2025-11-12T14:16:07-06:00 2024-12-31 450250958 Eide Bailly LLP 18081 Burt St Ste 200 Omaha NE 680224722 990 2024-01-01 420860039 Stewart Memorial Community Hospital STEW 7124644200 1301 W Main St Lake City IA 51449 JIM HENKENIUS Chief Financial Officer 7124644200 2025-11-12 1 1 Wendy R Cooley CPA P01523804 4023302660 2025-11-12 2024 2025-03-06 01:10:19Z Linn Block 1301 W Main St Lake City IA 51449 46495489 0 X www.stewartmemorial.org X 1958 IA to provide a complete continuum of healthcare services to the people of lake city and the surrounding communities without regard for ability to pay and without discrimination. 8 7 317 38 0 0 455009 1232982 38208398 44783963 202132 169761 568453 300671 39433992 46487377 0 0 0 0 22078397 23388376 0 0 264719 15200884 16980891 37279281 40369267 2154711 6118110 55937691 58039913 36788612 32664326 19149079 25375587 X The mission of the Corporation is to improve the health and health care related services to our communities. 0 0 21213513 24957670 Stewart Memorial Community Hospital is a 20-bed Critical Access Hospital that also operates 4 Rural Health Clinics. Stewart Memorial employs 14 Family Practice providers, 3 behavioral health provider, 2 General Surgeons and 3 CRNAs. Besides offering 24/7 Emergency Room services, Stewart Memorial also provides general Radiology, CT Scans, Ultrasound, Mobile MRI, Nuclear Scans, Laboratory, Blood Administration, Cardiac Rehabilitation, EKGs, Respiratory Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Operating Room, Pharmacy, Infusions and Obstetrics. During 2024, Stewart Memorial had 708 Acute Patient days, 2,491 Emergency Room visits, 1,605 Operating Room Procedures and 40,646 Clinic encounters.The Hospital provides financial assistance to patients who meet certain criteria under its financial assistance policy. Because the Hospital does not pursue collection of amounts determined to qualify as patient financial assistance, they are not reported as patient service revenue in the consolidated statements of operations. The Hospital is dedicated to providing comprehensive healthcare services to all segments of society, including the aged and otherwise economically disadvantaged. In addition, the Hospital provides a variety of community health services at or below cost.The Hospital maintains a financial assistance program to patients who are financially unable to pay for the healthcare services they receive. It is the policy of the Hospital not to pursue collection of amounts determined to qualify as charity care. Accordingly, the Hospital does not report these amounts in patient service revenue. The Hospital determines the costs associated with providing charity care by aggregating the direct and indirect costs, including salaries, benefits, supplies, and other operating expenses, based on the overall cost to charge ratio for the Hospital. The costs of caring for charity care patients for the year ended December 31, 2024 were approximately $110,000. 7908082 9723824 Stewart Memorial Community Hospital owns and operates Rural Health Clinics in the communities of Lake City, Gowrie, Lake View and Rockwell City. We employ 19 providers which are composed of physicians, physician assistants and nurse practitioners. They provide medical professional services to members of these communities and surrounding areas in a designated Health Professional Shortage Area. 2373456 5772590 The laboratory department provides inpatient, outpatient and emergency testing for patients of Stewart Memorial Community Hospital. It also provide services to the McCrary-Rost Clinic in Lake City. Reagent and salary costs of personnel account for the majority of the department's expenses. 2228986 4329879 The operating and recovery rooms department provide general surgical and orthopedic procedures along with procedures for ENT, cataract and podiatry. The supplies used in such procedures account for a large portion of expenses. 2228986 4329879 33724037 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 41 0 1 317 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Jim Henkenius CFO 7124644200 1301 W Main Street Lake City IA 51449 Dr Susan Hornback DO Family Medicine 40.00 X 909715 0 71364 Derek Duncan DO Medical Counsel 40.00 X 577666 0 66202 Josh Smith DO General Surgery 40.00 X 528819 0 47385 Ronald Cheney DO General Surgery 40.00 X 506533 0 44382 Julia Richardson MD Family Medicine 40.00 X 450609 0 35792 James Lewis CRNA Pain Solutions, General Surgery 40.00 X 293447 0 42028 Jim Henkenius CFO 40.00 X 184612 0 40067 Scott Nesbitt Board Chair 2.00 X X 0 0 0 Theresa Hildreth Vice Chair 2.00 X X 0 0 0 Jordan Lietz Secretary 2.00 X X 0 0 0 Stacy Corey Treasurer 2.00 X X 0 0 0 Jennifer Lane Director 1.00 X 0 0 0 Charles Schmitt Director 1.00 X 0 0 0 Mary Lauver Director 1.00 X 0 0 0 Linn Block CEO 40.00 X 0 0 0 3451401 0 347220 28 0 1 0 Anatomy IT PO Box 23888 New York NY 10087 IT Outsourcing & Management 792046 FocusOne Solutions LLC PO Box 850861 Minneapolis MN 55485 Locum Tenens Services 434873 UnityPoint Health 1776 W Lakes Pkwy Suite 400 West Des Moines IA 50266 Management Services 331724 Shared Medical Services LLC 209 Limestone Pass Cottage Grove WI 53551 Mobile MRI Services 298512 Wapiti Medical Staffing 912 Industrial Dr Milbank SD 57252 ER Locum Tenens 273023 7 61904 500000 671078 1232982 Patient Service Revenue 621110 42707790 42707790 Pharmacy revenue 621110 1599489 1599489 Cafeteria 722514 238157 238157 238527 238527 44783963 93258 93258 304831 0 304831 304831 304831 76503 0 76503 76503 76503 3952 61904 8112 -4160 -4160 46487377 44783963 0 470432 X 868548 643868 224680 44876 44876 17645774 16259855 1285637 100282 345108 316205 28903 3229981 1979207 1216300 34474 1254089 1133467 113027 7595 331724 331724 49344 49344 103824 103824 2380 2380 24535 24535 4580614 4045866 448774 85974 152557 98918 17245 36394 488732 421436 67296 829029 761636 67393 372081 372081 142749 113265 29484 1101050 34259 1066791 2952989 2712937 240052 256637 47871 208766 Medical supplies 4388216 4388216 Food 203863 203863 Dues & subscriptions 107287 83787 23500 0 893280 62424 830856 40369267 33724037 6380511 264719 844221 3796352 458213 1912437 137691 26441 4041686 4145280 1471894 2041894 48333 26666 362287 378971 85171 89185 64020349 26592632 38704352 37427717 3066509 3857405 6717334 4337565 55937691 58039913 4598913 1979090 30561236 28671253 160000 120000 1468463 1893983 36788612 32664326 X 18560454 25329887 588625 45700 19149079 25375587 55937691 58039913 6118110 108398 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2380 2380 0 Part II-B, Line 1: Stewart Memorial Community Hospital paid dues to the Iowa Hospital Association. A portion of the dues were used for lobbying activities. 146413 146413 25566742 5454085 20112657 38266351 21138547 17127804 40843 40843 37427717 Other Receivables 4045218 Estimated 3rd Party Settlements 9252 Right-of-use Assets - Operating Leases 155001 Investment in Captive 128094 4337565 Deferred Compensation Liabilities 375271 Operating Lease Liabilities 155001 Finance Lease Liabilities 1363711 1893983 X 46603887 108398 8112 116510 46487377 0 46487377 40377379 8112 8112 40369267 0 40369267 Part X, Line 2: The Hospital accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At December 31, 2024 and 2023, the Hospital had no uncertain tax positions accrued. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 8,112. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 8,112. Trivia Night 33867 31515 2352 250 400 2963 650 1550 Swinging for Patients 31989 30389 1600 1080 430 380 409 65856 61904 3952 1330 830 380 3372 650 1550 8112 -4160 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 110000 0 110000 0.00270 4890512 9701977 0 0.00000 5000512 9701977 110000 0.00270 7 4798 99627 15032 84595 0.00210 6 31 289371 0 289371 0.00720 8837763 4088504 4749259 0.11760 16830 0 16830 0.00040 13 4829 9243591 4103536 5140055 0.12730 13 4829 14244103 13805513 5250055 0.13000 1 12 2052 0 2052 0.00010 2 4937 0 4937 0.00010 1 2736 0 2736 0.00010 4 12 9725 9725 0.00030 1 1066505 91826 10454906 10506041 -51135 X 1 1 1 1 Stewart Memorial Community Hospital 1301 West Main Street Lake City IA 51449 www.stewartmemorial.org 130029H X X X X 4 provider based rural health clinics STEWART MEMORIAL COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X Part V, Page 8 X 1 24 1 Part V, Page 8 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X 1 X https://www.stewartmemorial.org/patients/financial-assistance/ X https://www.stewartmemorial.org/patients/financial-assistance/ X https://www.stewartmemorial.org/patients/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 STEWART MEMORIAL COMMUNITY HOSPITAL Part V, Section B, Line 5: Stewart Memorial Community Hospital, in conjunction with Calhoun County Public Health developed a survey monkey questionnaire to get input from community members. The questionnaire was distributed throughout the SMCH service area to various organizations including Public Health, schools, library, Lake City City Hall, Calhoun County Courthouse, other health care providers, and local businesses along with employees of the hospital and its auxiliary. Advertisements and flyers with a QR code to access the online survey were available at SMCH, McCrary Rost Clinics, CCPH, The Graphic-Advocate, and SMCH quarterly newsletter. Paper surveys were manually entered into the Survey Monkey link. STEWART MEMORIAL COMMUNITY HOSPITAL Part V, Section B, Line 6b: Calhoun County Public Health STEWART MEMORIAL COMMUNITY HOSPITAL Part V, Section B, Line 11: Stewart Memorial Community Hospital completed the 2024 community health needs assessment and identified the following needs for the service are. Due to timing of the completion of the 2024 CHNA, no actions were taken in 2024 on the following needs identified.Behavioral HealthRecreation/WellnessAccess to care/servicesThe following actions were taken during the year with respect to needs from the prior assessment:1. Mental Health Services - there were 3 goals under this need. The first is to increase access to Mental Health Services. The action items are to expand mental health therapy services to Rockwell City and Lake City clinics; collaborate with South Central Calhoun school district to promote health resources and review student needs & offer referrals; work with Public Health's Family Foundation and work towards becoming a "Model Parents as Teachers" evidenced-based program to better support parents and children with mental health issues. The second goal is to reduce the suicide rate. The action items are to organize local mental health awareness walk, organize "Slam the Stigma" basketball event and implement "Talk it Up, Lock it Up" gun safety program in Calhoun County. The 3rd goal to reduce number of misuse of drugs and alcohol has 4 action items. The action items are to develop an awareness campaign to share during October for National Substance Abuse Prevention Month, the school district will implement an evidence-based student group for those affected by substance abuse and mental health, implement and promote SBIRT training in Calhoun County, and provide Narcan training for community members and local schools.Stewart Memorial Community Hospital hired a LMHC to increase the availability of mental health providers. We now have 2 ARNPs, an employed LISW & LMHC and 2 contracted LISWs to provide mental health services. Our mental health encounters increased by 3,067 or 95% from 2023.2. Recreation/Wellness - there are 3 goals under this need. The 1st is to improve health, fitness, and quality of life through increased access to exercise opportunities. The current baseline is 43% with access to exercise opportunities. This goal has seven action items: 1) Raise funds to build pickleball courts in Lake City, 2) Conduct a survey for community input to identify interest in new amenities, 3) Post a list of free activities for community use on websites, 4) Obtain the required permit and financials backing to install a splash pad in Lohrville, 5) Offer pickleball opportunities at the Opportunity Living Activity Center during the winter months, 6) Research possibilities for unique exercise classes to be offered at the Activity Center gym and therapeutic pool, including researching funding opportunities, programs, instructors, costs, and needs for the classes and the feasibility of it being available in our community, 7) Develop a roster of additional classes to offer at MAC Center and promote within the community via Manson and MAC Center Facebook pages & website. The second goal is to reduce Calhoun County obesity ranking by helping people eat healthy and get physically active. The 2 action items under this goal are to offer comprehensive nutrition program to include nutrition assessment and individualized physical activity program and to offer a monthly farmers market with health foods throughout the summer months to serve Calhoun County. The third goal is to promote health and safe home environments. The 3 action items are: 1) Publicly share/advertise programs available through public health to have home water and air quality testing; 2} Implement housing assessment questionnaire to all families with children being tested at WIC; 3) Offer increased in-home visual assessment to families with high-risk housing to prevent/decrease lead exposure and address other observed health concerns.Continued to offer Senior Strong classes to retirement aged citizens to promote flexibility and balance to avoid injury. Expanded our employee wellness program to support the health and wellness of our employees. Provided health insurance discounts to those who complete annual wellness and health risk assessments.3. Access to Services - there is one goal under this need. The goal is to increase access to Ambulance services, childcare services and Senior Living services. The current action item is to fully staff 3 EMS crews in Calhoun County.Worked with the county EMS to recruit and support their goal of fully staffing 3 crews in Calhoun County. We provide a dedicated space and sleeping quarters for EMS staff when they are onsite at Stewart Memorial. Stewart Memorial also supported the Kids Spot Daycare in Lake City by contributing to their fundraisers and having an employee serve on their Board of Directors. STEWART MEMORIAL COMMUNITY HOSPITAL Part V, Section B, Line 13h: Presumptive Eligibility: Patients who qualify and are receiving benefits from thefollowing programs may be presumed eligible for 100% financial assistance:1.The U.S. Department of Agriculture Food and Nutrition Service Food Stamp Program.2. Family Investment Program, under Iowa code Chapter 239B.3. Limited eligibility illegal undocumented persons 3-day emergency window. The Iowa Department of Human Services allows for up to three days of Medicaid benefits to pay for the cost of emergency services for undocumented persons who do not meet citizenship, alien status, or social security number requirements. Emergency services must be provided in a facility such as a hospital, clinic, or office that can provide the required care after the emergency medical condition has occurred. Presumptive eligibility for this category will be considered valid 6 months from the date of the emergent event.4. County and state relief programs. Some Iowa counties offer a financial assistance program designed to provide emergency short term assistance to people lacking the resources to meet their basic needs for food, shelter, fuel, utilities, clothing, medical, dental, hospital care and burial. The state also offers program providing energy assistance to applicants who qualify (i.e. LIHEAP State of Iowa Energy Assistance). Accepted programs also include WIC nutrition services.5. Other programs may be added at the discretion of the facility. Schedule H, Part V, Section B, Line 7a and 10a: Community Health Needs Assessment and ImplementationStrategy Website:https://www.stewartmemorial.org/commitment-to-community/ Part I, Line 6a: A copy of the community benefit report is available at the hospital. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost to charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports but did not result in a community benefit in 2024. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report. Community health improvement services, line 7e, health professions education, line 7f, and cash and in-kind contributions, line 7i, are reported based on amounts reported in the general ledger. Part II, Community Building Activities: Stewart Memorial has a program called This is Home that community members can apply to have yard work and minor repairs completed in the spring by staff members. This past year we had 12 community members that utilized this service. Services provided by hospital personnel included raking leaves, washing windows, cleaning gutters and minor repairs.In addition, Stewart Memorial Community Hospital staff serve on community economic development and chamber committees. They volunteer their time with community activities and possible development. Other members of our team volunteer to serve on the disaster preparedness committee serving our county. They serve to prepare the community in case a disaster occurs and to use funds allocated to prepare our facility and community with needed safety equipment or upgrades. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on historical collection experience with various classes of patients. Part III, Line 3: The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on the percentage of individuals living below the poverty level in Calhoun County, Iowa. 8.61% can reasonably be considered a community benefit as it would have been written off to charity care. Part III, Line 4: The footnote to the Organization's financial statements can be found on page 12 and 13 of the attached audited financial statements. Part III, Line 8: Stewart Memorial Community Hospital is a critical access hospital with a Medicare shortfall. This is considered a community benefit because providing services to Medicare patients is essential to the patients and the community and increases their access to healthcare services.Both the total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have increased by $889,880.Medicare fee schedule revenue $ 402,131Medicare estimated costs of care relating to payments (1,292,011)Net (Shortage) $ (889,880) Part III, Line 9b: The Hospital must determine whether an individual is FAP-eligible or provide required notices during a notification period ending 120 days after the date of the first billing statement. Although the Hospital may use extraordinary collection efforts after the 120-day notification period, we must still accept and process a FAP application for an additional 120 days. The total period during which we must accept and process FAP applications is 240 days from the date of the first billing statement. If the hospital receives a FAP application during the application period, we must suspend any extraordinary collection efforts started until the application is processed, and if the individual is FAP-eligible, must seek to reverse the extraordinary collection efforts and promptly refund any overpaid amounts. Debts may be referred to third parties to assist with collection efforts, they may not be sold to third parties during the notification period until an eligibility determination has been made. Part VI, Line 2: SMCH collaborates with the County Health Department in assessing the health care needs of the communities they serve. SMCH also evaluates usage data through the Iowa Hospital Association to see the primary medical diagnosis in their communities. Part VI, Line 3: SMCH has a patient accounts manager as well as a social worker on staff that identify patients who may be eligible for assistance or qualify for charity care. They assist patients with available options and the necessary paperwork. Also, Staff who interact with patients are instructed to direct questions regarding the charity care policy to the proper provider representative.The Hospital has a means of widely communicating the availability of charity care and financial assistance to all patients and within the community served. Signage, information, and brochures are places in appropriate areas of the facility such as waiting rooms and registration. Information states that the provider/physician practice offers charity care and describes how to obtain more information about financial assistance. Notes are included on the health care bill and statements regarding how to request information on financial assistance. Part VI, Line 4: The Hospital is a complete rural health delivery system located in Lake City, Iowa. Services provided include inpatient, outpatient, physician clinic, community wellness, and many other related healthcare programs. The Hospital obtained Critical Access Hospital (CAH) designation effective July 1, 2003. CAH's are acute care facilities that provide emergency, outpatient and short-term inpatient services. Medicare reimburses CAH's on a reasonable cost basis.The service area is a 35-mile radius surrounding the Hospital community. This area consists of many small, rural communities that are agriculturally based. The patient base consists of a large Medicare population. 17.8% of the population in Calhoun County, Iowa are on Medicaid, 17.5% on Medicare, 19.9% on non-group plans, and 1.86% on military or VA plans. Between 2022 and 2023, the percentage of uninsured citizens in Calhoun County, IA declined by 17.9% from 3.68% to 3.02%. In 2024, the percentage of population under age 65 without health insurance was 5.73% in Calhoun County, IA.Median household income in Calhoun County, IA was $66,875. 8.61% of the population for whom poverty status is determined in Calhoun County, IA live below the poverty line, a number that is lower than the national average of 12.4%.The most common job groups, by number of people living in Calhoun County, IA, are Management Occupations, Sales and Related Occupations, and Installation, Maintenance, and Repair Occupations. Part VI, Line 5: A majority of the Board of Directors are independent and are residents of the service area. The Hospital extends medical staff privileges to all qualified physicians in the community. Stewart Memorial Community Hospital invests any excess funds in infrastructure and equipment improvements in the community and focuses on minimizing long-term debt. X 0 0 0 0 0 0 0 0 0 Dr Susan Hornback DO Family Medicine 636559 0 252442 0 20714 0 32934 0 38430 0 981079 0 0 0 Derek Duncan DO Medical Counsel 409087 0 168197 0 382 0 27137 0 39065 0 643868 0 0 0 Josh Smith DO General Surgery 506730 0 21375 0 714 0 7677 0 39708 0 576204 0 0 0 Ronald Cheney DO General Surgery 485584 0 19852 0 1097 0 6292 0 38090 0 550915 0 0 0 Julia Richardson MD Family Medicine 357804 0 92672 0 133 0 0 0 35792 0 486401 0 0 0 James Lewis CRNA Pain Solutions, General Surgery 255177 0 38104 0 166 0 6297 0 35731 0 335475 0 0 0 Jim Henkenius CFO 183898 0 0 0 714 0 3837 0 36230 0 224679 0 0 0 Part I, Line 3 Stewart Memorial Community Hospital does not pay compensation to the CEO directly. The CEO is compensated by Unity Point Health for services to the Hospital through a management services agreement. Unity Point Health uses some of the processes described in Part I, Question 3 to determine appropriate compensation for the CEO. The Board of Directors also approves the Organization's management services agreement. Derek Duncan DO Director of Board and Physician Split Dollar Life Insurance Arrangement X 1471894 2041894 0 1 1 2041894 Jodi Henkenius Employee & Spouse of Jim Henkenius, CFO 44876 Employee Wages 0 Form 990, Part VI, Section A, line 1a The Executive committee shall have power to transact all regular business of the corporation during the interim between meetings of the Board, provided that any action which it may take shall not conflict with the policies and express wishes of the Board. Form 990, Part VI, Section A, line 3 Linn Block, CEO, is compensated by Unity Point Health for services to Stewart Memorial Community Hospital. The CEO has the responsibility of supervising the management, administration and operation of the Organization. Linn Block, CEO received compensation in the amount of $260,861 and benefits of $73,041 for 2024. Form 990, Part VI, Section A, line 4 As of May 2024, The Hospital amended the bylaws to state that the Corporation shall no longer have members. Form 990, Part VI, Section A, line 6 Members of the Corporation shall be those persons, corporations, or associations who have contributed the sum of One Hundred Dollars ($100) or more to the corporation to further the objectives of the Corporation, which membership shall be lifelong and non-transferable. In May 2024, the Members were removed from the Bylaws. Form 990, Part VI, Section A, line 7a Until May 2024, Members had the rights to elect and remove directors. Form 990, Part VI, Section A, line 7b Until May 2024, Members had the rights to approve amendments to the Articles of Incorporation, approve any merger, consolidation, or dissolution of the Corporation, to vote on any other matter submitted to the members by the Board of Directors, and to vote on any matter that is required to receive member approval under Iowa Law. Form 990, Part VI, Section B, line 11b The Form 990 will be provided electronically to the board of directors and reviewed by the CEO and CFO prior to submission. Form 990, Part VI, Section B, line 12c Each board member signs a conflict of interest form annually stating that they will abstain from voting and discussing itesm for which they have a conflict of interest. Form 990, Part VI, Section B, line 15 The CEO is compensated by Unity Point Health for services to Stewart Memorial Community Hospital. The Board of Directors meet annually to discuss the terms of the management contract. Data is used from the most recent Iowa Hospital Association salary survey. Form 990, Part VI, Section C, line 19 the organization does not make its governing documents, conflict of interest policy, or financial statements available to the public. Form 990, Part IX, line 11g Radiologist fees: Program service expenses 717,180. Management and general expenses 0. Fundraising expenses 0. Total expenses 717,180. Emergency room fees: Program service expenses 502,183. Management and general expenses 0. Fundraising expenses 0. Total expenses 502,183. Contracted services: Program service expenses 2,826,503. Management and general expenses 448,774. Fundraising expenses 85,974. Total expenses 3,361,251. form 990, part xii, line 2c: The Board of Directors assumes the responsibility for oversight of the audit of the financial statements and selection of the independent accountant. This process has not changed from the previous year.