2016-08-15T14:05:46-05:00 2015-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2014-10-01 721025017 BATON ROUGE GENERAL MEDICAL CENTER BATO 2252371547 8490 PICARDY AVENEUE NO 300-B BATON ROUGE LA 70809 KENDALL JOHNSON VICE PRESIDENT & CFO 2252371547 2016-08-15 1 JON LEBLANC P01525561 2259224600 2014 2016-09-27 15:27:22Z MARK SLYTER 8490 PICARDY AVENEUE NO 300-B BATON ROUGE LA 70809 414476248 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. 17 10 0 400 1240852 -11312 905572 946611 391017493 385919833 853597 79117 13487667 16158750 406264329 403104311 868164 1162471 0 0 138493323 134376708 0 0 0 249445016 246784579 388806503 382323758 17457826 20780553 276114440 302600348 186353735 185664624 89760705 116935724 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 0 260322288 1162471 240189195 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 33,312,064 OF FREE, AND/OR SUBSIDIZED CARE, 214,885,896 OF CAEE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AS WELL AS HEALTH ACTIVITIES AND EDUCATION PROGRAMS. DURINGFY 2015, ERG RECORDED 16,247 ADMITS, 288,746 OUTPATIENT CASES/PROCEDURES, 85,539 PATIENT DAYS, 76,348 EMERGENCY ROOM VISITS, DISPENSED 1,500,000 PHARMACY UNIT DOSES AND 11,327 INPATIENT/OUTPATIENT SURGERIES. 37207572 88376638 BRG OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SURGICAL SERVICES TO THE GREATER BATON ROUGE AREA INCLUDING, BUT NOT LIMITED TO, GENERAL, ORTHOPEDIC, CAEDIOVASCULAR, AND NEUROSURGERIES. BRG IS HOME TO THE AEEA'S FINEST GENERAL AND ORTHOPEDIC SPECIALISTS AND OFFERS THE LATEST TECHNOLOGY AND CLINICALLY COMPETENT SUPPORT STAFF IN THE AREA. BRG COMPLETED 11,327 SURGERIES DURING THE FISCAL YEAE. 23217020 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. 59768967 59768967 320746880 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 1 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 17 10 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 VENKAT BANDA MD BOARD MEMBER 3.00 X 0 404216 56032 PETER BOSTICK MD BOARD MEMBER 3.00 X 47750 0 0 GREG BOWSER BOARD MEMBER 3.00 X 0 0 0 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 EVELYN HAYES MD BOARD MEMBER 3.00 X 0 208180 49688 LESLIE HERPIN MARX BOARD MEMBER 3.00 X 0 0 0 JOE JUBAN BOARD MEMBER 3.00 X 0 0 0 ANDREW OLINDE MD BOARD MEMBER 3.00 X 48500 0 0 JANICE PELLAR BOARD MEMBER 3.00 X 0 0 0 REV RONNIE WILLIAMS BOARD MEMBER 3.00 X 0 0 0 ISABELINA NAHMENS PHD BOARD MEMBER 3.00 X 0 0 0 DEBRA LOCKWOOD BOARD MEMBER 3.00 X 0 0 0 EVERETT BONNER MD BOARD MEMBER 3.00 X 8000 0 0 MARK SLYTER PRESIDENT & CEO 50.00 X X 0 787211 65174 EDGARDO TENREIRO EXEC. VICE PRESIDENT & COO 50.00 X 0 0 0 KENDALL JOHNSON CPA VICE PRESIDENT & CFO 50.00 X 0 517873 92532 ANNA CAZES DNS CHIEF NURSING OFFICER 50.00 X 0 348153 89784 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 50.00 X 0 308658 56396 DONALD SHAW VICE PRES-REVENUE CYCLE 50.00 X 0 271674 53561 PEYTON GRANT VICE PRES-FACILITIES MGT 50.00 X 0 250819 85016 GEORGE BELL ADMINISTRATOR - MID CITY CAMPUS 50.00 X 0 458786 55649 ED JEFFRIES MD COO-PHYSICIANS GROUP 50.00 X 0 516819 56306 WILLIAM J HUBBARD MD PHYSICIAN-SURGEON 50.00 X 0 875991 81863 ROBERT N MOUKARZEL MD PHYSICIAN-SURGEON 50.00 X 0 800939 79119 DHAVAL V ADHVARYU MD PHYSICIAN-SURGEON 50.00 X 0 563819 45115 SHABAN FARAQUI MD PHYSICIAN 50.00 X 0 446067 41859 OLEANA LAMENDOLA MD PHYSICIAN 50.00 X 0 442736 28975 DIONNE E VIATOR CPA EXEC. VICE PRESIDENT & CNS 50.00 X 0 500888 64391 FLOYD ROBERTS MD CHIEF MEDICAL OFFICER 50.00 X 0 635253 57459 104250 8338082 1058919 0 1 1 0 GENERAL HEALTH SYSTEM 8490 PICARDY AVE BATON ROUGE LA 70809 MANAGEMENT & GOVERNANCE 71665626 PARISH ANESTHESIA OF BR 3510 N CAUSEWAY BLVD METAIRIE LA 70002 MEDICAL SERVICES 4553014 HOSPITAL HOUSEKEEPING SYSTEMS PO BOX 826 SAN ANTONIO TX 78293 HOUSEKEEPING SERVICES 3464692 HMG PHYSICIANS LLC 3600 FLORIDA BLVD BATON ROUGE LA 70806 MEDICAL SERVICES 2638442 LSU HEALTH SCIENCES CTR 433 BOLIVAR ST NEW ORLEANS LA 70112 MEDICAL SERVICES 2224332 48 862239 84372 946611 NET PATIENT REVENUES 621990 385919833 385919833 385919833 998142 998142 2414967 0 2414967 2414967 2414967 10452912 11371937 -919025 -919025 -919025 CAFETERIA REVENUE 722210 4711351 1240852 3470499 PURCHASE REBATES 900099 914684 914684 SUPPORT REV -LTAC 900099 596389 596389 7521359 7521359 13743783 403104311 388334800 1240852 12582048 1160221 1160221 2250 2250 104250 104250 114172417 111989646 2182771 11367207 11286412 80795 8732834 8628583 104251 71665555 18085626 53579929 105000 105000 1860 1860 36991061 33334286 3656775 2143546 2132839 10707 1116825 1077717 39108 414477 405379 9098 5474012 5222095 251917 318845 284699 34146 5600098 5040088 560010 10571168 10052322 518846 445164 427382 17782 MEDICAL SUPPLIES/PHARMA 87586895 87513354 73541 BAD DEBT EXPENSE 14662446 14662446 EQUIPMENT RENTALS/REPAI 8509321 8291284 218037 SETTLEMENT LOSS-SOFTWAR 1178306 1044141 134165 382323758 320746880 61576878 0 6125651 14777621 53290349 56578337 49425587 44442620 1310472 2392104 7157964 7696253 1183425 1212221 357582988 205335097 146982233 152247891 10638759 23253301 276114440 302600348 21936643 28132281 164417092 157532343 186353735 185664624 X 89760705 116935724 89760705 116935724 276114440 302600348 X 20780553 85930 6308536 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 105000 106000 0 PART II-B, LINE 1D & 1E INTERNAL COMMUNICATIONS 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 232378244 120000187 112378057 8110033 6857889 1252144 106564656 78477021 28087635 774846 774846 152247891 UNAMORTIZED BOND ISSUE COSTS 2225346 DUE TO PARENT COMPANY, GENERAL HEALTH SYSTEM 16321978 GOODWILL 4705977 23253301 X 388527794 85929 -14662446 -14576517 403104311 0 403104311 367661312 0 367661312 14662446 14662446 382323758 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 SUPORT 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 -14,662,446. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS EXPENSE 14,662,446. 1 1 X 1 X 1 X 1 0 1 1 10219027 0 10219027 0.02780 36913199 17699667 19213532 0.05230 0 0 0.00000 47132226 17699667 29432559 0.08010 12853 404692 0 404692 0.00110 7 757 9472210 4471721 5000489 0.01360 3 64565 34904536 27831429 7073107 0.01920 470073 54196 415877 0.00110 1054574 0 1054574 0.00290 10 78175 46306085 32357346 13948739 0.03790 10 78175 93438311 50057013 43381298 0.11800 0 14662446 85747801 95027397 -9279596 X 1 1 1 1 BRGMC - MID CITY AND BLUEBONNET CAMPUS 8490 PICARDY AVENUE BATON ROUGE LA 70809 X X X X BRGMC - MID CITY AND BLUEBONNET CAMPUS 0 0 1 X X X X X X X X 12 1 1 1 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY X 1 12 1 WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 0 1 X 200.000000000000 200.000000000000 X X X X X 1 1 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY X 1 0 X X X 1 X 0 1 BRGMC - MID CITY AND BLUEBONNET CAMPUS 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, THE OFFICE OF US SENATOR MARY LANDRIEU, EBR PARISH PUBLIC SCHOOL SYSTEM, LSU HEALTH SCIENCES CENTER, LA. PRIMARY CARE ASSOCIATION, AMERICAN HEART ASSOCIATION, LSU PENNINGTON BIOMEDICAL RESEARCH CENTER AMONG A GROUP OF 25 MAJOR COMMUNITY GROUPS IN THE AREA. COORDINATION AMONG THESE GROUPS 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 CAMPUS 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, LOUISIANA HOSPITAL ASSOCIATION. BRGMC - MID CITY AND BLUEBONNET CAMPUS PART V, SECTION B, LINE 11: THE 2015 CHNA IDENTIFIED 0 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, QUES. LOA. PART V, SEC B THE ORGANIZATION PARTICIPATES IN A PARISH-WIDE COMMUNITY BENEFIT REPORT WHICH SUMMARIZES ITS EFFORTS TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE GREATER BATON ROUGE AREA. SAID REPORT IS AVAILABLE TO THE GENERAL PUBLIC ON AN AS-REQUESTED BASIS. THE COST-TO-CHARGE RATIO, AS CALCULATED ON THE TAXPAYER'S MEDICARE COST REPORT, IS USED AS THE BASIS FOR CALCULATING THE AMOUNTS REPORTED IN PART I, LINES 7A-7D. ACTUAL, DIRECT COSTS WERE USED IN THE CALCULATIONS OF THE VARIOUS AMOUNTS IN PART I, LINES 7E-7I. NO ADDITION OF UNALLOCATED OVERHEAD COSTS WERE USED ALTHOUGH THE ORGANIZATION FEELS THAT SUCH AN ADDITION WOULD BE JUSTIFIED. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY BRGMC - MID CITY AND BLUEBONNET CAMPUS PART V, SECTION B, LINE 16A WEBSITE: WWW.BRGENERAL.ORG/IN-THE-COMMUNITY 11 FAMILY HEALTH CENTER 3801 NORTH BLVD BATON ROUGE LA 70806 CLINICAL LOCATION FAMILY HEALTH CENTER-SOUTH 333 LEE DRIVE SUITE B BATON ROUGE LA 70806 CLINICAL LOCATION BRG SURGICAL ASSOCIATES 3600 FLORIDA BLVD BATON ROUGE LA 70806 CLINICAL LOCATION BRG SURGICAL ASSOCIATES-BLUEBONNET 8595 PICARDY AVENUE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION BRG ORTHOPEDIC ASSOCIATES 8595 PICARDY AVENUE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION BRG GASTROENTEROLOGY CENTER 6615 PERKINS ROAD BATON ROUGE LA 70808 CLINICAL LOCATION BRG NEUROLOGY ASSOCIATES 3600 FLORIDA BLVD BATON ROUGE LA 70806 CLINICAL LOCATION MATERNAL-FETAL MEDICINE OF BATON ROUGE 8595 PICARDY AVENUE SUITE 305 BATON ROUGE LA 70809 CLINICAL LOCATION WOMACK HEART CENTER-VALVE CENTER 8888 SUMMA AVE BATON ROUGE LA 70809 CLINICAL LOCATION BRG IMAGING CENTER - DIJON 5422 DIJON DRIVE BATON ROUGE LA 70809 CLINICAL LOCATION 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 2015 MEDICARE COST REPORT AS FILED WITH THE CENTER FORMEDICARE 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 REVIEW OF THE AGING OF PATIENT ACCOUNT BALANCES AS WELL AS COLLECTION HISTORIES OF THOSE ACCOUNTS. THE TAXPAYER ROUTINELY CONDUCTS THAT REVIEW TO 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 SERVES 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 TRIANING CAMPUS FOR ITS MEDICAL STUDENTS. IN MAY 2014, 24 SELECTED STUDENTS (IN MAY 2014, 28 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 1016945 0 CHARITY EFFORTS AMERICAN COLLEGE OF SURGEONS PO BOX 92425 CHICAGO IL 60675 300305504 501C3 6400 0 CHARITY EFFORTS AMERICAN HEART ASSOCIATION 2644 S SHERWOOD FOREST BLVD BATON ROUGE LA 70810 135613797 501C3 55000 0 CHARITY EFFORTS BATON ROUGE SICKLE CELL ANEMIA 2301 NORTH BLVD BATON ROUGE LA 70806 720774464 501C3 5000 0 CHARITY EFFORTS BATON ROUGE SYMPHONY ORCHESTRA 7330 HIGHLAND RD BATON ROUGE LA 70808 030469605 501C3 5000 0 CHARITY EFFORTS CRISIS COALITION 8440 JEFFERSON HWY BATON ROUGE LA 70809 501C3 5000 0 CHARITY EFFORTS JL FOUNDATION 10880 WILSHIRE BLVD LAS ANGELES CA 90024 954129163 501C3 5000 0 CHARITY EFFORTS MID CITY REDEVELOPMENT ALLIANCE 419 N 19TH ST BATON ROUGE LA 70802 721196990 501C3 25000 0 CHARITY EFFORTS VOLUNTEER HEALTH CORPS 4655 SHERWOOD COMMON BLVD BATON ROUGE LA 70816 204852337 501C3 10000 0 CHARITY EFFORTS 9 VARIOUS EDUCATION SCHOLARSHIPS TO EMPLOYEES/NURSING STUDENTS 3 2250 VARIOUS EMPLOYEES AND NURSING SCHOOL STUDENTS ARE AWARDED SCHOLARSHIPS TO CONTINUE THEIR CLINICAL EDUCATIONS. 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. X X X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 VENKAT BANDA MD BOARD MEMBER 0 225000 0 0 0 179216 0 35000 0 21032 0 460248 0 0 EVELYN HAYES MD BOARD MEMBER 0 208180 0 0 0 0 0 40500 0 9188 0 257868 0 0 MARK SLYTER PRESIDENT & CEO 0 591000 0 144039 0 52172 0 51800 0 13374 0 852385 0 0 KENDALL JOHNSON CPA VICE PRESIDENT & CFO 0 398000 0 77212 0 42661 0 70994 0 21538 0 610405 0 0 ANNA CAZES DNS CHIEF NURSING OFFICER 0 256000 0 48832 0 43321 0 69287 0 20497 0 437937 0 0 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 0 259000 0 49658 0 0 0 39496 0 16900 0 365054 0 0 DONALD SHAW VICE PRES-REVENUE CYCLE 0 200100 0 35527 0 36047 0 44587 0 8974 0 325235 0 0 PEYTON GRANT VICE PRES-FACILITIES MGT 0 180600 0 30476 0 39743 0 64842 0 20174 0 335835 0 0 GEORGE BELL ADMINISTRATOR - MID CITY CAMPUS 0 189500 0 36925 0 232361 0 38690 0 16959 0 514435 0 0 ED JEFFRIES MD COO-PHYSICIANS GROUP 0 302820 0 187316 0 26683 0 40500 0 15806 0 573125 0 0 WILLIAM J HUBBARD MD PHYSICIAN-SURGEON 0 650000 0 0 0 225991 0 65500 0 16363 0 957854 0 0 ROBERT N MOUKARZEL MD PHYSICIAN-SURGEON 0 650000 0 0 0 150939 0 60000 0 19119 0 880058 0 0 DHAVAL V ADHVARYU MD PHYSICIAN-SURGEON 0 150000 0 392025 0 21794 0 35000 0 10115 0 608934 0 0 SHABAN FARAQUI MD PHYSICIAN 0 400000 0 0 0 46067 0 23000 0 18859 0 487926 0 0 OLEANA LAMENDOLA MD PHYSICIAN 0 429000 0 0 0 13736 0 17500 0 11475 0 471711 0 0 DIONNE E VIATOR CPA EXEC. VICE PRESIDENT & CNS 0 397009 0 85635 0 18244 0 42854 0 21537 0 565279 0 0 FLOYD ROBERTS MD CHIEF MEDICAL OFFICER 0 373890 0 210944 0 50419 0 40500 0 16959 0 692712 0 0 PART I, LINE 1A IN ORDER TO ASSIST IN THE RELOCATION OF THE NEW PRESIDENT/CEO (SLYTER), A SHORT-TERM MONTHLY HOUSING ALLOWANCE WAS PROVIDED FOR CALENDAR YEAR 2014. 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. ALL OF THESE BENEFITS WERE INCLUDED ON THE 2014 AND/OR 2015 FORMS W-2 AS COMPENSATION. THE OFFICERS, KEY EMPLOYEES AND 5 HIGHEST PAID EMPLOYEES LISTED IN PART II ARE EMPLOYED AND COMPENSATED BY GENERAL HEALTH SYSTEM (GHS), A 50L(C) (3) ORGANIZATION #72-0475545. GENERAL HEALTH SYSTEM IS THE PARENT COMPANY OF BATON ROUGE GENERAL MEDICAL CENTER. PART I, LINE 4B THE PRESIDENT/CEO (SLYTER) PARTICIPATES IN A NON-QUALIFIED RETIREMENT PLAN IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF HIS EMPLOYMENT CONTRACT WITH THE TAXPAYER'S PARENT COMPANY, GENERAL HEALTH SYSTEM. THE CHIEF MEDICAL OFFICER'S (ROBERTS) INCENTIVE COMPENSATION INCLUDES A ONE-TIME SIGN-ON BONUS IN ACCORDANCE WITH A NEW EMPLOYMENT CONTRACT BASED ON HIS MANY YEARS OF SERVICE TO THE TAXPAYER AND FOR HIS DIRECTORSHIP OF THE TULANE UNIVERSITY LEAD ACADEMY. THE MID CITY ADMINISTRATOR'S (BELL) OTHER COMPENSATION INCLUDES A ONE-TIME PAYOUT ON THE VESTING OF A RETIREMENT BENEFIT EARNED OVER HIS PRIOR YEARS OF SERVICE. ALL 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 INTO A 457B PLAN AND THE ORGANIZATION PROVIDES A PERCENT OF WAGES SUPPLEMENT. THE AMOUNT PROVIDED IS DIRECTED BY THE BOARD AND THE BOARD'S COMPENSATION COMMITTEE BASED ON MARKET DATA PROVIDED BY AN INDEPENDENT BENEFIT CONSULTING FIRM THAT CONDUCTS A REVIEW OF RETIREMENT FUNDING FOR EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS. FUNDS DEPOSITED BY THE EMPLOYEES AND THE ORGANIZATION HAVE A RISK OF FORFEITURE TIED TO SOLVENCY, RETENTION, NON-COMPETITION AND/OR VESTING. PART I, LINE 7 IN ORDER TO MAKE HEALTHCARE COST EFFECTIVE AND OF THE HIGHEST QUALITY, VARIOUS EXECUTIVES LISTED IN 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 50 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 IS STAFFED BY A RELATED, FOR-PROFIT ENTITY IN ACCORDANCE WITH A STAFFING SERVICES AGREEMENT. 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. MARK SLYTER PRESIDENT/CEO SEE PART V X 150000 0 0 0 0 R MORRIS DAUGHTER OF BRD MEMBER 78931 EMPLOYEE COMPENSATION 0 M FRANKLIN SPOUSE OF BRD MEMBER 18193 EMPLOYEE COMPENSATION 0 J CAZES SPOUSE OF CNO 166532 EMPLOYEE COMPENSATION 0 HMG PHYSICIANS LLC BRD MEMBER 3319510 PROF MEDICAL SERVICES 0 PART IV VARIOUS FAMILY MEJVJBERS OF CERTAIN BOARD MEMBERS AND OFFICERS ARE EMPLOYED BY THE TAXPAYER:R. MORRIS IS THE DAUGHTER OF BOARD MEMBER, M. WOMACK HARTM. FRANKLIN RS 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 42 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 VALUES IN ACCORDANCE WITH A MEDICAL SERVICES AGREEMENT. PART II, LINE (1): IN FEB 2014, IN ORDER TO ASSIST IN THE RELOCATION EFFORTS OF OUR NEWLY APPOINTED PRESIDENT/CEO (MR. SLYTER), THE BOARD APPROVED A SHORT TERM LOAN TO SLYTER. SAID LOAN WAS TO BE REPAID AT THE EARLIEST OF THE ONE YEAR ANNIVERSARY OF THE LOAN OR THE SALE OF MR SLYTER'S HOME IN JACKSON, MS. IN JAN 2015, MR. SLYTER SOLD HIS HOME IN JACKSON, MS AT WHLCH TIME THE LOAN WAS FULLY REPAID WITH INTEREST. FORM 990, PART VI, SECTION B, LINE 11 DURING PREPARATION OF THE 990, SENIOR FINANCE LEADERS 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 GHS 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. 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 LA: COLUMN F-OTHER COMPENSATION TO THE PRESIDENT/CEO AND DESIGNATED EXECUTIVES INCLUDES 401K AND DEFERRED COMPENSATION BENEFITS SUBJECT TO FUTURE VESTING. GENERAL INFO THE BOARD OF TRUSTEES FOR PARENT COMPANY (GENERAL HEALTH SYSTEM 4172-0475545) ALSO SERVES AS THE BOARD OF TRUSTEES FOR THE ORGANIZATION. FORM 990, PART XI, LINE 9: ADJUSTMENT 6,308,536. FORM 990, PART XII, L,INE 2C: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS IS TASKED WITH THE OVERSIGHT OF THE ANNOAL AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. GENERAL HEALTH SYSTEM 8490 PICARDY AVE BATON ROUGE LA 70809 720475545 HOSP MANAGEMENT LA 501C3 3 N/A 0 GENERAL HEALTH SYSTEM FOUNDATION 8490 PICARDY AVE BATON ROUGE LA 70809 740801335 FOUNDATION LA 501C3 11 GHS 0 BEHAVIORAL HEALTH INC 8490 PICARDY AVE BATON ROUGE LA 70809 720893168 DORMANT CORP LA 501C3 3 GHS 0 GENERAL LIVING CENTERS INC 8490 PICARDY AVE BATON ROUGE LA 70809 581705626 DORMANT CORP LA 501C3 9 GHS 0 MID CITY HEALTH CENTER 8490 PICARDY AVE BATON ROUGE LA 70809 721260054 DORMANT CORP LA 501C3 3 GHS 0 THE GENERAL HEALTH FOUNDATION 8490 PICARDY AVE BATON ROUGE LA 70809 720907879 DORMANT CORP LA 501C3 11 GHS 0 GENERAL HEALTH MANAGEMENT INC 8490 PICARDY AVE BATON ROUGE LA 70809 720904131 MGT CO LA GHS C 1.00000 0 HEALTH MANAGEMENT SERVICES INC 8490 PICARDY AVE BATON ROUGE LA 70809 720929442 DORMANT CORP LA GEN HEALTH MGMT INC C 1.00000 0 HEALTH INITIATIVES INC 8490 PICARDY AVE BATON ROUGE LA 70809 720981798 DORMANT CORP LA GEN HEALTH MGMT INC C 1.00000 0 GENERAL HEALTH SYSTEM MGMT INC 8490 PICARDY AVE BATON ROUGE LA 70809 721335513 MGT CO LA GHS C 1.00000 0 VERITY HEALTHNET ACCT MGT SVCS INC 8490 PICARDY AVE BATON ROUGE LA 70809 721245224 PROVIDER NETWORK LA GHSM C 1.00000 0 VERITY HEALTHNET LLC 8490 PICARDY AVE BATON ROUGE LA 70809 450510673 MARKETER LA VHAMS C 0.50000 0 VERITY HEALTHNET NATL LLC 8490 PICARDY AVE BATON ROUGE LA 70809 562353850 DORMANT CO LA VHAMS C 0.50000 0 BRGP AFTER HOURS CLINIC INC 8490 PICARDY AVE BATON ROUGE LA 70809 743109146 DORMANT CORP LA BRGPS C 1.00000 0 MEDICAL DIAGNOSTIC SERVICES INC 8490 PICARDY AVE BATON ROUGE LA 70809 720994499 DORMANT CORP LA GHSM C 1.00000 0 BRGP SERVICES INC 8490 PICARDY AVE BATON ROUGE LA 70809 203756691 MGT CO LA GHSM C 1.00000 0 BRG PHYSICIANS INC 8490 PICARDY AVE BATON ROUGE LA 70809 721245632 PHYS CLINICS LA BRGPS C 1.00000 0 HOSPITAL MEDICINE GROUP INC 8490 PICARDY AVE BATON ROUGE LA 70809 203720898 DORMANT CLINIC LA BRGPS C 1.00000 0 BRGP HOSP SPECIALISTS INC 8490 PICARDY AVE BATON ROUGE LA 70809 203756738 PHYS CLINIC LA GHSM C 1.00000 0 BRG PRIMARY CARE LLC 8490 PICARDY AVE BATON ROUGE LA 70809 452969168 DORMANT CORP LA GHSM C 1.00000 0 BRGP MEDICAL GROUP LLC 8490 PICARDY AVE BATON ROUGE LA 70809 453063914 PHYS CLINIC LA GHSM C 1.00000 0 GHS STAFFING SERVICES LLC 8490 PICARDY AVE BATON ROUGE LA 70809 453058006 STAFFING SVCS LA GHSM C 1.00000 0 BR GENERAL LAB SERVICES LLC 8490 PICARDY AVE BATON ROUGE LA 70809 461735706 DORMANT CORP LA GHSM C 1.00000 0 GULF SOUTH HEALTH PLAN INC 8490 PICARDY AVE BATON ROUGE LA 70809 721068656 DORMANT CORP LA GHS C 1.00000 0 0 1 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 SEE PART VII FOR ADDITIONAL INFORMATION GENERAL HEALTH SYSTEM (PARENT COMPANY) 72-0475545 CASH VALUE GENERAL HEALTH SYSTEM FOUNDATION 74-0801335 CASH VALUE BATON ROUGE GENERAL PHYSICIANS INC #72-1245632 CASH VALUE HOSPITAL MEDICINE GROUP INC 20-3720898 CASH VALUE BATON ROUGE GENERAL PHYSICIANS HOSP SPECIALISTS INC 20-3756738 CASH VALUE SCHEDULE R, PAGE 3, PART V, LINE 2(A): THE TAXPAYER'S 50JC3 PARENT COMPANY (GENERAL HEALTH SYSTEM 72-0475545) PROVIDES CENTRALIZED MANAGEMENT, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE/BILLING, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE, BENEFITS MANAGEMENT, LEGAL INFORMATION, TECHNOLOGY SERVICES TO ALL MEMBERS OF THE GENERAL HEALTH SYSTEM (GHS). 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.