FORM
LM-21 - RECEIPTS
& DISBURSEMENTS REPORT
OMB No. 1245-0003 . Expires 01-31-2025 .
IMPORTANT: This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440. Required of persons, including Labor Relations Consultants and Other Individuals and Organizations, under Section 203(b) of the Labor-Management Reporting and Disclosure Act of 1959, as amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
AMENDED
1. File Number: C-755      2. Period Covered by this report From: 01/01/2021 Through: 12/31/2021
A. Person Filing
3. Name and mailing address (including Zip Code):
Name:DEBORAH LONG
Title:President
Organization:HEALTHCARE LABOR SOLUTIONS
P.O. Box., Bldg., Room No., if any:Suite 504-741
Street:2121 Lohmans Crossing Rd
City:LakewayState:TX
ZIP code:78734
4. Any other address where records necessary to verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
Signature and Verification
Each of the undersigned declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VII on penalties in the instructions.)
17.
SIGNED: Deborah Long
Title: PRESIDENT
Date: Aug 21, 2022
Telephone Number: 877-424-9799
18.
SIGNED: Deborah Long
Title: TREASURER
Date: Aug 21, 2022
Telephone Number: 877-424-9799
Form LM-21 (2003)
B.
Statement of Receipts Report all receipts from employers in connection with labor relations advice or services regardless of the purposes of the advice or services.
5.a.Name and Address of Employer (including trade name, if any).
Employer: Karmanos Cancer Institute
Trade Name:
Name: Amy Ryder
Title: VP HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:4100 John R
City:DetroitState:CA
ZIP code:48201
  5.b.Termination Date: 09/30/2021 5.c.Amount:$39,161      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Sutter Care at Home
Trade Name:
Name: Dori Hutchings
Title: HR BP
Mailing Address:
P.O. Box., Bldg., Room No., if any:Suite 140
Street:3830 Buisness Center Dr.
City:FairfieldState:CA
ZIP code:94534
  5.b.Termination Date: 12/17/2021 5.c.Amount:$58,109      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Jefferson Health Frankford Hospital
Trade Name:
Name: Lisa Satteson
Title: VP HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:4900 Frankford ave
City:PhiladelphiaState:CA
ZIP code:19124
  5.b.Termination Date: 10/20/2021 5.c.Amount:$400,896      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Longmont United Health
Trade Name:
Name: Cathy Roberts
Title: VP HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:1950 Mountain View Ave
City:LongmontState:CA
ZIP code:80501
  5.b.Termination Date: 07/08/2021 5.c.Amount:$300,309      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Anesthesia Consulting and Management
Trade Name:
Name: Karen Litsinger
Title: CLO
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:1225 19th Street, NW
City:WashingtonState:CA
ZIP code:20036
  5.b.Termination Date: 03/12/2021 5.c.Amount:$391,373      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Jersey Shore University Medical Center
Trade Name:
Name: Nancy Corcoran-Davidoff
Title: VP
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:343 Thornall Street
City:EdisonState:CA
ZIP code:08837
  5.b.Termination Date: Ongoing 5.c.Amount:$1,112,660      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Sutter Coast Hospital
Trade Name:
Name: Dominic Mitchell
Title: WFLR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:800 East Washington Blvd.
City:Crescent CityState:CA
ZIP code:95531
  5.b.Termination Date: 12/15/2020 5.c.Amount:$135,657      Non-Cash Payment:
    Type of Payment:

5.a.Name and Address of Employer (including trade name, if any).
Employer: Palo Alto Medical Foundation
Trade Name:
Name: Maria Morin
Title: HR Dir
Mailing Address:
P.O. Box., Bldg., Room No., if any:Suite 100
Street:39650 Liberty Street
City:FremontState:CA
ZIP code:94538
  5.b.Termination Date: 12/01/2020 5.c.Amount:$8,685      Non-Cash Payment:
    Type of Payment:

6.TOTAL RECEIPTS FROM ALL EMPLOYERS: $2,446,850
C.
Statement of Disbursements Report all disbursements made by the reporting organization in connection with labor relations advice or services rendered to the employers listed in Part B.
7.
Disbursements to Officers and Employees:
(a) Name(b) Salary(c) Expense(d) Totals
8. Total disbursements to officers and employees:$0
9. Officer and Administrative Expenses:
10. Publicity:
11. Fees for Professional Services:
12. Loans Made:
13. Other Disbursements:
14. Total Disbursements (Sum of Items 8-13):$0
Form LM-21 (2003)
D.
Schedule of Disbursements for Reportable Activity Use this schedule to report only disbursements made for the purposes described in Part D of the instructions.
15.a. Employer Name: Karmanos Cancer Institute Detroit

15.c. To Whom Paid:
Name: Veronica Bodart
Title:
Organization: P.A.S. Labor
P.O. Box., Bldg., Room No., if any:PO Box 813
Street:
City:LadsonState:SC
ZIP code:29456
15.b. Trade Name, If any:
15.d.Amount:$19,425
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Sutter Care at Home

15.c. To Whom Paid:
Name: Jessica Salas
Title:
Organization:
P.O. Box., Bldg., Room No., if any:STE L1-321
Street:
City:Ladera RanchState:CA
ZIP code:92694
15.b. Trade Name, If any:
15.d.Amount:$7,000
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Sutter Care at Home

15.c. To Whom Paid:
Name: Nicole Salas
Title:
Organization:
P.O. Box., Bldg., Room No., if any:STE L1-321
Street:
City:Ladera RanchState:CA
ZIP code:92694
15.b. Trade Name, If any:
15.d.Amount:$5,600
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Sutter Care at Home

15.c. To Whom Paid:
Name: Ricardo Pasalagua
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:3941 E 63th Street South
City:DerbyState:KS
ZIP code:67037
15.b. Trade Name, If any:
15.d.Amount:$14,000
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jefferson Health Frankford Hospital

15.c. To Whom Paid:
Name: Arlene Burgueno
Title:
Organization: RJA Labor Relations Services
P.O. Box., Bldg., Room No., if any:
Street:644 Sandyhook Ave
City:La PuenteState:CA
ZIP code:91744
15.b. Trade Name, If any:
15.d.Amount:$44,025
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jefferson Health Frankford Hospital

15.c. To Whom Paid:
Name: Judy Dugal
Title:
Organization:
P.O. Box., Bldg., Room No., if any:PO Box 1123
Street:
City:Royal OakState:MI
ZIP code:48068
15.b. Trade Name, If any:
15.d.Amount:$105,150
15.e.Purpose:
15.a. Employer Name: Jefferson Health Frankford Hospital

15.c. To Whom Paid:
Name: Veronica Bodart
Title:
Organization: P.A.S. Labor
P.O. Box., Bldg., Room No., if any:PO Box 1123
Street:
City:LadsonState:SC
ZIP code:29456
15.b. Trade Name, If any:
15.d.Amount:$92,050
15.e.Purpose:
15.a. Employer Name: Longmont United Health

15.c. To Whom Paid:
Name: Jessica Salas
Title:
Organization:
P.O. Box., Bldg., Room No., if any:STE L1-321
Street:
City:Ladera RanchState:CA
ZIP code:92694
15.b. Trade Name, If any:
15.d.Amount:$75,600
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Longmont United Health

15.c. To Whom Paid:
Name: Rebecca Bannon
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:301 Elk Haven Ct
City:AnacondaState:MT
ZIP code:59711
15.b. Trade Name, If any:
15.d.Amount:$84,753
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Anesthesia Consulting and Management

15.c. To Whom Paid:
Name: Ben Johnson
Title:
Organization: Progressive Labor Solutions, LLC
P.O. Box., Bldg., Room No., if any:
Street:55 Giggs Street
City:BarreState:VT
ZIP code:05641
15.b. Trade Name, If any:
15.d.Amount:$64,927
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Anesthesia Consulting and management

15.c. To Whom Paid:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
15.b. Trade Name, If any:
15.d.Amount:
15.e.Purpose:
15.a. Employer Name: Anesthesia Consulting and Management

15.c. To Whom Paid:
Name: Jessica Salas
Title:
Organization:
P.O. Box., Bldg., Room No., if any:STE L1-321
Street:
City:Ladera RanchState:CA
ZIP code:92694
15.b. Trade Name, If any:
15.d.Amount:$66,150
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Anesthesia Consulting and Management

15.c. To Whom Paid:
Name: Rebecca Bannon
Title:
Organization: Heightened Solutions
P.O. Box., Bldg., Room No., if any:
Street:301 Elk Haven Ct
City:AnacondaState:MT
ZIP code:59711
15.b. Trade Name, If any:
15.d.Amount:$2,519
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Anesthesia Consulting and Management

15.c. To Whom Paid:
Name: Veronica Bodart
Title:
Organization: P.A.S. Labor
P.O. Box., Bldg., Room No., if any:PO Box 813
Street:
City:LadsonState:SC
ZIP code:29456
15.b. Trade Name, If any:
15.d.Amount:$63,150
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Elle Hernandez
Title:
Organization:
P.O. Box., Bldg., Room No., if any:Apt C-213
Street:2250 Vanguard Way
City:Costa MesaState:CA
ZIP code:92626
15.b. Trade Name, If any:
15.d.Amount:$16,500
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Emigdio Arias
Title:
Organization: KNA Industrial Relations LLC
P.O. Box., Bldg., Room No., if any:PO Box 14804
Street:
City:Long BeachState:CA
ZIP code:90853
15.b. Trade Name, If any:
15.d.Amount:$63,304
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Jessica Salas
Title:
Organization:
P.O. Box., Bldg., Room No., if any:STE L1-321
Street:
City:Ladera RanchState:CA
ZIP code:92694
15.b. Trade Name, If any:
15.d.Amount:$101,400
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Juan Cruz
Title:
Organization: Reconnect Labor Relations Consulting
P.O. Box., Bldg., Room No., if any:Unit G Suite #219
Street:27120 Eucalyptus Ave
City:Moreno ValleyState:CA
ZIP code:92555
15.b. Trade Name, If any:
15.d.Amount:$246,750
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Rebecca Bannon
Title:
Organization: Heightened Solutions
P.O. Box., Bldg., Room No., if any:
Street:301 Elk Haven Ct
City:AnacondaState:MT
ZIP code:59711
15.b. Trade Name, If any:
15.d.Amount:$93,344
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Jersey Shore University Medical Center

15.c. To Whom Paid:
Name: Veronica Bodart
Title:
Organization: P.A.S. Labor
P.O. Box., Bldg., Room No., if any:PO Box 813
Street:
City:LadsonState:SC
ZIP code:29456
15.b. Trade Name, If any:
15.d.Amount:$44,550
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Sutter Coast Hospital

15.c. To Whom Paid:
Name: Ben Johnson
Title:
Organization: Progressive Labor Solutions LLC
P.O. Box., Bldg., Room No., if any:
Street:55 Biggs Street
City:BarreState:VT
ZIP code:05641
15.b. Trade Name, If any:
15.d.Amount:$42,043
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Sutter Coast Hospital

15.c. To Whom Paid:
Name: Terren Becker
Title:
Organization: Employer Consulting Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:1235 Riverview Drive
City:FallbrookState:CA
ZIP code:92028
15.b. Trade Name, If any:
15.d.Amount:$30,150
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Palo Alto Medical Foundation

15.c. To Whom Paid:
Name: Ricardo Pasalagua
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:3941 E 63th Street South
City:DerbyState:KS
ZIP code:67037
15.b. Trade Name, If any:
15.d.Amount:$4,200
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
16.TOTAL DISBURSEMENTS FOR ALL REPORTABLE ACTIVITY: $1,286,590
Form LM-21 (2003)