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LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE (EIN 36-4774713)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202001969349303420
Schema version
2018v3.1
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)
Return2020-07-14T15:32:30-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON STREET SUITE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP761027427ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364774713EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LSU Health Sciences Center Shreveport Faculty Group PracticeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLSUHBusinessNameControlTxt
Phone3186758533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11431 Dalzell StreetAddressLine1Txt
CityShreveportCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVERNON MOOREPersonNm
Person TitleCFO,TREASURERPersonTitleTxt
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELVA SCOTTPreparerPersonNm
PTINP01207335PTIN
Phone8173351900PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Ochsner LSU Physician GroupBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES FOX III MDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11431 Dalzell StreetAddressLine1Txt
CityShreveportCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$92,672,150GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionLSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE PROVIDES HEALTHCARE TO THE GENERAL PUBLIC, INCLUDING BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTHCARE SERVICES TO INDIVIDUALSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$70,037,535PYProgramServiceRevenueAmt
CY Program Service Revenue$92,672,150CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$70,037,535PYTotalRevenueAmt
CY Total Revenue$92,672,150CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$358,947CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$69,040,739PYOtherExpensesAmt
CY Other Expenses$89,924,701CYOtherExpensesAmt
PY Total Expenses$69,040,739PYTotalExpensesAmt
CY Total Expenses$90,283,648CYTotalExpensesAmt
PY Revenues Less Expenses$996,796PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,388,502CYRevenuesLessExpensesAmt
Total Assets BOY$15,479,777TotalAssetsBOYAmt
Total Assets EOY$29,891,350TotalAssetsEOYAmt
Total Liabilities BOY$5,437,342TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,832,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,042,435NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,058,534NetAssetsOrFundBalancesEOYAmt
MissionNo Board Approved Mission StatementMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$90,283,648ExpenseAmt
Revenue$92,672,150RevenueAmt
DescLSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE PROVIDES HEALTHCARE TO THE GENERAL PUBLIC, INCLUDING, BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTHCARE SERVICES TO INDIVIDUALS. THE FGP RECEIVES COMPENSATION FOR THESE SERVICES FROM THE MEDICARE AND MEDICAID PROGRAMS, CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS AND DIRECTLY FROM PATIENTS.Desc
Total Program Service Expenses$90,283,648TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VERNON MOOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3188629977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11431 Dalzell StreetAddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHARLES J FOX III MD
PRESIDENT/CHIEF EXECUTIVE OFFICER/BOARD CHAIR50.00Yes (X)Yes (X)$0$0$0
VERNON H MOORE III
CHIEF FINANCIAL OFFICER/TREASURER10.040.0Yes (X)Yes (X)$0$87,518$3,439
DAVID F LEWIS MD MBA
DIRECTOR1.049.0Yes (X)$0$0$0
W JEFF REYNOLDS
DIRECTOR1.05.0Yes (X)$0$0$0
GE GHALI DDS MD FACS FRCS(ED)
DIRECTOR1.05.0Yes (X)$0$0$0
PETER NOVEMBER
DIRECTOR1.05.0Yes (X)$0$0$0
VINCENT ADOLPH MD
DIRECTOR1.00Yes (X)$0$0$0
CHARLES D DAIGLE
DIRECTOR1.049.0Yes (X)$0$0$0
WILLIAM COMEGYS III
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
HORATIO D'AGOSTINO MD
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
LARRY FERDINAND
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
ALEXANDER GOMELSKY MD
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
RAYMOND LASSEIGNE
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
GLENN MILLS MD
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
ASHLEY MORRIS
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
VALENCIA SARPY JONES
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
JONATHON RENOLDS
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
MARY SMITH
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
DEANO THORNTON
DIRECTOR - END 09/30/181.00Yes (X)$0$0$0
STEPHEN RANDALL
CHIEF ADMINISTRATIVE OFFICER10.040.0Yes (X)$0$0$0
SHELLEY SULLIVAN TYNAN
SECRETARY1.05.0Yes (X)$0$0$0
PATRICK BICKNELL
EXECUTIVE DIRECTOR50.00Yes (X)$73,723$0$785
FieldValueIRS element (for citing)
Total Reportable Comp From Org$73,723TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$87,518TotReportableCompRltdOrgAmt
Total Other Compensation$4,224TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
LSUHSC - SHREVEPORT
1501 KINGS HIGHWAYSHREVEPORTLA71103PHYSCIAN SERVICES$28,551,769
ACADIANA COMPUTER SYSTEMS
324 DULLES DRIVELAFAYETTELA70506BILLING MANAGEMENT$4,241,182
OCHSNER CLINIC FOUNDATION
1514 JEFFERSON HIGHWAYNEW ORLEANSLA70121MANAGEMENT COMPANY$774,903
HEALTH MANAGEMENT ASSOCIATES
ONE MICHIGAN AVENUE BUILDINGLANSINGMI48933INTERIM ADMINSTRATIVE SUPPORT$346,813120 NORTH WASHINGTON SQUARE
BRUCE SOLOMON CONSULTING LLC
PO BOX 331FORT WORTHTX76101CONSULTING SERVICES$228,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$92,672,150TotalRevenueColumnAmt
Related Or Exempt Func Income$92,672,150RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$92,672,150TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,672,150TotalRevenueColumnAmt
Related Or Exempt Func Income$92,672,150RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$74,508TotalAmt
Program Services$74,508ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$239,937TotalAmt
Program Services$239,937ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,116TotalAmt
Program Services$25,116ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,386TotalAmt
Program Services$19,386ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$65,093,655TotalAmt
Program Services$65,093,655ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,020,130TotalAmt
Program Services$9,020,130ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$420TotalAmt
Program Services$420ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$171,727TotalAmt
Program Services$171,727ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$230,952TotalAmt
Program Services$230,952ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,363TotalAmt
Program Services$1,363ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,444TotalAmt
Program Services$3,444ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$175,939TotalAmt
Program Services$175,939ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LSU HSC$15,086,458$15,086,458
LICENSE FEES$72,475$72,475
SUPPLIES$52,465$52,465

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,673TotalAmt
Program Services$15,673ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$90,283,648TotalAmt
Program Services$90,283,648ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,633,708BOYAmt
EOY$17,624,888EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,245,294BOYAmt
EOY$9,929,906EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,954BOYAmt
EOY$36,665EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$544,773LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,891LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$586,821BOYAmt
EOY$410,882EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,889,009EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,479,777BOYAmt
EOY$29,891,350EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,437,342BOYAmt
EOY$17,832,816EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,437,342BOYAmt
EOY$17,832,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,042,435BOYAmt
EOY$12,058,534EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,042,435BOYAmt
EOY$12,058,534EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,479,777BOYAmt
EOY$29,891,350EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,388,502ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$372,403PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$70,037,535CurrentTaxYearMinus1YearAmt
Current Tax Year$92,597,150CurrentTaxYearAmt
Total$162,634,685TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,037,535CurrentTaxYearMinus1YearAmt
Current Tax Year$92,597,150CurrentTaxYearAmt
Total$162,634,685TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$162,634,685PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,037,535CurrentTaxYearMinus1YearAmt
Current Tax Year$92,597,150CurrentTaxYearAmt
Total$162,634,685TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091PublicSupportCY509Pct
Public Support PY5091.0PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$393,940OtherCostOrOtherBasisAmt
Depreciation$109,234DepreciationAmt
Book Value$284,706BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,833OtherCostOrOtherBasisAmt
Depreciation$24,657DepreciationAmt
Book Value$126,176BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$410,882TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM OLHS-NLDesc
Book Value$1,889,009BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,889,009TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: OLHS-NL QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET. THE TAX CUTS AND JOBS ACT (THE ACT) WAS ENACTED ON DECEMBER 22, 2017. THE PROVISIONS OF THE ACT DID NOT HAVE A MATERIAL TAX EFFECT ON OLHS-NL'S CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT WILL CONTINUE TO EVALUATE THE IMPACT OF THE ACT AND MAY RECORD ADJUSTMENTS AS ADDITIONAL INFORMATION AND GUIDANCE ARE RELEASED FROM THE INTERNAL REVENUE SERVICE (IRS).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3 Delegation of management dutiesOchsner Clinic Foundation entered into a management agreement to provide management services, billing and collection services and administrative support for certain hospital and healthcare operations in Shreveport and Monroe. Also, Ochsner acquired the Electronic Health Records licenses and fully manages the Information Services function. The Directors appointed to the board that are employed as Executives and Physicians by Ochsner Clinic Foundation did not receive any additional compensation by the management company for their duties. The following individuals were compensated as executives and physicians by the management company: 1. PETER NOVEMBER - $0 2. VINCENT ADOLPH MD - $0 3. SHELLEY SULLIVAN TYNAN - $0 4. CHARLES DAIGLE - $459,317 5. VERNON MOORE - $0 6. STEPHEN RANDALL - $282,730
Form 990, Part VI, Line 4 Significant changes to organizational documentsBelow is a summary of the Significant Changes: a. Composition of Board - The board is made of the Joint Management Committee, 4 LSU Designated Directors & 4 Ochsner Designated Directors, with the Chair of the Board changing every 2 years between the LSU & Ochsner Designated Directors. All directors serve an indefinite term. b. Officers - Appointed by the CEO instead of by the Board, apart from the CEO who is appointed by the Chancellor of LSU Health Sciences Center. Also, the CEO must be a Physician at LSU Health Sciences Center - Shreveport. c. Stockholders - Sole owned by OLHS-NL d. Amend Documents/Bylaws - The bylaws were amended after the acquisition by OLHS-NL on October 1, 2018. e. Voting Approval Requirement - A 2/3 Majority of Each of the Designated Director Groups. In The event of a deadlock, the subject being voted upon will be brought before the Member, OLHS-NL, and its board to final determination on the matter. f. Policies - The Board adopted a Conflicts of Interest Policy in the updated bylaws. g. Committee - Since the corporation is solely owned by OLHS-NL, then it is under the authority of their Audit Committee. At a future time, the corporation may elect to have committees, but at this time does not have any.
Form 990, Part VI, Line 6 Classes of members or stockholdersLSU-Health Sciences Center- Shreveport Faculty Group Practice is a wholly owned subsidiary of Ochsner LSU Health System of North Louisiana, a related 501(c)(3) organization, and a supported organization. LSU-Health Sciences Center- Shreveport Faculty Group Practice is organized on a non-stock membership basis, and as of October 1, 2018 the sole Member of the Corporation is Ochsner LSU Health System of North Louisiana.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersIn the event of a final vote that results in a deadlock, the Directors may bring the matter before the Member and the board of directors of the Member will make the final determination on the matter, consistent with Section 4.14N of these Bylaws.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE FULL BOARD OF DIRECTORS ONCE REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM, ERNST & YOUNG U.S. LLP
Form 990, Part VI, Line 12c Conflict of interest policyOFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR, IN CONJUNCTION WITH THE CONFLICT OF INTEREST STEERING COMMITTEE, WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesManagement jobs are assigned to pay ranges where the midpoint is aligned to the 50th percentile of salary survey data. Upon hire, management salaries are based upon applicable skills and experience relevant to the job and pay range. Merit increases are awarded annually thereafter based upon performance. Off-cycle adjustments may be provided due to market movement to ensure alignment with the competitive market.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST
Form 990, Part XII, Line 2c Change in Oversight Process or Selection ProcessThe organization became a wholly owned subsidiary of OLHS-NL, and is included in the Consolidated Audit. The oversight process of these financial statement is the Audit Committee of OLHS-NL. This change in the oversight process resulted in the change of the Auditor of the Financial Statements and Reviewer of the Tax Return from Carr Riggs & Ingram LLC to Ernst & Young U.S. LLP.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA
1431 DALZELL STREETSHREVEPORTLA71103831605004PATIENT CARELA501(c)(3)3NAfalse
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER-SHREVEPORT
1501 KINGS HIGHWAYSHREVEPORTLA71103720702002MEDICAL FACILITYLA501(c)(3)3NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA
L$16,500,000INTERCOMPANY BILLINGS - MKT VALUE
OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA
S$1,889,009INTERCOMPANY BILLINGS - MKT VALUE
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER-SHREVEPORT
M$28,551,769MKT VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2 LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER-SHREVEPORTFormAndLineReferenceDesc
ExplanationLOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER-SHREVEPORT, (LSUHSC-S), AND LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE , (LSU FGP), WERE RELATED ORGANIZATIONS DURING FISCAL YEAR ENDED JUNE 30, 2019. HOWEVER, THIS RELATIONSHIP ENDED ON OCTOBER 1, 2018 AND LSUHSC-S AND LSU FGP ARE NO LONGER RELATED. HENCE, NEITHER ENTITY WILL BE REPORTED AS SUCH ON EITHER OF THE ORGANIZATIONS 2019 FORM 990'S FOR THE FISCAL YEAR ENDING JUNE 30, 2020.ExplanationTxt