2012-08-15T14:31:51-05:00 2011-09-30 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2010-10-01 721025017 BATON ROUGE GENERAL MEDICAL CENTER BATO 2252371547 8490 PICARDY AVENUE NO 300-B BATON ROUGE LA 70809 DIONNE E VIATOR 2252371547 2012-08-14 1 RALPH STEPHENS 2259224600 2010 2016-02-24 21:20:13Z WILLIAM HOLMAN 8490 PICARDY AVE 300-B BATON ROUGE LA 70809 312620708 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. 18 14 0 350 0 0 2275884 993873 304842588 299024006 1211021 1553299 10370562 9306122 318700055 310877300 1874092 1314634 0 0 116095897 115786981 0 0 0 187614173 193080664 305584162 310182279 13115893 695021 305241847 305023035 249045980 247842634 56195867 57180401 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 214253760 202929301 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 $25,980,023 OF FREE AND/OR SUBSIDIZED CARE, $240,560,991 OF CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AS WELL AS HEALTH ACTIVITIES AND EDUCATIONAL PROGRAMS. DURING FY 2011, BRG RECORDED 19,314 ADMITS, 102,171 PATIENT DAYS, 92,028 EMERGENCY ROOM VISITS, DISPENSED 4,000,000 PHARMACY UNIT DOSES AND 9,667 INPATIENT/OUTPATIENT SURGERIES. 23051606 48824421 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 SUPPORT STAFF IN THE AREA. BRG COMPLETED 9,667 SURGERIES DURING THE FISCAL YEAR. 21246142 47270284 THE BRG INPATIENT 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 4,000,000 UNIT DOSES. 258551508 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 105 0 1 0 0 0 0 0 0 0 0 0 0 0 X 18 14 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 VENKAT BANDA MD 3.00 X 0 1182602 50838 PETER BOSTICK MD 3.00 X 27000 0 0 GREG BOWSER 3.00 X 5500 0 0 SUE ANNE COX 3.00 X 0 0 0 GARY GRAPHIA 3.00 X 0 0 0 PERRY FRANKLIN 3.00 X 0 4320 0 MARGARET WOMACK HART 3.00 X 0 0 0 EVELYN K HAYES MD 3.00 X 0 0 0 ROY G KADAIR MD 3.00 X 0 0 0 LESLIE HERPIN MARX 3.00 X 0 0 0 NANETTE NOLAND 3.00 X 0 0 0 DAVID R PITTS 3.00 X 0 0 0 ANDREW OLINDE MD 3.00 X 32247 0 0 GOV CHARLES BUDDY ROEMER 3.00 X 0 0 0 REV CHARLES SMITH 3.00 X 0 0 0 ED STARNS CPA 3.00 X 0 0 0 JANICE PELLAR 3.00 X 0 0 0 WILLIAM HOLMAN 60.00 X X 0 2483842 56416 DIONNE E VIATOR CPA 60.00 X 0 539282 38498 EDGARDO JOSE TENREIRO 60.00 X 0 464487 33750 FLOYD J ROBERTS MD 60.00 X 0 461160 38912 KENDALL JOHNSON CPA 60.00 X 0 235419 21694 ANNA L CAZES DNS 60.00 X 0 239596 31267 PAUL C DOUGLAS 60.00 X 0 263201 43998 PEYTON C GRANT 60.00 X 0 211400 33568 DON SHAW 60.00 X 0 239597 24726 GEORGE H BELL 60.00 X 0 316462 32616 WILLIAM J HUBBARD MD 50.00 X 0 820509 52746 ROBERT N MOUKARZEL MD 50.00 X 0 819266 19548 GERALD M MOLLOY MD 50.00 X 0 682858 27798 DHAVAL V ADHARYU MD 50.00 X 0 514592 39530 MICHAEL K PUYAU MD 50.00 X 0 489644 5911 DEBORAH K CHARNLEY 60.00 X 0 269491 31919 64747 10237728 583735 50 1 1 0 GENERAL HEALTH SYSTEMS 8490 PICARDY AVE BATON ROUGE LA 70809 MANAGEMENT & GOVERNANCE 50640438 LSUHSC 433 BOLIVAR ST NEW ORLEANS LA 70112 MEDICAL SERVICES 2363849 CARDIOVASCULAR MGT GROUP 5231 BRITTANY DR BATON ROUGE LA 70808 MEDICAL SERVICES 1191667 DOC'S LAUNDRY & LINEN SERVICE 1855 NORTH BLVD BATON ROUGE LA 70802 LAUNDRY & LINEN SERVICE 1179865 BIOMEDICAL APPLICATIONS OF LA PO BOX 62760 BATON ROUGE LA 70162 MEDICAL SERVICES 907933 38 918407 75466 993873 NET PATIENT REVENUES 621990 299024006 299024006 299024006 1364323 1364323 2261423 2261423 2261423 2261423 1467884 464500 1485445 257963 -17561 206537 188976 -17561 206537 CAFETERIA REVENUE 722210 2646378 2646378 SALES TAX REFUNDS 900099 841270 841270 PURCHASE REBATES 900099 802258 802258 2754793 2754793 7044699 310877300 301267868 0 8615559 1311134 1311134 3500 3500 98419527 98099139 320388 9751011 9669639 81372 7616443 7610679 5764 50640438 50640438 60000 60000 24750932 24738997 11935 1287407 1279368 8039 62680944 62647252 33692 391391 391391 5072362 5070505 1857 198847 173510 25337 10756799 10756799 12834468 12834468 381220 356220 25000 BAD DEBT EXPENSES 17142679 17142679 EQUIPMENT RENT/MAINTENA 6412988 6169332 243656 DUES & SUBSCRIPTIONS 324175 260668 63507 PATIENT TRANSPORT COSTS 209792 209792 OVERHEAD ALLOCATIONS 186000 186000 0 -249778 -359564 109786 310182279 258551508 51630771 0 30194515 22131529 55270826 69239196 35061212 29142059 1508672 1749927 23823260 30323367 1443034 1585564 329725495 183103891 149426950 146621604 8513378 4229789 305241847 305023035 41522983 44312390 207522997 197036371 0 6493873 249045980 247842634 X 56195867 57180401 56195867 57180401 305241847 305023035 X 695021 289513 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 50 1 0 1 100 0 1 60000 60150 0 PART IV, SUPPLEMENTAL INFORMATION: 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 203580359 100480180 103100179 8110033 6518885 1591148 107761763 76104826 31656937 518131 518131 146621604 AMOUNT DUE TO GENERAL HEALTH SYSTEM #72-0475545, PARENT COMPANY OF TAXPAYER 6493873 6493873 310877300 310182279 695021 288001 1512 289513 984534 311165300 288000 288000 310877300 0 310877300 310182279 0 310182279 0 310182279 PART X, LINE 2 - FIN 48/ASC 740 FOOTNOTE: "THE COMPANY FOLLOWS THE PROVISIONS OF THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE FASB ASC. THE COMPANY RECOGNIZES A THRESHOLD AND MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION ALSO PROVIDES GUIDANCE ON RECOGNITION, DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE COMPANY'S TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THERE ARE CURRENTLY NO RETURNS UNDER EXAMINATION. MANAGEMENT EVALUATED THE COMPANY'S TAX POSITIONS AND CONSIDERED THAT THE COMPANY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE." PAGE 4, PART XI LINE 8 - $1,512 = MISCELLANEOUS ROUNDING DIFFERENCE 1 1 X 1 X 1 X 1 0 1 1 9820449 1505630 8314819 0.02680 50880002 33687500 17192502 0.05540 60700451 35193130 25507321 0.08220 50 1063 70913 0 70913 0.00020 7 676 8154620 2341068 5813552 0.01870 2 80302 25093378 21430060 3663318 0.01180 49 165 211857 102955 108902 0.00040 1336687 1336687 0.00430 108 82206 34867455 23874083 10993372 0.03540 108 82206 95567906 59067213 36500693 0.11760 0 6479933 85476804 77172952 8303852 X 1 0 2 1 BRGMC - MID CITY CAMPUS

3600 FLORIDA BLVD BATON ROUGE LA 70806

X X X X 2 BRGMC - BLUEBONNET CAMPUS

8585 PICARDY AVE BATON ROUGE LA 70809

X X X X NA 1 NA 2 6 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 HOSPITAL SPECIALISTS

3401 NORTH BLVD SUITE 130 BATON ROUGE LA 70806

CLINICAL LOCATION BRG NEUROSURGICAL ASSOCIATES

8585 PICARDY AVENUE SUITE 235 BATON ROUGE LA 70809

CLINICAL LOCATION OAK GROVE FAMILY MEDICINE

17520 OLD JEFFERSON HWY SUITE B PRAIRIEVILLE LA 70769

CLINICAL LOCATION WOMACK HEART CENTER

8888 SUMMA AVENUE BATON ROUGE LA 70809

CLINICAL LOCATION PART II: BRGMC, THROUGH ITS MID CITY REDEVELOPMENT ALLIANCE AFFILIATE, PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITES INCLUDING, BUT NOT LIMITED TO, ITS FIXUP! MID CITY, NEIGHBORGRANTS, TOOL LENDING, FREE HOMEBUYER EDUCATION CLASSES, FREE CREDIT COUNSELING CLASSES, FREE FORECLOSURE PREVENTION COUNSELING, DOWN PAYMENT ASSISTANCE PROGRAMS DESIGNED TO REVITALIZE AND REFURBISH THE DOWNTOWN AND MID CITY BATON ROUGE AREAS. 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. PART VI, LINE 2: 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 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, AVOID DUPLICATE EFFORTS AND TO INCREASE THE VALUE OF WHAT WE COLLECTIVELY BRING TO THE COMMUNITY HEALTHCARE NEEDS. PART VI, LINE 3: EACH AND EVERY PATIENT IS SCREENED BY PATIENT FINANCIAL DEPARTMENT PERSONNEL, SOCIAL WORKERS AND OTHER HEALTH CARE PROFESSIONALS TO DETERMINE IF ELIGIBLE FOR STATE AND/OR FEDERAL HEALTH CARE ASSISTANCE. SAID ASSISTANCE AS WELL AS ELIGIBILITY FOR BRGMC CHARITY CARE IS ASSESSED WITH THE PATIENT OR THEIR FAMILY MEMBER/REPRESENTATIVE. OF PRIMARY IMPORTANCE IS THE HEALTH AND WELL-BEING OF OUR PATIENTS. PART VI, LINE 4: BRGMC 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, AND POINTE COUPEE PARISH AREAS. 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 20 YEARS. PART VI, LINE 7: BRGMC IS AN IRS 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 2011, 11 SELECTED STUDENTS (IN MAY 2010, 10 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, LA. LINE 1 THE ORGANIZATION PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH SUMMARIZES ITS EFFORTS TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE GREATER BATON ROUGE COMMUNITY. 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-D. ACTUAL, DIRECT COSTS WERE USED IN THE CALCULATIONG OF THE VARIOUS AMOUNTS IN PART I, LINES 7E-I. NO ADDITION OF UNALLOCATED OVERHEAD COSTS WERE USED ALTHOUGH THE ORGANIZATION FEELS THAT SUCH AN ADDITION WOULD BE JUSTIFIED. PART III, LINE 2 BAD DEBT AT COST WAS CALCULATED USING THE ABOVE-REFERENCED COST-TO-CHARGE RATIO FROM PART I, WORKSHEET 2. NO AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISSTANCE. THE ORGANIZATION PERFORMS ANNUAL REVIEWS OF ITS COLLECTION HISTORIES TO DETERMINE THE ACCURACY OF ITS ESTIMATIONS OF BAD DEBT ALLOWANCE AMOUNTS. 1 GENERAL HEALTH SYSTEM FOUNDATION 8585 PICARDY AVE BATON ROUGE LA 70809 740801335 501(C)3 1236134 TO ASSIST IN THEIR CHARITY EFFORTS MID CITY REDEVELOPMENT ALLIANCE INC 419 N 19TH ST BATON ROUGE LA 70802 721196990 501(C)3 75000 TO ASSIST IN THEIR CHARITY EFFORTS 2 OTHER INFORMATION: PART IV: PART I, LINE 2 - THE GRANT RECIPIENTS ARE RELATED (TO THE TAXPAYER), 501(C)(3) ORGANIZATIONS. BECAUSE OF CENTRALIZED MANGAGEMENT AND ACCOUNTING PROCEDURES, 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 PURPOSES. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 VENKAT BANDA MD 0 200000 0 982602 0 0 0 31690 0 19148 0 1233440 0 0 WILLIAM HOLMAN 0 615679 0 487844 0 1380319 0 38500 0 17916 0 2540258 0 0 DIONNE E VIATOR CPA 0 385103 0 154179 0 0 0 16500 0 21998 0 577780 0 0 EDGARDO JOSE TENREIRO 0 349000 0 104766 0 10721 0 16500 0 17250 0 498237 0 0 FLOYD J ROBERTS MD 0 339488 0 111968 0 9704 0 20996 0 17916 0 500072 0 0 KENDALL JOHNSON CPA 0 172550 0 35000 0 27869 0 16500 0 5194 0 257113 0 0 ANNA L CAZES DNS 0 168000 0 42000 0 29596 0 27577 0 3690 0 270863 0 0 PAUL C DOUGLAS 0 208416 0 41683 0 13102 0 22000 0 21998 0 307199 0 0 PEYTON C GRANT 0 153000 0 30600 0 27800 0 16500 0 17068 0 244968 0 0 DON SHAW 0 167440 0 41860 0 30297 0 16500 0 8226 0 264323 0 0 GEORGE H BELL 0 239700 0 47940 0 28822 0 14700 0 17916 0 349078 0 0 WILLIAM J HUBBARD MD 0 820000 0 0 0 509 0 33921 0 18825 0 873255 0 0 ROBERT N MOUKARZEL MD 0 820000 0 0 0 -734 0 4900 0 14648 0 838814 0 0 GERALD M MOLLOY MD 0 450000 0 234000 0 -1142 0 13150 0 14648 0 710656 0 0 DHAVAL V ADHARYU MD 0 127500 0 386303 0 789 0 32180 0 7350 0 554122 0 0 MICHAEL K PUYAU MD 0 120000 0 364623 0 5021 0 0 0 5911 0 495555 0 0 DEBORAH K CHARNLEY 0 200000 0 0 0 69491 0 22068 0 9851 0 301410 0 0 SUPPLEMENTAL INFORMATION PART III THE OFFICERS AND KEY EMPLOYEES LISTED IN PART II ARE EMPLOYED AND COMPENSATED BY GENERAL HEALTH SYSTEMS (GHS), A 501(C)(3) ORGANIZATIONS #72-0475545. GHS IS THE PARENT COMPANY OF BATON ROUGE GENERAL MEDICAL CENTER #72-1025017. PART I, LINE 4B: THE PRESIDENT/CEO WM. HOLMAN PARTICIPATES IN A NON-QUALIFIED RETIREMENT PLAN IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF HIS EMPLOYMENT CONTRACT WITH GHS. ALL EXECUTIVES PARTICIPATE IN A NON-QUALIFIED 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, AND VESTING. PART I, LINE 1A: IN APRIL 2011, THE BOARD OF DIRECTORS AND KEY EXECUTIVES MET OUT OF STATE FOR THEIR BOARD RETREAT TO DEVELOP AND IMPLEMENT A STRATEGIC VISION FOR GENERAL HEALTH SYSTEM AND BATON ROUGE GENERAL MEDICAL CENTER. THE DIRECTORS' AND KEY EXECUTIVES' GUESTS, THE TRAVEL, MEALS AND INCREMENTAL LODGING COSTS (IF ANY) RESULTING FROM THE TRIP WERE PAID BY PARENT COMPANY, GENERAL HEALTH SYSTEM. SOCIAL CLUB DUES FOR THE PRESIDENT/CEO WERE PAID BY GENERAL HEALTH SYSTEM AND INCLUDED ON FORM W-2 AS COMPENSATION. SERIES 2004 BONDS LOUISIANA PUBLIC FINANCE AUTHORITY 720895871 S46398JW9 2004-12-08 199650000 TO RETIRE PREVIOUS ISSUED BOND AND FUND CAPITAL EXPANSION 0 0 0 SERIES 2006 BONDS LOUISIANA PUBLIC FINANCE AUTHORITY 720895871 2006-12-14 19570173 TO FUND ACQUISITION OF CAPITAL EQUIPMENT 0 0 0 SERIES 2008 BONDS LOUISIANA PUBLIC FINANCE AUTHORITY 720895871 2008-01-31 10000000 TO FUND ACQUISITION OF CAPITAL EQUIPMENT 0 0 0 213697027 15693714 101008060 3512889 86308399 7173965 2008 1 1 1 1 14393294 11991005 2402289 2007 0 0 1 1 10000000 7699446 2300554 2008 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M EVANS DAUGHTER OF WM. HOLMAN , PRES & CEO 28200 EMPLOYEE COMPENSATION 0 R MORRIS DAUGHTER OF M. WOMACK HART, BOARD MEMBER 67298 EMPLOYEE COMPENSATION 0 M FRANKLIN WIFE OF PERRY FRANKLIN, BOARD MEMBER 24892 EMPLOYEE COMPENSATION 0 A TENREIRO SON OF EXEC VP/COO 0 EMPLOYEE COMPENSATION 0 J CAZES SPOUSE OF CNO 146893 EMPLOYEE COMPENSATION 0 VARIOUS FAMILY MEMBERS OF CERTAIN BOARD MEMBERS AND OFFICERS ARE EMPLOYED BY THE TAXPAYER. A. TENREIRO BEGAN EMPLOYEMENT IN 2011 AND HAD NO 2010 COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11 DURING PREPARATION OF THE 990, SENIOR 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 FORWARDED TO MEMBERS OF THE BOARD'S COMPENSATION COMMITTEE. SAID COMMITTEE HAS BEEN TASKED BY THE BOARD TO FULLY REVIEW THE 990 AT THEIR NEXT MEETING IN OCTOBER AND FORWARD THEIR RECOMMENDATIONS TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICE COORDINATES OBTAINING CONFLICT DISCLOSURES FROM THE LEADERSHIP AND BOARD MEMBERS OF THE TAXPAYER. THE COMPLIANCE OFFICE REVIEWS AND ORGANIZES THE RESULTS AND DOES A FIRST REVIEW OF THE REPORTED DISCLOSURES FOR POSSIBLE CONFLICTS. FURTHER INFORMATION IS OBTAINED FROM LEADERS AS NEEDED TO CLARIFY OR RECTIFY ANY ISSUES NOTED. ANY POTENTIAL CONFLICTS ARE REVIEWED FOR APPROPRIATE MITIGATION TO INSURE THE BEST INTERESTS OF THE ORGANIZATION DRIVES BUSINESS DECISIONS. RESULTS ARE DISCUSSED WITH THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER AND SHARED WITH THE AUDIT COMMITTEE AND CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE GHS BOARD OVERSEES ALL EXECUTIVE COMPENSATION. 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. THE 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 288,001. ADJUSTMENT 1,512. TOTAL TO FORM 990, PART XI, LINE 5: 289,513. PAGE 12, 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. SCHEDULE R, PAGE 3, LINE 2 THE TAXPAYER PROVIDES CENTRALIZED MANAGEMENT, BANKING, ACCOUNTS PAYABLE AND ACCOUNTS RECEIVABLE, PAYROLL, ACCOUNTING/TAX, INTERNAL AUDIT AND COMPLIANCE, HUMAN RESOURCE, RISK MANAGEMENT, INSURANCE, BENEFITS MANAGEMENT AND LEGAL 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 SCH. R IS NOT POSSIBLE AT THIS TIME. 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