2017-08-15T11:11:05-05:00 2016-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2015-10-01 720475545 GENERAL HEALTH SYSTEM GENE 2252371547 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 KENDALL JOHNSON VICE PRESIDENT & CFO 2252371547 2017-08-15 JON LEBLANC P01525561 2259224600 2015 2021-01-29 14:40:06Z EDGARDO TENREIRO 8490 PICARDY AVENUE 300 BATON ROUGE LA 70809 91724847 0 X WWW.BRGENERAL.ORG X 1945 LA GENERAL HEALTH SYSTEM'S PRIMARY EXEMPT PURPOSE IS TO ASSIST IN THE PROVIDING OF EFFICIENT HEALTH CARE SERVICES BY PROVIDING CENTRALIZED MANAGEMENT, GOVERNANCE AND ADMINISTRATIVE SERVICES TO RELATED TAX-EXEMPT HEALTHCARE PROVIDER ORGANIZATIONS INCLUDING ITS 501C3 SUBSIDIARY, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. 12 7 4054 0 2863758 0 0 0 81413179 76117543 437942 1425919 5093630 5302203 86944751 82845665 55110 156600 0 0 41242755 43676178 0 0 0 41738126 38486822 83035991 82319600 3908760 526065 173960113 175508689 90817120 87835595 83142993 87673094 GENERAL HEALTH SYSTEM'S (GHS) PRIMARY EXEMPT PURPOSE IS TO PROVIDE EFFICIENT HEALTH CARE SERVICES BY PROVIDING CENTRALIZED MANAGEMENT, GOVERNANCE AND ADMINISTRATIVE SERVICES TO RELATED TAX-EXEMPT HEALTHCARE PROVIDER ORGANIZATIONS. 0 0 12188665 14518398 GENERAL HEALTH SYSTEM PROVIDES CENTRALIZED INFORMATION TECHNOLOGY SERVICES TO ALL GHS AFFILIATES. SOFTWARE AND HARDWARE SUPPORT AS WELL AS WELL-TRAINED SUPPORT PERSONNEL ARE PROVIDED TO, BUT NOT LIMITED TO BATON ROUGE GENERAL MEDICAL CENTER (BRGMC). BRGMC IS A 588 BED, 2 CAMPUS HOSPITAL SYSTEM AND IS AN IRC SEC. 501(C)(3) ORGANIZATION, ITS ID # IS 72-1025017. 21279545 25346902 GENERAL HEALTH SYSTEM ALSO PROVIDES ALL HUMAN RESOURCES SERVICES AND ADMINISTERS ALL EMPLOYEES' BENEFITS PROGRAMS FOR ALL OF ITS AFFILIATES IN AN EFFICIENT, COST EFFECTIVE MANNER. 32482085 156600 38690688 GENERAL HEALTH SYSTEM PROVIDES CENTRALIZED MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE/BILLING, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE AND LEGAL SERVICES TO ITS NOT-FOR-PROFIT AFFILIATE (BATON ROUGE GENERAL MEDICAL CENTER # 72-1025017) AND ITS FOR-PROFIT AFFILIATES. 65950295 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 396 0 1 4054 1 1 1 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 X GLENN SMITH 2252371547 8490 PICARDY AVE 300 BATON ROUGE LA 70809 X VENKAT BANDA MD BOARD MEMBER 3.00 X 0 301341 57333 ISABELINA NAHMENS PHD 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 JOE JUBAN BOARD CHAIR 3.00 X 0 0 0 DEBRA LOCKWOOD BOARD MEMBER 3.00 X 0 0 0 ANDREW OLINDE MD BOARD MEMBER 3.00 X 0 66000 0 REV RONNIE WILLIAMS BOARD MEMBER 3.00 X 0 0 0 MARK SLYTER PRES & CEO (UNTIL JULY 2016) 40.00 X X 802661 0 163744 EDGARDO TENREIRO INTERIM PRES & CEO (EFF JULY 2016) 50.00 X X 510280 0 118345 ROY G KADAIR MD BOARD MEMBER 3.00 X 0 0 0 PHYLLIS MCLAURIN BOARD MEMBER 3.00 X 0 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 50.00 X 540488 0 92002 ANNA CAZES DNS - VICE PRES CHIEF NURSING OFFICER 50.00 X 351859 0 92469 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 50.00 X 361914 0 60890 DONALD SHAW VICE PRES-REVENUE CYCLE 50.00 X 287869 0 63668 PEYTON GRANT VICE PRES-FACILITIES MGT 50.00 X 263865 0 86053 GEORGE BELL FORMER HOSP ADMINISTRATOR-MID CITY 40.00 X 234566 0 48602 EDWARD JEFFRIES MD FORMER COO-BRG PHYSICIANS GROUP 40.00 X 559387 0 57515 BENNETT CHERAMIE VICE PRES-INFO SERVICES 50.00 X 280145 0 61251 STEPHEN MUMFORD VICE PRES-CLINICAL SVC LINES 50.00 X 258393 0 62726 ROBERT KENNEY MD VP-MEDICAL OPERATIONS 50.00 X 288305 0 24577 JEREMY ROGERS COO BRG PHYSICIANS GROUP 50.00 X 123332 53386 45961 KENNY COLE MD - CHIEF CLINICAL TRANSFORMATION OFFICER & VP 50.00 X 329183 0 12561 WANDA HUGHES RNPHD DIRECTOR-PATIENT SAFETY 50.00 X 172613 0 24104 WM PAINE DIRECTOR-MANAGED CARE CONTRACTS 50.00 X 186622 0 16257 COREY DOUGHTY DIRECTOR-LEGAL/RISK MGT 50.00 X 173240 0 16115 NICOLE KLEINPETER VICE PRES-CORP COMMUNICATIONS 50.00 X 236410 0 44905 TAMARA MAYO CPA DIRECTOR-DECISION SUPPORT 50.00 X 166559 0 31186 DIONNE E VIATOR CPA FORMER VP & CNSO 40.00 X 134842 0 17539 FLOYD ROBERTS MD FORMER VP CHIEF MEDICAL OFFICER 40.00 X 542759 0 42723 6805292 420727 1240526 15 1 1 0 GJEREST AND LORENZ 2801 VIA FORTUNA 500 AUSTIN TX 78746 CONSULTING SERVICES 2362818 PST SERVICS INC 1581 DALLAS PARKWAY ADDISON TX 75001 COLLECTION FEES 1603737 ADVISORY BOARD PO BOX 79461 BALTIMORE MD 21279 CONSULTING SERVICES 669002 WATSON BLANCHE PO DRAWER 2995 BATON ROUGE LA 70821 LEGAL SERVICES 515170 SPERDUTO & ASSOCIATES 260 PEACHTREE STREET NW ATLANTA GA 30303 CONSULTING SERVICES 497871 24 MANAGEMENT FEES REVENUE 541610 73253785 73253785 MGT FEES REVENUE-FOR PROFIT 541610 2863758 2863758 76117543 1221905 1221905 5302203 0 5302203 5302203 5302203 9083196 8868609 10573 214587 -10573 204014 204014 82845665 78555988 2863758 1425919 156600 156600 5211145 4168916 1042229 10670207 8535375 2134832 8310401 6648321 1662080 18289030 14631224 3657806 1195395 1019317 176078 1714456 1371565 342891 256830 205464 51366 468157 374526 93631 4579144 3663315 915829 208791 167033 41758 1045325 836260 209065 15235831 12188665 3047166 685945 548756 137189 177540 142032 35508 41619 33295 8324 1820794 1456635 364159 5303879 4243103 1060776 4739564 3791651 947913 EQUIPMENT RENTAL & MAIN 1253710 1002968 250742 SALES/USE TAX 500667 400534 100133 REIMBURSED EXPENSES 327193 261754 65439 OTHER SUPPLIES 88160 70528 17632 39217 32458 6759 82319600 65950295 16369305 0 4367391 6378942 65237428 69983132 599473 535187 6091348 5005852 125012366 44869108 83366236 80143258 1429668 2462466 12868569 10999852 173960113 175508689 36656270 33413715 837544 646692 36605113 34926202 16718193 18848986 90817120 87835595 X 83142993 87673094 83142993 87673094 173960113 175508689 526065 2505325 1498711 X X 0 1 X 1 1 1 X X 4 BATON ROUGE GENERAL MEDICAL CENTER 721025017 3 1 67231941 0 GENERAL HEALTH SYSTEM FOUNDATION 740801335 7 1 42836 0 BEHAVIORAL HEALTH INC 720893168 3 1 0 0 GENERAL LIVING CENTERS INC 581705626 9 1 0 0 4 67274777 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PAGE 5 SECTIONS D GENERAL HEALTH SYSTEM (GHS) OWNS ITS WHOLLY-OWNED SUBSIDIARIES BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) #72-1025017 AND GENERAL HEALTH SYSTEM FOUNDATION (GHSF) #74-0801335. THE GHS BOARD OF DIRECTORS ALSO SERVE AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BOARD BASE OF KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PAGE 5 SECTION E GENERAL HEALTH SYSTEM (GHS) OWN ITS WHOLLY-OWNED SUBSIDIARIES BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) #72-1025017 AND GENERAL HEALTH SYSTEM FOUNDATION (GHSF) #74-0801335. THE GHS BOARD OF DIRECTORS ALSO SERVES AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BROAD BASE OF KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PAGE 5 SECTION E GENERAL HEALTH SYSTEM (GHS) OWN ITS WHOLLY-OWNED SUBSIDIARIES BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) #72-1025017 AND GENERAL HEALTH SYSTEM FOUNDATION (GHSF) #74-0801335. THE GHS BOARD OF DIRECTORS ALSO SERVES AS THE BOARD FOR BRGMC. GHSF HAS ITS OWN INDEPENDENT BOARD OF DIRECTORS. THE GHS BOARD CONSISTS OF VARIOUS RESPECTED COMMUNITY LEADERS FROM THE BUSINESS, FINANCE, EDUCATION, GOVERNMENTAL, PHILANTHROPIC AND MEDICAL COMMUNITIES IN THE BATON ROUGE AREA, SERVE WITHOUT COMPENSATION AND PROVIDE A VERY BROAD BASE OF KNOWLEDGE AND EXPERTISE TO THE GOVERNANCE AND MANAGEMENT OF GHS AND, AS A RESULT, TO ITS SUPPORTED ORGANIZATIONS. 1 1 0 1 1 0 1 0 0 0 0 PART II-B, LINE 1: PART II-B, LINE 1D & 1E - INTERNAL COMMUNICATIONS TO EMPLOYEES ONLY, INVOLVING LITTLE OR NO DIRECT COST. PART II-B, LINE G - COSTS WERE LIMITED TO IN-TOWN TRAVEL AT MINIMAL DIRECT COST. 18141121 18141121 69469367 20148726 49320641 131564 131564 0 37270314 24588818 12681496 80143258 ACCRUED INTEREST RECEIVABLE 138331 MISCELLANEOUS RECEIVABLES 8221457 DEFERRED BOND ISSUE COSTS 282399 GOODWILL, NET 383440 AMOUNTS DUE FROM AFFILIATED ORGANIZATIONS 1974225 10999852 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PENALTIES AND INTEREST ASSESSED BY INCOME TAX AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. CENTRAL AMERICA AND CARIBBEAN 0 1 SELF INSURANCE 1540600 0 1 0 0 0 1 1540600 0 1540600 1 0 1 0 0 0 FORM 990, SCHEDULE F ON APRIL 6, 2016 GENERAL HEALTH SYSTEM FORMED A CAPTIVE INSURANCE COMPANY FOR SELF-INSURANCE PURPOSES IN THE CAYMAN ISLANDS. 1 1 X 1 X 1 X 1 0 1 1 6909948 0 6909948 0.01930 35942410 15542556 20399854 0.05690 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 AEVNUE 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 X 1 1 X X X 1 X WWW.BRGENERAL.ORG/IN-THE-COMMUNITY X X X 1 X 0 X X X 1 X 0 1 BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 3J: 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 VARIOUS AMOUNTS 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. BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 5: THE BATON ROUGE GENERAL MEDICAL CENTER (BRGMC) SERVES THE NEEDS OF THE COMMUNITY THROUGH ITS COMMITMENT TO EXCEPTIONAL PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. IN ORDER TO IDENTIFY THE HEALTH AND WELLNESS NEEDS OF THE BATON ROUGE AREA, BRGMC PARTICIPATED IN THE MAYOR'S HEALTHY CITY INITIATIVE TO ENCOURAGE BATON ROUGE AREA RESIDENTS TO ADOPT A HEALTHIER AND MORE ACTIVE LIFESTYLE. PARTICIPATING IN THE INITIATIVE INCLUDED, BUT WERE NOT LIMITED TO, BRGMC, THE OFFICE OF MAYOR-PRESIDENT KIP HOLDEN, BLUE CROSS/BLUE SHIELD OF LOUISIANA, OUR LADY OF THE LAKE MEDICAL CENTER, WOMANS HOSPITAL OF BATON ROUGE, LANE MEMORIAL HOSPITAL, OFFICE OF US SENATOR MARY LANDRIEU, EBR PARISH SCHOOL SYSTEM, LSU HEALTH SCIENCES CENTER-LA, PRIMARY CARE ASSOCIATION, AMERICAN HEART ASSOCIATION, THE BATON ROUGE CLINIC, LSU PENNINGTON BIOMEDICAL RESEARCH CENTER AMONG A GROUP OF 25 MAJOR COMMUNITY GROUPS IN THE AREA. THE MAYOR'S HEALTHY CITY INITIATIVE IS COMPOSED OF 3 SEPARATE BUT COMPATIBLE ADVISORY BOARDS TARGETING HEALTH PRIORITIES THROUGHOUT EAST BATON ROUGE PARISH AND SURROUNDING AREAS. THOSE BOARDS ARE: LIVE HEALTHY BR THAT FOCUSES ON HEALTHY EATING, MED BR THAT FOCUSES ON ACCESS TO CARE, AND THE HEALTH INNOVATION CENTER THAT FOCUSES ON EVALUATION AND EFFECTIVE USE OF RESOURCES FROM AN ACADEMIC PERSPECTIVE. COORDINATION AMONG THESE VARIOUS PARTICIPANTS SERVED TO COORDINATE THE ASSESSMENT AND AVOID DUPLICATE EFFORTS TO INCREASE THE VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTHCARE NEEDS. BRGMC - MID CITY AND BLUEBONNET CAMPUSES PART V, SECTION B, LINE 7D: THE BATON ROUGE GENERAL MEDICAL CENTER DID NOT ADDRESS ALL 10 OF THE PUBLIC HEALTH NEEDS FORMULATED BY THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA, AKA KNOWN AS THE MAYOR'S HEALTHY CITY INITIATIVE). THE NUMEROUS CHNA CONTRIBUTORS (IDENTIFED ABOVE) AGREED THAT EACH WILL CONCENTRATE THEIR INDIVIDUAL EFFORTS ON THEIR TOP FOUR PRIORITIES. BATON ROUGE GENERAL MEDICAL CENTER HAS ADOPTED AND HAS BEEN FOCUSING THEIR EFFORTS ON THE ISSUES OF OBESITY, HIV/AIDS, OVERUTILIZATION OF EMERGENCY DEPARTMENT AVAILABILITY AND MENTAL/BEHAVIORAL HEALTH. AGAIN, COORDINATION AMONG THE PARTICIPANTS SERVED TO COORDINATE THE ASSESSMENT BUT ALSO SERVED TO AVOID DUPLICATE EFFORTS TO INCREASE THE DEPTH AND VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTHCARE NEEDS. BATON ROUGE GENERAL MEDICAL CENTER CURRENTLY OFFERS MEDICAL PROGRAMS, SERVICES AND HEALTH EDUCATION SERVICES TO ADDRESS THE 10 IDENTIFIED NEEDS OF OUR COMMUNITY. THESE PROGRAMS AND SERVICES ARE MORE CLEARLY EXPLAINED IN OUR CHNA. THE LINK TO OUR WEBSITE IS:WWW.BRGENERAL.ORG/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 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. BRGMC DEVOTES MUCH TIME, TALENT AND RESOURCES TO ALL OF THE IDENTIFIED NEEDS. BRGMC AND ITS COMMUNITY PARTNERS HAVE COLLABORATED ON A THREE YEAR JOINT IMPLEMENTATION PLAN THAT WILL ADDRESS THESE NEEDS ACROSS THE BATON ROUGE COMMUNITY. IT SHOULD BE NOTED THAT OTHER PARTICIPANTS HAVE ELECTED THEIR OWN TOP 4 PRIORITIES ON A COORDINATED BASIS SO AS TO PROVIDE A HIGH LEVEL OF DEPTH AND VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTH NEEDS. 11 1 - FAMILY HEALTH CENTER 3801 NORTH BLVD BATON ROUGE LA 70806 CLINICAL LOCATION 2 - FAMILY HEALTH CENTER-SOUTH 333 LEE DRIVE SUITE B BATON ROUGE LA 70806 CLINICAL LOCATION 3 - BRG SURGICAL ASSOCIATES 3600 FLORIDA BLVD BATON ROUGE LA 70806 CLINICAL LOCATION 4 - BRG SURGICAL ASSOCIATES-BLUEBONNET 8595 PICARDY AVE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION 5 - BRG ORTHOPEDIC ASSOCIATES 8595 PICARDY AVE SUITE 235 BATON ROUGE LA 70809 CLINICAL LOCATION 6 - BRG GASTROENTEROLOGY CENTER 6615 PERKINS ROAD BATON ROUGE LA 70808 CLINICAL LOCATION 7 - BRG NEUROLOGY ASSOCIATES 3600 FLORIDA BLVD BATON ROUGE LA 70806 CLINICAL LOCATION 8 - MATERNAL-FETAL MEDICINE OF BATON ROUGE 8595 PICARDY AVE SUITE 305 BATON ROUGE LA 70809 CLINICAL LOCATION 9 - WOMACK HEART CENTER-VALVE CLINIC 8888 SUMMA AVENUE BATON ROUGE LA 70809 CLINICAL LOCATION 10 - BRG IMAGING CENTER-DIJON 5422 DIJON DRIVE BATON ROUGE LA 70809 CLINICAL LOCATION 11 - BRG IMAGING CENTER-ONEAL 2550 ONEAL LANE BATON ROUGE LA 70816 CLINICAL LOCATION PART I, LINE 3C: CHARITY CARE ELIGIBILITY IS BASED ON MANY FACTORS RELATED TO INDIVIDUAL PATIENT CIRCUMSTANCES. EACH AND EVERY PATIENT IS SCREENED BY PATIENT FINANCIAL SERVICES PERSONNEL, LICENSED SOCIAL WORKERS AND OTHER HEALTHCAREPROFESSIONALS TO DETERMINE IF ELIGIBLE FOR STATE AND/OR FEDERAL HEALTHCARE ASSISTANCE. SAID ASSISTANCE AS WELL AS ELIGIBILITY FOR BRGMC CHARITY CARE IS ASSESSED WITH THE PATIENT OR THEIR DESIGNATED FAMILY MEMBER OR REPRESENTATIVE. OF PRIMARY IMPORTANCE IS THE HEALTH RECUPERATION AND WELL-BEING OF OUR PATIENTS. PART I, LINE 7: THE COST-TO-CHARGE RATIO USED IN THE VARIOUS LINE 7 WORKSHEETS IS DERIVED FROM THE TAXPAYER'S 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 4: THE BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED HERETO. IN MARCH 2015, THE MID CITY CAMPUS CLOSED ITS EMERGENCY DEPARTMENT DUE TO MATERIAL, CONTINUING FINANCIAL LOSSES. SAID MID CITY CAMPUS HAS SERVED A SIGNIFICANT UNDER-INSURED/UNINSURED POPULATION FOR MANY YEARS. PART III, LINE 9B: THE TAXPAYER'S COLLECTION PROCESS POLICY STATES THAT IF A PATIENT CANNOT PAY ANY REMAINING 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 AFFLIATION 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 STUDENT'S TEACHERS AND MENTORS. THE PROGRAM TITLED "LEAD (LEADERSHIP, EDUCATION, ADVOCACY AND DISCOVERY) ACADEMY" SIGNIFIES THE FIRST TIME TULANE UNIVERSITY SCHOOL OF MEDICINE HAS OPENED A TRAINING FACILITY OUTSIDE OF NEW ORLEANS, LOUISIANA. 1 BATON ROUGE HEALTH DISTRICT 5246 BRITTANY DRIVE BATON ROUGE LA 70808 472593574 501C3 150000 GENERAL SUPPORT GENERAL HEALTH SYSTEM FOUNDATION 8490 PICARDY AVENUE BATON ROUGE LA 70809 740801335 501C3 5500 GENERAL SUPPORT 2 PART I, LINE 2: REQUESTS FOR GRANTS OR ASSISTANCE ARE INITIATED AT THE EXECUTIVE LEVEL. AFTER CONSIDERATION AND FORMAL APPROVAL IS GIVEN, REQUESTS FOR DISBURSEMENT ARE EXECUTED AND SENT TO ACCOUNTS PAYABLE FOR PAYMENT. ALL SUPPORTING DOCUMENTATION AND DISBURSEMENT AUTHORIZATION ARE RETAINED FOR A 10 YEAR PERIOD OF TIME. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 VENKAT BANDA MD BOARD MEMBER 0 225000 0 0 0 76341 0 36000 0 21333 0 358674 0 0 MARK SLYTER PRES & CEO (UNTIL JULY 2016) 591000 0 162123 0 49538 0 142380 0 21364 0 966405 0 0 0 EDGARDO TENREIRO INTERIM PRES & CEO (EFF JULY 2016) 452375 0 57905 0 0 0 98306 0 20039 0 628625 0 0 0 KENDALL JOHNSON CPA VICE PRES & CFO 411054 0 67331 0 62103 0 73492 0 18510 0 632490 0 0 0 ANNA CAZES DNS - VICE PRES CHIEF NURSING OFFICER 264742 0 35383 0 51734 0 71740 0 20729 0 444328 0 0 0 PAUL DOUGLAS VICE PRES-HUMAN RESOURCES 294687 0 49728 0 17499 0 42166 0 18724 0 422804 0 0 0 DONALD SHAW VICE PRES-REVENUE CYCLE 208105 0 36897 0 42867 0 52094 0 11574 0 351537 0 0 0 PEYTON GRANT VICE PRES-FACILITIES MGT 186695 0 33185 0 43985 0 67204 0 18849 0 349918 0 0 0 GEORGE BELL FORMER HOSP ADMINISTRATOR-MID CITY 200000 0 25920 0 8646 0 30633 0 17969 0 283168 0 0 0 EDWARD JEFFRIES MD FORMER COO-BRG PHYSICIANS GROUP 324640 0 184813 0 49934 0 42000 0 15515 0 616902 0 0 0 BENNETT CHERAMIE VICE PRES-INFO SERVICES 220660 0 35946 0 23539 0 47789 0 13462 0 341396 0 0 0 STEPHEN MUMFORD VICE PRES-CLINICAL SVC LINES 204500 0 43252 0 10641 0 43098 0 19628 0 321119 0 0 0 ROBERT KENNEY MD VP-MEDICAL OPERATIONS 255319 0 24346 0 8640 0 5885 0 18692 0 312882 0 0 0 JEREMY ROGERS COO BRG PHYSICIANS GROUP 108614 53386 14718 0 0 0 26756 0 19205 0 169293 53386 0 0 KENNY COLE MD - CHIEF CLINICAL TRANSFORMATION OFFICER & VP 300000 0 28097 0 1086 0 4070 0 8491 0 341744 0 0 0 WANDA HUGHES RNPHD DIRECTOR-PATIENT SAFETY 157073 0 10462 0 5078 0 8887 0 15217 0 196717 0 0 0 WM PAINE DIRECTOR-MANAGED CARE CONTRACTS 167072 0 15571 0 3979 0 1895 0 14362 0 202879 0 0 0 COREY DOUGHTY DIRECTOR-LEGAL/RISK MGT 155960 0 12603 0 4677 0 3561 0 12554 0 189355 0 0 0 NICOLE KLEINPETER VICE PRES-CORP COMMUNICATIONS 173000 0 36901 0 26509 0 41198 0 3707 0 281315 0 0 0 TAMARA MAYO CPA DIRECTOR-DECISION SUPPORT 151468 0 14606 0 485 0 18000 0 13186 0 197745 0 0 0 DIONNE E VIATOR CPA FORMER VP & CNSO 53433 0 0 0 81409 0 11362 0 6177 0 152381 0 0 0 FLOYD ROBERTS MD FORMER VP CHIEF MEDICAL OFFICER 386079 0 36919 0 119761 0 24000 0 18723 0 585482 0 0 0 PART I, LINE 1A CERTAIN KEY EXECUTIVES ARE PROVIDED A BENEFITS STIPEND IN ORDER TO ALLOW FOR SELF-DIRECTED BENEFITS. THE EXECUTIVE BENEFITS PACKAGE ALSO INCLUDES AN OPTIONAL WELLNESS BENEFIT THAT INCLUDES A WELLNESS ASSESSMENT AND THE AVAILABILITY OF A PERSONAL FITNESS TRAINER. 15 EXECUTIVES UTILIZED THIS PARTICULAR BENEFIT. ALL OF THESE BENEFITS WERE INCLUDED ON 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. 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. SLYTER WAS SEPARATED FROM SERVICE IN AUGUST 2016 AND WAS PAID A BI-WEEKLY SEVERANCE ($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. FORMER CHIEF OPERATING OFFICER OF THE PHYSICIAN GROUP (JEFFRIES) WAS SEPARATED FROM SERVICE IN DECEMBER 2015 AND WAS PAID A BI-WEEKLY SEVERANCE PAYOUT ($316,029 TOTAL) UNTIL 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 ORGANIZATION HAVE A RISK OF FORFEITURE TIED TO SOLVENCY, RETENTION, NON-COMPETITION AND/OR VESTING. PART I, LINE 7: IN ORDER TO MAKE HEALTHCARE COST EFFECTIVE AND OF THE HIGHEST QUALITY, VARIOUS EXECUTIVES LISTED IN THE 990 PART VII SECTION A HAD PART OF THEIR COMPENSATION PUT AT RISK AND PAID IN THE FORM OF A PERFORMANCE INCENTIVE BASED UPON A BALANCED SCORECARD THAT FACTORED IN QUALITY, PEOPLE, SERVICE AND FINANCIAL PILLAR RESULTS. SAID INCENTIVE PAYMENTS WERE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. PART II: BOARD MEMBER (BANDA) IS THE OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISTING OF 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'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. THAT SERVICES PROVIDER WAS STAFFED BY A RELATED, FOR-PROFIT ENTITY IN ACCORDANCE WITH A STAFFING SERVICES AGREEMENT UNTIL JUNE 2016. CERTAIN 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 ANO CONTRACTUAL PAYMENTS. 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. A BOARD MEMBER (BANDA) IS THE OWNER/PRINCIPAL OF A HEALTHCARE SERVICES PROVIDER (CONSISING 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'S 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. ALL SERVICES ARE PROVIDED AT FAIR MARKET VALUES IN ACCORDANCE WITH A MEDICAL SERVICES AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 DURING PREPARATION OF THE 990, SENIOR ADMINISTRATIVE AND FINANCE LEADERS ARE CONSULTED TO PROVIDE ANY ADDITIONAL INFORMATION ON CERTAIN, VARIOUS TRANSACTIONS ON AN AS-NEEDED BASIS. UPON COMPLETION OF THE 990 BUT PRIOR TO FILING, SAID LEADERS ARE PROVIDED WITH A DRAFT COPY OF ALL FORMS/SCHEDULES FOR THEIR REVIEW AND COMMENTS. UPON CLEARING ANY REVIEW COMMENTS, REVISED DRAFT COPIES ARE EMAILED TO ALL MEMBERS OF THE BOARD VIA SECURE BOARD NETWORK. THE EXECUTIVE COMMITTEE HAS BEEN TASKED BY THE BOARD TO FULLY REVIEW THE FORM 990 AT THEIR NEXT MEETING AND FORWARD THEIR RECOMMENDATIONS TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C AS PART OF ITS ANNUAL WORK PLAN, THE INTERNAL AUDIT & CORPORATE COMPLIANCE DEPARTMENT ADMINISTERS A MANDATORY ELECTRONIC CONFLICT OF INTEREST (COI) SURVEY THROUGH WHICH ALL LEADERSHIP EMPLOYEES (RANGING FROM SUPERVISORS TO EXECUTIVE MANAGEMENT), GHS FOUNDATION BOARD MEMBERS AND TRUSTEES OF THE ORGANIZATION ARE PROMPTED TO TIMELY DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. AFTER THE 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 FLAGGED AS POTENTIAL CONFLICTS AND OBTAINS ADDITIONAL INFORMATION/DOCUMENTATION AS NECESSARY FROM KEY STAKEHOLDERS TO CLARIFY OR RECTIFY (THROUGH APPROPRIATE MITIGATION) ANY CONFLICTS NOTED SO AS TO ENSURE BUSINESS DECISIONS ARE DRIVEN BY THE BEST INTERESTS OF THE ORGANIZATION. UPON COMPLETION, THE CORPORATE COMPLIANCE OFFICER FORMALLY COMMUNICATES CONFLICT RESULTS TO THE CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER AND THE CHAIRMAN OF THE AUDIT/FINANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OVERSEES ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE ENGAGES AN INDEPENDENT THIRD PARTY CONSULTING FIRM TO CONDUCT AN ANNUAL INDEPENDENT MARKET-BASED COMPENSATION REVIEW OF EXECUTIVES IN COMPARABLE HEALTHCARE SYSTEMS AND USES THIS DATA IN DETERMINING REASONABLE AND APPROPRIATE EXECUTIVE COMPENSATION LEVELS. ALL COMPENSATION COMMITTEE MEMBERS ARE INDEPENDENT WITH NO CONFLICT OF INTEREST WITH REGARD TO EXECUTIVE COMPENSATION MATTERS. THE COMPENSATION COMMITTEE CONSIDERS MANY FACTORS IN DETERMINING EXECUTIVE PAY LEVELS. SOME OF THESE FACTORS ARE, BUT ARE NOT LIMITED TO, THE KNOWLEDGE, EXPERIENCE AND COMPETENCIES OF THE EXECUTIVE, PERFORMANCE OF THE EXECUTIVE, AREAS OF RESPONSIBILITY, IMPORTANCE OF EXECUTIVE RETENTION AND PEER CALIBRATION AND TALENT MANAGEMENT RATING. THE COMMITTEE DOCUMENTS ITS DECISIONS AND THE PROCESS IT FOLLOWS IN DETAILED AND CONTEMPORANEOUS MINUTES. IT DILIGENTLY FOLLOWS THE PRESCRIBED PROCESS FOR ESTABLISHING THE PRESUMPTION OF REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 19 THE TAXPAYER MAKES ALL GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND TAX RETURNS AVAILABLE TO THE GENERAL PUBLIC ON AN AS-REQUESTED BASIS. FORM 990, PART VII, LINE 1A: COLUMN F-OTHER COMPENSATION TO OFFICERS AND DESIGNATED EXECUTIVES INCLUDES 401K AND DEFERRED COMPENSATION BENEFITS SUBJECT TO FUTURE VESTING. SEE SCHEDULE J FOR ADDITIONAL INFORMATION RELATED TO EXECUTIVE COMPENSATION. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE ORGANIZATION'S AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS. THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES IS TASKED WITH THE OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: EQUITY IN EARNINGS OF SUBSIDIARY $1,498,712 ADJUSTMENT OF PRIOR YEAR PENSION SERVICE COST LIABILITY GENERAL INFO: THE GENERAL HEALTH SYSTEM (GHS) BOARD OF TRUSTEES ALSO SERVES AS THE BOARD OF TRUSTEES FOR ITS WHOLLY-OWNED, 501C3 HOSPITAL AFFILIATE, BATON ROUGE GENERAL MEDICAL, EIN 72-1025017. BATON ROUGE GENERAL MEDICAL CENTER 8585 PICARDY AVENUE BATON ROUGE LA 70809 721025017 HOSPITAL LA 501(C)(3) 3 N/A 0 GENERAL HEALTH SYSTEM FOUNDATION 8585 PICARDY AVENUE BATON ROUGE LA 70809 740801335 FOUNDATION LA 501(C)(3) 11 N/A 0 BEHAVIORAL HEALTH INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 720893168 DORMANT CORP. LA 501(C)(3) 3 N/A 0 GENERAL LIVING CENTERS INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 581705626 DORMANT CORP. LA 501(C)(3) 9 N/A 0 MID CITY HEALTH CENTER 8585 PICARDY AVENUE BATON ROUGE LA 70809 721260054 DORMANT CORP. LA 501(C)(3) 3 N/A 0 THE GENERAL HEALTH FOUNDATION 8585 PICARDY AVENUE BATON ROUGE LA 70809 720907879 DORMANT CORP. LA 501(C)(3) 11 N/A 0 BATON ROUGE REHABILITATION HOSPITAL LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 271558673 REHAB HOSPITAL LA N/A 0 0 BATON ROUGE REHABILITATION DEV LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 271558883 BLDG LESSOR LA N/A 0 0 RADIATION ONCOLOGY CENTER ZACHARY LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 454618032 ONCOLOGY CLINIC LA N/A 0 0 GENERAL HEALTH MANAGEMENT INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 720904131 MANAGING COMPANY LA N/A C 1.00000 0 HEALTH MANAGEMENT SERVICES INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 720929442 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 HEALTH INITIATIVES INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 720981798 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 GENERAL HEALTH SYSTEM MANAGEMENT INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 721335513 MANAGING COMPANY LA N/A C 1.00000 0 VERITY HEALTHNET ACCT MGT SVS INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 721245224 MANAGING COMPANY LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 VERITY HEALTHNET LLC 8585 PICARDY AVENUE BATON ROUGE LA 70809 450510673 MARKETER LA VERITY HEALTHNET ACCOUNTS MANAGEMENT SERVICES INC C 0.50000 0 VERITY NATIONAL HEALTHNET LLC 8585 PICARDY AVENUE BATON ROUGE LA 70809 562353850 DORMANT CORP LA VERITY HEALTHNET ACCOUNTS MANAGEMENT SERVICES INC C 0.50000 0 BRGP AFTER HOURS CLINIC INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 743109146 DORMANT CORP LA BRG PHYSICIAN SERVICES C 1.00000 0 MEDICAL DIAGNOSTIC SERVICES INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 720994499 DORMANT CORP LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS SERVICES INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 203756691 MANAGING COMPANY LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 721245632 PHYSICIAN CLINIC LA BRG PHYSICIAN SERVICES C 1.00000 0 HOSPITAL MEDICINE GROUP INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 203720898 DORMANT CORP LA BRG PHYSICIAN SERVICES C 1.00000 0 BRGP HOSP SPECIALISTS INC 8585 PICARDY AVENUE BATON ROUGE LA 70809 203756738 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PRIMARY CARE LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 452969168 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BRG PHYSICIANS MEDICAL GROUP LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 453063914 PHYSICIAN CLINIC LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 GHS STAFFING SERVICES LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 453058006 STAFFING SVCS LA GENERAL HEALTH SYSTEM MANAGEMENT C 1.00000 0 BR GENERAL LAB SERVICES LLC 8490 PICARDY AVENUE BATON ROUGE LA 70809 461735706 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 GULF SOUTH HEALTH PLANS INC 8490 PICARDY AVENUE BATON ROUGE LA 70809 721068656 DORMANT CORP LA GENERAL HEALTH MANAGEMENT INC C 1.00000 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 BATON ROUGE GENERAL MEDICAL CENTER #72-1025017 FAIR MKT VALUE GENERAL HEALTH SYSTEM FOUNDATION #74-0801335 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS INC #72-1245632 FAIR MKT VALUE HOSPITAL MEDICINE GROUP INC #20-3720898 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS HOSPITAL SPECIALISTS INC # 20-3756738 FAIR MKT VALUE BATON ROUGE GENERAL PHYSICIANS SERVICES INC # 20-3756691 FAIR MKT VALUE SCHEDULE R, PAGE 3, PART V, LINE 2(A): GENERAL HEALTH SYSTEM (GHS) PROVIDES CENTRALIZED MANAGEMENT, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE/BILLING, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND CORPORATE COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE, BENEFITS MANAGEMENT, LEGAL AND INFORMATION TECHNOLOGY SERVICES TO ALL MEMBERS OF GENERAL HEALTH SYSTEM. ALL MONIES COLLECTED FROM OR SPENT FOR ALL GHS-RELATED ENTITIES ARE DEPOSITED INTO/SPENT FROM CENTRALIZED GHS BANK ACCOUNTS AND ACCOUNTED FOR AS RECEIVED OR DISBURSED. THE ANNUAL NET AMOUNTS OF THESE TRANSACTIONS ARE REFLECTED AS GHS RECEIVABLES/LIABILITIES ON AN ONGOING BASIS. DUE TO THE MASSIVE NUMBER OF TRANSACTIONS DESCRIBED ABOVE, A PROPER, SEGREGATED ACCOUNTING IN THE MANNER PROSCRIBED BY SCHEDULE R IS NOT POSSIBLE AT THIS TIME.