2021-12-22T14:58:44-06:00 2020-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2020-01-01 464568405 NEW ORLEANS PHYSICIAN SERVICES INC NEWO 5043491102 1101 MEDICAL CENTER BLVD MARRERO LA 70072 ROBERT CALHOUN CEO PRESIDENT 5043491102 2021-12-22 1 ROBERT CALHOUN CEO 999009999 JOHN S WILES CPA P01222673 5048355522 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBERT CALHOUN CEO 1101 MEDICAL CENTER BLVD MARRERO LA 70072 30712004 0 X N/A X 2014 LA FACILITATE THE PROVISION OF HEALTHCARE AND OTHER SOCIAL SERVICES TO ,[CONT'D ON SCH. O] INDIVIDUALS, INCLUDING THE INDIGENT, IN THE PARISH OF JEFFERSON, LOUISIANA. 12 10 296 12 0 0 0 0 26164106 30485206 0 0 0 226798 26164106 30712004 0 0 0 0 24111209 25216427 0 0 0 16944035 24386345 41055244 49602772 -14891138 -18890768 16089146 19229320 60149279 84215812 -44060133 -64986492 THE CORPORATION WILL PAY FOR, OR FACILITATE THE PROVISION OF, HEALTHCARE SERVICES FOR THE INDIGENT RESIDENTS IN JEFFERSON PARISH AND NEIGHBORING COMMUNITIES OF LOUISIANA. 0 0 49276642 30485206 FACILITATE THE DELIVERY OF HEALTHCARE AND OTHER SERVICES TO INDIVIDUALS, INCLUDING THE INDIGENT, IN JEFFERSON PARISH, LOUISIANA. 49276642 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 296 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 1 0 X STACEY ZIMMER 5043491204 1101 MEDICAL CENTER BLVD MARRERO LA 70072 HARRY L CHIP CAHILL III CHAIRMAN - WJMC BOARD OF M 1.00 X X 0 0 0 FRANK C DI VINCENTI VICE-CHAIRMAN - WJMC BOARD 1.00 X X 0 0 0 JAMES E CRAMOND SECRETARY/TREASURER -WJMC 1.00 X X 0 0 0 DAVID F ANDIGNAC WJMC BOARD OF MANAGERS 1.00 X 0 0 0 TIMOTHY P KERNER WJMC BOARD OF MANAGERS 1.00 X 0 0 0 WILLIAM A LAZARO JR WJMC BOARD OF MANAGERS 1.00 X 0 0 0 DWAYNE J MUNCH SR WJMC BOARD OF MANAGERS 1.00 X 0 0 0 OTHOLINO REMEDIOS WJMC BOARD OF MANAGERS 1.00 X 0 0 0 BLAIR CONSTANT WJMC BOARD OF MANAGERS 1.00 X 0 0 0 ROBERT MATHENEY WJMC BOARD OF MANAGERS 1.00 X 0 0 0 GREGORY C FEIRN WJMC BOARD OF MANAGERS 1.00 X 0 2028948 34450 ROBERT M CALHOUN WJMC CEO 10.00 40.00 X 0 411094 31105 RACHEL SPEARS WJMC BOARD OF MANAGERS 1.00 40.00 X 0 302125 5836 DARRELL D ROY VICE-PRESIDENT 50.00 X 173441 0 24236 WILLIAM W BORRON MD PHYSICIAN 40.00 X 606121 0 27357 JUDY C KANG-KING MD PHYSICIAN 40.00 X 568815 0 14250 JON R GLASS MD PHYSICIAN 40.00 X 508187 0 26623 JAMES K ELLIS MD PHYSICIAN 40.00 X 507689 0 22664 WESLEY W BRYAN MD PHYSICIAN 40.00 X 497346 0 28761 2861599 2742167 215282 61 0 1 0 WOMEN'S MEDICAL CENTERS LLC 515 WESTBANK EXPRESSWAY 9 GRETNA LA 70053 HEALTH SERVICES 6864150 HEART CLINIC OF LOUISIANA 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES & RENT 5448922 CANON SOLUTIONS AMERICA 300 COMMERCE SQUARE BLVD BURLINGTON NJ 08016 RENTAL EQUIPMENT 1640678 CARDIOLOGY CENTER 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES 1420493 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 HEALTH INFORMATION TECHNOLOGY 628578 17 SERVICE REVENUE - MEDICAL SERVICE 621110 30485206 30485206 30485206 226798 0 226798 226798 226798 30712004 30485206 0 226798 X 197677 197677 22125471 22125471 584227 584227 1028877 1028877 1280175 1280175 1376592 1376592 88131 88131 -49380 -49380 15759523 15694803 64720 20949 20949 138827 138827 2741965 2741965 44228 44228 323310 323310 842471 842471 MEDICAL EXPENSES 2853419 2853419 BANK CHARGES 171963 171963 DUES AND SUBSCRIPTIONS 60135 60135 ALL OTHER EXPENSES 14212 14212 49602772 49276642 326130 0 987015 5315340 6231199 4625424 3723724 2649021 3777041 1408798 2591053 2368243 2556155 4271292 16089146 19229320 5658249 7535691 54491030 76680121 60149279 84215812 X -44060133 -64986492 -44060133 -64986492 16089146 19229320 -18890768 -2035591 0 X X 0 1 X 1 0 X 23201764 33289527 13187081 26164106 30485206 126327684 23201764 33289527 13187081 26164106 30485206 126327684 0 0 0 126327684 226798 226798 226798 226798 23201764 33289527 13187081 26164106 30712004 126554482 0.99820 1.00000 0.00180 X 184587 34888 149699 1661128 477574 1183554 1931326 896336 1034990 2368243 DEPOSITS 125000 DUE FROM LCMC 4146292 4271292 DUE TO WJMC 76680121 76680121 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALITES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. X 0 0 0 0 0 0 0 0 0 GREGORY C FEIRN WJMC BOARD OF MANAGERS 0 1572809 0 444325 0 11814 0 11400 0 23050 0 2063398 0 0 ROBERT M CALHOUN WJMC CEO 0 389030 0 20426 0 1638 0 10632 0 20473 0 442199 0 0 RACHEL SPEARS WJMC BOARD OF MANAGERS 0 230469 0 70589 0 1067 0 5664 0 172 0 307961 0 0 DARRELL D ROY VICE-PRESIDENT 159387 0 13280 0 774 0 9016 0 15220 0 197677 0 0 0 WILLIAM W BORRON MD PHYSICIAN 396423 0 207706 0 1992 0 14250 0 13107 0 633478 0 0 0 JUDY C KANG-KING MD PHYSICIAN 401572 0 165251 0 1992 0 14250 0 0 0 583065 0 0 0 JON R GLASS MD PHYSICIAN 339609 0 167086 0 1492 0 14250 0 12373 0 534810 0 0 0 JAMES K ELLIS MD PHYSICIAN 427341 0 78956 0 1392 0 11436 0 11228 0 530353 0 0 0 WESLEY W BRYAN MD PHYSICIAN 344678 0 151176 0 1492 0 14250 0 14511 0 526107 0 0 0 PART I, LINE 3 COMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE AVERAGE COMPENSATION OF A PERSON IN A SIMILAR ROLE WITH A SIMILAR ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 1 THE MEMBER ACTS AS THE GOVERNING BODY OF THE CORPORATION AND CONTROLS THE FINANCIAL ASPECTS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 3 THE CORPORATION'S DAY-TO-DAY ACTIVITIES ARE MANAGED BY WEST JEFFERSON HOLDINGS, LLC. THE ORGANIZATION PROVIDES SUCH SERVICES WITHOUT COMPENSATION, AND IN FURTHERANCE OF THE COLLABORATIVE EFFORT OF THE PARTIES TO PROVIDE PHYSICIAN SERVICES TO THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION EXECUTED A RESOLUTION FOR MEMBERSHIP SUBSTITUTION ON SEPTEMBER 17, 2016 WHICH RESULTED IN WEST JEFFERSON HOLDINGS, LLC BEING THE SOLE MEMBER OF THE ORGANIZATION. WEST JEFFERSON HOLDINGS, LLC IS 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER, INC. A 501(C)(3) CHARITABLE ORGANIZATION WHOSE PRIMARY PURPOSE IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES IN THE GREATER NEW ORLEANS AREA. FORM 990, PART VI, SECTION A, LINE 7A NO PERSON SHALL BECOME A MEMBER OF THE CORPORATION WITHOUT THE UNANIMOUS VOTE OF THE THEN CURRENT MEMBER(S). FORM 990, PART VI, SECTION A, LINE 8B THE CORPORATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BEFORE ENTERING INTO ANY CONTRACTUAL OBLIGATIONS, THE CORPORATION'S OBLIGATIONS ARE REVIEWED BY OUTSIDE COUNSEL FOR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE AVERAGE COMPENSATION OF A PERSON IN A SIMILAR ROLE WITH A SIMILAR ORGANIZATION WHICH IS THEN REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION PROVIDES ITS GOVERNING DOCUMENTS AND CONFLIFT OF INTEREST POLICY UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 407,431. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 407,431. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,171,264. MANAGEMENT AND GENERAL EXPENSES 64,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,235,984. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 35,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,248. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 291,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 291,754. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 11,705,816. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,705,816. BILLING SERVICES: PROGRAM SERVICE EXPENSES 83,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,290. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 943480131 HEALTH SERVICES LA 501(C)(3) LINE 3 0 CHILDREN'S HOSPITAL 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 720467503 PEDIATRIC HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 720423659 FULL-SERVICE COMMUNITY HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 UNIVERSITY MEDICAL CENTER MANAGEMENT 2021 PERDIDO STREET NEW ORLEANS LA 70112 251925187 FULL-SERVICE COMMUNITY & TEACHING HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 LCMC HEALTH HOLDINGS INC DBA EAST JEFFERSON GENERAL HOSPITAL 4200 HOUMA BLVD METAIRIE LA 70006 843390470 FULL SERVICE COMMUNITY & TEACHING HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 AUDUBON RETIREMENT VILLAGE INC 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 842278120 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LOUISIANA CHILDREN'S MEDICAL CENTER 0 CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 061587311 ANESTHESIA SERVICES LA 501(C)(3) LINE 10 LOUISIANA CHILDREN'S MEDICAL CENTER 0 WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS LA 70114 720540671 HEALTH SERVICES LA 501(C)(3) LINE 10 TOURO INFIRMARY 0 METAIRIE PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD METAIRIE LA 70006 461434300 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LCMC HEALTH HOLDINGS INC DBA EAST JEFFERSON GENERAL HOSPITAL 0 CHILDREN'S HOSPITAL MEDICAL PRACTICE 298 HENRY CLAY AVE NEW ORLEANS LA 70118 721587311 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 CHILDREN'S HOSPITAL 0 TOURO INFIRMARY FOUNDATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721169939 HEALTHCARE SUPPORT LA 501(C)(3) LINE 12A, I TOURO INFIRMARY 0 CRESCENT CITY RESEARCH CONSORTIUM LLC 1111 MEDICAL CENTER BLVD STE N-701 MARRERO LA 70002 383880814 MEDICAL RESEARCH LA N/A 0 0 TIJV LLC 1401 FOUCHER ST NEW ORLEANS LA 70115 261378361 IMAGING CENTER RENTAL LA N/A 0 0 COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD STE N-201 MARRERO LA 70072 364819943 MEDICAL COLLABORATION LA N/A 0 0 EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE LA 70006 201425074 OUTPATIENT SURGERY LA N/A 0 0 CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA STREET SUITE 72 NEW ORLEANS LA 70115 721269878 HEALTHCARE LA N/A C 0 BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721226687 REAL ESTATE LA N/A C 0 PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION 650 POYDRAS STREET SUITE 1200 NEW ORLEANS LA 70130 720866121 REAL ESTATE LA N/A C 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE R, PART V, QUESTION 1E SUPPLEMENTAL INFORMATION THE $76,680,121 LOAN IS FROM WEST JEFFERSON HOLDINGS, LLC WHICH IS THE SOLE MEMBER OF NEW ORLEANS PHYSICIAN SERVICES, INC. WEST JEFFERSON HOLDINGS, LLC IS A SINGLE MEMBER LLC 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS A RELATED 501(C)(3) ORGANIZATION LISTED IN PART II. FORM 990, SCHEDULE R, PART V, QUESTION 1K SUPPLEMENTAL INFORMATION THE $1,840,190 LEASE OF FACILITIES AND EQUIPMENT IS FROM WEST JEFFERSON HOLDINGS, LLC WHICH IS THE SOLE MEMBER OF NEW ORLEANS PHYSICIAN SERVICES, INC. WEST JEFFERSON HOLDINGS, LLC IS A SINGLE MEMBER LLC 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS A RELATED 501(C)(3) ORGANIZATION LISTED IN PART II. FORM 990, SCHEDULE R, PART V, QUESTION 1D SUPPLEMENTAL INFORMATION THE $940,776 LOAN IS TO NEW ORLEANS CLINICAL SERVICES, LLC WHICH IS A DISREGARDED ENTITY FOR TAX PURPOSES. NEW ORLEANS CLINICAL SERVICES, LLC IS 100% OWNED BY LOUISINANA CHILDREN'S MEDICAL CENTER WHICH IS A RELATED 501(C)(3)ORGANIZATION LISTED IN PART II.