SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-13
IRS object ID: 201403179349302720
Schema version: 2013v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-13T15:10:34-06:00	ReturnTs
Tax Period End	2013-12-31	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8550 UNITED PLAZA BLVD SUITE 1001	AddressLine1
City	BATON ROUGE	City
State	LA	State
ZIP Code	70809	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1
Business Name Line2	D/B/A LAKE CHARLES MEMORIAL HOSPITAL	BusinessNameLine2

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	AddressLine1
City	LAKE CHARLES	City
State	LA	State
ZIP Code	70601	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LARRY GRAHAM	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	3374943204	PhoneNum
Signature	2014-11-13	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	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	LAKE CHARLES	City
State	LA	State
ZIP Code	70601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$243,819,471	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	2578	TotalEmployeeCnt
Total Volunteers	57	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$218,807	PYContributionsGrantsAmt
CY Contributions Grants	$276,969	CYContributionsGrantsAmt
PY Program Service Revenue	$217,788,512	PYProgramServiceRevenueAmt
CY Program Service Revenue	$242,258,807	CYProgramServiceRevenueAmt
PY Investment Income	$468,351	PYInvestmentIncomeAmt
CY Investment Income	$297,668	CYInvestmentIncomeAmt
PY Other Revenue	$1,201,947	PYOtherRevenueAmt
CY Other Revenue	$986,027	CYOtherRevenueAmt
PY Total Revenue	$219,677,617	PYTotalRevenueAmt
CY Total Revenue	$243,819,471	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$87,652,049	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,271,844	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,324,365	CYTotalFundraisingExpenseAmt
PY Other Expenses	$110,942,088	PYOtherExpensesAmt
CY Other Expenses	$131,783,298	CYOtherExpensesAmt
PY Total Expenses	$198,629,137	PYTotalExpensesAmt
CY Total Expenses	$224,090,142	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,048,480	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,729,329	CYRevenuesLessExpensesAmt
Total Assets BOY	$186,931,118	TotalAssetsBOYAmt
Total Assets EOY	$220,431,868	TotalAssetsEOYAmt
Total Liabilities BOY	$118,337,597	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$146,389,848	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$68,593,521	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$74,042,020	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	$5,568,984	ExpenseAmt
Revenue	$2,006,847	RevenueAmt
Desc	LAKE CHARLES MEMORIAL HOSPITAL2013 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.II. CHARITY CAREMEMORIAL PROVIDES MEDICAL CARE TO MEDICAID INDIGENT RECIPIENTS REGARDLESS OF THEIR ABILITY TO PAY, AND REGARDLESS OF MEDICAID REIMBURSEMENT. IN 2013, MEMORIAL HOSPITAL PROVIDED $14,411,532 IN UN-REIMBURSED MEDICAID COSTS AND $1,465,580 IN CHARITY CARE COSTS. COMMUNITY BENEFIT-$15,877,111SPORTS MEDICINE, COMMUNITY EVENTS AND SEMINARSTHE SPORTS MEDICINE ALLIANCE PROVIDED $403,452 IN 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:$403,452EACH 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 $54,151 IN SPECIAL EVENTS AND SEMINARS.COMMUNITY BENEFIT: $54,151III. HEALTH PROFESSIONALS EDUCATIONLAKE CHARLES MEMORIAL INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2013, LCMH SPENT $3,108,170 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM.COMMUNITY BENEFIT:$3,108,170CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES.COMMUNITY BENEFIT:$50,515MEMORIAL'S TOTAL 2013 NET COMMUNITY CONTRIBUTIONS - $19,439,248	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$59,515,632	ExpenseAmt
Revenue	$43,638,521	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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$144,033,777	ExpenseAmt
Grant	$35,000	GrantAmt
Revenue	$197,420,361	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	$209,118,393	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	Yes (1)	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	312	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2578	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	3374943202	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 OAK PARK BLVD	AddressLine1
City	LAKE CHARLES	City
State	LA	State
ZIP Code	706018911	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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
CHRISTOPHER THOMPSON
PHYSICIAN / MEDICAL STAFF	40.00	0.30	Yes (X)	$808,801	$0	$7,650
ULYSSES GENE THIBODEAUX
CHAIRMAN	1.00	0.30	Yes (X)	$0	$0	$0	Yes (X)
LOUIS M TODD SR
ACTIVE TRUSTEE	1.00	1.30	Yes (X)	$0	$0	$0
DAVID WALLACE MD
ACTIVE TRUSTEE	1.00	0.30	Yes (X)	$0	$0	$0
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN	40.00	1.30	Yes (X)	$290,059	$0	$26,345	Yes (X)
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE	40.00	1.30	Yes (X)	$684,234	$0	$18,956	Yes (X)
DENISE EMERSON RAU
CHAIRMAN-ELECT/VICE CHAIR/	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 / MEDICAL STAFF	40.00	0.30	Yes (X)	$483,281	$0	$21,286
JOE MILLER
ACTIVE TRUSTEE	1.00	0.30	Yes (X)	$0	$0	$0
GERALD W MOUTON
ACTIVE TRUSTEE	40.00	0.30	Yes (X)	$300,920	$0	$21,286
BRYAN BAROOTES MD
PHYSICIAN/MED STAFF PRESID	1.00	0.30	Yes (X)	$0	$0	$0
S MARK MCMURRY
ACTIVE TRUSTEE	1.00	0.30	Yes (X)	$0	$0	$0
MARK ABRAHAM
ACTIVE TRUSTEE	1.00	0.30	Yes (X)	$0	$0	$0
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI	40.00			$221,760	$0	$19,285		Yes (X)
BERNITA BROWN
VICE PRES OF SUPPORT SERVI	40.00			$156,286	$0	$17,864		Yes (X)
TIM COFFEY
SR.VICE PRES OF OPERATIONS	40.00			$285,468	$0	$15,229		Yes (X)
DONNA SHIELDS
ASST VICE PRES NURSING	40.00			$211,955	$0	$19,184		Yes (X)
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN	40.00			$191,005	$0	$13,046		Yes (X)
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING	40.00			$165,077	$0	$15,796		Yes (X)
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY	40.00	1.00		$154,766	$0	$23,029		Yes (X)
NATHAN COHEN
PHYSICIAN	40.00			$950,019	$0	$21,285			Yes (X)
BRETT CASCIO
PHYSICIAN	40.00			$1,768,362	$0	$26,648			Yes (X)
MICHAEL BROUSSARD MD
PHYSICIAN	40.00			$899,652	$0	$7,650			Yes (X)
FRANCISCO MARERRO
PHYSICIAN	40.00			$964,655	$0	$26,648			Yes (X)
JEAN KING WHITE
PHYSICIAN	40.00			$1,049,433	$0	$21,285			Yes (X)
MANLEY M JORDAN MD
ACTIVE TRUSTEE (FORMER)	40.00			$431,824	$0	$26,648				Yes (X)
THOMAS C STRONG MD
ACTIVE TRUSTEE (FORMER)	40.00			$431,193	$0	$15,634				Yes (X)
BRIAN CLEMENTS MD
ACTIVE TRUSTEE (FORMER)	40.00			$485,592	$0	$26,648				Yes (X)
KEVIN MOCKLIN
ACTIVE TRUSTEE (FORMER)	40.00			$241,697	$0	$19,987				Yes (X)
LUCIEN K MOSS
ACTIVE TRUSTEE (FORMER)	40.00			$358,483	$0	$26,648				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,534,522	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$438,037	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	105	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
LEWING CONSTRUCTION INC
PO BOX 5216	LAKE CHARLES	LA	706065216	CONTRUCTION/CONTRACTOR	$3,539,120
LSU HEALTH CARE SERVICES DIVISION
PO BOX 91308	BATON ROUGE	LA	70821	PROFESSIONAL FEES	$2,621,011
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STREET	NEW ORLEANS	LA	70112	RESIDENCY PROGRAM	$2,143,051
INSTITUTE FOR NEUROPSYCHIATRY APMC
2829 4TH AVENUE	LAKE CHARLES	LA	70601	PSYCH SERVICES	$1,286,600
LA COMMERCIAL LAUNDRY
PO BOX 503	SCOTT	LA	705830503	LAUNDRY/LINEN SERVICES	$1,261,829

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	158	CntrctRcvdGreaterThan100KCnt
Government Grants	$245,239	GovernmentGrantsAmt
All Other Contributions	$31,730	AllOtherContributionsAmt
Total Contributions	$276,969	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	900099	$238,429,347	$238,429,347
CAFETERIA	900099	$2,322,517	$2,322,517
MANAGEMENT FEES	900099	$1,506,943	$1,506,943

Field	Value	IRS element (for citing)
Total Program Service Revenue	$242,258,807	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$288,432	TotalRevenueColumnAmt
Exclusion	$288,432	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$188,341	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	$188,341	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$188,341	TotalRevenueColumnAmt
Exclusion	$188,341	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$9,236	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$9,236	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,236	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,236	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME FROM SECOND AVENUE MRI, LL	621990	$795,379	$795,379
INCOME FROM LA PET/CT IMAGING LAK	621990	$29,310	$29,310
NET INCOME FROM GIFT SHOP	453220	-$27,003	-$27,003

Field	Value	IRS element (for citing)
Other Revenue Total	$797,686	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$243,819,471	TotalRevenueColumnAmt
Related Or Exempt Func Income	$243,065,729	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$476,773	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$35,000	TotalAmt
Program Services	$35,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,534,522	TotalAmt
Program Services	$4,037,082	ProgramServicesAmt
Management And General	$6,690,023	ManagementAndGeneralAmt
Fundraising	$807,417	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,987,793	TotalAmt
Program Services	$62,042,976	ProgramServicesAmt
Management And General	$944,817	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,364,381	TotalAmt
Program Services	$1,209,818	ProgramServicesAmt
Management And General	$139,781	ManagementAndGeneralAmt
Fundraising	$14,782	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,483,553	TotalAmt
Program Services	$10,182,640	ProgramServicesAmt
Management And General	$1,176,494	ManagementAndGeneralAmt
Fundraising	$124,419	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,901,595	TotalAmt
Program Services	$4,346,318	ProgramServicesAmt
Management And General	$502,170	ManagementAndGeneralAmt
Fundraising	$53,107	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,073,958	TotalAmt
Program Services	$1,039,591	ProgramServicesAmt
Management And General	$31,682	ManagementAndGeneralAmt
Fundraising	$2,685	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$381,691	TotalAmt
Program Services	$369,477	ProgramServicesAmt
Management And General	$11,260	ManagementAndGeneralAmt
Fundraising	$954	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,021,016	TotalAmt
Program Services	$7,764,343	ProgramServicesAmt
Management And General	$236,620	ManagementAndGeneralAmt
Fundraising	$20,053	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,211,987	TotalAmt
Program Services	$1,005,949	ProgramServicesAmt
Management And General	$109,079	ManagementAndGeneralAmt
Fundraising	$96,959	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,347,666	TotalAmt
Program Services	$1,304,541	ProgramServicesAmt
Management And General	$36,387	ManagementAndGeneralAmt
Fundraising	$6,738	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$259,369	TotalAmt
Program Services	$251,069	ProgramServicesAmt
Management And General	$7,003	ManagementAndGeneralAmt
Fundraising	$1,297	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,793,702	TotalAmt
Program Services	$5,561,954	ProgramServicesAmt
Management And General	$231,748	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,590,276	TotalAmt
Program Services	$10,778,957	ProgramServicesAmt
Management And General	$811,319	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,522,130	TotalAmt
Program Services	$3,275,581	ProgramServicesAmt
Management And General	$246,549	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$50,793,561	$49,168,167	$1,498,410	$126,984
PURCHASED SERVICES	$19,126,802	$18,514,744	$564,241	$47,817
BAD DEBT	$15,266,622	$15,266,622
CONTRACT LABOR	$4,422,250	$4,333,805	$88,445

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,972,268	TotalAmt
Program Services	$8,629,759	ProgramServicesAmt
Management And General	$321,356	ManagementAndGeneralAmt
Fundraising	$21,153	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$224,090,142	TotalAmt
Program Services	$209,118,393	ProgramServicesAmt
Management And General	$13,647,384	ManagementAndGeneralAmt
Fundraising	$1,324,365	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,578,185	BOYAmt
EOY	$18,213,237	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,862,985	BOYAmt
EOY	$31,700,928	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,207,133	BOYAmt
EOY	$30,008,661	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,156,378	BOYAmt
EOY	$4,847,852	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,617,752	BOYAmt
EOY	$7,172,331	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$280,290,617	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$207,519,546	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$69,391,203	BOYAmt
EOY	$72,771,071	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,797,209	BOYAmt
EOY	$40,672,591	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,320,273	BOYAmt
EOY	$15,045,197	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$186,931,118	BOYAmt
EOY	$220,431,868	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,579,755	BOYAmt
EOY	$56,722,961	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,520,000	BOYAmt
EOY	$81,305,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,065,397	BOYAmt
EOY	$4,595,516	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,172,445	BOYAmt
EOY	$3,766,371	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$118,337,597	BOYAmt
EOY	$146,389,848	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,593,521	BOYAmt
EOY	$74,042,020	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$68,593,521	BOYAmt
EOY	$74,042,020	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$186,931,118	BOYAmt
EOY	$220,431,868	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,729,329	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$14,280,830	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	$84,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$84,000	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 PROPOSED CLOSURE OF W.O. MOSS REGIONAL HOSPITAL (MOSS), A STATE RUN CHARITY HOSPITAL, AND THE PROPOSED COOPERATIVE ENDEAVOR AGREEMENT BETWEEN THE STATE OF LOUISIANA (STATE), LOUISIANA STATE UNIVERSITY (LSU) AND LAKE CHARLES MEMORIAL HOSPITAL (LCMH) WHEREBY LCMH WOULD LEASE THE ENTIRE MOSS FACILITY FROM LSU AND CONTINUE THE OPERATIONS OF THE EXISTING AMBULATORY CLINICS AT THAT SITE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,193,286	OtherCostOrOtherBasisAmt
Book Value	$5,193,286	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,044,674	OtherCostOrOtherBasisAmt
Depreciation	$96,857,526	DepreciationAmt
Book Value	$36,187,148	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,322,877	OtherCostOrOtherBasisAmt
Depreciation	$1,322,877	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,907,997	OtherCostOrOtherBasisAmt
Depreciation	$101,193,235	DepreciationAmt
Book Value	$27,714,762	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,821,783	OtherCostOrOtherBasisAmt
Depreciation	$8,145,908	DepreciationAmt
Book Value	$3,675,875	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$72,771,071	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$40,366,214	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT - LA PET IMAGING	$174,091	C
INVESTMENT-CORPORATE SHARE LCCC	$12,000	C
INVESTMENTS-VHA-E	$82,786	C
INVESTMENTS-LAKE CHARLES HEALTH PLANS	$37,500	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$40,672,591	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$1,838,333
ASSETS WHOSE USE IS LIMITED	$10,851,078
DEFERRED FINANCING COSTS	$1,768,452
OTHER RECEIVABLES	$484,829
OTHER ASSET-MSO	$102,505

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,045,197	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
BOND PREMIUM	$27,371
INVESTMENT-AMRI	$3,739,000

Field	Value	IRS element (for citing)
Total Liability	$3,766,371	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. 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, 2010.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
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	$20,120,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,655,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,465,580	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,394,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,983,169	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,411,531	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,515,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,638,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,877,111	NetCommunityBenefitExpnsAmt
Total Expense	0.07080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,115,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,006,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,108,170	NetCommunityBenefitExpnsAmt
Total Expense	0.01390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$453,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$453,967	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,568,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,006,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,562,137	NetCommunityBenefitExpnsAmt
Total Expense	0.01590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,084,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,645,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,439,248	NetCommunityBenefitExpnsAmt
Total Expense	0.08670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,848,190	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,908,914	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$73,022,024	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$95,022,651	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,000,627	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	ResidencyResidencyInd	Other FactorsOtherFactorsInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit LawsuitPermitLawsuitInd	Permit Lien On ResidencePermitLienOnResidenceInd	Collection ActivitiesCollectionActivitiesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	LawsuitLawsuitInd	Liens On ResidencesLiensOnResidencesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Medicare RatesMedicareRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	State RegulationStateRegulationInd
LAKE CHARLES MEMORIAL HOSPITAL
1	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	0	Yes (1)	Yes (X)	WWW.LCMH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	500.000000000000	Yes (1)	Yes (X)	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 (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL
2	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	0	Yes (1)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	500.000000000000	Yes (1)	Yes (X)	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 (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)	Yes (X)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LAKE CHARLES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3: 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 3: 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 7: 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 HOSPITAL	PART V, SECTION B, LINE 7: 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 12I: 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 12I: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.
LAKE CHARLES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS.
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL	PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS.
LAKE CHARLES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 22: 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 22: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
PULMONARY ASSOCIATES
2770 3RD AVENUE SUITE 110	LAKE CHARLES	LA	70601	PHYSICIAN CLINIC
FAMILY MEDICINE SPECIALISTS - GAUTHIER
1890 WEST GAUTHIER SUITE 155	LAKE CHARLES	LA	70605	PHYSICIAN CLINIC
SURGICAL ASSOCIATES
2770 3RD AVENUE SUITE 120	LAKE CHARLES	LA	70601	PHYSICIAN CLINIC
MATTHEW SCROGGS MD
1890 WEST GAUTHIER SUITE 150	LAKE CHARLES	LA	70605	PHYSICIAN CLINIC
MATERNAL-FETAL MEDICINE
1900 WEST GAUTHIER	LAKE CHARLES	LA	70605	PHYSICIAN CLINIC

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 92% 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 MCNESE 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 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 HEALTH	PRIORITY: 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. D. ESTABLISH A COMMUNITY WALKING AND HEALTHY EATING CHOICES PROGRAM IN CONJUNCTION WITH LOCAL MALL.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 REPORT	LOUISIANA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
REALLIETY ATHLETIC PRODUCTIONS
2023 CHARVAIS	LAKE CHARLES	LA	70601	461240215	N/A	$10,000	SPONSORSHIP
SWLA CENTER FOR HEALTH SERVICES
PO BOX 19010	LAKE CHARLES	LA	706169010	721015384	501(C)(3)	$10,000	SPONSORSHIP
LOUISIANA HIGH SCHOOL ATHLETIC ASSOCIATION
12720 OLD HAMMOND HIGHWAY	BATON ROUGE	LA	708161037	720513180	501(C)(3)	$15,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	2	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 (22 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
CHRISTOPHER THOMPSON
PHYSICIAN / MEDICAL STAFF	$700,003	$0	$108,798	$0	$0	$0	$7,650	$0	$0	$0	$816,451	$0	$0	$0
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN	$280,059	$0	$10,000	$0	$0	$0	$7,347	$0	$18,998	$0	$316,404	$0	$0	$0
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE	$560,370	$0	$116,414	$0	$7,450	$0	$7,650	$0	$11,306	$0	$703,190	$0	$0	$0
BEN THOMPSON
PHYSICIAN / MEDICAL STAFF	$429,999	$0	$53,282	$0	$0	$0	$7,650	$0	$13,636	$0	$504,567	$0	$0	$0
GERALD W MOUTON
ACTIVE TRUSTEE	$269,000	$0	$31,920	$0	$0	$0	$7,650	$0	$13,636	$0	$322,206	$0	$0	$0
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI	$221,760	$0	$0	$0	$0	$0	$5,650	$0	$13,635	$0	$241,045	$0	$0	$0
BERNITA BROWN
VICE PRES OF SUPPORT SERVI	$156,286	$0	$0	$0	$0	$0	$4,228	$0	$13,636	$0	$174,150	$0	$0	$0
TIM COFFEY
SR.VICE PRES OF OPERATIONS	$285,468	$0	$0	$0	$0	$0	$7,245	$0	$7,984	$0	$300,697	$0	$0	$0
DONNA SHIELDS
ASST VICE PRES NURSING	$211,955	$0	$0	$0	$0	$0	$5,548	$0	$13,636	$0	$231,139	$0	$0	$0
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN	$191,005	$0	$0	$0	$0	$0	$5,062	$0	$7,984	$0	$204,051	$0	$0	$0
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING	$165,077	$0	$0	$0	$0	$0	$4,490	$0	$11,306	$0	$180,873	$0	$0	$0
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY	$154,766	$0	$0	$0	$0	$0	$4,031	$0	$18,998	$0	$177,795	$0	$0	$0
NATHAN COHEN
PHYSICIAN	$950,019	$0	$0	$0	$0	$0	$7,650	$0	$13,635	$0	$971,304	$0	$0	$0
BRETT CASCIO
PHYSICIAN	$800,782	$0	$967,580	$0	$0	$0	$7,650	$0	$18,998	$0	$1,795,010	$0	$0	$0
MICHAEL BROUSSARD MD
PHYSICIAN	$529,391	$0	$370,261	$0	$0	$0	$7,650	$0	$0	$0	$907,302	$0	$0	$0
FRANCISCO MARERRO
PHYSICIAN	$600,781	$0	$363,874	$0	$0	$0	$7,650	$0	$18,998	$0	$991,303	$0	$0	$0
JEAN KING WHITE
PHYSICIAN	$700,783	$0	$348,650	$0	$0	$0	$7,650	$0	$13,635	$0	$1,070,718	$0	$0	$0
MANLEY M JORDAN MD
ACTIVE TRUSTEE (FORMER)	$429,998	$0	$1,826	$0	$0	$0	$7,650	$0	$18,998	$0	$458,472	$0	$0	$0
THOMAS C STRONG MD
ACTIVE TRUSTEE (FORMER)	$372,002	$0	$59,191	$0	$0	$0	$7,650	$0	$7,984	$0	$446,827	$0	$0	$0
BRIAN CLEMENTS MD
ACTIVE TRUSTEE (FORMER)	$325,780	$0	$159,812	$0	$0	$0	$7,650	$0	$18,998	$0	$512,240	$0	$0	$0
KEVIN MOCKLIN
ACTIVE TRUSTEE (FORMER)	$241,697	$0	$0	$0	$0	$0	$6,351	$0	$13,636	$0	$261,684	$0	$0	$0
LUCIEN K MOSS
ACTIVE TRUSTEE (FORMER)	$326,000	$0	$32,483	$0	$0	$0	$7,650	$0	$18,998	$0	$385,131	$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 $736.30 PER YEAR. ANY NONBUSINESS USE OF THE CLUB IS ACCOUNTED FOR AND INCLUDED AS COMPENSATION IN THE CEO W-2.
PART I, LINE 6	BEN THOMPSON, M.D., LUCIEN K. MOSS M.D. AND MANLEY JORDAN, M.D. ARE SUBJECT TO A BONUS STRUCTURE OF COLLECTIONS MINUS EXPENSES. 85% OF THE EXCESS IS PAID TO THE PHYSICIAN, BUT NOT TO EXCEED 85% OF THE PHYSICIAN BASE. 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 (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
A	720895871	546395D84	2007-11-01	$69,371,392	BOND REFUNDING, FACILITY AND EQUIPMENT UPGRADE AND RESERVES	0	0	0
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
B	521333467	NONEAVAIL	2013-10-10	$6,275,000	CURRENT BOND REFUNDING	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$3,550,000	$69,371,392	$6,641,478	2007	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B		$6,275,000		2013	Yes (1)	0	Yes (1)	Yes (1)	$89,494

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	0	MgmtContractBondFincdPropInd
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 (2 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/BusinessNameLine2	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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: CALCASIEU PARISH PUBLIC TRUST AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/14/2012	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
THOMAS SHEARMAN
THOMAS SHEARMAN IS A MEMBER OF THE BOARD & EMPLOYED BY LC AMERICAN PRESS	$128,083	LC AMERICAN PRESS PROVIDES ADVERTISING FOR THE HOSPITAL.	0
LOUIS TODD
LOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES)	$1,452,329	TODD & ASSOCIATES PROVIDES BROKERAGE SERVICES FOR MEDICAL MALPRACTICE INSURANCE FOR THE HOSPITAL'S EMPLOYED PHYSICIANS THROUGH LAMMICO. LOUIS TODD RECEIVES A COMMISSION FROM THE PREMIUMS THAT THE HOSPITAL PAYS TO LAMMICO AND LOUISIANA PATIENTS COMPENSATION FUND.	0
DAVID WALLACE MD
DAVID WALLACE IS A MEMBER OF THE BOARD, & A PHYSICIAN OF CHILDREN CLINIC	$150,744	CHILDREN CLINIC PROVIDES MEDICAL DIRECTORSHIP OF THE PEDIATRIC NURSERY, NEONATAL INTENSIVE CARE UNIT AND PEDIATRIC INTENSIVE CARE UNIT PROGRAMS AT THE HOSPITAL	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, AND PURCHASING 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 -2,107. BOOK/TAX DIFFERENCE - GIFT SHOP 27,003. BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC -795,379. GAAP ADJUSTMENT TO RECORD NET TRANSFERS TO SUBSIDIARIES 41,846. ROUNDING -5. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -13,552,188.
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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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		0	SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	$49	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	$304,610	0	0	0.51000	$795,379
LAKE CHARLES PHARM SUPPLY CO LLC
7000 CARDINAL PLACE	DUBLIN	OH	43017	721300617	MEDICAL SERVICES	OH								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	$102,352	$262,215	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	$34,015,683	$6,128,523	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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	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 (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE CHARLES MEDICAL SERVICES LLC
A	$556,205	FAIR MARKET VALUE
SWLHS LLC
A	$208,812	FAIR MARKET VALUE
SWLHS ONCOLOGY LLC
A	$76,351	FAIR MARKET VALUE
LAKE CHARLES HEART & VASCULAR LLC
A	$124,911	FAIR MARKET VALUE
WLW PROPERTIES INC
K	$34,284	FAIR MARKET VALUE
(no name)
		FAIR MARKET VALUE
(no name)
		FAIR MARKET VALUE
(no name)
		FAIR MARKET VALUE
SECOND AVENUE MRI LLC
A	$94,203	FAIR MARKET VALUE
SECOND AVENUE MRI LLC
S	$599,400	CASH
SWLHS LLC
Q	$1,297,446	CASH
LAKE CHARLES HEART & VASCULAR LLC
Q	$855,419	CASH
LAKE CHARLES MEDICAL SERVICES LLC
Q	$1,770,152	CASH
SWLHS ONCOLOGY LLC
Q	$179,457	CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
R	$132,242	CASH
MEMORIAL MEDICAL GROUP LLC
B	$10,429,767	CASH
LAKE CHARLES HEART & VASCULAR LLC
P	$267,483	CASH
LAKE CHARLES MEDICAL SERVICES LLC
P	$1,496,590	CASH
SWLHS ONCOLOGY LLC
P	$57,856	CASH
SWLHS LLC
P	$343,742	CASH