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WILLIS-KNIGHTON MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WILLIS-KNIGHTON MEDICAL CENTER (EIN 72-0400933)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-07
IRS object ID
201321279349301662
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-07T16:27:16-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN720506596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLE EVANS & PETERSONBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE DRAWER 1768AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711661768ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720400933EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone3182124000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711302600ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES K ELRODName
TitlePRESIDENTTitle
Phone3182124000Phone
Date Signed2013-05-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameC WILLIAM GERARDY JRName
PTINP00024591PTIN
Phone3182228367Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES K ELRODNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711302600ZIPCode
FieldValueIRS element (for citing)
Gross Receipts852398397GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WKHS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTH CARE SERVICES TO THE GENERAL PUBLIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees6751TotalNbrEmployees
Total Nbr Volunteers249TotalNbrVolunteers
Total Gross UBI1507769TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4944ContributionsGrantsPriorYear
Contributions Grants Current Year26840ContributionsGrantsCurrentYear
Program Service Revenue Prior Year801935730ProgramServiceRevenuePriorYear
Program Service Revenue CY847199480ProgramServiceRevenueCY
Investment Income Prior Year1730606InvestmentIncomePriorYear
Investment Income Current Year1641187InvestmentIncomeCurrentYear
Other Revenue Prior Year3673880OtherRevenuePriorYear
Other Revenue Current Year947805OtherRevenueCurrentYear
Total Revenue Prior Year807345160TotalRevenuePriorYear
Total Revenue Current Year849815312TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1797776GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2340463GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year333959691SalariesEtcPriorYear
Salaries Etc Current Year351641743SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year395476199OtherExpensePriorYear
Other Expenses Current Year412207323OtherExpensesCurrentYear
Total Expenses Prior Year731233666TotalExpensesPriorYear
Total Expenses Current Year766189529TotalExpensesCurrentYear
Revenues Less Expenses Prior Year76111494RevenuesLessExpensesPriorYear
Revenues Less Expenses CY83625783RevenuesLessExpensesCY
Total Assets BOY888515990TotalAssetsBOY
Total Assets EOY950515940TotalAssetsEOY
Total Liabilities BOY364310630TotalLiabilitiesBOY
Total Liabilities EOY370437103TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY524205360NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY580078837NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense634839264Expense
Grants2279352Grants
Revenue842997991Revenue
DescriptionWILLIS-KNIGHTON MEDICAL CENTER STRIVES TO PROVIDE HIGH QUALITY, COST-EFFECTIVE MEDICAL CARE TO THE COMMUNITIES OF NORTHWEST LOUISIANA, NORTHEAST TEXAS, AND SOUTHWEST ARKANSAS. THE MEDICAL CENTER OFFERS SOPHISTICATED TECHNOLOGY AND PROCEDURES THAT MAKE IT A TERTIARY CARE REFERRAL CENTER. GENERAL THE MEDICAL CENTER PROVIDES 24-HOUR EMERGENCY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY, AT ITS FOUR HOSPITALS. THE MEDICAL CENTER PROVIDES AN ORGAN TRANSPLANT PROGRAM, FERTILITY AND REPRODUCTIVE HEALTH CLINIC, OBSTETRICS, COMPREHENSIVE HEART AND CANCER PROGRAMS, EXTENSIVE SURGICAL OPTIONS, LEADING-EDGE DIAGNOSTICS AS WELL AS A BROAD NETWORK OF PHYSICIANS ENCOMPASSING MOST SPECIALTIES AND SUBSPECIALTIES. THE MEDICAL CENTER PROVIDES THESE SERVICES REGARDLESS OF RACE, COLOR, CREED, RELIGION, GENDER, NATIONAL ORIGIN, DISABILITY OR AGE. THE MEDICAL CENTER HAD 51,343 ADMITTANCES DURING THE YEAR ENDED SEPTEMBER 30, 2012 WITH A TOTAL OF 203,603 PATIENT DAYS AND 3,897 BIRTHS. THE MEDICAL CENTER PARTICIPATES IN THE MEDICAID PROGRAM AND ADMINISTERS A CHARITY CARE POLICY WHEREBY FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO QUALIFIED INDIVIDUALS WITH LIMITED FINANCIAL MEANS. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER PROVIDED AN ESTIMATED $12,500,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO CHARITY CARE (EXCLUDING PROJECT NEIGHBORHEALTH) AND AN ESTIMATED $31,800,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO MEDICAID PATIENTS. THESE ESTIMATES ARE BASED ON THE MEDICAL CENTER'S OVERALL COST-TO-CHARGE RATIO. IN ADDITION TO THESE SERVICES, WILLIS-KNIGHTON PROJECT NEIGHBORHEALTH OPERATES FOUR CLINICS IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED AREAS WITH HEALTH PROFESSIONAL SHORTAGES. SEE SCHEDULE H FOR DETAILED INFORMATION REGARDING PROJECT NEIGHBORHEALTH. REGIONAL TRANSPLANT CENTER THE MEDICAL CENTER, IN CONJUNCTION WITH LSU HEALTH SCIENCES CENTER (A PUBLIC TEACHING AND INDIGENT CARE FACILITY), OPERATES A REGIONAL TRANSPLANT CENTER (WILLIS-KNIGHTON/LSUHSC REGIONAL TRANSPLANT CENTER) AT WILLIS-KNIGHTON MEDICAL CENTER. ALL TRANSPLANT PATIENTS RECEIVE TRANSPLANTS WITHOUT REGARD TO THEIR ECONOMIC STATUS. THE REGIONAL TRANSPLANT CENTER PROVIDES KIDNEY, PANCREAS, AND LIVER TRANSPLANTS. SUBSTANTIALLY ALL THE COSTS OF OPERATING THE REGIONAL TRANSPLANT CENTER ARE BORNE BY WILLIS-KNIGHTON MEDICAL CENTER. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, 47 PATIENTS RECEIVED ORGAN TRANSPLANTS, CONSISTING OF 32 KIDNEYS (2 OF THOSE PATIENTS ALSO HAD A PANCREAS TRANSPLANT, AND 1 OF THOSE PATIENTS ALSO HAD A LIVER TRANSPLANT), 1 PANCREAS AND 14 LIVERS. OF THE 47 TRANSPLANT SURGERIES PERFORMED AT THE MEDICAL CENTER DURING THE YEAR ENDED SEPTEMBER 30, 2012, 28 PATIENTS WERE BENEFICIARIES OF THE MEDICARE PROGRAM AND 2 PATIENTS WERE BENEFICIARIES OF THE MEDICAID PROGRAM. AS SUCH, THESE TRANSPLANTS WERE PERFORMED AT VERY LITTLE, IF ANY, COST TO THE PATIENTS.EMERGENCY CARE THE MEDICAL CENTER PROVIDES EMERGENCY SERVICES AT FOUR LOCATIONS ON A 24-HOUR BASIS STAFFED BY FULL-TIME EMERGENCY ROOM PHYSICIANS. EMERGENCY PATIENTS ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER'S EMERGENCY ROOMS WERE VISITED BY 154,282 PATIENTS, OF WHOM 26,027 WERE ADMITTED TO THE HOSPITAL FOR FURTHER TREATMENT.WOMEN AND CHILDREN'S HEALTH SERVICES THE MEDICAL CENTER PROVIDES A VARIETY OF MEDICAL SERVICES FOR WOMEN AND CHILDREN, INCLUDING OBSTETRICS, GYNECOLOGY, AND NEONATOLOGY. THESE SERVICES INCLUDE BOTH HIGH-RISK AND LOW-RISK OBSTETRICS. MATERNAL TRANSPORTS ARE ACCEPTED. THE LABOR AND DELIVERY (L&D) UNITS ARE DIRECTED BY BOARD CERTIFIED OB-GYN PHYSICIANS AND THE MAJORITY OF THE NURSES ARE CERTIFIED BY THE ASSOCIATION OF WOMEN'S HEALTH, OBSTETRIC & NEONATAL NURSES (AWHON). THERE WERE 3,897 BIRTHS; 8,783 OBSTETRICAL VISITS TO THE L&D UNITS; AND 6,586 OBSTETRICAL AND GYNECOLOGICAL INPATIENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012.HEALTH AND WELLNESS CENTERS THE MEDICAL CENTER HAS SIX MEDICALLY-SUPERVISED HEALTH AND WELLNESS CENTERS DEDICATED TO THE PREVENTION OF HEALTH PROBLEMS, FOUR IN SHREVEPORT, ONE IN BOSSIER CITY, AND ONE IN HOMER WITH A TOTAL MEMBER ENROLLMENT AT SEPTEMBER 30, 2012 OF 6,324. THE CENTERS ARE LOCATED ON EACH OF THE FOUR HOSPITAL CAMPUSES, IN THE WK PIERRE AVENUE COMMUNITY CENTER, AND IN THE WK CLAIBORNE REGIONAL HEALTH CENTER. A MEDICAL EVALUATION, INCLUDING A BLOOD CHEMISTRY WORK-UP, IS REQUIRED FOR MEMBERSHIP. THE CENTERS SERVE PULMONARY AND CARDIAC REHABILITATION PATIENTS AND PROVIDE HEALTH AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. NEONATAL INTENSIVE CARE UNIT WILLIS-KNIGHTON'S CENTER FOR WOMEN'S HEALTH HOUSES A 42-BED LEVEL III NICU. THIS UNIT ACCEPTS REFERRALS FROM THE ARK-LA-TEX AREA AND IS SERVICED BY BOTH AIR AND GROUND EMERGENCY TRANSPORT ON A 24-HOUR BASIS. THIS UNIT IS DIRECTED BY A BOARD CERTIFIED NEONATOLOGIST. THE MAJORITY OF THE NURSING STAFF IS CERTIFIED BY AWHON. THE AVERAGE LENGTH OF STAY PER ADMIT IS 19.4 DAYS.HOSPICE HOSPICE OF LOUISIANA IS A DEPARTMENT OF WILLIS-KNIGHTON MEDICAL CENTER THAT PROVIDES COMPREHENSIVE END-OF-LIFE CARE INCLUDING SKILLED AND SUPPORTIVE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE HOSPICE TEAM, UNDER THE GUIDANCE OF THE ATTENDING PHYSICIAN, FOCUSES ON THE ALLEVIATION OF THE PAIN AND DISCOMFORT CONNECTED WITH LIFE-ENDING ILLNESS. QUALITY OF LIFE, EMOTIONAL AND SPIRITUAL BALANCE, SYMPTOM MANAGEMENT, AND PAIN CONTROL ARE THE GOALS THAT TEAM MEMBERS STRIVE FOR AS THEY ASSIST DYING PATIENTS AND THEIR FAMILIES. BEREAVEMENT SUPPORT FOR THE IMMEDIATE FAMILY AND COMPANIONS IS PROVIDED FOR AT LEAST ONE YEAR FOLLOWING THE PATIENT'S DEATH. FOR THE YEAR ENDED SEPTEMBER 30, 2012, HOSPICE OF LOUISIANA SERVED 208 PATIENTS AND THEIR FAMILIES AS DIRECT ADMITS, NOT INCLUDING VISITATION AND COUNSELING PROVIDED THROUGH PRE-ADMIT AND/OR BEREAVEMENT SERVICES. THE TEAM INCLUDES: REGISTERED NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, VOLUNTEERS, ATTENDING PHYSICIANS, AND MEDICAL DIRECTOR.BEHAVIORAL MEDICINE CENTER THE BEHAVIORAL MEDICINE CENTER AT WILLIS-KNIGHTON MEDICAL CENTER OFFERS INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS IN NEED OF MENTAL HEALTH CARE. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE BEHAVIORAL MEDICINE CENTER SPONSORED NUMEROUS INFORMATION SESSIONS FOR VARIOUS GROUPS IN THE SHREVEPORT/BOSSIER AND NORTHWEST LOUISIANA AREAS. SUCH SESSIONS AMOUNTED TO APPROXIMATELY 460 HOURS AND WERE ATTENDED BY APPROXIMATELY 3,800 PEOPLE. TOPICS INCLUDED:MARRIAGE/FAMILY - DEVELOPMENT OF SKILLS TO ENRICH MARRIAGE AND FAMILY LIFE.SELF-ESTEEM - CONCENTRATES ON HOW GOOD SELF-ESTEEM CAN ENHANCE AN INDIVIDUAL'S QUALITY OF LIFE. PARENTING - FOCUSES ON APPROPRIATE PARENTING SKILLS AT VARIOUS DEVELOPMENTAL STAGES. STRESS MANAGEMENT - DEVELOPING SKILLS TO COPE WITH EVERYDAY STRESSES IN LIFE.PERSONAL ENRICHMENT - EMPOWERING OURSELVES TO REACH MAXIMUM POTENTIAL.MOTIVATION/ATTITUDE - HOW ATTITUDE AFFECTS OUR MENTAL AND PHYSICAL HEALTH.COUNSELING ISSUES/TECHNIQUES - ISSUES CONCERNING PROFESSIONAL DEVELOPMENT FOR COUNSELORS/THERAPISTS.AGING - DEVELOPMENT OF A POSITIVE ATTITUDE TO DEAL WITH ISSUES OF AGING.DEPRESSION/SUICIDE - ASSESSMENT OF DEPRESSION AND SUICIDE, AND LEGAL AND ETHICAL ISSUES SURROUNDING SUICIDE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9620280Expense
Revenue3584440Revenue
DescriptionTHE MEDICAL CENTER PROVIDES HOUSING, HEALTHCARE, AND RELATED SERVICES TO THE ELDERLY THROUGH THE OAKS OF LOUISIANA. THE OAKS OF LOUISIANA IS A RESIDENTIAL COMMUNITY DESIGNED SPECIFICALLY FOR ADULTS AGED 55 AND OVER. THIS RESIDENTIAL COMMUNITY PROVIDES SECURE, MAINTENANCE-FREE LIVING AND PROMOTES AN ACTIVE, HEALTHY LIFESTYLE. THE CAMPUS OF THE OAKS OF LOUISIANA INCLUDES THE TOWER AT THE OAKS, A RESIDENTIAL COMMUNITY AND SAVANNAH AT THE OAKS, AN ASSISTED LIVING FACILITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense644459544TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096439NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees6751NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT D HUIEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3182124000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12611 GREENWOOD ROADAddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711033908ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES K ELROD
PRESIDENT/CEO/TRUSTEE53.00XX147194260009602
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN40.00X21024307226
RAY P ODEN JR
TRUSTEE/CHAIRMAN4.00X000
PHILLIP A ROZEMAN MD
TRUSTEE4.00X000
TIGNER A WALKER
TRUSTEE4.00X000
FRANK B HUGHES MD
TRUSTEE4.00X000
RAND H FALBAUM
TRUSTEE4.00X000
TWAIN K GIDDENS
TRUSTEE4.00X000
WILLIS L MEADOWS JR
TRUSTEE4.00X000
JESSE C DEEN
TRUSTEE4.00X000
SAM J TALBOT
TRUSTEE4.00X000
BENDEL JOHNSON MD
TRUSTEE4.00X000
ROBERT D HUIE
EXECUTIVE VP & CFO52.00X1204454017726
NILA C WILLHOITE
SR VP OF ADMINISTRATION40.00X247507015314
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO40.00X424451021608
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS40.00X302898021611
MARGARET G ELROD
VP/IND WELLNESS/COMMUNITY40.00X17333108461
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC40.00X161174023842
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER40.00X171565014882
JANET K ELROD
VP/ADMIN WK SOUTH40.00X16968009171
IRA L MOSS
VP/ADMIN WK PIERREMONT40.00X198510017993
JILL K ELROD
VP OF LEGAL AFFAIRS40.00X219016011957
PEGGY J GAVIN
VP OF PHYSICIAN SERVICES40.00X17595909746
DEBORAH D OLDS
VP OF NURSING40.00X131415016123
RAMONA D FRYER
VP OF REV/QUALITY/COMPLIAN40.00X177152017701
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC40.00X318570014411
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB40.00X315523015078
RANDALL P BREWER MD
PHYSICIAN40.002050313020118X
MILAN G MODY MD
PHYSICIAN40.001489434020105X
CHRISTIAN M BRIERY MD
PHYSICIAN40.001529091019893X
MATTHEW S MOSURA MD
PHYSICIAN40.001310556020099X
CLINT M CORMIER MD
PHYSICIAN40.001396614019272X
FieldValueIRS element (for citing)
Total Reportable Comp From Org13849398TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6000TotalReportableCompFrmRltdOrgs
Total Other Compensation351939TotalOtherCompensation
Number Individuals GT100 K460NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LSU HEALTH SCIENCES CENTER
PO BOX 33932SHREVEPORTLA71130MEDICAL STAFFING5252441
RED RIVER CARDIOVASCULAR SURGEONS
2751 ALBERT BICKNELL DR SUITE 5CSHREVEPORTLA71103PHYSICIAN SERVICES2573333
ESTOPINAL GROUP
903 SPRING STREETJEFFERSONVILLEIN47130ARCHITECTURAL FEES2326324
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN55480LABORATORY TESTING SERVICES2325392
COLE EVANS & PETERSON
624 TRAVIS STREETSHREVEPORTLA71101PAYROLL EE BENEFIT, ACCT/CONSULTANT SVCS1845094
FieldValueIRS element (for citing)
Number Of Contractors GT100 K106NumberOfContractorsGT100K
All Other Contributions26840AllOtherContributions
Total Contributions26840TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL SERVICES90009984361504084358888926151
RESIDENTIAL COMMUNITY90009935844403584440
FieldValueIRS element (for citing)
Total Program Service Revenue847199480TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1698272TotalRevenueColumn
Exclusion$1,698,272ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1667648Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2038374Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-370726Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-370726TotalRevenueColumn
Related Or Exempt Function Income-370726RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities460127Securities
Other27499Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities459443Securities
Other85268Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities684Securities
Other-57769Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-57085TotalRevenueColumn
Related Or Exempt Function Income-57085RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LABORATORY REVENUE621500652592652592
INCOME(LOSS) FROM SUBS524114272314272314
(LOSS) FROM SUBSIDIARY623000-250564-250564

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column644189TotalRevenueColumn
Related Or Exempt Function Income-184837RelatedOrExemptFunctionIncome
Unrelated Business Revenue829026UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1318531TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column849815312TotalRevenueColumn
Related Or Exempt Function Income846582431RelatedOrExemptFunctionIncome
Unrelated Business Revenue1507769UnrelatedBusinessRevenue
Exclusion$1,698,272ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2279352Total
Program Services2279352ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total61111Total
Program Services61111ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6200350Total
Management And General6200350ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total257392729Total
Program Services225477403ProgramServices
Management And General31915326ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17364381Total
Program Services14853484ProgramServices
Management And General2510897ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48801952Total
Program Services41745168ProgramServices
Management And General7056784ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21882331Total
Program Services18718136ProgramServices
Management And General3164195ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2594368Total
Management And General2594368ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1725013Total
Management And General1725013ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2846315Total
Program Services1115733ProgramServices
Management And General1730582ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7201032Total
Management And General7201032ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1053718Total
Management And General1053718ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44396146Total
Program Services21650532ProgramServices
Management And General22745614ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5936442Total
Management And General5936442ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT DEPARTMENTAL EXP316537807316537807
TAXES & LICENSES77091097709109
BUSINESS OFFICE46077724607772

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17599601Total
Program Services2020818ProgramServices
Management And General15578783ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total766189529Total
Program Services644459544ProgramServices
Management And General121729985ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23704709BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY98199847BOY
EOY156688418EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY113588257BOY
EOY126115486EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8723990BOY
EOY11401086EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21265155BOY
EOY20574027EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2964420BOY
EOY3385510EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1013861864LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec503468272LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY488482781BOY
EOY510393592EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY110549292BOY
EOY102365990EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18291146BOY
EOY16882615EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1864249BOY
EOY1648502EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY882144BOY
EOY1060714EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY888515990BOY
EOY950515940EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY78546392BOY
EOY90271313EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY184320743BOY
EOY177443951EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY101443495BOY
EOY102721839EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY364310630BOY
EOY370437103EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY524205360BOY
EOY580078837EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY524205360BOY
EOY580078837EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY888515990BOY
EOY950515940EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses83625783ReconcilationRevenueExpenses
Reconcilation Other Changes-27752306ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Media Advertisements$0MediaAdvertisementsAmount
Mailings Members0MailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Publications Or Broadcast$0PublicationsOrBroadcastAmount
Grants Other Organizations0GrantsOtherOrganizations
Grants Other Organizations$0GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$61,714OtherActivitiesAmount
Total Lobbying Expenditures IIB61714TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3
Amount Of4912 Tax0AmountOf4912Tax
Amount Of Managers4912 Tax0AmountOfManagers4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER PAID DUES TOTALING $32,000 TO THE LOUISIANA STATE MEDICAL SOCIETY ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $6,720 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER PAID DUES TOTALING $7,105 TO THE AMERICAN MEDICAL ASSOCIATION ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $3,908 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER PAID DUES TOTALING $243,269 TO THE LOUISIANA HOSPITAL ASSOCIATION FOR THE MEDICAL CENTER'S MEMBERSHIP IN THE ASSOCIATION AND ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $51,086 WAS RELATED TO LOBBYING ACTIVITIES. HEALTHCARE POLICY IS CRITICAL TO THE MISSION OF THE MEDICAL CENTER, AND ITS MANAGEMENT BELIEVES THAT HEALTHCARE PROVIDERS SHOULD PARTICIPATE IN FORMING HEALTHCARE POLICY BY INTERACTING WITH NATIONAL, STATE, AND LOCAL REPRESENTATIVES AND THEIR STAFFS, WHEN POSSIBLE, TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTHCARE ISSUES. THE MEDICAL CENTER'S MANAGEMENT IS AVAILABLE TO LAWMAKERS, GOVERNMENT OFFICIALS, AND THEIR STAFF MEMBERS, FOR INFORMATION AND OCCASIONALLY RESPONDS TO QUESTIONS AND INITIATES COMMUNICATIONS ABOUT HOW PROPOSED LAWS, POLICIES, REGULATIONS, ETC. MIGHT AFFECT THE MEDICAL CENTER'S ABILITY TO DELIVER COST-EFFECTIVE, QUALITY HEALTHCARE. THE AMOUNT OF TIME AND MONEY RESOURCES INVOLVED IN THESE ACTIVITIES IS INSUBSTANTIAL. THE MEDICAL CENTER HAS NOT AND DOES NOT INTERVENE IN ANY POLITICAL CAMPAIGN.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1266950InvestmentCostOrOtherBasis
Other Cost Or Other Basis47891470OtherCostOrOtherBasis
Book Value49158420BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis9312521InvestmentCostOrOtherBasis
Other Cost Or Other Basis583459551OtherCostOrOtherBasis
Depreciation271395694Depreciation
Book Value321376378BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1903870OtherCostOrOtherBasis
Depreciation1167512Depreciation
Book Value736358BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis296311678OtherCostOrOtherBasis
Depreciation217188033Depreciation
Book Value79123645BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73715824OtherCostOrOtherBasis
Depreciation13717033Depreciation
Book Value59998791BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings510393592TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$1,529,967
INVESTMENT IN SUB. - VIRGINIA HALL, INC.$3,709,474
LIABILITY FOR PENSION BENEFITS$97,482,398
FieldValueIRS element (for citing)
Total Of Amounts102721839TotalOfAmounts
Total Revenue849815312TotalRevenue
Total Expenses766189529TotalExpenses
Excess Or Deficit For Year83625783ExcessOrDeficitForYear
Net Unrealized GL On Investments-569941NetUnrealizedGLOnInvestments
Other-$27,182,365OtherAmount
Total Adjustments-27752306TotalAdjustments
Excess Or Deficit Per FS55873477ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt863232747TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-569941NetUnrealizedGainsInvestments
Revenue Not Rptd F990-569941RevenueNotRptdF990
Revenue Subtotal863802688RevenueSubtotal
Other Revenues Not Included-13987376OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-13987376RevenueNotRptdOnFinStmt
Total Revenue Per Form990849815312TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt807359270TotExpensesEtcAuditedFinclStmt
Other Expenses Included41169741OtherExpensesIncluded
Expenses Not Rptd F99041169741ExpensesNotRptdF990
Expenses Subtotal766189529ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990766189529TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:FASB ASC 715-30 PENSION -27,182,365.
PART XII, LINE 4B UNRELATED BUSINESS INCOME 790,446 SUBSIDIARIES EXPENSES (14,777,822) TOTAL (13,987,376) PART XIII, LINE 2D UNRELATED BUSINESS INCOME (790,446) SUBSIDIARIES EXPENSES 14,777,822 PENSION RELATED CHANGES 27,182,365 TOTAL 41,169,741 PART XI, LINE 8 PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS - THIS COST IS PRIMARILY ATTRIBUTABLE TO THE EFFECTS OF CHANGES IN FINANCIAL MARKETS ON BOTH INVESTED PLAN ASSETS AND ASSUMED DISCOUNT RATES USED IN THE CALCULATION OF THE PLAN'S FUNDED STATUS.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionRUSSIA & THE NEWLY INDEPENDENT STATES -Region
Purpose Of GrantPROVIDE MEDICAL SUPPLIES AND DOCTORS' TRAVEL EXPENSES FOR MEDICAL MISSION TRIP TO THE UKRAINEPurposeOfGrant
Amount Of Non Cash Assistance61111AmountOfNonCashAssistance
Description Of Non Cash AssistanceMEDICAL SUPPLIES AND TRAVEL EXPENSESDescriptionOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12474895TotalCommunityBenefitExpense
Net Community Benefit Expense12474895NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense70841568TotalCommunityBenefitExpense
Direct Offsetting Revenue39033962DirectOffsettingRevenue
Net Community Benefit Expense31807606NetCommunityBenefitExpense
Percent Of Total Expense0.04150PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense83316463TotalCommunityBenefitExpense
Direct Offsetting Revenue39033962DirectOffsettingRevenue
Net Community Benefit Expense44282501NetCommunityBenefitExpense
Percent Of Total Expense0.05780PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2228683TotalCommunityBenefitExpense
Net Community Benefit Expense2228683NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5391803TotalCommunityBenefitExpense
Net Community Benefit Expense5391803NetCommunityBenefitExpense
Percent Of Total Expense0.00700PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2163732TotalCommunityBenefitExpense
Direct Offsetting Revenue686963DirectOffsettingRevenue
Net Community Benefit Expense1476769NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2995443TotalCommunityBenefitExpense
Net Community Benefit Expense2995443NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12779661TotalCommunityBenefitExpense
Direct Offsetting Revenue686963DirectOffsettingRevenue
Net Community Benefit Expense12092698NetCommunityBenefitExpense
Percent Of Total Expense0.01570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense96096124TotalCommunityBenefitExpense
Direct Offsetting Revenue39720925DirectOffsettingRevenue
Net Community Benefit Expense56375199NetCommunityBenefitExpense
Percent Of Total Expense0.07350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$21,398,113BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare206727655AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare216115299CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9387644MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
WILLIS-KNIGHTON MEDICAL CENTER
12600 GREENWOOD ROADSHREVEPORTLA71103XXXXREHAB CTR, SNF, PHYSICIAN CLINICS
WK PIERREMONT HEALTH CENTER
28001 YOUREE DRIVESHREVEPORTLA71115XXXXPHYSICIAN CLINICS
WK BOSSIER HEALTH CENTER
32400 HOSPITAL DRIVEBOSSIER CITYLA71111XXXPHYSICIAN CLINICS
WILLIS-KNIGHTON SOUTH
42510 BERT KOUNS INDUSTRIAL LOOPSHREVEPORTLA71118XXXXPHYSICIAN CLINICS

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
WILLIS-KNIGHTON MEDICAL CENTER
111150.0000000000001250.0000000000001XXXXXX11XX1X1XXXXX1X00
WK PIERREMONT HEALTH CENTER
211150.0000000000001250.0000000000001XXXXXX11XX1X1XXXXX1X00
WK BOSSIER HEALTH CENTER
311150.0000000000001250.0000000000001XXXXXX11XX1X1XXXXX1X00
WILLIS-KNIGHTON SOUTH
411150.0000000000001250.0000000000001XXXXXX11XX1X1XXXXX1X00

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanation
PART I, LINE 7: ALL ITEMS IN THE TABLE, EXCEPT FOR LINE 7G, USE THE COST-TO-CHARGE RATIO COSTING METHOD. PROJECT NEIGHBORHEALTH, WHICH IS INCLUDED ON LINE 7G, USES THE ACTUAL COST METHOD.
PART III, LINE 4: THE MEDICAL CENTER MAINTAINS AN ALLOWANCE FOR DOUBTFUL PATIENT ACCOUNTS RECEIVABLE BASED ON MANAGEMENTS ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. AS MANAGEMENT DETERMINES THE COLLECTION OF SPECIFIC PATIENT ACCOUNTS TO BE DOUBTFUL, SUCH ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE. BASED ON THIS ANALYSIS, BAD DEBT EXPENSE AS A PERCENTAGE OF GROSS PATIENT BILLINGS (EXCLUDING MEDICARE CHARGES, MEDICAID CHARGES, AND CHARITY CARE) WAS 6.9 PERCENT AND 6.2 PERCENT FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND SEPTEMBER 30, 2011, RESPECTIVELY.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
PART III, LINE 9B: MONTHLY STATEMENTS ARE GENERATED AND MAILED BY THE MEDICAL CENTER TO KEEP PATIENTS/GUARANTORS INFORMED OF OUTSTANDING ACCOUNT BALANCES. STATEMENT MESSAGES ARE GENERATED FOR EACH ACCOUNT THAT LET THE PATIENT/GUARANTOR KNOW IF THE BALANCE IS PENDING PAYMENT FROM THEIR INSURANCE CARRIER OR DEEMED TO BE THE PATIENT'S RESPONSIBILITY.THE IN-HOUSE COLLECTIONS DEPARTMENT IS RESPONSIBLE FOR SELF-PAY COLLECTIONS. THIS INCLUDES COLLECTION OF BALANCES AFTER ALL INSURANCE HAS PAID AND COLLECTION OF BALANCES FROM PATIENTS WHO HAVE NO INSURANCE. THE MEDICAL CENTER UTILIZES SELF PAY COMPASS (A COMPANY THAT SPECIALIZES IN ESTIMATING INDIVIDUAL'S INCOME AND FINANCIAL RESOURCES) TO IDENTIFY ACCOUNTS THAT HAVE A HIGH PROBABILITY FOR PAYMENT. THE PROBABILITY OF PAYMENT REPORT GENERATED BY SELF PAY COMPASS IS BASED ON OUTSIDE INFORMATION SOURCES THAT PROVIDE A PERSON'S CREDIT HISTORY, ESTIMATED HOUSEHOLD INCOME, MEDICAL BILL PAYMENT HISTORY, ETC. REPORTS ARE GENERATED FROM SELF PAY COMPASS ON A WEEKLY BASIS FOR ALL ACCOUNTS WITH A SELF-PAY BALANCE AND CALCULATED PROBABILITY OF PAYMENT GREATER THAN 70%. ACCOUNTS FROM THESE REPORTS ARE THEN PROCESSED BY MEDITECH (THE MEDICAL CENTER'S CORE SOFTWARE) TO DETERMINE IF THE GUARANTOR HAS ADDITIONAL SELF-PAY BALANCES. IF THE GUARANTOR IS CURRENTLY PAYING ON ANOTHER ACCOUNT(S), THE ACCOUNT FROM THE REPORT IS COMBINED WITH THE OTHER ACCOUNT(S) SO THE GUARANTOR RECEIVES ONE STATEMENT OR COLLECTION LETTER EACH MONTH. IF THE GUARANTOR HAS NO OTHER ACCOUNTS ON WHICH THEY ARE PAYING, A PHONE CALL IS MADE. A REPORT IS GENERATED FROM SELF PAY COMPASS ON A MONTHLY BASIS TO DETERMINE ACCOUNTS WITH BALANCES LESS THAN $100 THAT ARE DELINQUENT. THESE ACCOUNTS ARE IMPORTED INTO MEDITECH TO RECEIVE A COLLECTION LETTER WHEN APPROPRIATE. A REPORT IS GENERATED FROM MEDITECH ON A MONTHLY BASIS TO IDENTIFY ACCOUNTS WITH BALANCES OVER $10,000. THE IN-HOUSE COLLECTOR REVIEWS THE COLLECTION ACTIVITY AND FOLLOWS UP WITH THE APPROPRIATE ACTION WHICH MAY INCLUDE PHONE CALLS, ASSISTING THE PATIENT WITH APPLYING FOR CHARITY CARE, ESTABLISHING A PAYMENT ARRANGEMENT OR RECOMMENDING THAT THE ACCOUNT BE REFERRED FOR OUTSIDE COLLECTIONS. OTHER REPORTS ARE GENERATED FROM MEDITECH AND SELF PAY COMPASS ON AN AS-NEEDED BASIS TO IDENTIFY OTHER ACCOUNTS REQUIRING COLLECTION ACTIVITY.
PART VI, LINE 2: WILLIS-KNIGHTON MEDICAL CENTER OPERATES THROUGHOUT SHREVEPORT, BOSSIER CITY AND NEARBY PARISHES AND PROVIDES FOUR HOSPITALS, NUMEROUS SATELLITE CLINICS, A SKILLED NURSING FACILITY, A RETIREMENT COMMUNITY, AND AN ASSISTED LIVING FACILITY. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES BY STAYING INFORMED ABOUT THE RELEVANT TRENDS OCCURRING IN THE AREAS IN WHICH IT OPERATES.
PART VI, LINE 3: WILLIS-KNIGHTON HEALTH SYSTEM IS COMMITTED TO PROVIDING CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTHCARE SERVICES AND TO BE AN ADVOCATE FOR THOSE WHO ARE MOST IN NEED, WILLIS-KNIGHTON HEALTH SYSTEM STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. PATIENTS ARE EXPECTED TO COOPERATE WITH WILLIS-KNIGHTON HEALTH SYSTEM'S PROCEDURES FOR OBTAINING CHARITY OR OTHER FORMS OF PAYMENT OR FINANCIAL ASSISTANCE, AND TO CONTRIBUTE TO THE COST OF THEIR CARE BASED ON THEIR INDIVIDUAL ABILITY TO PAY.PATIENTS OF THE MEDICAL CENTER ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE ORGANIZATION'S CHARITY CARE POLICY IN THE FOLLOWING MANNERS:1)IF THE PATIENT DOES NOT HAVE INSURANCE, THEN THE MEDICAL CENTER WILL ASSIST THEM IN DETERMINING WHETHER OR NOT THEY QUALIFY FOR MEDICAID.2)INFORMATION CONCERNING THE MEDICAL CENTER'S CHARITY CARE PROGRAM IS AVAILABLE ON THE MEDICAL CENTER'S WESITE, WWW.WKHS.COM.3)ONCE A PATIENT HAS BEEN ADMITTED INTO THE HOSPITAL, AND IT IS DETERMINED THAT THEY DO NOT HAVE INSURANCE, THEN A MEDICAL CENTER EMPLOYEE IS RESPONSIBLE FOR REQUESTING A DEPOSIT FROM THE PATIENT. IF THE PATIENT IS NOT ABLE TO PAY, THEN THE PATIENT IS GIVEN AN APPLICATION FOR THE CHARITY CARE PROGRAM AT THAT TIME.4)IN THE EVENT THERE IS NO WRITTEN DOCUMENTATION TO SUPPORT A PATIENT'S ELIGIBILITY FOR CHARITY CARE, THE MEDICAL CENTER UTILIZES SELF PAY COMPASS (A COMPANY THAT SPECIALIZES IN ESTIMATING AN INDIVIDUAL'S INCOME AND FINANCIAL RESOURCES) TO DETERMINE CHARITY CARE ELIGIBILITY. THE MEDICAL CENTER RELIES ON SELF PAY COMPASS TO ESTIMATE INCOME AND FINANCIAL RESOURCES ONLY FOR THOSE INDIVIDUALS WHOSE INCOME IS ESTIMATED TO BE 150% OR LESS OF THE FEDERAL POVERTY LEVEL. REPORTS ARE GENERATED ON A QUARTERLY BASIS TO IDENTIFY ACCOUNTS THAT MEET THIS CRITERION, AND CHARITY CARE ADJUSTMENTS ARE APPLIED, IF APPLICABLE.
PART VI, LINE 4: WILLIS-KNIGHTON'S PRIMARY SERVICE AREA COVERS AN APPROXIMATE 35 MILE RADIUS OF SHREVEPORT, COVERING THE LOUISIANA PARISHES OF CADDO, BOSSIER, WEBSTER, CLAIBORNE, RED RIVER, DESOTO AND BIENVILLE, AND WHICH HAD A 2011 ESTIMATED POPULATION OF APPROXIMATELY 485,023 PERSONS. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2010 U.S. CENSUS DATA FOR SHREVEPORT IS $39,086. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2010 U.S. CENSUS DATA FOR BOSSIER PARISH IS $46,518.
PART VI, LINE 5: OTHER COMMUNITY BENEFITS:PROJECT NEIGHBORHEALTH - OVERVIEWDURING 1995, THE MEDICAL CENTER BEGAN A PROGRAM KNOWN AS "PROJECT NEIGHBORHEALTH." THE PROGRAM'S PURPOSE IS TO PROMOTE HEALTH AND WELL-BEING IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED, HEALTH-PROFESSIONAL-SHORTAGE AREAS. THE PROGRAM PROVIDES FREE COMMUNITY PROGRAMS INCLUDING ANTI-DRUG/GANG PROGRAMS, LIFE SKILLS TRAINING, MENTORING PROGRAMS, NUTRITIONAL COUNSELING, POLICE COMMUNITY FORUMS, AND OTHER COMMUNITY-RELATED PROGRAMS. AS PART OF PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER OPERATES THE FOLLOWING CLINICS: WK COMMUNITY HEALTH AND EDUCATION CENTER - MLK CLINIC, WK PIERRE AVENUE HEALTH & WELLNESS CENTER, WK BRADLEY MEDICAL CLINIC, AND THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTER.WK COMMUNITY HEALTH AND EDUCATION CENTER - MLK CLINICPROJECT NEIGHBORHEALTH: ON SEPTEMBER 1, 1995, AT A COST OF APPROXIMATELY $1,300,000, THE MEDICAL CENTER OPENED A 6,463 SQUARE FOOT, FEDERALLY DESIGNATED INDIGENT CARE MEDICAL CLINIC AND A 3,914 SQUARE FOOT COMMUNITY EDUCATION BUILDING ON SHREVEPORT-BLANCHARD ROAD AT DR. MARTIN LUTHER KING DRIVE IN SHREVEPORT, LOUISIANA. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THESE FACILITIES ARE CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY. THE LOCATION OF THE CLINIC (CENSUS TRACT 246 IN THE MARTIN LUTHER KING DRIVE AREA IN CADDO PARISH) WAS DESIGNATED BY THE DEPARTMENT OF HEALTH AND HOSPITALS AS A HEALTH-PROFESSIONAL-SHORTAGE AREA AND AS A MEDICALLY UNDER-SERVED AREA. PRIOR TO THE CLINIC'S OPENING, THIS AREA WAS THE SECOND LARGEST CONTIGUOUS POPULATION OF MEDICALLY UNDER-SERVED PEOPLE IN THE UNITED STATES. THE CLINIC HAS AN EMERGENCY AND SPECIAL PROCEDURES ROOM, AN X-RAY DEPARTMENT, AND A FULLY EQUIPPED LABORATORY AND DENTAL FACILITY. PREVENTATIVE CARE PROGRAMS INCLUDE BLOOD PRESSURE CHECKS, HEALTH SCREENINGS, IMMUNIZATIONS, AND DIABETES COUNSELING. THE CLINIC'S STAFF INCLUDES 1 FAMILY PRACTICE PHYSICIAN, A PART-TIME NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 3,580 MEDICAL PATIENT VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2012. THE EDUCATION FACILITY HOUSES CLASSROOMS, AN AUDITORIUM, A NURSERY, A CONFERENCE ROOM, AND A LIBRARY WITH STUDY AREAS.WK PIERRE AVENUE COMMUNITY HEALTH & WELLNESS CENTERPROJECT NEIGHBORHEALTH: ON AUGUST 1, 1998, THE MEDICAL CENTER OPENED A 15,062 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK PIERRE AVENUE COMMUNITY CENTER" ON PIERRE AVENUE IN SHREVEPORT AT A COST OF APPROXIMATELY $1,375,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THIS FACILITY ALSO CONTAINS A HEALTH AND FITNESS CENTER. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A FAMILY PRACTICE PHYSICIAN, A PART-TIME NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 8,964 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2012. WK BRADLEY MEDICAL CLINIC ON AUGUST 24, 1998, THE MEDICAL CENTER OPENED A 3,915 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK BRADLEY MEDICAL CLINIC" IN BRADLEY, ARKANSAS AT A COST OF APPROXIMATELY $140,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A NURSE PRACTITIONER AND VARIOUS SUPPORT STAFF. THE CLINIC HAD 1,939 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2012. THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTERPROJECT NEIGHBORHEALTH: ON OCTOBER 15, 2001, THE MEDICAL CENTER OPENED A 3,049 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTER" ON SOUTHERN AVENUE IN SHREVEPORT. THE MEDICAL CLINIC IS HOUSED IN A DONATED BUILDING THAT THE MEDICAL CENTER RENOVATED AT A COST OF APPROXIMATELY $162,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A FULL-TIME OFFICE MANAGER AND 45 DENTISTS FROM THE NORTHWEST LOUISIANA DENTAL VOLUNTEERS, WHO EACH DONATE ONE-THIRD DAY PER MONTH TO THE CLINIC. THE CLINIC HAD APPROXIMATELY 750 PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2012. DURING THE YEAR ENDED SEPTEMBER 30, 2012, UNDER PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER PROVIDED OVER 15,000 HOURS TO COMMUNITY SERVICES/PROJECTS AT NO COST TO THE RECIPIENTS BY 3 FULL-TIME EMPLOYEES, 2 PART-TIME EMPLOYEES, AND VOLUNTEERS IN ADDITION TO HOURS PROVIDED BY VARIOUS DEPARTMENTS WITHIN THE MEDICAL CENTER.OTHER COMMUNITY SERVICESTHE MEDICAL CENTER MAKES AVAILABLE, FREE-OF-CHARGE, MEETING SPACE TO OUTSIDE COMMUNITY OUTREACH ORGANIZATIONS SUCH AS QUEENSBOROUGH NEIGHBORHOOD ASSOCIATION, ALLIANCE FOR EDUCATION, BOSSIER MEDICAL SOCIETY, CADDO-BOSSIER CANCER FOUNDATION LEAGUE, CADDO PARISH SHERIFF'S OFFICE, ICE (INNER CITY ENTREPRENEUR), NORTH LOUISIANA AHEC, LIFESHARE BLOOD CENTER, LSU PSYCHIATRY PROGRAM, TEXAS WESLEYAN UNIVERSITY CRNA PROGRAM, NORTHWEST LOUISIANA COALITION FOR WOMEN AND CHILDREN, NORTHWEST LOUISIANA INTERFAITH PHARMACY, VOLUNTEERS FOR YOUTH JUSTICE AND OTHER CHARITABLE AND GOVERNMENTAL ORGANIZATIONS. ROOMS ARE ALSO PROVIDED FOR OFF CAMPUS CLASSES TAUGHT BY BOSSIER PARISH COMMUNITY COLLEGE AT THE WK CAREER INSTITUTE.THE MEDICAL CENTER OFFERS EXTENSIVE ONLINE HEALTH INFORMATION ON ITS WEB SITE. FREE HEALTH INFORMATION IS AVAILABLE, TARGETED TO BOTH ADULTS AND CHILDREN. INFORMATION FOR ADULTS INCLUDES A HEALTH LIBRARY, DRUG INTERACTION CHECKER, NUTRITION AND WELLNESS INFORMATION AND DESCRIPTION OF PROCEDURES, WRITTEN BY HEALTH PROFESSIONALS AND REVIEWED AND UPDATED REGULARLY. THE MEDICAL CENTER ALSO PARTNERS WITH THE NEMOURS FOUNDATION TO OFFER KIDSHEALTH, A HEALTH AND WELLNESS INFORMATION SITE TARGETED TO CHILDREN, TEENS AND THEIR PARENTS. THE WILLIS-KNIGHTON CANCER CENTER WEB SITE OFFERS INFORMATION ON VARIOUS TYPES OF CANCER AND TREATMENTS AS WELL AS AN UPDATED LIST OF CLINICAL TRIALS. DURING THE PAST YEAR THE MEDICAL CENTER'S ON-LINE HEALTH LIBRARY ATTRACTED 317,000 VISITORS. KIDSHEALTH ATTRACTED OVER 205,000 VISITORS.IMMUNIZATIONS FOR CHILDREN WILLIS-KNIGHTON PROVIDES A MOBILE UNIT THAT OFFERS "SHOTS FOR TOTS". USING ITS MOBILE VAN AND STAFF, VACCINES ARE TAKEN TO VARIOUS NEIGHBORHOODS TO MAKE THEM CONVENIENT FOR PARENTS. UNDER THIS PROGRAM, ANY CHILD MAY RECEIVE IMMUNIZATION SHOTS, FREE OF CHARGE, FOR MEASLES, MUMPS, RUBELLA, DIPHTHERIA, PERTUSSIS, TETANUS, HEPATITIS B, POLIO, MENINGITIS, FLU, AND CHICKEN POX. THE MEDICAL CENTER SUBSIDIZES ALL EXPENSES OF THE PROGRAM EXCEPT THE VACCINE, WHICH IS PROVIDED BY THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH. DURING THE YEAR ENDED SEPTEMBER 30, 2012, THE MEDICAL CENTER IMMUNIZED 3,043 PATIENTS UNDER THIS PROGRAM.HEALTH PROFESSIONS EDUCATIONTHE MEDICAL CENTER PROVIDES VARIOUS EDUCATION PROGRAMS THAT RESULT IN HEALTH CARE PROFESSIONALS RECEIVING DEGREES, CERTIFICATES OR TRAINING THAT IS NECESSARY TO BE LICENSED TO PRACTICE AS HEALTH CARE PROFESSIONALS. WHILE THE MEDICAL CENTER ALSO PROVIDES A VARIETY OF EDUCATION, TRAINING AND STIPEND PROGRAMS THAT ARE EXCLUSIVE TO THE MEDICAL CENTER'S EMPLOYEES AND MEDICAL STAFF, THOSE COSTS ARE NOT INCLUDED IN THIS CATEGORY. THE MEDICAL CENTER MAINTAINS AN ASSOCIATION WITH LSU HEALTH SCIENCES CENTER (A PUBLIC TEACHING, RESEARCH, AND INDIGENT CARE FACILITY) BY PROVIDING GRANTS, ASSISTANCE WITH RESIDENTS AND FELLOWS, ALONG WITH UNDERWRITING THE COST OF CLINICAL SETTINGS FOR TRAINING AND INTERSHIPS FOR A VARIETY OF OTHER HEALTH PROFESSIONALS.SPORTS MEDICINESPORTS MEDICINE EXPERTS AT WILLIS-KNIGHTON SPORTS MEDICINE WORK WITH ATHLETES ON THE PREVENTION AND TREATMENT OF SPORTS-RELATED INJURIES, HELPING THEM TO MAINTAIN A HEALTHY LIFESTYLE. THIS SERVICE IS OFFERED TO VARIOUS SCHOOLS AND PROGRAMS THROUGHOUT THE LOCAL AREA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (49 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
AIRLINE HIGH SCHOOL
2801 AIRLINE DRIVEBOSSIER CITYLA71111726000185GOVERNMENT6000SPONSOR FOR BASKETBALL TOURNAMENT
ALLIANCE FOR EDUCATION
820 JORDAN STREETSHREVEPORTLA71101721466587501(C)(3)25000DONATION FOR PATHWAY TO EXCELLENCE
AMERICAN CANCER SOCIETY
920 PIERREMONT SUITE 300SHREVEPORTLA71106237040934501(C)(3)15000DONATION - BARON'S BALL, SPONSOR CADDO AND BOSSIER RELAY FOR LIFE
AMERICAN HEART ASSOCIATION
PO BOX 37388SHREVEPORTLA71133135613797501(C)(3)40000DONATION FOR OPERATIONS
BLUEPRINT LOUISIANA
9331 BLUEBONNET BLVDBATON ROUGELA70810205591232501(C)(6)10000DONATION FOR OPERATIONS
BOOKER T WASHINGTON HIGH SCHOOL
204 MILAM STREETSHREVEPORTLA71103726000224GOVERNMENT5049PURCHASED SCHOOL SIGN
CADDO BOSSIER SOCCER ASSOCIATION
1780 EAST BERT KOUNS SUITE 901SHREVEPORTLA71105581652966501(C)(3)21570SPONSORSHIP
CADDO BOSSIER CANCER FOUNDATION LEAGUE INC
2900 WHEELESSSHREVEPORTLA71104453188641501(C)(3)10000DONATION FOR OPERATIONS
CADDO PARISH SHERIFF'S DEPARTMENT
505 TRAVIS STREET 7TH FLOORSHREVEPORTLA71101726000179GOVERNMENT14163DONATION FOR EQUIPMENT
CALVARY ACADEMY
9333 LINWOOD AVENUESHREVEPORTLA71106720482882501(C)(3)6000DONATION FOR OPERATIONS
CE BYRD HIGH SCHOOL
3201 LINE AVENUESHREVEPORTLA71103726000224GOVERNMENT8462SPONSORSHIP
CHILDREN AND ARTHRITIS
2751 ALBERT BICKNELL DRIVE SUITE 2ESHREVEPORTLA71103721170530501(C)(3)15000DONATION FOR OPERATIONS2E
CITY OF SHREVEPORT
263 N COMMON STREETSHREVEPORTLA71101726001326GOVERNMENT333767DONATION OF 3 SPRINT VEHICLES - FIRE DEPARTMENT
COMMUNITY FOUNDATION OF NORTH LOUISIANA
401 EDWARDS STREET NO 105SHREVEPORTLA71101726022365501(C)(3)10000DONATION FOR OPERATIONS
DESOTO REGIONAL HEALTH SYSTEM
PO BOX 1636MANSFIELDLA71052721491325501(C)(3)62751DONATION FOR OPERATIONS
EVERGREEN FOUNDATION
2101 HIGHWAY 80HAUGHTONLA71037237089068501(C)(3)25000DONATION TO BETTER HEALTH BETTER LIVES CAMPAIGN FOR THE HANDICAPPED
FORENSIC NURSE EXAMINERS
PO BOX 44466SHREVEPORTLA71134352262163501(C)(3)20000DONATION FOR OPERATIONS
GRAMBLING STATE UNIVERSITY
PO BOX 913GRAMBLINGLA71245581736948GOVERNMENT207000ENDOWED PROFESSORSHIPS, SPONSORSHIP
HEART OF HOPE MINISTRIES INC
PO BOX 18776SHREVEPORTLA71138412187038501(C)(3)10000DONATIONS FOR COMPUTERS
HOLY ANGELS RESIDENTIAL FACILITY INC
10450 ELLERBE ROADSHREVEPORTLA71106720628035501(C)(3)60000DONATION FOR OPERATIONS
INDEPENDENCE BOWL FOUNDATION
PO BOX 1723SHREVEPORTLA71166720297228501(C)(3)40000SPONSORSHIP
INNER CITY ENTREPRENEUR INSTITUTE
820 JORDAN STREET SUITE 360SHREVEPORTLA71101721418314501(C)(3)20000BIZCAMP SPONSOR
JUNIOR ACHIEVEMENT
3003 KNIGHT STREETSHREVEPORTLA71105720595081501(C)(3)27600DONATION FOR OPERATIONS
NORTHWEST LOUISIANA LIONS EYE BANK
721 BOULEVARDSHREVEPORTLA71104720928468501(C)(3)20000DONATION FOR OPERATIONS
LOUISIANA TECH UNIVERSITY FOUNDATION
PO BOX 3046RUSTONLA71272726021176501(C)(3)54250SPONSORSHIP
LSUHSC
PO BOX 31650SHREVEPORTLA71115721402222GOVERNMENT240000DONATION FOR OPERATIONS
LSU-SHREVEPORT FOUNDATION
ONE UNIVERSITY PLACESHREVEPORTLA71105721031108501(C)(3)25000DONATION FOR OPERATIONS
MARCH OF DIMES FOUNDATION
1120 SOUTH POINTE PARKWAY BLDG DSHREVEPORTLA71105131846366501(C)(3)41500DONATION FOR OPERATIONS
NORTH AMERICA IAPB INC
137 HAMPTON ROADSOUTHAMPTONNY11968043796216501(C)(3)27500DONATION FOR OPERATIONS
NORTH LOUISIANA CRIME LAB BENEFIT
PO BOX 7957SHREVEPORTLA711377957720707474501(C)(3)10000SPONSORSHIP
NORTHWEST LOUISIANA FOOD BANK
2307 TEXAS AVENUESHREVEPORTLA71103721328890501(C)(3)30000DONATION FOR OPERATIONS
THE ODYSSEY FOUNDATION
401 TEXAS STREETSHREVEPORTLA71101331055253501(C)(6)10000DONATION TO WALKING THE WALK FUNDRAISER
PROVIDENCE HOUSE
814 COTTON STREETSHREVEPORTLA71101721205164501(C)(3)25000DONATION FOR OPERATIONS
PUBLIC AFFAIRS RESEARCH COUNCIL OF LA
PO BOX 14776BATON ROUGELA70898720436118501(C)(3)25000DONATION TO CAPITAL CAMPAIGN
RED RIVER RADIO PUBLIC BROADCASTING
PO BOX 5250SHREVEPORTLA71135720702001501(C)(3)23000DONATION FOR OPERATIONS
RED RIVER REVEL ARTS FESTIVAL
101 CROCKET STREET SUITE CSHREVEPORTLA71101720953274501(C)(3)25000SPONSORSHIP OF REGIONAL CULTURAL EVENT
ROBINSON FILM CENTER
PO BOX 155SHREVEPORTLA71161421562125501(C)(3)15000DONATION FOR OPERATIONS
AFRICAN-AMERICAN CHAMBER OF COMMERCE
1315 MILAM STREETSHREVEPORTLA71101726028366501(C)(3)7500SPONSORSHIP
SHREVEPORT-BOSSIER RESCUE MISSION
2033 TEXAS AVENUESHREVEPORTLA71103237050551501(C)(3)138711HEALTH INSURANCE FOR RESCUE MISSION EMPLOYEES AND DONATION FOR OPERATIONS
SHREVEPORT OPERA
212 TEXAS STREET NO 1SHREVEPORTLA71101726021455501(C)(3)9000DONATION FOR OPERATIONS
SHREVEPORT POLICE DEPARTMENT
712 MILAM STREET SUITE 101SHREVEPORTLA71101726001326GOVERNMENT13352DONATION FOR OPERATIONS
SHREVEPORT SYMPHONY
619 LOUISIANA AVENUESHREVEPORTLA71101726001334501(C)(3)80882CONCERT SPONSOR AND DONATION FOR OPERATIONS
SHRINER'S HOSPITAL FOR CHILDREN
3100 SAMFORD AVENEUESHREVEPORTLA71103362192608501(C)(3)100000DONATION FOR SURGICAL EQUIPMENT
SOUTH LOUISIANA CLINICAL RESEARCH
225 DUNN STREETHOUMALA70360721430540501(C)(3)7500SPONSOR FOR PERIPHERAL ARTERY DISEASE CONFERENCE
SOUTHERN HILLS ELEMENTARY SCHOOL
9075 KINGSTON ROADSHREVEPORTLA71118726000224GOVERNMENT5049REFURBISH SCHOOL SIGN AND ADDED TRACK FOR LIGHTING
SOUTHERN UNIVERSITY
610 TEXAS STREET SUITE 400SHREVEPORTLA71101721454141501(C)(3)10000DONATION FOR ALLIED HEALTH AND NURSING SCHOLARSHIPS
VOLUNTEERS OF AMERICA
360 JORDAN STREETSHREVEPORTLA71101720506820501(C)(3)20000DONATION FOR OPERATIONS
WASKOM VOLUNTEER FIRE DEPARTMENT
PO BOX 1757WASKOMTX75692752340733501(C)(3)28000DONATION TO UPGRADE FIRE FIGHTING EQUIPMENT
YMCA
400 MCNEILSHREVEPORTLA71101720408997501(C)(3)40800SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants40TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations9TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE MEDICAL CENTER HAS A CONTRIBUTION COMMITTEE THAT APPROVES SUBSTANTIALLY ALL CONTRIBUTIONS. THE CONTRIBUTION COMMITTEE REQUESTS THAT THE ORGANIZATION REQUESTING THE DONATION COMPLETE A CONTRIBUTION REQUEST FORM THAT IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE. BEFORE THE MEDICAL CENTER'S CONTRIBUTION COMMITTEE WILL APPROVE THE CONTRIBUTIONS THE PURPOSE OF THE CONTRIBUTION MUST BE STATED ON THE CONTRIBUTION REQUEST FORM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES K ELROD
1078709600000393233000960201481544600000
PIERRE V BLANCHARDIV MD
2000000001024301953052730217469000
ROBERT D HUIE
5841930006202610244101528501222180000
NILA C WILLHOITE
21913100028376026060127080262821000
CHARLES D DAIGLE
40088100023570016850199230446059000
STEPHEN R RANDALL
28227000020628016880199230324509000
MARGARET G ELROD
1469260002640503360051010181792000
JERRY A FIELDER II
1582960002878049490188930185016000
CLIFFORD M BROUSSARD
1671090004456018390130430186447000
JANET K ELROD
1485580002112203065061060178851000
IRA L MOSS
17567500022835027570152360216503000
JILL K ELROD
19621700022799017280102290230973000
PEGGY J GAVIN
1462830002967604146056000185705000
RAMONA D FRYER
15989000017262022770154240194853000
DANIEL J MOLLER JR MD
29668500021885018750125360332981000
CHARLES A POWERS MD
29500000020523018750132030330601000
RANDALL P BREWER MD
2053148000-28350169501842302070431000
MILAN G MODY MD
1491793000-23590168201842301509539000
CHRISTIAN M BRIERY MD
1531772000-26810168001821301548984000
MATTHEW S MOSURA MD
1314112000-35560167601842301330655000
CLINT M CORMIER MD
1399382000-27680167801759401415886000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE VALUE OF EACH PERSON'S FREE MEMBERSHIP IN THE MEDICAL CENTER'S HEALTH & WELLNESS CENTERS IS ADDED TO THE EMPLOYEE'S W-2 WAGES.
PART I, LINE 3THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE TOP TWO EXECUTIVES (CEO AND CFO) OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE, CONSISTING OF THE CEO AND CFO, DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS. OFFICERS AND OTHER KEY EMPLOYEES ARE PROVIDED WITH A WRITTEN EMPLOYMENT CONTRACT BEFORE EMPLOYMENT COMMENCES.
PART I, LINE 4BCERTAIN OFFICERS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, PARTICIPATE IN A SECTION 457(B) DEFERRED COMPENSATION PLAN.
PART I, LINE 5PHYSICIANS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, ARE COMPENSATED BASED ON THEIR OWN PERSONAL PRODUCTIVITY. THE PHYSICIANS ARE PAID A PERCENTAGE OF THEIR INDIVIDUAL COLLECTIONS BASED ON THE CONDITIONS OF EACH PHYSICIAN CONTACT.
PART IIIEXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION JAMES K. ELROD UNUSED VACATION PAY-$165,322 UNUSED SICK PAY-$24,996 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$3,988 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$24,026 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,030) CABLE/INTERNET-$873 PERSONAL USE OF EMPLOYER VEHICLES-$3,619 SEVERANCE PAY-$154,739** TOTAL--$393,233 **THE INCREASE IN GROSS SEVERANCE BENEFIT, TO BE PAID TO MR. ELROD AND MR. HUIE ON TERMINATION OF EMPLOYMENT (AS ADDITIONAL COMPENSATION FOR EACH OF THEIR YEARS OF SERVICE TO WILLIS-KNIGHTON MEDICAL CENTER), WAS TAXABLE DURING 2011, AND, ACCORDINGLY, WAS INCLUDED IN EACH OF THEIR 2011 FORMS W-2. WILLIS-KNIGHTON DISBURSED TO THE INTERNAL REVENUE SERVICE AND TO THE LOUISIANA DEPARTMENT OF REVENUE THE REQUIRED TAX WITHHOLDING. WILLIS-KNIGHTON DID NOT PAY MR. ELROD OR MR. HUIE THE NET-OF-TAX AMOUNT OF THIS COMPENSATION, BUT, UNDER THE TERMS OF THE AGREEMENT, THE MEDICAL CENTER IS RETAINING THE NET-OF-TAX AMOUNT UNTIL EACH OF THEIR RESPECTIVE EMPLOYMENT TERMINATES. ACCORDINGLY, THERE WAS NO CURRENT DISBURSEMENT TO MR. ELROD OR MR. HUIE FOR SEVERANCE PAY. ROBERT D. HUIE NONQUALIFIED DEFERRED COMPENSATION PLAN-$466,985 (PLEASE SEE EXPLANATION FOLLOWING) UNUSED VACATION PAY-$35,200 UNUSED SICK PAY-$13,589 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$2,082 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,200 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,944) GIFT CERTIFICATE-$125 SEVERANCE PAY-$84,124** TOTAL--$620,261 NILA C. WILLHOITE UNUSED SICK PAY-$5,097 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$2,073 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,007 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,813) GIFT CERTIFICATE-$125 PERSONAL USE OF EMPLOYER VEHICLES-$187 TOTAL--$28,376 CHARLES D. DAIGLE UNUSED SICK PAY-$9,515 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,230 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$558 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,558) GIFT CERTIFICATE-$125 TOTAL--$23,570 STEPHEN R. RANDALL UNUSED SICK PAY-$6,566 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,234 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$560 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,557) GIFT CERTIFICATE-$125 TOTAL--$20,628 MARGARET G. ELROD UNUSED SICK PAY-$3,418 VALUE ADDED FOR CELL PHONE USAGE-$3,504 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,400 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,030) GIFT CERTIFICATE-$125 PERSONAL USE OF EMPLOYER VEHICLES-$1,488 TOTAL--$26,405 JERRY A. FIELDER,II UNUSED SICK PAY-$3,682 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,699 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$417 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,658) VALUE ADDED FOR CABLE/INTERNET- $953 GIFT CERTIFICATE-$125 TOTAL--$2,878 CLIFFORD M. BROUSSARD UNUSED SICK PAY-$3,887 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$940 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,868 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,024) GIFT CERTIFICATE-$125 TOTAL--$4,456 JANET K. ELROD UNUSED SICK PAY-$3,456 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,977 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$368 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,030) GIFT CERTIFICATE-$125 PERSONAL USE OF EMPLOYER VEHICLES-$66 TOTAL--$21,122 IRA L. MOSS UNUSED SICK PAY-$4,086 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,597 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,025 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,195) GIFT CERTIFICATE-$125 PERSONAL USE OF EMPLOYER VEHICLES-$1,497 TOTAL--$22,835 JILL K. ELROD UNUSED SICK PAY-$4,564 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$2,168 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$759 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,030) GIFT CERTIFICATE-$125 VALUE ADDED FOR CABLE/INTERNET- $953 PERSONAL USE OF EMPLOYER VEHICLES-$3,100 TOTAL--$22,799 PEGGY J. GAVIN UNUSED SICK PAY-$3,403 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$3,614 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,392 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,530) GIFT CERTIFICATE-$125 PERSONAL USE OF EMPLOYER VEHICLES-$3,972 TOTAL--$29,676 RAMONA D. FRYER UNUSED SICK PAY-$3,719 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,063 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$619 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,424) GIFT CERTIFICATE-$125 TOTAL--$17,262 DANIEL J. MOLLER, JR., M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,568 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,227 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,195) GIFT CERTIFICATE-$125 TOTAL--$21,885 CHARLES A. POWERS, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,808 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$4,039 SECTION 457(B) DEFERRED COMPENSATION PLAN-$16,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,024) TOTAL--$20,523 PIERRE V. BLANCHARD,IV, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$11,273 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,030) TOTAL--$10,243 RANDALL P. BREWER, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$564 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,059) TOTAL--($2,835) MATTHEW S. MOSURA, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$503 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,059) TOTAL--($3,556) MILAN G. MODY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$499 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,058) TOTAL--($2,359) CHRISTIAN M. BRIERY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$506 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,847) TOTAL--($2,681) CLINT M. CORMIER, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$461 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,229) TOTAL--($2,768) EXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION THE AMOUNT CONTRIBUTED FOR THE CALENDAR YEAR 2011 FOR MR. HUIE'S SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IS INCLUDED IN THE DETAILS FOR PART II, COLUMN (B)(III). EXPLANATION OF PART II, COLUMN (C) DEFERRED COMPENSATION THIS EMPLOYEE PARTICIPATES IN A DEFINED BENEFIT PENSION PLAN, THE CONTRIBUTIONS TO WHICH ARE ACTUARIALLY DETERMINED. THE AMOUNT SHOWN IS THE INCREASE IN THE ANNUAL VESTED BENEFIT AT NORMAL RETIREMENT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 (NOT DISCOUNTED TO PRESENT VALUE) (NORMAL RETIREMENT IS AGE 65 WITH 5 YEARS OF PARTICIPATION). MR. ELROD HAS REACHED THE MAXIMUM BENEFIT UNDER THE PLAN. EXPLANATION OF PART II, COLUMN (D) NONTAXABLE BENEFITS INCLUDED IN THIS COLUMN IS THE COST OF THE FOLLOWING NONTAXABLE BENEFITS: LONG-TERM DISABILITY INCOME INSURANCE PLAN, GROUP TERM-LIFE INSURANCE, AND THE ESTIMATED COST OF SELF-FUNDED HEALTH INSURANCE PLAN.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FRANK B HUGHES MD
TRUSTEE124616RENT-BUILDING0
PHILLIP A ROZEMAN MD
TRUSTEE84209RENT-BUILDING0
TIMOTHY B WILLHOITE
FAMILY MEMBER OF NILA WILLHOITE, OFFICER46926EMPLOYMENT0
GREGORY J GAVIN
FAMILY MEMBER OF PEGGY GAVIN, OFFICER186921EMPLOYMENT0
KIMBERLY M MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER52884EMPLOYMENT0
CHARLES E MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER71258EMPLOYMENT0
SHARLENE ANN BROUSSARD
FAMILY MEMBER OF CLIFFORD BROUSSARD, OFFICER43137EMPLOYMENT0
WINSTON E MOORE III
FAMILY MEMBER OF MARGARET ELROD, OFFICER20088EMPLOYMENT0
TODD JUSTIN BLANCHARD
FAMILY MEMBER OF PIERRE BLANCHARD, M.D., TRUSTEE130432EMPLOYMENT0
PIERRE V BLANCHARD MD
TRUSTEE5386045RENT-BUILDING, PURCHASED SERVICE AGREEMENT WITH LIFECARE HOSPITALS, INC., FOR WHICH PIERRE BLANCHARD, M.D. IS THE MEDICAL DIRECTOR0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 21. FAMILY RELATIONSHIPS WITH JAMES K. ELROD - PRESIDENT, CEO, AND TRUSTEE MARGARET ELROD, SPOUSE - VP-MARKETING, LIVE OAK RETIREMENT COMMUNITY, QUICK CARE, OCCUPATIONAL MEDICINE, AND WELLNESS CENTERS JILL K. ELROD, DAUGHTER - VP OF LEGAL AFFAIRS JANET K. ELROD, DAUGHTER - VP AND ADMINISTRATOR OF WK SOUTH HOSPITAL
FORM 990, PART VI, SECTION B, LINE 11THE MEDICAL CENTER'S CPA FIRM PREPARES THE FORM 990 WITH THE ASSISTANCE OF SEVERAL OF THE MEDICAL CENTER'S EMPLOYEES. THE FORM 990 IS THEN REVIEWED BY THE MEDICAL CENTER'S PRESIDENT. AFTER THIS REVIEW, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES, AND THE PRESIDENT, VICE-PRESIDENT AND CPA FIRM REVIEW AND DISCUSS THE FORM 990 WITH THE TRUSTEES BEFORE THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICTS OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS." AN "INTERESTED PERSON" IS DEFINED AS ANY TRUSTEE, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN AN ENTITY WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A COMPENSATION ARRANGEMENT WITH THE MEDICAL CENTER OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND ALL MATERIAL FACTS RELATED TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE BELIEVES A MEMBER HAS VIOLATED THE CONFLICTS OF INTEREST POLICY, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. PERIODIC REVIEWS ARE CONDUCTED WHICH, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. 2. WHETHER ACQUISITIONS OF GOODS OR SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 3. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 4. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE TOP TWO EXECUTIVES (CEO AND CFO) OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE, CONSISTING OF THE CEO AND CFO, DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS (SUCH AS "MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS," WHICH IS AN ANNUAL SURVEY PREPARED BY SULLIVAN COTTER) TO UNDERSTAND COMPENSATION PAID TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION COMMITTEES ALSO COMPILE DATA FROM OTHER TAX-EXEMPT HEALTH SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AND USE THAT INFORMATION AS COMPARATIVE COMPENSATION. THE COMMITTEES USE THE INFORMATION FROM THESE SOURCES AS BENCHMARKS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION. THE COMMITTEES ALSO CONSIDER OTHER FACTORS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS LENGTH OF EMPLOYMENT AND THEIR RESPONSIBILITIES. THE EXECUTIVE COMPENSATION COMMITTEE PERIODICALLY HIRES INDEPENDENT CONSULTANTS FOR ANALYSIS OF THE COMPENSATION OF THE MEDICAL CENTER'S TOP TWO EXECUTIVES (CEO AND CFO). THE COMMITTEES MAINTAIN CONTEMPORANEOUS DOCUMENTATION OF THE BASIS FOR THEIR DECISIONS REGARDING COMPENSATION ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19WILLIS-KNIGHTON MEDICAL CENTER'S GOVERNING DOCUMENTS AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE ON ITS WEBSITE: WWW.WKHS.COM. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.EMMA.MSRB.ORG.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -569,941. FASB ASC 715-30 PENSION -27,182,365. TOTAL TO FORM 990, PART XI, LINE 5: -27,752,306.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CWILLIS-KNIGHTON MEDICAL CENTER DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DUING THE YEAR ENDED 9/30/12.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
2715 ALBERT BICKNELL DRIVESHREVEPORTLA711033925721047744NURSING CARE-SKILLED NURSING FACILITY FOR THE ELDERLY AND DISABLEDLA501(C)(3)9N/A0
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT
600 E FLOURNOY LUCAS ROADSHREVEPORTLA711153855720809402PROVIDE HOUSING, HEALTHCARE AND RELATED SERVICES TO THE ELDERLYLA501(C)(3)9N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTH SHREVEPORT PHARMACY INC
PO BOX 1768SHREVEPORTLA711661768721131182INACTIVELAN/AC1824321.00000
CLAIMS & BENEFITS ADMINISTRATORS OF LOUISIANA INC
PO BOX 32600SHREVEPORTLA711302600721296277INACTIVELAN/AC1.00000
WILLIS-KNIGHTON LAB AND X-RAY SERVICES INC
PO BOX 32600SHREVEPORTLA711302600721137503INACTIVELAN/AC1.00000
HEALTH PLUS OF LOUISIANA INC
2219 LINE AVENUESHREVEPORTLA711042128721264135THIRD-PARTY ADMINISTRATORLAN/AC62907491.000003445203
HPL INSURANCE AGENCY INC
PO BOX 32625SHREVEPORTLA711302625202199735HEALTH INSURANCE AGENTLAC398571.000001560HEALTH PLUS OF LOUISIANA INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
A213112FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
J291500FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
B176022FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
N1119221FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
K1202831FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
I213112FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
A65000FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
K1324FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
R1500000FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
O10251207FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
I65000FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
L71663FAIR MARKET VALUE
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMMUNITY
D2400000FAIR MARKET VALUE
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMMUNITY
J132000FAIR MARKET VALUE