Shore Memorial Hospital

“Michael bray & robert j. Bray, dds - family relationship”

“EFFECTIVE mAY 6, 2024, THE ORGANIZATION'S BYLAWS WERE AMENDED. THE FOLLOWING SECTIONS WERE AMENDED TO INCLUDE SIGNIFICANT CHANGES, AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS: ARTICLE III, SECTION 6 - POWERS RESERVED TO THE MEMBER ARTICLE IV, SECTION 2 - NUMBER OF TRUSTEES ARTICLE IV, SECTION 5 - ELECTION OF TRUSTEES ARTICLE IV, SECTION 11 - QUORUM ARTICLE V, SECTION 4 - POWERS AND DUTIES”

“Shore memorial health system ("system") is the sole member of this organization. System has the right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Shore memorial health system is the tax-exempt parent entity of the system. This organization's federal form 990 was provided to each voting member of its governing body (its board of trustees) prior to filing with the internal revenue service ("irs"). The organization's audit and finance committee assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process. As part of the organization's federal form 990 tax return preparation process the organization hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel and system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's internal working group for review. The organization's internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the organization's internal working group for final review and approval. A meeting with the organization's audit and finance committee was also held to review the final draft of the federal form 990. At this meeting, the cpa firm gave a form 990 presentation to the committee. Thereafter, the final federal form 990 was made available to each voting member of the organization's governing body prior to filing with the irs.”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Shore memorial health system is the tax-exempt parent entity of the system. This organization and the system regularly monitor and enforce compliance with its conflict of interest policy. Annually all members of the board of trustees, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The completed questionnaires are returned to the organization and its chief compliance officer for review. The chief compliance officer prepares a summary of the completed questionnaires which contains information disclosed on an individual by individual basis and presents this summary to the organization's audit and finance committee for its review and discussion. Thereafter, any significant disclosures of a material nature involving the organization's governing body or senior leadership is reported to the system's governance committee for its review and discussion.”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Shore memorial health system is the tax-exempt parent entity of the system. Shore memorial health system's board of trustees has a leadership development and compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of the organization's senior management personnel including the president/chief executive officer, chief financial officer/chief development officer, chief operating officer/chief nursing officer, chief medical officer, chief information officer and vice president of human resources ("senior leadership"). The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of the organization's senior leadership. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of trustees each of who are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to the organization's senior leadership. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from organization's human resources department in conjunction with the individual's job performance during the year and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.”

“Pursuant to state of new jersey p.l. 2019, chapter 513, (which was effective on july 21, 2020), and amended p.l. 2008, chapter 58 (c.26: 2h-5.1b), this organization has posted on its internet website a copy of this internal revenue service (irs) form 990 and all schedules and supporting documentation required to be submitted to the irs in conjunction with the form 990 with the exception of those schedules not open for public inspection. Said form 990 was posted by the organization after filing its form 990 with the irs.”

“The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjuction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. In addition, the organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of the treasury. The organization's governing documents, conflict of interest policy and financial statements are available upon request.”

“Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization. Please note this remuneration was for services rendered as full-time employees or independent contractors of this organization and not for services rendered as a voting member or officer of this organization's board of trustees.”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Shore memorial health system is the tax-exempt parent entity of the system. Certain board of trustee members and officers listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected on core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of shore memorial health system; not solely this organization.”

“Background ========== Shore Medical Center ("the medical center") is a general medical and surgical hospital recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, The Medical Center provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Moreover, the medical center operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1) The medical center provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) The medical center operates an active emergency department for all persons; which is open 24 hours a day, seven days a week, 365 days per year; 3) The medical center maintains an open medical staff, with privileges available to all qualified physicians; 4) Control of the medical center rests with its board of trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5) Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. The operations of the medical center, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the medical center provides substantial community benefit and that the use and control of The Medical Center is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Mission Statement ================= We care for and respect all patients, their families and each other. Organization Overview ===================== The medical center is a not-for-profit healthcare resource that has served southern New Jersey for more than 80 years. In that time, the medical center has become known for providing a compassionate level of service that goes hand in hand with its advanced technology and modern medical facilities. The medical center is a 199 bed, not-for-profit acute care medical center located in Somers Point, Atlantic County, New Jersey, approximately 10 miles south of Atlantic City, New Jersey. The medical center is licensed and approved by the state of New Jersey to operate as a general acute care hospital providing both inpatient and outpatient services to the community. Founded in 1928 and chartered in 1940 as a not-for-profit corporation, the medical center serves the healthcare needs of both the year-round and summer residents of Atlantic and Cape May counties, as well as visitors from other communities and states. The medical center has undergone more than fourteen major construction and renovation projects since 1940 to provide necessary facilities and services for its expanding patient population. In 2013, the medical center unveiled a new state-of-the-art medical oncology suite on the third floor of its freestanding cancer center. The 3,600 square foot expansion features eight spacious infusion therapy bays, three exam rooms, a family waiting room, nutrition center and a fully equipped and stocked pharmacy with a full-time oncology pharmacist. The medical center engages the talents and teamwork of the best and brightest people in the industry. Our team of physicians, nurses, technologists, managers, financial experts, board of trustees and our affiliates all work together to ensure that the community has access to the best healthcare resources when needed. The medical center continues to be accredited by the Joint Commission, the nation's predominant standards setting and accrediting body in healthcare, as a Primary Stroke Center. The Medical Center is also certified by the Joint Commission for its spine surgery and hip and knee replacement pro”

“2. ALZHEIMER'S ASSOCIATION'S CAREGIVER SUPPORT GROUP: DESIGNED TO PROVIDE EMOTIONAL, EDUCATIONAL AND SOCIAL SUPPORT FOR CAREGIVERS THROUGH REGULARLY SCHEDULED MEETINGS. THEY HELP PARTICIPANTS DEVELOP METHODS AND SKILLS TO SOLVE PROBLEMS. THE GROUPS ENCOURAGE CAREGIVERS TO MAINTAIN THEIR OWN PERSONAL, PHYSICAL AND EMOTIONAL HEALTH, AS WELL AS OPTIMALLY CARE FOR THE PERSON WITH DEMENTIA. THE SUPPORT GROUP AT The Medical Center IS HELD THE SECOND TUESDAY OF EVERY MONTH. 3. CENTER FOR FAMILY CAREGIVERS SUPPORT: STAFF ARE AVAILABLE TO PROVIDE EMOTIONAL, EDUCATIONAL AND SOCIAL SUPPORT FOR FAMILY CAREGIVERS IN NEED OF ASSISTANCE AND SUPPORT AS THEY MANAGE THE OFTEN-DAUNTING ROLE OF FAMILY CAREGIVER FOR A LOVED ONE AT HOME AFTER THEY ARE DISCHARGED. UNCOMPENSATED CARE ================== THE MEDICAL CENTER HAS LONG BEEN A REGIONAL LEADER IN MEETING ITS COMMITMENT TO THE MEDICALLY UNDERSERVED MEMBERS OF THE COMMUNITY. IN ADDITION TO ITS COMMUNITY OUTREACH PROGRAMS, THE MEDICAL CENTER PROVIDES SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO THOSE LEAST ABLE TO PAY FOR THESE SERVICES. IN KEEPING WITH ITS MISSION TO CARE FOR PATIENTS, THE MEDICAL CENTER SERVES ALL WITHOUT REGARD TO ABILITY TO PAY. IN 2024, SHORE MEDICAL CENTER PROVIDED $6,491,420 IN UNCOMPENSATED CARE TO THESE PATIENTS. THE MEDICAL CENTER RECOGNIZES THE FINANCIAL DIFFICULTY IMPOSED ON THE SELF-PAY PATIENT WHO IS LEAST ABLE TO AFFORD TO PAY FOR HEALTHCARE SERVICES WHEN BILLED AT THE MEDICAL CENTER'S STANDARD CHARGES. THEREFORE, THE MEDICAL CENTER ESTABLISHED AN INNOVATIVE POLICY TO ADDRESS THE DISPARITY BETWEEN HOSPITAL-BILLED CHARGES AND THE ACTUAL COST OF PROVIDING CARE TO THE SELF-PAY PATIENT OR UNDER-INSURED PATIENT. THE METHOD ADOPTED IS BASED UPON SOUND ACCOUNTING PRINCIPLES TO DETERMINE THE ACTUAL COST OF PROVIDING CARE TO PATIENTS USING A KNOWN STANDARD DEVELOPED FOR THE MEDICARE COST REPORT. THE POLICY IS TO APPLY THE MOST CURRENT HOSPITAL SPECIFIC MEDICARE COST TO CHARGE RATIO TO THE SELF-PAY PATIENT'S TOTAL CHARGE BALANCE AND ADJUST THE BILL TO COST. THIS ADJUSTMENT IS LIMITED ONLY TO THOSE PATIENTS NOT COVERED BY INSURANCE. THIS RATIO IS SUBJECT TO CHANGE AS DETERMINED BY THE MEDICARE FISCAL INTERMEDIARY. PATIENTS UNABLE TO PAY THE COST ADJUSTED BILL IN FULL ARE PERMITTED TO ENTER INTO A HOSPITAL-APPROVED PAYMENT ARRANGEMENT. PAYMENT ARRANGEMENTS ARE DETERMINED BASED UPON THE FINANCIAL CONDITION OF THE PATIENT AND PAID OVER TIME USING OUR EXISTING PAYMENT ARRANGEMENT METHODOLOGY. AS A NON-PROFIT HEALTHCARE PROVIDER, IT IS THE MEDICAL CENTER'S RESPONSIBILITY TO DELIVER HIGH-QUALITY HEALTHCARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE MEDICAL CENTER IS COMMITTED TO THE COMMUNITY THAT IT SERVES. THE CHALLENGE OF MEETING THE HIGH COSTS OF PROVIDING QUALITY HEALTH SERVICES IS MADE POSSIBLE THROUGH THE DEDICATION OF PHYSICIANS, STAFF AND VOLUNTEERS. AFFILIATIONS ============ SHORE PHYSICIANS GROUP ---------------------- THE MEDICAL CENTER IS ALIGNED WITH SHORE PHYSICIANS GROUP (SPG), A MULTI-SPECIALTY PHYSICIAN GROUP THAT IS COMMITTED TO CHANGING THE WAY PEOPLE ARE CARED FOR IN THE COMMUNITY. THIS GROUP FEATURES SPECIALISTS IN THE FIELDS OF ENDOCRINOLOGY, NEUROLOGY, NON-OPERATIVE SPORTS MEDICINE, PRIMARY CARE, AND RHEUMATOLOGY. THE SURGICAL DIVISION, WHICH IS A PENN SURGICAL AFFILIATE, OFFERS GENERAL SURGERY, ENDOVASCULAR SURGERY, VASCULAR SURGERY, NEUROSURGERY, AND UROLOGY. SPG ALSO CARES FOR ITS COMMUNITY THROUGH ITS ORTHOPEDIC DIVISION IN SOMERS POINT AND ITS URGENT CARE CENTER IN NORTHFIELD. PENN MEDICINE ------------- THE MEDICAL CENTER'S LONG-STANDING AFFILIATION WITH PENN MEDICINE CONTINUES TO BE A VALUABLE PARTNERSHIP, PROVIDING PATIENTS WITH ACCESS TO ADVANCED TREATMENT IN MULTIPLE DISCIPLINES, INCLUDING CANCER CARE, MATERNAL-FETAL MEDICINE, CARDIAC CARE, AND PULMONOLOGY. - IN DECEMBER 2019, SHORE CANCER CENTER BECAME A MEMBER OF THE PENN CANCER NETWORK. AS PART OF THIS NETWORK, CLINICIANS AT THE SHORE CANCER CENTER HAVE EXPANDED ACCESS TO ADVANCED EXPERTI”

“The medical center's spirituality council was created to help provide strength, comfort and support for visiting loved ones and members of the medical center family in their time of need. This council is comprised of local clergy, staff and volunteers. The medical center's non-denominational chapel, located on the 5th floor of the hospital, provides a space for quiet contemplation and reflection. The medical center also has a eucharistic ministry program staffed by volunteers. The patient and family advisory council is made up of former medical center patients and family members, community members and volunteers. Group members share stories, provide valuable feedback on their hospital experiences and assist leadership in decision making by incorporating their experiences into the medical center's philosophy and operation. The medical center staff members also use these meetings to educate the council about the medical center and healthcare issues in general. Centers of excellence ===================== the medical center's recognized centers of excellence include but are not limited to the following: cancer center ------------- a cancer diagnosis is an experience that is unique to every individual. At shore cancer center, a member of the penn cancer network, we respond to each patient with optimism and real solutions: a comprehensive, nationally recognized program combining the best available technology, experts in the field and quality services, including our state-of-the-art facility. The shore cancer center was designed with one goal in mind: fulfilling our continuing mission to provide the most advanced healthcare services by using a multidisciplinary approach for you and your family in a warm and caring environment. A nationally-recognized cancer care program ------------------------------------------- since 1987, the medical center has received approval from the american college of surgeons commission on cancer by meeting or exceeding the organization's stringent standards for patient care. Approximately 1,500 cancer programs in the united states and puerto rico qualify for this level of approval. The shore cancer center specializes in prevention, early detection, radiation oncology, medical oncology, nurse navigation and support services, including nutritional support, social services, and a cancer survivorship support. The medical center radiation oncology department is accredited by the american college of radiology (acr). Acr accreditation ensures that the medical center's program meets the most current and stringent standards in staffing, equipment, quality control and technical capability. Cardiovascular services ----------------------- the medical center's cardiovascular services bring university-setting cardiac and vascular services to the community. The facility houses sophisticated technology for the diagnosis and treatment of disorders of the heart and circulatory system. The medical center's comprehensive cardiac care program includes advanced diagnostic capabilities and treatment options, as well as prevention, rehabilitation and education for those with coronary and vascular disease. The medical center's 138,000-squarefoot surgical pavilion includes a state-of-the-art cardiovascular services suite for invasive procedures such as cardiac catheterizations. Patients in need of less invasive testing, including ekgs and echocardiograms, can also have their testing done in the cardiovascular suite. The medical center also offers a non-invasive heart and lung testing center, featuring cardiac stress testing, holter-monitoring and transesophageal echocardiography. Penn heart and vascular at shore medical center ----------------------------------------------- as a member of penn heart and vascular, the medical center provides residents of the community with access to a number of high-tech diagnoses, treatments and services. Our affiliation with this national leader in heart care enhances the level of extraordinary ca”

“Pediatric Care Center --------------------- The medical center's child-friendly Pediatric Care Center was the first of its kind in New Jersey, featuring a dedicated and separate pediatric treatment area for minor illnesses and injuries, as well as inpatient rooms. Children are seen by expert emergency department physicians in consultation with the physicians of Onsite Neonatal Partners. In partnership with the Atlantic County Special Services School District, The Medical Center developed a Sensory Friendly Pediatric Emergency Care program designed to help children with autism have a better experience when coming to the hospital, from door to discharge. The program officially launched in April 2021 on World Autism Awareness Day and has proven to be a success for helping children and families with sensory processing differences get the care they need. The Medical Center continues to work with Atlantic County Special Services School to provide training to new staff and make adjustments to the program where it is needed. In 2022, the Pediatric Care Center launched a new "ouchless" program to help reduce the pain and discomfort children feel during medical procedures. Through a wide variety of modalities and techniques and ongoing staff training, the Pediatric Care Center team is able to help improve the experience children and families have at the hospital and reduce the likelihood of trauma from potentially painful procedures. Advanced Spine & Orthopedic Institute ------------------------------------- The medical center's Advanced Spine & Orthopedic Institute (ASOI) offers a comprehensive continuum of care within a highly integrated healthcare delivery network that takes our patients from diagnosis through treatment and rehabilitation. We help patients deal with everything from everyday aches and strains to sports injuries, serious spine and orthopedic injuries and disease, as well as joint replacement and reconstruction. Our goal is to return our patients to normal function as quickly and safely as possible. The medical center's spine surgery and hip and knee replacement programs have received the Gold Seal of Approval for Healthcare Quality by the Joint Commission. Advanced Care from the Region's Top Physicians ---------------------------------------------- The exceptional spine surgeons at the medical center have access to some of the most advanced technology available in their fields. When a patient's problem exceeds our advanced capabilities, the medical center's affiliation with Penn Medicine allows for a seamless transfer of care to specialists at this leading Philadelphia healthcare provider, in addition to the area's most exceptional and passionate physicians. Joint Replacement & Spine Education ----------------------------------- Joint and spine education classes are offered regularly for patients about to undergo joint replacement or spine surgery, as well as for the community at large through the medical center's Advanced Spine & Orthopedic Institute. Medical Services ---------------- Consistent with revenue ruling 69-545, all qualified physicians are eligible for medical staff privileges. During 2023, the medical center had approximately 480 physicians on its medical staff comprised of the following medical specialties: - Alcohol & drug dependency; - Allergy/immunology; - Anesthesiology; - Cardiology; - Critical Care Medicine; - Dermatology; - Emergency medicine; - Endocrinology; - Family practice; - Gastroenterology; - Gynecology; - Hematology; - Hospital Medicine; - Internal medicine; - Infectious disease; - Maternal & fetal medicine; - Medical oncology; - Neonatology; - Nephrology; - Neurological surgery; - Neurology; - Obstetrics; - Ophthalmology; - Oral Surgery; - Orthopedic surgery; - Otorhinolaryngology; - Pain management; - Palliative Care Medicine; - Pathology; - Pediatrics; - Physical medicine/rehabilitation; - Plastic surgery; - Podiatry; - Psychiatry; - Psychology; - Pulmonary medicine; - Radiation therap”

“Expenses incurred in providing various other medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Please refer to the organization's community benefit statement included in schedule o.”

“Through december 21, 2024, RONALD JOHNSON waS AN OFFICER AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION. MR. JOHNSON waS EMPLOYED BY THIS ORGANIZATION AND RECEIVEd A FEDERAL FORM W-2. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP waS WITH SHORE MEMORIAL HOSPITAL (EIN: 21-0660835). SHORE MEMORIAL HOSPITAL FILED A 2024 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. JOHNSON'S COMPENSATION IN EXCESS OF $1M.”

“OTHER CHANGES IN FUND BALANCE INCLUDE: - OTHER ACCRUED RETIREMENT COST - $624,981; - OTHER CHANGES IN PENSION & POSTRETIREMENT BENEFITS - $4,887,821; - DONOR RESTRICTED NET INVESTMENT RETURN - $122,329; - CHANGE IN DONOR RESTRICTED BENEFICIAL INTEREST IN PERPETUAL TRUST - $235,510; - CHANGES IN DONOR RESTRICTED NET ASSETS - $77,720; - Cash transfers TO affiliates - ($22,995,000); and - Equity transfers TO affiliates - ($5,975,183).”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Shore memorial health system is the tax-exempt parent entity of the system. An independent cpa firm audited the consolidated financial statements of shore memorial health system and its affiliates for the years ended december 31, 2024 and december 31, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements for each year. The organization's audit and finance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization, and the selection of an independent auditor.”

“The organization is an affiliate within shore memorial health system and affiliates; a tax-exempt integrated healthcare delivery system ("system"). As a result of federal awards received, the organization was included in a system wide consolidated audit as set forth in the uniform guidance, 2 c.f.r., part 200, subpart f. The system engaged an independent accounting firm to prepare and issue the uniform guidance audit.”

“Description:purchased services total fees:19081012”

“Description:physician fees total fees:17845859”

“Description:care management fees total fees:12495856”

“Description:collection expense total fees:1086242”

“Description:professional fees total fees:305123”

“Description:other fees total fees:1142845”