE. PART VI, LINE 4: THE ESTIMATED POPULATION OF MONTEREY COUNTY (WHERE MEE MEMORIAL HEALTHCARE SYSTEM'S SERVICE AREA ENCOMPASSES) TOTALS 435,834, AND HAS A POPULATION DENSITY OF 133 (COMPARED TO 252 WITH CALIFORNIA, AND 94 WITH THE REST OF THE UNITED STATES). WITHIN THE SERVICE AREA, 26.0% OF RESIDENTS ARE AGED 0-17; 59.5% RESIDENTS ARE AGED 18-64; AND 14.5% OF RESIDENTS ARE AGED 65+.A TOTAL OF 14.1% OF THE SERVICE AREA LACK HEALTH CARE INSURANCE COVERAGE, WHICH IS HIGHER WHEN COMPARED TO MONTEREY COUNTY (7.5%), CALIFORNIA (8.9%) AND THE UNITED STATES (8.1%). FURTHER, WHEN COMPARED TO CALIFORNIA AND THE UNITED STATES, MONTEREY COUNTY HAS A LOWER NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 POPULATION.IN REGARDS TO THE RACIAL MAKEUP OF THE COMMUNITY, 36.5% OF THE RESIDENTS IDENTIFY AS WHITE; 5.8% IDENTIFY AS ASIAN; 44.2% IDENTIFY AS SOME OTHER RACE; AND 13.5% IDENTIFY AS MULTIPLE RACES. PLEASE NOTE THAT THE HISPANIC OR LATINO POPULATION CAN BE OF ANY RACE, AND 61.0% OF THE POPULATION OF MONTEREY COUNTY IS MADE-UP OF THE HISPANIC POPULATION, WHICH IS HIGHER WHEN COMPARED TO CALIFORNIA (39.8%) OR THE UNITED STATES (19.0%).WITHIN THE SERVICE AREA, 12.6% OF THE TOTAL POPULATION AND 18.1% OF CHILDREN EXPERIENCE POVERTY (COMPARED TO 12.0%, 15.2% WITHIN CALIFORNIA AND 12.4%, 16.3% WITHIN THE UNITED STATES). POPULATIONS WITHIN THE SERVICE AREA EXPERIENCE HOUSING INSECURITY, MULTIGENERATIONAL LIVING, SHARED HOUSING, AND/OR UNHEALTHY OR UNSAFE HOUSING. ADDITIONALLY, 46.0% OF THE POPULATION EXPERIENCE FOOD INSECURITY (WHEN COMPARED TO 42.9% OF MONTEREY COUNTY AND 43.3% OF THE ENTIRE UNITED STATES POPULATION).THE SERVICE AREA HAS A HIGHER PERCENTAGE OF THE POPULATION (26.7%) WITH NO HIGH SCHOOL DIPLOMA WHEN COMPARED TO THE REST OF CALIFORNIA (15.4%) AND UNITED STATES (10.6%).IN REGARDS TO MENTAL HEALTH, 20.3% OF THE POPULATION HAS BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER (COMPARED TO 27.3% WITHIN MONTEREY COUNTY, 17.0% WITHIN CALIFORNIA AND 30.8% WITHIN THE UNITED STATES); HOWEVER, A HIGHER PERCENTAGE (34.5%) HAVE EXPERIENCED SYMPTOMS OF CHRONIC DEPRESSION PERCENTAGE WHEN COMPARED TO MONTEREY COUNTY (45.1) AND THE UNITED STATES AS A WHOLE (46.7%). MONTEREY COUNTY DOES HAVE 332.3 MENTAL HEALTH CARE PROVIDERS PER 100,000 POPULATION, WHICH IS SIMILAR COMPARED TO CALIFORNIA (340.6) OR THE UNITED STATES (325.6).THE LEADING CAUSE OF DEATH WITHIN THE SERVICE AREA IS CANCER, FOLLOWED BY HEART DISEASE, UNINTENTIONAL INJURIES, STROKE, ALZHEIMER'S DISEASE, LUNG DISEASE, AND OTHER. IN GENERAL, THE SERVICE AREA HAS A LOWER PREVALENT RATE OF HEART DISEASE MORTALITY, STROKE MORTALITY, CANCER MORTALITY, RESPIRATORY DISEASE MORTALITY, DIABETES MORTALITY, AND ALZHEIMER'S DISEASE MORTALITY WHEN COMPARED TO CALIFORNIA AND THE UNITED STATES. THE SERVICE AREA HAS A HIGHER RATE OF UNINTENTIONAL INJURY MORTALITY AND KIDNEY DISEASE MORTALITY WHEN COMPARED TO CALIFORNIA, BUT A LOWER RATE WHEN COMPARED TO THE UNITED STATES.THE SERVICE AREA HAS A HIGHER PREVALENCE OF OVERWEIGHT INDIVIDUALS (82.2%) WHEN COMPARED TO MONTEREY COUNTY (71.1%), CALIFORNIA (64.0%) OR THE UNITED STATES (63.3%); ADDITIONALLY, A HIGHER PERCENTAGE OF THE POPULATION (51.7%) IS OBESE WHEN COMPARED TO MONTEREY COUNTY (36.4%), CALIFORNIA (27.7%) OR THE UNITED STATES (33.9%). PART VI, LINE 5: THE HOSPITAL UNDERTAKES MANY ACTIVITIES THAT HELP PROMOTE THE HEALTH OF THE COMMUNITY. ONE SUCH EXAMPLE WOULD BE THE OPERATION OF FIVE HEALTH CLINICS; A GOAL OF THE CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE HOSPITAL ALSO CONTRACTS WITH THE COUNTY OF MONTEREY TO PROVIDE CONGREGATE MEALS TO ELIGIBLE ADULTS UNDER THE MONTEREY COUNTY ELDERLY NUTRITION PROGRAM. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, AND THE BOARD IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA X X 0 0 0 0 0 0 0 1 0 TIMOTHY WATSON MD - TRUSTEE / CHIEF OF STAFF (THRU 01/2025) 967188 0 0 0 0 0 0 0 0 0 967188 0 0 0 NOAH HAWTHORNE MD CHIEF MEDICAL OFFICER 471406 0 0 0 0 0 0 0 0 0 471406 0 0 0 RENA SALAMACHA BS MS TRUSTEE / CHIEF EXECUTIVE OFFICER 373138 0 0 0 14616 0 10350 0 35078 0 433182 0 0 0 JORGE FERIA MD MEDICAL DIRECTOR 369327 0 0 0 45900 0 0 0 230 0 415457 0 0 0 RUTH PEDRAZA MD PHYSICIAN - FAMILY MEDICINE/OB 326532 0 10000 0 10000 0 0 0 18802 0 365334 0 0 0 CARLOS HERNANDEZ MD PHYSICIAN - PEDIATRICS 292492 0 0 0 0 0 0 0 22065 0 314557 0 0 0 GILBERT FLORES MD - TRUSTEE / CHIEF OF STAFF (START 01/2025) 308000 0 0 0 0 0 0 0 0 0 308000 0 0 0 HILDA ALEJANDRE MD PHYSICIAN - INTERNAL MEDICINE 304025 0 0 0 0 0 0 0 987 0 305012 0 0 0 CHRISTINA CHOW MD PHYSICIAN - PEDIATRICS 276299 0 10000 0 0 0 0 0 1018 0 287317 0 0 0 KIRSTEN FEATHERSTONE CHIEF NURSING OFFICER 226606 0 0 0 8911 0 7155 0 33408 0 276080 0 0 0 HEIDI PATTISON DIRECTOR OF OUTPATIENT SERVICES 209668 0 0 0 12607 0 6887 0 14791 0 243953 0 0 0 PART I, LINE 7 THE ORGANIZATION'S BONUSES ARE BASED ON BOARD CRITERIA, REVIEW, AND APPROVAL OF THE FOLLOWING FACTORS, SOME OF WHICH INVOLVE THE USE OF DISCRETION OR JUDGMENT BY INDIVIDUALS: FINANCIAL PERFORMANCE; ENHANCED PROGRAM & SERVICES; PHYSICIAN RECRUITMENT & RETENTION; PERFORMANCE IMPROVEMENT/QUALITY STANDARDS; REGULATORY & ACCREDITATION COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. A DRAFT FORM 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL MEMBERS OF BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MEE MEMORIAL HEALTHCARE SYSTEM HAS A CORPORATE POLICY ON CONFLICTS OF INTEREST; THIS POLICY APPLIES TO ALL INTERESTED PERSONS, DEFINED AS: (A) TRUSTEES, AND (B) SENIOR MANAGEMENT, WHICH INCLUDES OFFICERS AND KEY EMPLOYEES. THE BOARD OF TRUSTEES, CEO, AND CFO CONTINUOUSLY MONITOR AND EVALUATE ANY AND ALL TRANSACTIONS OF INTERESTED PARTIES WITH THE HOSPITAL. IF A CURRENT OR PAST TRANSACTION POSE A POTENTIAL RISK OF BEING A CONFLICT OF INTEREST TO THE HOSPITAL, THESE ITEM(S) WILL BE BROUGHT TO THE ATTENTION OF THE CEO, BOARD CHAIRMAN, AND/OR FULL BOARD OF TRUSTEES. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST TO THE BOARD, THE INTERESTED OFFICER OR BOARD MEMBER LEAVES THE BOARD MEETING WHILE THE CONFLICT OF INTEREST IS DISCUSSED AND/OR VOTED ON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROVIDED, HOWEVER, IF THE INTERESTED PERSON IS AN ADMINISTRATIVE STAFF EMPLOYEE AND THE CONTEMPLATED TRANSACTION IS AT THE ADMINISTRATIVE LEVEL, THE DECISION SHALL BE MADE BY THE HOSPITAL CEO. ANY OFFICER OR BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER MUST DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT. OFFICER OR BOARD MEMBERS ALWAYS ABSTAIN FROM VOTING ON ANY ISSUES OF A POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE ORGANIZATION'S CEO IS SET BY THE BOARD OF DIRECTORS; THE CEO, WHO IS A MEMBER OF THE BOARD, DOES NOT PARTICIPATE IN THIS PROCESS. THE BOARD UTILIZES SALARY INFORMATION COMPILED BY THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, AND TAKES INTO ACCOUNT OTHER FACTORS (SUCH AS PERFORMANCE) IN MAKING THEIR DETERMINATION. THIS PROCESS IS DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO, WHO TAKES INTO ACCOUNT COMPARABILITY DATA PROVIDED BY THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AS WELL AS OTHER FACTORS, SUCH AS PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST; ADDITIONALLY, QUARTERLY FINANCIAL STATEMENTS AND AN ANNUAL REPORT ARE FILED WITH OSHPD AND ARE AVAILABLE ON THE OSHPD WEBSITE. FORM 990, PART VII, SECTION A GILBERT FLORES, MD, RENA SALAMACHA, AND TIMOTHY WATSON, MD DEVOTE 2 HOURS PER WEEK FOR THEIR SERVICES AS MEMBERS OF THE BOARD OF TRUSTEES IN ADDITION TO OTHER DUTIES THROUGH EMPLOYMENT AT THE HOSPITAL. EACH DOES NOT RECEIVE COMPENSATION OR BENEFITS AS A BOARD MEMBER, BUT RATHER AS SERVICES THROUGH EMPLOYMENT TO THE HOSPITAL. FORM 990, PART IX, LINE 11G PROFESSIONAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,092,475. MANAGEMENT AND GENERAL EXPENSES 100,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,193,050. CONTRACTED NURSING LABOR & CONSULTANTS: PROGRAM SERVICE EXPENSES 2,551,181. MANAGEMENT AND GENERAL EXPENSES 1,047,199. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,598,380. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 883,137. MANAGEMENT AND GENERAL EXPENSES 4,724,052. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,607,189.