19 minute read
Community Benefit Spotlight
2021 Highlights
Named Among America’s 50 Best™ Hospitals by Healthgrades
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EvergreenHealth was just one of two hospitals in Washington state to earn recognition from Healthgrades as one of America’s 50 Best™ hospitals, placing the health system among the top 1% of hospitals across the United States.
EvergreenHealth Welcomes New Chief Information Officer - Jason Wood, MBA, MS
Jason Wood, MBA, MS, was named chief information officer (CIO) for EvergreenHealth. Wood was selected through an extensive national search and brings more than 20 years of experience in leadership and IT management, specifically within the health care space. *This year, Jason was named CIO of the Year for the “Large Corporate” category in the 2022 Orbie Awards, presented by the Inspire CIO Leadership Network.
Foundation Gala Raises $1.2M to Benefit the Neonatal Intensive Care Unit
The EvergreenHealth Foundation’s signature fundraising event, held virtually for the second year in a row, raised $1.2 million to support the health system’s Neonatal Intensive Care Unit (NICU).
EvergreenHealth Earns “A” Rating for Safety
For the fourth consecutive year, EvergreenHealth received an “A” rating from The Leapfrog Group, a leading independent watchdog organization on hospital quality and safety.
Grand Opening of The Lee Johnson Family ICU
EvergreenHealth’s newly constructed 20-bed ICU, named for its benefactor, the Lee Johnson Family, began serving patients and families with the highest-quality care and service from a stateof-the-art unit that combines the latest health care technology, compassionate design and inclusive functionality in the most advanced healing environment.
Dr. Eric Taylor Awarded the Annual Community Service Award
The EvergreenHealth Board of Commissioners awarded Eric Taylor, MD, FACR, FACRO, with its esteemed 2020 Community Service Award. The nationally recognized, board-certified radiation oncologist was recognized for his unwavering dedication to patients, colleagues and the community.
Named a Best Hospitals in the Region by U.S. News & World Report
For the fourth year in a row, EvergreenHealth was named among the top hospitals in the Puget Sound region and the state of Washington by U.S. News & World Report. The hospital was ranked No. 3 in the Seattle Metropolitan area and No. 6 in Washington state. The 32nd annual report compared nearly 5,000 medical centers across the nation in 16 medical specialty areas and 17 procedures and conditions.
#3
SEATTLE METRO AREA HOSPITALS
The Weight Loss & Bariatric Care practice received accreditation as a Comprehensive Center with Obesity Medicine Qualifications by the American College of Surgeons and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). This accreditation puts EvergreenHealth among the first 25 organizations in the nation to achieve a dual center of excellence certification in bariatric surgery and obesity medicine.
FIRST 25
IN THE NATION
No. 2 in the Nation for High-Value Care
EvergreenHealth was ranked No. 2 in the nation for delivering high-value care by The Lown Institute, a nonpartisan think tank advocating bold ideas for a just and caring system for health. *This year, EvergreenHealth is proud to be recognized by The Lown Institute as No. 1 in the nation for hospital outcomes. Visit www.evergreenhealth. com/awards to learn more.
#2
DELIVERING HIGH-VALUE CARE
EVERGREENHEALTH BY THE NUMBERS
Outpatient Visits ............................. 413,121 Primary Care Visits .................... 284,690 Total Calls to EvergreenHealth Nurse Navigator & Healthline ... 122,516 Emergency Department Visits ..... 56,652 Total Surgeries .................................. 19,965 Adult and Pediatric Admissions ... 14,650 Home Health Patients ....................... 9,670 Babies Delivered ................................... 4,753 Hospice Patients .................................... 3,757 Health Education Classes ......................... 791 Hours of Volunteer Service ............. 25,223
EVERGREENHEALTH MONROE BY THE NUMBERS
Outpatient Visits ............................... 12,967 Emergency Department Visits ..... 14,208 Addiction Recovery Patient Days ..... 5,549 Critical and Acute Patient Days ....... 2,988 Total Surgeries ....................................... 1,199 Adult and Pediatric Admissions ............ 626 GI Procedures ............................................... 611 Recovery Center Admissions .................. 620 Detox/Rehab Admissions ....................... 328 Chemically Using Pregnant Women Admissions ...................................................... 30 Hours of Volunteer Service ....................... 213
Community Benefit Spotlight
As a public hospital district, EvergreenHealth provides a special benefit to the greater community. Every year, the organization is entrusted as responsible investors of the community’s resources, to use tax levy funds to meet important community health and wellness needs. In 2021, more than $6.8 million in levy funds were invested back into community health through a range of programs designed to provide quality health care, services and resources—often at no charge to the community.
Call Us: 24/7 Nurse Support
EvergreenHealth 24/7 Nurse Navigator & Healthline
EvergreenHealth’s Nurse Navigator & Healthline continues to offer a levy-funded resource to the community by providing 24/7 on-call nurse support, as well as help with scheduling and referrals and registration for health programs and classes.
In 2021, Healthline served callers in the following ways:
108,247 callers served 50,558 callers received assistance with nurse triage advice 2,597 physician referrals 15,397 residents and employees registered for community classes offered at EvergreenHealth 26,964 residents received referrals for community services 2,437 calls related to COVID-19 resources and information In 2021, EvergreenHealth’s Healthline served as the call center for the King County Vaccination Partnership – Redmond, which provided COVID-19 vaccines to community members through a partnership between Overlake Medical Center & Clinics, EvergreenHealth and Microsoft. Healthline’s call center team, with resources and support from Microsoft, handled a total of 97,074 calls related to COVID vaccines and information, including: 74,297
calls answered for vaccine scheduling
22,777
outbound calls for vaccine scheduling
24/7 Nurse Navigator & Healthline 425.899.3000 a total of 97,074 calls related to COVID vaccines
Providing Education and Resources for Living Well
EvergreenHealth Community Education Services
EvergreenHealth’s Community Education Services provides hundreds of free and low-cost seminars, workshops and health education classes each year that offer resources to community members for living well. Whether it is cooking demonstrations to inspire nutritious eating, exercise groups, emergency preparedness or parenting classes, the health system offers a wide range of curricula for the community’s benefit to address diverse needs and interests. Among the year-round programs, EvergreenHealth’s Childbirth and Early Parenting Education resources offer dozens of classes to help families navigate the joys and challenges of parenting. Its Parent-Baby Groups provide education and support through facilitator-led discussions that encourage new families to share successes and challenges on a range of topics, including feeding, relationships, postpartum adjustment, developmental stages, sleep and more.
IN 2021, EVERGREENHEALTH COMMUNITY HEALTH EDUCATION PROGRAM:
Offered 791 virtual classes and programs
Served 4,263 participants, resulting in 11,170 encounters
“We heard about EvergreenHealth’s Parent-Baby Groups while we were expecting our daughter Iris, and we knew we wanted to join. We recently moved to this area, and the group has been so helpful for meeting and connecting with other families who are sharing our experience as new parents. Especially during COVID, it just has helped to not to feel so alone. I’ve also really appreciated the guest speakers and all the information shared by our facilitators; it makes a difference having resources we know we can trust.”
– Paloma and Zach; parents of Iris, 6 months
Removing Barriers to High-Quality Health Care & Social Services
IN 2021, CHAT STAFF SUPPORTED THE HEALTH AND WELL-BEING OF THE COMMUNITY BY:
Community Healthcare Access Team (CHAT)
The levy-funded Community Healthcare Access Team (CHAT) serves low-income, underinsured and uninsured residents throughout the Puget Sound region, with the help of a range of community partners, by connecting them with resources for insurance, financial assistance, behavioral health and many other forms of assistance.
CHAT staff are specifically trained in Medicaid and Medicare eligibility, are certified as navigators for Washington’s Healthplanfinder and provide connection and insight into community resources designed to support residents’ well-being. CHAT also continued its partnership with the Lake Washington School District (LWSD) by providing a dedicated social worker employed by EvergreenHealth to support students and their families with mental health resources.
Connecting with 2,449 individual community members Facilitating 5,078 total encounters with community members Providing community education and outreach through 30 support groups
CHAT’S PARTNERSHIP WITH LWSD RESULTED IN:
2,541 encounters with students Helped 401 high school students in crisis situations Hosted 111 community events and group sessions
Supporting Eastside Seniors and Caregivers
EvergreenHealth Geriatric Care
EvergreenHealth Geriatric Care is the only practice on the Eastside dedicated to exclusively serving families and patients who are 65 years and older with specialized care without requiring a referral. Just as pediatricians focus on the health needs of children, geriatric care providers focus on the complex health needs of seniors. Working in partnership with an interdisciplinary team of board-certified specialists, Geriatric Care providers include geriatricians, nurses, social workers and pharmacists—all with special training and experience assisting seniors. The Geriatric Care team provides comprehensive assessments, evaluating patients’ medical conditions, cognitive status, functional ability and mental health needs to determine the most suitable treatment for each person. This experienced team also works hand-in-hand with each patient’s family, and coordinates with other health care providers to create an individualized care plan designed to empower seniors with choice and independence.
“Very friendly, expert in care every time!”
The team continues to expand the number of patients we care for at EvergreenHealth Geriatric Care.
In 2021, new patient access grew by more than 29%,
improving the health status, autonomy and quality of life for senior patients and their families.
Understanding Our Community’s Health Needs
King County Community Health Needs Assessment
EvergreenHealth participates in King County Hospitals for a Healthier Community (HHC), a collaborative of 10 hospitals/health systems in King County, that includes Public Health – Seattle & King County. HHC produces a Community Health Needs Assessment (CHNA) that analyzes community inequities, strengths, and health needs. The CHNA presents community-identified priorities, a detailed description of the
Northshore Senior Center
In 2021, EvergreenHealth continued its partnership with Northshore Senior Center (NSC), a Bothell-based nonprofit which provides resources, programs and services for Eastside seniors. After pivoting to a largely all online format in 2020, NSC slowly began to safely return to in-person engagement for many of its classes and programs in 2021. In addition to their well-attended virtual caregiver support groups NSC offers a variety of classes and programs that help keep participants active and connected. Among its programs, NSC offers Enhance©Wellness, an evidence-based, health management program designed to help participants set goals and learn strategies for making positive choices to improve their physical and/or emotional well-being.
IN 2021, EVERGREENHEALTH’S PARTNERSHIP WITH NORTHSHORE SENIOR CENTER:
Served 245 family caregivers through
927 touchpoints via programming, consultations and services.
The NSC Adult Day Health program offered 84 virtual health and wellness classes,
to encourage movement, fine motor skills, strengthening and other rehab services.
Helped 238 older adults maintain and improve their mental and emotional well-being through support groups, personal consultations, meditation, conversation groups and more. As a full-time caregiver for her husband who lives with frontotemporal dementia (FTD), Jeanne Clark has been a long-time participant in many of Northshore Senior Center’s support groups and educational programs. When the active 80-year-old began suffering from significant fatigue and muscle weakness, largely because she was eating fewer meals as she focused on her husband’s care needs, the Social Services/ Wellness team at NSC suggested she explore the Center’s Enhance©Wellness program.
“It was the perfect solution for me because I’m very goal oriented. I had struggled with making progress on my own, but my Enhance©Wellness coach gave me the support and structure to follow a plan that works. It is a self-directed program, so I have to put in the work, but Lydia is there to regularly check-in to provide support and encouragement as I work toward my goal of regaining strength and energy. It has been a life saver.”
– Jeanne Clark, Northshore Senior
Center member and Enhance©Wellness participant
community, analyses of data on life expectancy and leading causes of death and chronic illness rates throughout King County. The results of the CHNA compiled by HHC informs EvergreenHealth’s community programming. EvergreenHealth has chosen Access to Care, Youth Mental Health, and Chronic Disease Management as areas of focus for our community programs, responding to identified needs and strengths found in the CHNA data.
Resources for Responding to Students in Crisis
Youth Mental Health Programs
EvergreenHealth’s levyfunded Youth Mental Health programs provide support and resources to help community members identify solutions and take action to promote awareness of the mental health challenges facing young adults.
With the support of community levy dollars, EvergreenHealth’s Youth Mental Health Task Force brings together youth, other organizations, and community members who share a passion for supporting young adults. The task force meets regularly for inspiring discussions that encourage the exchange of information and resources among community members and foster grassroots solutions. The task force continues to expand its reach beyond EvergreenHealth, forging partnerships with other like-minded community organizations to develop programming and resources. In 2021, EvergreenHealth continued to partner with NAMI Eastside, the local affiliate of the National Alliance on Mental Illness, to host monthly hour-long forums on educational topics geared toward youth and community members who work with young people. Expert guest speakers presented a range of topics, including mindfulness, suicide prevention, bipolar disorder, childhood trauma and many others.
“With EvergreenHealth’s support, we are bringing needed programs into Eastside schools, including Youth Mental Health First Aid trainings, which provide participants with tools to help adolescents experiencing a mental health crisis or addiction challenge. We are also piloting an evidence-based program, Cope2Thrive, which is designed to help children, teens and young adults deal with anxiety, stress and depression by teaching them how to develop the skills needed to stop negative or unhelpful thoughts and start thinking, feeling and behaving in more positive ways. These are just a few of the things that have been possible to help support the young people in our community thanks to our partnership.”
– Barbie Collins Young,
Executive Director of NAMI Eastside
Support for Northshore School District Students
Grant Funds Full-Time Mental Health Therapists
EvergreenHealth levy dollars continued to provide funding for full-time, onsite mental health therapists for each high school in the Northshore School District who support students referred by high school guidance counselors. In 2021, the district’s mental health therapists met with students individually and in small groups to address their needs.
FOR THE 2021-22 SCHOOL YEAR NORTHSHORE SCHOOL DISTRICT MENTAL HEALTH THERAPISTS:
Served 1,264 students
Held 3,364 total visits Responded to 47 crisis visits
“I cannot stress enough the importance of this funding from EvergreenHealth as we have seen a reduction of crisis visits while being able to assist more students. During our second year of receiving the EvergreenHealth grant, the Northshore School District has been able to benefit by continuing to serve students from all demographics in the district by supporting their mental health needs. Due to the shortage of mental health providers in the area, our contracted therapists were able to provide continuous mental health services to families throughout the school year. Once again, we were grateful to have the opportunity to provide support for our secondary schools through funding from EvergreenHealth.”
—Rick Ferrell, Director of
Student Services for
Northshore School District
Advancing STEM Education
Partnering with local schools
With help from the community’s levy dollars, EvergreenHealth partners with local school districts to provide middle school and high school students with information and education related to Science, Technology, Engineering and Math (STEM). EvergreenHealth’s nine-year partnership with Juanita High School’s Global Health STEM program continued in 2021, which provided opportunities for EvergreenHealth leaders and physicians to present virtually as guest speakers on important health care topics. The interactive sessions provide students with the insight into health care-related career fields and encourage them to ask questions and immerse themselves in learning about career paths in science, health care and many more industries.
In 2021, EvergreenHealth speakers joined Juanita High School Global Health STEM for 9 educational sessions.
EvergreenHealth Financial Report
In 2021, EvergreenHealth continued investing in several initiatives to expand and enhance patient care while also responding to the ongoing COVID-19 pandemic. The organization’s investments to upgrade the health system’s infrastructure and facilities reflect EvergreenHealth’s commitment to grow alongside the community in order to meet patients’ and families’ evolving health and wellness needs. EvergreenHealth continued to receive CARES Act funds in 2021 and realized a net income of $11.6 million, while also investing $34 million in community benefit services including charity care and subsidized health services. It also contributed $51.7 million toward significant capital improvement projects across the EvergreenHealth system.
2021 Significant Capital Projects
PRIMARY PROJECTS: $50.1 million
Master Planning Plan Phase II
Master Planning Plan Phase III
EPIC Implementation
Mako
NICU Philips Clinical Monitors daVinci Xi Systems
CT Simulator Replacement
Neurosurgical O Arm
IT Server, Storage and Network Replacements OTHER: $1.6 million
Other Clinical Equipment and Facility Improvements TOTAL:$51.7 million
Community Benefit
PERCENTAGE IN MILLIONS Charity Care Costs .............................................................. 9.7% $3.3 Subsidized Medicaid Costs ...........................................65.8% $22.4 Levy Programs (before levy funding) ......................... 21.9% $7.5 Subsidized Health Services .............................................. 2.3% $0.7 Sponsorships ....................................................................... 0.3% $0.1 TOTAL ................................................................................. 100% $34.0
LEVY PROGRAM ALLOCATIONS
PERCENTAGE IN MILLIONS Community Programs ........................................................ 14% $0.9 Senior Programs ................................................................... 52% $3.6 Clinical Programs .................................................................34% $2.3 TOTAL FUNDS PROVIDED ............................................ 100% $6.8
Levy Program Allocations
Gross Revenue Sources
2021 Gross Revenue Sources
CATEGORY
PERCENTAGE IN MILLIONS Commercial ...................................................................... 45.3% $978.6 Medicare ............................................................................41.3% $891.5 Medicaid ...............................................................................9.8% $211.9 Other Operating .................................................................2.4% $52.1 Self Pay ................................................................................ 0.9% $19.1 Tax Revenue for Levy Programs ...................................... 0.3% $6.8 TOTAL REVENUE .............................................................. 100% $2,160.0
2021 EvergreenHealth Revenues and Expenses
SOURCES OF REVENUE IN MILLIONS
In 2021 we billed patients for:
Inpatient and outpatient care ...................................................... $2,101.0 Less amounts written off for discounts to payers including commercial insurances, Medicare and Medicaid..................... $1,302.4 Less amounts written off to charity care and bad debt.......... $30.1 Net Revenue....................................................................................... $768.5
We also had additional sources of revenue:
Other operating revenue................................................................ $52.2 CARES Act funds................................................................................ $6.1 Levy funds for programs................................................................. $6.8 Levy funds for debt repayment..................................................... $21.2 TOTAL REVENUE ......................................................................... $854.8
EXPENSES IN MILLIONS
In 2021 we had expenses for:
Salaries and benefits........................................................................ $544.5 Supplies, services and other operating expenses..................... $236.2 Levy supported programs............................................................... $14.7 Depreciation expenses.................................................................... $37.9 Interest expense and other non-operating expenses............. $9.9 TOTAL EXPENSES ........................................................................ $843.2
NET INCOME IN MILLIONS EvergreenHealth Monroe realized a net income of $4.7 million after receiving $6.4 million in CARES Act funds in 2021, and invested $4.3 million toward community benefit services including charity care and subsidized services, while also contributing $0.27 million toward capital projects.
2021 Significant Capital Projects
PRIMARY PROJECTS: $0.21 million
MSTU Upgrade
Interior Painting & Lavatory upgrades
CT/MRI Project OTHER: $0.06 million
Other Clinical Equipment and Facility Improvements TOTAL:$0.27 million
Community Benefit
PERCENTAGE IN MILLIONS Charity Care Costs.................................................................7.0% $0.3 Subsidized Medicaid Costs............................................60.4% $2.6 Subsidized Health Services.............................................32.6% $1.4 TOTAL..............................................................................100% $4.3
2021 Gross Revenue Sources
CATEGORY
PERCENTAGE IN MILLIONS Medicare ............................................................................32.2% $44.9 Commercial.........................................................................31.3% $43.8 Medicaid.............................................................................22.0% $30.8 Government...........................................................................3.7% $5.2 Self Pay....................................................................................7.4% $10.3 Tax Revenue for Levy Programs.........................................1.9% $2.7 Other Operating....................................................................1.5% $2.1 TOTAL REVENUE .......................................................... 100% $139.8 2021 EvergreenHealth Monroe Revenues and Expenses
SOURCES OF REVENUE IN MILLIONS
In 2021 we billed patients for:
Inpatient and outpatient care....................................................... $134.9 Less amounts written off for discounts to payers including commercial insurances, Medicare and Medicaid..................... $85.5 Less amounts written off to charity care and bad debt.......... $5.9 Net Revenue....................................................................................... $43.5
We also had additional sources of revenue:
Other operating revenue................................................................ $2.1 CARES Act funds................................................................................ $6.4 Levy operations................................................................................. $2.7 Levy funds for debt repayment..................................................... $2.3 TOTAL REVENUE......................................................................... $57.0
EXPENSES IN MILLIONS
In 2021 we had expenses for:
Salaries and benefits........................................................................ $31.5 Supplies, services and other operating expenses..................... $17.8 Depreciation expenses.................................................................... $2.3 Interest expense and other non-operating expenses............. $0.7 TOTAL EXPENSES......................................................................... $52.3
NET INCOME IN MILLIONS
TOTAL NET INCOME AVAILABLE .............................................. $4.7
After expenses, for improvement of services and repayment of debt
Community Benefit
Gross Revenue Sources
Message from the Board Chair & Chief Philanthropy Officer
Dear Friends, Thank you for your extraordinary support of EvergreenHealth. Throughout the challenges of the pandemic, you have continued to show your commitment by investing in local health care and ensuring our community has access to the best technology, programs and services available. This focus on quality has resulted in notable awards, including being named one of America’s 50 Best™ hospitals by Healthgrades again, placing EvergreenHealth in the top 1% of hospitals in the nation for clinical excellence. This honor comes as we celebrate our 50th anniversary of serving this region. As we embark on our next 50 years, your support has never been more important. The Foundation is a vital partner with the health system in helping to fund critical programs and services. In 2021, donors contributed more than $3 million to help fund the buildout of a new Intensive Care Unit in EvergreenHealth’s Silver Tower. The Heart Care Center benefited from more than $400,000 in support to construct and equip a cardiac catheterization lab, and nearly $500,000 was invested in our Hospice Care Center. Thank you for helping EvergreenHealth meet the needs of our growing region! You may have noticed a new face at the Foundation. This spring, I joined the team as the Chief Philanthropy Officer. I came to EvergreenHealth with nearly 30 years of experience in health care philanthropy and marketing. EvergreenHealth is a wonderful organization dedicated to health care excellence, and I feel so fortunate to be partnering with Anthony to help lead the Foundation efforts. Thank you again for your support. Sincerely,
Lori Kloes
Chief Philanthropy Officer
Anthony Ambrose
Chair, Board of Trustees
2021 EvergreenHealth Foundation Board of Trustees
2021 EvergreenHealth Foundation Board of Trustees Officers Anthony Ambrose Data I/O Board Chair Jeff Cashman SCS Financial Vice Chair Majdi Daher Denali Advanced Integration Immediate Past Chair Rachel Knight LPL Financial Program Chair Vicky Nollette Community Member Secretary Michele Rutherford Former Nordstrom Executive Gala Chair Kelly Williams Optimum Value Advisors Finance Chair 2021 EvergreenHealth Foundation Board of Trustees Members Erica Ash Ash Consulting Tim Baer Heritage Bank Megan Baumgartner SCS Financial Sandy Cairns Wells Fargo Drew Copitzky Community Volunteer Shawn D’Amelio Community Member Ahmad Daher Envijo Don Dicks Community Volunteer Doug Edlund PAC Promotions Bob Ferguson Ben Franklin Crafts and Frame Shop Suzanne Greathouse TierOne Performance Consulting/ REPSVR Gurleen Gulati City of Seattle Molly Hill Community Volunteer Matt Larkin Romac Industries Karl Lindor Windermere Real Estate/East, Inc. Julia Liuson Microsoft Kris Overleese KBA Hong Qi Pacific International Education 2021 EvergreenHealth Foundation Board of Trustees Ex-Officio Members Jeff Tomlin, MD EvergreenHealth, CEO Rebecca Hirt Community Volunteer Sean Kincaid, MD EvergreenHealth Medical Staff President Tim McLaughlin Community Volunteer Kae Peterson, CFRE EvergreenHealth Foundation, VP Eric Taylor, MD EvergreenHealth
2021 EvergreenHealth Foundation Financial Report
Fund Distribution
Contributions by Source
CATEGORY PERCENTAGE
Individual ......................................................... 22% Corporation ......................................................19% Donor Advised Funds .................................... 34% EvergreenHealth Staff ..................................5.5% Foundations ...................................................... 11% Associations/Organizations/ Estates/Trusts ................................................ 8.5% TOTAL ....................................................... 100%
Balance Sheet
Assets
CASH $6,227,590 Total Cash $647,421 Total Pledge Receivables $39,120 Total Prepaid Expense
INVESTMENTS $7,444,281 Total Investments
$14,358,412 TOTAL ASSETS
FUND NAME PERCENTAGE
Evergreen Gala ................................................19% Radiation Oncology/Cancer ......................... 18% Hospice ...............................................................16% ICU ...................................................................... 12% Nursing Excellence ....................................10.2% Employee Assistance ................................... 3.5% Evergreen Fund ............................................. 3.3% Women’s & Children’s .............................. 3.25% Quality & Infection Control ........................ 2.7% Heart and Vascular ....................................... 1.8% Other .......................................................... 10.25% TOTAL ....................................................... 100%
Liabilities
LIABILITIES $1,553,847 Total Liabilities
FUND BALANCE $12,804,565 Total Fund Balance
