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: 01/01/2021 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: Mar 30, 2022
Telephone Number: 877-424-9799
18.
SIGNED: Deborah Long
Title: TREASURER
Date: Mar 30, 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
Deborah Long$260,000$0$260,000
Timothy Long$40,000$0$40,000
Cody Long$50,000$0$50,000
Kaydee Long$40,000$0$40,000
8. Total disbursements to officers and employees:$390,000
9. Officer and Administrative Expenses:$20,500
10. Publicity:
11. Fees for Professional Services:$2,036,350
12. Loans Made:
13. Other Disbursements:
14. Total Disbursements (Sum of Items 8-13):$2,446,850
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.
Form LM-21 (2003)