2019-05-15T16:18:06-05:00 2018-06-30 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2017-07-01 464568405 NEW ORLEANS PHYSICIAN SERVICES INC NEWO 5043491102 1101 MEDICAL CENTER BLVD MARRERO LA 70072 DANIEL RILEY CFO 5043491102 2019-05-15 1 JOHN S WILES CPA P01222673 5048355522 64.88.174.3 2019-05-15 13:40:47 CD P 163F68F67301CE7D6B740A9E55079B59EC03387F FC7E0C120955B4072580B572473E7F1A18C992BC 2017 2019-02-21 02:37:17Z DANIEL RILEY 1101 MEDICAL CENTER BLVD MARRERO LA 70072 33289527 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 23201764 33289527 0 0 0 0 23201764 33289527 0 0 0 0 24467243 31568145 0 0 0 15518602 23055706 39985845 54623851 -16784081 -21334324 5872292 11141513 15854725 34803333 -9982433 -23661820 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 54119224 33289527 FACILITATE THE DELIVERY OF HEALTHCARE AND OTHER SERVICES TO INDIVIDUALS, INCLUDING THE INDIGENT, IN JEFFERSON PARISH, LOUISIANA. 54119224 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 1 272 1 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 MELISSA GRACE 5043491277 1101 MEDICAL CENTER BLVD MARRERO LA 70072 HARRY L CHIP CAHILL III CHAIRMAN - WJMC BOARD OF MANAGERS 1.00 X X 0 0 0 FRANK C DI VINCENTI VICE-CHAIRMAN - WJMC BOARD OF MANAGERS 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 OTHOLINO REMEDIOS WJMC BOARD OF MANAGERS 1.00 X 0 0 0 DWAYNE J MUNCH SR WJMC BOARD OF MANAGERS 1.00 X 0 0 0 NANCY CASSAGNE WJMC CEO 10.00 40.00 X 0 693461 42295 JEREMY WAGGENSPACK PHYSICIAN 40.00 X 540769 0 25288 WESLEY W BRYAN MD PHYSICIAN 40.00 X 476744 0 36565 JON RYAN GLASS MD PHYSICIAN 40.00 X 530674 0 47963 PABLO LABADIE MD PHYSICIAN 40.00 X 446636 0 32687 MARIE FERVIL MD PHYSICIAN 40.00 X 321544 0 27871 2316367 693461 212669 7 0 1 0 WEST JEFF EMERGENCY PHYSICIANS GROUP 1101 MEDICAL CENTER BLVD ER MARRERO LA 70072 HEALTH SERVICES 5030877 HEART CLINIC OF LOUISIANA 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES & RENT 4608016 CERNER HEALTHCARE SOLUTIONS INC 1300 GODWARD STREET NE MINNEAPOLIS MN 55413 HEALTH SERVICES 1534226 CARDIOLOGY CENTER 1111 MEDICAL CENTER BLVD STE N613 MARRERO LA 70072 HEALTH SERVICES 984535 JACKSON & COKER HOLDINGS LLC PO BOX 277638 ATLANTA GA 30384 HEALTH SERVICES 340327 10 SERVICE REVENUE - MEDICAL SERVICE 621110 33289527 33289527 33289527 33289527 33289527 0 0 X 1217811 1217811 26803897 26803897 686217 686217 1103173 1103173 1757047 1757047 73847 73847 64203 64203 16070505 16007105 63400 33034 33034 250474 250474 2959749 2959749 76141 76141 334607 334607 2141837 2141837 MEDICAL EXPENSES 744730 744730 ALL OTHER EXPENSES 149447 149447 BANK CHARGES 126550 126550 DUES AND SUBSCRIPTIONS 30582 30582 54623851 54119224 504627 0 1467328 1576824 2310487 6554038 292125 750092 2694557 684374 1802352 2010183 0 250376 5872292 11141513 3765753 5666393 12088972 29136940 15854725 34803333 X -9982433 -23661820 -9982433 -23661820 5872292 11141513 -21334324 7654937 0 X 0 0 0 X 2816244 36471348 23201764 33289527 95778883 2816244 36471348 23201764 33289527 95778883 0 0 0 95778883 2816244 36471348 23201764 33289527 95778883 X 40671 976 39695 1661128 269933 1391195 950267 413465 536802 42491 42491 2010183 DUE TO WJMC 29120053 DUE TO LCMC 8869 OTHER CURRENT LIABILITIES 8018 29136940 X 0 0 0 0 0 0 0 0 0 NANCY CASSAGNE WJMC CEO 0 565860 0 125543 0 2058 0 28800 0 13495 0 735756 0 0 JEREMY WAGGENSPACK PHYSICIAN 397011 0 142252 0 1506 0 8100 0 17188 0 566057 0 0 0 WESLEY W BRYAN MD PHYSICIAN 318352 0 156352 0 2040 0 18900 0 17665 0 513309 0 0 0 JON RYAN GLASS MD PHYSICIAN 318719 0 209915 0 2040 0 31226 0 16737 0 578637 0 0 0 PABLO LABADIE MD PHYSICIAN 317712 0 126884 0 2040 0 13500 0 19187 0 479323 0 0 0 MARIE FERVIL MD PHYSICIAN 247417 0 72702 0 1425 0 22129 0 5742 0 349415 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 12,495,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,495,351. ADMIN FEES: PROGRAM SERVICE EXPENSES 151,658. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,658. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,106,600. MANAGEMENT AND GENERAL EXPENSES 63,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,170,000. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 129,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,430. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 124,066. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,066. 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LOUISIANA CHILDREN'S MEDICAL CENTER E 8869 LOAN BALANCE AS YEAR END WEST JEFFERSON MEDICAL CENTER E 29120053 LOAN BALANCE AS YEAR END FORM 990, SCHEDULE R, PART V, QUESTION 1E SUPPLEMENTAL INFORMATION THE $29,120,053 LOAN IS FROM WEST JEFFERSON HOLDINGS, LLC WHICH IS A SINGLE MEMBER LLC 100% OWNED BY LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS A REALTED 501(C)(3) ORGANIZATION LISTED IN PART II.