2017-08-15T11:10:34-05:00 2016-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2015-10-01 721025017 BATON ROUGE GENERAL MEDICAL CENTER BATO 2252371547 8490 PICARDY AVENEUE NO 300-B BATON ROUGE LA 70809 KENDALL JOHNSON CPA, VICE PRESIDENT, AND CFO 2252371547 2017-08-15 1 JON LEBLANC P01525561 2259224600 2015 2021-01-29 14:40:06Z EDGARDO TENREIRO 8490 PICARDY AVENEUE NO 300-B BATON ROUGE LA 70809 405410678 0 X WWW.BRGENERAL.ORG X 1983 LA TO PROVIDE HIGH QUALITY HEALTHCARE TO THE BATON ROUGE AREA, REGARDLESS OF PATIENT RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY AND TO PROMOTE THE OVERALL HEALTH OF THE COMMUNITY VIA WELLNESS PROGRAMS AND MEDICAL EDUCATION ACTIVITIES. 12 7 0 400 1691115 -118196 946611 685440 385919833 382031629 79117 1016527 16158750 16294712 403104311 400028308 1162471 971967 0 0 134376708 144570759 0 0 0 246784579 229354578 382323758 374897304 20780553 25131004 302600348 319171307 185664624 175346816 116935724 143824491 X TO PROVIDE HIGH QUALITY HEALTHCARE TO THE BATON ROUGE AREA, REGARDLESS OF PATIENT RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR ABILITY TO PAY AND TO PROMOTE THE OVERALL HEALTH OF THE COMMUNITY VIA WELLNESS PROGRAMS AND MEDICAL EDUCATION ACTIVITIES. 0 1 264594266 971967 243988554 BATON ROUGE GENERAL (BRG) PROVIDES QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE OPERATIONS AND STABILITY OF BRG, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. IN KEEPING WITH BRG'S COMMITMENT TO SERVING THE COMMUNITY, BRG PROVIDED 18,959,628 OF FREE AND/OR SUBSIDIZED CARE, 210,872,344 OF CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AS WELL AS HEALTH ACTIVITIES AND EDUCATION PROGRAMS. DURING FY 2016, BRG RECORDED 15,638 ADMITS, 293,697 OUTPATIENT CASES/PROCEDURES, 84,900 PATIENT DAYS, 56,134 EMERGENCY ROOM VISITS, DISPENSED 1,500,000 PHARMACY UNIT DOSES AND 11,868 INPATIENT/OUTPATIENT SURGERIES. 37157386 86900609 BRG OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SURGICAL SERVICES TO THE GREATER BATON ROUGE AREA INCLUDING, BUT NOT LIMITED TO, GENERAL, ORTHOPEDIC, CARDIOVASCULAR, AND NEUROSURGERIES. BRG IS HOME TO THE AREA'S FINEST GENERAL AND ORTHOPEDIC SPECIALISTS AND OFFERS THE LATEST TECHNOLOGY AND CLINICALLY COMPETENT SUPPORT STAFF IN THE AREA. BRG COMPLETED 11,868 SURGERIES DURING THE FISCAL YEAR. 27559643 51142466 THE BRG INPATIENT/OUTPATIENT PHARMACIES PROVIDE OUR PATIENTS WITH THE MOST CURRENT AND EFFECTIVE PHARMACEUTICALS ON THE MARKET. PHARMACY IS AN INTEGRAL PART OF PATIENT THERAPY AND RECOVERY. DURING THE YEAR, THE INPATIENT/OUTPATIENT PHARMACIES DISPENSED 1,500,000 UNIT DOSES. 329311295 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 101 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X GLENN SMITH CPA 2252371547 8490 PICARDY AVE 300B BATON ROUGE LA 70809 X MARK SLYTER PRESIDENT & CEO (UNTIL JULY 2016) 1.00 X X 0 802661 163744 EDGARDO TENREIRO INTERIM PRES & CEO (EFF JULY 2016) 50.00 X X 0 510280 118345 VENKAT BANDA MD BOARD MEMBER 3.00 X 0 301341 57333 PERRY FRANKLIN BOARD MEMBER 3.00 X 0 0 0 GARY GRAPHIA BOARD MEMBER 3.00 X 0 0 0 MARGARET HART BOARD MEMBER 3.00 X 0 0 0 JOE JUBAN BOARD MEMBER 3.00 X 0 0 0 ROY G KADAIR MD BOARD MEMBER 3.00 X 0 0 0 DEBRA LOCKWOOD 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 ANDREW OLINDE MD BOARD MEMBER 3.00 X 66000 0 0 REV RONNIE WILLIAMS BOARD MEMBER 3.00 X 0 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 50.00 X 0 540488 92002 ANNA CAZES DNS - VICE PRES CHIEF NURSING OFFICER 50.00 X 0 351859 92469 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 50.00 X 0 361914 60890 DONALD SHAW VICE PRES-REVENUE CYCLE 50.00 X 0 287869 63668 BENNETT CHERAMIE VICE PRES-INFO SERVICES 50.00 X 0 280145 61251 STEPHEN MUMFORD VICE PRES-CLINICAL SERVICE LINES 50.00 X 0 258393 62726 PEYTON GRANT VICE PRES-FACILITIES MGT 50.00 X 0 263865 86053 GEORGE BELL FORMER HOSP ADMINISTRATOR-MID CITY 1.00 X 0 234566 48602 JEREMY ROGERS C O O BRG PHYSICIANS GROUP 50.00 X 0 176718 45961 KENNY COLE MD - CHIEF CLINICAL TRANSFORMATION OFFICER & VP 50.00 X 0 329183 12561 ROBERT KENNEY MD VICE PRES-MEDICAL OPERATIONS 50.00 X 0 288305 24577 EDWARD JEFFRIES MD FORMER COO OF BRG PHYSICIAN GROUP 1.00 X 0 559387 57515 WILLIAM J HUBBARD MD PHYSICIAN-SURGEON 50.00 X 0 752734 63830 ROBERT N MOUKARZEL MD PHYSICIAN-SURGEON 50.00 X 0 747815 66637 DHAVAL V ADHVARYU MD PHYSICIAN-SURGEON 50.00 X 0 508141 43947 LEONEL LACAYO MD PHYSICIAN 50.00 X 0 518819 37679 OLEANA LAMENDOLA MD PHYSICIAN 50.00 X 0 534085 36724 FLOYD ROBERTS MD FORMER VP & CHIEF MEDICAL OFFICER 0.00 X 0 542759 42723 DIONNE VIATOR CPA FORMER VICE PRES & CNSO 0.00 X 0 134842 17539 66000 9286169 1356776 20 1 1 0 GENERAL HEALTH SYSTEM 8490 PICARDY AVE BATON ROUGE LA 70809 MANAGEMENT & GOVERNANCE 49036806 PARISH ANESTHESIA OF BR 3510 N CAUSEWAY BLVD METAIRIE LA 70002 MEDICAL SERVICES 4075164 HOSPITAL HOUSEKEEPING SYSTEMS PO BOX 826 SAN ANTONIO TX 78293 HOUSEKEEPING SERVICES 3342175 LSU HEALTH SCIENCES CENTER 433 BOLIVAR ST NEW ORLEANS LA 70112 MEDICAL SERVICES 2381606 HMG PHYSICIANS LLC 3600 FLORIDA BLVD BATON ROUGE LA 70806 MEDICAL SERVICES 2253350 46 652350 33090 685440 NET PATIENT REVENUES 621990 382031629 382031629 382031629 1107657 1107657 2592168 0 2592168 2592168 2592168 5282047 9193 5382370 0 -100323 9193 -91130 -91130 CAFETERIA REVENUE 722210 4735070 1691115 3043955 PURCHASE REBATES 900099 881461 881461 SUPPORT REVENUE-LTAC 900099 518454 518454 7567559 7567559 13702544 400028308 384623797 1691115 13027956 X 965867 965867 6100 6100 66000 66000 107098434 104951198 2147236 29276808 27324955 1951853 8129517 8100843 28674 47729034 12076634 35652400 105000 105000 20 20 39269210 35453826 3815384 3438475 3434404 4071 722892 689590 33302 268504 267683 821 5880870 5328896 551974 421470 373694 47776 5379466 4841519 537947 11330961 11188822 142139 754592 754430 162 MEDICAL SUPPLIES 87038511 86788707 249804 BAD DEBT EXPENSE 16128161 16128161 EQUIPMENT EXPENSES 10001416 9805423 195993 ALL OTHER EXPENSES 885996 764523 121473 374897304 329311295 45586009 0 14777621 16248403 56578337 64241514 44442620 45950100 2392104 1259480 7696253 8324465 1212221 1233067 361919971 213923575 152247891 147996396 23253301 33917882 302600348 319171307 28132281 24907213 157532343 150439603 185664624 175346816 X 116935724 143824491 116935724 143824491 302600348 319171307 25131004 1757761 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 500 1 0 1 500 0 1 121906 122906 0 PART II-B, LINE 1D & 1E INTERNAL COMMUNICATION ONLY, INVOLVING LITTLE OR NO DIRECT COST. PART II-B, LINE G COSTS WERE LIMITED TO IN-TOWN TRAVEL AT MINIMAL DIRECT COST. PART II-B, LINE I LOBBYING FIRM ENGAGED TO ASSIST IN LEGISLATIVE EFFORTS ONLY. 9755209 9755209 233241513 124699464 108542049 8110033 6927996 1182037 109555668 82296115 27259553 1257548 1257548 147996396 UNAMORTIZED BOND ISSUE COSTS 2036575 DUE FROM PARENT COMPANY, GENERAL HEALTH SYSTEM 27175329 GOODWILL 4705978 33917882 X 385657910 1757761 -16128159 -14370398 400028308 0 400028308 358769143 0 358769143 16128161 16128161 374897304 PART X, LINE 2: FIN 48/ASC FOOTNOTE: "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." "PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE." PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBTS EXPENSE -16,128,161. ROUNDING 2. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS EXPENSE 16,128,161. 1 1 X 1 X 1 X 1 1 0 1 1 6909948 6909948 0.01930 35942410 15542556 20399854 0.05690 0.00000 42852358 15542556 27309802 0.07620 390431 390431 0.00110 7 808 8544124 4749457 3794667 0.01060 3 52447 36586483 28458890 8127593 0.02260 416101 101992 314109 0.00090 778214 778214 0.00220 10 53255 46715353 33310339 13405014 0.03740 10 53255 89567711 48852895 40714816 0.11360 0 16128161 83299365 87695229 -4395864 X 1 1 1 1 BRGMC-MID CITY AND BLUEBONNET CAMPUSES 8490 PICARDY AVENUE BATON ROUGE LA 70809 WWW.BRGENERAL.ORG X X X X BRGMC-MID CITY AND BLUEBONNET CAMPUSES 0 0 1 X X X X X X X X 15 1 1 1 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY X 1 15 1 WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X WWW.BRGENERAL.ORG/ X X X 1 X 0 X X X 1 X 0 1 BRGMC-MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 6A: IN ADDITION TO BRGMC'S PARTICIPATION IN THE 2015 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, AND LOUISIANA HOSPITAL ASSOCIATION. BRGMC-MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 11: THE 2015 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 THE COMMUNITY HEALTH NEEDS. MUCH MORE INFORMATION IS AVAILABLE AS TO THE EFFORTS OF THE TAXPAYER AT THE URL LISTED ON PAGE 4, QUESTION 10A. PART V, SECTION B, LINE 3: 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 GREATER 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, WOMAN'S HOSPITAL OF BATON ROUGE, LANE MEMORIAL HOSPITAL, OFFICE OF US SENATOR MARY LANDRIEU, EBR PARISH PUBLIC SCHOOL SYSTEM, LSU HEALTH SCIENCES CENTER-LA, PRIMARY CARE ASSOCIATION, AMERICAN HEART ASSOCIATION, THE BATON ROUGE CLINIC, OUR LADY OF THE LAKE HOSPITAL, AND 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 COMPATIABLE 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 THE 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. 11 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 AVENUE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION 5 - BRG ORTHOPEDIC ASSOCIATES 8595 PICARDY AVENUE 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 AVENUE SUITE 305 BATON ROUGE LA 70809 CLINICAL LOCATION 9 - WOMACK HEART CENTER-VALVE CENTER 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 HEALTHCARE PROFESSIONALS 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 2016 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 FINACIAL 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. 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 AFFILIATION AGREEMENT WITH TULANE UNIVERSITY SCHOOL OF MEDICINE TO CREATE A SATELLITE TRAINING CAMPUS FOR ITS MEDICAL STUDENTS. IN MAY 2016, 24 SELECTED STUDENTS (IN MAY 2015, 24 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 STUDENTS' 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 GENERAL HEALTH SYSTEM FOUNDATION 8490 PICARDY AVE BATON ROUGE LA 70809 740801335 501C3 828291 CHARITY EFFORTS AMERICAN CANCER SOCIETY 10528 KENTSHIRE COURT BATON ROUGE LA 70810 131788491 501C3 10000 CHARITY EFFORTS AMERICAN HEART ASSOCIATION 2644 S SHERWOOD FOREST BLVD BATON ROUGE LA 70810 135613797 501C3 35000 CHARITY EFFORTS BATON ROUGE SICKLE CELL ANEMIA 2301 NORTH BLVD BATON ROUGE LA 70806 720774464 501C3 2500 CHARITY EFFORTS BATON ROUGE SYMPHONY ORCHESTRA 7330 HIGHLAND RD BATON ROUGE LA 70808 030469605 501C3 10000 CHARITY EFFORTS CRISIS COALITION 8440 JEFFERSON HWY BATON ROUGE LA 70809 501C3 5000 CHARITY EFFORTS LSU PENNINGTON BIOMEDICAL RESEARCH 6400 PERKINS ROAD BATON ROUGE LA 70808 581767810 501C3 25000 CHARITY EFFORTS MID CITY REDEVELOPMENT ALLIANCE 419 N 19TH ST BATON ROUGE LA 70802 721196990 501C3 25000 CHARITY EFFORTS 8 VARIOUS EDUCATION SCHOLARSHIPS TO EMPLOYEES/NURSING STUDENTS 8 6100 PART I, LINE 2 THE GRANT RECIPIENT (GENERAL HEALTH SYSTEM FOUNDATION) IS RELATED TO THE TAXPAYER AND IS A 501C3 ORGANIZATION. BECAUSE OF CENTRALIZED MANAGEMENT, GOVERNANCE AND ACCOUNTING, THE USE OF GRANT PROCEEDS ARE MONITORED BY THE TAXPAYER ON A DAY-TO-DAY, MONTH-TO-MONTH BASIS TO ENSURE THAT SAID PROCEEDS ARE USED TO FURTHER THE RECIPIENTS' EXEMPT PURPOSE. PART III, LINE 1 VARIOUS EMPLOYEES AND NURSING SCHOOL STUDENTS ARE AWARDED SCHOLARSHIPS TO CONTINUE THEIR CLINICAL EDUCATIONS. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 MARK SLYTER PRESIDENT & CEO (UNTIL JULY 2016) 0 591000 0 162123 0 49538 0 142380 0 21364 0 966405 0 0 EDGARDO TENREIRO INTERIM PRES & CEO (EFF JULY 2016) 0 452375 0 57905 0 0 0 98306 0 20039 0 628625 0 0 VENKAT BANDA MD BOARD MEMBER 0 225000 0 0 0 76341 0 36000 0 21333 0 358674 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 0 411054 0 67331 0 62103 0 73492 0 18510 0 632490 0 0 ANNA CAZES DNS - VICE PRES CHIEF NURSING OFFICER 0 264742 0 35383 0 51734 0 71740 0 20729 0 444328 0 0 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 0 294687 0 49728 0 17499 0 42166 0 18724 0 422804 0 0 DONALD SHAW VICE PRES-REVENUE CYCLE 0 208105 0 36897 0 42867 0 52094 0 11574 0 351537 0 0 BENNETT CHERAMIE VICE PRES-INFO SERVICES 0 220660 0 35946 0 23539 0 47789 0 13462 0 341396 0 0 STEPHEN MUMFORD VICE PRES-CLINICAL SERVICE LINES 0 204500 0 43252 0 10641 0 43098 0 19628 0 321119 0 0 PEYTON GRANT VICE PRES-FACILITIES MGT 0 186695 0 33185 0 43985 0 67204 0 18849 0 349918 0 0 GEORGE BELL FORMER HOSP ADMINISTRATOR-MID CITY 0 200000 0 25920 0 8646 0 30633 0 17969 0 283168 0 0 JEREMY ROGERS C O O BRG PHYSICIANS GROUP 0 162000 0 14718 0 0 0 26756 0 19205 0 222679 0 0 KENNY COLE MD - CHIEF CLINICAL TRANSFORMATION OFFICER & VP 0 300000 0 28097 0 1086 0 4070 0 8491 0 341744 0 0 ROBERT KENNEY MD VICE PRES-MEDICAL OPERATIONS 0 255319 0 24346 0 8640 0 5885 0 18692 0 312882 0 0 EDWARD JEFFRIES MD FORMER COO OF BRG PHYSICIAN GROUP 0 324640 0 184813 0 49934 0 42000 0 15515 0 616902 0 0 WILLIAM J HUBBARD MD PHYSICIAN-SURGEON 0 600000 0 0 0 152734 0 48250 0 15580 0 816564 0 0 ROBERT N MOUKARZEL MD PHYSICIAN-SURGEON 0 600000 0 0 0 147815 0 48250 0 18387 0 814452 0 0 DHAVAL V ADHVARYU MD PHYSICIAN-SURGEON 0 297497 0 0 0 210644 0 36000 0 7947 0 552088 0 0 LEONEL LACAYO MD PHYSICIAN 0 500000 0 0 0 18819 0 24000 0 13679 0 556498 0 0 OLEANA LAMENDOLA MD PHYSICIAN 0 500000 0 0 0 34085 0 18000 0 18724 0 570809 0 0 FLOYD ROBERTS MD FORMER VP & CHIEF MEDICAL OFFICER 0 386079 0 36919 0 119761 0 24000 0 18723 0 585482 0 0 DIONNE VIATOR CPA FORMER VICE PRES & CNSO 0 53433 0 0 0 81409 0 11362 0 6177 0 152381 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. 15 EXECUTIVES UTILIZED THIS PARTICULAR BENEFIT. ALL OF THESE BENEFITS WERE INCLUDED IN THEIR 2015 AND/OR 2016 FORMS W-2 AS COMPENSATION. NO PERSONS LISTED IN 990 PART VII TRAVELED FIRST CLASS OR BY CHARTER. TWO BOARD MEMBERS' COMPANIONS AND THE CHIEF NURSING OFFICER'S SPOUSE TRAVEL COSTS TO THE ANNUAL BOARD RETREAT (APRIL 2016) WERE PAID BY THE TAXPAYER. NONE OF THE COSTS OF SAID TRAVEL WERE 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), A 501(C)(3) ORGANIZATION #72-0475545. GENERAL HEALTH SYSTEM IS THE PARENT COMPANY OF BATON ROUGE GENERAL MEDICAL CENTER. PART I, LINE 4A: UNTIL HIS SEPARATION FROM THE ORGANIZATION, THE PRESIDENT/CEO (SLYTER) PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF HIS EMPLOYMENT CONTRACT WITH GENERAL HEALTH SYSTEM #72-0475545. SYLTER WAS SEPARATED FROM SERVICE IN AUGUST 2016 AND WAS PAID A BI-WEEKLY SEVERANCE PAYOUT ($305,000 TOTAL) OVER THE NEXT 10 PAY PERIODS THAT ENDED IN DECEMBER 2016. FORMER CHIEF MEDICAL OFFICER (ROBERTS) WAS SEPARATED FROM SERVICE IN JULY 2015 AND WAS PAID A BI-WEEKLY SEVERANCE PAYOUT ($426,582 TOTAL) UNTIL OCTOBER 2016. FORMER MID CITY ADMINISTRATOR (BELL) WAS SEPARATED FROM SERVICE IN DECEMBER 2015 AND WAS PAID A BI-WEEKLY SEVERANCE ($235,872 TOTAL) THAT ENDED IN JANUARY 2017. ALL SEVERANCE PAYMENTS ARE REPORTED ON THE EXECUTIVES' FORMS W-2 IN THE CALENDAR YEAR IN WHICH PAID. 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 FORTEITURE 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 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, CUSTOMER 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 56 PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS) THAT PROVIDES HOSPITALIST, PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE AND GRADUATE MEDICAL EDUCATION SERVICES TO THE TAXPAYER. THAT SERVICES PROVIDER WAS STAFFED BY A RELATED, FOR-PROFIT ENTITY IN ACCORDANCE WITH A STAFFING SERVICES AGREEMENT UNTIL JUNE 2016 AT WHICH TIME THE AGREEMENT WAS TERMINATED. 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 SERVICES. R MORRIS DAUGHTER OF BRD MEMBER 90166 EMPLOYEE COMPENSATION 0 M FRANKLIN SPOUSE OF BRD MEMBER 27743 EMPLOYEE COMPENSATION 0 J CAZES SPOUSE OF CNO 154694 EMPLOYEE COMPENSATION 0 HMG PHYSICIANS LLC BRD MEMBER 2594897 PROF MEDICAL 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 (CONSISTING OF 56 PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS) THAT PROVIDE HOSPITALIST, PALLIATIVE CARE, GERIATRIC, CARE MANAGEMENT, NON ACUTE AND GRADUATE MEDICAL EDUCATION SERVICES TO THE TAXPAYER. ALL SERVICES ARE PROVIDED AT FAIR MARKET WITH A MEDICAL SERVICES AGREEMENT. FORM 990, PART III, LINE 3 THE TAXPAYER'S AFFILIATE, BEHAVIORAL HEALTH, INC. (BHI) HAS HELD A 50% INTEREST IN A RADIOLOGY CLINIC JOINT VENTURE WITH AN UNRELATED LOCAL RADIOLOGY PHYSICIAN GROUP SINCE 2011. ON JULY 31, 2015, THROUGH A SERIES OF CAPITAL CONTRIBUTIONS BETWEEN BHI, THE TAXPAYER AND THEIR COMMON PARENT COMPANY, GENERAL HEALTH SYSTEM (GHS), THE TAXPAYER BECAME THE OWNER OF THE 50% OWNERSHIP INTEREST HELD BY BHI. AFTER THE CONTEMPORANEOUS TAXPAYER'S PURCHASE OF THE PHYSICIAN GROUP'S 50% INTEREST AND ITS RECEIPT OF BHI'S 50% INTEREST, THE TAXPAYER OWNED 100% OF THE OWNERSHIP INTEREST IN THE CLINIC ENTITY. IMMEDIATELY AFTER TAKING SOLE OWNERSHIP, THE TAXPAYER ENTERED INTO AN AGREEMENT TO MERGE THE CLINIC INTO BATON ROUGE GENERAL MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11 DURING PREPARATION OF THE 990, SENIOR FINANCE AND ADMINISTRATIVE 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 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 GHS 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 2 WEEK COI 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 FOR POSSIBLE CONFLICTS. THE CORPORATE COMPLIANCE OFFICER THEN REVIEWS ALL OF THE 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 GHS BOARD 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 COMMITTEE MEMBERS ARE INDEPENDENT WITH NO CONFLICT OF INTEREST WITH REGARD TO EXECUTIVE COMPENSATION MATTERS. THE COMPENSATION COMMITTEE CONSIDERS MANY FACTORS IN DETERMINING EXECUTIVE COMPENSATION 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 A PRESUMPTION OF REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 19 THE TAXPAYER MAKES ALL GOVERNING DOCUMENTS, CONFLICT 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 THE PRESIDENT/CEO AND DESIGNATED EXECUTIVES INCLUDES 401K AND DEFERRED COMPENSATION BENEFITS SUBJECT TO FUTURE VESTING. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 35,453,826. MANAGEMENT AND GENERAL EXPENSES 3,815,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,269,210. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS IS TASKED WITH THE OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. GENERAL INFO: THE BOARD OF TRUSTEES FOR PARENT COMPANY (GENERAL HEALTH SYSTEM #72-0475545) ALSO SERVES AS THE BOARD OF TRUSTEES FOR THE ORGANIZATION. 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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 PROSCRIBED BY SCHEDULE R IS NOT POSSIBLE AT THIS TIME.