LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 (EIN 72-6012041)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201911349349300341
- Schema version
- 2017v2.2
- 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
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T05:42:53-07:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721199304 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Langlinais Broussard & Kohlenberg | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2419 Veterans Memorial Drive | AddressLine1Txt |
| City | Abbeville | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 726012041 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAFOURCHE PARISH HOSPITAL SERVICE DIST 1 | BusinessNameLine1Txt |
| Business Name Line2 | DBA LADY OF THE SEA GENERAL HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAFO | BusinessNameControlTxt |
| Phone | 9856326401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W 134TH PL | AddressLine1Txt |
| City | CUT OFF | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70345 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACQUELYN RICHOUX | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARRETT B PERRY CPA | PreparerPersonNm |
| PTIN | P01640100 | PTIN |
| Phone | 3378936232 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN COLLINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 WEST 86TH STREET | AddressLine1Txt |
| City | CUT OFF | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70345 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,723,515 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.losgh.org | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | HOSPITAL SERVICES, RURAL HEALTH CLINICS, AND HOME HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 378 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $1,480,473 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$3,956,130 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,112,993 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,343,410 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,295,924 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,416,408 | CYProgramServiceRevenueAmt |
| PY Investment Income | $43,942 | PYInvestmentIncomeAmt |
| CY Investment Income | $117,166 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,836,116 | PYOtherRevenueAmt |
| CY Other Revenue | $4,344,375 | CYOtherRevenueAmt |
| PY Total Revenue | $32,288,975 | PYTotalRevenueAmt |
| CY Total Revenue | $33,221,359 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,999 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,553 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,032,730 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,991,441 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,141,012 | PYOtherExpensesAmt |
| CY Other Expenses | $17,388,697 | CYOtherExpensesAmt |
| PY Total Expenses | $32,180,741 | PYTotalExpensesAmt |
| CY Total Expenses | $31,389,691 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $108,234 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,831,668 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,891,163 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,181,393 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,082,555 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,541,117 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,808,608 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,640,276 | NetAssetsOrFundBalancesEOYAmt |
| Mission | LADY OF THE SEA GENERAL HOSPITAL EXISTS TO PROVIDE HIGH QUALITY HEALTHCARE IN A PERSONALIZED MANNER TO THOSE WE SERVE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,006,064 | ExpenseAmt |
| Grant | $3,343,410 | GrantAmt |
| Revenue | $28,397,476 | RevenueAmt |
| Desc | LADY OF THE SEA GENERAL HOSPITAL EXISTS TO PROVIDE HIGH QUALITY HEALTHCARE IN A PERSONALIZED MANNER TO THOSE WE SERVE | Desc |
| Total Program Service Expenses | $28,006,064 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | Yes (true) | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 378 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE RICHOUX | PersonNm |
| Phone | 9856328347 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 W 134TH PL | AddressLine1Txt |
| City | CUT OFF | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70345 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DARREN DUET | ||||||||
| Chairman | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NEIL MARTIN | ||||||||
| VICE CHAIRMAN | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL CHIQUET | ||||||||
| Secretary | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES M CALLAIS | ||||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DIONNE AUSTIN | ||||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN COLLINS | ||||||||
| CEO | 40.00 | 0.00 | $146,363 | $0 | $1,096 | Yes (X) | ||
| LLOYD GUIDRY JR | ||||||||
| COO | 40.00 | 0.00 | $181,941 | $0 | $663 | Yes (X) | ||
| HOLLY GRIFFIN | ||||||||
| CNO | 40.00 | 0.00 | $100,885 | $0 | $614 | Yes (X) | ||
| BENNIE SMITH | ||||||||
| CIO | 40.00 | 0.00 | $104,805 | $0 | $731 | Yes (X) | ||
| TAD LAFONT | ||||||||
| CCO | 40.00 | 0.00 | $93,542 | $0 | $388 | Yes (X) | ||
| JACQUELYN RICHOUX | ||||||||
| CFO | 40.00 | 0.00 | $126,974 | $0 | $718 | Yes (X) | ||
| JAY J VEGA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $374,578 | $0 | $13,119 | Yes (X) | ||
| MONTE M BONNEVAL | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $350,000 | $0 | $14,342 | Yes (X) | ||
| CAMILLE C PITRE | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $329,884 | $0 | $11,880 | Yes (X) | ||
| SHAWN HUMPHRIES | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $301,988 | $0 | $13,833 | Yes (X) | ||
| WILLIAM W CRENSHAW | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $394,275 | $0 | $12,586 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,505,235 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $69,970 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN FUNDS SERVICE | |||||
| PO BOX 2280 | NORFOLK | VA | 235012280 | SERVICES | $1,035,319 |
| REHABCARE GROUP INC | |||||
| 7843 PARK AVE | HOUMA | LA | 70364 | SERVICES | $690,639 |
| GE HEALTHCARE | |||||
| 20225 WATERTOWER BLVD | BROOKFIELD | WI | 53045 | SERVICES | $588,110 |
| GILSBAR INC FINANCE DEPARTMENT | |||||
| 2100 CONVINGTON CENTRE | COVINGTON | LA | 70433 | SERVICES | $586,069 |
| FISHER HEALTHCARE | |||||
| 24615 EISENHOWER DR | PLAQUEMINE | LA | 70764 | SERVICES | $544,082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,343,410 | GovernmentGrantsAmt |
| Total Contributions | $3,343,410 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE | Desc |
| Total Revenue Column | $25,416,408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,416,408 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,416,408 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,166 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,825 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,825 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,825 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,825 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,982,629 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,502,156 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,480,473 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,480,473 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROPERTY TAX AND MISC INC | Desc |
| Total Revenue Column | $2,837,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,837,077 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,837,077 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,221,359 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,397,476 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,480,473 | UnrelatedBusinessRevenueAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,553 | TotalAmt |
| Program Services | $9,553 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,720 | TotalAmt |
| Management And General | $758,720 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,184,407 | TotalAmt |
| Program Services | $7,359,948 | ProgramServicesAmt |
| Management And General | $1,824,459 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,238 | TotalAmt |
| Program Services | $387,238 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,661,076 | TotalAmt |
| Program Services | $3,661,076 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,541 | TotalAmt |
| Management And General | $114,541 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,640 | TotalAmt |
| Management And General | $91,640 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,810 | TotalAmt |
| Management And General | $40,810 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,080 | TotalAmt |
| Program Services | $692,831 | ProgramServicesAmt |
| Management And General | $396,249 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,295 | TotalAmt |
| Program Services | $11,851 | ProgramServicesAmt |
| Management And General | $101,444 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,644,085 | TotalAmt |
| Program Services | $1,644,085 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,037 | TotalAmt |
| Program Services | $25,037 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,763 | TotalAmt |
| Management And General | $31,763 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,242 | TotalAmt |
| Program Services | $61,242 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,638 | TotalAmt |
| Program Services | $172,638 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,989 | TotalAmt |
| Program Services | $1,509,989 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,926 | TotalAmt |
| Program Services | $581,926 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ADD: NET LOSS ON FORM 990T | $3,956,130 | $3,956,130 |
| GROUP 924FB ALL OTHER EXP/ PUR | $3,285,559 | $3,285,559 |
| GROUP 924S SUPPLIES | $1,547,361 | $1,547,361 |
| GROUP 924BD BAD DEBT EXPENSE | $1,087,369 | $1,087,369 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,036,232 | TotalAmt |
| Program Services | $2,012,231 | ProgramServicesAmt |
| Management And General | $24,001 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,389,691 | TotalAmt |
| Program Services | $28,006,064 | ProgramServicesAmt |
| Management And General | $3,383,627 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $964,993 | BOYAmt |
| EOY | $1,931,676 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,298,564 | BOYAmt |
| EOY | $2,998,315 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,730 | BOYAmt |
| EOY | $599,269 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $793,830 | BOYAmt |
| EOY | $727,145 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,050 | BOYAmt |
| EOY | $391,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $37,453,307 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,473,217 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,634,610 | BOYAmt |
| EOY | $10,980,090 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,623,054 | BOYAmt |
| EOY | $8,815,971 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,545,332 | BOYAmt |
| EOY | $3,737,649 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,891,163 | BOYAmt |
| EOY | $30,181,393 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $795,691 | BOYAmt |
| EOY | $857,200 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,974,000 | BOYAmt |
| EOY | $2,533,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,220,537 | BOYAmt |
| EOY | $2,022,616 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,092,327 | BOYAmt |
| EOY | $2,128,301 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,082,555 | BOYAmt |
| EOY | $7,541,117 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,808,608 | BOYAmt |
| EOY | $22,640,276 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,808,608 | BOYAmt |
| EOY | $22,640,276 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,891,163 | BOYAmt |
| EOY | $30,181,393 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,831,668 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $651,350 | OtherCostOrOtherBasisAmt |
| Book Value | $651,350 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,801,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,473,217 | DepreciationAmt |
| Book Value | $10,328,740 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,980,090 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTY PAYORS | $2,223,312 |
| HOSPITAL INVENTORY | $508,501 |
| OTHER ASSETS | $214,659 |
| OTHER RECEIVABLES | $791,176 |
| Rounding | $1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,737,649 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| A/R CREDIT BALANCES | $250,796 |
| ACCRUED SALARIES, BENEFITS AND RELATED W | $741,521 |
| ACCRUED SELF-INSURANCE | $295,161 |
| DUE TO THIRD PARTY PAYORS | $774,040 |
| INTEREST PAYABLE | $66,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,128,301 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,494 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,818,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $944,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,873,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $534,038 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $534,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,428,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $944,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,483,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,428,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $944,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,483,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14280 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,087,369 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $408,555 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,915,070 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,005,158 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$90,088 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LADY OF THE SEA GENERAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WEST 134 PLACE | AddressLine1Txt |
| City | CUT OFF | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70345 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.LOSGH.ORG | WebsiteAddressTxt |
| State License | 176 | StateLicenseNum |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LADY OF THE SEA GENERAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.losgh.org | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.losgh.org | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.losgh.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.losgh.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.losgh.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | See attached copy of CHNA with this return. |
| Part V, Line 16j - Other Means Hospital Facility Publicized the Policy | Language line translation services are available to FAP applicants |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | FAP Eligible individuals are discounted 100% for services received. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI, Line 3 - Patient Education of Eligibility for Assistance | FormAndLineReferenceDesc |
| Explanation | 1.All patients who present to the hospital for services and are uninsured, are given the contact information for our Financial Assistance office.2.Uninsured patients also receive a letter in the mail regarding our Financial Assistance program.3.Any patient who inquires about financial assistance, is referred to our Financial Assistance office. 4.All patients who are interested in applying for financial assistance are assisted with applying for Medicaid and Lady of the Sea General Hospitals Charity Care Program.5. The general patient population may view financial assistance policy on hospital website. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS AND TUITION ASSISTANCE | GrantTypeTxt |
| Recipient | 6 | RecipientCnt |
| Cash Grant | $9,553 | CashGrantAmt |
| Valuation Method Used | COST | ValuationMethodUsedDesc |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| CAMILLE C PITRE | |||
| PHYSICIAN | $329,884 | $11,880 | $341,764 |
| JAY J VEGA | |||
| PHYSICIAN | $374,578 | $13,119 | $387,697 |
| LLOYD GUIDRY JR | |||
| COO | $181,941 | $663 | $182,604 |
| MONTE M BONNEVAL | |||
| PHYSICIAN | $350,000 | $14,342 | $364,342 |
| SHAWN HUMPHRIES | |||
| PHYSICIAN | $301,988 | $13,833 | $315,821 |
| WILLIAM W CRENSHAW | |||
| PHYSICIAN | $394,275 | $12,586 | $406,861 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd |
|---|---|---|---|---|---|
| LAFOURCHE PARISH HOSPITAL | |||||
| A | 726012041 | 2013-10-03 | $3,000,000 | G.O BONDS SERIES 2013 | false |
| LAFOURCHE PARISH HOSPITAL | |||||
| B | 726012041 | 2012-07-18 | $2,153,000 | G.O BONDS SERIES 2012 | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Advance RefundingAdvanceRefundingInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Current RefundingCurrentRefundingInd |
|---|---|---|---|---|
| A | $180,000 | false | Yes (true) | |
| B | $246,000 | Yes (true) | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WENDY H DUET | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF CHAIRMAN | RelationshipDescriptionTxt |
| Transaction | $62,898 | TransactionAmt |
| Transaction | COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee | THE BOARD OF COMMISSIONERS, AT ITS DISCRETION, MAY DESIGNATE ONE (1) OR MORE COMMITTEES, TO SERVE AT THE PLEASURE OF THE BOARD OF COMMISSIONERS, EACH OF WHICH SHALL BE COMPOSED OF ONE (1) OR MORE BOARD MEMBERS (NOT TO EXCEED TWO (2) BOARD MEMBERS), COMMITTEE MEMBERS DESIGNATED BY THE BOARD, AND MAY ALSO INCLUDE NON-VOTING ADVISORY MEMBERS AS NEEDED. ANY COMMITTE THAT REVIEWS ISSUES AFFECTING THE DISCHARGE OF MEDICAL STAFF RESPONSIBILITIES MUST INCLUDE MEDICAL STAFF MEMBERS, AND IF SUCH MEDICAL STAFF MEMBERS ARE NOT ALSO BOARD MEMBERS, THEN THEY SHALL SERVE ON SUCH COMMITTE IN A NON-VOTING ADVISORY CAPACITY. ANY COMMITTES SHALL BE STANDING AND SPECIAL. STANDING COMMITTES SHALL BE: FINANCE COMMITTE, BUILDING/ GROUNDS COMMITTE; HUMAN RESOURCES COMMITTE; THE JOINT CONFERENCE COMMITTE; AND QUALITY COUNCIL COMMITTE. ALL OTHER COMMITTES SHALL BE SPECIAL COMMITTES. THE BOARD OF COMMISSIONERS MAY DELEGATE TO ANY BOARD OF COMMISSIONERS COMMITTE ANY BOARD OF COMMISSIONERS POWER OR AUTHORITY AS SET FORTH HERIN EXCEPT FOR THE POWER OR AUTHORITY PERTAINING TO THE AMENDMENT OF THESE BY-LAWS. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | THE WIFE OF CHAIRMAN OF THE BOARD OF COMMISIONERS IS LABORATORY MANAGER IN THE ORGANIZATION. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | "BOARD MEMBER" OR "MEMBER" OR "TRUSTEE" MEANS A MEMBER OF THE BOARD OF COMMISSIONERS OF HOSPITAL. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | IRS FORM 990 IS SUBMITTED IN DRAFT FORM TO THE GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE SUBMISSION TO THE IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | EACH COMMISSIONER SHALL COMPLETE AND SIGN ANNUALLY THE CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT, DISCLOSING TO THE BOARD ANY CONFLICT OF INTEREST THE COMMISSIONER MAY HAVE IN ANY CONTRACT OR TRANSACTION THE BEFORE THE BOARD, OR ANY CONFLICT OF INTERST THAT MAY BE CREATED BY A CONTRACT, TRANSACTION OR RELATIONSHIP THAT THE COMMISSIONER IS CONTEMPLATING ENTERING.IN ADDITION, THE ORGANIZATION OBTAINS THE POLICY OF CONFLICT OF INTEREST. EMPLOYEES ARE CAUTIONED AGAINST MAINTAINING ANY OUTSIDE BUSINESS OR FINANCIAL INTEREST OR ENGAGING IN ANY OUTSIDE BUSINESS OR FINANCIAL ACTIVITY WHICH CONFLICTS WITH THE INTERESTS OF THE HOSPITAL OR WHICH INTERFERES WITH HIS OR HER ABILITY TO DISCHARGE HIS OR HER DUTIES FULLY. AN EMPLOYEE'S POSITION MUST NEVER BE USED TO PROMOTE OR ADVANCE PERSONAL GAIN DIRECTLY OR INDIRECTLY. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1 DBA LADY OF THE SEA HOSPITAL THROUGH ITS BOARD OF COMMISSIONERS AND CEO ENTER INTO AN EMPLOYMENT AGREEMENT WHICH IS EFFECTIVE ON AUGUST 26, 2013 AND SHALL CONTINUE FOR A PERIOD OF FIVE (5) YEARS FROM THE START DATE. BEGINNING ON THE START DATE, THE ORGANIZATION SHALL PAY EMPLOYEE AN ANNUAL GROSS SALARY, TO BE PAID BI-WEEKLY. PAYMENTS SHALL BE SUBJECT TO DEDUCTIONS FOR ALL TAXES AND WITHHOLDINGS REQUIRED BY APPLICABLE LAW. THE ORGANIZATION SHALL INCREASE EMPLOYEE'S BASE SALARY FIVE (5) % ANNUALLY BEGINNING SEPTEMBER 1, 2014. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | ACCORDING TO THE AVAILABILITY OF GOVERNMENT RETURNS POLICY, CFO IS RESPONSIBLE FOR PUBLIC ACCESS TO THE INFORMATION RETURNS. INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAFOURCHE PARISH GOVERNMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO DRAWER 5548 | AddressLine1Txt |
| City | THIBODAUX | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 726000634 | EIN |
| Primary Activities | LOCAL GOVERNMENT | PrimaryActivitiesTxt |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |