2019-08-15T12:46:15-05:00 2018-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2017-10-01 720475545 GENERAL HEALTH SYSTEM GENE 2252371547 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 KENDALL JOHNSON CPA VICE PRESIDENT & CFO 2252371547 2019-08-14 JON LEBLANC P01525561 2259224600 206.124.204.139 2019-08-14 15:32:20 CD P 600AF38AFA635E39285558481902409909BEF8B1 1EC82CBA1876314190416BF4AD28BADFAE2DBC80 2017 2019-02-21 02:37:17Z EDGARDO TENREIRO 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 109615881 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. 15 8 3385 0 2498713 27001 0 11679 99572025 102405766 2054351 1246098 5653673 5952338 107280049 109615881 323915 304500 0 0 61441909 37067806 0 0 0 62663413 64701672 124429237 102073978 -17149188 7541903 186607379 191223189 87140451 79884708 99466928 111338481 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. 0 0 33472051 41111904 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, 2 CAMPUS HOSPITAL SYSTEM AND IS AN IRC SEC. 501(C)(3) ORGANIZATION, ITS ID # IS 72-1025017. 16933701 22699176 GENERAL HEALTH SYSTEM ALSO PROVIDES ALL HUMAN RESOURCES SERVICES AND ADMINISTERS ALL EMPLOYEES' BENEFITS PROGRAMS FOR ALL OF ITS AFFILIATES IN AN EFFICIENT, COST EFFECTIVE MANNER. 31368255 304500 42048311 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 AFFILIATE (BATON ROUGE GENERAL MEDICAL CENTER # 72-1025017) AND ITS FOR-PROFIT AFFILIATES. 81774007 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 229 0 1 3385 1 1 1 0 0 0 0 0 0 0 X 15 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X GLENN SMITH 2252371547 8490 PICARDY AVE 300 BATON ROUGE LA 70809 X EDGARDO TENREIRO PRES & CEO 50.00 X X 716452 0 175268 ANDREW OLINDE MD BOARD MEMBER & CHIEF MED O 10.00 X X 0 97083 0 VENKAT BANDA MD BOARD MEMBER 3.00 X X 226373 0 0 CHARLES D'AGOSTINO BOARD MEMBER 3.00 X 0 0 0 PERRY FRANKLIN BOARD MEMBER 3.00 X 0 0 0 GWEN HAMILTON BOARD MEMBER 3.00 X 0 0 0 MARGARET HART BOARD MEMBER 3.00 X 0 0 0 JOSEPH JUBAN ESQ BOARD MEMBER 3.00 X 0 0 0 ROY G KADAIR MD BOARD MEMBER 3.00 X 0 0 0 DEBRA LOCKWOOD CPA BOARD MEMBER 3.00 X 0 0 0 PHYLLIS MCLAURIN BOARD MEMBER 3.00 X 0 0 0 ISABELINA NAHMENS PHD BOARD MEMBER 3.00 X 0 0 0 REV RONNIE WILLIAMS BOARD MEMBER 3.00 X 0 0 0 GARY GRAPHIA BOARD MEMBER 3.00 X 0 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 50.00 X 501009 0 108662 MONICA NIJOKA VICE PRES & CNO 50.00 X 281622 0 86852 STEPHEN MUMFORD VICE PRES & CHIEF OPERATING OFFICER 50.00 X 252896 0 71222 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES & STRATEGY 50.00 X 347178 0 64333 LOUIS MINSKY MD BRD MEMBER & CHIEF OF STAFF 50.00 X 737024 0 51272 BENNETT CHERAMIE VICE PRES-INFO SERVICES 50.00 X 288651 0 69761 PEYTON GRANT VICE PRES-FACILITIES MGT 50.00 X 242689 0 74167 ROBERT KENNEY MD VICE PRES-MEDICAL OPERATIO 50.00 X 274425 0 26032 JEREMY ROGERS COO-BRG PHYSICIANS GROUP 50.00 X 195056 0 61061 DONALD SHAW VICE PRES-REVENUE CYCLE 50.00 X 270510 0 67042 KENNY COLE MD - CHIEF TRANSFORMATION OFFICER 50.00 X 474912 0 104713 WM PAINE DIRECTOR-MANAGED CARE CONT 50.00 X 190440 0 32573 COREY DOUGHTY ESQ DIRECTOR LEGAL & RISK MANAGEMENT 50.00 X 171947 0 19963 MEGHAN PARRISH VICE PRES & CORPORATE COMMUNICATIONS 50.00 X 153620 0 48921 DARCY STAFFORD DIRECTOR WORK EXCELLENCE 50.00 X 141826 0 33471 ANNA CAZES FORMER VP & CHIEF NURSING OFFICER 0.00 X 313525 0 53261 DIONNE VIATOR CPA FORMER VP & CHIEF BUSINESS DEV OFFICER 0.00 X 708177 0 0 6488332 97083 1148574 38 1 1 0 DIANE ALLEN & ASSOC PO BOX 66337 BATON ROUGE LA 70896 ADVERT/MKTING SERVICES 2026357 GJERSET AND LORENZ 2801 VIA FORTUNA 500 AUSTIN TX 78746 CONSULTING SERVICES 1988473 CHANGE HEALTHCARE PO BOX 742526 ATLANTA GA 30374 COLLECTION FEES 1248375 TRANSFORMX 6867 BLUEBONNET BLVD BATON ROUGE LA 70810 INFO TECHNOLOGY SVCS 1121100 WATSON BLANCHE PO DRAWER 2995 BATON ROUGE LA 70821 LEGAL SERVICES 759098 14 11679 11679 MANAGEMENT FEES REVENUE 541610 99907053 99907053 MGT FEES REVENUE-FOR PROFIT 541610 2498713 2498713 102405766 1246098 1246098 5952338 0 5952338 5952338 5952338 109615881 105859391 2498713 1246098 304500 304500 4588345 3670676 917669 10159924 8127939 2031985 3606544 2885235 721309 17560582 14048466 3512116 1152411 947432 204979 1280590 1024472 256118 227793 182234 45559 636615 509292 127323 2345512 1876410 469102 3086704 2469363 617341 1393608 1114887 278721 41840064 33472051 8368013 691118 552894 138224 101153 80922 20231 9659 7727 1932 1639960 1311968 327992 5085785 4068628 1017157 3907127 3125702 781425 EQUIPMENT RENTAL & MAIN 887851 710281 177570 TAXES AND LICENSES 810800 648640 162160 OTHER EXPENSES 344568 304076 40492 REIMBURSED EXPENSES 259981 207985 51996 152784 122227 30557 102073978 81774007 20299971 0 -2782084 -1295784 79000988 76620965 9127514 14708288 6604026 5634010 131796836 54271178 81049412 77525658 3591233 6567436 10016290 11462616 186607379 191223189 33286463 34638878 1284366 1131319 33219631 31857968 19349991 12256543 87140451 79884708 X 99466928 111338481 99466928 111338481 186607379 191223189 7541903 4329650 0 X X 0 1 X 1 1 1 X X 4 BATON ROUGE GENERAL MEDICAL CENTER 721025017 3 1 96504935 0 GENERAL HEALTH SYSTEM FOUNDATION 740801335 7 1 64542 0 BEHAVIORAL HEALTH INC 720893168 3 1 0 0 GENERAL LIVING CENTERS INC 581705626 10 1 0 0 4 96569477 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PAGE 5 SECTIONS D 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 RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BOARD BASE KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PAGE 5 SECTION E GENERAL HEALTH SYSTEM (GHS) OWN 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 SERVES AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, 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 GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PAGE 5 SECTION E GENERAL HEALTH SYSTEM (GHS) OWN 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 SERVES AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, 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 GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. 1 1 0 1 1 0 1 0 0 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 G - COSTS WERE LIMITED TO IN-TOWN TRAVEL AT MINIMAL DIRECT COST. 21603621 21603621 68944080 22429693 46514387 119529 119529 0 39047210 31721956 7325254 2082396 2082396 77525658 MISCELLANEOUS RECEIVABLES 3256315 DEFERRED BOND ISSUE COSTS 135656 GOODWILL, NET 383440 AMOUNTS DUE FROM AFFILIATED ORGANIZATIONS 7687205 11462616 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. 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, 2018 AND 2017, OF APPROXIMATELY $87,423,000 AND $90,914,000, RESPECTIVELY. AT SEPTEMBER 30, 2018, ONE OF THE FOR-PROFIT SUBSIDIARIES HAD $7,514,000 OF UNUSED NET OPERATING LOSS FROM FISCAL YEAR 1998. THIS CARRYOVER AMOUNT HAS NOW EXPIRED AND IS NOT AVAILABLE FOR CARRYOVER TO FISCAL YEAR 2019. THE REMAINING NET OPERATING LOSS CARRYFORWARDS EXPIRE IN VARYING AMOUNTS BEGINNING IN 2019 THROUGH 2038. 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 INCOME TAX EXPENSE. CENTRAL AMERICA AND CARIBBEAN 0 3 SELF INSURANCE 1075949 0 3 0 0 0 3 1075949 0 1075949 0 0 1 0 0 0 FORM 990, SCHEDULE F ON APRIL 6, 2016, GENERAL HEALTH SYSTEM FORMED A CAPTIVE INSURANCE COMPANY FOR SELF-INSURANCE IN THE CAYMAN ISLANDS. 1 1 X 1 X 1 X 1 1 0 1 1 1687448 1687448 0.00410 47101247 22911619 24189628 0.05820 48788695 22911619 25877076 0.06230 43667 268031 268031 0.00060 9178109 5179080 3999029 0.00960 48965 40730811 28083452 12647359 0.03040 438840 65411 373429 0.00080 1110441 1110441 0.00270 92632 51726232 33327943 18398289 0.04410 92632 100514927 56239562 44275365 0.10640 0 16408095 86918567 100189059 -13270492 X 1 1 1 1 BRGMC - MID CITY AND BLUEBONNET CAMPUSES 8490 PICARDY AEVNUE BATON ROUGE LA 70809 WWW.BRGENERAL.ORG LA LICENSE # H00001608 X X X X BRGMC - MID CITY AND BLUEBONNET CAMPUSES 0 0 1 X X X X X X X X 17 1 1 1 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 17 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 BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 5: THE BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) SERVES THE NEEDS OF THE COMMUNITY THROUGH ITS COMMITMENT TO EXCEPTIONAL PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. IN ORDER TO IDENTIFY THE HEALTH AND WELLNESS NEEDS OF THE BATON ROUGE AREA, BRGMC PARTICIPATED IN THE MAYOR'S HEALTHY CITY INITIATIVE TO ENCOURAGE BATON ROUGE AREA RESIDENTS TO ADOPT A HEALTHIER AND MORE ACTIVE LIFESTYLE. PARTICIPATING IN THE INITIATIVE INCLUDED, BUT WERE NOT LIMITED TO, BRGMC, THE OFFICE OF MAYOR-PRESIDENT KIP HOLDEN, BLUE CROSS/BLUE SHIELD OF LOUISIANA, OUR LADY OF THE LAKE MEDICAL CENTER, WOMANS HOSPITAL OF BATON ROUGE, LANE MEMORIAL HOSPITAL, OFFICE OF US SENATOR JOHN KENNEDY, EBR PARISH SCHOOL SYSTEM, LSU HEALTH SCIENCES CENTER-LA, PRIMARY CARE ASSOCIATION, AMERICAN HEART ASSOCIATION, THE BATON ROUGE CLINIC, LSU PENNINGTON BIOMEDICAL RESEARCH CENTER AMONG A GROUP OF 25 MAJOR COMMUNITY GROUPS IN THE AREA. THE MAYOR'S HEALTHY CITY INITIATIVE IS COMPOSED OF 3 SEPARATE BUT COMPATIBLE ADVISORY BOARDS TARGETING HEALTH PRIORITIES THROUGHOUT EAST BATON ROUGE PARISH AND SURROUNDING AREAS. THOSE BOARDS ARE: LIVE HEALTHY BR THAT FOCUSES ON HEALTHY EATING, MED BR THAT FOCUSES ON ACCESS TO CARE, AND THE HEALTH INNOVATION CENTER THAT FOCUSES ON EVALUATION AND EFFECTIVE USE OF RESOURCES FROM AN ACADEMIC PERSPECTIVE. COORDINATION AMONG THESE VARIOUS PARTICIPANTS SERVED TO COORDINATE THE ASSESSMENT AND AVOID DUPLICATE EFFORTS TO INCREASE THE VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTHCARE NEEDS. BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 6A: IN ADDITION TO BRGMC'S PARTICIPATION IN THE 2015 & 2018 CHNA, OTHER AREA HOSPITAL PARTICIPANTS INCLUDED LANE REGIONAL MEDICAL CENTER, OCHSNER HEALTH SYSTEM-BATON ROUGE, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, WOMAN'S HOSPITAL, LSU HEALTH SCIENCES CENTER, LSU PENNINGTON BIOMEDICAL RESEARCH CENTER, LOUISIANA HOSPITAL ASSOCIATION. BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 11: THE 2018 CHNA IDENTIFIED 10 HEALTHCARE NEEDS OF THE GREATER BATON ROUGE AREA. WHILE BRGMC DEVOTES MUCH TIME, TALENT AND RESOURCES TO ALL OF THE IDENTIFIED NEEDS, THE TAXPAYER HAS ELECTED TO BRING A MUCH SHARPER FOCUS AND CONCENTRATION TO THE AREAS OF HIV/STD RATES, OBESITY PREVENTION, ACCESS TO EMERGENCY CARE AND MENTAL HEALTH/SUBSTANCE ABUSE TREATMENT. BRGMC HAS DETERMINED THAT THESE TOP 4 PRIORITIES HAVE THE POTENTIAL TO GREATLY INFLUENCE MORE THAN ONE AREA OF NEED AND THE GREATEST POTENTIAL FOR COMMUNITY-WIDE POSITIVE IMPACT. BRGMC AND ITS COMMUNITY PARTNERS HAVE COLLABORATED ON A THREE YEAR JOINT IMPLEMENTATION PLAN THAT WILL ADDRESS THESE NEEDS ACROSS THE BATON ROUGE COMMUNITY. IT SHOULD BE NOTED THAT OTHER PARTICIPANTS HAVE ELECTED THEIR OWN TOP 4 PRIORITIES ON A COORDINATED BASIS SO AS TO PROVIDE A HIGH LEVEL OF DEPTH AND VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTH NEEDS. MUCH MORE INFORMATION IS AVAILABLE AS TO THE EFFORTS OF THE TAXPAYER AT THE URL LISTED ON PAGE 4, QUES. 10A. AS WELL AS THE FOLLOWING: HTTP://WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. THE 2018 CHNA IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS: OBESITY, HIV/AIDS AND OTHER STIS, MENTAL AND BEHAVIORAL HEALTH, AND OVERUSE OF EMERGENCY DEPARTMENTS. IN ACCORDANCE WITH FEDERAL REGULATIONS, EACH HOSPITAL MUST SUBMIT AN IMPLEMENTATION PLAN THAT SPEAKS TO HOW THEY WILL ADDRESS EACH IDENTIFIED SIGNIFICANT NEED. ALONG WITH THE JOINT CHNA, THE COLLABORATING HOSPITALS HAVE CHOSEN TO SUBMIT A JOINT COMMUNITY IMPLEMENTATION PLAN THAT OUTLINES THE COMMUNITY-LEVEL STEPS THE HOSPITALS AND THE MHCI PARTNERS TAKE TO ADDRESS EACH SIGNIFICANT NEED IDENTIFIED. THIS JOINT COMMUNITY IMPLEMENTATIONPLAN WAS UPDATED IN THE SPRING 2017 AND CAN BE FOUND AT: HTTP//WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PART V, SECTION B, LINE 4 THE ORGANIZATION CONDUCTED ITS THIRD COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2018 TO COVER THE PERIOD 2018-2020 (TAX YEARS 2017-2019). 11 1 - FAMILY HEALTH CENTER 3801 NORTH BLVD BATON ROUGE LA 70806 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 - BRG IMAGING CENTER-DIJON 5422 DIJON DRIVE BATON ROUGE LA 70809 CLINICAL LOCATION 11 - BRG IMAGING CENTER-ONEAL 2550 ONEAL LANE BATON ROUGE LA 70816 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 2018 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 2 HOSPITAL CAMPUSES, MID CITY AND BLUEBONNET. 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. 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 2018, 45 SELECTED STUDENTS (IN MAY 2017, 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 HEALTH DISTRICT 5246 BRITTANY DRIVE BATON ROUGE LA 70808 452593574 501C3 150000 GENERAL SUPPORT CANCER ASSOC OF NEW ORLEANS 824 ELMWOOD PARK NEW ORLEANS LA 70123 720517802 501C3 10000 GENERAL SUPPORT BATON ROUGE CHAMBER OF COMMERCE 564 LAUREL STREET BATON ROUGE LA 70801 720126959 501C3 53500 GENERAL SUPPORT CRISIS COALITION 8440 JEFFERSON HWY BATON ROUGE LA 70802 473474949 501C3 5000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 2644 S SHERWOOD FOREST BATON ROUGE LA 70816 135613797 501C3 35000 GENERAL SUPPORT FRONT YARD BIKES 700 TERRACE ST BATON ROUGE LA 70802 461149453 501C3 5000 GENERAL SUPPORT HOPE MINISTRIES OF BATON ROUGE 4634 WINBOURNE AVE BATON ROUGE LA 70805 721245521 501C3 12500 GENERAL SUPPORT MID CITY REDEVELOPMENT ALLIANCE 419 N 19TH STREET BATON ROUGE LA 70802 721196990 501C3 25000 GENERAL SUPPORT GENERAL SUPPORT 7 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 X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 EDGARDO TENREIRO PRES & CEO 646000 0 0 0 70452 0 157630 0 17638 0 891720 0 57915 0 VENKAT BANDA MD BOARD MEMBER 0 0 0 0 226373 0 0 0 0 0 226373 0 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 428000 0 0 0 73009 0 89880 0 18782 0 609671 0 59280 0 MONICA NIJOKA VICE PRES & CNO 280000 0 0 0 1622 0 68070 0 18782 0 368474 0 0 0 STEPHEN MUMFORD VICE PRES & CHIEF OPERATING OFFICER 218293 0 0 0 34603 0 52440 0 18782 0 324118 0 25783 0 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES & STRATEGY 305826 0 0 0 41352 0 55386 0 8947 0 411511 0 18944 0 LOUIS MINSKY MD BRD MEMBER & CHIEF OF STAFF 420000 0 0 0 317024 0 32100 0 19172 0 788296 0 0 0 BENNETT CHERAMIE VICE PRES-INFO SERVICES 250956 0 0 0 37695 0 58134 0 11627 0 358412 0 30602 0 PEYTON GRANT VICE PRES-FACILITIES MGT 211000 0 0 0 31689 0 59531 0 14636 0 316856 0 26235 0 ROBERT KENNEY MD VICE PRES-MEDICAL OPERATIO 271523 0 0 0 2902 0 8290 0 17742 0 300457 0 0 0 JEREMY ROGERS COO-BRG PHYSICIANS GROUP 179134 0 0 0 15922 0 42279 0 18782 0 256117 0 15933 0 DONALD SHAW VICE PRES-REVENUE CYCLE 223000 0 0 0 47510 0 61142 0 5900 0 337552 0 30033 0 KENNY COLE MD - CHIEF TRANSFORMATION OFFICER 460000 0 0 0 14912 0 85931 0 18782 0 579625 0 0 0 WM PAINE DIRECTOR-MANAGED CARE CONT 173207 0 12733 0 4500 0 14935 0 17638 0 223013 0 0 0 COREY DOUGHTY ESQ DIRECTOR LEGAL & RISK MANAGEMENT 156125 0 11322 0 4500 0 5327 0 14636 0 191910 0 0 0 MEGHAN PARRISH VICE PRES & CORPORATE COMMUNICATIONS 142420 0 0 0 11200 0 36171 0 12750 0 202541 0 0 0 DARCY STAFFORD DIRECTOR WORK EXCELLENCE 130000 0 9103 0 2723 0 27571 0 5900 0 175297 0 0 0 ANNA CAZES FORMER VP & CHIEF NURSING OFFICER 0 0 0 0 313525 0 36646 0 16615 0 366786 0 74418 0 DIONNE VIATOR CPA FORMER VP & CHIEF BUSINESS DEV OFFIC 0 0 0 0 708177 0 0 0 0 0 708177 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 AND THE AVAILABILITY OF A PERSONAL FITNESS TRAINER. 9 EXECUTIVES UTILIZED THIS PARTICULAR BENEFIT. ALL OF THESE BENEFITS (COSTING $48,832) WERE INCLUDED ON THEIR 2017 AND/OR 2018 FORMS W-2 AS COMPENSATION. NO PERSONS LISTED IN 990 PART VII TRAVELED FIRST CLASS OR BY CHARTER. 14 BOARD MEMBERS AND EXECUTIVES' SPOUSE MEAL COSTS (TOTALLING $4,727) AT THE FEBRUARY 2018 ANNUAL BOARD RETREAT IN NEW ORLEANS, LA WERE PAID BY THE TAXPAYER. FOR THE ENTIRE YEAR, 7 EXECUTIVES AND 1 BOARD MEMBER'S SPOUSAL MEAL AND/OR AIRFARE COSTS (TOTALLING $4,170) FOR BUSINESS-RELATED TRAVEL WERE PAID BY THE TAXPAYER. THESE COSTS WERE NOT 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 4A: FORMER CHIEF NURSING OFFICER (CAZES) WAS SEPARATED FROM SERVICE IN NOVEMBER 2016 AND WAS PAID A BI-WEEKLY SEVERANCE AND ACCRUED BENEFIT PAYOUT ($283,126 TOTAL) UNTIL NOVEMBER 2017. ALL SEVERANCE AND ACCRUED BENEFIT PAYMENTS ARE REPORTED ON THE EXECUTIVES' FORMS W-2 IN THE CALENDAR YEAR IN WHICH PAID. FORMER CHIEF BUSINESS DEVELOPMENT OFFICER (VIATOR) WAS SEPARATED FROM SERVICE IN JANUARY 2015 AND WAS PAID A VESTED DEFERRED RETIREMENT BENEFIT IN FEB 2017. 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 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, PEOPLE, SERVICE AND FINANCIAL PILLAR RESULTS. 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 77 PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS) THAT PROVIDES HOSPITALIST, PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE AND GRADUATE MEDICAL EDUCATION SERVICES TO THE TAXPAYER. 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 INCLUDE MEDICAL PRACTICE INCOME AND CONTRACTUAL PAYMENTS FOR PROFESSIONAL SERVICES. R MORRIS DAUGHTER OF BRD MEMBER 93153 EMPLOYEE COMPENSATION 0 M FRANKLIN SPOUSE OF BRD MEMBER 13213 EMPLOYEE COMPENSATION 0 J CAZES SPOUSE OF CNO 72824 EMPLOYEE COMPENSATION 0 HMG PHYSICIANS LLC BRD MEMBER 6579418 PROF MEDICAL SERVICES 0 VASCULAR SPECIALTY CENTER BRD MEMBER 619948 PROF MEDICAL SERVCIES 0 JOSEPH JUBAN BRD MEMBER 74422 PROF LEGAL SERVICES 0 PART IV VARIOUS FAMILY MEMBERS OF CERTAIN BOARD MEMBERS AND OFFICERS ARE EMPLOYED BY THE TAXPAYER:R. MORRIS IS THE DAUGHTER OF BOARD MEMBER, M. HARTM. FRANKLIN IS THE SPOUSE OF BOARD MEMBER, P. FRANKLINJ. CAZES IS THE SPOUSE OF CNO, A. CAZESA BOARD MEMBER (BANDA) IS THE OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISING OF 77 PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS) THAT PROVIDE HOSPITALIST, PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE 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 IN LONG LAW FIRM. HE IS PAID BY GENERAL HEALTH SYSTEM FOR PROFESSIONAL LEGAL SERVICES. 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. 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. LA 501(C)(3) 3 N/A 0 GENERAL LIVING CENTERS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 581705626 DORMANT CORP. LA 501(C)(3) 9 N/A 0 MID CITY HEALTH CENTER 8490 PICARDY AVENUE BATON ROUGE LA 70809 721260054 DORMANT CORP. LA 501(C)(3) 3 N/A 0 THE GENERAL HEALTH FOUNDATION 8490 PICARDY AVENUE BATON ROUGE LA 70809 720307879 DORMANT CORP. LA 501(C)(3) 11 N/A 0 BATON ROUGE REHABILITATION HOSPITAL LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 271558673 REHAB HOSPITAL LA N/A 0 0 BATON ROUGE REHABILITATION DEV LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 271558883 BLDG LESSOR LA N/A 0 0 RADIATION ONCOLOGY CENTER ZACHARY LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 454618032 ONCOLOGY CLINIC LA N/A 0 0 GENERAL HEALTH MANAGEMENT INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 720904131 MANAGING COMPANY LA N/A C 1.00000 0 HEALTH MANAGEMENT SERVICES INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 720929442 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 HEALTH INITIATIVES INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 720981798 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 GENERAL HEALTH SYSTEM MANAGEMENT INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 721335513 MANAGING COMPANY LA N/A C 1.00000 0 VERITY HEALTHNET ACCT MGT SVS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 721245224 MANAGING COMPANY LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 VERITY HEALTHNET LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 450510673 MARKETER LA VERITY HEALTHNET ACCOUNTS MANAGEMENT SERVICES INC C 0.50000 0 VERITY HEALTHNET NATL LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 562353850 DORMANT CORP LA VERITY HEALTHNET ACCOUNTS MANAGEMENT SERVICES INC C 0.50000 0 BRGP AFTER HOURS CLINIC INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 743109146 DORMANT CORP LA BRG PHYSICIAN SERVICES C 1.00000 0 MEDICAL DIAGNOSTIC SERVICES INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 720994499 DORMANT CORP LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS SERVICES INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 203756691 MANAGING COMPANY LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 721245632 PHYSICIAN CLINIC LA BRG PHYSICIAN SERVICES C 1.00000 0 HOSPITAL MEDICINE GROUP INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 203720898 DORMANT CORP LA BRG PHYSICIAN SERVICES C 1.00000 0 BRGP HOSP SPECIALISTS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 203756738 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PRIMARY CARE LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 452969168 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS MEDICAL GROUP LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 453063914 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 GHS STAFFING SERVICES LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 453058006 STAFFING SVCS LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 TCB INVESTMENTS LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 461735706 DORMANT CORP LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 GULF SOUTH HEALTH PLANS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 721068656 DORMANT CORP LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS CONCIERGE MEDICINE LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 822127255 CLINIC LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 BATON ROUGE GENERAL MEDICAL CENTER #72-1025017 FAIR MKT VALUE GENERAL HEALTH SYSTEM FOUNDATION #74-0801335 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS INC #72-1245632 FAIR MKT VALUE HOSPITAL MEDICINE GROUP INC #20-3720898 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS HOSPITAL SPECIALISTS INC # 20-3756738 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS SERVICES INC # 20-3756691 FAIR MKT VALUE SCHEDULE R, PAGE 3, PART V, LINE 2(A): GENERAL HEALTH SYSTEM (GHS) PROVIDES CENTRALIZED MANAGEMENT, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE/BILLING, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND CORPORATE COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE, BENEFITS MANAGEMENT, LEGAL AND INFORMATION TECHNOLOGY SERVICES TO ALL MEMBERS OF GENERAL HEALTH SYSTEM. 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 PROSCRIBED BY SCHEDULE R IS NOT POSSIBLE AT THIS TIME.