2022-05-16T11:33:52-05:00 2021-06-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2020-07-01 237010520 MARY BIRD PERKINS CANCER CENTER MARY 2252151309 4950 ESSEN LANE BATON ROUGE LA 70809 DANA NEUCERE CFO 2252151309 2022-05-16 1 DANA NEUCERE 999009999 MEGAN COURTNEY P01571790 2259224600 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TODD D STEVENS 4950 ESSEN LANE BATON ROUGE LA 70809 42745794 0 X WWW.MARYBIRD.ORG X 1968 LA TO IMPROVE SURVIVORSHIP AND LESSEN THE BURDEN OF CANCER THROUGH EXPERT TREATMENT, COMPASSIONATE CARE, EARLY DETECTION, RESEARCH, AND EDUCATION. 21 20 424 27 0 0 3971018 8814428 30992685 31080838 408520 383165 3038051 2406860 38410274 42685291 78042 30000 0 0 27336191 27893285 0 0 1193202 12548440 12656031 39962673 40579316 -1552399 2105975 90678562 85168011 31565942 20315741 59112620 64852270 X TO IMPROVE SURVIVORSHIP AND LESSEN THE BURDEN OF CANCER THROUGH EXPERT TREATMENT, COMPASSIONATE CARE, EARLY DETECTION, RESEARCH, AND EDUCATION. 0 0 16307075 30000 23631834 PATIENT CARE ACTIVITIES:MARY BIRD PERKINS CANCER CENTER (MBPCC) IS THE LEADING CANCER CARE ORGANIZATION IN LOUISIANA PROVIDING STATE-OF-THE-ART RADIATION THERAPY TREATMENT AND COMPREHENSIVE CANCER CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY. MBPCC, THROUGH ITS SEVEN LOCATIONS, SERVES 18 PARISHES (COUNTIES) ACROSS SOUTHEAST LOUISIANA AND PORTIONS OF SOUTHWEST MISSISSIPPI, HOME TOAPPROXIMATELY 1.5 MILLION PEOPLE. DURING JULY 1, 2020 - JUNE 30, 2021, MBPCC PROVIDED APPROXIMATELY 42,468 RADIATION THERAPY TREATMENTS TO 5,592 PATIENTS SEEKING CANCER CARE. DURING THE SAME PERIOD, MBPCC PROVIDED CONTINUING CANCER CARE THROUGH 5,431 FOLLOW-UP PATIENT VISITS FOLLOWING THERAPY COMPLETION. PATIENTS RECEIVING CARE DURING JULY 1, 2020 JUNE 30, 2021 WERE PROVIDED ACCESS TO NATIONAL AND LOCAL CLINICAL RESEARCH TRIALS INVESTIGATING WAYS TO BETTER PREVENT, DETECT, DIAGNOSE, AND TREAT CANCER. MBPCC IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AND THE AMERICAN COLLEGE OF SURGEONS - TWO NATIONALLY RECOGNIZED ACCREDITING ORGANIZATIONS. DURING JULY 1, 2020 - JUNE 30, 2021, APPROXIMATELY 38% OF ITS GROSS PATIENT REVENUE WAS DERIVED FROM PATIENT PARTICIPATION IN EITHER THE MEDICARE OR MEDICAID PROGRAM. MBPCC IS THE SOLE PROVIDER OF RADIATION THERAPY SERVICES TO PATIENTS OF LSU HEALTH CARE SERVICES AND LALLIE KEMP REGIONAL MEDICAL CENTER, BOTH PUBLIC HOSPITALS SERVING THE MEDICALLY INDIGENT POPULATION IN SOUTHEAST LOUISIANA. COSTS INCURRED IN JULY 1, 2020 - JUNE 30, 2021 TO PROVIDE CARE IN EXCESS OF REIMBURSEMENT RECEIVED FROM THE MEDICARE AND MEDICAID PROGRAMS, WERE $5,685,000. MBPCC ALSO PROVIDED $130,447 OF DISCOUNTS AND WAIVED COLLECTION EFFORTS UNDER ITS PATIENT DISCOUNT POLICY FOR THOSE QUALIFYING PATIENTS. 2612824 4949831 CANCER PROGRAM ACTIVITIES:MBPCC BELIEVES COMMUNITIES BENEFIT WHEN THE EXPERTISE OF LOCAL HOSPITALS, PHYSICIANS, SUPPORT ORGANIZATIONS SOLELY FOCUSED ON CANCER ARE LINKED TOGETHER TO FORM A COMPREHENSIVE CANCER PROGRAM. CANCER PATIENTS BENEFIT FROM THE CONVENIENCE OF HIGH-QUALITY, ADVANCED MEDICAL TREATMENT AND CARE IN ONE LOCATION WITHIN THEIR COMMUNITY AT LESS COST TO BOTH ORGANIZATIONS. TO DATE, MBPCC HAS IMPLEMENTED THREE COMPREHENSIVE CANCER PROGRAM MODELS AND ASSUMED CERTAIN RESPONSIBILITIES FOR DEVELOPING AND DELIVERING THE CANCER CARE CONTINUUM TO THE LOCAL COMMUNITY. SERVICES INCLUDE CANCER PREVENTION EDUCATION, EARLY DETECTION, FREE CANCER SCREENING, AND TRANSPORTATION ASSISTANCE. AS WELL AS UNIQUE PROGRAMS OF PUBLIC AND PROFESSIONAL EDUCATION, CLINICAL TRIALS AND CANCER RESEARCH. DURING JULY 1, 2020 THROUGH JUNE 30, 2021, THE CANCER PROGRAMS SCREENED 4,214 PEOPLE AT 246 FREE CANCER SCREENING EVENTS FOR BREAST, PROSTATE, ORAL, COLON AND SKIN CANCERS. SINCE 2002, OVER 100,000 PEOPLE THROUGHOUT SOUTHEAST LOUISIANA HAVE BEEN SCREENED FOR CANCER AT NO COST TO PARTICIPANTS. JULY 1, 2020 THROUGH JUNE 30, 2021, 581 (14%) OF THE SCREENED PARTICIPANTS WERE NAVIGATED DUE TO ABNORMAL FINDINGS AND 48 WERE DIAGNOSED WITH CANCER. FOR THE UNINSURED, GRANTS AND DONATIONS PROVIDED FUNDING FOR FOLLOW-UP TESTS, SUCH AS COLONOSCOPIES AND BIOPSIES. EDUCATIONAL PROGRAMS REGARDING CANCER WERE CONDUCTED FOR 3,378 PEOPLE ATTENDING COMMUNITY EVENTS. EACH CANCER PROGRAM, INCLUDING OUTREACH, SURVIVORSHIP AND CLINICAL RESEARCH, RELIES ON GRANTS AND PHILANTHROPY TO FUND THESE SERVICES. 2743286 4930561 MEDICAL PHYSICS RESIDENCY PROGRAM:MBPCC PLAYS A SIGNIFICANT ROLE IN THE MARY BIRD PERKINS CANCER CENTER LOUISIANA STATE UNIVERSITY (MBPCC-LSU) MEDICAL PHYSICS AND HEALTH PHYSICS PROGRAM. THIS ACADEMIC PROGRAM PROVIDES DIDACTIC INSTRUCTION AND CLINICAL AND RESEARCH TRAINING TO THE LSU MS AND PHD GRADUATE STUDENTS IN MEDICAL PHYSICS. GRADUATES OF THIS PROGRAM BECOME MEDICAL PHYSICISTS. THE LSU MEDICAL PHYSICS ACADEMIC PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY TRAINING MEDICAL PHYSICISTS TO SERVE CANCER PROGRAMS NATIONWIDE. ALTHOUGH MUCH OF THE MBPCC MEDICAL PHYSICISTS' BUDGET SUPPORTS ITS PHD STAFF (LSU ADJUNCT FACULTY) TO PERFORM TRANSLATIONAL MEDICAL PHYSICS RESEARCH, IT ALSO INCLUDES TEACHING IN THE MBPCC - LSU MEDICAL PHYSICS PROGRAM AND MENTORING OF GRADUATE STUDENT RESEARCH. GRADUATE STUDENTS WORK TO COMPLETE OVER 20 RESEARCH PROJECTS EVERY YEAR IMPACTING CANCER TREATMENT WORLDWIDE. IN ADDITION, MBPCC PROVIDES STUDENT CLASSROOM SPACE, STUDENT OFFICES, TEACHING LABS, RESEARCH LABS, CLINICAL TRAINING FACILITIES, ADMINISTRATIVE SUPPORT AND SUPPLIES. MBPCC HAS NUMEROUS RESEARCH GRANTS, WHICH PROVIDE FUNDING FOR ITS MEDICAL PHYSICISTS, SUPPORT STAFF, AND POSTDOCTORAL FELLOWS, AS WELL AS LSU GRADUATE RESEARCH ASSISTANTS. 21663185 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 1 1 0 0 0 1 147 0 1 424 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 LA X DANA NEUCERE 2252151309 4950 ESSEN LANE BATON ROUGE LA 70809 ART E FAVRE CHAIR 1.00 X X 0 0 0 HANK N SAURAGE IV DIRECTOR 1.00 X 0 0 0 JERRY GOSS DIRECTOR 1.00 X 0 0 0 JOHN SMITH DIRECTOR 1.00 X 0 0 0 ALICE GREER DIRECTOR 1.00 X 0 0 0 CYNTHIA PETERSON DIRECTOR 1.00 X 0 0 0 MAWE TAKYI DIRECTOR 1.00 X 0 0 0 MATTHEW L MULLINS DIRECTOR 1.00 X 0 0 0 RONNIE DAIGLE DIRECTOR 1.00 X 0 0 0 ANTHONY O'CONNER DIRECTOR 1.00 X 0 0 0 MARK K DEARMAN DIRECTOR 1.00 X 0 0 0 KEVIN GARDNER DIRECTOR 1.00 X 0 0 0 CATHERINE S GIERING DIRECTOR 1.00 X 0 0 0 ERIC LANE DIRECTOR 1.00 X 0 0 0 LAURIE ARONSON DIRECTOR 1.00 X 0 0 0 BILL O'QUIN IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 ROSE HUDSON MBPCCF CHAIR 1.00 1.00 X X 0 0 0 CHARLES G WOOD MEDICAL DIRECTOR 1.00 X X 0 0 0 TODD D STEVENS PRESIDENT/CEO 40.00 1.00 X X 1067624 0 39672 VANEESA GRAHAM SECRETARY/TREASURER 1.00 X X 0 0 0 TOM ADAMEK VICE CHAIR 1.00 X X 0 0 0 DANA NEUCERE CFO/VP OF FINANCE 40.00 2.00 X 307670 0 32387 JONAS FONTENOT CHIEF OF PHYSICS; COO 40.00 X 675419 0 32726 JOCELYN AUSTIN-DUFFIN VP OF CANCER SUPPORT & OUTREACH 40.00 1.00 X 204826 0 28394 DANIELLE MACK VP OF DEVELOPMENT 40.00 1.00 X 144794 0 12953 SUSAN DICKERSON VP OF HUMAN RESOURCES 40.00 X 200149 0 15740 DANIEL NECK DEPUTY CHIEF, CLINICAL PHYSICS 40.00 X 282676 0 20767 KOREN SMITH GAUDETTE MEDICAL PHYSCIST/CQO 40.00 X 238206 0 10659 CONNEL CHU MEDICAL PHYSICIST 40.00 X 260630 0 50336 JEFFREY LONG MD PHYSICIAN 40.00 X 353296 0 25061 GREGORY COTTER MD PHYSICIAN 40.00 X 264690 0 13389 3999980 0 282084 41 0 1 0 SOUTHEAST LOUISIANA RADIATION ONCOLOGY G 4950 ESSEN LANE BATON ROUGE LA 70809 CONTRACT PHYSICIANS 5541207 COMPHEALTH 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 CONTRACT PHYSICIANS 371679 THE CHARTIST GROUP LLC 740 BROADWAY SUITE 1001 NEW YORK NY 10003 CONSULTING 358050 KATHLEEN C PERLEYDECODE DIGITAL MARKET 3815 MONTROSE BLVD 210 HOUSTON TX 77006 ADVERTISING 293987 LAMAR COMPANIES 5321 CORPORATE BLVD BATON ROUGE LA 70808 ADVERTISING 220676 10 220589 889122 5101800 2602917 18900 8814428 RADIATION TREATMENT & RELATED SER 624110 31080838 31080838 31080838 383165 383165 1614788 0 1614788 1614788 1614788 35975 220589 60503 -24528 -24528 MISCELLANEOUS 624100 642380 642380 INCREASE IN CASH SURRENDER VALUE 624100 139602 139602 RELEASE OF INFORMATION 624100 34618 34618 816600 42685291 33512226 0 358637 30000 30000 2647553 1243988 1403565 20749309 14098133 5726304 924872 796500 563532 195658 37310 2218518 868582 1279050 70886 1481405 1036181 384462 60762 66931 66931 1461386 326786 1096329 38271 802644 36846 765798 721151 201618 519533 96992 58502 35011 3479 509849 509849 4095067 3730 4091337 562244 35785 526459 REPAIRS & MAINTENANCE 1833056 1673170 143271 16615 MEDICAL SUPPLIES 1588553 1477615 110938 0 UTILITIES 1148306 1147494 812 0 OTHER EXPENSES 916460 673408 234073 8979 -1146608 -1812185 633549 32028 40579316 21663185 17722929 1193202 13739163 10993085 18055097 18628702 476482 253456 6642137 6188133 43459 13492 915000 751164 92715534 57954019 37457324 34761515 305627 330002 12161759 12226346 882514 1022116 90678562 85168011 7384542 5634794 23893474 14442555 287926 238392 31565942 20315741 X 58250731 63871251 861889 981019 59112620 64852270 90678562 85168011 X 2105975 2284265 1349408 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44106678 19269460 24837218 4990346 1684636 3305710 43618510 36999923 6618587 34761515 INVESTMENT IN STEMBPCC-GENERAL 6624378 C INVESTMENT IN CANCER SERVICES, INC. 4760983 C INVESTMENT IN GKOLA 840985 C 12226346 CREDIT BALANCE IN ACCOUNT RECEIVABLES 238392 238392 X PART X, LINE 2: MBPCC IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. MBPCC ESTABLISHED IOS FOR THE PURPOSE OF PROVIDING SERVICES TO MEDICAL PROVIDERS. A PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS BASED ON TAXABLE REVENUES. MBPCC ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH THE GUIDANCE INCLUDED IN THE ACCOUNTING STANDARDS CODIFICATION (ASC). MBPCC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE OCCURS. MBPCC HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS AT JUNE 30, 2021. WITH FEW EXCEPTIONS, THE STATUTE OF LIMITATIONS FOR THE EXAMINATION OF MBPCC'S INCOME TAX RETURNS IS GENERALLY THREE YEARS FROM THE DUE DATE OF THE TAX RETURN INCLUDING EXTENSIONS. BATON ROUGE GALA 161159 143918 17241 625 3394 713 500 23840 HOUMA GOLF AND GALA 87105 73246 13859 315 5791 1574 19393 1 8300 3425 4875 2487 0 108 -675 2438 256564 220589 35975 3427 9185 2395 -175 45671 60503 -24528 1 1 X 1 X 1 X 1 1 1 0 1 1 91821 91821 0.00230 4376312 4376312 0.10860 4468133 4468133 0.11090 3309753 808397 2501356 0.06210 623609 623609 0.01550 808965 808965 0.02010 4742327 808397 3933930 0.09770 9210460 808397 8402063 0.20860 1 679287 490489 6405885 8095112 -1689227 X 1 1 3 1 MARY BIRD PERKINS OUR LADY OF THE LAKE CANCER CENTER 4950 ESSEN LANE BATON ROUGE LA 70809 OUTPATIENT RADIATION ONCOLOGY 2 MARY BIRD PERKINS CANCER CENTER TGMC 8166 MAIN ST HOUMA LA 70360 OUTPATIENT RADIATION ONCOLOGY 3 MARY BIRD PERKINS CANCER CENTER STTAMMANY PARISH HOSPITAL 1203 SOUTH TYLER STREET COVINGTON LA 70433 OUTPATIENT RADIATION ONCOLOGY MARY BIRD PERKINS OUR LADY OF THE LAKE C 1 0 0 1 X X X X X X X 19 1 1 0 1 X 0 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X X 1 X X X X 1 X 0 X 0 X 0 0 MARY BIRD PERKINS CANCER CENTER TGMC 2 0 0 1 X X X X X X X 19 1 1 0 1 X 0 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X X 1 X X X X 1 X 0 X 0 X 0 0 MARY BIRD PERKINS CANCER CENTER STTAM 3 0 0 1 X X X X X X X 19 1 1 0 1 X 0 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X X 1 X X X X 1 X 0 X 0 X 0 0 MARY BIRD PERKINS OUR LADY OF THE LAKE CANCER CENT PART V, SECTION B, LINE 5: AN ANALYSIS OF SECONDARY DATA WAS CONDUCTED TO COMPLETE THIS ASSESSMENT. THE SOURCES OF THE SECONDARY DATA INCLUDE THE UNITED STATES CENSUS BUREAU, THE UNITED STATES DEPARTMENT OF LABOR - BUREAU OF LABOR STATISTICS, NATIONAL CANCER INSTITUTE, AND THE LOUISIANA TUMOR REGISTRY. MARY BIRD PERKINS CANCER CENTER @ TGMC PART V, SECTION B, LINE 5: AN ANALYSIS OF SECONDARY DATA WAS CONDUCTED TO COMPLETE THIS ASSESSMENT. THE SOURCES OF THE SECONDARY DATA INCLUDE THE UNITED STATES CENSUS BUREAU, THE UNITED STATES DEPARTMENT OF LABOR - BUREAU OF LABOR STATISTICS, NATIONAL CANCER INSTITUTE, AND THE LOUISIANA TUMOR REGISTRY. MARY BIRD PERKINS CANCER CENTER @ ST.TAMMANY PARIS PART V, SECTION B, LINE 5: AN ANALYSIS OF SECONDARY DATA WAS CONDUCTED TO COMPLETE THIS ASSESSMENT. THE SOURCES OF THE SECONDARY DATA INCLUDE THE UNITED STATES CENSUS BUREAU, THE UNITED STATES DEPARTMENT OF LABOR - BUREAU OF LABOR STATISTICS, NATIONAL CANCER INSTITUTE, AND THE LOUISIANA TUMOR REGISTRY. MARY BIRD PERKINS OUR LADY OF THE LAKE CANCER CENT PART V, SECTION B, LINE 6A: TERREBONNE GENERAL MEDICAL CENTER AND ST. TAMMANY PARISH HOSPITAL MARY BIRD PERKINS CANCER CENTER @ TGMC PART V, SECTION B, LINE 6A: OUR LADY OF THE LAKE HOSPITAL AND ST. TAMMANY PARISH HOSPITAL MARY BIRD PERKINS CANCER CENTER @ ST.TAMMANY PARIS PART V, SECTION B, LINE 6A: OUR LADY OF THE LAKE HOSPITAL AND TERREBONNE GENERAL MEDICAL CENTER MARY BIRD PERKINS OUR LADY OF THE LAKE CANCER CENT PART V, SECTION B, LINE 11: WE HAVE INCREASED EDUCATION IN THE COMMUNITY ABOUT THE REDUCTION OF RISK FACTORS INCLUDING THE CREATION OF INFOGRAPHICS. WE HAVE ALSO FOCUSED EFFORTS OF PROVIDING CANCER SCREENINGS IN THE HIGH NEEDS ZIP CODE AREAS. WE HAVE ALSO INCREASED TOBACCO CESSATION REFERRALS FOR PATIENTS UNDERGOING TREATMENT TO ASSIST THEM IN QUITTING. WE ARE ALSO ADDRESSING PATIENT BARRIERS THAT MAY IMPACT THEIR TREATMENT. THESE MEASURES INCLUDE TRANSPORATION ASSISTANCE, MEDICATION ASSISTANCE AND FINANCIAL ASSISTANCE. MARY BIRD PERKINS CANCER CENTER @ TGMC PART V, SECTION B, LINE 11: WE HAVE INCREASED EDUCATION IN THE COMMUNITY ABOUT THE REDUCTION OF RISK FACTORS INCLUDING THE CREATION OF INFOGRAPHICS. WE HAVE ALSO FOCUSED EFFORTS OF PROVIDING CANCER SCREENINGS IN THE HIGH NEEDS ZIP CODE AREAS. WE HAVE ALSO INCREASED TOBACCO CESSATION REFERRALS FOR PATIENTS UNDERGOING TREATMENT TO ASSIST THEM IN QUITTING. WE ARE ALSO ADDRESSING PATIENT BARRIERS THAT MAY IMPACT THEIR TREATMENT. THESE MEASURES INCLUDE TRANSPORATION ASSISTANCE, MEDICATION ASSISTANCE AND FINANCIAL ASSISTANCE. MARY BIRD PERKINS CANCER CENTER @ ST.TAMMANY PARIS PART V, SECTION B, LINE 11: WE HAVE INCREASED EDUCATION IN THE COMMUNITY ABOUT THE REDUCTION OF RISK FACTORS INCLUDING THE CREATION OF INFOGRAPHICS. WE HAVE ALSO FOCUSED EFFORTS OF PROVIDING CANCER SCREENINGS IN THE HIGH NEEDS ZIP CODE AREAS. WE HAVE ALSO INCREASED TOBACCO CESSATION REFERRALS FOR PATIENTS UNDERGOING TREATMENT TO ASSIST THEM IN QUITTING. WE ARE ALSO ADDRESSING PATIENT BARRIERS THAT MAY IMPACT THEIR TREATMENT. THESE MEASURES INCLUDE TRANSPORATION ASSISTANCE, MEDICATION ASSISTANCE AND FINANCIAL ASSISTANCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 277,421. 0 MARY BIRD PERKINS CANCER CENTER FOUNDATION 4950 ESSEN LANE BATON ROUGE LA 70809 202046461 30000 CASH ASSISTANCE TO MARY BIRD PERKINS CANCER CENTER FOUNDATION. 1 0 X X X X 0 1 0 0 0 0 0 0 0 TODD D STEVENS PRESIDENT/CEO 612552 0 201250 0 253822 0 14153 0 25519 0 1107296 0 0 0 JONAS FONTENOT CHIEF OF PHYSICS; COO 396662 0 96750 0 182007 0 13807 0 18919 0 708145 0 0 0 JEFFREY LONG MD PHYSICIAN 309796 0 43500 0 0 0 14584 0 10477 0 378357 0 0 0 DANA NEUCERE CFO/VP OF FINANCE 251439 0 50000 0 6231 0 13471 0 18916 0 340057 0 0 0 CONNEL CHU MEDICAL PHYSICIST 245238 0 15392 0 0 0 12067 0 38269 0 310966 0 0 0 DANIEL NECK DEPUTY CHIEF, CLINICAL PHYSICS 258109 0 24567 0 0 0 13001 0 7766 0 303443 0 0 0 GREGORY COTTER MD PHYSICIAN 244690 0 20000 0 0 0 11719 0 1670 0 278079 0 0 0 KOREN SMITH GAUDETTE MEDICAL PHYSCIST/CQO 217206 0 21000 0 0 0 10350 0 309 0 248865 0 0 0 JOCELYN AUSTIN-DUFFIN VP OF CANCER SUPPORT & OUTREACH 172345 0 26250 0 6231 0 9413 0 18981 0 233220 0 0 0 SUSAN DICKERSON VP OF HUMAN RESOURCES 169168 0 24750 0 6231 0 8563 0 7177 0 215889 0 0 0 DANIELLE MACK VP OF DEVELOPMENT 120852 0 20250 0 3692 0 6403 0 6550 0 157747 0 0 0 PART I, LINE 4B TODD STEVENS - $50,000 DEFERRED COMPENSATION JONAS FONTENOT - $50,000 DEFERRED COMPENSATION DANA NEUCERE - $10,000 DEFERRED COMPENSATION A LA COMMUNITY DEVELOPMENT AUTHORITY 721416168 2010-12-07 12759990 OFFICE AND EQUIPMENT IMPROVEMENTS 0 0 0 B LA COMMUNITY DEVELOPMENT AUTHORITY 721416168 2013-08-30 15500000 BUILDING IMPROVEMENTS 0 0 0 A 12759990 64167 12695823 2010 0 0 1 1 B 15500000 27500 15472500 2013 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 0 1 REGIONS FINANCIAL CORP 0 0 0 0 0 B 0 0 0 0 0 1 REGIONS FINANCIAL CORP 0 0 0 0 0 A 0 B 0 DR ASHLEY BROWN PHYSICIAN ADDENDUM TO EMPLOYMENT CONTRACT X 25000 13492 0 0 1 13492 BRETT FURR BRETT FURR IS A BOARD MEMBER OF THE ORG, AND A PARTNER OF TAYLOR PORTER 79066 THE ORGANIZATION PAID TAYLOR PORTER $79,066 FOR LEGAL SERVICES. BRETT FURR, A BOARD MEMBER OF THE ORGANIZATION, IS ALSO A PARTNER OF TAYLOR PORTER. 0 DR CHARLES WOOD DR. CHARLES WOOD IS A BOARD MEMBER OF THE ORG, AND A PARTNER OF SOUTHEAST 5247005 THE ORGANIZATION PAID SOUTHEAST LOUISIANA RADIATION ONCOLOGY GROUP $5,247,005 FOR PHYSICIAN SERVICES. DR. CHARLES WOOD, A BOARD MEMBER OF THE ORGANIZATION, IS ALSO A PARTNER OF SOUTHEAST LOUISIANA RADIATION ONCOLOGY GROUP. 0 ANTHONY O'CONNER BOARD MEMBER/STORE MANAGER AT LEE MICHAELS 13575 THE ORGANIZATION PAID ANTHONY O'CONNER $13,575 FOR GIFTS. ANTHONY O'CONNER, A BOARD MEMBER OF THE ORGANIZATION, IS ALSO THE STORE MANAGER AT LEE MICHAELS. 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL DISCLOSURE FORM IS REQUIRED TO BE SIGNED EACH YEAR AT THE ANNUAL BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHOSE COMPOSITION CONSISTS OF INDEPENDENT DIRECTORS, CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: EARNINGS FROM SUBSIDIARY 1,089,589. CHANGE IN VALUE OF DERIVATIVE LIABILITY 259,822. ROUNDING -3. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. MARY BIRD PERKINS CANCER CENTER FOUNDATION 4950 ESSEN LANE BATON ROUGE LA 70809 202046461 BUILD A LONG-TERM SUSTAINABLE ENDOWMENT FUND & TO SUPPORT MBPCC LA SECTION 501(A)OF IRC TYPE 1 MARY BIRD PERKINS CANCER CENTER 1 CANCER SERVICES INC 4950 ESSEN LANE BATON ROUGE LA 70809 824227871 TO IMPROVE LIFE FOR THOSE LIVING WITH CANCER LA SECTION 501(A)OF IRC TYPE 1 MARY BIRD PERKINS CANCER CENTER 1 ST ELIZABETH - MARY BIRD PERKINS CANCER CENTER 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 TO IMPROVE SURVIVORSHIP AND LESSEN THE BURDEN OF CANCER LA MARY BIRD PERKINS RELATED 517231 6799755 0 1 0.65000 1 1 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 MARY BIRD PERKINS CANCER CENTER FOUNDATION C 588125 FAIR MARKET VALUE MARY BIRD PERKINS CANCER CENTER FOUNDATION R 25275 FAIR MARKET VALUE MARY BIRD PERKINS CANCER CENTER FOUNDATION E 666667 FAIR MARKET VALUE ST ELIZABETH - MARY BIRD PERKINS CANCER CENTER M 623213 FAIR MARKET VALUE ST ELIZABETH - MARY BIRD PERKINS CANCER CENTER O 820525 FAIR MARKET VALUE CANCER SERVICES INC O 427034 FAIR MARKET VALUE MARY BIRD PERKINS CANCER CENTER FOUNDATION R 296296 FAIR MARKET VALUE MARY BIRD PERKINS CANCER CENTER FOUNDATION B 30000 FAIR MARKET VALUE