SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201613209349305811
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T11:00:16-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721202445 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSTLETHWAITE & NETTERVILLE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8550 UNITED PLAZA BLVD SUITE 1001 | AddressLine1Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70809 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720551963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A LAKE CHARLES MEMORIAL HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 3374943202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 OAK PARK BOULEVARD | AddressLine1Txt |
| City | LAKE CHARLES | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY GRAHAM | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 3374943204 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GAIL H PITTMAN | PreparerPersonNm |
| PTIN | P01429086 | PTIN |
| Phone | 2259224600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LARRY GRAHAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 OAK PARK BOULEVARD | AddressLine1Txt |
| City | LAKE CHARLES | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $335,108,946 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LCMH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTHCARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3165 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $440,364 | PYContributionsGrantsAmt |
| CY Contributions Grants | $528,458 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $319,473,325 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $332,827,415 | CYProgramServiceRevenueAmt |
| PY Investment Income | $652,379 | PYInvestmentIncomeAmt |
| CY Investment Income | $653,384 | CYInvestmentIncomeAmt |
| PY Other Revenue | $437,391 | PYOtherRevenueAmt |
| CY Other Revenue | $1,066,178 | CYOtherRevenueAmt |
| PY Total Revenue | $321,003,459 | PYTotalRevenueAmt |
| CY Total Revenue | $335,075,435 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,475 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $112,785,594 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $112,221,080 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,765,476 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $188,829,625 | PYOtherExpensesAmt |
| CY Other Expenses | $200,445,360 | CYOtherExpensesAmt |
| PY Total Expenses | $301,655,694 | PYTotalExpensesAmt |
| CY Total Expenses | $312,678,940 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,347,765 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $22,396,495 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $243,662,455 | TotalAssetsBOYAmt |
| Total Assets EOY | $232,453,307 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $162,230,272 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $181,136,022 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,432,183 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,317,285 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF LAKE CHARLES MEMORIAL HOSPITAL IS TO IDENTIFY AND IMPROVE THE HEALTH OF THE PEOPLE OF SOUTH LOUISIANA AND EAST TEXAS BY PROVIDING A FULL SPECTRUM OF INNOVATIVE SERVICES-INCLUDING HEALTH EDUCATION, DISEASE PREVENTION, AND DIAGNOSTIC AND TREATMENT OPTIONS-IN A PERSONALIZED, CARING AND SAFE MANNER THROUGHOUT THE REGION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,881,508 | ExpenseAmt |
| Grant | $12,500 | GrantAmt |
| Revenue | $2,270,507 | RevenueAmt |
| Desc | LAKE CHARLES MEMORIAL HOSPITAL2015 COMMUNITY BENEFITS SUMMARYI. INTRODUCTIONAS A COMMUNITY-BASED HOSPITAL, IT IS LAKE CHARLES MEMORIAL HOSPITAL'S MISSION TO HELP IMPROVE THE HEALTH AND WELLNESS OF THE SOUTHWEST LOUISIANA COMMUNITY. WHILE IT IS OUR LEGAL RESPONSIBILITY TO PROVIDE MEDICAL CARE TO ANYONE IN NEED REGARDLESS OF HIS OR HER ABILITY TO PAY, MEMORIAL ALSO PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY SERVICE PROGRAMS, INCLUDING EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS, FREE OF CHARGE OR AT A GREATLY REDUCED COST TO THE CONSUMER. SPORTS MEDICINE, COMMUNITY EVENTS AND SEMINARSTHE SPORTS MEDICINE ALLIANCE PROVIDED PRE-PARTICIPATION PHYSICALS FOR AREA ATHLETES, ATHLETIC ASSESSMENTS, LECTURES, IN-SERVICES, WORKSHOPS, SPORTS CAMPS AND CLINICS, STUDENT TRAINER SCHOLARSHIPS, ATHLETIC TRAINER COVERAGE AT AREA SPORTING EVENTS, SPECIAL EVENTS AND MORE FREE OF CHARGE OR FOR A MINIMAL FEE TO THE PARTICIPANTS. COMMUNITY BENEFIT-$109,820 EACH YEAR, LCMH PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND INFORMATIONAL BOOTHS AT A VARIETY OF COMMUNTIY EVENTS. THE HOSPITAL ALSO PROVIDES FREE SPEAKERS TO CIVIC GROUPS AND THER ORGANIZATIONS. THIS COMMITMENT TO HEALTH AND WELLNESS EDUCATION TAKES MEMORIAL PROFESSIONALS INTO THE FIVE PARISH AREA TO STAFF INDUSTRIAL, CORPORATE AND SCHOOL HEALTH FAIRS. THE HOSPITAL CONTRIBUTED A NET $69,098 IN SPECIAL EVENTS AND SEMINARS.COMMUNITY BENEFIT: $69,098III. HEALTH PROFESSIONALS EDUCATIONLAKE CHARLES MEMORIAL INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2015, LCMH SPENT $3,611,001 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM.COMMUNITY BENEFIT:$3,611,001CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES.COMMUNITY BENEFIT:$46,175MEMORIAL'S TOTAL 2015 NET COMMUNITY CONTRIBUTIONS - $3,836,094 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $76,504,064 | ExpenseAmt |
| Revenue | $76,077,667 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT AND OUT- PATIENT SERVICES THROUGH A 29-BED LONG-TERM CARE FACILITY, A 339-BED ACUTE CARE FACILITY AND SEVERAL OUTPATIENT CLINICS. DURING 2013 LAKE CHARLES MEMORIAL HOSPITAL TOOK OVER THE OPERATIONS OF THE PREVIOUSLY STATE OPERATED W.O. MOSS REGIONAL HOSPITAL, WHICH WAS CLOSED. LCMH MOVED THE INPATIENT SURGERY AND EMERGENCY SERVICES TO OUR ACUTE CARE HOSPITAL. W.O. MOSS EMERGENCY ROOM WAS CONVERTED TO AN URGENT CARE CLINIC. LCMH MAINTAINED THE OUTPATIENT CLINICS AT THAT SITE AND ARE CURRENTLY OPERATED AS PROVIDER-BASED CLINICS UNDER THE NAME OF W.O. MOSS MEMORIAL HEALTH CLINIC. W.O. MOSS MEMORIAL HEALTH CLINIC AND LAKE CHARLES MEMORIAL HOSPITAL SIGNIFICANTLY EXPANDED SPECIALTY SERVICES IN ORDER TO ENHANCE THE SCOPE AND QUALITY OF HEALTHCARE TO THE UNDERSERVED IN THE SWLA COMMUNITY.CHARITY CAREMEMORIAL PROVIDES MEDICAL CARE TO MEDICAID AND INDIGENT RECIPIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2015, MEMORIAL HOSPITAL PROVIDED $169,118 IN UN-REIMBURSED MEDICAID COSTS AND $257,279 IN UNREIMBURSED CHARITY CARE COSTS AS PROVIDED FOR IN THE CEA WITH THE STATE AND LSU. COMMUNITY BENEFIT-$426,397 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $210,750,795 | ExpenseAmt |
| Revenue | $255,307,116 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES THROUGH A 29-BED LONG-TERM ACUTE CARE FACILITY, A 339-BED ACUTE CARE FACILITY AND SATELLITE LOCATIONS. ADDITIONALLY, DURING 2013 LAKE CHARLES MEMORIAL HOSPITAL TOOK OVER THE OPERATIONS OF THE PREVIOUSLY STATE-OPERATED W O MOSS REGIONAL HOSPITAL. LCMH MOVED THE INPATIENT, SURGERY AND EMERGENCY SERVICES TO OUR ACUTE CARE HOSPITAL. W O MOSS EMERGENCY ROOM WAS CONVERTED TO AN URGENT CARE CLINIC. LCMH MAINTAINED THE OUTPATIENT CLINICS AT W O MOSS MEMORIAL HEALTH CLINIC AND SIGNIFICANTLY EXPANDED SPECIALTY SERVICES IN ORDER TO ENHANCE THE SCOPE AND QUALITY OF HEALTHCARE TO THE UNDERSERVED IN THE SWLA COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $293,136,367 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 357 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3165 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES WHITSON CHIEF FINANCIAL OF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3374943202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 OAK PARK BLVD | AddressLine1Txt |
| City | LAKE CHARLES | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 706018911 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ULYSSES GENE THIBODEAUX | ||||||||||
| PAST CHAIRMAN | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| LOUIS M TODD SR | ||||||||||
| CHAIRMAN-ELECT/VICE CHAIR/ | 1.00 | 1.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ALAN LEBATO MD | ||||||||||
| ACTIVE TRUSTEE | 40.00 | 0.30 | Yes (X) | $120,000 | $0 | $0 | ||||
| CHARLES WHITSON CPA | ||||||||||
| SR.VICE PRESIDENT OF FINAN | 40.00 | 1.30 | Yes (X) | $306,048 | $0 | $23,973 | Yes (X) | |||
| MANLEY M JORDAN MD | ||||||||||
| ACTIVE TRUSTEE | 40.00 | Yes (X) | $438,210 | $0 | $27,932 | |||||
| LARRY GRAHAM | ||||||||||
| PRESIDENT/CEO & ASST SECRE | 40.00 | 1.30 | Yes (X) | $728,899 | $0 | $30,242 | Yes (X) | |||
| DENISE EMERSON RAU | ||||||||||
| CHAIRMAN | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| THOMAS SHEARMAN | ||||||||||
| ACTIVE TRUSTEE | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| BEN THOMPSON | ||||||||||
| PHYSICIAN / MED STAFF PAST PRES | 40.00 | 0.30 | Yes (X) | $514,280 | $0 | $23,793 | ||||
| JOE MILLER | ||||||||||
| ACTIVE TRUSTEE | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| MARK ABRAHAM | ||||||||||
| ACTIVE TRUSTEE | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD LEWIS JR | ||||||||||
| PHYSICIAN/MED STAFF PRES | 1.00 | 0.30 | Yes (X) | $373,505 | $0 | $22,175 | ||||
| MITCHELL ADRIAN MD | ||||||||||
| ACTIVE TRUSTEE | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| LEROY FREDERICKS MD | ||||||||||
| PHYSICIAN/MED STAFF PRES ELECT | 40.00 | Yes (X) | $852,490 | $0 | $27,932 | |||||
| KEVIN MOCKLIN | ||||||||||
| DIRECTOR OF COMPLIANCE | 40.00 | $257,885 | $0 | $21,878 | Yes (X) | |||||
| MARILYN MCSWAIN RN | ||||||||||
| SR.VICE PRESIDENT OF NURSI | 40.00 | $231,668 | $0 | $22,332 | Yes (X) | |||||
| BERNITA BROWN | ||||||||||
| VICE PRES OF SUPPORT SERVI | 40.00 | $180,200 | $0 | $20,751 | Yes (X) | |||||
| TIM COFFEY | ||||||||||
| SR.VICE PRES OF OPERATIONS | 40.00 | $303,709 | $0 | $17,169 | Yes (X) | |||||
| DONNA SHIELDS | ||||||||||
| ASST VICE PRES NURSING | 40.00 | $226,024 | $0 | $22,182 | Yes (X) | |||||
| TODD DELAHOUSSAYE | ||||||||||
| SR.VICE PRES OF PHYSICIAN | 40.00 | $221,216 | $0 | $14,852 | Yes (X) | |||||
| KATHLEEN DEROUEN | ||||||||||
| SR.VICE PRES OF MARKETING | 40.00 | $177,744 | $0 | $18,153 | Yes (X) | |||||
| LEIF PEDERSEN | ||||||||||
| VICE PRES OF PHILANTHROPHY | 40.00 | 1.00 | $167,198 | $0 | $26,706 | Yes (X) | ||||
| JASON J RASHALL | ||||||||||
| VICE PRES OF BUSINESS DEVE | 40.00 | $177,722 | $0 | $27,017 | Yes (X) | |||||
| BRETT CASCIO | ||||||||||
| PHYSICIAN | 40.00 | $1,822,658 | $0 | $25,150 | Yes (X) | |||||
| JEAN KING WHITE | ||||||||||
| PHYSICIAN | 40.00 | $1,223,682 | $0 | $15,096 | Yes (X) | |||||
| THOMAS AXELRAD | ||||||||||
| PHYSICIAN | 40.00 | $1,053,701 | $0 | $27,127 | Yes (X) | |||||
| KHALED NOUR | ||||||||||
| PHYSICIAN | 40.00 | $1,093,237 | $0 | $27,932 | Yes (X) | |||||
| ROBERT DUARTE MD | ||||||||||
| PHYSICIAN | 40.00 | $952,421 | $0 | $16,764 | Yes (X) | |||||
| CHRISTOPHER THOMPSON | ||||||||||
| PHYSICIAN/FORMER HCE&DIRECTOR | 40.00 | 0.30 | $880,656 | $0 | $4,846 | Yes (X) | ||||
| MICHAEL BROUSSARD MD | ||||||||||
| PHYSICIAN/FORMER HCE | 40.00 | $865,094 | $0 | $7,950 | Yes (X) | |||||
| NATHAN COHEN | ||||||||||
| PHYSICIAN/FORMER HCE | 40.00 | $950,019 | $0 | $23,973 | Yes (X) | |||||
| FRANCISCO MARRERO | ||||||||||
| PHYSICIAN/FORMER HCE | 40.00 | $936,357 | $0 | $27,269 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,054,623 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $523,194 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 164 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LEWING CONSTRUCTION INC | |||||
| PO BOX 5216 | LAKE CHARLES | LA | 706065216 | CONTRUCTION/CONTRACTOR | $16,513,587 |
| LSU HEALTH SCIENCE CENTER | |||||
| 433 BOLIVAR STREET | NEW ORLEANS | LA | 70112 | RESIDENCY PROGRAM | $4,080,824 |
| PROFESSIONAL EMERGENCY MEDICAL MANAGEMEN | |||||
| 1201 CAMELIA BLVD SUITE 207 | LAFAYETTE | LA | 70508 | ER MANAGEMENT | $1,908,489 |
| LA COMMERCIAL LAUNDRY | |||||
| PO BOX 503 | SCOTT | LA | 705830503 | LAUNDRY/LINEN SERVICES | $1,618,760 |
| INSTITUTE FOR NEUROPSYCHIATRY APMC | |||||
| 2829 4TH AVENUE | LAKE CHARLES | LA | 70601 | PSYCH SERVICES | $1,245,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 191 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $520,434 | GovernmentGrantsAmt |
| All Other Contributions | $8,024 | AllOtherContributionsAmt |
| Total Contributions | $528,458 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $329,195,395 | $329,195,395 |
| CAFETERIA | 900099 | $1,876,509 | $1,876,509 |
| MANAGEMENT FEES | 900099 | $1,755,511 | $1,755,511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $332,827,415 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $686,895 | TotalRevenueColumnAmt |
| Exclusion | $686,895 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $204,792 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $204,792 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,792 | TotalRevenueColumnAmt |
| Exclusion | $204,792 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,244 | SecuritiesAmt |
| Other | $7,267 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$26,244 | SecuritiesAmt |
| Other | -$7,267 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,511 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$33,511 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCOME FROM SECOND AVENUE MRI, LL | 621990 | $812,594 | $812,594 |
| INCOME FROM LA PET/CT IMAGING LAK | 621990 | $54,656 | $54,656 |
| NET INCOME FROM GIFT SHOP | 453220 | -$5,864 | -$5,864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $861,386 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $335,075,435 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,655,290 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $891,687 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,500 | TotalAmt |
| Program Services | $12,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,054,623 | TotalAmt |
| Program Services | $5,269,118 | ProgramServicesAmt |
| Management And General | $8,731,681 | ManagementAndGeneralAmt |
| Fundraising | $1,053,824 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,151,756 | TotalAmt |
| Program Services | $72,054,480 | ProgramServicesAmt |
| Management And General | $1,097,276 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,658 | TotalAmt |
| Program Services | $1,761,709 | ProgramServicesAmt |
| Management And General | $223,939 | ManagementAndGeneralAmt |
| Fundraising | $24,010 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,798,769 | TotalAmt |
| Program Services | $13,849,539 | ProgramServicesAmt |
| Management And General | $1,760,478 | ManagementAndGeneralAmt |
| Fundraising | $188,752 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,206,274 | TotalAmt |
| Program Services | $5,440,552 | ProgramServicesAmt |
| Management And General | $691,574 | ManagementAndGeneralAmt |
| Fundraising | $74,148 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,578,010 | TotalAmt |
| Program Services | $1,527,514 | ProgramServicesAmt |
| Management And General | $46,551 | ManagementAndGeneralAmt |
| Fundraising | $3,945 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,214 | TotalAmt |
| Program Services | $335,135 | ProgramServicesAmt |
| Management And General | $10,213 | ManagementAndGeneralAmt |
| Fundraising | $866 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,436,385 | TotalAmt |
| Program Services | $11,070,421 | ProgramServicesAmt |
| Management And General | $337,373 | ManagementAndGeneralAmt |
| Fundraising | $28,591 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435,239 | TotalAmt |
| Program Services | $1,191,248 | ProgramServicesAmt |
| Management And General | $129,172 | ManagementAndGeneralAmt |
| Fundraising | $114,819 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,228,989 | TotalAmt |
| Program Services | $2,157,661 | ProgramServicesAmt |
| Management And General | $60,183 | ManagementAndGeneralAmt |
| Fundraising | $11,145 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,490 | TotalAmt |
| Program Services | $322,819 | ProgramServicesAmt |
| Management And General | $9,004 | ManagementAndGeneralAmt |
| Fundraising | $1,667 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,781,763 | TotalAmt |
| Program Services | $4,590,492 | ProgramServicesAmt |
| Management And General | $191,271 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,671,786 | TotalAmt |
| Program Services | $10,854,761 | ProgramServicesAmt |
| Management And General | $817,025 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,015,860 | TotalAmt |
| Program Services | $3,734,750 | ProgramServicesAmt |
| Management And General | $281,110 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $66,630,867 | $64,498,679 | $1,965,611 | $166,577 |
| BAD DEBT | $50,262,171 | $50,262,171 | ||
| PURCHASED SERVICES | $27,881,726 | $26,989,511 | $822,511 | $69,704 |
| SERVICE CONTRACTS | $6,311,596 | $6,109,625 | $186,192 | $15,779 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,531,264 | TotalAmt |
| Program Services | $11,103,682 | ProgramServicesAmt |
| Management And General | $415,933 | ManagementAndGeneralAmt |
| Fundraising | $11,649 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,678,940 | TotalAmt |
| Program Services | $293,136,367 | ProgramServicesAmt |
| Management And General | $17,777,097 | ManagementAndGeneralAmt |
| Fundraising | $1,765,476 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,824,581 | BOYAmt |
| EOY | $21,966,706 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,555,530 | BOYAmt |
| EOY | $39,195,476 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,949,218 | BOYAmt |
| EOY | $26,343,725 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,242,068 | BOYAmt |
| EOY | $5,943,604 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,598,240 | BOYAmt |
| EOY | $7,777,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $326,497,528 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $227,294,956 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,446,822 | BOYAmt |
| EOY | $99,202,572 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,995,902 | BOYAmt |
| EOY | $3,294,055 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,050,094 | BOYAmt |
| EOY | $28,729,800 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,662,455 | BOYAmt |
| EOY | $232,453,307 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,332,032 | BOYAmt |
| EOY | $70,049,315 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,050,000 | BOYAmt |
| EOY | $102,620,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,087,343 | BOYAmt |
| EOY | $3,805,043 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,760,897 | BOYAmt |
| EOY | $4,661,664 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,230,272 | BOYAmt |
| EOY | $181,136,022 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,432,183 | BOYAmt |
| EOY | $51,317,285 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,432,183 | BOYAmt |
| EOY | $51,317,285 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,662,455 | BOYAmt |
| EOY | $232,453,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $22,396,495 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,631 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$52,497,762 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $72,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $72,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL UTILIZED A LOBBYING FIRM TO ASSIST IN EDUCATING LEGISLATORS REGARDING THE ONGOING OPERATION OF MOSS MEMORIAL HEALTH CLINIC AFTER THE CLOSURE OF W.O. MOSS REGIONAL HOSPITAL (MOSS), A STATE RUN CHARITY HOSPITAL, AND THE COOPERATIVE ENDEAVOR AGREEMENT BETWEEN THE STATE OF LOUISIANA (STATE), LOUISIANA STATE UNIVERSITY (LSU) AND LAKE CHARLES MEMORIAL HOSPITAL (LCMH) WHEREBY LCMH LEASES THE ENTIRE MOSS FACILITY FROM LSU AND CONTINUES OPERATING THE AMBULATORY CLINICS AT THAT SITE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,163,634 | OtherCostOrOtherBasisAmt |
| Book Value | $6,163,634 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $157,839,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,532,437 | DepreciationAmt |
| Book Value | $54,306,791 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $888,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $888,186 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $149,413,378 | OtherCostOrOtherBasisAmt |
| Depreciation | $113,505,371 | DepreciationAmt |
| Book Value | $35,908,007 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,193,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,368,962 | DepreciationAmt |
| Book Value | $2,824,140 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $99,202,572 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $2,079,933 |
| ASSETS WHOSE USE IS LIMITED | $22,528,988 |
| DEFERRED FINANCING COSTS | $1,839,621 |
| OTHER RECEIVABLES | $2,178,753 |
| OTHER ASSET-MSO | $102,505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $28,729,800 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| BOND PREMIUM | $16,423 |
| INVESTMENT-AMRI | $4,645,241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,661,664 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIOINS. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,762,911 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,505,632 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $257,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,741,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,572,035 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,504,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,077,667 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $426,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,881,508 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,270,507 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,611,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $178,918 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $178,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,060,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,270,507 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,789,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,564,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,348,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,216,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,197,247 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,583,316 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $75,778,341 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $82,848,699 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,070,358 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 SECOND AVENUE MRI LLC | ||
| IMAGING | 0.51000 | 0.49000 |
| 2 LA PET IMAGING | ||
| IMAGING | 0.24500 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| LAKE CHARLES MEMORIAL HOSPITAL | ||||||||||
| 1 | 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | HO0001606 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| 2 | 2837 ERNEST STREET BLDG B | LAKE CHARLES | LA | 70601 | H0000170 | Yes (X) | LONG TERM ACUTE CARE | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Average Negotiated RatesAverageNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Medicare RatesMedicareRatesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE CHARLES MEMORIAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | HTTP://WWW.LCMH.COM/CHNA | Yes (X) | Yes (1) | 13 | Yes (1) | HTTP://WWW.LCMH.COM/CHNA | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 500.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.LCMH.COM | Yes (X) | WWW.LCMH.COM | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | HTTP://WWW.LCMH.COM/CHNA | Yes (X) | Yes (1) | 13 | Yes (1) | HTTP://WWW.LCMH.COM/CHNA | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 500.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.LCMH.COM | Yes (X) | WWW.LCMH.COM | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (X) | ||
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LAKE CHARLES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: INTERVIEWS WITH 28 KEY INFORMANTS WERE CONDUCTED OVER A TWO-DAY PERIOD IN SEPTEMBER 2012. INTERVIEWEES WERE DETERMINED BASED ON THEIR (A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, (B), THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR (C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. THE KEY INFORMANTS WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE, LOCAL CITY AND COUNTY GOVERNMENT, PUBLIC HEALTH AGENCIES, INDUSTRY, FAITH COMMUNITY AND MEDICAL PROVIDERS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. RESPONSES FROM THE INTERVIEWEES WERE GROUPED INTO 4 MAJOR CATEGORIES FOR DICSUSSION--GENERAL OPINIONS REGARDING HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED, BARRIERS TO HEALTH CARE, AND MOST IMPORTANT HEALTH AND QUALITY OF LIFE ISSUES. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED IN THE CHNA AND ARE CONSIDERED IN THE REPORT RECOMMENDATIONS. ADDITIONALLY A COMMUNITY WEB BASED AND PAPER BASED SURVEY WAS CONDUCTED TO GATHER BROAD COMMUNITY INPUT REGARDING HEALTH ISSUES. THE SURVEY WAS LAUNCHED ON SEPTEMBER 11, 2012 AND CLOSED ON DECEMBER 5, 2012. THE SUVERY WAS INTENDED TO GATHER INFORMATION REGARDING THE OVERALL HEALTH OF THE COMMUNITY. THE RESULTS OF THE SURVEY YIELD INFORMATION ON DIFFERENT HEALTH AND COMMUNITY FACTORS. AREAS SURVEYED INCLUDED DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS AND ACCESS TO HEALTH RESOURCES. THE SURVEY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY LAKE CHARLES MEMORIAL HOSPTIAL REPRESENTATIVES IN CONJUNCTION WITH BKD. |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | PART V, SECTION B, LINE 5: INTERVIEWS WITH 28 KEY INFORMANTS WERE CONDUCTED OVER A TWO-DAY PERIOD IN SEPTEMBER 2012. INTERVIEWEES WERE DETERMINED BASED ON THEIR (A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, (B), THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR (C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. THE KEY INFORMANTS WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE, LOCAL CITY AND COUNTY GOVERNMENT, PUBLIC HEALTH AGENCIES, INDUSTRY, FAITH COMMUNITY AND MEDICAL PROVIDERS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. RESPONSES FROM THE INTERVIEWEES WERE GROUPED INTO 4 MAJOR CATEGORIES FOR DISCUSSION--GENERAL OPINIONS REGARDING HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED, BARRIERS TO HEALTH CARE, AND MOST IMPORTANT HEALTH AND QUALITY OF LIFE ISSUES. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED IN THE CHNA AND ARE CONSIDERED IN THE REPORT RECOMMENDATIONS.ADDITIONALLY A COMMUNTIY WEB BASED AND PAPER BASED SURVEY WAS CONDUCTED TO GATHER BROAD COMMUNITY INPUT REGARDING HEALTH ISSUES. THE SURVEY WAS LAUNCHED ON SEPTEMBER 11, 2012 AND CLOSED ON DECEMBER 5, 2012. THE SURVEY WAS INTENDED TO GATHER INFORMATION REGARDING THE OVERALL HEALTH OF THE COMMUNITY. THE RESULTS OF THE SURVEY YIELD INFORMATION ON DIFFERENT HEALTH AND COMMUNTIY FACTORS. AREAS SURVEYED INCLUDED DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS AND ACCESS TO HEALTH RESOURCES. THE SURVEY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY LAKE CHARLES MEMORIAL HOSPITAL REPRESENTATIVES IN CONJUNCTION WITH BKD. |
| LAKE CHARLES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: THE FOLLOWING IDENTIFIED NEEDS WERE NOT ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THEY ARE ADDRESSED BY OTHERS IN DIFFERENT WAYS:1. DRUG ABUSE, EXCESSIVE DRINKING, CHILDREN IN POVERTY AND TRANSPORTATION--THERE ARE COMMUNITY AND STATE AGENCIES THAT HAVE GREATER EXPERTISE IN SUBSTANCE ABUSE, TRANSPORTATION AND IMPROVING POVERTY IN THE COMMUNITY. AT THE TIME THESE ISSUES ARE NOT INCORPORATED INTO THE COMMUNITY BENEFIT PLAN BECAUSE WE DO NOT HAVE THE INFRASTRUCTURE, EXPERTISE OR FUNDING NEEDED TO HAVE A SIGNIFICANT IMPACT IN THESE AREAS. 2. DENTAL CARE FOR UNINSURED CHILDREN WAS IDENTIFIED AS A NEED AND WE WILL BE PROVIDING DENTAL CARE THROUGH OUR MOSS MEMORIAL HEALTH CLINIC TO MEDICAID AND UNINSURED CHILDREN. 3. MENTAL HEALTH--WE DO CURRENTLY PROVIDE THE ONLY ADOLESCENT MENTAL HEALTH SERVICES IN SOUTHWEST LOUISIANA AND THE ONLY EMERGENCY PSYCHIATRIC TRIAGE PROGRAM TO ADDRESS EMERGENT MENTAL HEALTH ISSUES. BROKE GROUND ON NEW MENTAL HEALTH HOSPITAL IN 2016. |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | PART V, SECTION B, LINE 11: THE FOLLOWING IDENTIFIED NEEDS WERE NOT ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THEY ARE ADDRESSED BY OTHERS IN DIFFERENT WAYS:1. DRUG ABUSE, EXCESSIVE DRINKING, CHILDREN IN POVERTY AND TRANSPORTATION--THERE ARE COMMUNITY AND STATE AGENCIES THAT HAVE GREATER EXPERTISE IN SUBSTANCE ABUSE, TRANSPORTATION AND IMPROVING POVERTY IN THE COMMUNITY. AT THE TIME THESE ISSUES ARE NOT INCORPORATED INTO THE COMMUNITY BENEFIT PLAN BECAUSE WE DO NOT HAVE THE INFRASTRUCTURE, EXPERTISE OR FUNDING NEEDED TO HAVE AN SIGNIFICANT IMPACT IN THESE AREAS.2. DENTAL CARE FOR UNINSURED CHILDREN WAS IDENTIFIED AS A NEED AND WE WILL BE PROVIDING DENTAL CARE THROUGH OUR MOSS MEMORIAL HEALTH CLINIC TO MEDICAID AND UNINSURED CHILDREN.3. MENTAL HEALTH-- WE DO CURRENTLY PROVIDE THE ONLY ADOLESCENT MENTAL HEALTH SERVICES IN SOUTHWEST LOUISIANA AND THE ONLY EMERGENCY PSYCHIATRIC TRIAGE PROGRAM TO ADDRESS EMERGENT MENTAL HEALTH ISSUES. |
| LAKE CHARLES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS AND ARE POSTED ON OUR WEBSITE @ LCMH.COM. |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS AND ARE POSTED ON OUR WEBSITE @ LCMH.COM. |
| LAKE CHARLES MEMORIAL HOSPITAL | PART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY. |
| LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL | PART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | LCMH USES AN ASSET TEST MANDATED FOR MEDICARE PATIENTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | N/A |
| PART III, LINE 4: | THE FOLLOWING FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS: "THE SYSTEM MAINTAINS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, DOUBTFUL ACCOUNTS, AND CHARITY CARE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE SYSTEM DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE DISCHARGE DATE; HOWEVER, THE SYSTEM DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE SYSTEM CHARGES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTON OF THE OUTSTANDING BALANCES TO BE DOUBTFUL."COSTING METHODOLOGY IS OPERATING EXPENSE TIMES PAYOR MIX TIMES ALLOWABLE PERCENT. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST. |
| PART III, LINE 8: | COSTING METHODOLOGY USED FOR LINE 6 IS OPERATING EXPENSES TIMES PAYOR MIX TIMES 89% ALLOWABLE. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST. |
| PART III, LINE 9B: | THE COLLECTION POLICY IS THE SAME AS FOR THOSE WHO DON'T QUALIFY. THOSE ENTITLED TO FREE CARE HAVE NO COLLECTION ACTIVITY AS THERE IS NO REIMBURSEMENT EXPECTED FOR THEIR CARE. THOSE WHO QUALIFY FOR DISCOUNTED CARE WILL BE TREATED AS ANY OTHER PATIENT WHO HAS A BALANCE DUE THE HOSPITAL, JUST THAT THE BALANCE DUE WILL BE AT THE DISCOUNTED RATE FOR WHICH THEY QUALIFY. |
| PART VI, LINE 2: | LCMH PROVIDES PROGRAMS & ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH & HEALING. THESE SCREENINGS, SEMINARS, CLASSES, ETC. RESPOND TO THE NEEDS OF PERSONS LIVING IN OUR COMMUNITY AND IMPROVES OVERALL COMMUNITY HEALTH. MEMORIAL HOSPITAL PROVIDES COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, SUCH AS HEALTH SCREENINGS, SUPPORT GROUPS, SELF-HELP PROGRAMS, SUCH AS SMOKING CESSATION AND WEIGHT LOSS PROGRAMS, PASTORAL OUTREACH PROGRAMS AND SPIRITUAL CARE FOR THE WELL BEING OF OUR COMMUNITY. SEE 2015 ACTIVITIES AND 2013-2015 IMPLEMENTATION PLAN ACTIVITIES/RESULTS POSTED ON THE WEBSITE. |
| PART VI, LINE 3: | LCMH'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ONLINE AND MAY BE REQUESTED BY PHONE, EMAIL, AND ON SITE REQUEST. PATIENTS ARE PROVIDED BROCHURE AT ADMITTING EDUCATING THEM ABOUT THE AVAILABILTIY OF FINANCIAL ASSISTANCE AND HOW TO APPLY. |
| PART VI, LINE 4: | THE HOSPITAL IS LOCATED IN THE CITY OF LAKE CHARLES, LOUISIANA IN CALCASIEU PARISH. THE CITY OF LAKE CHARLES IN CONVENIENTLY LOCATED OFF INTERSTATE 10 BETWEEN HOUSTON, TX AND NEW ORLEANS, LA AND IS 30 MILES UPSTREAM FROM THE GULF OF MEXICO. LAKE CHARLES IS CONNECTED TO THE GULF BY MEANS OF A DEEP-WATER SHIP CHANNEL AND IS THE SEAT AND PORT OF ENTRY OF CALCASIEU PARISH. LAKE CHARLES IS THE FIFTH-LARGEST INCORPORATED CITY IN LOUISIANA, LOCATED ON LAKE CHARLES, PRIEN LAKE AND THE CALCASIEU RIVER. LAKE CHARLES IS A CULTURAL, INDUSTRIAL AND EDUCATIONAL CENTER IN THE SOUTHWEST REGION OF THE STATE. IT IS CONSIDERED A MAJOR CENTER OF PETROCHEMICAL REFINING, TOURISM, GAMING AND EDUCATION, WITH MCNEESE STATE UNIVERSITY AND SOWELA TECHNICAL COMMUNITY COLLEGE. BECAUSE OF THE LAKES AND WATERWAYS THROUGHOUT THE CITY, METROPOLITAN LAKE CHARLES IS OFTEN REFERRED TO AS THE LAKE AREA.THE LAKE AREA POPULATION IS APPROXIMATELY 200,000 WITH APPROXIMATELY 14% OF THE POPULATION BEING 65 OR OLDER. THE LAKE AREA RACIAL MAKEUP IS 61% WHITE, 33% BLACK, AND 6% OTHER. THE MEDIAN INCOME FOR THE AREA IS APPROXIMATELY $41,000 AND THE POVERTY RATE IS 17.6%. |
| PART VI, LINE 5: | N/A |
| FORM 990 SCHEDULE H PART V SECTION B | BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF LAKE CHARLES MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT:* THE 'COMMUNITY' SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL.* POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTY DATA SOURCES AS DESCRIBED IN CHNA (SEE IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF ILLNESS AND DEATH WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED.* AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED AND POSTED ON LCMH.COM.* COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF 27 STAKEHOLDERS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED. THE COMMUNITY HEALTH SURVEY WAS COMPLETED BY 106 INDIVIDUALS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT AND COMMUNITY HEALTH SURVEY OF THIS REPORT.*INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD THAT WEIGHS (1) THE SIZE OF THE PROBLEM, (2) THE SERIOUSNESS OF THE PROBLEM (3) THE PREVALENCE OF COMMON THEMES, (4) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS, (5) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY AND (6) WHETHER OR NOT THE HOSPITAL HAS EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED.* RECOMMENDATIONS BASED ON THIS ASSESSMENT WERE COMMUNICATED TO THE HOSPITAL AND AN IMPLEMENTATION PLAN TO ADDRESS KEY HEALTH NEEDS WAS DEVELOPED. |
| SUPPLEMENTAL INFORMATION: PROMOTION OF COMMUNITY HEALTH | PRIORITY: CHRONIC DISEASED PREVENTION AND MANAGEMENTGOAL 1: DECREASE POPULATION RISK FACTORS THROUGH CULTURALLY APPROPRIATE SUPPORT FOR HEALTHY LIFESTYLES. STRATEGIES: A. PROMOTE EDUCATION AND SCREENING OPPORTUNITIES THAT SUPPORT AWARENESS OF HEART DISEASE, DIABETES, AND CANCER, I.E. HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, TOBACCO-FREE LIFESTYLE AND MODERATE ALCOHOL USE. B. ACTIVELY PARTICIPATE IN COMMUNITY PARTNERSHIPS WHEREBY THE HOSPITALS CAN REACH OUT TO UNDERSERVED POPULATIONS THROUGH SCREENINGS AND HEALTH EDUCATION. C. IDENTIFY THOSE WHO WORK WITH UNDERSERVED, LOW-INCOME AND RACIAL/ETHNIC GROUPS AND PARTNER WITH THEM TO DEVELOP CULTUALLY APPROPRIATE STRATEGIES TO MONITOR PREVENTION INITIATIVES.GOAL 2: ENHANCE COMMUNITY EDUCATION ABOUT EARLY IDENTIFICATION AND INTERVENTION FOR CANCER WITH A GOAL OF REDUCING LATE-STAGE DIAGNOSES AND IMPROVING OUTCOMES AND SURVIVAL RATES. STRATEGIES: A. PROVIDE ANNUAL COLON CANCER SCREENINGS AND BREAST MAMMOGRAPHY EDUCATION. B. COORDINATE MONTHLY CANCER SUPPORT/EDUCATION GROUPS C. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM. D. INCREASE THE NUMBER OF CERTIFIED SMOKING CESSATION INSTRUCTORS ON STAFF. E. IMPLEMENT A CANCER PATIENT NAVIGATOR POSITION.GOAL 3: ENHANCE COMMUNITY EDUCATION ABOUT PREVENTION, DETECTION AND MANAGING CHRONIC DISEASES. STRATEGIES: A. PROMOTE HEALTH RELATED ACTIVITIES, SUCH AS SCREENINGS, EXERCISE, HEALTHY EATING CHOICES AND EDUCATION, IN NON-TRADITIONAL SETTINGS (E.F. SHOPPING MALLS, FAITH-BASED ORGANIZATIONS, HIGH SCHOOLS) B. COORDINATE MONTHLY SEMINARS AND SUPPORT/EDUCATION GROUPS ON DIABETES, CANCER, AND HEART DISEASE. C. IMPLEMENT WELLNESS PROGRAMS FOR EMPLOYEES AND COMMUNITY EMPLOYERS THAT ENCOURAGE WORKSITES TO EDUCATE THEIR EMPLOYEES ABOUT THEIR BENEFIT PACKAGE, INCLUDING PREVENTIVE AND ANNUAL WELLNESS VISITS, SMOKING CESSATION, HEALTHY EATING CHOICES, SCREENINGS AND PHYSICAL SERVICES. D. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM IN PARTNERSHIP WITH LOUISIANA TOBACCO FREE LIVING PROGRAM AND LSUHSC SMOKING CESSATION PROGRAM.PRIORITY: TEEN PREGNANCY EDUCATION AND MANAGEMENTGOAL 1: EDUCATE COMMUNITY AND SCHOOLS ABOUT TEEN PREGNANCY AND IMPORTANCE OF EARLY PREGNANCY MANAGEMENT TO IMPROVE LOW BIRTH WEIGHTS AND REDUCE TEEN PREGNANCY. STRATEGIES: A. WORK WITH COMMUNITY ORGANIZATIONS TO EDUCATE HIGH SCHOOL TEENS ABOUT PREGNANCY RISKS. B. EDUCATE COMMUNITY HEALTH ORGANIZATIONS ABOUT OUR OBCARE PROGRAM WHICH PROVIDES OB SERVICES TO UNINSUED AND UNDERINSURED. C. PROVIDE PREGNANCY EDUCATION TO EXPECTANT MOTHERS AND FATHERS. |
| SUPPLEMENTAL INFORMATION: STATE FILING OF COMMUNITY BENEFIT REPORT | LOUISIANA: SEE ACTIVITIES AND RESULTS OF CHNA IMPLEMENTATION PLAN ON WEBSITE LCMH.COM |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| REALLIETY ATHLETIC PRODUCTIONS | |||||||
| 2023 CHARVAIS | LAKE CHARLES | LA | 70601 | 461240215 | N/A | $5,000 | SPONSORSHIP |
| LOUISIANA HIGH SCHOOL ATHLETIC ASSOCIATION | |||||||
| 12720 OLD HAMMOND HIGHWAY | BATON ROUGE | LA | 708161037 | 720513180 | 501(C)(3) | $7,500 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | RECONCILIATION OF GRANTS ARE MONITORED MONTHLY BY AN ACCOUNTANT IN THE ACCOUNTING OFFICE AND REVEIWED BY THE CONTROLLER AND VICE PRESIDENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES WHITSON CPA | ||||||||||||||
| SR.VICE PRESIDENT OF FINAN | $301,048 | $0 | $5,000 | $0 | $0 | $0 | $7,950 | $0 | $16,023 | $0 | $330,021 | $0 | $0 | $0 |
| MANLEY M JORDAN MD | ||||||||||||||
| ACTIVE TRUSTEE | $429,998 | $0 | $8,212 | $0 | $0 | $0 | $7,950 | $0 | $19,982 | $0 | $466,142 | $0 | $0 | $0 |
| LARRY GRAHAM | ||||||||||||||
| PRESIDENT/CEO & ASST SECRE | $593,537 | $0 | $127,614 | $0 | $7,748 | $0 | $7,950 | $0 | $22,292 | $0 | $759,141 | $0 | $0 | $0 |
| BEN THOMPSON | ||||||||||||||
| PHYSICIAN / MED STAFF PAST PRES | $429,998 | $0 | $84,282 | $0 | $0 | $0 | $7,950 | $0 | $15,843 | $0 | $538,073 | $0 | $0 | $0 |
| RONALD LEWIS JR | ||||||||||||||
| PHYSICIAN/MED STAFF PRES | $331,780 | $0 | $41,725 | $0 | $0 | $0 | $7,950 | $0 | $14,225 | $0 | $395,680 | $0 | $0 | $0 |
| LEROY FREDERICKS MD | ||||||||||||||
| PHYSICIAN/MED STAFF PRES ELECT | $543,291 | $0 | $309,199 | $0 | $0 | $0 | $7,950 | $0 | $19,982 | $0 | $880,422 | $0 | $0 | $0 |
| KEVIN MOCKLIN | ||||||||||||||
| DIRECTOR OF COMPLIANCE | $253,885 | $0 | $4,000 | $0 | $0 | $0 | $5,855 | $0 | $16,023 | $0 | $279,763 | $0 | $0 | $0 |
| MARILYN MCSWAIN RN | ||||||||||||||
| SR.VICE PRESIDENT OF NURSI | $226,668 | $0 | $5,000 | $0 | $0 | $0 | $6,309 | $0 | $16,023 | $0 | $254,000 | $0 | $0 | $0 |
| BERNITA BROWN | ||||||||||||||
| VICE PRES OF SUPPORT SERVI | $175,200 | $0 | $5,000 | $0 | $0 | $0 | $4,884 | $0 | $15,867 | $0 | $200,951 | $0 | $0 | $0 |
| TIM COFFEY | ||||||||||||||
| SR.VICE PRES OF OPERATIONS | $298,709 | $0 | $5,000 | $0 | $0 | $0 | $7,680 | $0 | $9,489 | $0 | $320,878 | $0 | $0 | $0 |
| DONNA SHIELDS | ||||||||||||||
| ASST VICE PRES NURSING | $222,024 | $0 | $4,000 | $0 | $0 | $0 | $6,159 | $0 | $16,023 | $0 | $248,206 | $0 | $0 | $0 |
| TODD DELAHOUSSAYE | ||||||||||||||
| SR.VICE PRES OF PHYSICIAN | $216,216 | $0 | $5,000 | $0 | $0 | $0 | $6,056 | $0 | $8,796 | $0 | $236,068 | $0 | $0 | $0 |
| KATHLEEN DEROUEN | ||||||||||||||
| SR.VICE PRES OF MARKETING | $172,744 | $0 | $5,000 | $0 | $0 | $0 | $4,741 | $0 | $13,412 | $0 | $195,897 | $0 | $0 | $0 |
| LEIF PEDERSEN | ||||||||||||||
| VICE PRES OF PHILANTHROPHY | $163,198 | $0 | $4,000 | $0 | $0 | $0 | $4,414 | $0 | $22,292 | $0 | $193,904 | $0 | $0 | $0 |
| JASON J RASHALL | ||||||||||||||
| VICE PRES OF BUSINESS DEVE | $173,722 | $0 | $4,000 | $0 | $0 | $0 | $4,725 | $0 | $22,292 | $0 | $204,739 | $0 | $0 | $0 |
| BRETT CASCIO | ||||||||||||||
| PHYSICIAN | $900,016 | $0 | $922,642 | $0 | $0 | $0 | $5,168 | $0 | $19,982 | $0 | $1,847,808 | $0 | $0 | $0 |
| JEAN KING WHITE | ||||||||||||||
| PHYSICIAN | $700,783 | $0 | $522,899 | $0 | $0 | $0 | $871 | $0 | $14,225 | $0 | $1,238,778 | $0 | $0 | $0 |
| THOMAS AXELRAD | ||||||||||||||
| PHYSICIAN | $625,019 | $0 | $428,682 | $0 | $0 | $0 | $7,690 | $0 | $19,437 | $0 | $1,080,828 | $0 | $0 | $0 |
| KHALED NOUR | ||||||||||||||
| PHYSICIAN | $600,798 | $0 | $492,439 | $0 | $0 | $0 | $7,950 | $0 | $19,982 | $0 | $1,121,169 | $0 | $0 | $0 |
| ROBERT DUARTE MD | ||||||||||||||
| PHYSICIAN | $625,019 | $0 | $327,402 | $0 | $0 | $0 | $7,950 | $0 | $8,814 | $0 | $969,185 | $0 | $0 | $0 |
| CHRISTOPHER THOMPSON | ||||||||||||||
| PHYSICIAN/FORMER HCE&DIRECTOR | $700,003 | $0 | $180,653 | $0 | $0 | $0 | $0 | $0 | $4,846 | $0 | $885,502 | $0 | $0 | $0 |
| MICHAEL BROUSSARD MD | ||||||||||||||
| PHYSICIAN/FORMER HCE | $526,991 | $0 | $338,103 | $0 | $0 | $0 | $7,950 | $0 | $0 | $0 | $873,044 | $0 | $0 | $0 |
| NATHAN COHEN | ||||||||||||||
| PHYSICIAN/FORMER HCE | $950,019 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $16,023 | $0 | $973,992 | $0 | $0 | $0 |
| FRANCISCO MARRERO | ||||||||||||||
| PHYSICIAN/FORMER HCE | $600,781 | $0 | $335,576 | $0 | $0 | $0 | $7,287 | $0 | $19,982 | $0 | $963,626 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE HOSPITAL PAYS ANNUAL DUES TO THE PIONEER CLUB, A SOCIAL CLUB, FOR LARRY GRAHAM, PRESIDENT AND CEO IN THE AMOUNT OF $840.00 PER YEAR. ANY NONBUSINESS USE OF THE CLUB IS ACCOUNTED FOR AND INCLUDED AS COMPENSATION IN THE CEO W-2. |
| PART I, LINE 6 | MOST PHYSICIANS ARE SUBJECT TO A BONUS STRUCTURE THAT PAYS THEM A BONUS BASED ON REACHING A WRVU BASE AND BEING PAID A BONUS FOR EACH WRVU ACHIEVED ABOVE THEIR BASE LEVEL. PHYSICIAN INCENTIVES ARE CALCULATED IN VARIOUS WAYS (I.E., CASH FLOW IN EXCESS OF EXPENSES, VALUE PER WRVU). AMOUNTS PAID TO THE PHYSICIANS ARE BASED ON THE FAIR MARKET VALUE OF THEIR PERSONALLY PERFORMED PROFESSIONAL SERVICES AND THEIR TOTAL COMPENSATION IS SUBJECT TO CERTAIN LIMITATIONS. IN NO INSTANCE DOES PHYSICIAN COMPENSATION VARY WITH OR TAKE INTO ACCOUNT THE VALUE OF OR VOLUME OF REFERRALS OR OTHER BUSINESS GENERATED BY THE PHYSICIANS FOR THE HOSPITAL. |
| PART I, LINE 7 | LARRY GRAHAM, PRESIDENT AND CEO, IS SUBJECT TO AN INCENTIVE PAY BASED ON EMPLOYEE SUCCESS IN ACHIEVING GOALS ESTABLISHED BY THE BOARD. THE MAXIMUM AMOUNT TO BE PAID IN ANY ONE YEAR IS 25% OF HIS BASE PAY. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| LOUISIANA PUBLIC FACILITIES AUTHORITY | ||||||||
| A | 720895871 | 546395D84 | 2007-11-01 | $69,371,392 | REVENUE AND REFUNDING BOND | 0 | 0 | 0 |
| CALCASIEU PARISH PUBLIC TRUST AUTHORITY | ||||||||
| B | 521333467 | NONEAVAIL | 2013-10-10 | $6,275,000 | CURRENT BOND REFUNDING | 0 | 0 | 0 |
| CALCASIEU PARISH PUBLIC TRUST AUTHORITY | ||||||||
| C | 521333467 | NONEAVAIL | 2014-01-07 | $10,000,000 | CONSTRUCTION | 0 | 0 | 0 |
| CALCASIEU PARISH PUBLIC TRUST AUTHORITY | ||||||||
| D | 521333467 | NONEAVAIL | 2015-02-04 | $10,000,000 | CONSTRUCTION | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,430,000 | $69,371,392 | $6,641,478 | 2007 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |||
| B | $1,135,000 | $6,275,000 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| C | $865,000 | $10,000,000 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $10,000,000 | |||
| D | $10,000,000 | 2015 | 0 | 0 | 0 | Yes (1) | $8,272,305 | $141,275 | $1,586,240 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line2GICProviderName/BusinessNameLine2Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIXIS FUNDING | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | CORP | 12.000000000000 | Yes (1) | Yes (1) | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| D | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/14/2012 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521769984 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2015-10-01 | BondIssuedDt |
| Issue Price | $10,000,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $10,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $133,775 | IssuanceCostsFromProceedsAmt |
| Unspent | $9,866,225 | UnspentAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| THOMAS SHEARMAN | |||
| THOMAS SHEARMAN IS A MEMBER OF THE BOARD & EMPLOYED BY LC AMERICAN PRESS | $152,143 | LC AMERICAN PRESS PROVIDES ADVERTISING FOR THE HOSPITAL. | 0 |
| LOUIS TODD | |||
| LOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES) | $1,062,815 | LOUIS TODD, THROUGH TODD AND ASSOCIATES, IS THE HOSPITAL'S BROKER FOR MEDICAL MALPRACTICE INSURANCE COVERAGE AND IS PAID A COMMISSION DIRECLTY FROM LAMMICO. THIS COMMISSION HAS NO IMPACT ON THE AMOUNT OF COVERAGE OBTAINED BY THE HOSPITAL OR THE PREMIUM THAT IS PAID FOR THE COVERAGE. IN 2015, THE TOTAL PREMIUMS PAID BY THE HOSPITAL TO LAMMICO WERE $1,062,815. TODD AND ASSOCIATES IS PAID A COMMISSION FROM LAMMICO AT A SET CERTAIN PERCENTAGE OF THE PREMIUMS PAID. THIS PERCENTAGE IS SET INDEPENDENTLY BETWEEN TODD AND ASSOCIATES AND LAMMICO. THE HOSPITAL IS NOT INVOLVED IN SETTING THE COMMISSION RATE OR AMOUNT PAID TO TODD AND ASSOCIATES BY LAMMICO, NOR DOES IT PAY ANY COMMISSION TO LOUIS TODD OR TODD AND ASSOCIATES DIRECTLY. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOME HEALTH AGENCY, PHARMACY, WOUND CARE AND MATERIALS MANAGEMENT HAVE BEEN OUTSOURCED TO MANAGEMENT COMPANIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ENTITY HAS BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THEY ELECT BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | BOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE IS MONITORED THROUGHOUT THE YEAR VIA MANUAL SIGNATURES BEING REQUIRED ON ALL AP CHECKS EXCEPT SMALL BALANCE PATIENT REFUNDS. THESE CHECKS HAVE AUTOMATED SIGNATURES, BUT ARE REVIEWED BEFORE MAILING. IN ADDITION LARGE CONSTRUCTION JOBS ARE REQUIRED TO BE BID OUT AND BIDS ARE RETURNED SEALED TO OUR ATTORNEYS. RELATIONSHIPS SUCH AS BANKING, INSURANCE AND OTHERS THAT HAVE BEEN DISCLOSED BY BOARD MEMBERS ARE SUBJECT TO DISCUSSION AT BOARD MEETINGS AND GENERALLY THE BOARD MEMBER WITHIN THAT RELATIONSHIP WILL EXCLUDE THEMSELVES FROM THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPARISON WITH VHA GULF STATES GREATER NEW ORLEANS SOCIETY OF HUMAN RESOURCES ASSN AND LHA DATA WAS DONE BY THE SALARY COMMITTEE OF THE BOARD OF TRUSTEES. MINUTES OF THE SALARY COMMITTEE WERE MAINTAINED. |
| FORM 990, PART VI, SECTION C, LINE 19 | IN ADDITION TO THE DOCUMENTS THAT ARE ON FILE WITH THE SECRETARY OF STATE THAT WERE REQUIRED TO ESTABLISH THE LEGAL ENTITY, THE GOVERNING DOCUMENTS (INCLUDING THE CONFLICT OF INTEREST POLICY) WILL BE PROVIDED TO THE PUBLIC UPON REQUEST AND SUBJECT TO OUR LEGAL COUNSEL'S APROVAL. |
| FORM 990, PART XI, LINE 9: | BOOK/TAX DIFFERENCE - LA PET/CT IMAGING LAKE CHARLES LLC 916. BOOK/TAX DIFFERENCE - GIFT SHOP 5,864. BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC -812,594. ROUNDING -163. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -12,734,622. GAAP ADJUSTMENT TO WRITE DOWN INVESTMENT IN SUBSIDIARY TO EQUITY BASIS -38,957,163. DIVIDEND INCOME FROM SUBSIDIARY |
| FORM 990 PART XII LINE 2C | THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHWEST LOUISIANA HEALTH CARE SYSTEM INC | |||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 721103255 | SUPPORT OF LAKE CHARLES MEMORIAL HOSPITAL | LA | 501(C)(3) | PUBLIC CHARITY | N/A | 0 | |
| SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC | |||||||||||
| PO BOX 2900 | LAKE CHARLES | LA | 70602 | 270833927 | SUPPORT OF LAKE CHARLES MEMORIAL HOSPITAL | LA | 501(C)(3) | PUBLIC CHARITY | Yes (1) | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE CHARLES MEDICAL PLAZA SOUTH | ||||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 621447910 | REAL ESTATE MANAGEMENT | LA | SWLHS LLC | RELATED | $41 | 0 | 0 | 0.01000 | ||
| SECOND AVENUE MRI LLC | ||||||||||||||
| 2800 SECOND AVE SUITE C | LAKE CHARLES | LA | 70601 | 202226374 | IMAGING SERVICES | LA | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | RELATED | $353,853 | 0 | 0 | 0.51000 | $812,594 | |
| LAKE CHARLES PHARM SUPPLY CO LLC | ||||||||||||||
| 7000 CARDINAL PLACE | DUBLIN | OH | 43017 | 721300617 | RETAIL PHARMACY | OH | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WLW PROPERTIES INC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 721023846 | REAL ESTATE / EQUITY | LA | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | C | $103,841 | $262,214 | 1.00000 | Yes (1) |
| LAKE CHARLES MEDICAL SERVICES LLC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 721285200 | MEDICAL SERVICES | LA | MEMORIAL MEDICAL GROUP LLC | C | Yes (1) | |||
| SWLHS LLC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 721103283 | MEDICAL SERVICES | LA | MEMORIAL MEDICAL GROUP LLC | C | Yes (1) | |||
| SWLHS ONCOLOGY LLC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 201541727 | MEDICAL SERVICES-ONCOLOGY | LA | MEMORIAL MEDICAL GROUP LLC | C | Yes (1) | |||
| LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LLC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 721381266 | MEDICAL SERVICES | LA | MEMORIAL MEDICAL GROUP LLC | C | Yes (1) | |||
| LAKE CHARLES MEMORIAL PHO | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 726013916 | PHYSICIAN NETWORK AND CONTRACTING | LA | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||
| MEMORIAL MEDICAL GROUP LLC | ||||||||||||
| 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 461516260 | MEDICAL SERVICES | LA | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION | C | $53,045,204 | $8,015,224 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (19 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LAKE CHARLES MEDICAL SERVICES LLC | ||
| A | $876,242 | CASH |
| SWLHS LLC | ||
| A | $255,825 | CASH |
| SWLHS ONCOLOGY LLC | ||
| A | $49,977 | CASH |
| LAKE CHARLES HEART & VASCULAR LLC | ||
| A | $123,783 | CASH |
| WLW PROPERTIES INC | ||
| K | $34,284 | CASH |
| SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC | ||
| C | $10,208 | CASH |
| SECOND AVENUE MRI LLC | ||
| A | $110,168 | CASH |
| SECOND AVENUE MRI LLC | ||
| S | $906,062 | CASH |
| SWLHS LLC | ||
| Q | $308,271 | CASH |
| MEMORIAL MEDICAL GROUP LLC | ||
| Q | $166,335 | CASH |
| LAKE CHARLES MEDICAL SERVICES LLC | ||
| Q | $1,252,241 | CASH |
| SWLHS ONCOLOGY LLC | ||
| Q | $28,664 | CASH |
| SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC | ||
| R | $243,002 | CASH |
| MEMORIAL MEDICAL GROUP LLC | ||
| B | $14,553,549 | CASH |
| LAKE CHARLES HEART & VASCULAR LLC | ||
| P | $542,482 | CASH |
| LAKE CHARLES MEDICAL SERVICES LLC | ||
| P | $6,451,067 | CASH |
| MEMORIAL MEDICAL GROUP LLC | ||
| P | $1,617,299 | CASH |
| SWLHS LLC | ||
| P | $1,199,170 | CASH |
| MEMORIAL MEDICAL GROUP LLC | ||
| F | $31,521 | CASH |