2014-04-10T16:12:44-05:00 2013-06-30 BKD LLP 2800 POST OAK BLVD STE 3200 HOUSTON TX 77056 990 2012-07-01 720995809 UNION GENERAL HOSPITAL % WILLIAM ADCOCK UNIO 3183689751 PO BOX 398 Suite FARMERVILLE LA 71241 WILLIAM ADCOCK 3183689751 2014-05-15 true Amanda Maya 7134994600 2012 2015-11-30 17:44:51Z EVALYN ORMOND PO BOX 398 FARMERVILLE LA 71241 14247356 false X WWW.UNIONGEN.ORG X 1983 LA TO PROVIDE ACUTE CARE HOSPITAL SERVICES IN THE FARMERVILLE AREA. 7 7 161 7 0 0 1076714 1323792 12228955 12814226 12529 7435 69589 98991 13387787 14244444 13357 14043 0 0 4997301 5279650 0 0 0 7112121 8077925 12122779 13371618 1265008 872826 7735673 9367992 606356 1418444 7129317 7949548 IT IS THE MISSION OF UNION GENERAL HOSPITAL TO DELIVER THE BEST POSSIBLE HEALTH CARE AVAILABLE AND SERVE THE DEDICATED PEOPLE OF UNION PARISH AND THE SURROUNDING AREAS. false false 11582102 14043 12863434 PROVIDED ACUTE CARE HOSPITAL SERVICES TO INDIVIDUALS IN THE FARMERVILLE AREA; INDIVIDUALS SERVED AMOUNTED TO 2,522 PATIENT DAYS AND 6,355 EMERGENCY ROOM VISITS. THE LABORATORY PERFORMED 39,670 TESTS AND 26,020 ECG, RADIOLOGY, ULTRASOUND, CT, OT, RT, ST, AND PT PROCEDURES WERE PERFORMED. THE RURAL HEALTH CLINICS LOGGED 12,385 VISITS. 11582102 true true false true false false false false false false true false false true true false true false false false false false false false false false true true true false true false false false false false false false false false false false false false false false false false true 76 0 true 161 true false false false false false false false false false false X 7 7 false true false false false false false true true false false false true true true true true true true false X X WILLIAM ADCOCK 3183687096 115 HODGE WATSON RD CALHOUN LA 71225 X TIM TETTLETON 1.0 0.0 X X 0 0 0 BESSIE WARREN 1.0 0.0 X X 0 0 0 JOHN ELLIS 1.0 0.0 X 0 0 0 EDDYE JO ALBRITTON 1.0 0.0 X 0 0 0 DANIEL HUNTER JR 1.0 0.0 X 0 0 0 RALPH KELLEY 1.0 0.0 X 0 0 0 DANNY SMITH 1.0 0.0 X 0 0 0 EVALYN ORMOND 40.0 0.0 X 140895 0 7045 WILLIAM ADCOCK 40.0 0.0 X 142975 0 6344 DARRA JUNG 40.0 0.0 X 106702 0 5499 SHEREE HICKS 40.0 0.0 X 165900 0 3941 LYNETTE WADE 40.0 0.0 X 97090 0 4234 HOLLY CORLEY 40.0 0.0 X 212087 0 6759 865649 0 33822 5 false true false OMEGA DIAGNOSTICS LLC 2915 MISSOURI AVE SHREVEPORT LA 71109 LABORATORY 1044311 CORRECT CARE INC 17438 HARDHAT DRIVE COVINGTON LA 70435 E.R. STAFFING 913893 LINCOLN HEALTHCARE LLC 1817 NORTHPOINTE LANE RUSTON LA 71273 THERAPY SERVICES 854306 HEALTHCARE MANAGEMENT SERVICES 2739 MOMENTUM PLACE CHICAGO IL 60689 IT Services 590797 HEALTHLAND DEPT CH 17945 PALANTINE IL 60055 IT Services 197032 7 1271197 52595 1323792 NET PATIENT SERVICE REVENUE 621110 12814226 12814226 12814226 10347 10347 0 0 0 0 0 0 2912 -2912 -2912 -2912 0 0 0 CAFETERIA AND VENDING SALES 722100 42081 42081 MEDICAL RECORDS 722100 7657 7657 UTILITIES DISTRICT REIMBURSEMENT 900099 1398 1398 47855 47810 45 98991 14244444 12863434 57218 14043 14043 0 0 0 246216 205079 41137 0 4366646 3802259 564387 35968 35968 311885 259777 52108 318935 265649 53286 0 10159 10159 46755 46755 0 0 0 3731643 3411415 320228 60270 5093 55177 301753 102433 199320 174739 174739 0 310404 262701 47703 77196 59073 18123 0 61961 23468 38493 14112 14112 0 475699 475699 167102 109422 57680 BAD DEBT EXPENSE 1824814 1824814 MEDICAL SUPPLIES 746571 746571 TAXES & LICENSES 56218 14452 41766 COLLECTIONS 18479 104 18375 50 50 13371618 11582102 1789516 0 2975923 2397130 350104 350910 0 0 976189 1578713 0 0 0 0 0 0 166430 168161 33179 72739 11565953 7473268 2153850 4092685 0 0 0 0 0 0 0 0 1079998 707654 7735673 9367992 606356 788199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 630245 606356 1418444 X 6734677 7607503 394640 342045 0 0 7129317 7949548 7735673 9367992 X 872826 -52595 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2157 false false false 2157 false false ACTIVITIES DESCRIPTION SCHEDULE C, PART II-B, LINE 1F THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING RURAL HOSPITAL COALITION $9,764 1% $98 LHA $9,513 21% $1,998 NATIONAL RURAL HEALTH ASSOC $1,225 5% $61 LA Rural Health Assoc $500 0% $0 National Assoc of Rural Health $580 0% $0 Clinics TOTAL $21,582 $2,157 146797 146797 4537672 3141174 1396498 6716246 4261905 2454341 165238 70189 95049 4092685 DUE FROM MEDICAID 653982 OTHER RECEIVABLES 8327 EMPLOYEE RECEIVABLES 7640 DUE FROM CARDINAL HLTHCR 36000 UTILITY DEPOSITS 1705 707654 0 EST AMTS DUE TO 3RD PARTY 630245 630245 12419630 -1824814 -1824814 14244444 14244444 11546804 11546804 1824814 1824814 13371618 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATMENTS WITH RETURN SCHEDULE D, PART XI, LINE 2D BAD DEBT EXPENSE OF $1,824,814 IS NETTED WITH PATIENT REVENUE ON THE FINANCIAL STATEMENTS BUT INCLUDED IN EXPENSE ON FORM 990. RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATMENTS WITH RETURN SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE OF $1,824,814 IS NETTED WITH PATIENT REVENUE ON THE FINANCIAL STATEMENTS BUT INCLUDED IN EXPENSE ON FORM 990. true true X true X true X false true false true true 4602 4602 0.00040 2758441 2621022 137419 0.01190 2763043 2621022 142021 0.01230 7481 7481 0.00060 90433 76572 13862 0.00120 4267 4267 0.00040 102181 76572 25610 0.00220 2865224 2697594 167631 0.01450 1423 5682 5682 0.00050 27 3341 3341 0.00030 2778 30279 14219 16060 0.00140 215 11719 11719 0.00100 4443 51021 14219 36802 0.00320 true 1824814 5318408 5339937 -21529 X true true 1 1 UNION GENERAL HOSPITAL

901 JAMES AVE FARMERVILLE LA 71241

X X X UNION GENERAL HOSPITAL 1 true X X X X X X X X 12 true false true X X X X X X true false true true 200. true 200. true X X X true true X X true false X X X true X false false BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 2 THE BAD DEBT EXPENSE OF $1,824,814 ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED FROM THE AUDITED FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART III, SECTION A, LINE 3 THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. TEXT OF FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS SCHEDULE H, PART III, SECTION A, LINE 4 THE HOSPITAL (UGH) REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. BAD DEBT EXPENSE EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE OF $1,824,814 WAS INCLUDED ON FORM 990, PART IX LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. MEDICARE SCHEDULE H, PART III, SECTION B, LINE 8 THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. PROVISIONS ON COLLECTION PRACTICES SCHEDULE H, PART III, SECTION C, LINE 9B ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE ALSO INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. INPUT FROM PERSONS REPRESENTING THE COMMUNITY SCHEDULE H, PART V, SECTION B, LINE 3 UNION GENERAL HOSPITAL USED INPUT FROM INTERVIEWS FROM THE FOLLOWING COMMUNITY REPRESENTATIVES: DR. GEORGE CANNON - SUPERINTENDENT OF UNION PARISH SCHOOL SYSTEM HOLLY CORLEY MD - INTERNAL MEDICINE/PEDIATRICS PHYSICIAN MS. BESSIE WARREN - UNION GENERAL HOSPITAL BOARD MEMBER, BUSINESS OWNER MS. MARY BARRIOS - CHILD SAFETY COORDINATOR, CHILDREN'S COALITION MS. LOUISE DENTON - DIRECTOR, COUNCIL ON AGING MS. LEAH BLYTHE - PATIENT ADVOCATE, UNITED HOME CARE REV. MICHAEL CALAHAN - MINISTER, BLOOMING GROVE BAPTIST CHURCH MS. DEANN POWELL - PUBLIC HEALTH NURSE, UNION PARISH HEALTH UNIT MS. MARANDA SCHOENBERGER - PROGRAM MANAGER, CANCER CONTROL OFFICER, AHEC FATHER AL JOIST - PRIEST, OUR LADY OF PERPETUAL HEALTH CATHOLIC CHURCH MR. STEIN BAUGHMAN - MAYOR, TOWN OF FARMERVILLE ADDITIONALLY, THE UNION GENERAL COMMUNITY HEALTH NEEDS SURVEY OBTAINED INPUT FROM VARIOUS MEMBERS OF THE COMMUNITY IN FOCUS GROUP MEETINGS. BASIS FOR AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, SECTION B, LINE 12 PATIENT MUST BE A RESIDENT OF UNION PARISH. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS RECEIVING INPATIENT OR EMERGENCY CARE. NOTIFICATION OF FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, SECTION B, LINE 14 DURING THE SCREENING PROCESS, PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOTIFIED OF THE POLICY. ACTIONS FOR NON PAYMENT SCHEDULE H, PART V, SECTION B, LINE 16, 17 & 18 NEITHER UNION GENERAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY UGH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. DETERMINATION OF AMOUNTS BILLED SCHEDULE H, PART V, SECTION B, LINE 20 GROSS CHARGES ARE BILLED TO ALL PATIENTS REGARDLESS OF AVAILABILITY OF INSURANCE COVERAGE, BUT PATIENTS ELIGIBLE UNDER FAP WILL RECEIVE DISCOUNT OF CHARGES TO ZERO. PATIENTS ELIGIBLE UNDER FAP WILL THEREFORE NEVER BE CHARGED MORE THAN RATES CHARGED TO THOSE WITH INSURANCE. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE HOSPITAL HAS WORKED WITH OTHER COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL HAS COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT WITH ASSISTANCE FROM AN OUTSIDE FIRM. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 UNION GENERAL IS LOCATED IN UNION PARISH, A RURAL COMMUNITY OF 878 SQUARE MILES, AND PROVIDES MEDICAL SERVICES TO AN UNDERSERVED POPULATION OF 22,712 CITIZENS. MEDIAN HOUSEHOLD INCOME FOR THE PARISH IS APPROXIMATELY $29,061 WITH MEDIAN FAMILY INCOME OF $36,035. APPROXIMATELY 14.3% OF FAMILIES AND 18.6% OF THE TOTAL POPULATION ARE BELOW THE POVERTY LINE. MORE THAN 50% OF THE POPULATION LIVES BELOW 200% FEDERAL POVERTY GUIDELINES. APPROXIMATELY 71% OF THE POPULATION IS WHITE AND 27% IS AFRICAN AMERICAN WITH A GROWING HISPANIC POPULATION. IT IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). THE COMMUNITY'S MORTALITY RATE IS NEARLY TWICE THE NATIONAL RATE DUE TO THE LACK OF EDUCATION PROGRAMS, THE HIGH RATE OF UNDIAGNOSED DISEASE, AS WELL AS POVERTY AND ISOLATION ASSOCIATED WITH THE RURAL UNDERSERVED PARISH POPULATIONS. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 UNION GENERAL HOSPITAL SERVES AS A MEDICAID ENROLLMENT CENTER FOR UNION PARISH, PROVIDES FLU SHOT CLINICS TO THE COMMUNITY AND PARTICIPATES IN HEALTH FAIRS LOCALLY. THE HOSPITAL ALSO PARTICIPATES IN CAREER FAIRS AT LOCAL COLLEGES FOR HEALTHCARE STUDENTS, REACHING OVER 200 STUDENTS, AS WELL AS SERVING AS A CLINICAL SITE FOR LPNS, RADIOLOGY, PHLEBOTOMY AND NURSE PRACTITIONERS. UGH PARTNERS WITH AHEC TO ENCOURAGE LOCAL YOUTH TO PURSUE HEALTHCARE CAREERS. UGH IS INVOLVED WITH LOCAL BUSINESSES TO BRING HEALTH AWARENESS AND SCREENING TO THE PUBLIC THROUGH RELAY FOR LIFE, AHA'S GO RED CAMPAIGN, UNITED WAY FUNDRAISER AND BY HOSTING AN ANNUAL BREAST CANCER AWARENESS DAY FOR THE COMMUNITY. UNION GENERAL PROMOTES BETTER HEALTH THROUGH AN EMPLOYEE WELLNESS PROGRAM THAT WILL BE EXPANDED TO LOCAL EMPLOYERS. UGH PARTNERS WITH LSU MAMMO VAN TO PROVIDE FREE MAMMOGRAMS, PELVIC EXAMS, PAP SMEARS AND COLON SCREENING FOR THE SERVICE AREA. THE HOSPITAL PROVIDED HAND WASHING INSTRUCTION FOR ELEMENTARY SCHOOL KIDS AND FOR NURSING HOME STAFF AND RESIDENTS, AS WELL AS PROVIDED BLOOD SUGAR AND BLOOD PRESSURE SCREENING FOR LOCAL BUSINESSES. UGH PARTICIPATED IN THE TOWN OF FARMERVILLE'S TOY DRIVE FOR NEEDY CHILDREN, ALONG WITH SPONSORED LOCAL 4-H PROJECTS. UGH EMPLOYEES ARE VERY INVOLVED WITH LOCAL ORGANIZATIONS, SUCH AS AN ALZHEIMER'S SUPPORT GROUP, COUNCIL ON AGING, NURSING HOME COUNCILS AND OTHERS. ALL PROPERTY OWNED BY UNION GENERAL IS DESIGNATED TOBACCO-FREE. UGH OPERATES UNDER A BOARD OF DIRECTORS, WHICH IS COMPRISED OF REPRESENTATIVE MEMBERS OF THE COMMUNITY. IT MAINTAINS AN OPEN MEDICAL STAFF AND OPERATES 24/7 EMERGENCY ROOM STAFFED WITH ON-SITE PHYSICIANS. A NEW PHYSICIAN OFFICE BUILDING HAS BEEN BUILT TO HELP RECRUIT NEW PHYSICIANS TO THE AREA. UGH PROVIDES FOOD AND LODGING FOR MEDICAL STUDENTS WHO SHADOW LOCAL PHYSICIANS, AS WELL AS PROVIDES AN EMPLOYEE THAT ASSISTS THE COMMUNITY BY TAKING MEDICAID APPLICATIONS TO RESIDENT'S HOMES. UGH ALSO PROVIDES MEETING SPACE TO THE LOCAL CHAMBER OF COMMERCE. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 N/A STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 LOUISIANA true PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. PART I, LINE 2. ALL DONATIONS ARE APPROVED BY THE CEO. THE COMPTROLLER MONITORS DONATION AMOUNTS VERSUS BUDGETED AMOUNTS, AND INFORMS THE CEO OF ANY VARIANCES ON A REGULAR BASIS. X X false false false false false false false false false SHEREE HICKS 165900 0 0 0 0 0 3159 0 782 0 169841 0 HOLLY CORLEY 212087 0 0 0 0 0 4435 0 2324 0 218846 0 DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON FORM 990, PART VI, SECTION A, line 3 THE HOSPITAL HAS ENTERED INTO A CONTRACT FOR ADMINISTRATIVE SERVICES WITH IASIS GLENWOOD REGIONAL MEDICAL CENTER, WHICH AUTOMATICALLY RENEWS EACH YEAR. THIS CONTRACT REQUIRES THAT THE MANAGEMENT COMPANY PROVIDE PERSONNEL TO PERFORM DUTIES AS THE HOSPITAL ADMINISTRATOR. FEES PAID APPROXIMATED $14,600 A MONTH. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. BOTH THE CEO AND CFO REVIEW THE RETURN PRIOR TO FILING. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B SALARY SURVEY INFORMATION FOR THE POSITIONS OF CEO, CFO, CNO AND PHARMACY DIRECTOR WAS OBTAINED FROM THE LOUISIANA HOSPITAL ASSOCIATION AND PRESENTED TO THE UGH BOARD FOR REVIEW AND DISCUSSION. SALARIES FOR THESE POSITIONS WERE ADJUSTED BASED UPON RECOMMENDATION AND APPROVAL BY THE BOARD OF DIRECTORS. INITIAL REVIEW WAS FROM 2006 LHA SALARY SURVEY. CONTRACTED CEO POSITION FORM 990, PART VII, SECTION A THE POSITION OF CEO IS CONTRACTED THROUGH GLENWOOD REGIONAL MEDICAL CENTER, AN UNRELATED ORGANIZATION. UNION GENERAL HOSPITAL REIMBURSES GLENWOOD FOR THE CEO'S SALARY. THIS INDIVIDUAL IS LISTED AT PART VII, SECTION A OF FORM 990, ALONG WITH THE AMOUNT OF BENEFITS PAID DIRECTLY BY UNION GENERAL. THE AMOUNT OF SALARY PAID TO GLENWOOD, COMBINED WITH ANY 2012 W-2 WAGES FROM UNION GENERAL, IS ALSO LISTED AT PART VII, SECTION A OF FORM 990.