2022-08-15T12:03:16-05:00 2021-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2020-10-01 720475545 GENERAL HEALTH SYSTEM GENE 2252371547 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 KENDALL JOHNSON CPA EXEC VICE PRESIDENT & CFO 2252371547 2022-08-11 KENDALL JOHNSON CPA 999009999 MEGAN COURTNEY P01571790 2259224600 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z EDGARDO TENREIRO 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 116196582 0 X WWW.BRGENERAL.ORG X 1945 LA GENERAL HEALTH SYSTEM'S PRIMARY EXEMPT PURPOSE IS TO ASSIST IN THE PROVIDING OF EFFICIENT HEALTH CARE SERVICES BY PROVIDING CENTRALIZED MANAGEMENT, GOVERNANCE AND ADMINISTRATIVE SERVICES TO RELATED TAX-EXEMPT HEALTHCARE PROVIDER ORGANIZATIONS INCLUDING ITS 501C3 SUBSIDIARY, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. 18 13 3723 0 3200015 0 46896 0 117356857 98937935 428436 2624729 4080087 4581587 121912276 106144251 393850 870250 0 0 38771877 46010160 0 0 0 76067440 49735507 115233167 96615917 6679109 9528334 264239166 259516746 140662684 115559313 123576482 143957433 X GENERAL HEALTH SYSTEM'S (GHS) PRIMARY EXEMPT PURPOSE IS TO PROVIDE EFFICIENT HEALTH CARE SERVICES BY PROVIDING CENTRALIZED MANAGEMENT, GOVERNANCE AND ADMINISTRATIVE SERVICES TO RELATED TAX-EXEMPT HEALTHCARE PROVIDER ORGANIZATIONS. 1 0 24507153 31713956 GENERAL HEALTH SYSTEM PROVIDES CENTRALIZED INFORMATION TECHNOLOGY SERVICES TO ALL GHS AFFILIATES. SOFTWARE AND HARDWARE SUPPORT AS WELL AS WELL-TRAINED SUPPORT PERSONNEL ARE PROVIDED TO, BUT NOT LIMITED TO BATON ROUGE GENERAL MEDICAL CENTER (BRGMC). BRGMC IS A 588 BED, 3 CAMPUS HOSPITAL SYSTEM AND IS AN IRC SEC. 501(C)(3) ORGANIZATION, ITS ID # IS 72-1025017. 23258986 30098741 GENERAL HEALTH SYSTEM ALSO PROVIDES ALL HUMAN RESOURCES SERVICES AND RECRUITING SERVICES AND ADMINISTERS ALL EMPLOYEES' BENEFITS PROGRAMS FOR ALL OF ITS AFFILIATES IN AN EFFICIENT, COST EFFECTIVE MANNER. 29734152 870250 38506810 GENERAL HEALTH SYSTEM PROVIDES CENTRALIZED MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE/BILLING, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE AND LEGAL SERVICES TO ITS NOT-FOR-PROFIT AFFILIATES (BATON ROUGE GENERAL MEDICAL CENTER # 72-1025017 AND GENERAL HEALTH SYSTEM FOUNDATION #74-0801335) AND ITS FOR-PROFIT AFFILIATES. 77500291 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 184 0 1 3723 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 18 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X GLENN SMITH CPA 2252371547 8490 PICARDY AVE 300 BATON ROUGE LA 70809 X EDGARDO TENREIRO PRES & CHIEF EXECUTIVE OFFICER 48.00 2.00 X X 1114545 0 198457 ANDREW OLINDE MD BOARD MEMBER & CHIEF MED OFFICER 4.00 12.00 X X 0 284856 0 JACQUES DE LA BRETONNE MD BOARD MEMBER 2.00 X 0 0 0 GWEN HAMILTON BOARD MEMBER 2.00 X 0 0 0 BRAD GASPARD MD BOARD MEMBER 2.00 48.00 X 0 711991 50344 S RAJU VATSAVAI MD BOARD MEMBER 2.00 10.00 X 0 58800 0 CHARLES D'AGOSTINO BOARD MEMBER 2.00 X 0 0 0 ANNETTE BARTON BOARD MEMBER 2.00 X 0 0 0 RYLAND PERCY BOARD MEMBER 2.00 X 0 0 0 JOSEPH JUBAN ESQ BOARD MEMBER 2.00 X 0 0 0 ROY G KADAIR MD BOARD MEMBER 2.00 X 0 0 0 SCOTT KIRKPATRICK BOARD MEMBER 2.00 X 0 0 0 PHYLLIS MCLAURIN BOARD MEMBER 2.00 X 0 0 0 ISABELINA NAHMENS PHD BOARD MEMBER 2.00 X 0 0 0 JASON MACMORRAN CPA BOARD MEMBER 2.00 X 0 0 0 JUDGE BRIAN JACKSON BOARD MEMBER 2.00 X 0 0 0 CHRIS TYSON BOARD MEMBER 2.00 X 0 0 0 RHOMAN HARDY BOARD MEMBER 2.00 X 0 0 0 LOUIS MINSKY MD BRD MEMBER & CHIEF OF STAF 15.00 35.00 X 0 756494 57481 KENDALL JOHNSON CPA VICE PRES & CHIEF FINANCIAL OFFICER 48.00 2.00 X 719062 0 138494 MONICA NIJOKA VICE PRES & CHIEF NURSING OFFICER 50.00 X 471528 0 98074 STEPHEN MUMFORD VICE PRES & CHIEF OPERATING OFFICER 50.00 X 581856 0 123868 VENKAT BANDA MD CHIEF ACADEMIC OFFICER 20.00 X 0 0 0 BENNETT CHERAMIE VICE PRES-INFO SERVICES 50.00 X 402845 0 78763 DONALD SHAW VICE PRES-REVENUE CYCLE 50.00 X 363427 0 93811 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES & STRATEGY 50.00 X 565533 0 89108 PEYTON GRANT VICE PRES-FACILITIES MGT 50.00 X 394572 0 87656 TRISHA GUIDRY CHIEF OPER OFFICER-THE GENERAL 0.00 50.00 X 0 244282 47676 ANNE MANINT DIRECTOR-HUMAN RESOURCES 50.00 X 179573 0 36648 WM PAINE DIRECTOR-MANAGED CARE CONTRACTS 50.00 X 194929 0 41178 COREY DOUGHTY ESQ DIRECTOR LEGAL & RISK MANAGEMENT 50.00 X 191571 0 38503 MEGHAN PARRISH VICE PRES CORPORATE COMM 50.00 X 295988 0 76248 DARCY STAFFORD DIRECTOR WORK EXCELLENCE 32.00 X 178404 0 36371 5653833 2056423 1292680 34 1 1 0 GJERSET AND LORENZ 2801 VIA FORTUNA STE 500 AUSTIN TX 78746 LEGAL SERVICES 2846102 DIANE ALLEN & ASSOCIATES PO BOX 66337 BATON ROUGE LA 70896 MARKETING SERVICES 2020722 CHANGE HEALTHCARE PO BOX 742526 ATLANTA GA 30374 COLLECTION SERVICES 1203179 ECLINICALWORKS 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 SOFTWARE SERVICES 820728 WATSON BLANCHE WILSON POWER PO DRAWER 2995 BATON ROUGE LA 70821 CONSULTING 546603 17 MANAGEMENT FEES 541610 95737920 95737920 MANAGEMENT FEES-FOR PROFIT AFFILI 541610 3200015 3200015 98937935 2484108 2484108 4581587 0 4581587 4581587 4581587 10192952 10052331 140621 140621 140621 106144251 100319507 3200015 2624729 870250 870250 4191919 3353535 838384 11726073 9380858 2345215 4368303 3494642 873661 24705430 19764344 4941086 1018435 832447 185988 207834 166267 41567 189379 151503 37876 738810 591048 147762 2945059 2356047 589012 2914199 2331359 582840 1098933 879147 219786 30633941 24507153 6126788 727901 582321 145580 31570 25256 6314 2740 2192 548 805118 644094 161024 2404284 1923427 480857 5111450 4089160 1022290 TAXES AND LICENSES 1083012 866410 216602 EQUIPMENT RENTAL & MAIN 331456 265165 66291 REIMBURSED EXPENSES 198497 158798 39699 OTHER SUPPLIES 192811 154249 38562 118513 110619 7894 96615917 77500291 19115626 0 9542439 8162161 161052988 157945925 23259242 21171309 2 0 4766323 5416063 111917338 58287570 55739727 53629768 6854469 9657944 3023976 3533576 264239166 259516746 40873342 39158018 988181 969732 25648456 23717957 3547418 2832690 69605287 48880916 140662684 115559313 X 123576482 143957433 123576482 143957433 264239166 259516746 9528334 10852617 0 X X 0 1 X 1 0 X X 4 BATON ROUGE GENERAL MEDICAL CENTER 721025017 3 1 89243450 0 GENERAL HEALTH SYSTEM FOUNDATION 740801335 7 1 56555 0 BEHAVIORAL HEALTH INC 720893168 3 1 0 0 GENERAL LIVING CENTERS INC 581705626 9 1 0 0 4 89300005 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 FORM 990, SCHEDULE A, PAGE 5, SECTIONS D & E GENERAL HEALTH SYSTEM (GHS) OWNS ITS WHOLLY-OWNED SUBSIDIARIES BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) #72-1025017 AND GENERAL HEALTH SYSTEM FOUNDATION (GHSF) #74-0801335. THE GHS BOARD OF DIRECTORS ALSO SERVE AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS WELL RESPECTED AND HIGHLY REGARDED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, LEGAL, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BROAD BASE OF KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF GENERAL HEALTH SYSTEM AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. 1 1 0 1 1 0 1 0 1 0 0 PART II-B, LINE 1: PART II-B, LINE 1D & 1E - INTERNAL COMMUNICATIONS TO EMPLOYEES ONLY, INVOLVING LITTLE OR NO DIRECT COST. PART II-B, LINE 1G - COSTS WERE LIMITED TO IN-TOWN TRAVEL AT MINIMAL DIRECT COST. 18103621 18103621 55232907 21567176 33665731 80692 80692 0 38456983 36639702 1817281 43135 43135 53629768 AMOUNTS DUE TO AFFILIATED ORGANIZATIONS 48880916 48880916 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. AS MENTIONED IN NOTE 1, THE SYSTEM AND CERTAIN OF ITS SUBSIDIARIES ARE NOT-FOR-PROFIT ENTITIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXATION. CERTAIN OTHER SUBSIDIARIES ARE FOR-PROFIT ENTITIES. THE OPERATIONS OF THE FOR-PROFIT SUBSIDIARIES HAVE RESULTED IN CUMULATIVE NET OPERATING LOSSES FOR FEDERAL INCOME TAX PURPOSES AT SEPTEMBER 30, 2021 AND 2020, OF APPROXIMATELY $65,189,000 AND $91,980,000, RESPECTIVELY. THE NET OPERATING LOSS CARRYFORWARDS EXPIRE IN VARYING AMOUNTS BEGINNING IN 2022 THROUGH 2041. NO TAX BENEFITS RELATED TO THESE OPERATING LOSSES HAVE BEEN RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS AS THE FOR-PROFITS ENTITIES ARE NOT EXPECTED TO GENERATE SUFFICIENT TAXABLE INCOME TO UTILIZE THE LOSSES PRIOR TO THEIR EXPIRATION. PENALTIES AND INTEREST ASSESSED BY INCOME TAX AUTHORITIES, IF ANY, WOULD BE INCLUDED IN EXPENSES. CENTRAL AMERICA AND CARIBBEAN 0 3 SELF INSURANCE 916205 0 3 0 0 0 3 916205 0 916205 0 0 1 0 0 0 PART III ACCOUNTING METHOD: FORM 990, SCHEDULE F ON APRIL 6, 2016, GENERAL HEALTH SYSTEM FORMED A CAPTIVE INSURANCE COMPANY FOR SELF-INSURANCE PURPOSES IN THE CAYMAN ISLANDS. 1 1 X 1 X 1 X 1 1 0 1 1 4488443 4488443 0.00930 4488443 4488443 0.00930 11 611 9637407 5191462 4445945 0.00920 3 64728 46345912 35892546 10453366 0.02170 50 200 339104 102411 236693 0.00050 64 65539 56322423 41186419 15136004 0.03140 64 65539 60810866 41186419 19624447 0.04070 0 24589967 80330798 84256763 -3925965 X 1 1 2 1 BRGMC - MID CITY BLUEBONNETASCENSION CAMPUSES 8490 PICARDY AEVNUE BATON ROUGE LA 70809 WWW.BRGENERAL.ORG LA LICENSE #2203784599/FF X X X X A 2 BRGMC - ASCENSION 14105 HWY 73 PRAIRIEVILLE LA 70769 WWW.BRGENERAL.ORG LA LICENSE #2203784599/GG X X X A BRGMC - MID CITYBLUEBONNETASCENSION CA 0 0 1 X X X X X X X X 20 1 1 1 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 20 1 WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X WWW.BRGENERAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X WWW.BRGENERAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X WWW.BRGENERAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X X X X X 1 X 0 X X X 1 X 0 1 PART V, SECTION B, LINE 4 THE ORGANIZATION CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2021 TO COVER THE PERIOD 2021-2023 (TAX YEARS 2020-2022). 12 1 - FAMILY HEALTH CENTER 3801 NORTH BLVD BATON ROUGE LA 70809 CLINICAL LOCATION 2 - FAMILY HEALTH CENTER-SOUTH 333 LEE DRIVE SUITE B BATON ROUGE LA 70806 CLINICAL LOCATION 3 - BRG SURGICAL ASSOCIATES 3401 NORTH BLVD SUITE 200-B BATON ROUGE LA 70806 CLINICAL LOCATION 4 - BRG SURGICAL ASSOCIATES-BLUEBONNET 8595 PICARDY AVE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION 5 - BRG ORTHOPEDIC ASSOCIATES 8595 PICARDY AVE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION 6 - BRG GASTROENTEROLOGY CENTER 6615 PERKINS ROAD BATON ROUGE LA 70808 CLINICAL LOCATION 7 - BRG NEUROLOGY ASSOCIATES 3600 FLORIDA BLVD BATON ROUGE LA 70806 CLINICAL LOCATION 8 - MATERNAL-FETAL MEDICINE OF BATON ROUGE 8595 PICARDY AVE SUITE 305 BATON ROUGE LA 70809 CLINICAL LOCATION 9 - WOMACK HEART CENTER-VALVE CLINIC 8888 SUMMA AVENUE BATON ROUGE LA 70809 CLINICAL LOCATION 10 - BATON ROUGE GENERAL IMAGING CENTER-DIJON 5422 DIJON DRIVE BATON ROUGE LA 70809 CLINICAL LOCATION 11 - BATON ROUGE GENERAL IMAGING CENTER-ONEAL 2550 ONEAL LANE BATON ROUGE LA 70816 CLINICAL LOCATION 12 - BATON ROUGE GENEARL NEUROSURGERY 8595 PICARDY AVE STE 220 BATON ROUGE LA 70809 CLINICAL LOCATION PART I, LINE 3C: CHARITY CARE ELIGIBILITY IS BASED ON MANY FACTORS RELATED TO INDIVIDUAL PATIENT CIRCUMSTANCES. EACH AND EVERY PATIENT IS SCREENED BY PATIENT FINANCIAL SERVICES PERSONNEL, LICENSED SOCIAL WORKERS AND OTHER HEALTHCAREPROFESSIONALS TO DETERMINE IF ELIGIBLE FOR STATE AND/OR FEDERAL HEALTHCARE ASSISTANCE. SAID ASSISTANCE AS WELL AS ELIGIBILITY FOR BRGMC CHARITY CARE IS ASSESSED WITH THE PATIENT OR THEIR DESIGNATED FAMILY MEMBER OR REPRESENTATIVE. OF PRIMARY IMPORTANCE IS THE HEALTH RECUPERATION AND WELL-BEING OF OUR PATIENTS. PART I, LINE 7: THE COST-TO-CHARGE RATIO USED IN THE VARIOUS LINE 7 WORKSHEETS IS DERIVED FROM THE TAXPAYER'S 2021 MEDICARE COST REPORT AS FILED WITH THE CENTER FOR MEDICARE AND MEDICAID SERVICES. IN ACCORDANCE WITH THE LINE 7 INSTRUCTIONS, TOTAL EXPENSES USED TO CALCULATE THE COLUMN F PERCENTAGES DO NOT INCLUDE BAD DEBTS EXPENSE. PART III, LINE 2: THE BAD DEBT ESTIMATE IS BASED ON PERIODIC, ONGOING REVIEWS THAT THE TAXPAYER ROUTINELY CONDUCTS TO REVIEW AND DETERMINE THE REASONABLENESS OF ITS COLLECTIONS STATISTICS UTILIZED IN THE CALCULATION OF ITS BAD DEBT EXPENSE. PART III, LINE 4: THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED HERETO. IN MARCH 2015, THE MID CITY CAMPUS CLOSED ITS EMERGENCY DEPARTMENT DUE TO MATERIAL, CONTINUING FINANCIAL LOSSES. SAID MID CITY CAMPUS HAS SERVED A SIGNIFICANT UNDER-INSURED/UNINSURED POPULATION FOR MANY YEARS. PART III, LINE 9B: THE TAXPAYER'S COLLECTION PROCESS POLICY STATES THAT IF A PATIENT CANNOT PAY ANY REMAINING PATIENT ACCOUNT BALANCES IN FULL, THE COLLECTOR IS TO UTILIZE THE PAYMENT ARRANGEMENT GUIDELINES IN OUR CHARITY CARE POLICY TO APPLY FOR FINANCIAL ASSISTANCE. APPROVAL FOR ASSISTANCE WILL BE BASED ON INCOME, ABILITY TO PAY AND ACCOUNT BALANCE, AMONG OTHER FACTORS. NO AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION PERFORMS ANNUAL REVIEWS OF ITS COLLECTION HISTORIES TO DETERMINE THE ACCURACY OF ITS ESTIMATIONS OF BAD DEBT ALLOWANCE AMOUNTS. THE TAXPAYER'S FINANCIAL ASSISTANCE POLICY, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: WWW.BRGENERAL.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART VI, LINE 4: BRGMC IS THE ONLY COMMUNITY-OWNED, NON-PROFIT HOSPITAL LOCATED IN THE BATON ROUGE AREA. IT CONSISTS OF 3 HOSPITAL CAMPUSES, MID CITY, BLUEBONNET AND ASCENSION. MID CITY SERVES THE DOWNTOWN AND SURROUNDING URBAN AREAS OF BATON ROUGE AS WELL AS THE SURROUNDING WEST BATON ROUGE, IBERVILLE, THE FELICIANAS, ST HELENA AND POINTE COUPEE PARISH AREAS. THE BLUEBONNET CAMPUS SERVES THE SOUTHERN AREA OF BATON ROUGE AS WELL AS THE SURROUNDING ASCENSION, LIVINGSTON AND TANGIPAHOA PARISH AREAS WHICH HAVE SEEN ENORMOUS GROWTH IN POPULATION OVER THE LAST 30 YEARS. THE ASCENSION CAMPUS SERVES THE RAPIDLY GROWING ASCENSION PARISH AREA AND THOSE AREAS SOUTH OF ASCENSION PARISH WHICH HAVE BEEN HISTORICALLY UNDER-SERVED. PART VI, LINE 6: BRGMC IS AN IRC SEC. 501(C)(3) ORGANIZATION, OWNED BY ITS COMMUNITY-OWNED 501(C)(3) PARENT COMPANY, GENERAL HEALTH SYSTEM (GHS) #72-0475545. THE GHS BOARD OF DIRECTORS ALSO SERVE AS THE BOARD FOR BRGMC. THE BOARD CONSISTS OF VARIOUS COMMUNITY LEADERS FROM THE BUSINESS, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BROAD BASE OF KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF BRGMC. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE GREATER BATON ROUGE AREA WHO WISH TO PROVIDE THEIR PATIENTS WITH THE FINEST CARE AND MEDICAL TECHNOLOGY AT THEIR DISPOSAL. IN FURTHERANCE OF ITS COMMITMENT TO PROVIDE THE BEST MEDICAL EDUCATION IN BATON ROUGE, BRGMC ENTERED INTO AN AFFLIATION AGREEMENT WITH TULANE UNIVERSITY SCHOOL OF MEDICINE TO CREATE A SATELLITE TRAINING CAMPUS FOR ITS MEDICAL STUDENTS. IN MAY 2021, 28 SELECTED STUDENTS (IN MAY 2020, 45 STUDENTS) BEGAN THE PROGRAM DURING WHICH THEY WILL SPEND THEIR 3RD AND 4TH YEAR CLINICAL ROTATIONS AT THE MID CITY CAMPUS. THE BRG PHYSICIANS WILL BE SERVING AS THE STUDENT'S TEACHERS AND MENTORS. THE PROGRAM TITLED "LEAD (LEADERSHIP, EDUCATION, ADVOCACY AND DISCOVERY) ACADEMY" SIGNIFIES THE FIRST TIME TULANE UNIVERSITY SCHOOL OF MEDICINE HAS OPENED A TRAINING FACILITY OUTSIDE OF NEW ORLEANS, LOUISIANA. 1 BATON ROUGE AREA FOUNDATION 100 NORTH ST STE 900 BATON ROUGE LA 70802 726030391 501C3 500000 CHARITY EFFORTS BATON ROUGE HEALTH DISTRICT 5246 BRITTANY DR BATON ROUGE LA 70808 472593574 501C3 150000 CHARITY EFFORTS BATON ROUGE CHAMBER OF COMMERCE 564 LAUREL ST BATON ROUGE LA 70801 720126959 501C6 100000 CHARITY EFFORTS HOPE MINISTRIES OF BATON ROUGE 4634 WINBOURNE AVE BATON ROUGE LA 70805 721245521 501C3 37500 CHARITY EFFORTS MID CITY REDEVELOPMENT ALLIANCE 419 N19TH ST BATON ROUGE LA 70802 721196990 501C3 25000 CHARITY EFFORTS ARTS COUNCIL OF GRTR BATON ROUGE 427 LAUREL ST BATON ROUGE LA 70801 720735814 501C3 18750 CHARITY EFFORTS AMERICAN CANCER SOCIETY 10528 KENTSHIRE CT BATON ROUGE LA 70810 131788491 501C3 10000 CHARITY EFFORTS 6 1 PART I, LINE 2: REQUESTS FOR GRANTS OR ASSISTANCE ARE INITIATED AT THE EXECUTIVE LEVEL. AFTER CONSIDERATION AND FORMAL APPROVAL IS GIVEN, REQUESTS FOR DISBURSEMENT ARE EXECUTED AND SENT TO ACCOUNTS PAYABLE FOR PAYMENT. ALL SUPPORTING DOCUMENTATION AND DISBURSEMENT AUTHORIZATION ARE RETAINED FOR A 10 YEAR PERIOD OF TIME. X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 EDGARDO TENREIRO PRES & CHIEF EXECUTIVE OFFICER 719680 0 179921 0 214944 0 180776 0 17681 0 1313002 0 148531 0 KENDALL JOHNSON CPA VICE PRES & CHIEF FINANCIAL OFFICER 511908 0 127978 0 79176 0 122408 0 16086 0 857556 0 66144 0 BRAD GASPARD MD BOARD MEMBER 0 300000 0 282975 0 129016 0 28396 0 21948 0 762335 0 27306 STEPHEN MUMFORD VICE PRES & CHIEF OPERATING OFFICER 429000 0 107250 0 45606 0 103221 0 20647 0 705724 0 42878 0 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES & STRATEGY 365000 0 91250 0 109283 0 73022 0 16086 0 654641 0 81395 0 MONICA NIJOKA VICE PRES & CHIEF NURSING OFFICER 329992 0 82500 0 59036 0 77427 0 20647 0 569602 0 35388 0 PEYTON GRANT VICE PRES-FACILITIES MGT 276994 0 69250 0 48328 0 71570 0 16086 0 482228 0 33045 0 BENNETT CHERAMIE VICE PRES-INFO SERVICES 283629 0 70905 0 48311 0 64216 0 14547 0 481608 0 35994 0 DONALD SHAW VICE PRES-REVENUE CYCLE 246376 0 61594 0 55457 0 87311 0 6500 0 457238 0 32028 0 MEGHAN PARRISH VICE PRES CORPORATE COMM 213990 0 53500 0 28498 0 55601 0 20647 0 372236 0 26112 0 TRISHA GUIDRY CHIEF OPER OFFICER-THE GENERAL 0 204832 0 34716 0 4734 0 27029 0 20647 0 291958 0 0 ANDREW OLINDE MD BOARD MEMBER & CHIEF MED OFFICER 0 239990 0 39010 0 5856 0 0 0 0 0 284856 0 0 WM PAINE DIRECTOR-MANAGED CARE CONTRACTS 194279 0 650 0 0 0 22039 0 19139 0 236107 0 0 0 COREY DOUGHTY ESQ DIRECTOR LEGAL & RISK MANAGEMENT 173248 0 18323 0 0 0 17856 0 20647 0 230074 0 0 0 ANNE MANINT DIRECTOR-HUMAN RESOURCES 157789 0 16430 0 5354 0 22101 0 14547 0 216221 0 0 0 DARCY STAFFORD DIRECTOR WORK EXCELLENCE 177804 0 600 0 0 0 30822 0 5549 0 214775 0 0 0 PART I, LINE 1A CERTAIN KEY EXECUTIVES ARE PROVIDED A BENEFITS STIPEND IN ORDER TO ALLOW FOR SELF-DIRECTED BENEFITS. THE EXECUTIVE BENEFITS PACKAGE ALSO INCLUDES AN OPTIONAL WELLNESS BENEFIT THAT INCLUDES A WELLNESS ASSESSMENT. ALL OF THESE EXECUTIVE BENEFIT COSTS WERE INCLUDED IN THEIR 2020 AND/OR 2021 FORMS W-2 AS COMPENSATION. NO PERSONS LISTED IN 990 PART VII TRAVELLED FIRST CLASS OR BY CHARTER. NO BAORD MEMBERS OR EXECUTIVES' SPOUSE MEAL OR TRAVEL COSTS WERE INCURRED AT THE APRIL 21, 2021 ANNUAL BOARD RETREAT IN BATON ROUGE, LA. FOR THE ENTIRE TAX YEAR, NO EXECUTIVES' SPOUSAL MEAL AND/OR AIRFARE COSTS FOR BUSINESS-RELATED TRAVEL WERE PAID BY THE TAXPAYER. THESE COSTS, WHEN INCURRED, ARE INCLUDED IN THE LISTED PERSONS' COMPENSATION. OFFICERS, KEY EMPLOYEES AND 5 HIGHEST PAID EMPLOYEES LISTED IN PART II ARE EMPLOYED AND COMPENSATED BY GENERAL HEALTH SYSTEM (GHS). PART I, LINE 4B: EXECUTIVES PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN DESIGNED TO PROVIDE A RETIREMENT SUPPLEMENT. EXECUTIVES MAY DEFER A PRE-TAX PORTION OF THEIR WAGES AND THE ORGANIZATION PROVIDES A PERCENT OF WAGES SUPPLEMENT. THE AMOUNT PROVIDED IS DIRECTED BY THE BOARD AND THE BOARD'S COMPENSATION COMMITTEE BASED ON MARKET DATA PROVIDED BY AN INDEPENDENT BENEFIT CONSULTING FIRM THAT CONDUCTS A REVIEW OF RETIREMENT FUNDING FOR EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS. FUNDS DEPOSITED BY THE EMPLOYEES AND THE ORGANIZATION HAVE A RISK OF FORFEITURE TIED TO SOLVENCY, RETENTION, NON-COMPETITION AND/OR VESTING. PART I, LINE 7: IN ORDER TO MAKE HEALTHCARE COST EFFECTIVE AND OF THE HIGHEST QUALITY, VARIOUS EXECUTIVES LISTED IN THE 990 PART VII SECTION A HAD PART OF THEIR COMPENSATION PUT AT RISK AND PAID IN THE FORM OF A PERFORMANCE INCENTIVE BASED UPON A BALANCED SCORECARD THAT FACTORED IN QUALITY, EMPLOYEE ENGAGEMENT, PATIENT EXPERIENCE AND FINANCIAL STEWARDSHIP. SAID INCENTIVE PAYMENTS WERE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. PART II: BOARD MEMBER (BANDA) IS THE OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISTING OF 4 PHYSICIANS) THAT PROVIDES PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE AND GRADUATE MEDICAL EDUCATION SERVICES TO THE TAXPAYERS' HOSPITAL SUBSIDIARY (BATON ROUGE GENERAL MEDICAL CENTER). A BOARD MEMBER (OLINDE) PROVIDES SERVICES TO THE TAXPAYER'S HOSPITAL SUBSIDIARY (BATON ROUGE GENERAL MEDICAL CENTER) AS THE CHIEF MEDICAL OFFICER AND HIS COMPENSATION FOR THESE SERVICES IS IN PART II. OLINDE IS ALSO OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISTING OF 4 PHYSICIANS AND OTHER PROFESSIONALS) THAT PROVIDES VASCULAR STAFFING SERVICES TO THE TAXPAYER'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. THESE SERVICES ARE PROVIDED AT FAIR MARKET VALUES IN ACCORDANCE WITH MEDICAL SERVICES AGREEMENTS. ALSO SEE SCHEDULE L. QUALIFYING EXECUTIVES RECEIVE LUMP SUM PAYMENTS AS THE RESULT OF THE VESTING OF RETIREMENT BENEFITS DEPOSITED ON THEIR BEHALF IN PREVIOUS YEARS. OTHER REPORTABLE COMPENSATION PAID TO PHYSICIAN BOARD MEMBERS INCLUDES MEDICAL PRACTICE INCOME AND CONTRACTUAL PAYMENTS FOR PROFESSIONAL MEDICAL SERVICES. L MINSKY SPOUSE-BRD MEMBER 69229 EMPLOYEE COMPENSATION 0 HMG PHYSICIANS ETAL OFFICER 3423698 PROF MEDICAL SERVICES 0 VASCULAR SPECIALTY CENTER BRD MEMBER-OFFICER 576230 PROF MEDICAL SERVICES 0 THE LONG LAW FIRM BRD MEMBER 78022 LOBBYING SERVICES 0 DUTCHTOWN LLC BRD MEMBER 35268 REAL ESTATE LEASE 0 PART IV VARIOUS FAMILY MEMBERS OF CERTAIN BOARD MEMBERS AND OFFICERS ARE EMPLOYED BY THE TAXPAYER:LORI MINSKY IS THE SPOUSE OF BOARD MEMBER/CHIEF OF STAFF, LOUIS MINSKY.AN OFFICER(BANDA) IS THE OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISTING OF 4 PHYSICIANS) THAT PROVIDE PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE, MEDICAL DIRECTOR, PSYCH CALL COVERAGE AND GRADUATE MEDICAL EDUCATION SERVICES TO THE TAXPAYER'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. ALL SERVICES ARE PROVIDED AT FAIR MARKET VALUES IN ACCORDANCE WITH A MEDICAL SERVICES AGREEMENT.CHIEF MEDICAL OFFICER/BOARD MEMBER (OLINDE) IS AN OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISTING OF 4 PHYSICIANS AND OTHER PROFESSIONALS) THAT PROVIDES VASCULAR STAFFING SERVICES TO THE TAXPAYER'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. ALL SERVICES ARE PROVIDED AT FAIR MARKET VALUES IN ACCORDANCE WITH A MEDICAL SERVICES AGREEMENT.A BOARD MEMBER (JUBAN) IS A PRINCIPAL OF A LAW FIRM THAT PROVIDES LOBBYING AND GOVERNMENTAL CONSULTING SERVICES TO THE TAXPAYER AND THE TAXPAYER'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. SERVICES ARE PROVIDED AT FAIR MARKET VALUE IN ACCORDANCE WITH A PROFESSIONAL SERVICES AGREEMENT.A BOARD MEMBER (VATSAVAI) IS A PRINCIPAL IN A REAL ESTATE HOLDING COMPANY THAT LEASES MEDICAL CLINIC/OFFICE SPACE TO A TAXPAYER-RELATED PHYSICIAN CLINIC. FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAM SERVICES UNDERTAKEN DURING THE YEAR. IN JANUARY 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE CORONAVIRUS OUTBREAK A PUBLIC HEALTH EMERGENCY AND IN MARCH 2020, DECLARED IT TO BE A PANDEMIC. ACTIONS TAKEN AROUND THE WORLD TO HELP MITIGATE THE SPREAD OF THE CORONAVIRUS INCLUDED RESTRICTIONS ON TRAVEL, QUARANTINES IN CERTAIN AREAS AND FORCED CLOSURES FOR CERTAIN TYPES OF PUBLIC PLACES AND BUSINESSES. THE CORONAVIRUS AND THE ACTIONS TAKEN TO MITIGATE IT HAVE HAD, AND ARE EXPECTED TO CONTINUE TO HAVE, AN ADVERSE IMPACT ON THE ECONOMIES AND FINANCIAL MARKETS OF MANY COUNTRIES, INCLUDING THE UNITED STATES AND MORE SPECIFICALLY, THE STATE OF LOUISIANA. IN RESPONSE TO THE CORONAVIRUS OUTBREAK, THE LOUISIANA STATE GOVERNOR'S OFFICE OF HOMELAND SECURITY REACHED OUT TO PROVED FINANCIAL ASSISTANCE TO THE BATON ROUGE GENERAL MEDICAL CENTER TO ASSIST WITH START-UP COSTS RELATED TO THE RESTART OF ACUTE CARE SERVICES AT ITS MID CITY CAMPUS. THOSE EFFORTS BY THE BATON ROUGE GENERAL RESULTED IN THE FORMATION OF A REFORMED HOSPITAL, NOW KNOWN AS "THE GENERAL". THE ACUTE CARE SERVICES INCLUDED, BUT WERE NOT LIMITED TO, THE RAPID INCREASE (SURGE) OF EMERGENCY BEDS IN THE GREATER BATON ROUGE AREA TO ADDRESS THE INCREASING NEED FOR INPATIENT AND INTENSIVE CARE SERVICES. THE CREATION OF THE GENERAL RE-OPENED 129 ADDITIONAL ACUTE CARE BEDS WITH AN ADDITIONAL 102 AVAILABLE AS NEEDED TO RESPOND TO A RAPIDLY GROWING HEALTHCARE CRISIS. AS WELL, THE MID CITY CAMPUS RE-OPENED ITS 23,000 SQUARE FOOT, 33 BED EMERGENCY ROOM WHICH HAD BEEN CLOSED 5 YEARS BEFORE DUE TO UNSUSTAINABLE FINANCIAL LOSSES. IN RESPONSE TO THE ADVERSE ECONOMIC IMPACT OF COVID-19, THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITY ACT (CARES ACT) WAS ENACTED BY CONGRESS AND WAS SUBSEQUENTLY SIGNED INTO LAW IN MARCH 2020. THE CARES ACT INCLUDED A VARIETY OF ECONOMIC ASSISTANCE PROVISIONS FOR BUSINESS AND INDIVIDUALS. UNDER CERTAIN PROVISIONS IN THE CARES ACT, THE TAXPAYER RECEIVED FINANCIAL ASSISTANCE IN THE FORM OF HEALTHCARE PROVIDER RELIEF FUNDING. ALSO UNDER THE CARES ACT, THE TAXPAYER RECEIVED CURRENT PAYMENTS FOR FUTURE SERVICES UNDER THE MEDICARE ACCELERATED AND ADVANCE PAYMENTS PROGRAM (AAPP) IN APRIL 2020. FORM 990, PART VI, SECTION B, LINE 11B DURING PREPARATION OF THE 990, SENIOR ADMINISTRATIVE AND FINANCE LEADERS ARE CONSULTED TO PROVIDE ANY ADDITIONAL INFORMATION ON CERTAIN, VARIOUS TRANSACTIONS ON AN AS-NEEDED BASIS. UPON COMPLETION OF THE 990 BUT PRIOR TO FILING, SAID LEADERS ARE PROVIDED WITH A DRAFT COPY OF ALL FORMS/SCHEDULES FOR THEIR REVIEW AND COMMENTS. UPON CLEARING ANY REVIEW COMMENTS, REVISED DRAFT COPIES ARE EMAILED TO ALL MEMBERS OF THE BOARD VIA SECURE BOARD NETWORK. THE EXECUTIVE COMMITTEE HAS BEEN TASKED BY THE BOARD TO FULLY REVIEW THE FORM 990 AT THEIR NEXT MEETING AND FORWARD THEIR RECOMMENDATIONS TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C AS PART OF ITS ANNUAL WORK PLAN, THE INTERNAL AUDIT & CORPORATE COMPLIANCE DEPARTMENT ADMINISTERS A MANDATORY ELECTRONIC CONFLICT OF INTEREST (COI) SURVEY THROUGH WHICH ALL LEADERSHIP EMPLOYEES (RANGING FROM SUPERVISORS TO EXECUTIVE MANAGEMENT), GHS FOUNDATION BOARD MEMBERS AND TRUSTEES OF THE ORGANIZATION ARE PROMPTED TO TIMELY DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. AFTER THE SURVEY PERIOD IS OVER, MEMBERS OF THE INTERNAL AUDIT & CORPORATE COMPLIANCE DEPARTMENT SORT THROUGH & ORGANIZE ALL SURVEY RESPONSES RECEIVED AND CONDUCT AN INITIAL REVIEW OF ALL DISCLOSURES FLAGGED AS POTENTIAL CONFLICTS AND OBTAINS ADDITIONAL INFORMATION/DOCUMENTATION AS NECESSARY FROM KEY STAKEHOLDERS TO CLARIFY OR RECTIFY (THROUGH APPROPRIATE MITIGATION) ANY CONFLICTS NOTED SO AS TO ENSURE BUSINESS DECISIONS ARE DRIVEN BY THE BEST INTERESTS OF THE ORGANIZATION. UPON COMPLETION, THE CORPORATE COMPLIANCE OFFICER FORMALLY COMMUNICATES CONFLICT RESULTS TO THE CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER AND THE CHAIRMAN OF THE AUDIT/FINANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OVERSEES ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE ENGAGES AN INDEPENDENT THIRD PARTY CONSULTING FIRM TO CONDUCT AN ANNUAL INDEPENDENT MARKET-BASED COMPENSATION REVIEW OF EXECUTIVES IN COMPARABLE HEALTHCARE SYSTEMS AND USES THIS DATA IN DETERMINING REASONABLE AND APPROPRIATE EXECUTIVE COMPENSATION LEVELS. ALL COMPENSATION COMMITTEE MEMBERS ARE INDEPENDENT WITH NO CONFLICT OF INTEREST WITH REGARD TO EXECUTIVE COMPENSATION MATTERS. THE COMPENSATION COMMITTEE CONSIDERS MANY FACTORS IN DETERMINING EXECUTIVE PAY LEVELS. SOME OF THESE FACTORS ARE, BUT ARE NOT LIMITED TO, THE KNOWLEDGE, EXPERIENCE AND COMPETENCIES OF THE EXECUTIVE, PERFORMANCE OF THE EXECUTIVE, AREAS OF RESPONSIBILITY, IMPORTANCE OF EXECUTIVE RETENTION AND PEER CALIBRATION AND TALENT MANAGEMENT RATING. THE COMMITTEE DOCUMENTS ITS DECISIONS AND THE PROCESS IT FOLLOWS IN DETAILED AND CONTEMPORANEOUS MINUTES. IT DILIGENTLY FOLLOWS THE PRESCRIBED PROCESS FOR ESTABLISHING THE PRESUMPTION OF REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 19 THE TAXPAYER MAKES ALL GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND TAX RETURNS AVAILABLE TO THE GENERAL PUBLIC ON AN AS-REQUESTED BASIS. FORM 990, PART VII, LINE 1A: COLUMN F-OTHER COMPENSATION TO OFFICERS AND DESIGNATED EXECUTIVES INCLUDES 401K AND DEFERRED COMPENSATION BENEFITS SUBJECT TO FUTURE VESTING. SEE SCHEDULE J FOR ADDITIONAL INFORMATION RELATED TO EXECUTIVE COMPENSATION. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE ORGANIZATION'S AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES IS TASKED WITH THE OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS/ACCOUNTANTS. GENERAL INFO: THE GENERAL HEALTH SYSTEM (GHS) BOARD OF TRUSTEES ALSO SERVES AS THE BOARD OF TRUSTEES FOR ITS WHOLLY-OWNED, 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL, EIN 72-1025017. OFFICE PARK 73 LLC 8490 PICARDY AVE BATON ROUGE LA 70809 814150288 DORMANT LLC LA TAXPAYER RRS INVESTMENTS LLC 8490 PICARDY AVE BATON ROUGE LA 70809 INSUR COMPANY CJ TAXPAYER BATON ROUGE GENERAL MEDICAL CENTER 8490 PICARDY AVENUE BATON ROUGE LA 70809 721025017 HOSPITAL LA 501(C)(3) 3 N/A 0 GENERAL HEALTH SYSTEM FOUNDATION 8490 PICARDY AVENUE BATON ROUGE LA 70809 740801335 FOUNDATION LA 501(C)(3) 11 N/A 0 BEHAVIORAL HEALTH INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 720293168 DORMANT CORP. 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ALL MONIES COLLECTED FROM OR SPENT FOR ALL GHS-RELATED ENTITIES ARE DEPOSITED INTO/SPENT FROM CENTRALIZED GHS BANK ACCOUNTS AND ACCOUNTED FOR AS RECEIVED OR DISBURSED. THE ANNUAL NET AMOUNTS OF THESE TRANSACTIONS ARE REFLECTED AS GHS RECEIVABLES/LIABILITIES ON AN ONGOING BASIS. DUE TO THE MASSIVE NUMBER OF TRANSACTIONS DESCRIBED ABOVE, A PROPER, SEGREGATED ACCOUNTING IN THE MANNER PRESCRIBED BY SCHEDULE R IS NOT POSSIBLE AT THIS TIME.