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SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202213199349308201
Schema version
2021v4.2
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)
Return2022-11-15T10:26:10-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18550 UNITED PLAZA BLVD SUITE 1001AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720551963EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONBusinessNameLine1Txt
Business Name Line2D/B/A LAKE CHARLES MEMORIAL HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone3374943202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BOULEVARDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEVIN HYDEPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3374943204PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEVINPersonFirstNm
Person LastHYDEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMEGAN COURTNEYPreparerPersonNm
PTINP01571790PTIN
Phone2259224600PhoneNum
Preparation2022-10-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEVIN HYDEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BOULEVARDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$384,765,926GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LCMH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICESActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3307TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,671,737PYContributionsGrantsAmt
CY Contributions Grants$814,505CYContributionsGrantsAmt
PY Program Service Revenue$401,444,141PYProgramServiceRevenueAmt
CY Program Service Revenue$382,179,201CYProgramServiceRevenueAmt
PY Investment Income-$13,793,620PYInvestmentIncomeAmt
CY Investment Income-$146,155CYInvestmentIncomeAmt
PY Other Revenue$803,282PYOtherRevenueAmt
CY Other Revenue$54,288CYOtherRevenueAmt
PY Total Revenue$392,125,540PYTotalRevenueAmt
CY Total Revenue$382,901,839CYTotalRevenueAmt
PY Grants And Similar Paid$254,375PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$213,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$135,550,631PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$133,613,964CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,194,671CYTotalFundraisingExpenseAmt
PY Other Expenses$215,481,916PYOtherExpensesAmt
CY Other Expenses$223,844,602CYOtherExpensesAmt
PY Total Expenses$351,286,922PYTotalExpensesAmt
CY Total Expenses$357,672,066CYTotalExpensesAmt
PY Revenues Less Expenses$40,838,618PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$25,229,773CYRevenuesLessExpensesAmt
Total Assets BOY$386,653,359TotalAssetsBOYAmt
Total Assets EOY$364,058,942TotalAssetsEOYAmt
Total Liabilities BOY$300,006,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$273,270,810TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,646,436NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$90,788,132NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF LAKE CHARLES MEMORIAL HOSPITAL IS TO IDENTIFY AND IMPROVE THE HEALTH OF THE PEOPLE OF SOUTH LOUISIANA AND EAST TEXAS BY PROVIDING A FULL SPECTRUM OF INNOVATIVE SERVICES-INCLUDING HEALTH EDUCATION, DISEASE PREVENTION, AND DIAGNOSTIC AND TREATMENT OPTIONS-IN A PERSONALIZED, CARING AND SAFE MANNER THROUGHOUT THE REGION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,970,080ExpenseAmt
Revenue$2,524,510RevenueAmt
DescLAKE CHARLES MEMORIAL HOSPITAL (LCMH)2021 COMMUNITY BENEFITS SUMMARYI. INTRODUCTIONAS A COMMUNITY-BASED HOSPITAL, IT IS LCMH'S MISSION TO HELP IMPROVE THE HEALTH AND WELLNESS OF THE SOUTHWEST LOUISIANA COMMUNITY. WHILE IT IS OUR LEGAL RESPONSIBILITY TO PROVIDE MEDICAL CARE TO ANYONE IN NEED REGARDLESS OF HIS OR HER ABILITY TO PAY, LCMH ALSO PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY SERVICE PROGRAMS, INCLUDING EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS, FREE OF CHARGE OR AT A GREATLY REDUCED COST TO THE CONSUMER. II. SPORTS MEDICINE, COMMUNITY EVENTS AND SEMINARSTHE SPORTS MEDICINE ALLIANCE PROVIDED PRE-PARTICIPATION PHYSICALS FOR AREA ATHLETES, ATHLETIC ASSESSMENTS, LECTURES, IN-SERVICES, WORKSHOPS, SPORTS CAMPS AND CLINICS, STUDENT TRAINER SCHOLARSHIPS, ATHLETIC TRAINER COVERAGE AT AREA SPORTING EVENTS, SPECIAL EVENTS AND MORE FREE OF CHARGE OR FOR A MINIMAL FEE TO THE PARTICIPANTS. COMMUNITY BENEFIT: $578,956.EACH YEAR, LCMH PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND INFORMATIONAL BOOTHS AT A VARIETY OF COMMUNITY EVENTS. THE HOSPITAL ALSO PROVIDES FREE SPEAKERS TO CIVIC GROUPS AND THEIR ORGANIZATIONS. THIS COMMITMENT TO HEALTH AND WELLNESS EDUCATION TAKES LCMH PROFESSIONALS INTO THE FIVE PARISH AREA TO STAFF INDUSTRIAL, CORPORATE, AND SCHOOL HEALTH FAIRS. LCMH CONTRIBUTED A NET $373 IN SPECIAL EVENTS AND SEMINARS. COMMUNITY BENEFIT: $373.III. HEALTH PROFESSIONALS EDUCATIONLCMH INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2021, LCMH SPENT $7,141,731 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM. COMMUNITY BENEFIT: $4,617,221.IV. CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES. COMMUNITY BENEFIT: $249,020.LCMH'S TOTAL 2021 NET COMMUNITY CONTRIBUTIONS: $5,445,570.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$332,007,868ExpenseAmt
Grant$213,500GrantAmt
Revenue$379,479,725RevenueAmt
DescLCMH PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES THROUGH A 313 BED ADULT ACUTE CARE HOSPITAL, 38 BED WOMEN'S HOSPITAL WITH 23 NICU BEDS, 42 BED BEHAVIORAL HEALTH HOSPITAL, & THROUGH A JOINT VENTURE A 29 BED LONG TERM CARE FACILITY. ADDITIONALLY LCMH PROVIDES OUTPATIENT SERVICES THROUGH 19 OUTPATIENT LOCATIONS, INCLUDING THE MOSS CLINIC, A PUBLIC/PRIVATE PARTNERSHIP PROVIDING CARE TO THE UNDERSERVED IN THE COMMUNITY.CHARITY CARE - LCMH PROVIDES MEDICAL CARE TO MEDICAID AND INDIGENT RECIPIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2021, LCMH PROVIDED $9,857,704 IN UNREIMBURSED MEDICAID COSTS AND $2,847,397 IN UNREIMBURSED CHARITY CARE COSTS AS PROVIDED IN THE CEA WITH THE STATE AND LSU. COMMUNITY BENEFIT: $12,705,101.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$339,977,948TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document346IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3307EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAWN JOHNSON-HATCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3374942094PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BLVDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP706018911ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DR MITCH ADRIAN
CHAIRMAN40.000.30Yes (X)Yes (X)$0$0$0
DR NEIL ASPINWALL
CHAIRMAN-ELECT/VICE CHAIRMAN & SECRETARY40.001.30Yes (X)Yes (X)$0$0$0
MR JOE MILLER JR
PAST CHAIRMAN1.000.30Yes (X)Yes (X)$0$0$0
DEVON HYDE
PRESIDENT, CEO & ASSIST SECRETARY40.001.30Yes (X)Yes (X)$541,212$0$12,191
DAWN JOHNSON-HATCHER
TREASURER40.000.30Yes (X)Yes (X)$298,109$0$22,619
JASON LANGHOFER DO
MEDICAL STAFF PRESIDENT40.000.30Yes (X)Yes (X)$550,516$0$25,518
DANIEL HALL MD
MEDICAL STAFF PRESIDENT-ELECT1.000.30Yes (X)Yes (X)$0$0$0
CLIFF COURVILLE MD
MEDICAL STAFF PAST PRESIDENT40.001.30Yes (X)Yes (X)$827,764$0$23,923
JUDGE GENE THIBODEAUX
BOARD MEMBER1.000.30Yes (X)$0$0$0
WILLIAM RANDY CONDOS MD
BOARD MEMBER1.000.30Yes (X)$107,355$0$0
RICHARD MARTINEZ MD
BOARD MEMBER40.000.30Yes (X)$0$0$0
DENISE EMERSON RAU
BOARD MEMBER1.000.30Yes (X)$0$0$0
MR LOUIS TODD SR
BOARD MEMBER40.000.30Yes (X)$0$0$0
CHARLES WHITSON
VICE PRESIDENT40.00Yes (X)Yes (X)$708,033$0$11,560
LARRY M GRAHAM
PRESIDENT, CEO & ASSIST SECRETARY40.00Yes (X)Yes (X)$849,689$0$34,785
GERALD BRYANT
EXECUTIVE VP OF NURSING40.00Yes (X)$449,755$0$26,374
DONNA SHIELDS
VP OF PATIENT CARE SERVICE40.00Yes (X)$278,479$0$25,757
JASON J RASHALL
EXECUTIVE VP OF BUSINESS D40.00Yes (X)$247,799$0$33,021
BERNITA BROWN
VP OF SUPPORT SERVICES40.00Yes (X)$229,859$0$6,268
ANNA CAZES
EXECUTIVE VP OF OPERATIONS40.00Yes (X)$379,686$0$11,711
DANIEL AGUILLARD
VP OF SPECIALTY SERVICES40.00Yes (X)$157,082$0$15,936
ROBBIN ODOM
VP OF QUALITY MANAGEMENT40.00Yes (X)$140,736$0$2,885
KATHLEEN DEROUEN
SENIOR VP OF MARKETING40.00Yes (X)$230,237$0$9,256
WENDY R FOURNET
VP OF HUMAN RESOURCES40.00Yes (X)$299,319$0$18,855
LEIF PEDERSEN
VP OF PHILANTROPHY40.001.00Yes (X)$220,101$0$29,308
MANLEY JORDAN
CHIEF MEDICAL OFFICER40.00Yes (X)$627,311$0$26,176
MATTHEW BURTON
PHYSICIAN40.00$2,191,594$0$3,810Yes (X)
JOSEPH LUGO
PHYSICIAN40.00$1,299,648$0$19,365Yes (X)
GREGORY RUBINO
PHYSICIAN40.00$1,184,394$0$7,277Yes (X)
MICHAEL A HINTON
PHYSICIAN40.00$1,044,542$0$17,554Yes (X)
SARPREET BASRA
PHYSICIAN40.00$1,021,767$0$24,301Yes (X)
GREGORY LUGO MD
FORMER OFFICER40.000.30$1,299,648$0$19,365Yes (X)
MOHAMMED SARWAR MD
FORMER OFFICER40.00$309,088$0$34,731Yes (X)
SETH BILLIODEAUX
FORMER OFFICER40.00$621,066$0$33,694Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,114,789TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$496,240TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K265IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
LEWING CONSTRUCTION INC
PO BOX 5216LAKE CHARLESLA706065216CONSTRUCTION CONTRACTOR$5,512,699
ROOFING SOLUTIONS
37302 COMMERCE LNPRAIRIEVILLELA70769ROOFING CONTRACTOR$5,051,803
TEXAS EXTERIOR SYSTEMS LLC
19615 JUERGEN RDCYPRESSTX77433CONSTRUCTION CONTRACTOR$3,656,186
REGAL INDUSTRIAL GROUP
1707 CHANTILLY DR DLAPLACELA70068REMEDIATION SERVICES$3,652,055
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STNEW ORLEANSLA70112RESIDENCY PROGRAM$3,415,086
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K245CntrctRcvdGreaterThan100KCnt
Related Organizations$270,401RelatedOrganizationsAmt
Government Grants$405,937GovernmentGrantsAmt
All Other Contributions$138,167AllOtherContributionsAmt
Noncash Contributions$138,167NoncashContributionsAmt
Total Contributions$814,505TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$377,108,251$377,108,251
MANAGEMENT FEES900099$3,835,552$3,835,552
CAFETERIA900099$1,235,398$1,235,398
FieldValueIRS element (for citing)
Total Program Service Revenue$382,179,201TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,345TotalRevenueColumnAmt
Exclusion$163,345ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$229,254RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$229,254RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$229,254TotalRevenueColumnAmt
Exclusion$229,254ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,554,587SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,504,083SecuritiesAmt
Other$360,004OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$50,504SecuritiesAmt
Other-$360,004OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$309,500TotalRevenueColumnAmt
Exclusion-$309,500ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME (LOSS) FROM SHAREPORT SUB621990-$2,389-$2,389
INCOME (LOSS) FROM LA PET/CT IMAG621990-$81,977-$81,977
INCOME (LOSS) FROM GIFT SHOP453220-$90,600-$90,600
FieldValueIRS element (for citing)
Other Revenue Total-$174,966OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,901,839TotalRevenueColumnAmt
Related Or Exempt Func Income$382,004,235RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$83,099ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$213,500TotalAmt
Program Services$213,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,442,690TotalAmt
Program Services$2,954,942ProgramServicesAmt
Management And General$4,896,760ManagementAndGeneralAmt
Fundraising$590,988FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,700,628TotalAmt
Program Services$101,160,119ProgramServicesAmt
Management And General$1,540,509ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,206,167TotalAmt
Program Services$2,066,658ProgramServicesAmt
Management And General$127,778ManagementAndGeneralAmt
Fundraising$11,731FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,189,915TotalAmt
Program Services$12,355,838ProgramServicesAmt
Management And General$763,942ManagementAndGeneralAmt
Fundraising$70,135FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,074,564TotalAmt
Program Services$6,627,197ProgramServicesAmt
Management And General$409,749ManagementAndGeneralAmt
Fundraising$37,618FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,233,030TotalAmt
Program Services$1,193,573ProgramServicesAmt
Management And General$36,374ManagementAndGeneralAmt
Fundraising$3,083FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$677,284TotalAmt
Program Services$655,611ProgramServicesAmt
Management And General$19,980ManagementAndGeneralAmt
Fundraising$1,693FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,968,290TotalAmt
Program Services$6,745,304ProgramServicesAmt
Management And General$205,565ManagementAndGeneralAmt
Fundraising$17,421FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,071,100TotalAmt
Program Services$889,013ProgramServicesAmt
Management And General$96,399ManagementAndGeneralAmt
Fundraising$85,688FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,265,262TotalAmt
Program Services$2,192,774ProgramServicesAmt
Management And General$61,162ManagementAndGeneralAmt
Fundraising$11,326FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$179,377TotalAmt
Program Services$173,637ProgramServicesAmt
Management And General$4,843ManagementAndGeneralAmt
Fundraising$897FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,865,364TotalAmt
Program Services$4,670,749ProgramServicesAmt
Management And General$194,615ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,277,598TotalAmt
Program Services$13,278,166ProgramServicesAmt
Management And General$999,432ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,579,027TotalAmt
Program Services$4,258,495ProgramServicesAmt
Management And General$320,532ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$89,361,318$86,501,756$2,636,159$223,403
PURCHASED SERVICES$34,125,989$33,033,957$1,006,717$85,315
BAD DEBT$30,391,888$28,264,456$2,127,432
CONTRACT LABOR$10,390,380$10,182,572$207,808

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,458,695TotalAmt
Program Services$22,559,631ProgramServicesAmt
Management And General$843,691ManagementAndGeneralAmt
Fundraising$55,373FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$357,672,066TotalAmt
Program Services$339,977,948ProgramServicesAmt
Management And General$16,499,447ManagementAndGeneralAmt
Fundraising$1,194,671FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$142,110,729BOYAmt
EOY$61,325,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,092,199BOYAmt
EOY$53,935,458EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,159,422BOYAmt
EOY$32,025,370EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,123,013BOYAmt
EOY$7,013,459EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,015,848BOYAmt
EOY$6,518,128EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$408,517,899LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$254,136,118LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,232,604BOYAmt
EOY$154,381,781EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,863,553BOYAmt
EOY$5,325,512EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,055,991BOYAmt
EOY$43,533,359EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$386,653,359BOYAmt
EOY$364,058,942EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$152,316,201BOYAmt
EOY$130,135,933EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,710,406BOYAmt
EOY$113,168,520EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$22,278,054BOYAmt
EOY$21,775,195EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,702,262BOYAmt
EOY$8,191,162EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$300,006,923BOYAmt
EOY$273,270,810EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,646,436BOYAmt
EOY$90,788,132EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,646,436BOYAmt
EOY$90,788,132EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$386,653,359BOYAmt
EOY$364,058,942EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$25,229,773ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$95,224NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$191,719PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$21,375,020OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

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

FieldValueIRS element (for citing)
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$62,500DirectContactLegislatorsAmt
Total Lobbying Expenditures$62,500TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,138,815OtherCostOrOtherBasisAmt
Book Value$6,138,815BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,627,362OtherCostOrOtherBasisAmt
Depreciation$107,533,290DepreciationAmt
Book Value$97,094,072BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$736,212OtherCostOrOtherBasisAmt
Depreciation$649,334DepreciationAmt
Book Value$86,878BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$178,554,180OtherCostOrOtherBasisAmt
Depreciation$134,660,046DepreciationAmt
Book Value$43,894,134BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,461,330OtherCostOrOtherBasisAmt
Depreciation$11,293,448DepreciationAmt
Book Value$7,167,882BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$154,381,781TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$2,581,920
ASSETS WHOSE USE IS LIMITED$12,906,731
OTHER RECEIVABLES$9,196,713
RIGHT OF USE ASSETS$18,843,151
OTHER ASSET$4,844
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,533,359TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT - AMRIDesc
Amt$8,191,162Amt
FieldValueIRS element (for citing)
Total Liability$8,191,162TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIOINS. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
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 Other500.000000000000DiscountedCareOtherPct
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 ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,580,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,733,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,847,397NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,368,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,510,398DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,857,703NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,948,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,243,824DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,705,100NetCommunityBenefitExpnsAmt
Total Expense0.03560TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,141,731TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,524,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,617,221NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$828,349TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$828,349NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,970,080TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,524,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,445,570NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,919,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,768,334DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,150,670NetCommunityBenefitExpnsAmt
Total Expense0.05080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,668,020BadDebtExpenseAmt
Bad Debt Expense Attributable$2,353,541BadDebtExpenseAttributableAmt
Reimbursed By Medicare$82,203,025ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$78,262,505CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,940,520MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SECOND AVENUE MRI LLC
IMAGING0.510000.49000
2 LA PET IMAGING
IMAGING0.33000
3 MEMORIAL TOXICOLOGY LAB SERVICES LLC
LAB SERVICES0.51000
4 CHG SULPHUR HOSPITAL LLC
LONG TERM ACUTE CARE0.49000
5 SHAREPORT LLC
MEDICAL WASTE0.18600
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAKE CHARLES MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BLVDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
State LicenseHO0001606StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAKE CHARLES MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted19CHNAConductedYr
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 URLHTTP://WWW.LCMH.COM/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.LCMH.COM/CHNAStrategyWebsiteURLTxt
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 Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
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 URLWWW.LCMH.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.LCMH.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 5: IN 2019, OVER SEVERAL WEEKS, LAKE CHARLES MEMORIAL HEALTH SYSTEM (WHICH INCLUDES LAKE CHARLES MEMORIAL HOSPITAL, LAKE CHARLES MEMORIAL WOMEN'S HOSPITAL & LAKE CHARLES MEMORIAL CANCER CENTER AND BEHAVIORAL HEALTH FOR THE PURPOSE OF OUR CHNA) CONDUCTED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A FOLLOW-UP TO ITS CHNA IN 2016. LAKE CHARLES MEMORIAL HEALTH SYSTEM WORKED CLOSELY WITH MULTIPLE COMMUNITY ORGANIZATIONS AND INSTITUTIONS TO ESTABLISH, EVALUATE, AND UNDERSTAND THE REGION'S COMMUNITY HEALTH NEEDS, BASED UPON THEIR COLLECTIVE INTERESTS IN THE HEALTH AND WELL-BEING OF RESIDENTS IN THEIR COMMUNITY. THE CHNA PROCESS INVOLVED PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS FAITH-BASED ORGANIZATIONS, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICE ENTITIES TO ASSESS THE NEEDS OF THE COMMUNITY. THE PRIMARY DATA COLLECTION INVOLVED: COMMUNITY STAKEHOLDER INTERVIEWS, HAND-DISTRIBUTED SURVEYS, PROVIDER HEALTH INVENTORY, PUBLIC COMMENTARY SURVEYS, AND A COMMUNITY FORUM. HUNDREDS OF COMMUNITY RESIDENTS, ORGANIZATIONS AND COMMUNITY LEADERS PARTICIPATED AND CONTRIBUTED TO THE CHNA PROCESS. THE PREVIOUSLY COMPLETED CHNAS IN 2013 AND 2016 SERVED AS A BASELINE TO PROVIDE ADDITIONAL INFORMATION AND A DEEPER UNDERSTANDING OF THE HEALTH AND SOCIOECONOMIC NEEDS OF THE COMMUNITY. TRIPP UMBACH COLLECTED AND ANALYZED THE RESULTS OF THE CHNA PROCESS. PRIMARY AND SECONDARY DATA IDENTIFIED KEY COMMUNITY HEALTH PRIORITIES IN THE REGION. WORKING CLOSELY WITH THE WORKING GROUP OF LAKE CHARLES MEMORIAL HOSPITAL, THE RESULTS WERE REVIEWED AND DISCUSSED, CONCLUDING IN THE IDENTIFICATION AND PRIORITIZATION OF THE COMMUNITY'S NEEDS AT THE REGIONAL LEVEL. AN INTERNAL HOSPITAL REPORTING FORUM WAS HELD AT LAKE CHARLES MEMORIAL HOSPITAL ON AUGUST 6, 2019, AS PART OF THE CHNA PROCESS. THE COMMUNITY PLANNING FORUM INVOLVED 16 COMMUNITY LEADERS REPRESENTING VARIOUS COMMUNITY ORGANIZATIONS, HEALTH AND HUMAN SERVICES AGENCIES, HEALTH INSTITUTIONS, AND ADDITIONAL COMMUNITY AGENCIES. MOST IMPORTANTLY, FORUM PARTICIPANTS PROVIDED CRITICAL FEEDBACK AND PRIORITIZED KEY NEED AREAS FOR THE CHNA.GOALS, OBJECTIVES AND STRATEGIES WERE EXAMINED AND AN IMPLEMENTATION PLAN DEVELOPED; IDENTIFYING WAYS LAKE CHARLES MEMORIAL WILL MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE PRIORITIZED NEEDS IDENTIFIED IN THE SURVEY WERE: BEHAVIORAL HEALTH, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. A RESOURCE INVENTORY WAS MADE AVAILABLE. THE RESOURCE INVENTORY HIGHLIGHTS PROGRAMS AND SERVICES IN THE REGION. THE INVENTORY IDENTIFIES ORGANIZATIONS AND AGENCIES IN THE COMMUNITY THAT ARE SERVING THE VARIOUS TARGET POPULATIONS. THE RESOURCE INVENTORY PROVIDES A LISTING OF AVAILABLE PROGRAMS AND CONTACT INFORMATION AS A MEANS TO CREATE THE POTENTIAL FOR COMMUNITY COORDINATION AND LINKAGES AMONG LOCAL ORGANIZATIONS.THE ASSESSMENTS, IMPLEMENTATION PLANS AND RESOURCE GUIDES WERE DISSEMINATED TO HOSPITAL SERVICE AREAS AND POSTED ON OUR WEBSITE FOR COMMUNITY ACCESS.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 11: CANCER AND HOUSING WERE ADDITIONAL THEMES THAT WERE IDENTIFIED. LAKE CHARLES MEMORIAL HEALTH SYSTEM'S CANCER CENTER WILL DIRECTLY ADDRESS THE NEEDS OF THE COMMUNITY RELATED TO CANCER AND THE ISSUES SURROUNDING THE DISEASE. THE INTERNAL WORKING GROUP AGREED THAT TRANSPORTATION WOULD NOT BE ADDRESSED IN THE IMPLEMENTATION AND PLANNING PHASES WITHIN LAKE CHARLES MEMORIAL HEALTH SYSTEM DUE TO THE SIGNIFICANT FUNDING REQUIREMENTS AND STRUCTURAL CHANGES NEEDED AT THE STATE AND LOCAL LEVEL TO ADDRESS THE HOUSING AND TRANSPORTATION INFRASTRUCTURE. HOWEVER, TRANSPORTATION WILL BE ADDRESSED WITHIN LAKE CHARLES MEMORIAL'S CANCER CENTER. THE TRANSPORTATION NEEDS OF CANCER PATIENTS ARE STILL A LARGE CONCERN AND THE CANCER CENTER WILL CONTINUE TO WORK TO ADDRESS AND IDENTIFY METHODS WHICH WILL ASSIST THIS PATIENT POPULATION.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS AND ARE POSTED ON OUR WEBSITE @ LCMH.COM.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:LCMH USES AN ASSET TEST MANDATED FOR MEDICARE PATIENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 4:THE FOLLOWING FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS: "THE SYSTEM MAINTAINS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, DOUBTFUL ACCOUNTS, AND CHARITY CARE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE SYSTEM DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE DISCHARGE DATE; HOWEVER, THE SYSTEM DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE SYSTEM CHARGES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTON OF THE OUTSTANDING BALANCES TO BE DOUBTFUL."COSTING METHODOLOGY IS OPERATING EXPENSE TIMES PAYOR MIX TIMES ALLOWABLE PERCENT. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 8:COSTING METHODOLOGY USED FOR LINE 6 IS OPERATING EXPENSES TIMES PAYOR MIX TIMES 89% ALLOWABLE. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 9B:THE COLLECTION POLICY IS THE SAME AS FOR THOSE WHO DON'T QUALIFY. THOSE ENTITLED TO FREE CARE HAVE NO COLLECTION ACTIVITY AS THERE IS NO REIMBURSEMENT EXPECTED FOR THEIR CARE. THOSE WHO QUALIFY FOR DISCOUNTED CARE WILL BE TREATED AS ANY OTHER PATIENT WHO HAS A BALANCE DUE THE HOSPITAL, JUST THAT THE BALANCE DUE WILL BE AT THE DISCOUNTED RATE FOR WHICH THEY QUALIFY.
PART VI, LINE 2:LCMH PROVIDES PROGRAMS & ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH & HEALING. THESE SCREENINGS, SEMINARS, CLASSES, ETC. RESPOND TO THE NEEDS OF PERSONS LIVING IN OUR COMMUNITY AND IMPROVES OVERALL COMMUNITY HEALTH. MEMORIAL HOSPITAL PROVIDES COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, SUCH AS HEALTH SCREENINGS, SUPPORT GROUPS, SELF-HELP PROGRAMS, SUCH AS SMOKING CESSATION AND WEIGHT LOSS PROGRAMS, PASTORAL OUTREACH PROGRAMS AND SPIRITUAL CARE FOR THE WELL BEING OF OUR COMMUNITY. SEE 2016 ACTIVITIES AND 2013-2016 IMPLEMENTATION PLAN ACTIVITIES/RESULTS POSTED ON THE WEBSITE.
PART VI, LINE 3:LCMH'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ONLINE AND MAY BE REQUESTED BY PHONE, EMAIL, AND ON SITE REQUEST. PATIENTS ARE PROVIDED BROCHURE AT ADMITTING EDUCATING THEM ABOUT THE AVAILABILTIY OF FINANCIAL ASSISTANCE AND HOW TO APPLY.
PART VI, LINE 4:THE HOSPITAL IS LOCATED IN THE CITY OF LAKE CHARLES, LOUISIANA IN CALCASIEU PARISH. THE CITY OF LAKE CHARLES IN CONVENIENTLY LOCATED OFF INTERSTATE 10 BETWEEN HOUSTON, TX AND NEW ORLEANS, LA AND IS 30 MILES UPSTREAM FROM THE GULF OF MEXICO. LAKE CHARLES IS CONNECTED TO THE GULF BY MEANS OF A DEEP-WATER SHIP CHANNEL AND IS THE SEAT AND PORT OF ENTRY OF CALCASIEU PARISH. LAKE CHARLES IS THE FIFTH-LARGEST INCORPORATED CITY IN LOUISIANA, LOCATED ON LAKE CHARLES, PRIEN LAKE AND THE CALCASIEU RIVER. LAKE CHARLES IS A CULTURAL, INDUSTRIAL AND EDUCATIONAL CENTER IN THE SOUTHWEST REGION OF THE STATE. IT IS CONSIDERED A MAJOR CENTER OF PETROCHEMICAL REFINING, TOURISM, GAMING AND EDUCATION, WITH MCNEESE STATE UNIVERSITY AND SOWELA TECHNICAL COMMUNITY COLLEGE. BECAUSE OF THE LAKES AND WATERWAYS THROUGHOUT THE CITY, METROPOLITAN LAKE CHARLES IS OFTEN REFERRED TO AS THE LAKE AREA.THE LAKE AREA POPULATION IS APPROXIMATELY 200,000 WITH APPROXIMATELY 15% OF THE POPULATION BEING 65 OR OLDER. THE LAKE AREA RACIAL MAKEUP IS 70% WHITE, 25% BLACK, AND 5% OTHER. THE MEDIAN INCOME FOR THE AREA IS APPROXIMATELY $49,000 AND THE POVERTY RATE IS 14.9%.
PART VI, LINE 5:N/A
FORM 990 SCHEDULE H PART V SECTION BBASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF LAKE CHARLES MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT:* THE 'COMMUNITY' SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL.* POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTY DATA SOURCES AS DESCRIBED IN CHNA (SEE IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF ILLNESS AND DEATH WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED.* AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED AND POSTED ON LCMH.COM.* COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF 16 STAKEHOLDERS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED. THE COMMUNITY HEALTH SURVEY WAS COMPLETED BY 100 INDIVIDUALS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT AND COMMUNITY HEALTH SURVEY OF THIS REPORT.*INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD THAT WEIGHS (1) THE SIZE OF THE PROBLEM, (2) THE SERIOUSNESS OF THE PROBLEM (3) THE PREVALENCE OF COMMON THEMES, (4) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS, (5) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY AND (6) WHETHER OR NOT THE HOSPITAL HAS EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED.* RECOMMENDATIONS BASED ON THIS ASSESSMENT WERE COMMUNICATED TO THE HOSPITAL AND AN IMPLEMENTATION PLAN TO ADDRESS KEY HEALTH NEEDS WAS DEVELOPED.
SUPPLEMENTAL INFORMATION: PROMOTION OF COMMUNITY HEALTHPRIORITY: CHRONIC DISEASED PREVENTION AND MANAGEMENTGOAL 1: DECREASE POPULATION RISK FACTORS THROUGH CULTURALLY APPROPRIATE SUPPORT FOR HEALTHY LIFESTYLES. STRATEGIES: A. PROMOTE EDUCATION AND SCREENING OPPORTUNITIES THAT SUPPORT AWARENESS OF HEART DISEASE, DIABETES, AND CANCER, I.E. HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, TOBACCO-FREE LIFESTYLE AND MODERATE ALCOHOL USE. B. ACTIVELY PARTICIPATE IN COMMUNITY PARTNERSHIPS WHEREBY THE HOSPITALS CAN REACH OUT TO UNDERSERVED POPULATIONS THROUGH SCREENINGS AND HEALTH EDUCATION. C. IDENTIFY THOSE WHO WORK WITH UNDERSERVED, LOW-INCOME AND RACIAL/ETHNIC GROUPS AND PARTNER WITH THEM TO DEVELOP CULTUALLY APPROPRIATE STRATEGIES TO MONITOR PREVENTION INITIATIVES.GOAL 2: ENHANCE COMMUNITY EDUCATION ABOUT EARLY IDENTIFICATION AND INTERVENTION FOR CANCER WITH A GOAL OF REDUCING LATE-STAGE DIAGNOSES AND IMPROVING OUTCOMES AND SURVIVAL RATES. STRATEGIES: A. PROVIDE ANNUAL COLON CANCER SCREENINGS AND BREAST MAMMOGRAPHY EDUCATION. B. COORDINATE MONTHLY CANCER SUPPORT/EDUCATION GROUPS C. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM. D. INCREASE THE NUMBER OF CERTIFIED SMOKING CESSATION INSTRUCTORS ON STAFF. E. IMPLEMENT A CANCER PATIENT NAVIGATOR POSITION.GOAL 3: ENHANCE COMMUNITY EDUCATION ABOUT PREVENTION, DETECTION AND MANAGING CHRONIC DISEASES. STRATEGIES: A. PROMOTE HEALTH RELATED ACTIVITIES, SUCH AS SCREENINGS, EXERCISE, HEALTHY EATING CHOICES AND EDUCATION, IN NON-TRADITIONAL SETTINGS (E.G. SHOPPING MALLS, FAITH-BASED ORGANIZATIONS, HIGH SCHOOLS) B. COORDINATE MONTHLY SEMINARS AND SUPPORT/EDUCATION GROUPS ON DIABETES, CANCER, AND HEART DISEASE. C. IMPLEMENT WELLNESS PROGRAMS FOR EMPLOYEES AND COMMUNITY EMPLOYERS THAT ENCOURAGE WORKSITES TO EDUCATE THEIR EMPLOYEES ABOUT THEIR BENEFIT PACKAGE, INCLUDING PREVENTIVE AND ANNUAL WELLNESS VISITS, SMOKING CESSATION, HEALTHY EATING CHOICES, SCREENINGS AND PHYSICAL SERVICES. D. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM IN PARTNERSHIP WITH LOUISIANA TOBACCO FREE LIVING PROGRAM AND LSUHSC SMOKING CESSATION PROGRAM.PRIORITY: TEEN PREGNANCY EDUCATION AND MANAGEMENTGOAL 1: EDUCATE COMMUNITY AND SCHOOLS ABOUT TEEN PREGNANCY AND IMPORTANCE OF EARLY PREGNANCY MANAGEMENT TO IMPROVE LOW BIRTH WEIGHTS AND REDUCE TEEN PREGNANCY. STRATEGIES: A. WORK WITH COMMUNITY ORGANIZATIONS TO EDUCATE HIGH SCHOOL TEENS ABOUT PREGNANCY RISKS. B. EDUCATE COMMUNITY HEALTH ORGANIZATIONS ABOUT OUR OBCARE PROGRAM WHICH PROVIDES OB SERVICES TO UNINSUED AND UNDERINSURED. C. PROVIDE PREGNANCY EDUCATION TO EXPECTANT MOTHERS AND FATHERS.
SUPPLEMENTAL INFORMATION: STATE FILING OF COMMUNITY BENEFIT REPORTLOUISIANA: SEE ACTIVITIES AND RESULTS OF CHNA IMPLEMENTATION PLAN ON WEBSITE LCMH.COM

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
PROVIDENT RESOURCES GROUP INC
5565 BANKERS AVENUEBATON ROUGELA70808582492101501(C)(3)$200,000$0SPONSORSHIP
THE CHAMBER SWLA
PO BOX 3110LAKE CHARLESLA70602720233565501(C)(3)$13,500$0SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationRECONCILIATION OF GRANTS ARE MONITORED MONTHLY BY AN ACCOUNTANT IN THE ACCOUNTING OFFICE AND REVEIWED BY THE CONTROLLER AND VICE PRESIDENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
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 (24 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
MATTHEW BURTON
PHYSICIAN$820,000$0$1,371,594$0$0$0$3,810$0$0$0$2,195,404$0$0$0
GREGORY LUGO MD
FORMER OFFICER$874,412$0$425,236$0$0$0$8,077$0$11,288$0$1,319,013$0$0$0
JOSEPH LUGO
PHYSICIAN$874,412$0$425,236$0$0$0$8,077$0$11,288$0$1,319,013$0$0$0
GREGORY RUBINO
PHYSICIAN$700,783$0$483,611$0$0$0$7,277$0$0$0$1,191,671$0$0$0
MICHAEL A HINTON
PHYSICIAN$600,018$0$444,524$0$0$0$8,308$0$9,246$0$1,062,096$0$0$0
SARPREET BASRA
PHYSICIAN$510,796$0$510,971$0$0$0$8,251$0$16,050$0$1,046,068$0$0$0
LARRY M GRAHAM
PRESIDENT, CEO & ASSIST SECRETARY$809,689$0$40,000$0$0$0$8,247$0$26,538$0$884,474$0$0$0
CLIFF COURVILLE MD
MEDICAL STAFF PAST PRESIDENT$450,008$0$377,756$0$0$0$7,652$0$16,271$0$851,687$0$0$0
CHARLES WHITSON
VICE PRESIDENT$588,449$0$119,584$0$0$0$4,410$0$7,150$0$719,593$0$0$0
SETH BILLIODEAUX
FORMER OFFICER$450,008$0$171,058$0$0$0$8,308$0$25,386$0$654,760$0$0$0
MANLEY JORDAN
CHIEF MEDICAL OFFICER$504,505$0$122,806$0$0$0$7,988$0$18,188$0$653,487$0$0$0
JASON LANGHOFER DO
MEDICAL STAFF PRESIDENT$525,516$0$25,000$0$0$0$0$0$25,518$0$576,034$0$0$0
DEVON HYDE
PRESIDENT, CEO & ASSIST SECRETARY$444,712$0$96,500$0$0$0$0$0$12,191$0$553,403$0$0$0
GERALD BRYANT
EXECUTIVE VP OF NURSING$394,279$0$55,476$0$0$0$8,186$0$18,188$0$476,129$0$0$0
ANNA CAZES
EXECUTIVE VP OF OPERATIONS$379,686$0$0$0$0$0$2,865$0$8,846$0$391,397$0$0$0
MOHAMMED SARWAR MD
FORMER OFFICER$309,088$0$0$0$0$0$8,193$0$26,538$0$343,819$0$0$0
DAWN JOHNSON-HATCHER
TREASURER$288,110$0$9,999$0$0$0$7,293$0$15,326$0$320,728$0$0$0
WENDY R FOURNET
VP OF HUMAN RESOURCES$290,017$0$9,302$0$0$0$7,567$0$11,288$0$318,174$0$0$0
DONNA SHIELDS
VP OF PATIENT CARE SERVICE$266,306$0$12,173$0$0$0$6,690$0$19,067$0$304,236$0$0$0
JASON J RASHALL
EXECUTIVE VP OF BUSINESS D$236,967$0$10,832$0$0$0$6,483$0$26,538$0$280,820$0$0$0
LEIF PEDERSEN
VP OF PHILANTROPHY$210,566$0$9,535$0$0$0$5,261$0$24,047$0$249,409$0$0$0
KATHLEEN DEROUEN
SENIOR VP OF MARKETING$220,190$0$10,047$0$0$0$3,612$0$5,644$0$239,493$0$0$0
BERNITA BROWN
VP OF SUPPORT SERVICES$220,340$0$9,519$0$0$0$6,048$0$220$0$236,127$0$0$0
DANIEL AGUILLARD
VP OF SPECIALTY SERVICES$157,082$0$0$0$0$0$3,745$0$12,191$0$173,018$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAYS ANNUAL DUES TO THE PIONEER CLUB, A SOCIAL CLUB, FOR LARRY GRAHAM, PRESIDENT AND CEO IN THE AMOUNT OF $6,782 PER YEAR. ANY NONBUSINESS USE OF THE CLUB IS ACCOUNTED FOR AND INCLUDED AS COMPENSATION IN THE CEO W-2.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
LOUISIANA PUBLIC FACILITIES AUTHORITY
A720895871546395D842007-11-01$69,371,392REVENUE AND REFUNDING BOND000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
B521333467NONEAVAIL2013-10-10$6,275,000CURRENT BOND REFUNDING000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
C521333467NONEAVAIL2014-01-07$10,000,000CONSTRUCTION000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
D521333467NONEAVAIL2015-02-04$10,000,000CONSTRUCTION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$69,371,392$6,780,514$1,363,1762007Yes (1)Yes (1)Yes (1)Yes (1)
B$6,275,000$89,4942013Yes (1)0Yes (1)Yes (1)
C$10,000,000201500Yes (1)Yes (1)$10,000,000
D$10,000,000$141,275201600Yes (1)Yes (1)$9,858,725

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)Yes (1)00Yes (1)0
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line2GICProviderName/BusinessNameLine2TxtTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NATIXIS FUNDING
A000Yes (1)00Yes (1)CORP12.000000000000Yes (1)Yes (1)Yes (1)
(no name)
B0Yes (1)000000Yes (1)
(no name)
C0Yes (1)000000Yes (1)
(no name)
D0Yes (1)0Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/14/2012ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
A521769984NONEAVAIL2015-10-01$10,000,000CONSTRUCTION000
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
B521769984NONEAVAIL2017-12-14$10,000,000CONSTRUCTION000
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
C521769984NONEAVAIL2020-07-24$104,935,000HOSPITAL REVENUE AND REFUNDING BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmt
A$10,000,000$133,775$9,866,2252017000Yes (1)
B$10,000,000$100,555$9,899,445201900Yes (1)Yes (1)
C$120,288,6502019Yes (1)00Yes (1)$8,718,500

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00000Yes (1)Yes (1)
B0Yes (1)00000Yes (1)Yes (1)
C000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
C0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RICHARD MARTINEZ
RICHARD MARTINEZ IS A MEMBER OF THE BOARD OF BOTH ENTITIES$528,707PROVIDES ADVERTISING EMPLOYMENT FOR THE HOSPITAL0
LOUIS TODD
LOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES)$2,584,510LOUIS TODD, THROUGH TODD AND ASSOCIATES, IS THE HOSPITAL'S BROKER FOR MEDICAL MALPRACTICE INSURANCE COVERAGE AND IS PAID A COMMISSION DIRECLTY FROM LAMMICO. THIS COMMISSION HAS NO IMPACT ON THE AMOUNT OF COVERAGE OBTAINED BY THE HOSPITAL OR THE PREMIUM THAT IS PAID FOR THE COVERAGE. IN 2020, THE TOTAL PREMIUMS PAID BY THE HOSPITAL TO LAMMICO WERE $1,104,481. TODD AND ASSOCIATES IS PAID A COMMISSION FROM LAMMICO AT A SET CERTAIN PERCENTAGE OF THE PREMIUMS PAID. THIS PERCENTAGE IS SET INDEPENDENTLY BETWEEN TODD AND ASSOCIATES AND LAMMICO. THE HOSPITAL IS NOT INVOLVED IN SETTING THE COMMISSION RATE OR AMOUNT PAID TO TODD AND ASSOCIATES BY LAMMICO, NOR DOES IT PAY ANY COMMISSION TO LOUIS TODD OR TODD AND ASSOCIATES DIRECTLY.0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescOFFICE FURNITUREDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$138,167NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE EMERGENCY ROOM, PHARMACY, WOUND CARE AND MATERIALS MANAGEMENT HAVE BEEN OUTSOURCED TO MANAGEMENT COMPANIES.
FORM 990, PART VI, SECTION A, LINE 6THE ENTITY HAS BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHEY ELECT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BBOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BBOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE IS MONITORED THROUGHOUT THE YEAR VIA MANUAL SIGNATURES BEING REQUIRED ON ALL AP CHECKS EXCEPT SMALL BALANCE PATIENT REFUNDS. THESE CHECKS HAVE AUTOMATED SIGNATURES, BUT ARE REVIEWED BEFORE MAILING. IN ADDITION LARGE CONSTRUCTION JOBS ARE REQUIRED TO BE BID OUT AND BIDS ARE RETURNED SEALED TO OUR ATTORNEYS. RELATIONSHIPS SUCH AS BANKING, INSURANCE AND OTHERS THAT HAVE BEEN DISCLOSED BY BOARD MEMBERS ARE SUBJECT TO DISCUSSION AT BOARD MEETINGS AND GENERALLY THE BOARD MEMBER WITHIN THAT RELATIONSHIP WILL EXCLUDE THEMSELVES FROM THE MEETING.
FORM 990, PART VI, SECTION B, LINE 15COMPARISON WITH VHA GULF STATES GREATER NEW ORLEANS SOCIETY OF HUMAN RESOURCES ASSN AND LHA DATA WAS DONE BY THE SALARY COMMITTEE OF THE BOARD OF TRUSTEES. MINUTES OF THE SALARY COMMITTEE WERE MAINTAINED.
FORM 990, PART VI, SECTION C, LINE 19IN ADDITION TO THE DOCUMENTS THAT ARE ON FILE WITH THE SECRETARY OF STATE THAT WERE REQUIRED TO ESTABLISH THE LEGAL ENTITY, THE GOVERNING DOCUMENTS (INCLUDING THE CONFLICT OF INTEREST POLICY) WILL BE PROVIDED TO THE PUBLIC UPON REQUEST AND SUBJECT TO OUR LEGAL COUNSEL'S APROVAL.
FORM 990, PART XI, LINE 9:BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC BOOK/TAX DIFFERENCE - GIFT SHOP 90,600. BOOK/TAX DIFFERENCE - LA PET/CT IMAGING LAKE CHARLES LLC 232,726. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -26,191,334. BOOK/TAX DIFFERENCE - SHAREPORT SUB 1 2,389. ADJUSTMENT FOR EXTENDED CARE 4,802,071. ADJUSTMENT FOR TOXICOLOGY -311,472.
FORM 990 PART XII LINE 2CTHE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOUTHWEST LOUISIANA HEALTH CARE SYSTEM INC
1701 OAK PARK BLVDLAKE CHARLESLA70601721103255SUPPORT OF LAKE CHARLES MEMORIAL HOSPITALLA501(C)(3)PUBLIC CHARITYN/A0
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
PO BOX 2900LAKE CHARLESLA70602270833927SUPPORT OF LAKE CHARLES MEMORIAL HOSPITALLA501(C)(3)PUBLIC CHARITYYes (1)SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
LAKE CHARLES MEDICAL PLAZA SOUTH
1701 OAK PARK BLVDLAKE CHARLESLA70601621447910REAL ESTATE MANAGEMENTLASWLHS LLCRELATED000.01000
SECOND AVENUE MRI LLC
2800 SECOND AVE SUITE CLAKE CHARLESLA70601202226374IMAGING SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONRELATED000.51000
LAKE CHARLES PHARM SUPPLY CO LLC
7000 CARDINAL PLACEDUBLINOH43017721300617RETAIL PHARMACYOH00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
LAKE CHARLES MEDICAL SERVICES LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721285200MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721381266MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL PHO
1701 OAK PARK BLVDLAKE CHARLESLA70601726013916PHYSICIAN NETWORK AND CONTRACTINGLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000
MEMORIAL MEDICAL GROUP LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601461516260MEDICAL SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000$80,919,572$14,868,924
SWLHS ONCOLOGY LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601201541727MEDICAL SERVICES-ONCOLOGYLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721103283MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
WLW PROPERTIES INC
1701 OAK PARK BLVDLAKE CHARLESLA70601721023846REAL ESTATE / EQUITYLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE CHARLES HEART & VASCULAR LLC
A$174,645CASH
SECOND AVENUE MRI LLC
A$85,115CASH
SWLHS ONCOLOGY LLC
A$49,977CASH
MEMORIAL MEDICAL GROUP LLC
B$26,799,740CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
C$270,401CASH
WLW PROPERTIES INC
K$34,284CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
O$412,603CASH
LAKE CHARLES MEDICAL SERVICES LLC
P$7,215,340CASH
SWLHS LLC
P$1,244,348CASH
LAKE CHARLES HEART & VASCULAR LLC
P$1,122,945CASH
MEMORIAL MEDICAL GROUP LLC
P$547,486CASH
LAKE CHARLES HEART & VASCULAR LLC
Q$497,733CASH
LAKE CHARLES MEDICAL SERVICES LLC
Q$2,528,316CASH
MEMORIAL MEDICAL GROUP LLC
Q$72,173CASH
SWLHS ONCOLOGY LLC
Q$73,351CASH
SWLHS LLC
Q$663,979CASH
SECOND AVENUE MRI LLC
SCASH