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SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201503179349302460
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-13T09:25:38-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18550 UNITED PLAZA BLVD SUITE 1001AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720551963EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARRY GRAHAMPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone3374943204PhoneNum
Signature2015-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGAIL H PITTMANPreparerPersonNm
PTINP01429086PTIN
Phone2259224600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY GRAHAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BOULEVARDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$321,003,459GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LCMH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICESActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2965TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$276,969PYContributionsGrantsAmt
CY Contributions Grants$440,364CYContributionsGrantsAmt
PY Program Service Revenue$242,258,807PYProgramServiceRevenueAmt
CY Program Service Revenue$319,473,325CYProgramServiceRevenueAmt
PY Investment Income$297,668PYInvestmentIncomeAmt
CY Investment Income$652,379CYInvestmentIncomeAmt
PY Other Revenue$986,027PYOtherRevenueAmt
CY Other Revenue$437,391CYOtherRevenueAmt
PY Total Revenue$243,819,471PYTotalRevenueAmt
CY Total Revenue$321,003,459CYTotalRevenueAmt
PY Grants And Similar Paid$35,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,475CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$92,271,844PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$112,785,594CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,516,152CYTotalFundraisingExpenseAmt
PY Other Expenses$131,783,298PYOtherExpensesAmt
CY Other Expenses$188,829,625CYOtherExpensesAmt
PY Total Expenses$224,090,142PYTotalExpensesAmt
CY Total Expenses$301,655,694CYTotalExpensesAmt
PY Revenues Less Expenses$19,729,329PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,347,765CYRevenuesLessExpensesAmt
Total Assets BOY$220,431,868TotalAssetsBOYAmt
Total Assets EOY$243,662,455TotalAssetsEOYAmt
Total Liabilities BOY$146,389,848TotalLiabilitiesBOYAmt
Total Liabilities EOY$162,230,272TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,042,020NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$81,432,183NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF LAKE CHARLES MEMORIAL HOSPITAL IS TO IDENTIFY AND IMPROVE THE HEALTH OF THE PEOPLE OF SOUTH LOUISIANA AND EAST TEXAS BY PROVIDING A FULL SPECTRUM OF INNOVATIVE SERVICES-INCLUDING HEALTH EDUCATION, DISEASE PREVENTION, AND DIAGNOSTIC AND TREATMENT OPTIONS-IN A PERSONALIZED, CARING AND SAFE MANNER THROUGHOUT THE REGION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,461,209ExpenseAmt
Revenue$2,789,694RevenueAmt
DescLAKE CHARLES MEMORIAL HOSPITAL2014 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-$450,660 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 $105,746 IN SPECIAL EVENTS AND SEMINARS.COMMUNITY BENEFIT: $105,746III. HEALTH PROFESSIONALS EDUCATIONLAKE CHARLES MEMORIAL INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2014, LCMH SPENT $3,073,194 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM.COMMUNITY BENEFIT:$3,073,194CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES.COMMUNITY BENEFIT:$41,915MEMORIAL'S TOTAL 2014 NET COMMUNITY CONTRIBUTIONS - $3,671,515Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$69,858,662ExpenseAmt
Revenue$69,279,481RevenueAmt
DescTHE 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 2014, MEMORIAL HOSPITAL PROVIDED $204,125 IN UN-REIMBURSED MEDICAID COSTS AND $375,056 IN UNREIMBURSED CHARITY CARE COSTS AS PROVIDED FOR IN THE CEA WITH THE STATE AND LSU. COMMUNITY BENEFIT-$579,180Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$207,966,425ExpenseAmt
Grant$40,475GrantAmt
Revenue$245,779,476RevenueAmt
DescTHE 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
FieldValueIRS element (for citing)
Total Program Service Expenses$284,286,296TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document305IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2965EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES WHITSON CHIEF FINANCIAL OFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3374943202PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ULYSSES GENE THIBODEAUX
ACTIVE TRUSTEE1.000.30Yes (X)Yes (X)$0$0$0
LOUIS M TODD SR
CHAIRMAN-ELECT/VICE CHAIR/SEC1.001.30Yes (X)$0$0$0
DAVID WALLACE MD
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN40.001.30Yes (X)Yes (X)$294,518$0$22,917
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE40.001.30Yes (X)Yes (X)$718,309$0$25,862
DENISE EMERSON RAU
CHAIRMAN1.000.30Yes (X)Yes (X)$0$0$0
THOMAS SHEARMAN
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
BEN THOMPSON
PHYSICIAN / MEDICAL STAFF PRESIDENT40.000.30Yes (X)$493,386$0$23,190
JOE MILLER
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
GERALD W MOUTON
ACTIVE TRUSTEE40.000.30Yes (X)$269,000$0$21,993
BRYAN BAROOTES MD
PHYSICIAN/MED STAFF PAST PRESID1.000.30Yes (X)$0$0$0
MARK ABRAHAM
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
RONALD LEWIS JR
PHYSICIAN/MED STAFF PRES-ELECT1.000.30Yes (X)$367,780$0$21,993
MITCHELL ADRIAN MD
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI40.00$226,158$0$21,271Yes (X)
BERNITA BROWN
VICE PRES OF SUPPORT SERVI40.00$170,426$0$19,768Yes (X)
TIM COFFEY
SR.VICE PRES OF OPERATIONS40.00$291,130$0$16,567Yes (X)
DONNA SHIELDS
ASST VICE PRES NURSING40.00$215,964$0$20,892Yes (X)
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN40.00$209,914$0$14,535Yes (X)
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING40.00$168,355$0$17,277Yes (X)
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY40.001.00$159,047$0$24,494Yes (X)
JASON J RASHALL
VICE PRES OF BUSINESS DEVE40.00$168,987$0$21,511Yes (X)
BRETT CASCIO
PHYSICIAN40.00$2,158,616$0$27,602Yes (X)
FRANCISCO MARERRO
PHYSICIAN40.00$964,621$0$27,602Yes (X)
JEAN KING WHITE
PHYSICIAN40.00$1,195,313$0$21,993Yes (X)
THOMAS AXELRAD
PHYSICIAN40.00$968,559$0$28,307Yes (X)
KHALED NOUR
PHYSICIAN40.000.00$1,110,110$0$21,511Yes (X)
CHRISTOPHER THOMPSON
PHYSICIAN / MEDICAL STAFF (FORMER)40.000.30$838,171$0$7,800Yes (X)
MANLEY M JORDAN MD
ACTIVE TRUSTEE (FORMER)40.00$443,843$0$26,602Yes (X)
THOMAS C STRONG MD
ACTIVE TRUSTEE (FORMER)40.00$394,860$0$16,752Yes (X)
BRIAN CLEMENTS MD
ACTIVE TRUSTEE (FORMER)40.00$453,280$0$27,602Yes (X)
KEVIN MOCKLIN
ACTIVE TRUSTEE (FORMER)40.00$246,480$0$21,995Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,526,827TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$500,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K132IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LEWING CONSTRUCTION INC
PO BOX 5216LAKE CHARLESLA706065216CONTRUCTION/CONTRACTOR$6,203,729
LSU HEALTH CARE SERVICES DIVISION
PO BOX 91308BATON ROUGELA70821PROFESSIONAL FEES$3,076,717
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STREETNEW ORLEANSLA70112RESIDENCY PROGRAM$3,003,286
PDS ARCHITECTS
181 MAIN STREETBEACONNY12508ARCHITECTURE SERVICES$2,152,098
LA COMMERCIAL LAUNDRY
PO BOX 503SCOTTLA705830503LAUNDRY/LINEN SERVICES$1,512,311
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K181CntrctRcvdGreaterThan100KCnt
Government Grants$139,885GovernmentGrantsAmt
All Other Contributions$300,479AllOtherContributionsAmt
Total Contributions$440,364TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$313,683,030$313,683,030
MANAGEMENT FEES900099$3,748,258$3,748,258
CAFETERIA900099$1,633,728$1,633,728
MOSS/RYAN WHITE SUBCONTRACTING FE900099$408,309$408,309
FieldValueIRS element (for citing)
Total Program Service Revenue$319,473,325TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$590,004TotalRevenueColumnAmt
Exclusion$590,004ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$197,729RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$197,729RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,729TotalRevenueColumnAmt
Exclusion$197,729ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$62,375OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$62,375OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,375TotalRevenueColumnAmt
Related Or Exempt Func Income$62,375RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME FROM SECOND AVENUE MRI, LL621990$142,726$142,726
INCOME FROM LA PET/CT IMAGING LAK621990$62,401$62,401
NET INCOME FROM GIFT SHOP453220$34,535$34,535
FieldValueIRS element (for citing)
Other Revenue Total$239,662OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$321,003,459TotalRevenueColumnAmt
Related Or Exempt Func Income$319,775,362RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$787,733ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,475TotalAmt
Program Services$40,475ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,526,827TotalAmt
Program Services$4,384,389ProgramServicesAmt
Management And General$7,265,560ManagementAndGeneralAmt
Fundraising$876,878FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$76,595,075TotalAmt
Program Services$75,446,149ProgramServicesAmt
Management And General$1,148,926ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,701,610TotalAmt
Program Services$1,524,210ProgramServicesAmt
Management And General$160,658ManagementAndGeneralAmt
Fundraising$16,742FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,217,886TotalAmt
Program Services$14,527,098ProgramServicesAmt
Management And General$1,531,219ManagementAndGeneralAmt
Fundraising$159,569FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,744,196TotalAmt
Program Services$5,145,337ProgramServicesAmt
Management And General$542,341ManagementAndGeneralAmt
Fundraising$56,518FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,757,364TotalAmt
Program Services$1,701,129ProgramServicesAmt
Management And General$51,842ManagementAndGeneralAmt
Fundraising$4,393FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$514,386TotalAmt
Program Services$497,926ProgramServicesAmt
Management And General$15,174ManagementAndGeneralAmt
Fundraising$1,286FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,180,088TotalAmt
Program Services$12,758,325ProgramServicesAmt
Management And General$388,813ManagementAndGeneralAmt
Fundraising$32,950FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,196,649TotalAmt
Program Services$993,219ProgramServicesAmt
Management And General$107,698ManagementAndGeneralAmt
Fundraising$95,732FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,536,710TotalAmt
Program Services$2,455,535ProgramServicesAmt
Management And General$68,491ManagementAndGeneralAmt
Fundraising$12,684FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$284,653TotalAmt
Program Services$275,544ProgramServicesAmt
Management And General$7,686ManagementAndGeneralAmt
Fundraising$1,423FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,246,230TotalAmt
Program Services$5,036,381ProgramServicesAmt
Management And General$209,849ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,637,671TotalAmt
Program Services$10,823,034ProgramServicesAmt
Management And General$814,637ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,738,518TotalAmt
Program Services$3,476,822ProgramServicesAmt
Management And General$261,696ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$62,292,235$60,298,883$1,837,621$155,731
BAD DEBT$39,247,562$39,247,562
PURCHASED SERVICES$29,503,951$28,559,824$870,367$73,760
SERVICE CONTRACTS$6,581,802$6,371,184$194,163$16,455

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,111,806TotalAmt
Program Services$10,723,270ProgramServicesAmt
Management And General$376,505ManagementAndGeneralAmt
Fundraising$12,031FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$301,655,694TotalAmt
Program Services$284,286,296ProgramServicesAmt
Management And General$15,853,246ManagementAndGeneralAmt
Fundraising$1,516,152FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,213,237BOYAmt
EOY$37,824,581EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,700,928BOYAmt
EOY$22,555,530EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,008,661BOYAmt
EOY$28,949,218EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,847,852BOYAmt
EOY$5,242,068EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,172,331BOYAmt
EOY$7,598,240EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$299,121,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$218,674,926LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$72,771,071BOYAmt
EOY$80,446,822EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$40,672,591BOYAmt
EOY$40,995,902EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,045,197BOYAmt
EOY$20,050,094EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$220,431,868BOYAmt
EOY$243,662,455EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,722,961BOYAmt
EOY$68,332,032EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,305,000BOYAmt
EOY$87,050,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,595,516BOYAmt
EOY$3,087,343EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,766,371BOYAmt
EOY$3,760,897EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,389,848BOYAmt
EOY$162,230,272EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,042,020BOYAmt
EOY$81,432,183EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,042,020BOYAmt
EOY$81,432,183EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$220,431,868BOYAmt
EOY$243,662,455EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,347,765ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,032NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,949,570OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$92,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$92,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,576,680OtherCostOrOtherBasisAmt
Book Value$5,576,680BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,548,743OtherCostOrOtherBasisAmt
Depreciation$100,310,612DepreciationAmt
Book Value$42,238,131BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,322,876OtherCostOrOtherBasisAmt
Depreciation$1,322,876DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,836,431OtherCostOrOtherBasisAmt
Depreciation$108,279,567DepreciationAmt
Book Value$29,556,864BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,837,018OtherCostOrOtherBasisAmt
Depreciation$8,761,871DepreciationAmt
Book Value$3,075,147BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$80,446,822TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$40,683,878BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT - LA PET IMAGING$179,738C
INVESTMENT-CORPORATE SHARE LCCC$12,000C
INVESTMENTS-VHA-E$82,786C
INVESTMENTS-LAKE CHARLES HEALTH PLANS$37,500C
FieldValueIRS element (for citing)
Total Book Value Securities$40,995,902TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$1,908,783
ASSETS WHOSE USE IS LIMITED$14,633,498
DEFERRED FINANCING COSTS$1,697,735
OTHER RECEIVABLES$1,707,573
OTHER ASSET-MSO$102,505
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,050,094TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
BOND PREMIUM$21,897
INVESTMENT-AMRI$3,739,000
FieldValueIRS element (for citing)
Total Liability$3,760,897TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIOINS. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. WITH FEW EXCEPTIONS, THE SYSTEM IS NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE DECEMBER 31, 2011.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,289,471TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,914,415DirectOffsettingRevenueAmt
Net Community Benefit Expns$375,056NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,569,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,365,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$204,125NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,858,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,279,481DirectOffsettingRevenueAmt
Net Community Benefit Expns$579,181NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,862,648TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,789,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,073,194NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$556,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240DirectOffsettingRevenueAmt
Net Community Benefit Expns$556,406NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,419,294TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,789,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,629,600NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,277,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,069,175DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,208,781NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,752,940BadDebtExpenseAmt
Bad Debt Expense Attributable$2,919,638BadDebtExpenseAttributableAmt
Reimbursed By Medicare$72,537,578ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$83,729,130CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,191,552MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SECOND AVENUE MRI LLC
IMAGING0.510000.49000
2 LA PET IMAGING
IMAGING0.24500
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
LAKE CHARLES MEMORIAL HOSPITAL
11701 OAK PARK BLVDLAKE CHARLESLA70601HO0001606Yes (X)Yes (X)Yes (X)Yes (X)
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL
22837 ERNEST STREET BLDG BLAKE CHARLESLA70601H0000170Yes (X)LONG TERM ACUTE CARE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndAverage Negotiated RatesAverageNegotiatedRatesIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndMedicare RatesMedicareRatesInd
LAKE CHARLES MEMORIAL HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (1)00Yes (1)Yes (X)HTTP://WWW.LCMH.COM/CHNAYes (X)Yes (1)13Yes (1)HTTP://WWW.LCMH.COM/CHNA00Yes (1)Yes (X)200.000000000000500.000000000000Yes (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)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (1)00Yes (1)Yes (X)HTTP://WWW.LCMH.COM/CHNAYes (X)Yes (1)13Yes (1)HTTP://WWW.LCMH.COM/CHNA00Yes (1)Yes (X)200.000000000000500.000000000000Yes (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)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (X)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LAKE CHARLES MEMORIAL HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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.
LAKE CHARLES MEMORIAL SPECIALTY HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS.
LAKE CHARLES MEMORIAL SPECIALTY HOSPITALPART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.
LAKE CHARLES MEMORIAL SPECIALTY HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
PULMONARY ASSOCIATES
2770 3RD AVENUE SUITE 110LAKE CHARLESLA70601PHYSICIAN CLINIC
FAMILY MEDICINE SPECIALISTS - GAUTHIER
1890 WEST GAUTHIER SUITE 155LAKE CHARLESLA70605PHYSICIAN CLINIC
SURGICAL ASSOCIATES
2770 3RD AVENUE SUITE 120LAKE CHARLESLA70601PHYSICIAN CLINIC
MATTHEW SCROGGS MD
1890 WEST GAUTHIER SUITE 150LAKE CHARLESLA70605PHYSICIAN CLINIC
MATERNAL-FETAL MEDICINE
1900 WEST GAUTHIERLAKE CHARLESLA70605PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:LCMH USES AN ASSET TEST MANDATED FOR MEDICARE PATIENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 4:THE FOLLOWING FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS: "THE SYSTEM MAINTAINS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, DOUBTFUL ACCOUNTS, AND CHARITY CARE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE SYSTEM DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE DISCHARGE DATE; HOWEVER, THE SYSTEM DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE SYSTEM CHARGES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTON OF THE OUTSTANDING BALANCES TO BE DOUBTFUL."COSTING METHODOLOGY IS OPERATING EXPENSE TIMES PAYOR MIX TIMES ALLOWABLE PERCENT. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 8:COSTING METHODOLOGY USED FOR LINE 6 IS OPERATING EXPENSES TIMES PAYOR MIX TIMES 89% ALLOWABLE. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 9B:THE COLLECTION POLICY IS THE SAME AS FOR THOSE WHO DON'T QUALIFY. THOSE ENTITLED TO FREE CARE HAVE NO COLLECTION ACTIVITY AS THERE IS NO REIMBURSEMENT EXPECTED FOR THEIR CARE. THOSE WHO QUALIFY FOR DISCOUNTED CARE WILL BE TREATED AS ANY OTHER PATIENT WHO HAS A BALANCE DUE THE HOSPITAL, JUST THAT THE BALANCE DUE WILL BE AT THE DISCOUNTED RATE FOR WHICH THEY QUALIFY.
PART VI, LINE 2:LCMH PROVIDES PROGRAMS & ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH & HEALING. THESE SCREENINGS, SEMINARS, CLASSES, ETC. RESPOND TO THE NEEDS OF PERSONS LIVING IN OUR COMMUNITY AND IMPROVES OVERALL COMMUNITY HEALTH. MEMORIAL HOSPITAL PROVIDES COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, SUCH AS HEALTH SCREENINGS, SUPPORT GROUPS, SELF-HELP PROGRAMS, SUCH AS SMOKING CESSATION AND WEIGHT LOSS PROGRAMS, PASTORAL OUTREACH PROGRAMS AND SPIRITUAL CARE FOR THE WELL BEING OF OUR COMMUNITY.
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 BBASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF LAKE CHARLES MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT:* THE 'COMMUNITY' SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL.* POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES (SEE IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION 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.* 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 HAVE BEEN COMMUNICATED TO THE HOSPITAL.
SUPPLEMENTAL INFORMATION: PROMOTION OF COMMUNITY HEALTHPRIORITY: CHRONIC DISEASED PREVENTION AND MANAGEMENTGOAL 1: DECREASE POPULATION RISK FACTORS THROUGH CULTURALLY APPROPRIATE SUPPORT FOR HEALTHY LIFESTYLES. STRATEGIES: A. PROMOTE ENVIRONMENTS THAT SUPPORT PREVENTION OF HEART DISEASE, DIABETES, RESPIRATORY DISEASE AND CANCER, I.E. HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, TOBACCO-FREE LIFESTYLE AND MODERATE ALCOHOL USE. B. ACTIVELY PARTICIPATE IN THE PARTNERSHIP FOR A HEALTHIER SOUTHWEST LOUISIANA WHEREBY THE HOSPITALS IN CALCASIEU PARISH PARTNER ANNUALLY TO PROVIDE COMMUNITY 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 SCREENING KITS DURING COLON CANCER AWARENESS MONTH IN MARCH. 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. PROMOTE THE IMPORTANCE OF CHECKUPS AND SREENINGS THROUGH OUR GET HEALTHY COMMUNITY PROGRAM. D. 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. E. IMPLEMENT A FREE ONLINE HEALTH RISK ASSESSMENT AND OFFER ASSISTANCE WITH PHYSICIAN REFERRAL. F. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE 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. EDUCATE HIGH SCHOOL TEENS ABOUT PREGNANCY RISKS. B. EDUCATE COMMUNITY HEALTH ORGANIZATIONS ABOUT OUR OBCARE PROGRAM WHICH PROVIDES OB SERVICES TO UNINSUED AND UNDERINSURED. C. PROVIDE PREGNANCY EDUCATION TO EXPECTANT MOTHERS AND FATHERS.
SUPPLEMENTAL INFORMATION: STATE FILING OF COMMUNITY BENEFIT REPORTLOUISIANA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
REALLIETY ATHLETIC PRODUCTIONS
2023 CHARVAISLAKE CHARLESLA70601461240215N/A$10,000SPONSORSHIP
SWLA CENTER FOR HEALTH SERVICES
PO BOX 19010LAKE CHARLESLA706169010721015384501(C)(3)$10,000SPONSORSHIP
LOUISIANA HIGH SCHOOL ATHLETIC ASSOCIATION
12720 OLD HAMMOND HIGHWAYBATON ROUGELA708161037720513180501(C)(3)$7,500SPONSORSHIP
THE WHISTLE STOP
1518 18TH STREETLAKE CHARLESLA70601020693757501(C)(3)$5,000SPONSORSHIP
THE CHAMBER SWLA
PO BOX 3110LAKE CHARLESLA70602720233565501(C)(6)$7,975SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN$294,518$0$0$0$0$0$7,527$0$15,390$0$317,435$0$0$0
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE$581,340$0$129,221$0$7,748$0$7,800$0$18,062$0$744,171$0$0$0
BEN THOMPSON
PHYSICIAN / MEDICAL STAFF PRESIDENT$429,999$0$63,387$0$0$0$7,800$0$15,390$0$516,576$0$0$0
GERALD W MOUTON
ACTIVE TRUSTEE$269,000$0$0$0$0$0$7,800$0$14,193$0$290,993$0$0$0
RONALD LEWIS JR
PHYSICIAN/MED STAFF PRES-ELECT$352,780$0$15,000$0$0$0$7,800$0$14,193$0$389,773$0$0$0
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI$226,158$0$0$0$0$0$5,881$0$15,390$0$247,429$0$0$0
BERNITA BROWN
VICE PRES OF SUPPORT SERVI$170,426$0$0$0$0$0$4,517$0$15,251$0$190,194$0$0$0
TIM COFFEY
SR.VICE PRES OF OPERATIONS$291,130$0$0$0$0$0$7,443$0$9,124$0$307,697$0$0$0
DONNA SHIELDS
ASST VICE PRES NURSING$215,964$0$0$0$0$0$5,502$0$15,390$0$236,856$0$0$0
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN$209,914$0$0$0$0$0$5,411$0$9,124$0$224,449$0$0$0
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING$168,355$0$0$0$0$0$4,457$0$12,820$0$185,632$0$0$0
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY$159,047$0$0$0$0$0$2,983$0$21,511$0$183,541$0$0$0
JASON J RASHALL
VICE PRES OF BUSINESS DEVE$168,987$0$0$0$0$0$0$0$21,511$0$190,498$0$0$0
BRETT CASCIO
PHYSICIAN$834,371$0$1,324,245$0$0$0$7,800$0$19,802$0$2,186,218$0$0$0
FRANCISCO MARERRO
PHYSICIAN$600,781$0$363,840$0$0$0$7,800$0$19,802$0$992,223$0$0$0
JEAN KING WHITE
PHYSICIAN$700,783$0$494,530$0$0$0$7,800$0$14,193$0$1,217,306$0$0$0
THOMAS AXELRAD
PHYSICIAN$642,104$0$326,455$0$0$0$7,279$0$21,028$0$996,866$0$0$0
KHALED NOUR
PHYSICIAN$600,798$0$509,312$0$0$0$0$0$21,511$0$1,131,621$0$0$0
CHRISTOPHER THOMPSON
PHYSICIAN / MEDICAL STAFF (FORMER)$718,383$0$119,788$0$0$0$7,800$0$0$0$845,971$0$0$0
MANLEY M JORDAN MD
ACTIVE TRUSTEE (FORMER)$443,843$0$0$0$0$0$7,800$0$18,802$0$470,445$0$0$0
THOMAS C STRONG MD
ACTIVE TRUSTEE (FORMER)$350,002$0$44,858$0$0$0$7,800$0$8,952$0$411,612$0$0$0
BRIAN CLEMENTS MD
ACTIVE TRUSTEE (FORMER)$325,780$0$127,500$0$0$0$7,800$0$19,802$0$480,882$0$0$0
KEVIN MOCKLIN
ACTIVE TRUSTEE (FORMER)$246,480$0$0$0$0$0$6,605$0$15,390$0$268,475$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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 6MOST 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 7LARRY 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 (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
A720895871546395D842007-11-01$69,371,392BOND REFUNDING, FACILITY AND EQUIPMENT UPGRADE AND RESERVES000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
B521333467NONEAVAIL2013-10-10$6,275,000CURRENT BOND REFUNDING000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
C521333467NONEAVAIL2014-01-07$10,000,000CONSTRUCTION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmt
A$4,745,000$69,371,392$6,641,4782007Yes (1)Yes (1)Yes (1)Yes (1)
B$1,030,000$6,275,0002013Yes (1)0Yes (1)Yes (1)$89,494
C$10,000,000$3,764,390201400Yes (1)Yes (1)$136,500$6,099,110

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
THOMAS SHEARMAN
THOMAS SHEARMAN IS A MEMBER OF THE BOARD & EMPLOYED BY LC AMERICAN PRESS$144,540LC AMERICAN PRESS PROVIDES ADVERTISING FOR THE HOSPITAL.0
LOUIS TODD
LOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES)$1,559,698LOUIS 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 2014, THE TOTAL PREMIUMS PAID BY THE HOSPITAL TO LAMMICO WERE $1,559,698. 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
DAVID WALLACE MD
DAVID WALLACE IS A MEMBER OF THE BOARD, & A PHYSICIAN OF CHILDREN CLINIC$150,744CHILDREN CLINIC PROVIDES MEDICAL DIRECTORSHIP OF THE PEDIATRIC NURSERY, NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT PROGRAMS AT THE HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE HOME HEALTH AGENCY, PHARMACY, WOUND CARE AND MATERIALS MANAGEMENT HAVE BEEN OUTSOURCED TO MANAGEMENT COMPANIES.
FORM 990, PART VI, SECTION A, LINE 6THE ENTITY HAS BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHEY ELECT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BBOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE IS MONITORED THROUGHOUT THE YEAR VIA MANUAL SIGNATURES BEING REQUIRED ON ALL AP CHECKS EXCEPT SMALL BALANCE PATIENT REFUNDS. THESE CHECKS HAVE AUTOMATED SIGNATURES, BUT ARE REVIEWED BEFORE MAILING. IN ADDITION LARGE CONSTRUCTION JOBS ARE REQUIRED TO BE BID OUT AND BIDS ARE RETURNED SEALED TO OUR ATTORNEYS. RELATIONSHIPS SUCH AS BANKING, INSURANCE AND OTHERS THAT HAVE BEEN DISCLOSED BY BOARD MEMBERS ARE SUBJECT TO DISCUSSION AT BOARD MEETINGS AND GENERALLY THE BOARD MEMBER WITHIN THAT RELATIONSHIP WILL EXCLUDE THEMSELVES FROM THE MEETING.
FORM 990, PART VI, SECTION B, LINE 15COMPARISON WITH VHA GULF STATES GREATER NEW ORLEANS SOCIETY OF HUMAN RESOURCES ASSN AND LHA DATA WAS DONE BY THE SALARY COMMITTEE OF THE BOARD OF TRUSTEES. MINUTES OF THE SALARY COMMITTEE WERE MAINTAINED.
FORM 990, PART VI, SECTION C, LINE 19IN ADDITION TO THE DOCUMENTS THAT ARE ON FILE WITH THE SECRETARY OF STATE THAT WERE REQUIRED TO ESTABLISH THE LEGAL ENTITY, THE GOVERNING DOCUMENTS (INCLUDING THE CONFLICT OF INTEREST POLICY) WILL BE PROVIDED TO THE PUBLIC UPON REQUEST AND SUBJECT TO OUR LEGAL COUNSEL'S APROVAL.
FORM 990, PART XI, LINE 9:BOOK/TAX DIFFERENCE - LA PET/CT IMAGING LAKE CHARLES LLC 4,496. BOOK/TAX DIFFERENCE - GIFT SHOP 80,465. BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC -142,726. GAAP ADJUSTMENT TO RECORD NET TRANSFERS TO SUBSIDIARIES -3,274. ROUNDING 11. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -11,888,542.
FORM 990 PART XII LINE 2CTHE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtDirect Controlling NADirectControllingNACd
LAKE CHARLES MEDICAL PLAZA SOUTH
1701 OAK PARK BLVDLAKE CHARLESLA70601621447910REAL ESTATE MANAGEMENTLASWLHS LLCRELATED$147000.01000
SECOND AVENUE MRI LLC
2800 SECOND AVE SUITE CLAKE CHARLESLA70601202226374IMAGING SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONRELATED$447,334000.51000$142,726
LAKE CHARLES PHARM SUPPLY CO LLC
7000 CARDINAL PLACEDUBLINOH43017721300617MEDICAL SERVICESOHN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
WLW PROPERTIES INC
1701 OAK PARK BLVDLAKE CHARLESLA70601721023846REAL ESTATE / EQUITYLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONC$103,486$262,2181.00000Yes (1)
LAKE CHARLES MEDICAL SERVICES LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721285200MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721103283MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS ONCOLOGY LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601201541727MEDICAL SERVICES-ONCOLOGYLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721381266MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL PHO
1701 OAK PARK BLVDLAKE CHARLESLA70601726013916PHYSICIAN NETWORK AND CONTRACTINGLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONC1.00000Yes (1)
MEMORIAL MEDICAL GROUP LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601461516260MEDICAL SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONC$39,309,806$6,589,1931.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE CHARLES MEDICAL SERVICES LLC
A$766,110CASH
SWLHS LLC
A$336,474CASH
SWLHS ONCOLOGY LLC
A$71,543CASH
LAKE CHARLES HEART & VASCULAR LLC
A$150,930CASH
WLW PROPERTIES INC
K$14,285CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
S$151,903CASH
SECOND AVENUE MRI LLC
A$110,535CASH
SECOND AVENUE MRI LLC
S$153,000CASH
SWLHS LLC
Q$489,799CASH
LAKE CHARLES HEART & VASCULAR LLC
Q$565,580CASH
LAKE CHARLES MEDICAL SERVICES LLC
Q$1,403,207CASH
SWLHS ONCOLOGY LLC
Q$32,263CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
R$155,898CASH
MEMORIAL MEDICAL GROUP LLC
B$12,206,206CASH
LAKE CHARLES HEART & VASCULAR LLC
P$536,263CASH
LAKE CHARLES MEDICAL SERVICES LLC
P$4,428,570CASH
SWLHS ONCOLOGY LLC
P$122,455CASH
SWLHS LLC
P$610,389CASH