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.
1. File Number: C-755      2. Period Covered by this report From: 01/01/2022 Through: 12/31/2022
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: Mar 27, 2023
Telephone Number: 877-424-9799
18.
SIGNED: Deborah Long
Title: TREASURER
Date: Mar 27, 2023
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: Oak Street Health
Trade Name:
Name: Cynthia Hiskes
Title: Chief People Officer
Mailing Address:
P.O. Box., Bldg., Room No., if any:#1200
Street:30 West Monroe St
City:ChicagoState:NJ
ZIP code:60603
  5.b.Termination Date: 06/27/2022 5.c.Amount:$19,589      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: St. Lukes
Trade Name:
Name: Erin Simms
Title: SVP HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:190 E Bannock street
City:BoiseState:NJ
ZIP code:83712
  5.b.Termination Date: 06/30/2022 5.c.Amount:$211,085      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: Rochester Regional Health
Trade Name:
Name: Erin Heintz
Title: SVP GC
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:1360 Portland Ave
City:RochesterState:NJ
ZIP code:14621
  5.b.Termination Date: 07/13/2022 5.c.Amount:$1,303,526      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: SF SCAH
Trade Name:
Name: Dori Hutchings
Title: HR Business Partner
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:4830 Business Center Dr.
City:FairfieldState:NJ
ZIP code:94534
  5.b.Termination Date: 03/18/2022 5.c.Amount:$45,897      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: California Pacific Medical Center
Trade Name:
Name: Lorrie Gardner
Title: HR Business Partner
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:2330 Buchanan St
City:San FranciscoState:NJ
ZIP code:94115
  5.b.Termination Date: Ongoing 5.c.Amount:$202,137      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: Sutter Care at Home
Trade Name:
Name: Dori Hutchings
Title: HR Business Partner
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:4830 Business Center Dr.
City:FairfieldState:NJ
ZIP code:94534
  5.b.Termination Date: On going 5.c.Amount:$252,622      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: Frankford Hospital
Trade Name:
Name: Lisa Satteson
Title: VP HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:10800 Knights Road
City:PhiladelphiaState:NJ
ZIP code:19114
  5.b.Termination Date: 09/03/2022 5.c.Amount:$129,854      Non-Cash Payment:
    Type of Payment: Cash

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:NJ
ZIP code:08837
  5.b.Termination Date: Ongoing 5.c.Amount:$1,479,057      Non-Cash Payment:
    Type of Payment: Cash

5.a.Name and Address of Employer (including trade name, if any).
Employer: SKLD Illuminate
Trade Name:
Name: Benyamin Moalem
Title: General Counsel
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:620 Davis Street
City:EvanstonState:IL
ZIP code:60201
  5.b.Termination Date: Ongoing 5.c.Amount:$0      Non-Cash Payment:
    Type of Payment: "0" payments and "0" expenditures were paid in fiscal year 2022.

6.TOTAL RECEIPTS FROM ALL EMPLOYERS: $3,643,767
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: Oak Street Health

15.c. To Whom Paid:
Name: Kim Bradshaw
Title:
Organization: Corsaire Ventures LLC
P.O. Box., Bldg., Room No., if any:
Street:PO Box 472
City:PhilipsburgState:MT
ZIP code:59858
15.b. Trade Name, If any:
15.d.Amount:$12,389
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: St. Luke's Health System

15.c. To Whom Paid:
Name: Chris Catam
Title:
Organization: Millennium Labor Consulting LLC
P.O. Box., Bldg., Room No., if any:PO Box 690853
Street:
City:OrlandoState:MT
ZIP code:32819
15.b. Trade Name, If any:
15.d.Amount:$73,403
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: St. Luke's Health System

15.c. To Whom Paid:
Name: Jon Varona
Title:
Organization: JV Employee Solutions
P.O. Box., Bldg., Room No., if any:
Street:2180 Los Ranchitos Rd
City:Chino HillsState:MT
ZIP code:91709
15.b. Trade Name, If any:
15.d.Amount:$53,281
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional Hospital

15.c. To Whom Paid:
Name: Ashley Sczomak
Title:
Organization:
P.O. Box., Bldg., Room No., if any:PO Box 71832
Street:
City:Madison HeightsState:MT
ZIP code:48071
15.b. Trade Name, If any:
15.d.Amount:$168,642
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional Hospital

15.c. To Whom Paid:
Name: Gabrielle Mattes
Title:
Organization: Gabrielle Mattes and Associates
P.O. Box., Bldg., Room No., if any:
Street:16020 Elbert Circle
City:Fountain ValleyState:MT
ZIP code:92708
15.b. Trade Name, If any:
15.d.Amount:$159,052
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional Hospital

15.c. To Whom Paid:
Name: Ignacio Fresan
Title:
Organization:
P.O. Box., Bldg., Room No., if any:Apt 113
Street:511 EW San Ysidro Blvd
City:San YsidroState:MT
ZIP code:92173
15.b. Trade Name, If any:
15.d.Amount:$113,160
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional 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:MT
ZIP code:48068
15.b. Trade Name, If any:
15.d.Amount:$119,913
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional Hospital

15.c. To Whom Paid:
Name: Kim Bradshaw
Title:
Organization: Corsaire Ventures LLC
P.O. Box., Bldg., Room No., if any:
Street:PO Box 472
City:PhilipsburgState:MT
ZIP code:59858
15.b. Trade Name, If any:
15.d.Amount:$8,323
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: Rochester Regional Hospital

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:$128,221
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: SF Sutter Care at Home

15.c. To Whom Paid:
Name: Rita Tripp
Title:
Organization: Healthcare Management Group
P.O. Box., Bldg., Room No., if any:
Street:10320 Howe Lane
City:LeawoodState:KS
ZIP code:66206
15.b. Trade Name, If any:
15.d.Amount:$30,313
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: California Pacific Medical Center

15.c. To Whom Paid:
Name: Ashley Sczomak
Title:
Organization:
P.O. Box., Bldg., Room No., if any:PO Box 71832
Street:
City:Madison HeightsState:MI
ZIP code:48071
15.b. Trade Name, If any:
15.d.Amount:$31,936
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: California Pacific Medical Center

15.c. To Whom Paid:
Name: Gabrielle Mattes
Title:
Organization: Gabrielle Mattes and Associates
P.O. Box., Bldg., Room No., if any:
Street:16020 Elbert Circle
City:Fountain ValleyState:CA
ZIP code:92708
15.b. Trade Name, If any:
15.d.Amount:$17,112
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: California Pacific Medical Center

15.c. To Whom Paid:
Name: Jon Varona
Title:
Organization: JV Employee Solutions
P.O. Box., Bldg., Room No., if any:
Street:2180 Los Ranchitos Rd
City:Chino HillsState:CA
ZIP code:91709
15.b. Trade Name, If any:
15.d.Amount:$36,375
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: California Pacific Medical Center

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:$31,516
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: Chris Catam
Title:
Organization: Millennium Labor Consulting
P.O. Box., Bldg., Room No., if any:PO BOX 690853
Street:
City:OrlndoState:FL
ZIP code:32819
15.b. Trade Name, If any:
15.d.Amount:$20,595
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: Fernando Rivera
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:1941 California Ave
City:CoronaState:CA
ZIP code:92877
15.b. Trade Name, If any:
15.d.Amount:$29,094
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:$41,423
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: 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:$16,982
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:$30,312
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: Rita Tripp
Title:
Organization: Healthcare Management Group
P.O. Box., Bldg., Room No., if any:
Street:10320 Howe Lane
City:LeawoodState:KS
ZIP code:66206
15.b. Trade Name, If any:
15.d.Amount:$15,543
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: 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:$22,211
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: 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:$31,526
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: 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 813
Street:
City:LadsonState:SC
ZIP code:29456
15.b. Trade Name, If any:
15.d.Amount:$25,032
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: Jason Rodriquez
Title:
Organization: Prestige Consulting Solutions
P.O. Box., Bldg., Room No., if any:Hc2 Box 1934
Street:
City:BoqueronState:PR
ZIP code:00622
15.b. Trade Name, If any:
15.d.Amount:$145,631
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:$254,778
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: Jon Varona
Title:
Organization: JV Employee Solutions
P.O. Box., Bldg., Room No., if any:
Street:2180 Los Ranchitos Rd
City:Chino HillsState:CA
ZIP code:91709
15.b. Trade Name, If any:
15.d.Amount:$70,217
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: Kim Bradshaw
Title:
Organization: Corsaire Ventures
P.O. Box., Bldg., Room No., if any:PO Box 472
Street:
City:PhilipsburgState:MT
ZIP code:59858
15.b. Trade Name, If any:
15.d.Amount:$151,697
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: 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:$27,827
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: Terren Becker
Title:
Organization: Employer Consulting Services
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:$35,380
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:$181,839
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: SKLD Illuminate

15.c. To Whom Paid:
Name: Kim Bradshaw
Title:
Organization: Corsair Ventures LLC
P.O. Box., Bldg., Room No., if any:PO Box 472
Street:
City:PhilipsburgState:MT
ZIP code:59858
15.b. Trade Name, If any:
15.d.Amount:$0
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
15.a. Employer Name: SKLD Illuminate

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:$0
15.e.Purpose: Engaged to educate employees regarding exercising their rights to organize and bargain collectively
16.TOTAL DISBURSEMENTS FOR ALL REPORTABLE ACTIVITY: $2,083,723
Form LM-21 (2003)