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The census actually and the patients have dropped primarily in the last couple of years. It probably is a multifactorial kind of reason. A part of that is the changes in some of the practice of our physician. Started about two years ago our program they have expanded the number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actuall...

Number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actually have become very active in one of the local sniffs and medical directors, they provide great rehabilitation services. Our orthopedic has been very satisfied in the patient and the patients came back with great comments. We have another physician. Started following some ...

The census actually and the patients have dropped primarily in the last couple of years. It probably is a multifactorial kind of reason. A part of that is the changes in some of the practice of our physician. Started about two years ago our program they have expanded the number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actuall...

Your time and considering on my diatribe here and wanted to share some reflections from somebody who worked both within the World Health Organization on Communicable Diseases at the United Nations on the biological and tox sick Weapons Convention and looking at addressing multiple nontraditional ways of mitigating the effects of naturally occurring deliberate or accidental diseases as well as somebody whos been looking at this from the private sector so thank you. We thank you very much. We start with the department of health in chicago you have quite an Operations Center out there, i visited ...

Explain the low utilization . If you look at the census, the census actually and the patients have dropped primarily in the last couple of years. It probably is a multifactorial kind of reason. A part of that is the changes in some of the practice of our physician. Started about two years ago our program they have expanded the number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that...