2022-05-11T11:58:13-07:00 2021-06-30 721199304 Langlinais Broussard & Kohlenberg 2419 Veterans Memorial Drive Abbeville LA 70510 990 2020-07-01 726012041 LAFOURCHE PARISH HOSPITAL SERVICE DIST 1 DBA LADY OF THE SEA GENERAL HOSPITAL LAFO 9856326401 200 W 134TH PL CUT OFF LA 70345 JACQUELYN RICHOUX CFO 2022-05-11 true JACQUELYN RICHOUX 999009999 BARRETT B PERRY CPA P01640100 3378936232 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z KAREN COLLINS 275 WEST 86TH STREET CUT OFF LA 70345 45822146 false X https://www.losgh.org X 1953 LA HOSPITAL SERVICES, RURAL HEALTH CLINICS, AND HOME HEALTH SERVICES. 5 5 397 1544976 3444581 11263250 25099201 26173427 202990 37429 4587191 4373876 33333963 41847982 14702 11197 0 14282987 14019436 0 0 17720115 19009952 32017804 33040585 1316159 8807397 40862809 42463964 14554260 7348018 26308549 35115946 LADY OF THE SEA GENERAL HOSPITAL EXISTS TO PROVIDE HIGH QUALITY HEALTHCARE IN A PERSONALIZED MANNER TO THOSE WE SERVE false false 29716707 29039756 LADY OF THE SEA GENERAL HOSPITAL EXISTS TO PROVIDE HIGH QUALITY HEALTHCARE IN A PERSONALIZED MANNER TO THOSE WE SERVE 29716707 true false false false false false false false false false true false false true true false true false false false false false false false false false true true false true true true false true false false false false false false false false false false false false false true false false false true 35 0 true 397 true true true false false false false false false 0 false false false false false false false X 5 5 false false false false true true false true true false false true true true true true true true false false X JACKIE RICHOUX 9853259340 200 W 134TH PL CUT OFF LA 70345 JAY VEGA MEDICAL DIRECTOR 40.00 0.00 405395 0 13106 WILLIAM W CRENSHAW MEDICAL DIRECTOR 40.00 0.00 401940 0 15036 DENNIS MORRIS ER PHYSICIAN 40.00 0.00 391905 0 15036 SHAWN HUMPHRIES ER PHYSICIAN 40.00 0.00 364680 0 15036 DUANE LUKE ER PHYSICIAN 40.00 0.00 330840 0 15036 LLOYD GUIDRY JR COO 40.00 0.00 X 199203 0 687 KAREN COLLINS CEO 40.00 0.00 X 169081 0 2258 JACQUELYN RICHOUX CFO 40.00 0.00 X 138682 0 1275 BENNIE SMITH CIO 40.00 0.00 X 115291 0 1823 HOLLY GRIFFIN CNO 40.00 0.00 X 111259 0 2041 TAD LAFONT CCO 40.00 0.00 X 103239 0 396 LARRY WEIDEL SECRETARY/TREAS 0.00 0.00 X 0 0 0 NEIL MARTIN VICE CHAIRMAN 0.00 0.00 X 0 0 0 JOHN ORDONNE MEMBER 0.00 0.00 X 0 0 0 CHARLES M CALLAIS Chairman 0.00 0.00 X 0 0 0 KIP PLAISANCE MEMBER 0.00 0.00 X 0 0 0 2731515 81730 11 false true false AMERICAN FUNDS SERVICE PO BOX 2280 NORFOLK VA 235012280 PENSION PLAN 1215610 FISHER HEALTHCARE 24615 EISENHOWER DR PLAQUEMINE LA 70764 MEDICAL SUPPLY VENDOR 621003 BAYOU SURGICAL SPECIALISTS LLC 5619 LA-311 HOUMA LA 70360 SURGEONS 514396 KINDRED HOSPITAL REHABILITATION SERVICES 680 SOUTH FOURTH ST LOUISVILLE KY 40202 SUPPLIES 503955 REHABCARE GROUP INC 7843 PARK AVE HOUMA LA 70364 O/P THERAPY 469791 5 11263250 11263250 PATIENT CARE 26173427 26173427 26173427 37429 37429 0 0 22835 22835 22835 22835 0 0 0 5519140 3974164 1544976 1544976 MISCELLANEOUS INCOME 403850 403850 PROPERTY TAX AND MISC INC 2402215 2402215 2806065 41847982 29039756 1544976 0 11197 11197 0 0 845235 845235 0 9356207 7500804 1855403 405462 405462 3412532 3412532 0 0 20969 20969 73145 73145 0 0 32721 32721 1425359 1054468 370891 120898 11307 109591 1560939 1560939 27154 27154 0 0 1069 1069 0 8214 8214 136989 136989 0 1284094 1284094 541412 541412 ADD: NET LOSS ON FORM 990T 4753395 4753395 GROUP 924FB ALL OTHER EXP/ PUR 4014041 4014041 GROUP 924S SUPPLIES 1693538 1693538 GROUP 924BD BAD DEBT EXPENSE 1316636 1316636 1999379 1984525 14854 33040585 29716707 3323878 0 3802747 2336635 0 0 2070094 2401158 0 0 144033 121016 657946 639662 511828 514302 38158669 27636757 9983828 10521912 19229897 18880769 0 0 0 4462436 7048510 40862809 42463964 897547 751119 1590000 1385000 2609468 1176022 9457245 4035877 14554260 7348018 X 26308549 35115946 26308549 35115946 40862809 42463964 8807397 X false true X true false X 790155 790155 37368514 27636757 9731757 10521912 DUE FROM THIRD PARTY PAYORS 3698232 HOSPITAL INVENTORY 851611 OTHER ASSETS 214659 OTHER RECEIVABLES 2284008 7048510 A/R CREDIT BALANCES 103387 ACCRUED SALARIES, BENEFITS AND RELATED W 987060 ACCRUED SELF-INSURANCE 338803 INTEREST PAYABLE 18252 MEDICARE ACCELERATED PAYMENTS 2588375 4035877 45822146 3974164 3974164 41847982 41847982 37014749 3974164 3974164 33040585 33040585 Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 EXPENSES DIRECTLY NETTED WITH REVENUE $0 PHARMACY COGS NETTED DIRECTLY WITH REV $3974164 Part XII, Line 2d: Other expenses and losses per audited F/S PHARMACY COGS NETTED DIRECTLY WITH REV $3974164 EXPENSES DIRECTLY NETTED WITH REVENUE $0 true true true X false true true true false false false 142007 142007 0.00430 11506669 5998864 5507805 0.16670 805460 805460 0.02440 12454136 5998864 6455272 0.19540 12454136 5998864 6455272 0.19540 true 1316636 425075 4347440 4347440 X true true 1 1 LADY OF THE SEA GENERAL 200 WEST 134 PLACE CUT OFF LA 70345 HTTP://WWW.LOSGH.ORG 176 X LADY OF THE SEA GENERAL 1 false false true X X X X X X X X X 20 true false false true X www.losgh.org true 20 true www.losgh.org true false true X 200.0000 X true true X X X X true X www.losgh.org X www.losgh.org X www.losgh.org X X X X X X true X true X X X X true X false false Facility: LADY OF THE SEA GENERAL - Part V, Section B, Line 5 See attached copy of CHNA with this return. Facility: LADY OF THE SEA GENERAL - Part V, Section B, Line 11 see attached CHNA report with this return Facility: LADY OF THE SEA GENERAL - Part V, Section B, Line 16j Language line translation services are available to FAP applicants Facility: 1 LADY OF THE SEA GENERAL - Part V, Section B, Line 22d FAP ELIGIBLE INDIVIDUALS ARE DISCOUNTED 100% FOR SERVICES RECEIVED. Part VI, Line 3 - Patient Education of Eligibility for Assistance 1.All patients who present to the hospital for services and are uninsured, are given the contact information for our Financial Assistance office.2.Uninsured patients also receive a letter in the mail regarding our Financial Assistance program.3.Any patient who inquires about financial assistance, is referred to our Financial Assistance office. 4.All patients who are interested in applying for financial assistance are assisted with applying for Medicaid and Lady of the Sea General Hospitals Charity Care Program.5. The general patient population may view financial assistance policy on hospital website. false 0 0 SCHOLARSHIPS AND TUITION ASSISTANCE 6 11197 COST X false false false false false false false false false DENNIS MORRIS ER PHYSICIAN 391905 15036 406941 DUANE LUKE ER PHYSICIAN 330840 15036 345876 JAY VEGA MEDICAL DIRECTOR 405395 13106 418501 KAREN COLLINS CEO 169081 2258 171339 LLOYD GUIDRY JR COO 199203 687 199890 SHAWN HUMPHRIES ER PHYSICIAN 364680 15036 379716 WILLIAM W CRENSHAW MEDICAL DIRECTOR 401940 15036 416976 A LAFOURCHE PARISH HOSPITAL 726012041 2013-10-03 3000000 G.O BONDS SERIES 2013 false B LAFOURCHE PARISH HOSPITAL 726012041 2012-07-18 2153000 G.O BONDS SERIES 2012 true A 200000 false true B 283000 true true Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee THE BOARD OF COMMISSIONERS, AT ITS DISCRETION, MAY DESIGNATE ONE (1) OR MORE COMMITTES, TO SERVE AT THE PLEASURE OF THE BOARD OF COMMISSIONERS, EACH OF WHICH SHALL BE COMPOSED OF ONE (1) OR MORE BOARD MEMBERS (NOT TO EXCEED TWO (2) BOARD MEMBERS), COMMITTEE MEMBERS DESIGNATED BY THE BOARD, AND MAY ALSO INCLUDE NON-VOTING ADVISORY MEMBERS AS NEEDED. ANY COMMITTE THAT REVIEWS ISSUES AFFECTING THE DISCHARGE OF MEDICAL STAFF RESPONSIBILITIES MUST INCLUDE MEDICAL STAFF MEMBERS, AND IF SUCH MEDICAL STAFF MEMBERS ARE NOT ALSO BOARD MEMBERS, THEN THEY SHALL SERVE ON SUCH COMMITTE IN A NON-VOTING ADVISORY CAPACITY. ANY COMMITTES SHALL BE STANDING AND SPECIAL. STANDING COMMITTES SHALL BE: FINANCE COMMITTE, BUILDING/ GROUNDS COMMITTE; HUMAN RESOURCES COMMITTE; THE JOINT CONFERENCE COMMITTE; AND QUALITY COUNCIL COMMITTE. ALL OTHER COMMITTES SHALL BE SPECIAL COMMITTES. THE BOARD OF COMMISSIONERS MAY DELEGATE TO ANY BOARD OF COMMISSIONERS COMMITTE ANY BOARD OF COMMISSIONERS POWER OR AUTHORITY AS SET FORTH HERIN EXCEPT FOR THE POWER OR AUTHORITY PERTAINING TO THE AMENDMENT OF THESE BY-LAWS. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder "BOARD MEMBERX OR "MEMBERX OR "TRUSTEE" MEANS A MEMBER OF THE BOARD OF COMMISSIONERS OF HOSPITAL. Form 990, Part VI, Line 11b: Form 990 Review Process IRS FORM 990 IS SUBMITTED IN DRAFT FORM TO THE GOVERNING BODY FOR REVIEW AND APPROVAL BEFORE SUBMISSION TO THE IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts EACH COMMISSIONER SHALL COMPLETE AND SIGN ANNUALLY THE CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT, DISCLOSING TO THE BOARD ANY CONFLICT OF INTEREST THE COMMISSIONER MAY HAVE IN ANY CONTRACT OR TRANSACTION THE BEFORE THE BOARD, OR ANY CONFLICT OF INTERST THAT MAY BE CREATED BY A CONTRACT, TRANSACTION OR RELATIONSHIP THAT THE COMMISSIONER IS CONTEMPLATING ENTERING.IN ADDITION, THE ORGANIZATION OBTAINS THE POLICY OF CONFLICT OF INTEREST. EMPLOYEES ARE CAUTIONED AGAINST MAINTAINING ANY OUTSIDE BUSINESS OR FINANCIAL INTEREST OR ENGAGING IN ANY OUTSIDE BUSINESS OR FINANCIAL ACTIVITY WHICH CONFLICTS WITH THE INTERESTS OF THE HOSPITAL OR WHICH INTERFERES WITH HIS OR HER ABILITY TO DISCHARGE HIS OR HER DUTIES FULLY. AN EMPLOYEE'S POSITION MUST NEVER BE USED TO PROMOTE OR ADVANCE PERSONAL GAIN DIRECTLY OR INDIRECTLY. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1 DBA LADY OF THE SEA HOSPITAL THROUGH ITS BOARD OF COMMISSIONERS AND CEO ENTER INTO AN EMPLOYMENT AGREEMENT WHICH IS EFFECTIVE ON AUGUST 26, 2013 AND SHALL CONTINUE FOR A PERIOD OF FIVE (5) YEARS FROM THE START DATE. BEGINNING ON THE START DATE, THE ORGANIZATION SHALL PAY EMPLOYEE AN ANNUAL GROSS SALARY, TO BE PAID BI-WEEKLY. PAYMENTS SHALL BE SUBJECT TO DEDUCTIONS FOR ALL TAXES AND WITHHOLDINGS REQUIRED BY APPLICABLE LAW. THE ORGANIZATION SHALL INCREASE EMPLOYEE'S BASE SALARY FIVE (5) % ANNUALLY BEGINNING SEPTEMBER 1, 2014. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available ACCORDING TO THE AVAILABILITY OF GOVERNMENT RETURNS POLICY, CFO IS RESPONSIBLE FOR PUBLIC ACCESS TO THE INFORMATION RETURNS. INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LAFOURCHE PARISH GOVERNMENT PO DRAWER 5548 THIBODAUX LA 70302 726000634 LOCAL GOVERNMENT LA N/A false false false false false false false false false false false false false false false false false false false false