FURP.ORG / PUBLIC DATA EXPLORER

SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC (EIN 72-0551963)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201803179349307330
Schema version
2017v2.3
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)
Return2018-11-13T16:41:38-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1Txt

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 Begin2017-01-01TaxPeriodBeginDt

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)
PersonLARRY GRAHAMPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone3374943204PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJON LEBLANCPreparerPersonNm
PTINP01525561PTIN
Phone2259224600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.124.204.139IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm13:15:24IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCEB18FE595736C43271815B509C554CF2902B24AAtSubmissionCreationDeviceId
At Submission Filing Device Id7F7C11C4A2DDAC25081BF657CCE406558DD64144AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY GRAHAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 OAK PARK BOULEVARDAddressLine1Txt
CityLAKE CHARLESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$333,653,118GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3387TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$483,674PYContributionsGrantsAmt
CY Contributions Grants$858,785CYContributionsGrantsAmt
PY Program Service Revenue$331,525,305PYProgramServiceRevenueAmt
CY Program Service Revenue$329,768,881CYProgramServiceRevenueAmt
PY Investment Income$555,765PYInvestmentIncomeAmt
CY Investment Income$520,541CYInvestmentIncomeAmt
PY Other Revenue$797,055PYOtherRevenueAmt
CY Other Revenue$1,241,734CYOtherRevenueAmt
PY Total Revenue$333,361,799PYTotalRevenueAmt
CY Total Revenue$332,389,941CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$45,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$124,686,819PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$124,654,432CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,849,070CYTotalFundraisingExpenseAmt
PY Other Expenses$193,615,112PYOtherExpensesAmt
CY Other Expenses$186,514,256CYOtherExpensesAmt
PY Total Expenses$318,351,931PYTotalExpensesAmt
CY Total Expenses$311,214,188CYTotalExpensesAmt
PY Revenues Less Expenses$15,009,868PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,175,753CYRevenuesLessExpensesAmt
Total Assets BOY$227,518,043TotalAssetsBOYAmt
Total Assets EOY$240,731,247TotalAssetsEOYAmt
Total Liabilities BOY$174,057,531TotalLiabilitiesBOYAmt
Total Liabilities EOY$181,369,856TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$53,460,512NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,361,391NetAssetsOrFundBalancesEOYAmt
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$7,178,324ExpenseAmt
Grant$45,500GrantAmt
Revenue$2,650,243RevenueAmt
DescLAKE CHARLES MEMORIAL HOSPITAL2017 COMMUNITY BENEFITS SUMMARYI. INTRODUCTIONAS A COMMUNITY-BASED HOSPITAL, IT IS LAKE CHARLES MEMORIAL HOSPITAL'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, MEMORIAL 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. 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-$463,396 EACH YEAR, LCMH PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS AND INFORMATIONAL BOOTHS AT A VARIETY OF COMMUNTIY EVENTS. THE HOSPITAL ALSO PROVIDES FREE SPEAKERS TO CIVIC GROUPS AND THER ORGANIZATIONS. THIS COMMITMENT TO HEALTH AND WELLNESS EDUCATION TAKES MEMORIAL PROFESSIONALS INTO THE FIVE PARISH AREA TO STAFF INDUSTRIAL, CORPORATE AND SCHOOL HEALTH FAIRS. THE HOSPITAL CONTRIBUTED A NET $280,429 IN SPECIAL EVENTS AND SEMINARS.COMMUNITY BENEFIT: $280,429III. HEALTH PROFESSIONALS EDUCATIONLAKE CHARLES MEMORIAL INVESTS IN MEDICAL EDUCATION IN AN EFFORT OF PROVIDE THE AREA WITH QUALIFIED PROFESSIONALS. IN 2017, LCMH SPENT $3,712,274 FOR THE LOUISIANA STATE UNIVERSITY HEALTH SERVICES CENTER-FAMILY PRACTICE RESIDENCY PROGRAM.COMMUNITY BENEFIT:$3,712,274CHARITABLE DONATIONSLCMH MAKES NUMEROUS MONETARY DONATIONS TO A VARIETY OF NON-PROFIT AGENCIES.COMMUNITY BENEFIT:$71,982MEMORIAL'S TOTAL 2017 NET COMMUNITY CONTRIBUTIONS - $4,528,081Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$84,583,761ExpenseAmt
Revenue$74,173,230RevenueAmt
DescTHE HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT AND OUT- PATIENT SERVICES THROUGH A 29-BED LONG-TERM CARE FACILITY, A 339-BED ACUTE CARE FACILITY AND SEVERAL OUTPATIENT CLINICS. DURING 2013 LAKE CHARLES MEMORIAL HOSPITAL TOOK OVER THE OPERATIONS OF THE PREVIOUSLY STATE OPERATED W.O. MOSS REGIONAL HOSPITAL, WHICH WAS CLOSED. LCMH MOVED THE INPATIENT SURGERY AND EMERGENCY SERVICES TO OUR ACUTE CARE HOSPITAL. W.O. MOSS EMERGENCY ROOM WAS CONVERTED TO AN URGENT CARE CLINIC. LCMH MAINTAINED THE OUTPATIENT CLINICS AT THAT SITE AND ARE CURRENTLY OPERATED AS PROVIDER-BASED CLINICS UNDER THE NAME OF W.O. MOSS MEMORIAL HEALTH CLINIC. W.O. MOSS MEMORIAL HEALTH CLINIC AND LAKE CHARLES MEMORIAL HOSPITAL SIGNIFICANTLY EXPANDED SPECIALTY SERVICES IN ORDER TO ENHANCE THE SCOPE AND QUALITY OF HEALTHCARE TO THE UNDERSERVED IN THE SWLA COMMUNITY.CHARITY CAREMEMORIAL PROVIDES MEDICAL CARE TO MEDICAID AND INDIGENT RECIPIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2017, MEMORIAL HOSPITAL PROVIDED $7,973,680 IN UN-REIMBURSED MEDICAID COSTS AND $2,436,851 IN UNREIMBURSED CHARITY CARE COSTS AS PROVIDED FOR IN THE CEA WITH THE STATE AND LSU. COMMUNITY BENEFIT-$10,410,531Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$198,501,304ExpenseAmt
Revenue$253,978,032RevenueAmt
DescTHE HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES THROUGH A 29-BED LONG-TERM ACUTE CARE FACILITY, A 339-BED ACUTE CARE FACILITY AND SATELLITE LOCATIONS. ADDITIONALLY, DURING 2013 LAKE CHARLES MEMORIAL HOSPITAL TOOK OVER THE OPERATIONS OF THE PREVIOUSLY STATE-OPERATED W O MOSS REGIONAL HOSPITAL. LCMH MOVED THE INPATIENT, SURGERY AND EMERGENCY SERVICES TO OUR ACUTE CARE HOSPITAL. W O MOSS EMERGENCY ROOM WAS CONVERTED TO AN URGENT CARE CLINIC. LCMH MAINTAINED THE OUTPATIENT CLINICS AT W O MOSS MEMORIAL HEALTH CLINIC AND SIGNIFICANTLY EXPANDED SPECIALTY SERVICES IN ORDER TO ENHANCE THE SCOPE AND QUALITY OF HEALTHCARE TO THE UNDERSERVED IN THE SWLA COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$290,263,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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 EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3387EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Line1CHARLES WHITSON CHIEF FINANCIAL OFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3374943202PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ULYSSES GENE THIBODEAUX
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
LOUIS M TODD SR
CHAIRMAN1.001.30Yes (X)$0$0$0Yes (X)
ALAN LEBATO MD
ACTIVE TRUSTEE40.000.30Yes (X)$120,000$0$0
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN40.001.30Yes (X)$318,019$0$31,881Yes (X)
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE40.001.30Yes (X)$696,443$0$22,426Yes (X)
DENISE EMERSON RAU
PAST CHAIRPERSON1.000.30Yes (X)$0$0$0
JOE MILLER
CHAIR-ELECT/VICE CHAIR & S1.000.30Yes (X)$0$0$0Yes (X)
MITCHELL ADRIAN MD
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
LEROY FREDERICKS MD
PHYSICIAN/MED STAFF PAST PRESID40.000.30Yes (X)$850,244$0$28,254
RICHARD MARTINEZ MD
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
GERRY HEBERT MD
MEDICAL STAFF PRESIDENT40.000.30Yes (X)$360,492$0$29,517
RANDY ROBB
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
MOHAMMAD SARWAR MD
MEDICAL STAFF PRESIDENT-ELECT40.000.30Yes (X)$367,243$0$31,880
WILLIAM 'RANDY' CONDOS
ACTIVE TRUSTEE1.000.30Yes (X)$0$0$0
KEVIN MOCKLIN
DIRECTOR OF COMPLIANCE (RET 1/5/17)40.00$45,991$0$0Yes (X)
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI40.00$237,996$0$23,311Yes (X)
BERNITA BROWN
VICE PRES OF SUPPORT SERVI40.00$183,734$0$15,018Yes (X)
DONNA SHIELDS
ASST VICE PRES NURSING40.00$233,764$0$23,197Yes (X)
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN40.00$226,986$0$14,591Yes (X)
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING40.00$182,041$0$19,183Yes (X)
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY40.001.00$184,046$0$28,456Yes (X)
JASON J RASHALL
VICE PRES OF BUSINESS DEVE40.00$182,896$0$28,680Yes (X)
ANNA CAZES
VICE PRES OF OPERATIONS40.00$293,096$0$2,899Yes (X)
BRIAN KIRK
VP OF FINANCIAL SERVICES40.00$179,777$0$28,559Yes (X)
MANLEY JORDAN
CHIEF MEDICAL OFFICER40.00$438,778$0$28,254Yes (X)
BRETT CASCIO
PHYSICIAN40.00$1,682,713$0$28,254Yes (X)
JEAN KING WHITE
PHYSICIAN40.00$1,138,618$0$25,255Yes (X)
KHALED NOUR
PHYSICIAN40.00$1,069,857$0$31,287Yes (X)
JOSEPH LUGO
PHYSICIAN40.00$1,103,886$0$19,815Yes (X)
SARPREET BASRA
PHYSICIAN40.00$1,085,817$0$18,014Yes (X)
THOMAS AXELRAD
PHYSICIAN/FORMER HCE40.00$1,000,648$0$27,495Yes (X)
MICHAEL BROUSSARD MD
PHYSICIAN/FORMER HCE40.00$860,650$0$8,100Yes (X)
NATHAN COHEN
PHYSICIAN/FORMER HCE40.00$950,019$0$22,426Yes (X)
FRANCISCO MARRERO
PHYSICIAN/FORMER HCE40.00$923,320$0$22,426Yes (X)
ROBERT DUARTE MD
PHYSICIAN/FORMER HCE40.00$941,871$0$22,426Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,858,945TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$581,604TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K165IndivRcvdGreaterThan100KCnt
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
LEWING CONSTRUCTION INC
PO BOX 5216LAKE CHARLESLA706065216CONTRUCTION/CONTRACTOR$10,281,076
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STREETNEW ORLEANSLA70112RESIDENCY PROGRAM$3,227,234
INSTITUTE FOR NEUROPSYCHIATRY APMC
2829 4TH AVENUELAKE CHARLESLA70601PSYCH SERVICES$1,228,883
ADVANTAGE MEDICAL PROFESSIONALS
3340 SEVERN AVE STE 320METARIELA70002NURSING SERVICES$1,142,936
ANESTHESIA ASSOCIATES
4150 NELSON RD STE 4LAKE CHARLESLA70605ANESTHESIA SERVICES$1,068,013
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K210CntrctRcvdGreaterThan100KCnt
Government Grants$409,565GovernmentGrantsAmt
All Other Contributions$449,220AllOtherContributionsAmt
Total Contributions$858,785TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$325,846,380$325,846,380
MANAGEMENT FEES900099$2,251,606$2,251,606
CAFETERIA900099$1,670,895$1,670,895
FieldValueIRS element (for citing)
Total Program Service Revenue$329,768,881TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$491,404TotalRevenueColumnAmt
Exclusion$491,404ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$238,247RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$238,247RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,247TotalRevenueColumnAmt
Exclusion$238,247ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,291,770SecuritiesAmt
Other$544OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,263,177SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$28,593SecuritiesAmt
Other$544OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,137TotalRevenueColumnAmt
Related Or Exempt Func Income$29,137RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME FROM SECOND AVENUE MRI, LL621990$568,362$568,362
INCOME FROM GULF SOUTH QUALITY NE621990$467,362$467,362
NET INCOME FROM GIFT SHOP453220-$13,023-$13,023

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,214TotalRevenueColumnAmt
Related Or Exempt Func Income-$19,214RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,003,487OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$332,389,941TotalRevenueColumnAmt
Related Or Exempt Func Income$330,801,505RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$729,651ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$45,500TotalAmt
Program Services$45,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,858,945TotalAmt
Program Services$5,550,631ProgramServicesAmt
Management And General$9,198,188ManagementAndGeneralAmt
Fundraising$1,110,126FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,088,146TotalAmt
Program Services$80,856,824ProgramServicesAmt
Management And General$1,231,322ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,998,572TotalAmt
Program Services$1,763,110ProgramServicesAmt
Management And General$212,810ManagementAndGeneralAmt
Fundraising$22,652FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,760,791TotalAmt
Program Services$15,668,303ProgramServicesAmt
Management And General$1,891,188ManagementAndGeneralAmt
Fundraising$201,300FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,947,978TotalAmt
Program Services$6,129,402ProgramServicesAmt
Management And General$739,828ManagementAndGeneralAmt
Fundraising$78,748FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,622,725TotalAmt
Program Services$1,570,798ProgramServicesAmt
Management And General$47,870ManagementAndGeneralAmt
Fundraising$4,057FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$370,047TotalAmt
Program Services$358,206ProgramServicesAmt
Management And General$10,916ManagementAndGeneralAmt
Fundraising$925FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,596,195TotalAmt
Program Services$7,353,117ProgramServicesAmt
Management And General$224,088ManagementAndGeneralAmt
Fundraising$18,990FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,140,115TotalAmt
Program Services$946,296ProgramServicesAmt
Management And General$102,610ManagementAndGeneralAmt
Fundraising$91,209FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,974,995TotalAmt
Program Services$1,911,795ProgramServicesAmt
Management And General$53,325ManagementAndGeneralAmt
Fundraising$9,875FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$319,311TotalAmt
Program Services$309,093ProgramServicesAmt
Management And General$8,621ManagementAndGeneralAmt
Fundraising$1,597FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,888,429TotalAmt
Program Services$4,692,892ProgramServicesAmt
Management And General$195,537ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,944,848TotalAmt
Program Services$12,968,709ProgramServicesAmt
Management And General$976,139ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,377,714TotalAmt
Program Services$3,141,274ProgramServicesAmt
Management And General$236,440ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$76,180,711$73,742,928$2,247,331$190,452
PURCHASED SERVICES$33,487,461$32,415,862$987,880$83,719
BAD DEBT$18,747,714$18,747,714
CONTRACT LABOR$7,501,643$7,351,610$150,033

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,362,348TotalAmt
Program Services$14,739,325ProgramServicesAmt
Management And General$587,603ManagementAndGeneralAmt
Fundraising$35,420FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$311,214,188TotalAmt
Program Services$290,263,389ProgramServicesAmt
Management And General$19,101,729ManagementAndGeneralAmt
Fundraising$1,849,070FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,551,277BOYAmt
EOY$23,070,584EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,355,792BOYAmt
EOY$10,456,855EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,681,653BOYAmt
EOY$27,656,497EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,080,235BOYAmt
EOY$6,440,170EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,647,799BOYAmt
EOY$8,159,928EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$378,819,790LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$249,106,322LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$115,134,078BOYAmt
EOY$129,713,468EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,517,602BOYAmt
EOY$10,301,405EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,549,607BOYAmt
EOY$24,932,340EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$227,518,043BOYAmt
EOY$240,731,247EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$64,631,973BOYAmt
EOY$64,469,623EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$97,915,000BOYAmt
EOY$102,421,684EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,141,747BOYAmt
EOY$8,530,746EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,368,811BOYAmt
EOY$5,947,803EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$174,057,531BOYAmt
EOY$181,369,856EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,460,512BOYAmt
EOY$59,361,391EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,460,512BOYAmt
EOY$59,361,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$227,518,043BOYAmt
EOY$240,731,247EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,175,753ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,726NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$15,310,600OtherChangesInNetAssetsAmt
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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$28,071DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$28,071TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL UTILIZED A LOBBYING FIRM TO ASSIST IN EDUCATING LEGISLATORS REGARDING THE ONGOING OPERATION OF MOSS MEMORIAL HEALTH CLINIC AFTER THE CLOSURE OF W.O. MOSS REGIONAL HOSPITAL (MOSS), A STATE RUN CHARITY HOSPITAL, AND THE COOPERATIVE ENDEAVOR AGREEMENT BETWEEN THE STATE OF LOUISIANA (STATE), LOUISIANA STATE UNIVERSITY (LSU) AND LAKE CHARLES MEMORIAL HOSPITAL (LCMH) WHEREBY LCMH LEASES THE ENTIRE MOSS FACILITY FROM LSU AND CONTINUES OPERATING THE AMBULATORY CLINICS AT THAT SITE.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,332,512OtherCostOrOtherBasisAmt
Book Value$6,332,512BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$189,548,601OtherCostOrOtherBasisAmt
Depreciation$110,869,964DepreciationAmt
Book Value$78,678,637BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,418,438OtherCostOrOtherBasisAmt
Depreciation$839,212DepreciationAmt
Book Value$579,226BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,090,783OtherCostOrOtherBasisAmt
Depreciation$126,893,699DepreciationAmt
Book Value$42,197,084BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,429,456OtherCostOrOtherBasisAmt
Depreciation$10,503,447DepreciationAmt
Book Value$1,926,009BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$129,713,468TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$2,391,335
ASSETS WHOSE USE IS LIMITED$17,356,138
DEFERRED FINANCING COSTS$1,483,453
OTHER RECEIVABLES$3,456,590
DEBT SERVICE$244,824
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,932,340TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
BOND PREMIUM$5,041
INVESTMENT-AMRI$5,942,762
FieldValueIRS element (for citing)
Total Liability$5,947,803TotalLiabilityAmt
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$11,802,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,365,192DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,436,851NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,781,718TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,808,039DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,973,679NetCommunityBenefitExpnsAmt
Total Expense0.02560TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,583,761TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,173,231DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,410,530NetCommunityBenefitExpnsAmt
Total Expense0.03340TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,362,517TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,650,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,712,274NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$815,807TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$815,807NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,178,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,650,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,528,081NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,762,085TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,823,474DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,938,611NetCommunityBenefitExpnsAmt
Total Expense0.04790TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,162,120BadDebtExpenseAmt
Bad Debt Expense Attributable$1,673,139BadDebtExpenseAttributableAmt
Reimbursed By Medicare$78,085,321ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$92,766,456CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,681,135MedicareSurplusOrShortfallAmt

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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SECOND AVENUE MRI LLC
IMAGING0.510000.49000
2 LA PET IMAGING
IMAGING0.24500
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
LAKE CHARLES MEMORIAL HOSPITAL
11701 OAK PARK BLVDLAKE CHARLESLA70601HO0001606Yes (X)Yes (X)Yes (X)Yes (X)
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL
22837 ERNEST STREET BLDG BLAKE CHARLESLA70601H0000170Yes (X)LONG TERM ACUTE CARE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
LAKE CHARLES MEMORIAL HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (1)00Yes (1)Yes (X)HTTP://WWW.LCMH.COM/CHNAYes (X)Yes (1)16Yes (1)HTTP://WWW.LCMH.COM/CHNA0Yes (1)Yes (X)200.000000000000500.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.LCMH.COMYes (X)WWW.LCMH.COMYes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)
LAKE CHARLES MEMORIAL SPECIALTY HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (1)00Yes (1)Yes (X)HTTP://WWW.LCMH.COM/CHNAYes (X)Yes (1)16Yes (1)HTTP://WWW.LCMH.COM/CHNA0Yes (1)Yes (X)200.000000000000500.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.LCMH.COMYes (X)WWW.LCMH.COMYes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LAKE CHARLES MEMORIAL HOSPITALPART V, SECTION B, LINE 5: IN 2016, OVER SEVERAL WEEKS, LAKE CHARLES MEMORIAL HEALTH SYSTEM (WHICH INCLUDES LAKE CHARLES MEMORIAL HOSPITAL, MEMORIAL SPECIALTY HOSPITAL & LAKE CHARLES MEMORIAL CANCER CENTER FOR THE PURPOSE OF OUR CHNA) CONDUCTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A FOLLOW-UP TO ITS INITIAL CHNA IN 2013. 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 CHNA IN 2013 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. A COMMUNITY PLANNING FORUM WAS HELD AT LAKE CHARLES MEMORIAL HOSPITAL ON JUNE 7, 2016 AS PART OF THE CHNA PROCESS. THE COMMUNITY PLANNING FORUM INVOLVED 21 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: ACCESS TO CARE, BEHAVIORAL HEALTH, HEALTHY 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 SPECIALTY HOSPITALPART V, SECTION B, LINE 5: IN 2016, OVER SEVERAL WEEKS, LAKE CHARLES MEMORIAL HEALTH SYSTEM (WHICH INCLUDES LAKE CHARLES MEMORIAL HOSPITAL, MEMORIAL SPECIALTY HOSPITAL & LAKE CHARLES MEMORIAL CANCER CENTER FOR THE PURPOSE OF OUR CHNA) CONDUCTED ITS SECOND COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A FOLLOW-UP TO ITS INITIAL CHNA IN 2013. 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 CHNA IN 2013 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. A COMMUNITY PLANNING FORUM WAS HELD AT LAKE CHARLES MEMORIAL HOSPITAL ON JUNE 7, 2016 AS PART OF THE CHNA PROCESS. THE COMMUNITY PLANNING FORUM INVOLVED 21 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: ACCESS TO CARE, BEHAVIORAL HEALTH, HEALTHY 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. WHILE HOUSING WAS ALSO IDENTIFIED, OVERALL PARTICIPANTS DISCUSSED THE LIMITED AVAILABILITY OF HOUSING OPTIONS FOR COMMUNITY RESIDENTS; ESPECIALLY, WITH THE INFLUX OF MIGRANT WORKERS RELOCATING TO THE REGION SEEKING EMPLOYMENT OPPORTUNITIES. THE INTERNAL WORKING GROUP AGREED THAT HOUSING AND 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 SPECIALTY 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. WHILE HOUSING WAS ALSO IDENTIFIED, OVERALL PARTICIPANTS DISCUSSED THE LIMITED AVAILABILITY OF HOUSING OPTIONS FOR COMMUNITY RESIDENTS; ESPECIALLY, WITH THE INFLUX OF MIGRANT WORKERS RELOCATING TO THE REGION SEEKING EMPLOYMENT OPPORTUNITIES. THE INTERNAL WORKING GROUP AGREED THAT HOUSING AND 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 SPECIALTY 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.
LAKE CHARLES MEMORIAL SPECIALTY 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 14% OF THE POPULATION BEING 65 OR OLDER. THE LAKE AREA RACIAL MAKEUP IS 61% WHITE, 33% BLACK, AND 6% OTHER. THE MEDIAN INCOME FOR THE AREA IS APPROXIMATELY $41,000 AND THE POVERTY RATE IS 17.6%.
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 27 STAKEHOLDERS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED. THE COMMUNITY HEALTH SURVEY WAS COMPLETED BY 106 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.F. 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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
METANOIA INC
PO BOX 87279BATON ROUGELA70879721179031501(C)(3)$5,000SPONSORSHIP
LOUISIANA HIGH SCHOOL ATHLETIC ASSOCIATION
12720 OLD HAMMOND HIGHWAYBATON ROUGELA708161037720513180501(C)(3)$7,500SPONSORSHIP
WOMEN'S COMMISSION OF SWLA
PO BOX 6712LAKE CHARLESLA706066712581888245501(C)(3)$5,000SPONSORSHIP
COMMUNITY FOUNDATION OF SOUTHWEST LOUISIANA
1625 RYAN STREET SUITE CLAKE CHARLESLA70601721508036501(C)(3)$5,000SPONSORSHIP
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION
1701 OAK PARK BOULEVARDLAKE CHARLESLA70601270833927501(C)(3)$18,000SPONSORSHIP
MCNEESE ATHLETIC FOUNDATION
4205 RYAN STREETLAKE CHARLESLA70605726029144501(C)(3)$5,000SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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
CHARLES WHITSON CPA
SR.VICE PRESIDENT OF FINAN$318,019$0$0$0$0$0$8,100$0$23,781$0$349,900$0$0$0
LARRY GRAHAM
PRESIDENT/CEO & ASST SECRE$633,490$0$62,953$0$0$0$8,100$0$14,326$0$718,869$0$0$0
LEROY FREDERICKS MD
PHYSICIAN/MED STAFF PAST PRESID$553,491$0$296,753$0$0$0$8,100$0$20,154$0$878,498$0$0$0
GERRY HEBERT MD
MEDICAL STAFF PRESIDENT$325,780$0$34,712$0$0$0$8,100$0$21,417$0$390,009$0$0$0
MOHAMMAD SARWAR MD
MEDICAL STAFF PRESIDENT-ELECT$367,243$0$0$0$0$0$8,100$0$23,780$0$399,123$0$0$0
MARILYN MCSWAIN RN
SR.VICE PRESIDENT OF NURSI$237,996$0$0$0$0$0$6,243$0$17,068$0$261,307$0$0$0
BERNITA BROWN
VICE PRES OF SUPPORT SERVI$183,734$0$0$0$0$0$4,943$0$10,075$0$198,752$0$0$0
DONNA SHIELDS
ASST VICE PRES NURSING$233,764$0$0$0$0$0$6,129$0$17,068$0$256,961$0$0$0
TODD DELAHOUSSAYE
SR.VICE PRES OF PHYSICIAN$226,986$0$0$0$0$0$5,372$0$9,219$0$241,577$0$0$0
KATHLEEN DEROUEN
SR.VICE PRES OF MARKETING$182,041$0$0$0$0$0$4,857$0$14,326$0$201,224$0$0$0
LEIF PEDERSEN
VICE PRES OF PHILANTHROPHY$184,046$0$0$0$0$0$4,675$0$23,781$0$212,502$0$0$0
JASON J RASHALL
VICE PRES OF BUSINESS DEVE$182,896$0$0$0$0$0$4,899$0$23,781$0$211,576$0$0$0
ANNA CAZES
VICE PRES OF OPERATIONS$293,096$0$0$0$0$0$0$0$2,899$0$295,995$0$0$0
BRIAN KIRK
VP OF FINANCIAL SERVICES$179,777$0$0$0$0$0$5,372$0$23,187$0$208,336$0$0$0
MANLEY JORDAN
CHIEF MEDICAL OFFICER$438,778$0$0$0$0$0$8,100$0$20,154$0$467,032$0$0$0
BRETT CASCIO
PHYSICIAN$900,016$0$782,697$0$0$0$8,100$0$20,154$0$1,710,967$0$0$0
JEAN KING WHITE
PHYSICIAN$700,783$0$437,835$0$0$0$8,100$0$17,155$0$1,163,873$0$0$0
KHALED NOUR
PHYSICIAN$600,798$0$469,059$0$0$0$8,100$0$23,187$0$1,101,144$0$0$0
JOSEPH LUGO
PHYSICIAN$818,103$0$285,783$0$0$0$8,100$0$11,715$0$1,123,701$0$0$0
SARPREET BASRA
PHYSICIAN$510,796$0$575,021$0$0$0$8,100$0$9,914$0$1,103,831$0$0$0
THOMAS AXELRAD
PHYSICIAN/FORMER HCE$625,019$0$375,629$0$0$0$8,100$0$19,395$0$1,028,143$0$0$0
MICHAEL BROUSSARD MD
PHYSICIAN/FORMER HCE$527,191$0$333,459$0$0$0$8,100$0$0$0$868,750$0$0$0
NATHAN COHEN
PHYSICIAN/FORMER HCE$950,019$0$0$0$0$0$8,100$0$14,326$0$972,445$0$0$0
FRANCISCO MARRERO
PHYSICIAN/FORMER HCE$600,781$0$322,539$0$0$0$8,100$0$14,326$0$945,746$0$0$0
ROBERT DUARTE MD
PHYSICIAN/FORMER HCE$625,019$0$316,852$0$0$0$8,100$0$14,326$0$964,297$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE HOSPITAL PAYS ANNUAL DUES TO THE PIONEER CLUB, A SOCIAL CLUB, FOR LARRY GRAHAM, PRESIDENT AND CEO IN THE AMOUNT OF $930.00 PER YEAR. ANY NONBUSINESS USE OF THE CLUB IS ACCOUNTED FOR AND INCLUDED AS COMPENSATION IN THE CEO W-2.
PART I, LINE 6MOST PHYSICIANS ARE SUBJECT TO A BONUS STRUCTURE THAT PAYS THEM A BONUS BASED ON REACHING A WRVU BASE AND BEING PAID A BONUS FOR EACH WRVU ACHIEVED ABOVE THEIR BASE LEVEL. PHYSICIAN INCENTIVES ARE CALCULATED IN VARIOUS WAYS (I.E., CASH FLOW IN EXCESS OF EXPENSES, VALUE PER WRVU). AMOUNTS PAID TO THE PHYSICIANS ARE BASED ON THE FAIR MARKET VALUE OF THEIR PERSONALLY PERFORMED PROFESSIONAL SERVICES AND THEIR TOTAL COMPENSATION IS SUBJECT TO CERTAIN LIMITATIONS. IN NO INSTANCE DOES PHYSICIAN COMPENSATION VARY WITH OR TAKE INTO ACCOUNT THE VALUE OF OR VOLUME OF REFERRALS OR OTHER BUSINESS GENERATED BY THE PHYSICIANS FOR THE HOSPITAL.
PART I, LINE 7LARRY GRAHAM, PRESIDENT AND CEO, IS SUBJECT TO AN INCENTIVE PAY BASED ON EMPLOYEE SUCCESS IN ACHIEVING GOALS ESTABLISHED BY THE BOARD. THE MAXIMUM AMOUNT TO BE PAID IN ANY ONE YEAR IS 25% OF HIS BASE PAY.

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 ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$6,581,392$69,371,392$6,780,514$1,363,1762007Yes (1)Yes (1)Yes (1)Yes (1)
B$4,775,000$6,275,000$89,4942013Yes (1)0Yes (1)Yes (1)
C$1,825,000$10,000,000201500Yes (1)Yes (1)$10,000,000
D$493,750$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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/14/2012
SCHEDULE K, PART IV, LINE 6INTEREST EARNED ON 2015A BOND WAS $41,571 IN 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$10,000,000$133,775$9,866,2252017000Yes (1)
B$10,000,000$100,555$3,508,34600Yes (1)Yes (1)$6,391,099

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RICHARD MARTINEZ
RICHARD MARTINEZ IS A MEMBER OF THE BOARD OF BOTH ENTITIES$717,134PROVIDES ADVERTISING EMPLOYMENT FOR THE HOSPITAL0
LOUIS TODD
LOUIS TODD IS A MEMBER OF THE BOARD & IS SELF-EMPLOYED (TODD & ASSOCIATES)$1,060,171LOUIS 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 2017, THE TOTAL PREMIUMS PAID BY THE HOSPITAL TO LAMMICO WERE $1,060,171. 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.0

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 - LA PET/CT IMAGING LAKE CHARLES LLC 71,941. BOOK/TAX DIFFERENCE - GIFT SHOP 13,023. BOOK/TAX DIFFERENCE - 2ND AVENUE MRI, LLC -568,362. GAAP ADJUSTMENT TO RECORD CY INCOME (LOSS) EQUITY IN SUBSIDIARIES -14,470,654. OTHER BOOK/GAAP ADJUSTMENTS 110,814. BOOK/TAX DIFFERENCE - GULF SOUTH QUALITY NETWORK -467,362.
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDirect 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$568,362$248,283
LAKE CHARLES PHARM SUPPLY CO LLC
7000 CARDINAL PLACEDUBLINOH43017721300617RETAIL PHARMACYOHN/A
GULF SOUTH QUALITY NETWORK
3501 N CAUSEWAY BLVD STE 710METARIELA70002475133985CLINICAL NETWORKLARELATED000.47930$467,362N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
WLW PROPERTIES INC
1701 OAK PARK BLVDLAKE CHARLESLA70601721023846REAL ESTATE / EQUITYLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONC$178,726$262,2141.00000Yes (1)
LAKE CHARLES MEDICAL SERVICES LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721285200MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601721103283MEDICAL SERVICESLAMEMORIAL MEDICAL GROUP LLCCYes (1)
SWLHS ONCOLOGY LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601201541727MEDICAL SERVICES-ONCOLOGYLAMEMORIAL 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 ASSOCIATIONC1.00000Yes (1)
MEMORIAL MEDICAL GROUP LLC
1701 OAK PARK BLVDLAKE CHARLESLA70601461516260MEDICAL SERVICESLASOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONC$61,813,095$15,178,3871.00000Yes (1)
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 OrganizationYes (1)DivRelatedOrganizationInd
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 Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE CHARLES MEDICAL SERVICES LLC
A$892,553CASH
SWLHS LLC
A$285,552CASH
SWLHS ONCOLOGY LLC
A$57,356CASH
LAKE CHARLES HEART & VASCULAR LLC
A$159,163CASH
WLW PROPERTIES INC
K$34,284CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
C$449,220CASH
SECOND AVENUE MRI LLC
A$92,207CASH
SECOND AVENUE MRI LLC
S$584,900CASH
SWLHS LLC
Q$426,992CASH
MEMORIAL MEDICAL GROUP LLC
Q$76,624CASH
LAKE CHARLES MEDICAL SERVICES LLC
Q$1,363,065CASH
SWLHS ONCOLOGY LLC
Q$32,147CASH
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC
R$314,740CASH
MEMORIAL MEDICAL GROUP LLC
B$16,201,731CASH
LAKE CHARLES HEART & VASCULAR LLC
P$1,778,525CASH
LAKE CHARLES MEDICAL SERVICES LLC
P$7,007,537CASH
MEMORIAL MEDICAL GROUP LLC
P$896,958CASH
SWLHS LLC
P$1,324,104CASH
MEMORIAL MEDICAL GROUP LLC
F$0CASH
LAKE CHARLES HEART & VASCULAR LLC
Q$352,778CASH
GULF SOUTH QUALITY NETWORK
B$0CASH