2018-08-15T12:11:25-05:00 2017-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2016-10-01 581711612 BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA BIOM 3186754111 POST OFFICE BOX 38050 SHREVEPORT LA 711338050 JAMES D DEAN EXECUTIVE VP & COO 3187164100 2018-08-15 1 JON LEBLANC P01525561 2259224600 2016 2022-09-23 18:48:47Z JOHN F GEORGE MD POST OFFICE BOX 38050 SHREVEPORT LA 711338050 605802111 0 X WWW.BRFLA.ORG X 1986 LA SEE SCHEDULE O 15 15 3996 15 0 0 4632196 4893188 594729493 599391077 455780 236795 1647375 1281051 601464844 605802111 148611 290845 0 0 223590247 232628918 0 0 250490 364672733 384331658 588411591 617251421 13053253 -11449310 458960883 406028804 385932555 351412500 73028328 54616304 X SEE SCHEDULE O 0 0 581734409 290845 587694963 PATIENT SERVICES INCLUDING PROVIDING STATE-OF-THE-ART CLINICAL CARE, INCLUDING A RANGE OF TERTIARY SPECIAL SERVICES, TO AN ENLARGING AND DIVERSE REGIONAL BASE OF PATIENTS, AS WELL AS ACHIEVING DISTINCTION AND INTERNATIONAL RECOGNITION FOR BASIC SCIENCE AND CLINICAL RESEARCH PROGRAMS THAT CONTRIBUTE TO THE BODY OF KNOWLEDGE AND PRACTICE IN SCIENCE AND MEDICINE. 4836329 2398497 OPERATED A POSITRON EMISSION TOMOGRAPHY IMAGING CENTER AND A RELATED RADIOPHARMACEUTICAL PRODUCTION FACILITY WHICH SERVED 1,705 PATIENTS DURING THE YEAR, OF WHICH 782 WERE FREE OR SUBSTANTIALLY DISCOUNTED FOR INDIGENT PERSONS. THE CENTER ALSO WORKED WITH VARIOUS NATIONAL COMPANIES TO SUPPORT CLINICAL AND PRO-CLINICAL TRIALS. THE CGMP RADIOPHARMACEUTICAL MANUFACTURING FACILITY IS CAPABLE OF PRODUCING DIFFERENT RADIOPHARMACEUTICALS AND PROVIDES RADIOPHARMACEUTICALS TO OTHER SCANNERS IN THE REGION. 5579839 9297617 OPERATED A TEN STORY, 160,000 SQ FT RESEARCH FACILITY HOUSING 56 STATE-OF-THE-ART WET LABS, AN ANIMAL CARE FACILITY, A POSITRON EMISSION TOMOGRAPHY (PET) IMAGING CENTER AND RELATED ADMINISTRATIVE OFFICES. THE 56 WET LABS AND ANIMAL FACILITY ARE LEASED TO LSUHSC-S TO SUPPORT ITS BASIC SCIENCE RESEARCH PROGRAM. THE PET CENTER PROVIDES IMAGING TO SUPPORT PATIENTS OF LSUHSC-S AND THE REGIONAL MEDICAL COMMUNITY AS WELL AS SUPPORT FOR THE ANIMAL IMAGING PROGRAM AT LSUHSC-S. THE RESEARCH FACILITY PROVIDED ESSENTIAL RESEARCH SPACE NEEDED TO SUPPORT THE ACQUISITION OF LSUHSC-S EXTRAMURAL FUNDING.CONDUCTED ACTIVITIES RELATED TO THE ESTABLISHMENT OF A SCIENCE & TECHNOLOGY BUSINESS PARK INCLUDING SUPPORT FOR SCIENTIFIC ECONOMIC DEVELOPMENT PROJECTS, WORKFORCE DEVELOPMENT AND EDUCATION. PROVIDED FINANCIAL AND PROGRAMMATIC ASSISTANCE TO PROSPECTIVE PARK TENANTS. PROVIDED LAND FOR DEVELOPMENT INCLUDING ENVIRONMENTAL REMEDIATION. MAINTAINED MULTIPLE LEASED PROPERTIES, INCLUDING A 33,000 SQ FT CGMP MANUFACTURING FACILITY AND MULTIPLE INCUBATOR FACILITIES. INTERTECH ACTIVITIES ALSO INCLUDE SUPPORT FOR SIX K-12 AND HIGHER EDUCATION PROGRAMS. 3993785 1281051 THE ENTREPRENEURIAL ACCELERATOR PROGRAM PROVIDES SERVICES AND RESOURCES TO SUPPORT THE CREATION OF THE INNOVATION ECOSYSTEM IN NORTHWEST LOUISIANA. THE PURPOSE OF THE EAP IS TO SUPPORT HIGH-GROWTH START-UP COMPANIES IN LOUISIANA BY MATCHING INVESTORS WITH MARKETABLE IDEAS THAT SOLVE PROBLEMS. THE EAP TEAM, CONSISTS OF BRF STAFF, ANGEL INVESTORS, BUSINESS ANALYSTS, SUBJECT MATTER EXPERTS, AND LEGAL AND FINANCIAL CONSULTANTS. PARTNERS INCLUDE HIGHER EDUCATION INSTITUTIONS, ECONOMIC DEVELOPMENT ORGANIZATIONS AND GOVERNMENT ENTITIES.THE DIGITAL MEDIA INSTITUTE PREPARES ITS STUDENTS FOR EMPLOYMENT IN THE REAL WORLD. UTILIZING A "LEARN BY DOING" APPROACH, THE INSTRUCTORS AND ADMINISTRATORS CREATE AN ATMOSPHERE THAT FACLIITATES REAL-WORLD SCENARIOS DESIGNED TO EDUCATE STUDENTS IN A PROJECT-BASED FORMAT THAT ACCURATELY MIMICS THE PRESSURES AND DEADLINES SIMILAR TO THOSE THEY WILL FACE UPON GRADUATION. THE ONE-YEAR INTENSIVE PROGRAM GIVES STUDENTS IMMERSIVE TRAINING AND ACCESS TO OPPORTUNITIES IN THE DIGITAL MEDIA INDUSTRY THAT ARE SPECIFICALLY FOCUSED ON ANIMATION AND VISUAL EFFECTS, AS WELL AS DIGITAL GAME DEVELOPMENT. STUDENTS WHO COMPLETE THE COURSE LEAVE THE PROGRAM WITH EXTENSIVE TRAINING IN INDUSTRY-STANDARD PROGRAMS AND APPLICATIONS. STUDENTS WHO GIVE THEIR FULL EFFORT LEAVE THE PROGRAM WITH A PORTFOLIO THAT CAN BE USED IN INTERVIEWS AND DEMO REELS.OFFICE OF RESEARCH DEVELOPMENT AND ADMINISTRATION IS A RESEARCH DEVELOPMENT AND ADMINISTRATION TEAM FORMED TO IDENTIFY AND MANAGE OPPORTUNITIES FOR CLINICAL TRIALS AND TRANSLATIONAL RESEARCH, MATCH THEM WITH QUALIFIED SCIENTIFIC INVESTIGATORS AND HEALTHCARE PROVIDERS, AND OVERSEE THEIR IMPLEMENTATION AND SUCCESSFUL COMPLETION. 3993785 1281051 596144362 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 322 0 1 3996 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X THE ORGANIZATION 3187164100 POST OFFICE BOX 38050 SHREVEPORT LA 711338050 ARLENA ACREE DIRECTOR 1.00 X 0 0 0 ARTHUR THOMPSON VICE CHAIRMAN/TREASURER 1.00 X X 0 0 0 BERNARD KIMBLE DIRECTOR 1.00 X 0 0 0 BILLY MONTGOMERY DIRECTOR 1.00 X 0 0 0 BONNIE MOORE DIRECTOR 1.00 X 0 0 0 CURTIS R JOSEPH JR DIRECTOR 1.00 X 0 0 0 DR JUAN WATKINS DIRECTOR 1.00 X 0 0 0 JOHN B HUSSEY DIRECTOR, 4/19/17-9/30/17 1.00 X 0 0 0 KRISTEN BROWN DIRECTOR 1.00 X 0 0 0 LENNIS S ELSTON DIRECTOR, TREASURER 4/19/17-9/30/17 1.00 X X 0 0 0 LINDA C SELL DIRECTOR 1.00 X 0 0 0 MALCOLM MURCHISON CHAIRMAN 5.00 X X 0 0 0 ROY L GRIGGS DIRECTOR, 10/1/16-9/30/17 1.00 X 0 0 0 TERRY E MOORE DIRECTOR 1.00 X 0 0 0 WILLIE C WHITE III SECRETARY 1.00 X X 0 0 0 DR JOHN F GEORGE JR PRESIDENT/CEO 50.00 X 561356 0 27822 JAMES DEAN EXECUTIVE V.P./COO 50.00 X 395317 0 25902 LARRY M DONNER MONROE HOSPITAL ADMINISTRA 50.00 X 197780 0 6884 MARK RANDOLPH UHS PRESIDENT 4/2017-9/2017 50.00 X 213307 0 16427 PRADEEP GARG EXECUTIVE DIRECTOR 50.00 X 384306 0 25330 RODERICK L WILLIAMS UHS PRESIDENT 10/2016-4/2017 50.00 X 401805 0 13303 AMOL TAKALKAR MEDICAL DIRECTOR 50.00 X 299313 0 29118 ANDREA LEAZER CERTIFIED REGISTERED NURSE ANESTHESIST 50.00 X 188681 0 15528 CHEZHIYAN MURUGESAN PHYSICIAN 50.00 X 236462 0 18795 DAVID SMITH EXECUTIVE DIRECTOR 50.00 X 222800 0 10257 EDWARD MAYFIELD CERTIFIED REGISTERED NURSE ANESTHESIST 50.00 X 195011 0 18000 JASON JARRETT CHIEF REGISTERED NURSE ANESTHESIST 50.00 X 188378 0 19737 JOHN MIRALLES DIRECTOR OF DIGITAL INSTIT 50.00 X 157414 0 22196 PHILLIP PRIDDY CERTIFIED REGISTERED NURSE ANESTHESIST 50.00 X 196423 0 18968 ROBERT LINDSEY JR VP HUMAN RESOURCES 50.00 X 199161 0 17449 SUDHA GARG DIRECTOR OF RADIOPHARMACEU 50.00 X 220302 0 20330 VASSILIKI RAULIA VP RESEARCH DEVELOPMENT ADMINISTRATION 50.00 X 165108 0 3963 4422924 0 310009 232 0 1 0 LSUHSC-SHREVEPORT 1501 KINGS HWY SHREVEPORT LA 71103 RENTS 45901986 CONIFER HEALTH SOLUTIONS LLC 3560 DALLAS PARKWAY FRISCO TX 75034 BILLING AND COLLECTIONS SERVICES 10591457 LIFESHARE BLOOD CENTERS 3849 NORTH BLVD BATON ROUGE LA 70806 BLOOD PRODUCTS SUPPLIER 5696549 ALVAREZ AND MARSAL HEALTHCARE 600 MADISON AVE 8TH FLOOR NEW YORK NY 10022 CONSULTING 5324041 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 IT CONSULTANT 3029373 69 4075505 817683 4893188 PATIENT SERVICE 541900 319910277 319910277 DISPRO SHARE HOSPITAL FUNDING 541900 267784686 267784686 RENTAL INCOME 531120 9297617 9297617 POSITRON EMISSION TOMOGRAPHY 541900 1714000 1714000 RADIOPHARMACEUTICAL SALES 541900 684497 684497 599391077 236795 236795 VENDOR REBATES AND REIMBURSEMENTS 541900 1249090 1249090 OTHER OPERATING REVENUE 900099 31961 31961 1281051 605802111 600672128 0 236795 X 290845 290845 4670594 3665238 959751 45605 190801476 180401596 10368306 31574 240421 171594 66280 2547 23594956 22440639 1148997 5320 13321471 13226932 88754 5785 10599 4500 6099 7189815 7188609 1206 261275 230369 30906 285199 285199 36125 36125 162603277 161762021 734320 106936 1287340 1092456 194884 1275717 1241456 33817 444 5733744 208935 5519079 5730 40150138 39901834 248304 104356 96094 7534 728 366656 356681 8508 1467 2436959 2375357 61602 9428567 8715981 712586 5394046 5379308 14738 SUPPLIES AND OTHER EXPE 110272166 110197378 66559 8229 REPAIRS AND MAINTENANCE 14396999 14388922 8077 EQUIPMENT LEASING 8200268 8191301 8967 SALES, USE, AND ASSESSM 7265059 7265059 7633353 7351257 282096 617251421 596144362 20856569 250490 10286539 5717384 349624443 301809515 8166015 8276109 5782584 5263896 136838165 63461867 75097041 73376298 8283638 9864979 1720623 1720623 458960883 406028804 130387897 126768851 203340235 188475443 51443895 35725233 760528 442973 385932555 351412500 X 70697127 52331169 610578 564512 1720623 1720623 73028328 54616304 458960883 406028804 X -11449310 1135225 -8097938 X X 0 1 X 1 0 X 2865443 1679830 2328669 1421525 1444577 9740044 2245560 2344756 3163640 3210671 3448611 14413238 5111003 4024586 5492309 4632196 4893188 24153282 24153282 691684 765837 721996 533756 162398 2875671 27028953 0.89360 0.87420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 190385 0 0 190385 0 1720623 1720623 1720623 1720623 1720623 1720623 1720623 1720623 1731624 80806 91806 1720624 1.00000 1 0 8322654 8322654 69662624 29182805 40479819 57401966 34279062 23122904 1450921 1450921 73376298 ASSET RETIREMENT LIABILITY 211209 DERIVATIVE LIABILITY 231764 442973 X 605688246 1135225 -1249090 -113865 605802111 0 605802111 616002334 -1249088 -1249088 617251422 0 617251422 PART V, LINE 4: PERMANENT ENDOWMENT IS HELD TO SUPPORT ANY ACTIVITY OF THE ORGANIZATION. PART X, LINE 2: THE FOUNDATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE. THE FOUNDATION APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE DETERMINATION OF WHETHER OR NOT A TAX POSITION HAS MET THE MORE-THAN-LIKELY-THAN-NOT RECOGNITION THRESHOLD CONSIDERS THE FACTS, CIRCUMSTANCES, AND INFORMATION AVAILABLE AT THE REPORTING DATE AND IS SUBJECT TO MANAGEMENT'S JUDGMENT. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE YEAR IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE FOUNDATION HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DETERMINED THAT IT HAD NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2017 OR 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: REBATES -1,249,090. PART XII, LINE 2D - OTHER ADJUSTMENTS: REBATES -1,249,090. ROUNDING 2. 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE RACIALLY NONDISCIMINATORY POLICY HAS NOT PREVIOUSLY BEEN INCLUDED IN ADVERTISING. HOWEVER, THE STATEMENT IS INCLUDED IN THE STUDENT HANDBOOK WHICH ALL INCOMING STUDENTS MUST READ AND SIGN. THE RECRUITING EFFORTS FOR THE GENERAL COMMUNITY ARE DESIGNED TO RECRUIT STUDENTS OF ALL SOCIAL AND ECONOMIC ORIGINS. SCHEDULE E, PART I, LINE 6 BRF RECEIVES FINANCIAL ASSISTANCE THROUGH THE FOLLOWING PROGRAMS: THE U.S. DEPARTMENT OF EDUCATION FEDERAL GRANT PROGRAM AND THE DIRECT LOAN PROGRAM. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 27793455 18499367 9294088 0.00000 407489766 349042635 58447131 0.09460 4976762 717936 4258826 0.00690 440259983 368259938 72000045 0.10150 26917307 6748487 20168820 0.03270 9271499 7727990 1543509 0.00250 36188806 14476477 21712329 0.03520 476448789 382736415 93712374 0.13670 1 24135880 2509823 93132612 105530841 -12398229 X 1 1 2 1 BRF HOSPITAL HOLDINGS SHREVEPORT LLC 1501 KINGS HWY SHREVEPORT LA 71103 X A 2 BRF HOSPITAL HOLDINGS MONROE LLC 4864 JACKSON ST MONROE LA 71202 X A BRF HOSPITAL HOLDINGS LLC 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTP://WWW.UHSYSTEM.COM 1 16 1 HTTP://WWW.UHSYSTEM.COM/SHREVEPORT/COMMUNITYHEALTHNEEDSIS 0 1 X 250.000000000000 250.000000000000 X X 1 1 X X X 1 X WWW.UHSYSTEM.COM/SHREVEPORT/FINANCIALASSISTANCE X WWW.UHSYSTEM/SHREVEPORT/FINANCIAL X WWW.UHSYSTEM/SHREVE X X X X 1 X 0 X X X X 1 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: BRF HOSPITAL HOLDINGS SHREVEPORT LLC, - FACILITY 2: BRF HOSPITAL HOLDINGS MONROE LLC GROUP A-FACILITY 1 -- BRF HOSPITAL HOLDINGS SHREVEPORT LLC PART V, SECTION B, LINE 5: CHNA COMMUNITY INPUT WAS OBTAINED THROUGH INTERVIEWS WITH REPRESENTATIVES FROM UNIVERSITY HEALTH SYSTEM, SOCIAL SERVICES AGENCIES, LOCAL SCHOOL SYSTEMS AND UNIVERSITIES, PUBLIC HEALTH AGENCIES, AND OTHER MEDICAL PROVIDERS. GROUP A-FACILITY 1 -- BRF HOSPITAL HOLDINGS SHREVEPORT LLC PART V, SECTION B, LINE 11: FOR ISSUES IDENTIFIED BY THE CHNA SOME HAVE NOT BEEN ADDRESSED. IDENTIFIED NEEDS WERE PRIORITIZED AND EVALUATED AS TO THE LEVEL SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE ORGANIZATIONS. GROUP A-FACILITY 2 -- BRF HOSPITAL HOLDINGS MONROE LLC PART V, SECTION B, LINE 5: CHNA COMMUNITY INPUT WAS OBTAINED THROUGH INTERVIEWS WITH REPRESENTATIVES FROM UNIVERSITY HEALTH SYSTEM, SOCIAL SERVICES AGENCIES, LOCAL SCHOOL SYSTEMS AND UNIVERSITIES, PUBLIC HEALTH AGENCIES, AND OTHER MEDICAL PROVIDERS. GROUP A-FACILITY 2 -- BRF HOSPITAL HOLDINGS MONROE LLC PART V, SECTION B, LINE 11: FOR ISSUES IDENTIFIED BY THE CHNA SOME HAVE NOT BEEN ADDRESSED. IDENTIFIED NEEDS WERE PRIORITIZED AND EVALUATED AS TO THE LEVEL SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE ORGANIZATIONS. 6 1 - FEIST WEILLER 1405 KINGS HIGHWAY SHREVEPORT LA 71104 CLINIC 2 - AMBULATORY CARE CENTER 1606 KINGS HIGHWAY SHREVEPORT LA 71130 CLINIC 3 - WOMEN AND CHILDRENS 1602 KINGS HIGHWAY SHREVEPORT LA 71130 CLINIC 4 - OPTHALMOLOGY CLINIC 1420 KINGS HIGHWAY SHREVEPORT LA 71103 CLINIC 5 - VIRAL DISEASE CLINIC 6670 ST VINCENT AVE SHREVEPORT LA 71106 CLINIC 6 - FAMILY MEDICINE CLINIC 1023 PROVENANCE PLACE BLVD STE 100 SHREVEPORT LA 71106 CLINIC PART I, LINE 3C: THE ORGANIZATION USES THE FEDERAL POVERTY INCOME GUIDELINES IN DETERMINING WHETHER A PERSON OR FAMILY IS FINANCIALLY ELIGIBLE FOR ASSISTANCE. PART I, LINE 6A: THE ORGANIZATION BRF HOSPITAL HOLDINGS, LLC 46-3179229 FILES A PARTNERSHIP SCORECARD QUARTERLY WITH THE LOUISIANA STATE UNIVERSITY REGARDING ACCOMPLISHMENTS EACH QUARTER AND POPULATION SERVED AS PART OF ITS COOPERATIVE ENDEAVOR AGREEMENT. LINK IS LOCATED AT HTTP://LSU.EDU/BOS/HOSPITAL-CEAS.PHP PART III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BASED MANAGEMENT'S ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. PART III, LINE 3: THE ESTIMATE ON BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IS DETERMINED BY IDENTIFYING TOTAL ACCOUNTS TRANSFERRED TO BAD DEBT IN FISCAL YEAR 2016. FROM THIS GROUP OF ACCOUNTS IDENTIFY THOSE LESS THAN OR EQUAL TO 250% FPL AS PER THE POLICY. APPLY THIS PERCENTAGE OF ACCOUNTS QUALIFYING FOR FINANCIAL ASSISTANCE AS A PORTION OF TOTAL ACCOUNTS TO THE BAD DEBT EXPENSE RECOGNIZED PER THE FINANCIAL STATEMENTS. PART III, LINE 4: THE FOOTNOTE EXPLAINING THE METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE IS LOCATED ON PAGES 6 & 7 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: DUE TO THE VOLUME OF DISPROPORTIONATE SHARE PATIENTS WE TREAT AT THIS SAFETY NET HOSPITAL, THE ORGANIZATION RECEIVES A SUBSTANTIAL AMOUNT OF MEDICARE DISPROPORTIONATE SHARE PAYMENTS. PART III, LINE 9B: PER THE POLICY IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE THE COST OF CARE IS ADJUSTED FOR 100% OF CHARGES AND THE PATIENT IS NOT RESPONSIBLE FOR PAYMENT. PART VI, LINE 2: THE HOSPITAL FACILITIES OWNED AND OPERATED BY BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA ARE IN THE PROCESS OF CONDUCTING THEIR INITIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE AFFORDABLE CARE ACT. THE TWO HOSPITALS (UNIVERSITY HEALTH SHREVEPORT AND UNIVERSITY HEALTH-MONROE) WERE TRANSFERRED UNDER A COOPERATIVE ENDEAVOR AGREEMENT TO BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA ON OCTOBER 1, 2013. PER FINAL 501(R)(3) REGULATIONS ISSUED BY THE IRS, A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (WHETHER THROUGH MERGER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO THE ACQUIRED HOSPITAL FACILITY BY THE LAST DAY OF THE ORGANIZATIONS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. PER THESE REGULATIONS, THE INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT WILL NEED TO BE COMPLETED BY SEPTEMBER 30, 2016 AND THE HOSPITALS WILL MEET THE REQUIRED DEADLINE. PART VI, LINE 3: THE ORGANIZATION PROVIDES ONSITE REGISTRATION CLERKS AND FINANCIAL COUNSELORS THAT ARE TRAINED TO HELP PATIENTS. THE ORGANIZATION HAS ALSO POSTED ALL INFORMATION ON THEIR WEBSITE AND IS IN THE PROCESS OF POSTING SIGNAGE AT THEIR FACILITIES. PART VI, LINE 4: POPULATION AND COMMUNITY SERVED IS REPORTED QUARTERLY WITH THE LOUISIANA STATE UNIVERSITY BOARD OF SUPERVISORS UNDER THE COOPERATIVE ENDEAVOR AGEEMENT UNDER THE PARTNERSHIP REPORT CARD. HTTP://LSU.EDU/BOS/HOSPITAL-CEAS.PHP PART VI, LINE 5: BRF HOSPITAL HOLDINGS, LLC IS COMPRISED OF TWO TEACHING HOSPITALS IN SHREVEPORT AND MONROE LOUISIANA UNDER A COLLABORATIVE ENDEAVOR AGREEMENT WITH THE LSU BOARD OF SUPERVISORS. AS ACADEMIC HOSPITALS THE SYSTEM PROVIDES A STRONG COMMITMENT TO STATE-OF-THE ART TREATMENT, CLINICAL RESEARCH, AND COMMUNITY EDUCATION AND PREVENTION PROGRAMS. PART VI, LINE 6: UNIVERSITY HEALTH SHREVEPORT IS HOME TO STATE-DESIGNATED CENTERS OF EXCELLENCE INCLUDING THE FEIST-WEILLER CANCER CENTER AND CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY. THE MAIN CAMPUS HOUSES AN ACCREDITED CHILDREN'S HOSPITAL, A REGIONAL BURN CENTER AND TRAUMA CENTER. IT SERVES THE COMMUNITITES ACROSS NORTH LOUISIANA, EAST TEXAS AND SOUTHWEST ARKANSAS. UH SHREVEPORT IS ONE OF ONLY SIX HOSPITALS IN THE NATION AFFILIATED IWTH ST. JUDE CHILDREN'S RESEARCH HOSPITAL.UNIVERSITY HEALTH CONWAY ALSO PROVIDES A 24 HOUR TRAUMA CENTER AND COMMITTED TO IMPROVING HEALTH OF LOCAL CITIZENS AND REINVESTS PROFITS IN THE COMMUNITY TO PRESERVE THE SAFETY NET MISSION AND TO IMPROVE FACILITY AND TECHNOLOGY IMPROVEMENTS. 1 LOUISIANA TECH UNIVERSITY PO BOX 3171 RUSTON LA 71272 726000792 501(C)(1) 49999 SUPPORT FOR THE RESEARCH PROJECT "ANESTHETIC DEPTH MONITOR SENIOR DESIGN FORMAL PROJECT PROPOSAL" IN WHICH THE LSUHSCS DEPARTMENTS OF ANESTHESIOLOGY AND OBSTETRICS AND GYNECOLOGY AND THE DEPARTMENT OF BIOMEDICAL ENGINEERING AT LOUISIANA TECH COMPARED INDUSTRY STANDARD ANESTHESIA AWARENESS MONITORING (BIS) PERFORMANCE TO ONE BY ADVANCED ANALYSIS OF DATA RECORDED ON CLINICAL GRADE EEG MONITORS. LSU HEALTH SCIENCES FOUNDATION 920 PIERREMONT RD SUITE 506 SHREVEPORT LA 71106 721402222 501(C)(3) 15000 SPONSORSHIP UNIVERSITY OF LOUISIANA MONROE 700 UNIVERSITY AVENUE MONROE LA 71209 653064001 501(C)(1) 65940 $49,940 WAS AWARDED TO DR. GEORGE MATTHAIOLAMPAKIS, PH.D. AT ULM AS PART OF ORDA'S BRF SEED FUNDING PROGRAM(BRFSRP). $16,000 WAS A GRANT TO DR. KADDOUMI, OF ULM, FROM CMIT'S INNOVATION IN MOLECULAR MEDICINE THROUGHMOLECULAR IMAGING PROGRAM. SOUTHWOOD HIGH SCHOOL 9000 WALKER ROAD SHREVEPORT LA 71118 726000224 501(C)(1) 10000 THESE GRANTS BENEFIT THE FOR INSPIRATION AND RECOGNITION OF SCIENCE AND TECHNOLOGY (FIRST) PROGRAM, WHICH IS A ROBOTICS LAB COURSE AT SOUTHWOOD HIGH SCHOOL THAT TEAMS PROFESSIONALS AND STUDENTS TO SOLVE ENGINEERING AND DESIGN PROBLEMS IN AN INTENSE COMPETITIVE ENVIRONMENT. STUDENTS COMPETE IN LOCAL, REGIONAL AND SOMETIMES NATIONAL COMPETITIONS. WOMEN OF VISION INC 740 TURNER LANE SHREVEPORT LA 71106 753225186 501(C)(3) 5000 THE VIRGINIA K. SHEHEE MOST INFLUENTIAL WOMEN LUNCHEON HONORS WOMEN WHO HAVE MADE SIGNIFICANT CONTRIBUTIONS TO OUR COMMUNITY AND WHO MANY DO MUCH OF THEIR WORK BEHIND THE SCENES. BRF SPONSORED A TABLE AT THE LUNCHEON, DURING WHICH THE WINNER WAS ANNOUNCED AND HONORED. LSU HEALTH SCIENCES CENTER SHREVEPORT 1501 KINGS HWY SHREVEPORT LA 71103 720702002 501(C)(3) 140795 SEE PART IV 6 0 NAME OF ORGANIZATION OR GOVERNMENT: LSU HEALTH SCIENCES CENTER SHREVEPORT (H) PURPOSE OF GRANT OR ASSISTANCE: TO ENCOURAGE MOLECULAR IMAGING RESEARCH AND TO FACILITATE PARTNERSHIPS WITH THE BRF'S CENTER FOR MOLECULAR IMAGING AND THERAPY WITH HIGHER EDUCATION RESEARCH INSTITUTIONS, THE BRF PROVIDED THE FOLLOWING FOUR GRANTS TO DR. ELIZABETH DISBROW AT LSU HEALTH SHREVEPORT TO CONDUCT RESEARCH INTO PARKINSON'S DISEASE BY SCANNING HER PATIENTS. $2,215 FOR F-18 FLORBETAPIR AMYLOID BRAIN PET SCAN ON 10/12/2016 $2,215 FOR F-18 FLORBETAPIR AMYLOID BRAIN PET SCAN ON 10/19/2016 $2,215 FOR FLORBETAPIR F-18 AMYLOID BRAIN PET SCAN ON 11/30/2016 $2,215 FOR FLORBETAPIR F-18 AMYLOID BRAIN PET SCAN ON 2/1/2017 AS PART OF THE ITS EDVENTURES PROGRAM, BRF PROVIDED $22,330 TO LSU HEALTH FOR SUMMER STIPENDS FOR HIGH SCHOOL SENIORS PARTICIPATING IN THE SMART (SCIENCE AND MEDICINE ACADEMIC RESEARCH TRAINING) PROGRAM, WHERE 10-12 COMPETITIVELY SELECTED STUDENTS SPEND 2-3 HOURS PER DAY WORKING IN AN LSU HEALTH FACULTY LABORATORY CONDUCTING MEDICAL RESEARCH. DURING THE SUMMER MONTHS, THE STUDENTS ARE PAID MINIMUM WAGE FOR THEIR TIME. BRF PROVIDED $31,605 TO LSU HEALTH SHREVEPORT AS INCOME FROM AN ENDOWMENT TO FUND SERVICE AGREEMENTS AND TECHNICIAN ASSISTANCE FOR THE LSU HEALTH RESEARCH CORE FACILITY. THE RCF IS A CENTRAL INSTRUMENTATION FACILITY WITH MULTIPLE TYPES OF RESEARCH EQUIPMENT FOR USE BY CLINICIANS AND RESEARCHERS. BRF PROVIDED $18,000 TO LSU HEALTH SHREVEPORT TO FUND THE BIOSTART LABORATORY INTERNSHIP PROGRAM FOR HIGH SCHOOL SENIORS AT SOUTHWOOD HIGH SCHOOL. THE STUDENTS SPEND ONE SEMESTER CONDUCTING RESEARCH IN A LABORATORY RUN BY AN LSU FACULTY MEMBER. THESE FUNDS ARE USED FOR LABORATORY SUPPLIES, REAGENTS, POSTER MATERIALS, AND OTHER EXPENSES REQUIRED TO RUN THE PROGRAM. BRF AWARDED A $10,000 GRANT FROM THE EASTERN STAR NEW IDEA AWARD TO LSU HEALTH SHREVEPORT. THIS GRANT WAS FOR DR. FELICITY GAVIN'S RESEARCH IN THE THERAPEUTIC POTENTIAL OF AN ANTI-CANCER DRUG FOR USE IN THE FIELD OF TRANSPLANT MEDICINE. BRF AWARDED $50,000 TO LSU HEALTH SHREVEPORT AS PART OF THE BRF OFFICE OF RESEARCH DEVELOPMENT ADMINISTRATION SEED FUND PROGRAM TO STIMULATE RESEARCH AND SUPPORT YOUNG INVESTIGATORS AT NORTH LOUISIANA HIGHER EDUCATION INSTITUTIONS. THIS AWARD FUNDED THE RESEARCH INTO RECEPTOR REGULATION IN ALCOHOLISM BY HYUNG NAM, PH.D., ASSISTANT PROFESSOR, DEPARTMENT OF PHARMACOLOGY, TOXICOLOGY AND NEUROSCIENCE. X X X X X X 0 0 0 0 0 0 0 1 0 DR JOHN F GEORGE JR PRESIDENT/CEO 448856 0 112500 0 0 0 17484 0 10338 0 589178 0 0 0 JAMES DEAN EXECUTIVE V.P./COO 316567 0 78750 0 0 0 18305 0 7597 0 421219 0 0 0 LARRY M DONNER MONROE HOSPITAL ADMINISTRA 164480 0 33300 0 0 0 1637 0 5247 0 204664 0 0 0 MARK RANDOLPH UHS PRESIDENT 4/2017-9/2017 186870 0 26437 0 0 0 12587 0 3840 0 229734 0 0 0 PRADEEP GARG EXECUTIVE DIRECTOR 334093 0 50213 0 0 0 16061 0 9269 0 409636 0 0 0 RODERICK L WILLIAMS UHS PRESIDENT 10/2016-4/2017 333495 0 68310 0 0 0 3792 0 9511 0 415108 0 0 0 AMOL TAKALKAR MEDICAL DIRECTOR 299313 0 0 0 0 0 15930 0 13188 0 328431 0 0 0 ANDREA LEAZER CERTIFIED REGISTERED NURSE ANESTHESI 188681 0 0 0 0 0 9751 0 5777 0 204209 0 0 0 CHEZHIYAN MURUGESAN PHYSICIAN 174990 0 61472 0 0 0 2827 0 15968 0 255257 0 0 0 DAVID SMITH EXECUTIVE DIRECTOR 185800 0 37000 0 0 0 7830 0 2427 0 233057 0 0 0 EDWARD MAYFIELD CERTIFIED REGISTERED NURSE ANESTHESI 195011 0 0 0 0 0 18000 0 0 0 213011 0 0 0 JASON JARRETT CHIEF REGISTERED NURSE ANESTHESIST 188378 0 0 0 0 0 12445 0 7292 0 208115 0 0 0 JOHN MIRALLES DIRECTOR OF DIGITAL INSTIT 142414 0 15000 0 0 0 9901 0 12295 0 179610 0 0 0 PHILLIP PRIDDY CERTIFIED REGISTERED NURSE ANESTHESI 196423 0 0 0 0 0 16720 0 2248 0 215391 0 0 0 ROBERT LINDSEY JR VP HUMAN RESOURCES 175011 0 24150 0 0 0 7535 0 9914 0 216610 0 0 0 SUDHA GARG DIRECTOR OF RADIOPHARMACEU 191719 0 28583 0 0 0 12533 0 7797 0 240632 0 0 0 VASSILIKI RAULIA VP RESEARCH DEVELOPMENT ADMINISTRATI 150108 0 15000 0 0 0 1967 0 1996 0 169071 0 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE HAS THE SOLE AUTHORITY TO ESTABLISH THE COMPENSATION OF THE PRESIDENT AND STAFF VICE-PRESIDENTS AND KEY EMPLOYEES. COMPENSATION IS REVIEWED ANNUALLY IN CONNECTION WITH THE BUDGETING PROCESS. THE COMMITTEE HAS WRITTEN GUIDELINES FOR EVALUATING THE REASONABLENESS OF COMPENSATION INCLUDING PUBLISHED SURVEYS AND COMPARISONS TO SIMILAR ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT, FOR FUNTIONALLY COMPARABLE POSITIONS. MINUTES ARE KEPT OF ALL EXECUTIVE COMMITTEE MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT EXECUTIVE COMMITTEE MEETING. PART I, LINE 7 SOME EMPLOYEES ARE ELIGIBLE FOR PERFORMANCE BASED BONUSES CALCULATED AS A PERCENT OF COMPENSATION AS DETERMINED BY MANAGEMENT. FORM 990, PART I, LINE 1 OUR MISSION IS TO DIVERSIFY AND GROW OUR REGION'S ECONOMY. OUR VISION IS TO OPERATE AS A CATALYST TO EXPAND AND DEVELOP RESEARCH, ENTREPRENEURSHIP AND HIGH-GROWTH BUSINESSES IN OUR REGION. BRF DELIVERS INNOVATIVE, SUCCESSFUL AND HIGH-GROWTH ECONOMIC DEVELOPMENT INITIATIVES BY RETAINING PROFESSIONALS WITH A BROAD RANGE OF CORE SKILLS, ACQUIRING PROJECT-SPECIFIC EXPERTISE AND TALENT, AND NURTURING AND LEVERAGING ITS WIDE ARRAY OF POLITICAL AND COMMUNITY CONNECTIONS. FORM 990, PART III, LINE 1 OUR MISSION IS TO DIVERSIFY AND GROW OUR REGION'S ECONOMY. OUR VISION IS TO OPERATE AS A CATALYST TO EXPAND AND DEVELOP RESEARCH, ENTREPRENEURSHIP AND HIGH-GROWTH BUSINESSES IN OUR REGION. BRF DELIVERS INNOVATIVE, SUCCESSFUL AND HIGH-GROWTH ECONOMIC DEVELOPMENT INITIATIVES BY RETAINING PROFESSIONALS WITH A BROAD RANGE OF CORE SKILLS, ACQUIRING PROJECT-SPECIFIC EXPERTISE AND TALENT, AND NURTURING AND LEVERAGING ITS WIDE ARRAY OF POLITICAL AND COMMUNITY CONNECTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S COO IS RESPONSIBLE FOR THE PREPARATION, REVIEW AND FILING OF FORM 990 AND, IF REQUIRED, FORM 990T AND ALL RELATED FORMS AND SCHEDULES. THE COO DISTRIBUTES THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BRF HAS A WRITTEN CONFLICT OF INTEREST POLICY COVERING ALL PERSONS WHO MEET THE IRS DEFINITION OF "DISQUALIFIED PERSON." ITS EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OFFICERS AND THE CHAIRMAN OF EACH OF ITS OTHER STANDING COMMITTEES AND IS RESPONSIBLE FOR MANAGING THIS POLICY. THE POLICY IS REVIEWED ANNUALLY BY THE FULL BOARD. ALL BOARD MEMBERS AND STAFF OFFICERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM AT LEAST ANNUALLY AND ARE REQUIRED TO NOTIFY THE COMMITTEE IN WRITING OF ANY PROPOSED CONTRACTS OR TRANSACTIONS INVOLVING A CONFLICT OF INTERESTS. THE DISCLOSURE FORMS AND ACTUAL CONTRACTS AND TRANSACTIONS ARE REVIEWED BY THIS COMMITTEE. PERSONS WHO HAVE A CONFLICT ARE NOT ALLOWED TO PARTICIPATE IN NOR ARE THEY PERMITTED TO HEAR THE DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS. THEY CANNOT BE PRESENT WHEN A VOTE IS TAKEN ON THE MATTER. SPECIFIC GUIDELINES EXIST TO ASSIST THE COMMITTEE IN DETERMINING THE FAIR MARKET VALUE OF A TRANSACTION OR CONTRACT INVOLVING A CONFLICTED PERSON. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE HAS THE SOLE AUTHORITY TO ESTABLISH THE COMPENSATION OF THE PRESIDENT AND STAFF VICE-PRESIDENTS AND KEY EMPLOYEES. COMPENSATION IS REVIEWED ANNUALLY IN CONNECTION WITH THE BUDGETING PROCESS. THE COMMITTEE HAS WRITTEN GUIDELINES FOR EVALUATING THE REASONABLENESS OF COMPENSATION INCLUDING PUBLISHED SURVEYS AND COMPARISONS TO SIMILAR ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT, FOR FUNTIONALLY COMPARABLE POSITIONS. MINUTES ARE KEPT OF ALL EXECUTIVE COMMITTEE MEETINGS. THE MINUTES ARE REVIEWED AND APPROVED AT THE NEXT EXECUTIVE COMMITTEE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL FULLY COMPLY WITH ALL FEDERAL AND STATE PUBLIC DISCLOSURES REQUIRED WITH RESPECT TO ITS STATUS AS A TAX EXEMPT, NOT-FOR-PROFIT ORGANIZATION. SPECIFICALLY, DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTIONS AND COPIES WILL BE PROVIDED UPON REQUEST IN ACCORDANCE WITH PROCEDURES AND REQUIREMENTS SET FORTH IN CURRENT IRS REGULATIONS AS AMENDED FROM TIME TO TIME. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,384,059. MANAGEMENT AND GENERAL EXPENSES 381,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,765,487. OTHER FEES: PROGRAM SERVICE EXPENSES 186,687. MANAGEMENT AND GENERAL EXPENSES 339,487. FUNDRAISING EXPENSES 106,936. TOTAL EXPENSES 633,110. PHYSICIANS AND RESIDENTS: PROGRAM SERVICE EXPENSES 94,706,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,706,810. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,405. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,405. PURCHASED SERVICES - ANCILLARY: PROGRAM SERVICE EXPENSES 64,484,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,484,465. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE 330,407. ROUNDING -2. RESTATEMENT OF PRIOR PERIOD - INTEREST -222,924. RESTATEMENT OF PRIOR PERIOD - DEPRECIATION -582,004. RESTATEMENT OF PRIOR PERIOD - UPL ADJUSTMENT -8,643,735. RESTATEMENT OF PRIOR PERIOD - INVOICES 912,780. RESTATEMENT OF PRIOR PERIOD - SALES TAX 107,540. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990. (IVM) INTERTECH VENTURE MGMT LLC PO BOX 38050 SHREVEPORT LA 71133 721455822 ECONOMIC DEVELOPMENT LA -38 7716 BRF (BRFC) BRF CAPITAL LLC PO BOX 38050 SHREVEPORT LA 71133 721455336 ECONOMIC DEVELOPMENT LA -3768 763888 BRF (SI) SOUTHERN ISOTOPES LLC PO BOX 38050 SHREVEPORT LA 71133 721511418 MEDICAL ISOTOPES LA 0 0 BRF (BRFHH) BRF HOSPITAL HOLDINGS LLC 1505 KINGS HWY SHREVEPORT LA 71103 463179229 HEALTH CARE LA 587694963 340195260 BRF BRFHH SHREVEPORT LLC 1505 KINGS HWY SHREVEPORT LA 71103 800944985 HEALTH CARE LA 482380228 287410004 BRFHH BRFHH MONROE LLC 1505 KINGS HWY SHREVEPORT LA 71103 800945173 HEALTH CARE LA 109314735 55326113 BRFHH FUTURE STATE LLC 1505 KINGS HWY SHREVEPORT LA 71103 812023620 INFORMATION TECHNOLOGY LA 19151228 4084620 BRF (IVF) INTERTECH VENTURE FUND LLC PO BOX 38050 SHREVEPORT LA 71133 721455821 VENTURE CAPITAL LA BRFC-PART I RELATED -3806 771604 0 0 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0