Mid Del Therapeutic Center, Inc. - Page 4

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            chemotherapy.  These drugs enabled patients to receive                                     
            chemotherapy treatments on an outpatient basis.  When Medicare                             
            decided not to pay for inpatient chemotherapy under most                                   
            circumstances, that decision effectively forced chemotherapy out                           
            of hospitals and into outpatient clinics.                                                  
                  During the period in issue, PC employed a staff of employees                         
            consisting of nurses, nursing assistants, laboratory technicians,                          
            physician assistants, administrative clerks, pharmacists,                                  
            pharmacy technicians, and office maintenance workers.  Mid-Del                             
            had no employees, but instead used contract nursing services                               
            leased through the Cancer Care Network and paid a common                                   
            paymaster for doctors’ services and other labor costs.  PC                                 
            provided administrative services, including bookkeeping and                                
            billing, for both clinics.  Mid-Del paid PC an annual fee for                              
            these administrative services.                                                             
            Treatment of Patients                                                                      
                  Many local doctors referred patients to the clinics for                              
            treatment of cancer, lupus, AIDS, and some types of arthritis.                             
            Dr. Ishmael scheduled 2 days a week to see patients at each of                             
            the clinics.  As a general rule, he saw patients at the PC clinic                          
            on Mondays and Wednesdays and at the Mid-Del clinic on Tuesdays                            
            and Thursdays.  The clinics' hours were Monday through Friday,                             
            from 8 a.m. to 5 or 6 p.m.  Chemotherapy treatments were                                   
            administered at both clinics 5 days a week.                                                

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Last modified: May 25, 2011