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THIBODAUX REGIONAL HEALTH SYSTEM INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
THIBODAUX REGIONAL HEALTH SYSTEM INC (EIN 84-2046902)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-12
IRS object ID
202432259349300533
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-12T09:22:06-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1661 SUNNYBROOK ROAD STE 100AddressLine1Txt
CityRIDGELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39157ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842046902EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHIBBusinessNameControlTxt
Phone9854475500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 N ACADIA ROADAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN EASTPersonNm
Person TitleCURRENT CFOPersonTitleTxt
Phone9854475500PhoneNum
Signature2024-08-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMIE WHITTINGTON DEAN CPAPreparerPersonNm
PTINP01082167PTIN
Phone6013261000PhoneNum
Preparation2024-07-31PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREG STOCKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 NORTH ACADIA ROADAddressLine1Txt
CityTHIBIDAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$323,307,469GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.THIBODAUX.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2019FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionOPERATION OF THIBODAUX REGIONAL MEDICAL CENTER (THE HOSPITAL). THE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1772TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$3,479,014TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$59,051,301PYContributionsGrantsAmt
CY Contributions Grants$31,532,919CYContributionsGrantsAmt
PY Program Service Revenue$260,638,158PYProgramServiceRevenueAmt
CY Program Service Revenue$280,666,027CYProgramServiceRevenueAmt
PY Investment Income$1,518,854PYInvestmentIncomeAmt
CY Investment Income$2,526,143CYInvestmentIncomeAmt
PY Other Revenue$7,656,952PYOtherRevenueAmt
CY Other Revenue$8,367,628CYOtherRevenueAmt
PY Total Revenue$328,865,265PYTotalRevenueAmt
CY Total Revenue$323,092,717CYTotalRevenueAmt
PY Grants And Similar Paid$68,030PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,647,614PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$121,173,488CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$162,297,778PYOtherExpensesAmt
CY Other Expenses$167,514,236CYOtherExpensesAmt
PY Total Expenses$278,013,422PYTotalExpensesAmt
CY Total Expenses$288,687,724CYTotalExpensesAmt
PY Revenues Less Expenses$50,851,843PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,404,993CYRevenuesLessExpensesAmt
Total Assets BOY$514,056,856TotalAssetsBOYAmt
Total Assets EOY$511,252,829TotalAssetsEOYAmt
Total Liabilities BOY$373,250,985TotalLiabilitiesBOYAmt
Total Liabilities EOY$338,668,340TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$140,805,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$172,584,489NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS. THE HOSPITAL, IN RECOGNITION OF ITS MISSION, STRIVES TO ACHIEVE ITS VISION TO BE THE REGIONAL MEDICAL CENTER OF CHOICE FOR SELECTED HEALTHCARE SERVICES IN SOUTHEAST LOUISIANA THROUGH A COMMITMENT TO QUALITY IMPROVEMENT, BY PARTNERING WITH OTHER HEALTHCARE PROVIDERS, AND BY REMAINING FINANCIALLY VIABLE IN A COMPETITIVE ENVIRONMENT. TO ACHIEVE OUR VISION, WE PROMOTE THE FOLLOWING VALUES: RESPECT, INTEGRITY, INNOVATION, EXCELLENCE, ACCOUNTABILITY, AND PASSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$217,189,240ExpenseAmt
Revenue$283,912,018RevenueAmt
DescTHE MISSION OF THE HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY, MOST COST-EFFECTIVE HEALTHCARE SERVICES POSSIBLE TO THE PEOPLE OF THIBODAUX AND SURROUNDING AREAS. THE HOSPITAL, IN RECOGNITION OF ITS MISSION, STRIVES TO ACHIEVE ITS VISION TO BE THE REGIONAL MEDICAL CENTER OF CHOICE FOR SELECTED HEALTHCARE SERVICES IN SOUTHEAST LOUISIANA THROUGH A COMMITMENT TO QUALITY IMPROVEMENT, BY PARTNERING WITH OTHER HEALTHCARE PROVIDERS, AND BY REMAINING FINANCIALLY VIABLE IN A COMPETITIVE ENVIRONMENT. TO ACHIEVE OUR VISION, WE PROMOTE THE FOLLOWING VALUES: RESPECT, INTEGRITY, INNOVATION, EXCELLENCE, ACCOUNTABILITY, AND PASSION.THE MEDICAL CENTER IS LICENSED FOR 180 BEDS AND OPERATES 140 INPATIENT BEDS INCLUDING INPATIENT REHAB AND INPATIENT BEHAVIORAL HEALTH. THE AVAILABLE STAFFED BED COMPLEMENT IS AS FOLLOWS:MEDICAL/SURGICAL 79LDRP/ANTE PARTAL 16INTENSIVE CARE 16STEPDOWN 10REHABILITATION 14BEHAVIORAL HEALTH 16THE MEDICAL CENTER HAS APPROXIMATELY 281 PHYSICIANS ON STAFF. THIS INCLUDES 112 ACTIVE STAFF PHYSICIANS, 11 ASSOCIATE STAFF PHYSICIANS, 38 COURTESY STAFF PHYSICIANS, 18 EMERGENCY DEPARTMENT PHYSICIANS, 17 CONSULTING STAFF PHYSICIANS, 7 COMMUNITY STAFF PHYSICIANS, 77 TELEMEDICINE PHYSICIANS, AND 1 HOUSE STAFF PHYSICIAN. THE MEDICAL STAFF SUPPORT SERVICES PROVIDED AT THE MAIN HOSPITAL, CANCER CENTER, MEDICAL OFFICE BUILDING, MEDICAL PLAZA AND WELLNESS CENTER AS APPROPRIATE TO THE SERVICES PROVIDED IN THOSE LOCATIONS.ALL SERVICES ARE PLANNED AND DESIGNED ON THE PATIENT POPULATION THE HOSPITAL SERVES, THE HOSPITAL'S MISSION AND VISION STATEMENT, KEY REQUIREMENTS OF OUR PATIENTS AND THEIR FAMILY MEMBERS, AND KEY REQUIREMENTS OF OTHER MAJOR STAKEHOLDERS. THE PROCESS OF PLANNING A SERVICE IS A COLLABORATIVE EFFORT. HOSPITAL STAFF THAT ARE MOST KNOWLEDGEABLE ABOUT THE PARTICULAR SERVICE BEING PLANNED ARE INVOLVED IN THE PLANNING PROCESS AS WELL AS PHYSICIANS AND COMMUNITY LEADERS WHERE APPROPRIATE. IN ACCORDANCE WITH FEDERAL AND STATE REGULATIONS, PROFESSIONAL PRACTICE STANDARDS AND CODES, TRMC PROVIDES THE COMMUNITY WITH AN EXTENSIVE RANGE OF GENERAL AND SPECIALTY MEDICAL SERVICES.SIGNIFICANT HOSPITAL ACHIEVEMENTS & KEY STATISTICS FOR FISCAL YEAR ENDED 9/30/2023 INCLUDE:2023 - THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION CERTIFIED PRIMARY STROKE CENTERFIRST HOSPITAL IN REGION2023 - COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES GENERAL REHABILITATION AND STROKE SPECIALTY PROGRAM11TH CONSECUTIVE 3-YEAR ACCREDITATION2023 - LABORATORY ACCREDITATION BY THE COLLEGE OF AMERICAN PATHOLOGISTACCREDITATION MAINTAINED SINCE 19712023 - AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION ACCREDITATION OF CARDIAC REHABILITATION PROGRAM2023 - DIABETES SELF-MANAGEMENT ACCREDITATION BY THE AMERICAN DIABETES ASSOCIATIONACCREDITED SINCE 19992023 - SLEEP CENTER ACCREDITATION BY THE AMERICAN ASSOCIATION OF SLEEP MEDICINE2023 - BLUE DISTINCTION CENTER+ FOR MATERNITY CARE2023 - BLUE DISTINCTION CENTER+ FOR KNEE AND HIP REPLACEMENT2023 - BIRTH READY DESIGNATION BY THE LOUISIANA DEPARTMENT OF HEALTH (LDH) AND THE LOUISIANA PERINATAL QUALITY COLLABORATIVE (LAPQC)2023 - INPATIENT REHABILITATION AND STROKE SPECIALTY PROGRAM RE- ACCREDITATION BY CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES)2023 - MEDICAL EXCELLENCE AWARD - #1 HOSPITAL IN LOUISIANA FOR CARDIAC CARE BY CARECHEX2023 - POV PEOPLE'S CHOICE FAVORITE HOSPITAL2023 - POV PEOPLE'S CHOICE FAVORITE GYM/HEALTH & FITNESS CLUB2023 - POV PEOPLE'S CHOICE FAVORITE URGENT CARE2023 - POV PEOPLE'S CHOICE FAVORITE PLACE TO WORK2023 - THE COURIER/DAILY COMET BAYOU'S BEST OF THE BEST -BEST HOSPITAL2023 - THE COURIER/DAILY COMET BAYOU'S BEST OF THE BEST - FITNESS CENTER/GYMTOTAL INPATIENT DAYS 26,444AVERAGE DAILY CENSUS 72.4INPATIENT ADMISSIONS 6,020AVERAGE LOS (ACUTE) 4.1OBSERVATION PATIENTS 2,959REHAB DAYS 2,882DELIVERIES 939OUTPATIENT VISITS 157,608E/R VISITS 37,242HOME HEALTH ADMISSIONS 1,172ADJUSTED PATIENT DAYS 112,442SURGERY CASES 10,366CARECHEX AWARDS - HIGHLIGHTS:TOP 10% OVERALL HOSPITAL CARE FOR THE STATE AND #1 IN THE MARKET FOR MEDICAL EXCELLENCETOP 10% IN OVERALL MEDICAL CARE FOR THE, NATION, REGION AND STATE AND #1 IN THE MARKET FOR PATIENT SAFETYHEALTHGRADES: 5-STAR RATING FOR PACEMAKER PROCEDURES, HIP FRACTURE TREATMENT, WHICH HAS HELD THIS DESIGNATION FOR 3 YEARS IN A ROW, AND CAROTID PROCEDURES, WHICH HAS HELD THIS DESIGNATION FOR 10 YEARS IN A ROW. BLUE CROSS BLUE SHIELD:BLUE DISTINCTION CENTER+ SPINE SURGERYBLUE DISTINCTION CENTER+ FOR HIP AND KNEE REPLACEMENTBLUE DISTINCTION CENTER + MATERNITYLOUISIANA PERINATAL QUALITY COLLABORATIVE BIRTH READY DESIGNATIONLOUISIANA DEPARTMENT OF HEALTH THE GIFT DESIGNATIONDesc
Total Program Service Expenses$217,189,240TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document120IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1772EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9854475500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 NORTH ACADIA ROADAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREG K STOCK
CEO AND BOARD SEC. - NONVO40.00Yes (X)Yes (X)$814,430$0$38,262
JAKE GIARDINA
BOARD CHAIRMAN1.00Yes (X)$0$0$0
FRANCIS RICHARD
BOARD VICE CHAIRMAN1.00Yes (X)$0$0$0
DR CLEVELAND HILL
BOARD MEMBER1.00Yes (X)$0$0$0
DR DAVID ELIAS
BOARD MEMBER1.00Yes (X)$0$0$0
DR RAJA TALLURI
BOARD MEMBER1.00Yes (X)$0$0$0
DR CHRIS RODRIGUE
CHIEF OF STAFF - NON-VOTIN40.00Yes (X)$534,421$0$20,163
THEUNETTE ANTILL
CHIEF FINANCIAL OFFICER/ PART YEAR40.00Yes (X)$89,644$0$9,492
STEPHEN EAST
CHIEF FINANCIAL OFFICER/ PART YEAR40.00Yes (X)$0$0$0
BLAIN ARTHURS
STAFF PHYSICIAN40.00$1,135,445$0$43,521Yes (X)
CARLOS R GIMENEZ
STAFF PHYSICIAN40.00$1,080,603$0$37,431Yes (X)
SCOTT HEBERT
STAFF PHYSICIAN40.00$1,367,953$0$18,000Yes (X)
GREGORY DOBARD
STAFF PHYSICIAN40.00$1,043,034$0$37,431Yes (X)
LINDSAY LASSEIGNE
STAFF PHYSICIAN40.00$918,702$0$16,356Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,984,232TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$220,656TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K125IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTH CATALYST
3165 MILLROCK DRIVE SUITE 400SALT LAKE CITYUT84121INFORMATION TECHNOLOGY SERVICES/SUPPORT$5,996,713
MEDDATA
120 INNWOOD DRCOVINGTONLA70433BILLING SERVICES$2,464,585
POWER WELLNESS MANAGEMENT
851 OAK CREEK DRLOMBARDIL60148FITNESS CENTER MANAGEMENT SERVICES$2,004,943
CHG COMPANIES INC
PO BOX 972651DALLASTX75397PHYSICIAN LOCUM PROVIDERS$1,050,337
CCMMA LA
224 WEST 18TH STREET APT 8ANEW YORKNY10011TELEHEALTH PROVIDER SERVICES$931,480
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
All Other Contributions$31,532,919AllOtherContributionsAmt
Total Contributions$31,532,919TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$280,666,027TotalRevenueColumnAmt
Related Or Exempt Func Income$280,666,027RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$280,666,027TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,526,143TotalRevenueColumnAmt
Exclusion$2,526,143ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,642,590RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,642,590RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,642,590TotalRevenueColumnAmt
Related Or Exempt Func Income$1,642,590RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$79,937FundraisingGrossIncomeAmt
Fundraising Direct Expenses$214,752FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$134,815TotalRevenueColumnAmt
Exclusion-$134,815ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FITNESS CENTER REVENUE713940$3,262,723$3,097,546$165,177
CAFETERIA AND VENDING722514$1,213,812$1,213,812
OTHER REVENUE621990$1,079,341$381,468$697,873

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,303,977TotalRevenueColumnAmt
Related Or Exempt Func Income$905,528RelatedOrExemptFuncIncomeAmt
Exclusion$398,449ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,859,853OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$323,092,717TotalRevenueColumnAmt
Related Or Exempt Func Income$283,912,018RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,479,014UnrelatedBusinessRevenueAmt
Exclusion$4,168,766ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,200,598TotalAmt
Management And General$1,200,598ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,728,205TotalAmt
Program Services$81,868,128ProgramServicesAmt
Management And General$17,860,077ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,527,679TotalAmt
Program Services$2,047,420ProgramServicesAmt
Management And General$480,259ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,761,347TotalAmt
Program Services$9,476,044ProgramServicesAmt
Management And General$2,285,303ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,955,659TotalAmt
Program Services$5,023,658ProgramServicesAmt
Management And General$932,001ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,234,296TotalAmt
Program Services$37,956ProgramServicesAmt
Management And General$5,196,340ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,109,616TotalAmt
Program Services$415,736ProgramServicesAmt
Management And General$5,693,880ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,937,521TotalAmt
Program Services$2,157,849ProgramServicesAmt
Management And General$2,779,672ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$244,091TotalAmt
Program Services$207,248ProgramServicesAmt
Management And General$36,843ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,477TotalAmt
Program Services$6,919ProgramServicesAmt
Management And General$10,558ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,463,177TotalAmt
Management And General$13,463,177ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,774,421TotalAmt
Program Services$12,245,327ProgramServicesAmt
Management And General$4,529,094ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,635,551TotalAmt
Management And General$1,635,551ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$65,564,967$65,564,967
PURCHASED SERVICES$30,427,028$22,532,175$7,894,853
BAD DEBTS$11,375,977$11,375,977
EQUIPMENT RENTAL AND MA$8,022,357$4,229,836$3,792,521

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,707,757TotalAmt
Management And General$3,707,757ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$288,687,724TotalAmt
Program Services$217,189,240ProgramServicesAmt
Management And General$71,498,484ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,343,551BOYAmt
EOY$30,781,056EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,168,366BOYAmt
EOY$2,202,585EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,643,884BOYAmt
EOY$27,484,625EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,119,908BOYAmt
EOY$4,022,074EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$108,640,131BOYAmt
EOY$112,058,653EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$106,446,383LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$68,795,061LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,261,267BOYAmt
EOY$37,651,322EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$106,006,963BOYAmt
EOY$107,942,354EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,426,410BOYAmt
EOY$4,823,475EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$206,446,376BOYAmt
EOY$184,286,685EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$514,056,856BOYAmt
EOY$511,252,829EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,433,919BOYAmt
EOY$18,680,626EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$352,817,066BOYAmt
EOY$319,987,714EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$373,250,985BOYAmt
EOY$338,668,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$140,805,871BOYAmt
EOY$172,584,489EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$140,805,871BOYAmt
EOY$172,584,489EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$514,056,856BOYAmt
EOY$511,252,829EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$34,404,993ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$101,660NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,728,035OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$53,960FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$53,960FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$217,135,280FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$217,189,240FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$48,883CurrentYearMinus3Amt
Current Year Minus2$45,860CurrentYearMinus2Amt
Current Year Minus1$50,648CurrentYearMinus1Amt
Current Year$53,960CurrentYearAmt
Total$199,351TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$48,883CurrentYearMinus3Amt
Current Year Minus2$45,860CurrentYearMinus2Amt
Current Year Minus1$50,648CurrentYearMinus1Amt
Current Year$53,960CurrentYearAmt
Total$199,351TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-A, LINE 1AFormAndLineReferenceDesc
Explanation$32,400 IS FOR PAYMENTS TO HAYNIE AND ASSOCIATES FOR LOBBYING RELATED SERVICES. $8,754.63 IS FOR THE PORTION OF DUES TO AHA THAT HAS BEEN DEEMED FOR LOBBYING, AND $12,805.40 IS FOR THE PORTION OF DUES TO LHA THAT HAS BEEN DEEMED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,861OtherCostOrOtherBasisAmt
Book Value$82,861BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,377,133OtherCostOrOtherBasisAmt
Depreciation$42,104,352DepreciationAmt
Book Value$16,272,781BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,928,766OtherCostOrOtherBasisAmt
Depreciation$26,490,447DepreciationAmt
Book Value$19,438,319BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,057,623OtherCostOrOtherBasisAmt
Depreciation$200,262DepreciationAmt
Book Value$1,857,361BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,651,322TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT FUNDS$107,817,354C
OTHER INVESTMENTS$125,000C
FieldValueIRS element (for citing)
Total Book Value Securities$107,942,354TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$6,100,291
CAPITAL LEASE$170,164,357
INVESTMENT IN THIB REG SURGICAL$3,953,845
INVESTMENT IN JV IMAGING CENTER$3,332,000
DEFERRED COMPENSATION PLAN$736,192
FieldValueIRS element (for citing)
Total Book Value Other Assets$184,286,685TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
COST REPORT RECEIVABLE MEDICAID$1,600,099
TRMC LEASE$133,095,297
CAPITAL LEASES$147,187,653
COST REPORT RECEIVABLE MEDICARE-$295,370
ACCRUED INTEREST$25,319,772
INSURANCE LIABILITY$4,705,696
AMOUNTS DUE TO HSD$8,374,567
FieldValueIRS element (for citing)
Total Liability$319,987,714TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HEALTH SYSTEM IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HEALTH SYSTEM DID NOT INCUR FEDERAL INCOME TAX EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FESTIVAL OF HOPEEvent1Nm
Gross Receipts Event1$79,937GrossReceiptsEvent1Amt
Gross Revenue Event1$79,937GrossRevenueEvent1Amt
Entertainment Event1$60,196EntertainmentEvent1Amt
Other Direct Expenses Event1$154,556OtherDirectExpensesEvent1Amt
Gross Receipts Total$79,937GrossReceiptsTotalAmt
Gross Revenue Total Events$79,937GrossRevenueTotalEventsAmt
Entertainment Total Events$60,196EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$154,556OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$214,752DirectExpenseSummaryEventsAmt
Net Income Summary-$134,815NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other325.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,812,726TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,812,726NetCommunityBenefitExpnsAmt
Total Expense0.01010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,654,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,269,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$385,687NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,467,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,269,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,198,413NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,467,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,269,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,198,413NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$11,375,977BadDebtExpenseAmt
Bad Debt Expense Attributable$1,353,741BadDebtExpenseAttributableAmt
Reimbursed By Medicare$45,870,929ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,149,250CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,721,679MedicareSurplusOrShortfallAmt
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 TIC JV LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSUBLEASE OF IMAGING CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.84730OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.15270PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL HEALTH SYSTEM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 NORTH ACADIA ROADAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
OtherINPATIENT REHAB AND INPATIENT PSYCHOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2022-CHNA-STRATEGY-AND-ACTION-PLAN.PDFStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care325.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.THIBODAUX.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.THIBODAUX.COM/DOCUMENTS/FINANCIAL-HARDSHIP-APPLICATION-6-2016.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.THIBODAUX.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THIBODAUX REGIONAL HEALTH SYSTEM, INC.PART V, SECTION B, LINE 5: PLEASE REFER TO THE CHNA, POSTED ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF
THIBODAUX REGIONAL HEALTH SYSTEM, INC.PART V, SECTION B, LINE 11: PLEASE SEE THE IMPLEMENTATION STRATEGY, POSTED ON HOSPITAL'S WEBSITE AT: HTTPS://WWW.THIBODAUX.COM/DOCUMENTS/2022-CHNA-STRATEGY-AND-ACTION-PLAN.PDF
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - THIBODAUX REGIONAL WOMEN'S CLINIC
604 N ACADIA RD STE 500THIBODAUXLA70301OB/GYN
2 - THIBODAUX REGIONAL CANCER CENTER
608 N ACADIA RDTHIBODAUXLA70301CANCER CARE
3 - THIBODAUX REGIONAL URGENT CARE - THIB
2031 AUDUBON AVETHIBODAUXLA70301URGENT CARE
4 - THIBODAUX REGIONAL UROLOGY CLINIC
506 N ACADIA RDTHIBODAUXLA70301UROLOGY
5 - THIBODAUX REGIONAL PEDIATRIC CLINIC
604 N ACADIA RD STE 100THIBODAUXLA70301PEDIATRICS
6 - THIBODAUX REGIONAL URGENT CARE - HOUMA
1411 ST CHARLES STHOUMALA70360URGENT CARE
7 - THIBODAUX REGIONAL INTERNAL MEDICINE CLI
400 N ACADIA RDTHIBODAUXLA70301INTERNAL MEDICINE
8 - THIBODAUX REGIONAL PAIN MANAGEMENT CLINI
726 N ACADIA RD STE 2400THIBODAUXLA70301PAIN MANAGEMENT
9 - THIBODAUX REGIONAL PULMONOLOGY CLINIC
604 N ACADIA RD STE 411THIBODAUXLA70301PULMONOLOGY
10 - THIBODAUX REGIONAL NEUROLOGY CLINIC
726 N ACADIA RD STE 2300THIBODAUXLA70301NEUROLOGY
11 - THIBODAUX REGIONAL FAMILY MEDICINE CLINI
114 HIGHWAY 403PAINCOURTVILLELA70391FAMILY MEDICINE
12 - THIBODAUX REGIONAL FOOT & ANKLE CENTER
290 BOWIE RDTHIBODAUXLA70301PODIATRY
13 - THIBODAUX REGIONAL RHEUMATOLOGY CLINIC
726 N ACADIA RD STE 3400THIBODAUXLA70301RHEUMATOLOGY
14 - THIBODAUX REG MULTI-SPECIALTY CLINIC - H
1238 ST CHARLES STHOUMALA70360MULTI-SPECIALTY
15 - THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC
726 N ACADIA RD STE 3300THIBODAUXLA70301ENDOCRINOLOGY
16 - THIBODAUX REGIONAL FAMILY MEDICINE CLINI
3928 HIGHWAY 70 SOUTHPIERRE PARTLA70339FAMILY MEDICINE
17 - THIBODAUX REGIONAL BRAIN & SPINE CLINIC
726 N ACADIA RD STE 2100THIBODAUXLA70301BRAIN & SPINE
18 - THIBODAUX REGIONAL RACELAND MULTISPECIAL
4560 HIGHWAY 1 STE 3RACELANDLA70394MULTI-SPECIALTY
19 - THIBODAUX REGIONAL PHYSICAL MEDICINE & R
726 N ACADIA RD STE 1700THIBODAUXLA70301REHAB
20 - THIBODAUX REGIONAL CARDIOVASCULAR CLINIC
604 N ACADIA RD STE 409THIBODAUXLA70301CARDIOVASCULAR
21 - THIBODAUX REGIONAL CARDIOLOGY CLINIC
2595 HWY 1LABADIEVILLELA70372CARDIOLOGY
22 - THIBODAUX REGIONAL PLASTIC & RECONSTRUCT
604 N ACADIA RD ST 410THIBODAUXLA70301PLASTIC SURGERY
23 - THIBODAUX REGIONAL CARDIOLOGY CLINIC
602 NORTH ACADIA RD STE 101THIBODAUXLA70301CARDIOLOGY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 11,375,977.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 2:SEE EXPLANATION, BELOW, REFERENCING THE BAD DEBT EXPENSE AUDIT FOOTNOTE.
PART III, LINE 3:NONE OF THE BAD DEBT EXPENSE HAS BEEN INCLUDED IN THE COMMUNITY BENEFIT CALCULATIONS. HOWEVER, HOSPITAL ESTIMATES THAT FIVE PERCENT OF BAD DEBTS COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THIS ESTIMATE IS BASED ON PATIENT DEMOGRAPHICS, BILLINGS, COLLECTIONS AND OTHER HISTORICAL DATA.
PART III, LINE 4:THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS ON PAGE 24 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PLEASE NOTE THAT BAD DEBT EXPENSE IS NOW REFERRED TO AS IMPLICIT PRICE CONCESSIONS, AS DESCRIBED ON PAGE 12 OF AUDITED FINANCIALS. BAD DEBT EXPENSE REFLECTED IN PART III EQUALS BAD DEBT EXPENSE REFLECTED ON THE ORGANIZATION'S TRIAL BALANCE AND CLASSSIFIED AS IMPLICIT PRICE CONCESSIONS IN THE AUDITED FINANCIAL STATEMENTS.THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.
PART III, LINE 8:THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED 2023 COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DOES NOT INCLUDE ANY MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7.
PART III, LINE 9B:THE POLICY OF THIBODAUX REGIONAL HEALTH SYSTEM, INC. ("TRHS") IS TO PROVIDE EMERGENCY CARE AND MEDICALLY NECESSARY CARE ON A NON-PROFIT BASIS TO PATIENTS WITHOUT REGARD TO RACE, CREED, OR ABILITY TO PAY. PATIENTS WHO DO NOT HAVE THE MEANS TO PAY FOR SERVICES PROVIDED AT TRHS FACILITIES MAY REQUEST FINANCIAL ASSISTANCE, WHICH WILL BE AWARDED SUBJECT TO TERMS AND CONDITIONS. THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY ARE INTENDED TO ENSURE THAT TRHS WILL HAVE THE FINANCIAL RESOURCES TO PROVIDE CARE TO PATIENTS WHO ARE IN THE GREATEST FINANCIAL NEED. THIS POLICY APPLIES TO THIBODAUX REGIONAL HEALTH SYSTEM (THE "HOSPITAL") AND ALL TRHS FACILITIES, INCLUDING ANY CARE PROVIDED WITHIN THE HOSPITAL BY A SUBSTANTIALLY-RELATED ORGANIZATION.IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ELIGIBLE AMOUNT IS WRITTEN OFF THE PATIENT ACCOUNT AND ANY PARTIAL REMAINING BALANCE, IF ANY, IS THEN BILLED IN ACCORDANCE WITH THE BILLING AND COLLECTION POLICY AS STATED BELOW.
PART VI, LINE 2:HAVE USED PRC COMMUNITY HEALTH SURVEY TO STUDY AS WELL AS STATISTICS OTHER HEALTH-RELATED DATA FOR THE AREA.
PART VI, LINE 3:DISPLAYED ON PATIENT STATEMENTS AS WELL AS LOCATED ON OUR WEBSITE. HOSPITAL ALSO HAS AN POLICY INTERNALLY. (PFS - CUSTOMER SERVICE- FINANCIAL HARDSHIP)
PART VI, LINE 4:THE COMMUNITIES INCLUDE ASSUMPTION, LAFOURCHE, ST. JAMES, ST. MARY, AND TERREBONNE PARISHES WHICH IS BASED ON THE ZIP CODES OF RESIDENCE FOR RECENT PATIENTS.
PART VI, LINE 5:THE GOVERNING BODY RESIDES IN THE ORGANIZATION'S PRIMARY SERVICE AREA, TRHS EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY, AND SURPLUS FUNDS ARE USED TO PURCHASE NEW EQUIPMENT WITH ADVANCED TECHNOLOGY, ALONG WITH FACILITY UPGRADES AND ADDITIONS (I.E. NEW CANCER CENTER BUILDING & NEW EQUIPMENT, ADDITIONAL WELLNESS CENTER PHASE II).
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESLA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT HEBERT
STAFF PHYSICIAN$1,367,953$0$0$0$0$0$18,000$0$0$0$1,385,953$0$0$0
BLAIN ARTHURS
STAFF PHYSICIAN$1,135,445$0$0$0$0$0$27,500$0$16,021$0$1,178,966$0$0$0
CARLOS R GIMENEZ
STAFF PHYSICIAN$1,080,603$0$0$0$0$0$27,500$0$9,931$0$1,118,034$0$0$0
GREGORY DOBARD
STAFF PHYSICIAN$1,043,034$0$0$0$0$0$27,500$0$9,931$0$1,080,465$0$0$0
LINDSAY LASSEIGNE
STAFF PHYSICIAN$918,702$0$0$0$0$0$0$0$16,356$0$935,058$0$0$0
GREG K STOCK
CEO AND BOARD SEC. - NONVO$814,430$0$0$0$0$0$28,831$0$9,431$0$852,692$0$0$0
DR CHRIS RODRIGUE
CHIEF OF STAFF - NON-VOTIN$534,421$0$0$0$0$0$20,163$0$0$0$554,584$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ORTHO LA
DR. ELIAS, BOARD MEMBER, IS A 16.67% OWNER IN ORTHO LA$782,885ORTHO LA AND THE HOSPITAL PARTICIPATE IN A CO-MANAGEMENT AGREEMENT0
ORTHO LA
DR. ELIAS, BOARD MEMBER, IS A 16.67% OWNER IN ORTHO LA$278,181ORTHO LA RENTS SPACE FROM THE HOSPITAL.0
KENEDI ANDERSON
KENEDI ANDERSON IS THE GRAND-DAUGHTER OF OFFICER GREG STOCK$15,000CONTRACTED PERFORMER FOR FUNDRAISER0
ANNE E RODRIGUE
WIFE OF CHIEF OF STAFF, CHRIS RODRIGUE$621,527EMPLOYEE OF TRHS0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PER THE ARTICLES OF INCORPORATION, THE CORPORATION HAS ONE CLASS OF MEMBERSHIP, ALL DESIGNATED AS "MEMBERS." THE MEMBERS OF THE BOARD OF DIRECTORS FROM TIME TO TIME ARE AND SHALL BE THE ONLY MEMBERS OF THE CORPORATION. EACH MEMBER OF THE CORPORATION SHALL BE ENTITLED TO CAST ONE VATE AT ALL MEETING OF THE MEMBERS OF THE CORPORATION. THE ONLY RIGHTS PRIVILEGES, RESTRICTIONS, OR LIMIATION GRANTED TO IMPOSED UPON MEMBERS OF THE CORPORATION ARE THOSE IN THE ARTICLES, BYLAWS OR THE LNCL.
FORM 990, PART VI, SECTION A, LINE 7ATHIE INITIAL DIRECTORS OF THE CORPORATION WERE LISTED IN THE ARTICLES OF INCORPORATION. SUBSEQUENT DIRECTORS OF THE CORPORATION ARE ELECTED BY A MAJORITY VOTE OF THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS SHARED WITH THE BOARD AHEAD OF FILING AND IS REVIEWED IN DETAIL BY ACCOUNTING DEPARTMENT AHEAD OF FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING INDIVIDUALS: DIRECTORS, OFFICERS, BOARD, OR MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS. ANNUALLY, THE BOARD OF DIRECTORS COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE. ADDITIONALLY, THE BOARD MEMBERS ARE REQUIRED TO SELF DISCLOSE IN THE EVENT OF A POTENTIALK CONFLICT OF INTEREST IS IDENTIFIED OR SUSPECTED. THE BOARD THEN DETERMINES IF A CONFLICT OF INTEREST IS PRESENT.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION IS APPLIED UNIFORMLY TO ALL EMPLOYEES BASED ON POSITION OFFERED AND RELATED PRIOR EXPERIENCE. HR DEPARTMENT REVIEWS SURVEY DATA AND THE BOARD APPROVES OFFICER COMPENSATION AND MAKES CONTEMPORANEOUS SUBSTATION OF THE DECISION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CUMMULATIVE ADJUSTMENT FOR ASC842 IMPLEMENTATION -2,728,035.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR SELECTION AND OVERSIGHT OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. BOARD APPROVAL IS REQUIRED.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
THIBODAUX REGIONAL PHYSICIAN PARTNERS LLC
602 N ACADIA RDTHIBODAUXLA70301850884025CINLA$0$0TRHS
TRPP-ACO LLC
602 N ACADIA RDTHIBODAUXLA70301850903901ACOLA$0$0TRHS
THIBODAUX REGIONAL URGENT CARE LLC
602 N ACADIA RDTHIBODAUXLA70301872256339URGENT CARELA$0$0TRHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL MEDICAL CENTER EMPLOYEE RELIEF FUND INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 NORTH ACADIA RDAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd
FieldValueIRS element (for citing)
EIN273160403EIN
Primary ActivitiesEMPLOYEE RELIEFPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TRHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TIC JV LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 N ACADIA ROADAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd
FieldValueIRS element (for citing)
EIN814256937EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TRHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$377,237ShareOfTotalIncomeAmt
Share Of EOY Assets$3,393,288ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.84730OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 N ACADIA ROADAddressLine1Txt
CityTHIBODAUXCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70301ZIPCd
FieldValueIRS element (for citing)
EIN721335958EIN
Primary ActivitiesHEALTHCARE AND BILLINGPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THIBODAUX REGIONAL HEALTH SYTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$38,003,896ShareOfTotalIncomeAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TIC JV LLC
K$448,552CASH
TIC JV LLC
S$366,300CASH