FURP.ORG / PUBLIC DATA EXPLORER

SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202403209349319380
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T14:58:02-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN923320348PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EAG GULF COAST LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18550 UNITED PLAZA BLVD SUITE 1001AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720551963EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEVIN HYDEPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3374943204PhoneNum
Signature2024-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGINA RACHELPreparerPersonNm
PTINP01216293PTIN
Phone2259224600PhoneNum
Preparation2024-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEVIN HYDEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BOULEVARDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$502,821,185GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LCMH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICESActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3230TotalEmployeeCnt
Total Volunteers128TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$415,083PYContributionsGrantsAmt
CY Contributions Grants$462,003CYContributionsGrantsAmt
PY Program Service Revenue$410,455,402PYProgramServiceRevenueAmt
CY Program Service Revenue$499,684,704CYProgramServiceRevenueAmt
PY Investment Income$72,142PYInvestmentIncomeAmt
CY Investment Income$1,700,140CYInvestmentIncomeAmt
PY Other Revenue$1,204,570PYOtherRevenueAmt
CY Other Revenue$443,381CYOtherRevenueAmt
PY Total Revenue$412,147,197PYTotalRevenueAmt
CY Total Revenue$502,290,228CYTotalRevenueAmt
PY Grants And Similar Paid$232,238PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$132,788CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$143,121,692PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$152,618,979CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,132,096CYTotalFundraisingExpenseAmt
PY Other Expenses$224,673,703PYOtherExpensesAmt
CY Other Expenses$235,217,803CYOtherExpensesAmt
PY Total Expenses$368,027,633PYTotalExpensesAmt
CY Total Expenses$387,969,570CYTotalExpensesAmt
PY Revenues Less Expenses$44,119,564PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$114,320,658CYRevenuesLessExpensesAmt
Total Assets BOY$326,877,814TotalAssetsBOYAmt
Total Assets EOY$361,182,002TotalAssetsEOYAmt
Total Liabilities BOY$230,926,372TotalLiabilitiesBOYAmt
Total Liabilities EOY$191,249,614TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$95,951,442NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$169,932,388NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF LAKE CHARLES MEMORIAL HOSPITAL IS TO IDENTIFY AND IMPROVE THE HEALTH OF THE PEOPLE OF SOUTH LOUISIANA AND EAST TEXAS BY PROVIDING A FULL SPECTRUM OF INNOVATIVE SERVICES-INCLUDING HEALTH EDUCATION, DISEASE PREVENTION, AND DIAGNOSTIC AND TREATMENT OPTIONS-IN A PERSONALIZED, CARING AND SAFE MANNER THROUGHOUT THE REGION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,342,798ExpenseAmt
Revenue$2,525,122RevenueAmt
DescLAKE CHARLES MEMORIAL HOSPITAL (LCMH)2023 COMMUNITY BENEFITS SUMMARYI. INTRODUCTIONAS A COMMUNITY-BASED HOSPITAL, IT IS LCMH'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, LCMH 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. SPORTS MEDICINE, COMMUNITY EVENTS AND SEMINARSTHE SPORTS MEDICINE ALLIANCE PROVIDED PRE-PARTICIPATION PHYSICALS FOR AREA ATHLETES, ATHLETIC ASSESSMENTS, LECTURES, IN-SERVICES, WORKSHOPS, SPORTS CAMPS AND CLINICS, STUDENT TRAINER SCHOLARSHIPS, ATHLETIC TRAINER COVERAGE AT AREA SPORTING EVENTS, SPECIAL EVENTS AND MORE FREE OF CHARGE OR FOR A MINIMAL FEE TO THE PARTICIPANTS. COMMUNITY BENEFIT: $589,129EACH YEAR, LCMH PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND INFORMATIONAL BOOTHS AT A VARIETY OF COMMUNITY EVENTS. THE HOSPITAL ALSO PROVIDES FREE SPEAKERS TO CIVIC GROUPS AND THEIR ORGANIZATIONS. THIS COMMITMENT TO HEALTH AND WELLNESS EDUCATION TAKES LCMH PROFESSIONALS INTO THE FIVE PARISH AREA TO STAFF INDUSTRIAL, CORPORATE, AND SCHOOL HEALTH FAIRS. LCMH CONTRIBUTED A NET $60,000 IN SPECIAL EVENTS AND SEMINARS. COMMUNITY BENEFIT: $60,000.III. HEALTH PROFESSIONALS EDUCATIONLCMH INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2023, LCMH SPENT $6,342,798 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM. COMMUNITY BENEFIT: $3,817,676.IV. CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES. COMMUNITY BENEFIT: $171,379.LCMH'S TOTAL 2023 NET COMMUNITY CONTRIBUTIONS: $4,638,184.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$365,994,803ExpenseAmt
Grant$132,788GrantAmt
Revenue$497,288,314RevenueAmt
DescLCMH PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES THROUGH A 313 BED ADULT ACUTE CARE HOSPITAL, 38 BED WOMEN'S HOSPITAL WITH 23 NICU BEDS, 42 BED BEHAVIORAL HEALTH HOSPITAL, & THROUGH A JOINT VENTURE A 29 BED LONG TERM CARE FACILITY. ADDITIONALLY LCMH PROVIDES OUTPATIENT SERVICES THROUGH 19 OUTPATIENT LOCATIONS, INCLUDING THE MOSS CLINIC, A PUBLIC/PRIVATE PARTNERSHIP PROVIDING CARE TO THE UNDERSERVED IN THE COMMUNITY.CHARITY CARE - LCMH PROVIDES MEDICAL CARE TO MEDICAID AND INDIGENT RECIPIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2023, LCMH PROVIDED $0 IN UNREIMBURSED MEDICAID COSTS AND $0 IN UNREIMBURSED CHARITY CARE COSTS AS PROVIDED IN THE CEA WITH THE STATE AND LSU. COMMUNITY BENEFIT: $0.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$372,337,601TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document368IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3230EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAWN JOHNSON-HATCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3374942094PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DR MITCH ADRIAN
PAST CHAIRMAN1.000.30Yes (X)Yes (X)$0$0$0
DR NEIL ASPINWALL
CHAIRMAN2.001.30Yes (X)Yes (X)$0$0$0
MR JOE MILLER JR
BOARD MEMBER1.000.30Yes (X)$0$0$0
DEVON HYDE
PRESIDENT, CEO & ASSIST SE40.001.30Yes (X)Yes (X)$990,890$0$23,777
DAWN JOHNSON-HATCHER
TREASURER40.000.30Yes (X)Yes (X)$489,566$0$20,937
BENJAMIN AZEVEDO MD
MEDICAL STAFF PRESIDENT- ELECT40.000.30Yes (X)$372,363$0$33,176
DANIEL HALL MD
MEDICAL STAFF PAST PRESIDENT1.000.30Yes (X)$0$0$0
AMANDA ELLINGTON MD
BOARD MEMBER40.000.30Yes (X)$1,092,304$0$20,937
JUDGE GENE THIBODEAUX
BOARD MEMBER1.000.30Yes (X)$0$0$0
WILLIAM RANDY CONDOS MD
BOARD MEMBER40.000.30Yes (X)$107,355$0$0
EDWARD BERGEN DO
MEDICAL STAFF PRESIDENT40.000.30Yes (X)$1,234,430$0$31,720
GREGORY LUGO MD
BOARD MEMBER40.000.30Yes (X)$1,148,591$0$21,973
DENISE EMERSON RAU
CHAIR-ELECT/VICE CHAIR & S1.000.30Yes (X)Yes (X)$0$0$0
MR LOUIS TODD SR
BOARD MEMBER40.000.30Yes (X)$0$0$0
GERALD BRYANT
EXECUTIVE VP OF NURSING40.000.00$580,357$0$32,720Yes (X)
JASON J RASHALL
EXECUTIVE VP OF BUSINESS D40.000.00$364,031$0$31,520Yes (X)
BERNITA BROWN
VP OF SUPPORT SERVICES40.000.00$300,490$0$10,207Yes (X)
STEVE STANIC
CHIEF INFORMATION OFFICER40.000.00$433,857$0$26,158Yes (X)
SHANA SCALES
VP OF HUMAN RESOURCES40.000.00$256,309$0$15,312Yes (X)
MANLEY JORDAN
CHIEF MEDICAL OFFICER40.000.00$706,058$0$27,278Yes (X)
JEAN KING WHITE
PHYSICIAN40.000.00$1,379,781$0$24,758Yes (X)
SARPREET BASRA
PHYSICIAN40.000.00$1,323,273$0$25,799Yes (X)
GREGORY RUBINO
PHYSICIAN40.000.00$1,198,488$0$13,200Yes (X)
CLIFFORD COURVILLE
PHYSICIAN40.000.00$1,187,681$0$33,970Yes (X)
CHRISTOPHER THOMPSON
PHYSICIAN40.000.00$1,169,804$0$13,200Yes (X)
JASON LANGHOFER
PAST BOARD MEMBER40.000.00$741,398$0$32,520Yes (X)
MOHAMMED SARWAR MD
FORMER OFFICER40.000.00$307,953$0$30,771Yes (X)
SETH BILLIODEAUX
FORMER OFFICER40.000.00$728,987$0$25,393Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,113,966TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$495,326TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K365IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STNEW ORLEANSLA70112RESIDENCY PROGRAM$4,928,698
HHS ENVIRONMENTAL SERVICES & HHS LLC
PO BOX 826SAN ANTONIOTX782930826JANITORIAL SERVICES$3,719,342
ACCESS RADIOLOGY
3704 NORTH BLVDALEXANDRIALA71301RADIOLOGY SERVICES$2,021,693
MILLENNIUM NEONATOLOY OF LOUISIANA
PO BOX 20236BEAUMONTTX77720RESIDENCY PROGRAM$1,926,067
QUALIVIS
1601 ASSEMBLY STCOLUMBIASC29201STAFFING AGENCY$1,873,961
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K235CntrctRcvdGreaterThan100KCnt
Related Organizations$95,775RelatedOrganizationsAmt
Government Grants$358,909GovernmentGrantsAmt
All Other Contributions$7,319AllOtherContributionsAmt
Total Contributions$462,003TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$493,688,453$493,688,453
MANAGEMENT FEES900099$4,413,470$4,413,470
CAFETERIA900099$1,582,781$1,582,781
FieldValueIRS element (for citing)
Total Program Service Revenue$499,684,704TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,437,709TotalRevenueColumnAmt
Exclusion$1,437,709ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$314,649RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$314,649RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,649TotalRevenueColumnAmt
Exclusion$314,649ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$497,350SecuritiesAmt
Other$296,038OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$530,957SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$33,607SecuritiesAmt
Other$296,038OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$262,431TotalRevenueColumnAmt
Exclusion$262,431ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME (LOSS) FROM SECOND AVENUE621990$476,931$476,931
INCOME (LOSS) FROM LA PET/CT IMAG621990$299,725$299,725
INCOME (LOSS) FROM GIFT SHOP459420-$152,346-$152,346

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$495,578TotalRevenueColumnAmt
Related Or Exempt Func Income-$495,578RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$128,732OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$502,290,228TotalRevenueColumnAmt
Related Or Exempt Func Income$499,813,436RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,014,789ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$132,788TotalAmt
Program Services$132,788ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,076,601TotalAmt
Program Services$2,826,810ProgramServicesAmt
Management And General$4,684,429ManagementAndGeneralAmt
Fundraising$565,362FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$121,153,593TotalAmt
Program Services$119,336,289ProgramServicesAmt
Management And General$1,817,304ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,031,783TotalAmt
Program Services$3,811,301ProgramServicesAmt
Management And General$202,844ManagementAndGeneralAmt
Fundraising$17,638FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,184,832TotalAmt
Program Services$10,573,177ProgramServicesAmt
Management And General$562,723ManagementAndGeneralAmt
Fundraising$48,932FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,172,170TotalAmt
Program Services$7,725,266ProgramServicesAmt
Management And General$411,152ManagementAndGeneralAmt
Fundraising$35,752FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,792,703TotalAmt
Program Services$4,639,336ProgramServicesAmt
Management And General$141,385ManagementAndGeneralAmt
Fundraising$11,982FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,164,986TotalAmt
Program Services$1,127,707ProgramServicesAmt
Management And General$34,367ManagementAndGeneralAmt
Fundraising$2,912FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,627,074TotalAmt
Program Services$10,327,182ProgramServicesAmt
Management And General$281,694ManagementAndGeneralAmt
Fundraising$18,198FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$616,955TotalAmt
Program Services$512,073ProgramServicesAmt
Management And General$55,526ManagementAndGeneralAmt
Fundraising$49,356FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,220,191TotalAmt
Program Services$1,181,145ProgramServicesAmt
Management And General$32,945ManagementAndGeneralAmt
Fundraising$6,101FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$246,739TotalAmt
Program Services$238,843ProgramServicesAmt
Management And General$6,662ManagementAndGeneralAmt
Fundraising$1,234FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,317,156TotalAmt
Program Services$4,144,470ProgramServicesAmt
Management And General$172,686ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,429,324TotalAmt
Program Services$13,419,271ProgramServicesAmt
Management And General$1,010,053ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,073,548TotalAmt
Program Services$5,648,400ProgramServicesAmt
Management And General$425,148ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$92,642,275$89,677,722$2,732,947$231,606
BAD DEBT$40,176,822$40,176,822$0$0
PURCHASED SERVICES$30,552,301$29,574,627$901,293$76,381
SERVICE CONTRACTS$11,109,884$10,754,367$327,742$27,775

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,247,845TotalAmt
Program Services$16,510,005ProgramServicesAmt
Management And General$698,973ManagementAndGeneralAmt
Fundraising$38,867FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$387,969,570TotalAmt
Program Services$372,337,601ProgramServicesAmt
Management And General$14,499,873ManagementAndGeneralAmt
Fundraising$1,132,096FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,195,721BOYAmt
EOY$70,993,821EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$52,139,320BOYAmt
EOY$3,393,849EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,893,901BOYAmt
EOY$40,743,733EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,038,116BOYAmt
EOY$7,277,949EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,714,657BOYAmt
EOY$6,914,474EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$434,107,025LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$281,292,675LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$154,111,651BOYAmt
EOY$152,814,350EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,226,344BOYAmt
EOY$284,346EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$46,558,104BOYAmt
EOY$78,759,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$326,877,814BOYAmt
EOY$361,182,002EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$94,558,921BOYAmt
EOY$67,300,468EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,577,745BOYAmt
EOY$104,448,079EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,335,395BOYAmt
EOY$3,300,447EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,454,311BOYAmt
EOY$16,200,620EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,926,372BOYAmt
EOY$191,249,614EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$95,951,442BOYAmt
EOY$169,932,388EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,951,442BOYAmt
EOY$169,932,388EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$326,877,814BOYAmt
EOY$361,182,002EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$114,320,658ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$471,476NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$3,413,196PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$44,224,384OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$75,000DirectContactLegislatorsAmt
Total Lobbying Expenditures$75,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,626,936OtherCostOrOtherBasisAmt
Book Value$5,626,936BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$219,439,084OtherCostOrOtherBasisAmt
Depreciation$119,141,569DepreciationAmt
Book Value$100,297,515BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$729,710OtherCostOrOtherBasisAmt
Depreciation$666,097DepreciationAmt
Book Value$63,613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,755,662OtherCostOrOtherBasisAmt
Depreciation$150,119,605DepreciationAmt
Book Value$38,636,057BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,555,633OtherCostOrOtherBasisAmt
Depreciation$11,365,404DepreciationAmt
Book Value$8,190,229BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$152,814,350TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$3,331,554
ASSETS WHOSE USE IS LIMITED$10,769,637
OTHER RECEIVABLES$23,418,763
RIGHT OF USE ASSETS$7,095,658
OTHER ASSET$34,143,868
FieldValueIRS element (for citing)
Total Book Value Other Assets$78,759,480TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INVESTMENT - AMRI$9,104,962
LEASE LIABILITY - OPERATING$7,095,658
FieldValueIRS element (for citing)
Total Liability$16,200,620TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE SYSTEM APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIOINS. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,558,172TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,849,752DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,693,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,159,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,251,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$114,009,469DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,342,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,525,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,817,676NetCommunityBenefitExpnsAmt
Total Expense0.00980TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$760,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$760,852NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,103,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,525,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,578,528NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$110,355,173TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,534,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,578,528NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,207,066BadDebtExpenseAmt
Bad Debt Expense Attributable$2,771,422BadDebtExpenseAttributableAmt
Reimbursed By Medicare$90,752,019ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$90,196,972CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$555,047MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SECOND AVE MRI LLC
IMAGING0.510000.49000
2 LA PET IMAGING
IMAGING0.33000
3 MEMORIAL TOXICOLOGY LAB SERVICES LLC
LAB SERVICES0.51000
4 CHG SULPHUR HOSPITAL LLC
LONG TERM ACUTE CARE0.49000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAKE CHARLES MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BLVDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
State LicenseHO0001606StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAKE CHARLES MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.LCMH.COM/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.LCMH.COM/CHNAStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.LCMH.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.LCMH.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 5: IN 2019, OVER SEVERAL WEEKS, LAKE CHARLES MEMORIAL HEALTH SYSTEM (WHICH INCLUDES LAKE CHARLES MEMORIAL HOSPITAL, LAKE CHARLES MEMORIAL WOMEN'S HOSPITAL & LAKE CHARLES MEMORIAL CANCER CENTER AND BEHAVIORAL HEALTH FOR THE PURPOSE OF OUR CHNA) CONDUCTED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A FOLLOW-UP TO ITS CHNA IN 2016. LAKE CHARLES MEMORIAL HEALTH SYSTEM WORKED CLOSELY WITH MULTIPLE COMMUNITY ORGANIZATIONS AND INSTITUTIONS TO ESTABLISH, EVALUATE, AND UNDERSTAND THE REGION'S COMMUNITY HEALTH NEEDS, BASED UPON THEIR COLLECTIVE INTERESTS IN THE HEALTH AND WELL-BEING OF RESIDENTS IN THEIR COMMUNITY. THE CHNA PROCESS INVOLVED PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS FAITH-BASED ORGANIZATIONS, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICE ENTITIES TO ASSESS THE NEEDS OF THE COMMUNITY. THE PRIMARY DATA COLLECTION INVOLVED: COMMUNITY STAKEHOLDER INTERVIEWS, HAND-DISTRIBUTED SURVEYS, PROVIDER HEALTH INVENTORY, PUBLIC COMMENTARY SURVEYS, AND A COMMUNITY FORUM. HUNDREDS OF COMMUNITY RESIDENTS, ORGANIZATIONS AND COMMUNITY LEADERS PARTICIPATED AND CONTRIBUTED TO THE CHNA PROCESS. THE PREVIOUSLY COMPLETED CHNAS IN 2013 AND 2016 SERVED AS A BASELINE TO PROVIDE ADDITIONAL INFORMATION AND A DEEPER UNDERSTANDING OF THE HEALTH AND SOCIOECONOMIC NEEDS OF THE COMMUNITY. TRIPP UMBACH COLLECTED AND ANALYZED THE RESULTS OF THE CHNA PROCESS. PRIMARY AND SECONDARY DATA IDENTIFIED KEY COMMUNITY HEALTH PRIORITIES IN THE REGION. WORKING CLOSELY WITH THE WORKING GROUP OF LAKE CHARLES MEMORIAL HOSPITAL, THE RESULTS WERE REVIEWED AND DISCUSSED, CONCLUDING IN THE IDENTIFICATION AND PRIORITIZATION OF THE COMMUNITY'S NEEDS AT THE REGIONAL LEVEL. AN INTERNAL HOSPITAL REPORTING FORUM WAS HELD AT LAKE CHARLES MEMORIAL HOSPITAL ON AUGUST 6, 2019, AS PART OF THE CHNA PROCESS. THE COMMUNITY PLANNING FORUM INVOLVED 16 COMMUNITY LEADERS REPRESENTING VARIOUS COMMUNITY ORGANIZATIONS, HEALTH AND HUMAN SERVICES AGENCIES, HEALTH INSTITUTIONS, AND ADDITIONAL COMMUNITY AGENCIES. MOST IMPORTANTLY, FORUM PARTICIPANTS PROVIDED CRITICAL FEEDBACK AND PRIORITIZED KEY NEED AREAS FOR THE CHNA.GOALS, OBJECTIVES AND STRATEGIES WERE EXAMINED AND AN IMPLEMENTATION PLAN DEVELOPED; IDENTIFYING WAYS LAKE CHARLES MEMORIAL WILL MEET THE NEEDS OF THE COMMUNITIES THEY SERVE. THE PRIORITIZED NEEDS IDENTIFIED IN THE SURVEY WERE: BEHAVIORAL HEALTH, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. A RESOURCE INVENTORY WAS MADE AVAILABLE. THE RESOURCE INVENTORY HIGHLIGHTS PROGRAMS AND SERVICES IN THE REGION. THE INVENTORY IDENTIFIES ORGANIZATIONS AND AGENCIES IN THE COMMUNITY THAT ARE SERVING THE VARIOUS TARGET POPULATIONS. THE RESOURCE INVENTORY PROVIDES A LISTING OF AVAILABLE PROGRAMS AND CONTACT INFORMATION AS A MEANS TO CREATE THE POTENTIAL FOR COMMUNITY COORDINATION AND LINKAGES AMONG LOCAL ORGANIZATIONS.THE ASSESSMENTS, IMPLEMENTATION PLANS AND RESOURCE GUIDES WERE DISSEMINATED TO HOSPITAL SERVICE AREAS AND POSTED ON OUR WEBSITE FOR COMMUNITY ACCESS.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 11: CANCER AND HOUSING WERE ADDITIONAL THEMES THAT WERE IDENTIFIED. LAKE CHARLES MEMORIAL HEALTH SYSTEM'S CANCER CENTER WILL DIRECTLY ADDRESS THE NEEDS OF THE COMMUNITY RELATED TO CANCER AND THE ISSUES SURROUNDING THE DISEASE. THE INTERNAL WORKING GROUP AGREED THAT TRANSPORTATION WOULD NOT BE ADDRESSED IN THE IMPLEMENTATION AND PLANNING PHASES WITHIN LAKE CHARLES MEMORIAL HEALTH SYSTEM DUE TO THE SIGNIFICANT FUNDING REQUIREMENTS AND STRUCTURAL CHANGES NEEDED AT THE STATE AND LOCAL LEVEL TO ADDRESS THE HOUSING AND TRANSPORTATION INFRASTRUCTURE. HOWEVER, TRANSPORTATION WILL BE ADDRESSED WITHIN LAKE CHARLES MEMORIAL'S CANCER CENTER. THE TRANSPORTATION NEEDS OF CANCER PATIENTS ARE STILL A LARGE CONCERN AND THE CANCER CENTER WILL CONTINUE TO WORK TO ADDRESS AND IDENTIFY METHODS WHICH WILL ASSIST THIS PATIENT POPULATION.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS OFFERED BY FINANCIAL COUNSELORS. REFERENCES TO THE POLICY ARE INCLUDED ON ALL BILLINGS AND ARE POSTED ON OUR WEBSITE @ LCMH.COM.
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME. AMOUNTS GENERALLY BILLED ARE CALCULATED BASED ON OUR FINANCIAL ASSISTANCE POLICY.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:LCMH USES AN ASSET TEST MANDATED FOR MEDICARE PATIENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 4:THE FOLLOWING FOOTNOTE REGARDING BAD DEBT EXPENSE IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS: "THE SYSTEM MAINTAINS ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, DOUBTFUL ACCOUNTS, AND CHARITY CARE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE SYSTEM DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE DISCHARGE DATE; HOWEVER, THE SYSTEM DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE SYSTEM CHARGES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTON OF THE OUTSTANDING BALANCES TO BE DOUBTFUL."COSTING METHODOLOGY IS OPERATING EXPENSE TIMES PAYOR MIX TIMES ALLOWABLE PERCENT. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 8:COSTING METHODOLOGY USED FOR LINE 6 IS OPERATING EXPENSES TIMES PAYOR MIX TIMES 89% ALLOWABLE. THE SHORTFALL AS RELATES TO THIS QUESTION SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT CARE IS PROVIDED TO MEMBERS OF OUR COMMUNITY AT LESS THAN THE ALLOWABLE COST.
PART III, LINE 9B:THE COLLECTION POLICY IS THE SAME AS FOR THOSE WHO DON'T QUALIFY. THOSE ENTITLED TO FREE CARE HAVE NO COLLECTION ACTIVITY AS THERE IS NO REIMBURSEMENT EXPECTED FOR THEIR CARE. THOSE WHO QUALIFY FOR DISCOUNTED CARE WILL BE TREATED AS ANY OTHER PATIENT WHO HAS A BALANCE DUE THE HOSPITAL, JUST THAT THE BALANCE DUE WILL BE AT THE DISCOUNTED RATE FOR WHICH THEY QUALIFY.
PART VI, LINE 2:LCMH PROVIDES PROGRAMS & ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH & HEALING. THESE SCREENINGS, SEMINARS, CLASSES, ETC. RESPOND TO THE NEEDS OF PERSONS LIVING IN OUR COMMUNITY AND IMPROVES OVERALL COMMUNITY HEALTH. MEMORIAL HOSPITAL PROVIDES COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, SUCH AS HEALTH SCREENINGS, SUPPORT GROUPS, SELF-HELP PROGRAMS, SUCH AS SMOKING CESSATION AND WEIGHT LOSS PROGRAMS, PASTORAL OUTREACH PROGRAMS AND SPIRITUAL CARE FOR THE WELL BEING OF OUR COMMUNITY. SEE 2016 ACTIVITIES AND 2013-2016 IMPLEMENTATION PLAN ACTIVITIES/RESULTS POSTED ON THE WEBSITE.
PART VI, LINE 3:LCMH'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ONLINE AND MAY BE REQUESTED BY PHONE, EMAIL, AND ON SITE REQUEST. PATIENTS ARE PROVIDED BROCHURE AT ADMITTING EDUCATING THEM ABOUT THE AVAILABILTIY OF FINANCIAL ASSISTANCE AND HOW TO APPLY.
PART VI, LINE 4:THE HOSPITAL IS LOCATED IN THE CITY OF LAKE CHARLES, LOUISIANA IN CALCASIEU PARISH. THE CITY OF LAKE CHARLES IN CONVENIENTLY LOCATED OFF INTERSTATE 10 BETWEEN HOUSTON, TX AND NEW ORLEANS, LA AND IS 30 MILES UPSTREAM FROM THE GULF OF MEXICO. LAKE CHARLES IS CONNECTED TO THE GULF BY MEANS OF A DEEP-WATER SHIP CHANNEL AND IS THE SEAT AND PORT OF ENTRY OF CALCASIEU PARISH. LAKE CHARLES IS THE FIFTH-LARGEST INCORPORATED CITY IN LOUISIANA, LOCATED ON LAKE CHARLES, PRIEN LAKE AND THE CALCASIEU RIVER. LAKE CHARLES IS A CULTURAL, INDUSTRIAL AND EDUCATIONAL CENTER IN THE SOUTHWEST REGION OF THE STATE. IT IS CONSIDERED A MAJOR CENTER OF PETROCHEMICAL REFINING, TOURISM, GAMING AND EDUCATION, WITH MCNEESE STATE UNIVERSITY AND SOWELA TECHNICAL COMMUNITY COLLEGE. BECAUSE OF THE LAKES AND WATERWAYS THROUGHOUT THE CITY, METROPOLITAN LAKE CHARLES IS OFTEN REFERRED TO AS THE LAKE AREA.THE LAKE AREA POPULATION IS APPROXIMATELY 200,000 WITH APPROXIMATELY 15% OF THE POPULATION BEING 65 OR OLDER. THE LAKE AREA RACIAL MAKEUP IS 70% WHITE, 25% BLACK, AND 5% OTHER. THE MEDIAN INCOME FOR THE AREA IS APPROXIMATELY $49,000 AND THE POVERTY RATE IS 14.9%.
PART VI, LINE 5:N/A
FORM 990 SCHEDULE H PART V SECTION BBASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE CONDUCTED AS PART OF LAKE CHARLES MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT:* THE 'COMMUNITY' SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL.* POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTY DATA SOURCES AS DESCRIBED IN CHNA (SEE IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF ILLNESS AND DEATH WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED.* AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED AND POSTED ON LCMH.COM.* COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF 16 STAKEHOLDERS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED. THE COMMUNITY HEALTH SURVEY WAS COMPLETED BY 100 INDIVIDUALS. RESULTS AND FINDINGS ARE DESCRIBED IN THE KEY INFORMANT AND COMMUNITY HEALTH SURVEY OF THIS REPORT.*INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD THAT WEIGHS (1) THE SIZE OF THE PROBLEM, (2) THE SERIOUSNESS OF THE PROBLEM (3) THE PREVALENCE OF COMMON THEMES, (4) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS, (5) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY AND (6) WHETHER OR NOT THE HOSPITAL HAS EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED.* RECOMMENDATIONS BASED ON THIS ASSESSMENT WERE COMMUNICATED TO THE HOSPITAL AND AN IMPLEMENTATION PLAN TO ADDRESS KEY HEALTH NEEDS WAS DEVELOPED.
SUPPLEMENTAL INFORMATION: PROMOTION OF COMMUNITY HEALTHPRIORITY: CHRONIC DISEASED PREVENTION AND MANAGEMENTGOAL 1: DECREASE POPULATION RISK FACTORS THROUGH CULTURALLY APPROPRIATE SUPPORT FOR HEALTHY LIFESTYLES. STRATEGIES: A. PROMOTE EDUCATION AND SCREENING OPPORTUNITIES THAT SUPPORT AWARENESS OF HEART DISEASE, DIABETES, AND CANCER, I.E. HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, TOBACCO-FREE LIFESTYLE AND MODERATE ALCOHOL USE. B. ACTIVELY PARTICIPATE IN COMMUNITY PARTNERSHIPS WHEREBY THE HOSPITALS CAN REACH OUT TO UNDERSERVED POPULATIONS THROUGH SCREENINGS AND HEALTH EDUCATION. C. IDENTIFY THOSE WHO WORK WITH UNDERSERVED, LOW-INCOME AND RACIAL/ETHNIC GROUPS AND PARTNER WITH THEM TO DEVELOP CULTUALLY APPROPRIATE STRATEGIES TO MONITOR PREVENTION INITIATIVES.GOAL 2: ENHANCE COMMUNITY EDUCATION ABOUT EARLY IDENTIFICATION AND INTERVENTION FOR CANCER WITH A GOAL OF REDUCING LATE-STAGE DIAGNOSES AND IMPROVING OUTCOMES AND SURVIVAL RATES. STRATEGIES: A. PROVIDE ANNUAL COLON CANCER SCREENINGS AND BREAST MAMMOGRAPHY EDUCATION. B. COORDINATE MONTHLY CANCER SUPPORT/EDUCATION GROUPS C. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM. D. INCREASE THE NUMBER OF CERTIFIED SMOKING CESSATION INSTRUCTORS ON STAFF. E. IMPLEMENT A CANCER PATIENT NAVIGATOR POSITION.GOAL 3: ENHANCE COMMUNITY EDUCATION ABOUT PREVENTION, DETECTION AND MANAGING CHRONIC DISEASES. STRATEGIES: A. PROMOTE HEALTH RELATED ACTIVITIES, SUCH AS SCREENINGS, EXERCISE, HEALTHY EATING CHOICES AND EDUCATION, IN NON-TRADITIONAL SETTINGS (E.G. SHOPPING MALLS, FAITH-BASED ORGANIZATIONS, HIGH SCHOOLS) B. COORDINATE MONTHLY SEMINARS AND SUPPORT/EDUCATION GROUPS ON DIABETES, CANCER, AND HEART DISEASE. C. IMPLEMENT WELLNESS PROGRAMS FOR EMPLOYEES AND COMMUNITY EMPLOYERS THAT ENCOURAGE WORKSITES TO EDUCATE THEIR EMPLOYEES ABOUT THEIR BENEFIT PACKAGE, INCLUDING PREVENTIVE AND ANNUAL WELLNESS VISITS, SMOKING CESSATION, HEALTHY EATING CHOICES, SCREENINGS AND PHYSICAL SERVICES. D. OFFER SMOKING CESSATION CLASSES AND EDUCATION ON LOUISIANA'S TOBACCO FREE PROGRAM IN PARTNERSHIP WITH LOUISIANA TOBACCO FREE LIVING PROGRAM AND LSUHSC SMOKING CESSATION PROGRAM.PRIORITY: TEEN PREGNANCY EDUCATION AND MANAGEMENTGOAL 1: EDUCATE COMMUNITY AND SCHOOLS ABOUT TEEN PREGNANCY AND IMPORTANCE OF EARLY PREGNANCY MANAGEMENT TO IMPROVE LOW BIRTH WEIGHTS AND REDUCE TEEN PREGNANCY. STRATEGIES: A. WORK WITH COMMUNITY ORGANIZATIONS TO EDUCATE HIGH SCHOOL TEENS ABOUT PREGNANCY RISKS. B. EDUCATE COMMUNITY HEALTH ORGANIZATIONS ABOUT OUR OBCARE PROGRAM WHICH PROVIDES OB SERVICES TO UNINSUED AND UNDERINSURED. C. PROVIDE PREGNANCY EDUCATION TO EXPECTANT MOTHERS AND FATHERS.
SUPPLEMENTAL INFORMATION: STATE FILING OF COMMUNITY BENEFIT REPORTLOUISIANA: SEE ACTIVITIES AND RESULTS OF CHNA IMPLEMENTATION PLAN ON WEBSITE LCMH.COM

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
PROVIDENT RESOURCES GROUP INC
5565 BANKERS AVENUEBATON ROUGELA70808582492101501(C)(3)$100,000$0SPONSORSHIP
THE CHAMBER SOUTHWEST LOUISIANA
PO BOX 3110LAKE CHARLESLA70602720233565501(C)(6)$7,788$0SPONSORSHIP
UNITED WAY
815 RYAN STREETLAKE CHARLESLA70601720456901501(C)(3)$10,000$0SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEAN KING WHITE
PHYSICIAN$642,761$0$737,020$0$0$0$13,200$0$11,558$0$1,404,539$0$0$0
SARPREET BASRA
PHYSICIAN$510,796$0$812,477$0$0$0$13,200$0$12,599$0$1,349,072$0$0$0
EDWARD BERGEN DO
MEDICAL STAFF PRESIDENT$733,840$0$500,590$0$0$0$12,200$0$19,520$0$1,266,150$0$0$0
CLIFFORD COURVILLE
PHYSICIAN$786,493$0$401,188$0$0$0$13,200$0$20,770$0$1,221,651$0$0$0
GREGORY RUBINO
PHYSICIAN$700,783$0$497,705$0$0$0$13,200$0$0$0$1,211,688$0$0$0
CHRISTOPHER THOMPSON
PHYSICIAN$789,226$0$380,578$0$0$0$13,200$0$0$0$1,183,004$0$0$0
GREGORY LUGO MD
BOARD MEMBER$1,036,445$0$112,146$0$0$0$13,200$0$8,773$0$1,170,564$0$0$0
AMANDA ELLINGTON MD
BOARD MEMBER$608,501$0$483,803$0$0$0$13,200$0$7,737$0$1,113,241$0$0$0
DEVON HYDE
PRESIDENT, CEO & ASSIST SE$669,010$0$321,880$0$0$0$8,914$0$14,863$0$1,014,667$0$0$0
JASON LANGHOFER
PAST BOARD MEMBER$336,376$0$405,022$0$0$0$13,000$0$19,520$0$773,918$0$0$0
SETH BILLIODEAUX
FORMER OFFICER$481,386$0$247,601$0$0$0$13,200$0$12,193$0$754,380$0$0$0
MANLEY JORDAN
CHIEF MEDICAL OFFICER$527,783$0$178,275$0$0$0$13,200$0$14,078$0$733,336$0$0$0
GERALD BRYANT
EXECUTIVE VP OF NURSING$441,564$0$138,793$0$0$0$13,200$0$19,520$0$613,077$0$0$0
DAWN JOHNSON-HATCHER
TREASURER$365,296$0$124,270$0$0$0$13,200$0$7,737$0$510,503$0$0$0
STEVE STANIC
CHIEF INFORMATION OFFICER$323,730$0$110,127$0$0$0$12,949$0$13,209$0$460,015$0$0$0
BENJAMIN AZEVEDO MD
MEDICAL STAFF PRESIDENT- ELECT$329,851$0$42,512$0$0$0$12,888$0$20,288$0$405,539$0$0$0
JASON J RASHALL
EXECUTIVE VP OF BUSINESS D$303,246$0$60,785$0$0$0$12,000$0$19,520$0$395,551$0$0$0
MOHAMMED SARWAR MD
FORMER OFFICER$307,953$0$0$0$0$0$11,251$0$19,520$0$338,724$0$0$0
BERNITA BROWN
VP OF SUPPORT SERVICES$251,896$0$48,594$0$0$0$9,987$0$220$0$310,697$0$0$0
SHANA SCALES
VP OF HUMAN RESOURCES$222,702$0$33,607$0$0$0$0$0$15,312$0$271,621$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAYS ANNUAL DUES TO THE PIONEER CLUB, A SOCIAL CLUB, FOR DEVON HYDE, PRESIDENT AND CEO IN THE AMOUNT OF $4,232 PER YEAR. ANY NONBUSINESS USE OF THE CLUB IS ACCOUNTED FOR AND INCLUDED AS COMPENSATION IN THE CEO W-2.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
LOUISIANA PUBLIC FACILITIES AUTHORITY
A720895871546395D842007-11-01$69,371,392REVENUE AND REFUNDING BOND000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
B521333467NONEAVAIL2013-10-10$6,275,000CURRENT BOND REFUNDING000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
C521333467NONEAVAIL2014-01-07$10,000,000CONSTRUCTION000
CALCASIEU PARISH PUBLIC TRUST AUTHORITY
D521333467NONEAVAIL2015-02-04$10,000,000CONSTRUCTION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$69,371,392$6,780,514$1,363,1762007Yes (1)Yes (1)Yes (1)Yes (1)
B$6,275,000$89,4942013Yes (1)0Yes (1)Yes (1)
C$10,000,000201500Yes (1)Yes (1)$10,000,000
D$10,000,000$141,275201600Yes (1)Yes (1)$9,858,725

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)Yes (1)00Yes (1)0
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line2GICProviderName/BusinessNameLine2TxtTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NATIXIS FUNDING
A000Yes (1)00Yes (1)CORP12.000000000000Yes (1)Yes (1)Yes (1)
(no name)
B0Yes (1)000000Yes (1)
(no name)
C0Yes (1)000000Yes (1)
(no name)
D0Yes (1)0Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
A521769984NONEAVAIL2015-10-01$10,000,000CONSTRUCTION000
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
B521769984NONEAVAIL2017-12-14$10,000,000CONSTRUCTION000
MEMORIAL HOSPITAL SERVICE DISTRICT CALCASIEU PARISH LOUISIANA
C521769984NONEAVAIL2020-07-24$104,935,000HOSPITAL REVENUE AND REFUNDING BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmt
A$10,000,000$133,775$9,866,2252017000Yes (1)
B$10,000,000$100,555$9,899,445201900Yes (1)Yes (1)
C$120,288,6502019Yes (1)00Yes (1)$8,718,500

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00000Yes (1)Yes (1)
B0Yes (1)00000Yes (1)Yes (1)
C000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
C0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLOUIS TODDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionLOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES)RelationshipDescriptionTxt
Transaction$4,681,986TransactionAmt
TransactionLOUIS TODD, THROUGH TODD AND ASSOCIATES, IS THE HOSPITAL'S BROKER FOR MEDICAL MALPRACTICE INSURANCE COVERAGE AND IS PAID A COMMISSION DIRECLTY FROM LAMMICO. THIS COMMISSION HAS NO IMPACT ON THE AMOUNT OF COVERAGE OBTAINED BY THE HOSPITAL OR THE PREMIUM THAT IS PAID FOR THE COVERAGE. IN 2023, THE TOTAL PREMIUMS PAID BY THE HOSPITAL TO LAMMICO WERE $4,681,986. TODD AND ASSOCIATES IS PAID A COMMISSION FROM LAMMICO AT A SET CERTAIN PERCENTAGE OF THE PREMIUMS PAID. THIS PERCENTAGE IS SET INDEPENDENTLY BETWEEN TODD AND ASSOCIATES AND LAMMICO. THE HOSPITAL IS NOT INVOLVED IN SETTING THE COMMISSION RATE OR AMOUNT PAID TO TODD AND ASSOCIATES BY LAMMICO, NOR DOES IT PAY ANY COMMISSION TO LOUIS TODD OR TODD AND ASSOCIATES DIRECTLY.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE EMERGENCY ROOM, PHARMACY, WOUND CARE AND MATERIALS MANAGEMENT HAVE BEEN OUTSOURCED TO MANAGEMENT COMPANIES.
FORM 990, PART VI, SECTION A, LINE 6THE ENTITY HAS BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHEY ELECT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BBOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BBOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 FOR REVIEW PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE IS MONITORED THROUGHOUT THE YEAR VIA MANUAL SIGNATURES BEING REQUIRED ON ALL AP CHECKS EXCEPT SMALL BALANCE PATIENT REFUNDS. THESE CHECKS HAVE AUTOMATED SIGNATURES, BUT ARE REVIEWED BEFORE MAILING. IN ADDITION LARGE CONSTRUCTION JOBS ARE REQUIRED TO BE BID OUT AND BIDS ARE RETURNED SEALED TO OUR ATTORNEYS. RELATIONSHIPS SUCH AS BANKING, INSURANCE AND OTHERS THAT HAVE BEEN DISCLOSED BY BOARD MEMBERS ARE SUBJECT TO DISCUSSION AT BOARD MEETINGS AND GENERALLY THE BOARD MEMBER WITHIN THAT RELATIONSHIP WILL EXCLUDE THEMSELVES FROM THE MEETING.
FORM 990, PART VI, SECTION B, LINE 15COMPARISON WITH VHA GULF STATES GREATER NEW ORLEANS SOCIETY OF HUMAN RESOURCES ASSN AND LHA DATA WAS DONE BY THE SALARY COMMITTEE OF THE BOARD OF TRUSTEES. MINUTES OF THE SALARY COMMITTEE WERE MAINTAINED.
FORM 990, PART VI, SECTION C, LINE 19IN ADDITION TO THE DOCUMENTS THAT ARE ON FILE WITH THE SECRETARY OF STATE THAT WERE REQUIRED TO ESTABLISH THE LEGAL ENTITY, THE GOVERNING DOCUMENTS (INCLUDING THE CONFLICT OF INTEREST POLICY) WILL BE PROVIDED TO THE PUBLIC UPON REQUEST AND SUBJECT TO OUR LEGAL COUNSEL'S APROVAL.
FORM 990, PART XI, LINE 9:BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC -476,931. BOOK/TAX DIFFERENCE - GIFT SHOP 152,346. BOOK/TAX DIFFERENCE - LA PET/CT IMAGING LAKE CHARLES LLC 157,184. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -45,108,500. BOOK/TAX DIFFERENCE- CORNERSTONE K-1 1,051,517.
FORM 990 PART XII LINE 2CTHE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtDirect Controlling NADirectControllingNACd
LAKE CHARLES MEDICAL PLAZA SOUTH
1701 OAK PARK BLVDLAKE CHARLESLA70601621447910REAL ESTATE MANAGEMENTLASWLHS LLCRELATED000.01000
SECOND AVENUE MRI LLC
2800 SECOND AVE SUITE CLAKE CHARLESLA70601202226374IMAGING SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONRELATED000.51000$476,931
LAKE CHARLES PHARM SUPPLY CO LLC
7000 CARDINAL PLACEDUBLINOH43017721300617RETAIL PHARMACYOH00N/A
CHG HOSPITAL SULPHUR
2200 ROSS AVENUE STE 5400DALLASTX75201472639784MEDICAL SERVICESTX00N/A
LA PETCT IMAGING OF LAKE CHARLES LLC
4241 VETERANS BLVD SUITE 200METAIRIELA70006721474363IMAGING SERVICESLA00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
LAKE CHARLES MEDICAL SERVICES LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721285200MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721381266MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
LAKE CHARLES MEMORIAL PHO
1701 OAK PARK BLVDLAKE CHARLESLA70601726013916PHYSICIAN NETWORK AND CONTRACTINGLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000
MEMORIAL MEDICAL GROUP LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601461516260MEDICAL SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000$70,733,811$18,777,992
SWLHS ONCOLOGY LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601201541727MEDICAL SERVICES-ONCOLOGYLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721103283MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
WLW PROPERTIES INC
1701 OAK PARK BLVDLAKE CHARLESLA70601721023846REAL ESTATE / EQUITYLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONCYes (1)1.00000$34,284$743,374
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE CHARLES HEART & VASCULAR LLC
A$150,725CASH
SECOND AVENUE MRI LLC
A$85,115CASH
SWLHS ONCOLOGY LLC
A$61,811CASH
MEMORIAL MEDICAL GROUP LLC
B$44,009,574CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
C$95,775CASH
WLW PROPERTIES INC
K$34,284CASH
LAKE CHARLES HEART & VASCULAR LLC
Q$41,106CASH
LAKE CHARLES MEDICAL SERVICES LLC
Q$249,555CASH
MEMORIAL MEDICAL GROUP LLC
Q$8,501CASH
SWLHS ONCOLOGY LLC
Q$6,335CASH
SWLHS LLC
Q$62,293CASH
SECOND AVENUE MRI LLC
S$499,300CASH