2023-05-12T08:45:23-05:00 2022-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2021-07-01 680008034 SURPRISE VALLEY HEALTH CARE DISTRICT SURP 5302796111 PO BOX 246 CEDARVILLE CA 96104 FRANCES D HANNAH CEO 5302796111 2023-05-12 1 FRANCES HANNAH 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z FRANCES D HANNAH PO BOX 246 CEDARVILLE CA 96104 10679135 0 X WWW.SVHOSPITAL.ORG X 1987 CA SVHCD IS AN ACUTE CARE FACILITY WITH AN ATTACHED LONG-TERM CARE UNIT AND RURAL HEALTH CLINIC SERVING A REMOTE, UNDERSERVED COMMUNITY OF APPROXIMATELY 1,500 PEOPLE STRIVING TO PROVIDE 24/7 ER, AMBULANCE, AND GENERAL HEALTH CARE TO ALL CITIZENS OF THE AREA. 5 5 105 5 0 0 1479574 39829 5266658 9989152 5785 2523 2385756 647631 9137773 10679135 0 0 0 0 4138439 4877732 0 0 0 4371947 3942196 8510386 8819928 627387 1859207 5751575 7837717 5922077 5739730 -170502 2097987 X SURPRISE VALLEY HEALTH CARE DISTRICT (SVHCD) IS AN ACUTE CARE FACILITY WITH AN ATTACHED LONG-TERM CARE UNIT AND RURAL HEALTH CLINIC SERVING A REMOTE, UNDERSERVED COMMUNITY OF APPROXIMATELY 1,500 PEOPLE STRIVING TO PROVIDE 24/7 EMERGENCY ROOM, AMBULANCE, AND GENERAL HEALTH CARE TO ALL CITIZENS OF THE AREA. 0 0 7004841 0 10154496 THE HOSPITAL PROVIDED INPATIENT, OUTPATIENT, EMERGENCY HEALTH CARE SERVICES, INCLUDING 7,841 SKILLED NURSING PATIENT DAYS, 166 SWING-BED NURSING FACILITY DAYS, 517 EXTENDED CARE PATIENT DAYS, 20,097 LABORATORY TESTS, 112 AMBULANCE RUNS, 530 EMERGENCY ROOM VISITS, 631 X-RAYS, 723 PHYSICAL THERAPY VISITS, AND 2,074 OUTPATIENT CLINIC VISITS. 7004841 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 105 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X CORY RICKARD 5302796111 PO BOX 246 CEDARVILLE CA 96101 JOHN ERQUIAGA PRESIDENT 1.00 X X 0 0 0 RAY GORZEL TREASURER 1.00 X X 0 0 0 SUSIE BUNYARD SECRETARY 1.00 X X 0 0 0 JEANIE GOLDMAN MEMBER AT LARGE 1.00 X X 0 0 0 RHONDA BANDY VICE PRESIDENT 1.00 X X 0 0 0 WILLIAM BOSTIC CEO (THRU APRIL 2022) 30.00 X 75380 0 1493 FRANCES HANNAH CEO 40.00 X 94716 0 0 CHASE TAYLOR DON 40.00 X 189741 0 4690 MELISSA CARTER RN 40.00 X 128970 0 0 ROBERT S KOLLEN MD DOCTOR 40.00 X 208800 0 0 LOUIED LAGUNAY LABORATORY MANAGER 40.00 X 139566 0 246 SHERI COCKRELL LVN 40.00 X 110264 0 8029 LISA RHOM FNP 40.00 X 110424 0 2966 1057861 0 17424 6 0 1 0 FUSION MEDICAL STAFFING PO BOX 30131 OMAHA NE 681031231 NURSING REGISTRY & OTHER PERSONEL 201819 INFINITE CONSULTING SERVICES 30703 OMA ROAD VALLEY CENTER CA 92082 IT SERVICES 178250 NPH 1801 FOUNDATION LANE CHICO CA 95928 NURSING REGISTRY & OTHER PERSONEL 149469 CPSIHEATHLAND PO BOX 850309 MOBILE AL 366850309 EHR SUPPORT 123650 4 29229 10600 39829 NET PATIENT SERVICE REVENUE 621990 9916949 9916949 CAPITATION REVENUE 621990 72203 72203 9989152 2523 2523 PROPERTY TAX REVENUE 900099 165344 165344 482287 482287 647631 10679135 10154496 0 484810 X 366019 194431 171588 3911762 3275995 635767 510714 370794 139920 89237 73457 15780 91170 91170 3500 3500 1772700 1381592 391108 500 500 60005 10106 49899 3257 3257 92388 31963 60425 45385 19830 25555 8021 3130 4891 238211 238211 248386 248386 242329 242329 SUPPLIES EXPENSE 596456 564050 32406 BAD DEBT EXPENSE 94897 94897 FOOD EXPENSE 86616 84261 2355 REPAIRS & MAINTENANCE 81467 69613 11854 276908 101796 175112 8819928 7004841 1815087 0 4722598 5670200 203532 0 415300 857695 110305 99736 46864 34437 4972779 3814329 205829 1158450 47147 17199 5751575 7837717 2547091 2683884 651136 864796 2723850 2191050 5922077 5739730 X -170502 2097987 -170502 2097987 5751575 7837717 1859207 409282 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7051 7051 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, CALIFORNIA ASSOCIATION OF HEALTH FACILITIES, CALIFORNIA SPECIAL DISTRICTS ASSOCIATION, AND DISTRICT HOSPITAL LEADERSHIP FOUNDATION WENT TOWARD LOBBYING ACTIVITIES DURING THE FISCAL YEAR ENDING 06/30/2022. 57000 57000 2555540 2483263 72277 2261268 1331066 930202 98971 98971 1158450 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS-NET 1288802 PATIENT FUND TRUST ACCOUNT 1000 DEFERRED COVID STIMULUS REVENUE 901248 2191050 1 1 X 1 X 1 X 1 0 0 20476 20476 0.00230 1643554 982151 661403 0.07580 1664030 982151 681879 0.07810 1664030 982151 681879 0.07810 0 2480768 2466909 13859 X 1 0 1 1 SURPRISE VALLEY HEALTH CARE DISTRICT PO BOX 246 CEDARVILLE CA 96104 HTTP://SVHOSPITAL.ORG/ 230000025 X X X X SURPRISE VALLEY HEALTH CARE DISTRICT 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C, LINE 7D X X 1 21 1 SEE PART V, SECTION C, LINE 7D 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X X 1 X HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/FINANCIAL-ASSISTANCE X HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/FINANCIAL-ASSISTANCE X HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/FINANCIAL-ASSISTANCE X X X X X X 1 0 X X X X 1 X 0 0 SURPRISE VALLEY HEALTH CARE DISTRICT PART V, SECTION B, LINE 5: ON MARCH 10, 2021, A MEETING WAS HELD WITH MEMBERS OF THE COMMUNITY. PEOPLE REPRESENTING THE HEALTHCARE COMMUNITY AS WELL AS ALL DEMOGRAPHICS WERE INVITED TO ATTEND. THE FOCUS GROUP INCLUDED LARGE EMPLOYERS AS WELL AS MEMBERS OF SPECIAL INTEREST GROUPS FROM THE COMMUNITY. THIS ENABLED ALL DEMOGRAPHICS TO BE REPRESENTED. DISCUSSIONS TOOK PLACE TO REVIEW A TEMPLATE OF THE SURVEY TO BE DISTRIBUTED, AND SUGGESTIONS WERE MADE TO ENSURE THE SURVEY WOULD BE ACCEPTABLE TO ALL POTENTIAL RESPONDENTS. THE FOCUS GROUP RECOGNIZED THAT HEALTH CARE NEEDS MAY DIFFER BETWEEN GENDERS, ETHNICITY, SEXUAL PREFERENCE, AND AGE. SPECIAL CARE WAS TAKEN TO ENSURE ALL PEOPLE WOULD BE REPRESENTED IN THE RESULTS OF THE SURVEY. THOSE WHO WERE INVITED WERE PASSIONATE ABOUT HELPING THE HOSPITAL AND EXCITED TO CONTRIBUTE TO THE SURVEY. THE SURVEY WAS WRITTEN TO GO BEYOND THE CURRENT NATIONAL DATA THAT IS READILY AVAILABLE. SVHCD WANTED TO BE ABLE TO SPECIFICALLY LOOK AT THE RESULTS NEEDED TO MEET THE SERVICE NEEDS OF THE COMMUNITY. AFTER REVIEWING AND REVISING THE CHNA SURVEY, SVHCD SENT A LINK FOR THE SURVEY TO COMMUNITY MEMBERS WHO REPRESENTED THE POPULATION AT LARGE AND SPECIFIC DEMOGRAPHICS WITHIN THE COMMUNITY. THE REPRESENTATIVES THEN FORWARDED THAT LINK TO THEIR RESPECTIVE SOCIAL AND WORK CONNECTIONS IN ORDER TO ENSURE THAT POPULATION WAS APPROPRIATELY REPRESENTED IN THE RESPONSES TO THE SURVEY. ADDITIONAL LINKS TO THE SURVEY WERE ALSO PLACED ON THE HOSPITAL'S WEBSITE, FACEBOOK PAGE AND COMMUNITY GROUPS TO MAKE SURE THE COMMUNITY WOULD KNOW HOW TO ACCESS THE SURVEY. FINALLY, PAPER COPIES WERE PLACED IN THE POST OFFICE SINCE THAT IS THE PLACE WHERE MOST OF THE COMMUNITY GOES TO GET THE IMPORTANT UPDATES FOR THE COMMUNITY. WE ALSO ISSUED A MAILER TO ALL ADDRESSES IN THE COMMUNITY TO INCLUDE A SURVEY. AFTER GIVING THE COMMUNITY SEVERAL WEEKS TO RESPOND TO THE SURVEY, OUR SAMPLE SIZE INCLUDED ENOUGH PEOPLE TO ENSURE THAT THE POPULATION WAS REPRESENTED. THE RESPONSES WERE GATHERED AND ANALYZED TO BE PRESENTED TO THE SENIOR LEADERSHIP AND THEN TAKEN TO THE COMMUNITY TO ENSURE THE NEEDS OF THE POPULATION WERE MET. SURPRISE VALLEY HEALTH CARE DISTRICT PART V, SECTION B, LINE 7D: PART V, SECTION C, LINE 7A & 10A:HTTPS://SITES.GOOGLE.COM/VIEW/SVHEALTHCAREDISTRICT/2021-22-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-STRATEGIC-PLAN SURPRISE VALLEY HEALTH CARE DISTRICT PART V, SECTION B, LINE 11: SURPRISE VALLEY HEALTH CARE DISTRICT HAS BEEN WORKING WITH CYCLE OF BUSINESS SINCE THEIR FIRST CHNA IN 2013. THROUGHOUT THIS TIME, THEY HAVE UTILIZED AN ONLINE TOOL FOR THE CREATION AND EXECUTION OF THEIR IMPLEMENTATION PLAN. THIS HAS ALLOWED THEM TO TRACK PROGRESS ON THE GOALS AND ACCOMPLISH THEY HAVE SET OUT TO COMPLETE. ONCE THE COMMUNITY HAD GIVEN ITS FEEDBACK ON THEIR NEEDS, SVHCD STAFF REVIEWED THE DATA AND INPUT FROM THE GROUP AND DECIDED ON 4 AREAS OF FOCUS FOR THE CURRENT CHNA AND IMPLEMENTATION PLAN. THEY INCLUDE RECRUITMENT FOR SPECIFIC HOSPITAL NEEDS, EXPANDING THE TELE-HEALTH PROGRAM, MARKETING, AND OUTREACH FOR SPECIFIC SERVICES, AND EXPLORING HOME HEALTH AND HOSPICE THROUGH THE HOSPITAL SYSTEM.RECRUITMENT THE FIRST GOAL OUTLINED BY THE STAFF AND THE COMMUNITY WAS TO "RECRUIT FOR SPECIFIC STAFFING NEEDS OF THE HOSPITAL". RURAL HOSPITALS TEND TO HAVE PROBLEMS RECRUITING STAFF ESPECIALLY NURSES. SVHCD IS NO DIFFERENT AND IS CURRENTLY IN NEED OF NURSES AND CNAS. THIS IS WHY THE FIRST AREA OF FOCUS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS TO FIND CNAS AND NURSES TO FILL AREAS OF UNDERSTAFFING AT THE HOSPITAL.EXPAND TELE-HEALTH THE SECOND AREA SVHCD LOOKED TO ADDRESS WAS TO EXPAND THE TELE-HEALTH PROGRAM. TELE-HEALTH IS A WAY THAT RURAL HOSPITALS CAN PROVIDE SPECIALTIES THEY COULD NOT OTHERWISE AFFORD TO BRING IN. IT ALLOWS THEM TO ADDRESS A SPECIFIC NEED WHEN THE OVERALL POPULATION COULD NOT SUPPORT A SPECIALIST. DURING THE COVID-19 PANDEMIC OF 2020-2021, THE GENERAL POPULATION BEGAN TO SEE THE BENEFIT OF TELE-HEALTH. PRIOR TO THE PANDEMIC MANY PEOPLE WERE RETICENT TO TRY TELE-HEALTH, HOWEVER, DURING THE PANDEMIC WHEN HOSPITALS WERE RESTRICTING ACCESS, MANY PEOPLE BEGAN TO MEET WITH THEIR PHYSICIAN OVER SMARTPHONES AND TABLETS OPENING THE DOOR TO WIDESPREAD ACCEPTANCE OF TELE-HEALTH OPTIONS. TELE-PSYCH IS A COMMON TELE-HEALTH SERVICE AND A NEEDED SERVICE IN THE AREA. ESPECIALLY DUE TO THE ISOLATION PEOPLE FELT DURING THE PANDEMIC. SVHCD HAS DECIDED TO EXPAND THEIR TELE-HEALTH OFFERINGS TO INCLUDE TELE-PSYCH FOR YOUTH AND ADULTS TO HELP THEM ADDRESS AREAS SUCH AS DEPRESSION AND ANXIETY, FAMILY COUNSELING, AND SUBSTANCE ABUSE ISSUES. IN ORDER TO BETTER FACILITATE THE TELE-HEALTH PROGRAM, IT WAS DECIDED A TELE-HEALTH CARE COORDINATOR SHOULD BE ASSIGNED TO HELP FACILITATE THE APPOINTMENTS AND HELP THE LESS TECH SAVVY.MARKETING AND OUTREACHTHE SURVEY MADE CLEAR SOME OF THE SERVICES SVHCD OFFERS, THE COMMUNITY DID NOT KNOW WERE PROVIDED BY THE HOSPITAL. PEOPLE WERE TRAVELING OUTSIDE OF THE AREA FOR SERVICES THEY COULD HAVE EASILY RECEIVED LOCALLY. THESE SERVICES INCLUDED LABORATORY WORK, SOME SPECIALTIES SERVICES AND IMAGING. WITH THE PURCHASE OF THE CT SCANNER, SVHCD WILL WANT TO PROMOTE THESE SERVICES TO RESIDENTS TO SAVE THEM TIME AND MONEY. ESPECIALLY DURING THE WINTER MONTHS WHEN TRAVEL TO OTHER HOSPITALS CAN BE DANGEROUS. THIS MARKETING CAMPAIGN WILL ALSO BE USED TO EDUCATE THE PUBLIC ON COMMON AILMENTS AS WELL AS CLEAR UP ANY MISINFORMATION IN THE COMMUNITY ABOUT THE HOSPITAL AND THE QUALITY OF SERVICES RECEIVED AT SVHCD.HOME HEALTH AND HOSPICE THE POPULATION OF CEDARVILLE IS GROWING DUE TO MORE PEOPLE BEING ABLE TO WORK REMOTELY. HOWEVER, THE AVERAGE AGE OF CEDARVILLE AND THE SURROUNDING AREAS IS RISING. AS THE POPULATION AGES THE NEED FOR SERVICES TO TREAT THE ELDERLY BECOME MORE IMPORTANT. ONE OF THE FINDINGS WITHIN THE SURVEY WAS THE DESIRE FOR THE COMMUNITY TO EXPAND THE ASSISTED LIVING OPTIONS IN THE COMMUNITY AND PROVIDE A HOME HEALTH AND HOSPICE SOLUTION. SVHCD ALREADY HAS DEDICATED MOST OF ITS BEDS TO ASSISTED LIVING, HOWEVER, THERE ARE COMMUNITY MEMBERS WHO WOULD LIKE TO SEE THIS EXPAND AND FOR MORE OPTIONS TO EXIST. HOME HEALTH AND HOSPICE IS ALREADY PROVIDED THROUGH IHSS, BUT IT MAY NEED TO BE PROMOTED TO THOSE IN NEED. THIS COULD BE DONE IN PARTNERSHIP WITH THE HOSPITAL. BY FOCUSING ON THESE 4 AREAS SURPRISE VALLEY HEALTH CARE DISTRICT LOOKS TO MEET THE NEEDS OF THE COMMUNITY. THEY WILL BE TAKING A FISCALLY RESPONSIBLE APPROACH TO ENSURE THE HOSPITAL NEVER AGAIN FACES POTENTIAL CLOSURE. SVHCD IS TOO IMPORTANT TO THE COMMUNITY IT SERVES. BY TAKING CARE OF THE COMMUNITY SVHCD HOPES TO REMAIN A VIABLE HEALTH CARE FACILITY FOR DECADES TO COME. SURPRISE VALLEY HEALTH CARE DISTRICT PART V, SECTION B, LINE 15E: APPLICATION, PROOF OF INCOME, BANK STATEMENTS SURPRISE VALLEY HEALTH CARE DISTRICT PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL OF ITS PATIENTS THE SAME RATES. HOWEVER, DISCOUNTS FOR CHARITY CARE ARE ALLOCATED TO CHARGES AFTER THE PATIENT HAS APPLIED FOR CHARITY ASSISTANCE. 1 1 - SURPRISE VALLEY RURAL HEALTH CLINIC 741 N MAIN STREET CEDARVILLE CA 96104 RURAL HEALTH CLINIC PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 94,897. PART III, LINE 4: WHILE THE FACILITY DOES NOT HAVE A NOTE REGARDING BAD DEBT EXPENSE IN ITS FINANCIAL STATEMENTS, THE AMOUNT OF BAD DEBT EXPENSE FOR EACH YEAR IS DISCLOSED ON THE FACILITY'S STATEMENTS OF REVENUE AND EXPENSES. THE AMOUNT OF BAD DEBT EXPENSE REPORTED WAS ($94,897) FOR THE YEAR ENDED JUNE 30, 2022. PART III, LINE 8: ANY SHORTFALL IS CONSIDERED FULLY ATTRIBUTABLE TO COMMUNITY BENEFITS. THE HOSPITAL'S MEDICARE COST REPORT WAS USED TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE, THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO THE PAYMENTS, AND THE SURPLUS.THE COSTING METHODOLOGY USED ON THE MEDICARE COST REPORT IS BASED ON CALCULATED COST TO CHARGE RATIOS. PART III, LINE 9B: EVERY REASONABLE EFFORT IS MADE TO DETERMINE THE PATIENT'S ABILITY TO PAY AND TO GIVE PATIENTS INFORMATION ABOUT OUR CHARITY CARE POLICIES. PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PUBLIC MEETINGS, BOARD MEETINGS, PERFORMANCE IMPROVEMENT AND QUALITY ASSURANCE MEETINGS, AND ACUTE CARE PATIENT QUESTIONNAIRES. PART VI, LINE 3: THE HOSPITAL PROVIDES PATIENT'S RIGHTS INFORMATION AND COLLECTS ADMISSIONS CRITERIA INFORMATION FROM PATIENTS TO ASSIST THE PATIENT IN UNDERSTANDING THEIR ELIGIBILITY OF ASSISTANCE. PART VI, LINE 4: THE FACILITY SERVES A RURAL, REMOTE AREA CONSISTING OF UNDERSERVED, FARMING, RANCHING, BUREAU OF LAND MANAGEMENT, FOREST SERVICE, SMALL SCHOOLS, SMALL BUSINESSES, TOURIST TRADE, LOW INCOME, RETIRED AND SEMI-RETIRED RESIDENTS. PART VI, LINE 5: THE HOSPITAL DOES NOT HAVE SURPLUS FUNDS. WHEN ECONOMICALLY ABLE, THE HOSPITAL WILL HOLD HEALTH FAIRS WHERE FREE OR REDUCED PRICES ARE OFFERED. PART VI, LINE 6: THE HOSPITAL IS NOT AFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM. INDEPENDENT HEALTH CARE DISTRICT. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 0 0 0 0 0 0 0 0 ROBERT S KOLLEN MD DOCTOR 208800 0 0 0 0 0 0 0 0 0 208800 0 0 0 CHASE TAYLOR DON 189741 0 0 0 0 0 0 0 4690 0 194431 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO MANAGEMENT FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS; IF THERE IS A CONFLICT, THAT BOARD MEMBER ASTAINS FROM VOTING ON AN ACTION ITEM. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD DETERMINES THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING VARIOUS COMPENSATION DATA FOR THE HEALTH CARE INDUSTRY. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE PUT ON OUR WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 317,638. MANAGEMENT AND GENERAL EXPENSES 391,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 708,746. NURSING SERVICES: PROGRAM SERVICE EXPENSES 134,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,968. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 782,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 782,838. LAB & RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 146,148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,148.