2020-11-05T12:48:05-06:00 2019-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2019-01-01 464568405 NEW ORLEANS PHYSICIAN SERVICES INC NEWO 5043491102 1101 MEDICAL CENTER BLVD MARRERO LA 70072 ROBERT CALHOUN CEO PRESIDENT 5043491102 2020-10-12 1 JOHN S WILES CPA P01222673 5048355522 64.88.174.3 2020-10-12 14:35:55 CD P C112D6ABE001F0EB401F5CCE69F8B8BDC92111F9 FF07DA3E24D6D06B8A90535A38561E9DF09EFCB0 2019 2021-01-29 14:40:06Z ROBERT CALHOUN CEO 1101 MEDICAL CENTER BLVD MARRERO LA 70072 26164106 0 X N/A X 2014 LA FACILITATE THE PROVISION OF HEALTHCARE AND OTHER SOCIAL SERVICES TO ,[CONT'D ON SCH. O] INDIVIDUALS, INCLUDING THE INDIGENT, IN THE PARISH OF JEFFERSON, LOUISIANA. 12 12 272 12 0 0 0 0 13187081 26164106 0 0 0 0 13187081 26164106 0 0 0 0 11519653 24111209 0 0 0 7174603 16944035 18694256 41055244 -5507175 -14891138 12881819 16089146 42050814 60149279 -29168995 -44060133 THE CORPORATION WILL PAY FOR, OR FACILITATE THE PROVISION OF, HEALTHCARE SERVICES FOR THE INDIGENT RESIDENTS IN JEFFERSON PARISH AND NEIGHBORING COMMUNITIES OF LOUISIANA. 0 0 40599451 26164106 FACILITATE THE DELIVERY OF HEALTHCARE AND OTHER SERVICES TO INDIVIDUALS, INCLUDING THE INDIGENT, IN JEFFERSON PARISH, LOUISIANA. 40599451 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 272 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 1 0 X STACEY ZIMMER 5043491204 1101 MEDICAL CENTER BLVD MARRERO LA 70072 HARRY L CHIP CAHILL III CHAIRMAN - WJMC BOARD OF M 1.00 X X 0 0 0 FRANK C DI VINCENTI VICE-CHAIRMAN - WJMC BOARD 1.00 X X 0 0 0 JAMES E CRAMOND SECRETARY/TREASURER -WJMC 1.00 X X 0 0 0 DAVID F ANDIGNAC WJMC BOARD OF MANAGERS 1.00 X 0 0 0 BARRY H BORDELON WJMC BOARD OF MANAGERS 1.00 X 0 0 0 DAMON M DIETRICK WJMC BOARD OF MANAGERS 1.00 X 0 0 0 GREGORY C FEIRN WJMC BOARD OF MANAGERS 1.00 X 0 0 0 TIMOTHY P KERNER WJMC BOARD OF MANAGERS 1.00 X 0 0 0 WILLIAM A LAZARO JR WJMC BOARD OF MANAGERS 1.00 X 0 0 0 BYRON L LEE WJMC BOARD OF MANAGERS 1.00 X 0 0 0 DWAYNE J MUNCH SR WJMC BOARD OF MANAGERS 1.00 X 0 0 0 OTHOLINO REMEDIOS WJMC BOARD OF MANAGERS 1.00 X 0 0 0 NANCY M CASSAGNE WJMC CEO 10.00 40.00 X 0 337787 11200 ROBERT M CALHOUN WJMC CEO 10.00 40.00 X 0 187670 12621 DARRELL D ROY VICE-PREDIDENT 50.00 X 179237 0 26605 JUDY C KANG-KING MD PHYSICIAN 40.00 X 580278 0 14000 WILLIAM W BORRON MD PHYSICIAN 40.00 X 549831 0 31468 JAMES K ELLIS PHYSICIAN 40.00 X 563383 0 19355 JON RYAN GLASS MD PHYSICIAN 40.00 X 471487 0 38888 WESLEY W BRYAN MD PHYSICIAN 40.00 X 456997 0 31914 2801213 525457 186051 58 0 1 0 WOMEN'S MEDICAL CENTERS LLC 515 WESTBANK EXPRESSWAY 9 GRETNA LA 70053 HEALTH SERVICES 4329695 HEART CLINIC OF LOUISIANA 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES & RENT 3500000 CARDIOLOGY CENTER 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES 1358819 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 HEALTH INFORMATION TECHNOLOGY 1332434 VIZIENT 290 E JOHN CARPENTER FREEWAY IRVING TX 75062 HEALTH SERVICES 562546 16 SERVICE REVENUE - MEDICAL SERVICE 621110 26164106 26164106 26164106 26164106 26164106 0 0 X 205842 205842 21359325 21359325 412733 412733 924781 924781 1208528 1208528 101452 101452 36992 36992 11499777 11438897 60880 6142 6142 211025 211025 2345488 2345488 35270 35270 267309 267309 1025459 1025459 MEDICAL EXPENSES 1156765 1156765 BANK CHARGES 146896 146896 DUES AND SUBSCRIPTIONS 60703 60703 ALL OTHER EXPENSES 50757 50757 41055244 40599451 455793 0 1377762 987015 7634882 6231199 1405647 3723724 3676542 1085489 2163108 2591053 300420 2556155 12881819 16089146 5732644 5658249 36318170 54491030 42050814 60149279 X -29168995 -44060133 -29168995 -44060133 12881819 16089146 -14891138 0 X 0 1 X 1 0 X 36471348 23201764 33289527 13187081 26164106 132313826 36471348 23201764 33289527 13187081 26164106 132313826 0 0 0 132313826 36471348 23201764 33289527 13187081 26164106 132313826 1.00000 1.00000 0.00000 X 184587 16430 168157 1661128 394518 1266610 1792820 674541 1118279 38007 38007 2591053 DEPOSITS 125000 DUE FROM LCMC 2431155 2556155 DUE TO WJMC 54491030 54491030 X PART X, LINE 2: GAAP PROVIDES ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE COMPANY BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. X 0 0 0 0 0 0 0 0 0 NANCY M CASSAGNE WJMC CEO 0 159859 0 177383 0 545 0 11200 0 0 0 348987 0 0 ROBERT M CALHOUN WJMC CEO 0 186923 0 0 0 747 0 6150 0 6471 0 200291 0 0 DARRELL D ROY VICE-PREDIDENT 157574 0 20624 0 1039 0 9223 0 17382 0 205842 0 0 0 JUDY C KANG-KING MD PHYSICIAN 401583 0 176637 0 2058 0 14000 0 0 0 594278 0 0 0 WILLIAM W BORRON MD PHYSICIAN 395727 0 152046 0 2058 0 14000 0 17468 0 581299 0 0 0 JAMES K ELLIS PHYSICIAN 426290 0 135035 0 2058 0 8400 0 10955 0 582738 0 0 0 JON RYAN GLASS MD PHYSICIAN 334394 0 135035 0 2058 0 14000 0 24888 0 510375 0 0 0 WESLEY W BRYAN MD PHYSICIAN 329320 0 125622 0 2055 0 14000 0 17914 0 488911 0 0 0 PART I, LINE 3 COMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE AVERAGE COMPENSATION OF A PERSON IN A SIMILAR ROLE WITH A SIMILAR ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 1 THE MEMBER ACTS AS THE GOVERNING BODY OF THE CORPORATION AND CONTROLS THE FINANCIAL ASPECTS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 3 THE CORPORATION'S DAY-TO-DAY ACTIVITIES ARE MANAGED BY WEST JEFFERSON HOLDINGS, LLC. THE ORGANIZATION PROVIDES SUCH SERVICES WITHOUT COMPENSATION, AND IN FURTHERANCE OF THE COLLABORATIVE EFFORT OF THE PARTIES TO PROVIDE PHYSICIAN SERVICES TO THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION EXECUTED A RESOLUTION FOR MEMBERSHIP SUBSTITUTION ON SEPTEMBER 17, 2016 WHICH RESULTED IN WEST JEFFERSON HOLDINGS, LLC BEING THE SOLE MEMBER OF THE ORGANIZATION. WEST JEFFERSON HOLDINGS, LLC IS 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER, INC. A 501(C)(3) CHARITABLE ORGANIZATION WHOSE PRIMARY PURPOSE IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES IN THE GREATER NEW ORLEANS AREA. FORM 990, PART VI, SECTION A, LINE 7A NO PERSON SHALL BECOME A MEMBER OF THE CORPORATION WITHOUT THE UNANIMOUS VOTE OF THE THEN CURRENT MEMBER(S). FORM 990, PART VI, SECTION A, LINE 8B THE CORPORATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BEFORE ENTERING INTO ANY CONTRACTUAL OBLIGATIONS, THE CORPORATION'S OBLIGATIONS ARE REVIEWED BY OUTSIDE COUNSEL FOR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE AVERAGE COMPENSATION OF A PERSON IN A SIMILAR ROLE WITH A SIMILAR ORGANIZATION WHICH IS THEN REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION PROVIDES ITS GOVERNING DOCUMENTS AND CONFLIFT OF INTEREST POLICY UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 7,853,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,853,499. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,983,098. MANAGEMENT AND GENERAL EXPENSES 60,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,043,978. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 53,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,712. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 548,588. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 548,588. LOUISIANA CHILDREN'S MEDICAL CENTER 200 HENRY CLAY AVE NEW ORLEANS LA 70118 943480131 HEALTH SERVICES LA 501(C)(3) LINE 3 0 CHILDREN'S HOSPITAL 200 HENRY CLAY AVE NEW ORLEANS LA 70118 720467503 PEDIATRIC HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 720423659 FULL-SERVICE COMMUNITY HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 UNIVERSITY MEDICAL CENTER MANAGEMENT 2021 PERDIDO STREET NEW ORLEANS LA 70112 251925187 FULL-SERVICE COMMUNITY & TEACHING HOSPITAL LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 CRESCENT CITY RESEARCH CONSORTIUM LLC 1111 MEDICAL CENTER BLVD STE N-701 MARRERO LA 70002 383880814 MEDICAL RESEARCH LA LOUISIANA CHILDREN'S MEDICAL CENTER 0 0 SOUTHERN LOUISIANA CLINICAL SERVICES INC 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 274193861 HEALTH SERVICES LA C 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LOUISIANA CHILDREN'S MEDICAL CENTER D 2431155 LOAN BALANCE AT YEAR END WEST JEFFERSON HOLDINGS LLC E 54491030 LOAN BALANCE AT YEAR END FORM 990, SCHEDULE R, PART V, QUESTION 1E SUPPLEMENTAL INFORMATION THE $54,491,030 LOAN IS FROM WEST JEFFERSON HOLDINGS, LLC WHICH IS THE SOLE MEMBER OF NEW OLREANS PHYSICIAN SERVICES, INC. WEST JEFFERSON HOLDINGS, LLC IS A SINGLE MEMBER LLC 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS A RELATED 501(C)(3) ORGANIZATION LISTED IN PART II.