2018-08-01T18:13:44-05:00 2017-09-30 201941244 HORNE LLP 1020 Highland Colony Pkwy Ste 400 Ridgeland MS 39157 990 2016-10-01 383646817 Lafayette General Health System Inc LAFA 3372898125 1214 Coolidge Blvd Lafayette LA 70503 ROGER MATTKE CHIEF FINANCIAL OFFICER 3372898125 2018-07-16 1 Amie T Whittington CPA P01082167 6013261000 2018-07-16 2016 2022-09-23 18:48:47Z david callecod 1214 Coolidge Blvd Lafayette LA 70503 106868221 0 X WWW.LAFAYETTEGENERAL.COM X 2002 LA THE ORGANIZATION WAS ORGANIZED FOR THE BENEFIT AND SUPPORT OF ITS RELATED 501(C)(3) HEALTH CARE ENTITIES WHICH PROVIDE MEDICAL CARE TO restore, MAINTAIN, AND improve THE HEALTH OF THE COMMUNITY IN WHICH IT SERVES. 20 14 5082 18 2607656 -182385 0 16785 90350185 98914536 -89609 5630919 10410130 -6621326 100670706 97940914 426773 969926 0 0 27745298 23234236 0 0 0 63938196 63753624 92110267 87957786 8560439 9983128 819087820 883544861 537566261 590653591 281521559 292891270 THE ORGANIZATION WAS ORGANIZED FOR THE BENEFIT AND SUPPORT OF ITS RELATED 501(C)(3) HEALTH CARE ENTITIES WHICH PROVIDE MEDICAL CARE TO restore, MAINTAIN AND improve THE HEALTH OF THE COMMUNITY IN WHICH IT SERVES. 0 0 86474030 969926 89685554 LAFAYETTE GENERAL HEALTH SYSTEM, INC., THE PARENT ENTITY OF LAFAYETTE GENERAL MEDICAL CENTER, INC., ST. MARTIN HOSPITAL INC., UNIVERSITY HOSPITAL AND CLINICS, ACADIA GENERAL HOSIPTAL,LAFAYETTE HEALTH VENTURES, INC., lafayette general foundation, and kaplan general hospital PROVIDED SUPPORT OF THE MISSIONS OF THESE 501(C)(3) ORGANIZATIONS AND THEIR RELATED ORGANIZATIONS DURING THE YEAR. THESE HOSPITALS PROVIDE NEEDED MEDICAL CARE TO THE COMMUNITY. THE HEALTH SYSTEMS ALSO PROVIDES MANAGEMENT SUPPORT FOR THESE ORGANIZATIONS. THE REVENUE RECORDED IS THE ORGANIZATIONS SHARE OF ITS SUBSIDIARIES' EARNINGS FOR THE YEAR, AS WELL AS MANAGEMENT FEES PAID BY THE OTHER ORGANIZATION TO THE HEALTH SYSTEM. 86474030 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 1 0 0 0 1 146 0 1 5082 1 1 1 0 0 0 0 0 0 0 X 20 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X The Organization 3372898125 1214 COOLIDGE BLVD LAFAYETTE LA 70503 X MARY ELLEN HENRY TRUSTEE - part year 1.00 1.00 X 0 0 0 JARED QUOYESER TRUSTEE - part year 1.00 2.00 X 0 0 0 FRANK WALKER TRUSTEE - part year 1.00 1.00 X 0 0 0 CLAY ALLEN IMMEDIATE PAST CHAIRMAN 1.00 3.00 X 0 0 0 MARTIN BECH SECRETARY 1.00 1.00 X 0 0 0 DAVID CALHOUN TRUSTEE - part year 1.00 1.00 X 0 0 0 BRADLEY J CHASTANT MD TRUSTEE - part year 1.00 8.00 X 9100 0 0 BRADEN DESPOT TRUSTEE 1.00 1.00 X 0 0 0 BENJAMIN DOGA MD trusTee and VICE CHAIR 1.00 3.50 X 18720 0 0 JULIE FALGOUT TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM H FENSTERMAKER EMERITUS TRUSTEE 1.00 2.00 X 0 0 0 PHILIP GACHASSIN MD TRUSTEE 1.00 8.50 X 94600 0 0 ROBERT GILES TRUSTEE - part year 1.00 1.00 X 0 0 0 JOBY JOHN PHD TRUSTEE 1.00 2.00 X 0 0 0 FLO MEADOWS TREASURER 1.00 1.00 X 0 0 0 MANDI MITCHELL TRUSTEE 1.00 1.00 X 0 0 0 GARY SALMON TRUSTEE - part year 1.00 1.00 X 0 0 0 SAMUEL SHUFFLER MD TRUSTEE 1.00 1.00 X 0 0 0 DAVID WILSON CHAIRMAN 1.00 1.00 X 0 0 0 JOsEph ZANCO TRUSTEE 1.00 1.00 X 0 0 0 BRAD BROUSSARD MD CHIEF OF STAFF 1.00 5.00 X 56000 0 0 JOHN SCHUTTE MD TRUSTEE 1.00 61.00 X 1237304 0 270724 DENNIS ESCHETE MD TRUSTEE 1.00 9.00 X 121000 0 0 PEGGY GIGLIO TRUSTEE 1.00 1.00 X 0 0 0 RICKEY MINIEX TRUSTEE 1.00 1.00 X 0 0 0 DAVID CALLECOD PRESIDENT/CEO-LGHS 40.00 6.00 X 902814 0 237726 PATRICK W GANDY JR EVP-LGH/CEO-LGMC 40.00 1.00 X 514451 0 89545 ROGER MATTKE SVP/CFO - LGH 40.00 0.00 X 469196 0 110898 GORDON E ROUNTREE JR SVP/GENERAL COUNSEL 40.00 0.00 X 400077 0 84751 MICHAEL JAMES DOZIER VP/CIO 40.00 X 292689 0 19898 edward s yerger md physician - lhvi 0.00 40.00 X 923808 0 133615 victor e tedesco md physician - lhvi 0.00 40.00 X 1604347 0 199493 mohamad a allam md physician - lhvi 0.00 40.00 X 1300429 0 162070 SALMAN MALAD MD physician - lGMC 0.00 40.00 X 864012 0 6439 MICHAEL CAIN PHYSICIAN - LGMC 0.00 41.00 X 851831 0 18889 9660378 0 1334048 282 0 1 0 ARAMARK CORPORATION 25271 NETWORK PLACE CHICAGO IL 60673 HOUSEKEEPING AND DIETARY 18187967 LSU HSC NEW ORLEANS 433 BOLIVAR STREET NEW ORLEANS LA 70112 MEDICAL SCHOOL RESIDENTS 13367249 PARISH ANESTHESIA OF LAFAYETTE PO BOX 7250 METAIRIE LA 70010 ANESTHESIA SERVICES 6212276 CARDIOVASCULAR INSTITUTE OF THE SOUTH AP 225 DUNN STREET HOUMA LA 70360 CARDIOLOGY SERVICES 5063911 ACADIANA RADIATION THERAPY LLC 104 WOODMONT BLVD STE 500 NASHVILLE TN 37205 RADIATION THERAPY 4740000 104 15986 799 15986 16785 management fee 900099 98914536 98914536 98914536 1446418 1446418 4283412 13111808 -8828396 -8828396 -8828396 -4184501 4184501 4184501 4184501 MISCELLANEOUS REVenue 900099 2918135 310479 2607656 EQUITY INTEREST IN SUB EARNINGS 900099 -711065 -711065 2207070 97940914 89685554 2607656 5630919 969926 969926 4616903 4616903 20850752 20500894 349858 730331 725243 5088 -4501151 -4546463 45312 1537401 1510488 26913 6662334 5763140 899194 227130 227130 1159922 1159126 796 3074670 3013344 61326 2929293 2873118 56175 357371 357371 10024946 10024946 8655119 8653785 1334 6699297 6696755 2542 EQUIP REPAIR & MAINT. 18922064 18922064 COLLECTION SERVICE 2147142 2147142 OTHER EXPENSES 1866395 1835557 30838 NONCLINICAL CONTRACT LA 789699 789699 238242 233862 4380 87957786 86474030 1483756 0 43032332 68074362 11072158 11157268 645764 46435 329276 2175726 5154711 7746728 416866845 180501346 244291412 236365499 514562167 557978843 819087820 883544861 25251819 23949436 182018250 181823109 72583661 72581149 257712531 312299897 537566261 590653591 X 281521559 292891270 281521559 292891270 819087820 883544861 9983128 1386583 0 X X 0 1 X 1 0 X X 5 UNIVERSITY HOSPITAL AND CLINICS INC 462605366 3 1 0 58051584 acadia general hospital inc 464958152 3 1 0 16266458 KAPLAN GENERAL HOSPITAL DBA ABROM KAPLAN MEMORIAL HOSPITAL 472540179 3 1 0 6510267 ST MARTIN HOSPITAL INC 264626264 3 1 0 10000509 LAFAYETTE GENERAL MEDICAL CENTER INC 720535375 3 1 0 226282847 5 0 317111665 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 195824 222980 195824 222980 86278206 749784272 86474030 750007252 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 189962 174268 195488 222980 782698 250000 250000 250000 250000 1000000 1500000 189962 174268 195488 222980 782698 form 990, schedule c, part ii-a, line 1a LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION, LOuisiana association of business and industry AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED. additionally, lafayette general health systems, inc. paid The picard group, llc $160,071.71 for governmental relations and other consulting services. this is also considered lobbying expense. 13414547 13414547 273109052 101740087 171368965 2265557 1399972 865585 119556205 77361287 42194918 8521484 8521484 236365499 INVESTMENT IN LAFAYETTE HEALTH VENTURES 7440955 INVESTMENT IN LAFAYETTE GENERAL MEDICAL CENTER 404294612 INVESTMENT IN UHC 20621149 INVESTMENT IN AGH 6186038 DUE FROM RELATED PARTY 1832565 BOND ISSUE COSTS 2556038 GOLDMAN SACHS 94187109 INVESTMENT IN Lafayette foundation 5579815 INVESTMENT IN Abrom kaplan memorial hospital 5000444 INVESTMENT IN ST. MARTIN HOSPITAL 10342464 BOND TRUSTEED FUNDS 101 INVESTMENT IN TRANSDELTA LLC 41478 investment in mts - lghs -103925 557978843 DUE TO RELATED PARTY 294706933 SELF FUNDED HEALTH INSURANCE 2311655 short term notes payable 15139428 capitalized lease obligation 141881 312299897 X Part X, Line 2: The Organization accounts for uncertain tax positions in accordance with Financial Accounting Standards Board (FASB) ASC 740. FASB ASC 740 prescribes a recognition threshold and measurement process for financial statement recognition of uncertain tax positions taken or expected to be taken in a tax return. The interpretation also provides guidance on recognition, de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Organization's various federal income tax and exempt organization income tax returns (IRS Forms 1065, 1120, and 990), whether filed on a calendar or fiscal year basis, are subject to examination by the IRS. The income tax returns are subject to examination by the taxing authorities, generally for three years after they are filed. 1 AMERICAN HEART ASSOCIATION 312 GUILBEAU RD STE 6C LAFAYETTE LA 70506 135613797 501(C)(3) 7500 DONATION CITY OF YOUNGSVILLE 305 IBERIA STREET yOUNGSVILLE LA 70592 720593322 gov't 17500 DONATION COMMUNITY FOUNDATION OF ACADIA 1035 CAMELLIA BLVD SUITE 100 lAFAYETTE LA 70508 721493023 501(C)(3) 16300 DONATION LAFAYETTE YOUTH SOCCER ASSOCIATION 210 SONNY ROY LANE LAFAYETTE LA 70507 581902571 501(C)(3) 35000 DONATION LOUISIANA OPEN INC 124 HEYMANN BLVD STE 202 LAFAYETTE LA 70503 721043611 501(C)(3) 9500 DONATION NEW CARDIOVASCULAR HORIZONS FOUNDATION 3639 AMBASSADOR CAFFERY PARKWAY STE 605 lAFAYETTE LA 70503 463186713 501(C)(3) 22500 DONATION SOUTH LOUISIANA COMMUNITY COLLEGE 1101 BERTRAND DRIVE LAFAYETTE LA 70506 721425264 501(C)(3) 42667 DONATION lafayette general foundation 1214 Coolidge blvd lAFAYETTE LA 70503 371766778 501(C)(3) 588608 affiliate support UNITED WAY OF ACADIAN INC PO BOX 52033 LAFAYETTE LA 70505 720513639 501(C)(3) 15280 DONATION 8 1 Part I, Line 2: CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFIT ORGANIZATIONS THAT PARALLEL OUR HEALTH MISSION IN THE COMMUNITY. THESE CHARITIES MUST ALSO BETTER THE SOCIETY BY LEADING WITH PURPOSE AND SERVING WITH PASSION. X 1 1 X X X X X 1 1 0 0 0 1 1 0 0 JOHN SCHUTTE MD TRUSTEE 1237304 0 0 0 0 0 262163 0 8561 0 1508028 0 0 0 DAVID CALLECOD PRESIDENT/CEO-LGHS 825700 0 0 0 77114 0 225327 0 12399 0 1140540 0 0 0 PATRICK W GANDY JR EVP-LGH/CEO-LGMC 478300 0 0 0 36151 0 81584 0 7961 0 603996 0 0 0 ROGER MATTKE SVP/CFO - LGH 434700 0 0 0 34496 0 99027 0 11871 0 580094 0 0 0 GORDON E ROUNTREE JR SVP/GENERAL COUNSEL 368400 0 0 0 31677 0 74427 0 10324 0 484828 0 0 0 MICHAEL JAMES DOZIER VP/CIO 292689 0 0 0 0 0 12900 0 6998 0 312587 0 0 0 edward s yerger md physician - lhvi 793763 0 130045 0 0 0 125054 0 8561 0 1057423 0 0 0 victor e tedesco md physician - lhvi 1604347 0 0 0 0 0 194807 0 4686 0 1803840 0 0 0 mohamad a allam md physician - lhvi 1300429 0 0 0 0 0 153258 0 8812 0 1462499 0 0 0 SALMAN MALAD MD physician - lGMC 619117 0 244895 0 0 0 4052 0 2387 0 870451 0 0 0 MICHAEL CAIN PHYSICIAN - LGMC 752564 0 99267 0 0 0 12011 0 6878 0 870720 0 0 0 Part I, Line 1a SOCIAL CLUB DUES WERE PAID FOR THE PRESIDENT/CEO-LGHS AND THE EVP/CEO-LGMC AND WERE INCLUDED AS WELL AS COMPENSATION ON THEIR W-2'S. Part I, Lines 4a-b THE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING 9/30/16 and 9/30/17- IN TOTAL THE PAYMENTS WERE, AS FOLLOWS, AND WERE INCLUDED IN THEIR W-2S FOR 2016 AND 2017. DEAN DUCOTE - $227,836 CRETAN MEADOWS - $300,562 SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01, 2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $851,500. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS WERE DAVID CALLECOD, PRESIDENT/CEO-LGHS, PATRICK GANDY, EVP/CEO - LGMC, ROGER MATTKE, SVP/CFO, GORDON ROUNTREE, GENERAL COUNSEL, mike dozier, vp/cio, amanda logue, vp/chief med info officer, dean ducote, vp/operations, AND cretan meadows, svp. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2016 W-2 WAGES, TOTALLED $369,621. WAGES: DAVID CALLECOD, PRESIDENT/CEO-LGHS, PATRICK GANDY, EVP/COO-LGMC, ROGER MATTKE, SVP/CFO, GORDON ROUNTREE, GENERAL COUNSEL, Cretan Meadows, SVP/Strategic Planning and Dean Ducote, VP Operations. Part I, Line 6 THE ORGANIZATION DOES HAVE An incentive plan FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS: 20% EMPLOYEES, 15% SERVICE, 20% QUALITY, 35% FUNDING OUR FUTURE AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE MADE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS', AS LISTED ON PART VII OF FORM 990, CALCULATION OF incentive plan payments are IN PART BASED ON THE CONSOLIDATED NET EARNINGS. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395H80 2010-08-12 84137555 TOWER RENOVATION PROJECT AND REFUND OF 08-19-98 ISSUE 0 0 0 B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 2012-07-26 60000000 A&B-EXPANSION/RENOVATION/EQUIPPING OF OR/ER AREA AND PARKING FACILITY 0 0 0 C LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395N42 2016-01-21 71134478 REFUND 2012A SERIES BOND AND FINANCE IMPROVEMENT PROJECT 0 0 0 A 84137555 3733975 1550751 78852829 2011 1 0 1 1 B 60000000 414018 59585982 2015 0 0 1 1 C 71134478 30106042 1020528 40007909 2016 1 0 1 1 A 0 0 1 1 0 0.04000 0.04000 1 0 1 B 0 0 1 1 0 0.04000 0.04000 1 0 1 C 0 0 1 1 0 0.04000 0.04000 1 0 1 A 0 1 0 1 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 1 0 1 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K, PART I, LINE A, COLUMN C: 546395H98, 546395J21, 546395J39, 546395J47, 546395J54 scheduLE K, PART II, LINE 3, COLUMN C: BOTH SERIES A AND B BONDS WERE ISSUED AS DRAW-DOWN BONDS SCHEDULE K, PART III, LINE 9 the bond documents do require compliance with these sections and the requirements are reviewed periodically to ensure continued compliance with private business tests or the private loan financing test. schedule K, Part IV, line 7 the bond documents do require compliance with this section and the requirements are reviewed periodically to ensure continued compliance with yield restrictions and arbitrage. schedule K, Part Iv, line 2c, Column A the rebate calculation was performed Nov 24, 2014 gachassin law firm PHILIP GACHASSIN, M.D., LGHS TRUSTEE, is a family member of principle owner 560531 LAFAYETTE GENERAL HEALTH SYSTEM pays Gachassin law firm for legal services. 0 acadiana orthopedic properties llc JOHN SCHUTTE MD IS A TRUSTEE OF LGHS AND IS A MEMBER OF AOP, LLC 125635 LAFAYETTE GENERAL HEALTH SYSTEM, INC HAS ENTERED INTO A LEASE AGREEMENT WITH INTERESTED PERSON TO PROVIDE OFFICE BUILDING SPACE. 0 LAFAYETTE INVESTMENT GROUP LLC BRADLEY J CHASTANT MD IS A TRUSTEE OF LGHS AND IS A MEMBER OF LIG, LLC 1248182 LAFAYETTE GENERAL HEALTH SYSTEM, INC HAS ENTERED INTO A LEASE AGREEMENT WITH Lafayette investment group,llc to lease space from them. 0 phillipp gachassin md PHILIP GACHASSIN, M.D. is a LGHS TRUSTEE 85382 OFFICE SPACE FROM LAFAYETTE GENERAL HEALTH SYSTEMS IN THE ANNUAL AMOUNT OF $85,382. 0 acadiana family physicians dr. benjamin doga, trustee, is a member of acadiana family physicians 224280 acadiana family physicians leases medical office space from Lafayette General Health Systems in the Annual amount of $224,280 0 dr bradley chastant ii dr. bradley chastant, ii is the son of trustee, BRADLEY J CHASTANT MD 302790 dr. bradley chastant, ii is a paid EMPLOYEE OF LAFAYETTE GENERAL HEALTH SYSTEMS. HIS GROSS EARNINGS, INCLUDING WAGES AND BENEFITS WERE 302,790 FOR FYE 9/30/17. 0 dr ryan p chastant dr. ryan p. chastant is the son of trustee, BRADLEY J CHASTANT MD 368710 dr. ryan p. chastant is a paid employee of lafayette general health systems. his gross earnings, including wages and benefits was 368,710 for fye 9/30/17. 0 acadiana urology llc dr. samuel shuffler, trustee, is a member of acadiana urology, llc 66840 acadiana urology,llc leases medical office space from Lafayette General Health Systems in the Annual amount of $66,840 0 michael schutte md michael schutte, m.d. is the brother of trustee, john schutte, m.d. 1245901 michael schutte, m.d. is a paid employee of lafayette general health system. HIS GROSS EARNINGS, INCLUDING WAGES AND BENEFITS WERE 1,245,901 FOR FYE 9/30/17. 0 X 1 8185 fair market value 0 0 0 Form 990, Part VI, Section A, line 2 TRUSTEES, CLAY ALLEN AND ROBERT GILES ARE INVOLVED IN SEPARATE BUSINESS VENTURES TOGETHER THAT ARE WHOLLY UNRELATED TO THE ORGANIZATION. THE FOLLOWING TRUSTEES ALL HAVE OWNERSHIP IN LAFAYETTE GENERAL SURGICAL HOSPITAL: DR. SCHUTTE, DR. CHASTANT, DR. SHUFFLER AND DR. GACHASSIN. Philip Gachassin, M.D. and Dennis Eschete, M.D. are partners in a general surgery office practice and share office space. Form 990, Part VI, Section A, line 6 THE ORGANIZATION IS A NON-STOCK, NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP. Form 990, Part VI, Section A, line 7a THE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES. Form 990, Part VI, Section A, line 7b THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY. Form 990, Part VI, Section B, line 11b THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FiRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c AN ANNUAL SURVEY IS SENT TO THE BOARD MEMBER AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERNANCE COMMITTEE AND ITS CHAIR-PERSON REVIEW ALL CONFLICTS AND REPORT TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIR-PERSON OF THE GOVERNANCE COMMITTEE AND THE ORGAIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) ENSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND THAT APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAY BE RELATED TO THE CONFLICT. Form 990, Part VI, Section B, line 15 AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE A COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENTS TO THE PRESIDENT/CEO'S COMPENSATION THEREAFTER. THIS SAME PROCESS IS FOLLOWED FOR THE FOLLOWING SENIOR EXECUTIVES OF THE ORGANIZATION: COO, CFO, CNO AND GENERAL COUNSEL. Form 990, Part VI, Section C, line 19 BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY/LEGAL AUTHORITIES. FORM 990, PART VII, LINE 1A PAYMENTS TO THE PHYSICIANS THAT SERVE AS TRUSTEES WERE REPORTED ON A 1099-MISC IN BOX 6 or an a W-2. ALL SUCH PAYMENTS WERE IN CONSIDERATION FOR PROVIDING CALL COVERAGE IN OUR EMERGENCY ROOM OR SERVING AS MEDICAL DIRECTORS FOR VARIOUS HOSPITAL DEPARTMENTS. NO PAYMENTS WERE MADE IN THEIR CAPACITY AS TRUSTEE. foRM 990, PART xII, LINE 2c the process for selection of auditor has not changed from the prior year. ST MARTIN HOSPITAL INC 210 CHAMPAGNE BOULEVARD BREAUX BRIDGE LA 70517 264626264 HOSPITAL LA 501(C)(3) 170(B)(1)(A) (III) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 LAFAYETTE HEALTH VENTURES INC 1211 COOLIDGE STREET LAFAYETTE LA 70503 721006966 PHYSICIAN PRACTICES LA 501(C)(3) 509(A)(3) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 LAFAYETTE GENERAL MEDICAL CENTER INC 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 720535375 HOSPITAL LA 501(C)(3) 170(B)(1)(A) (III) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 university hospital and clinics inc 1214 COOLIDGE BOULEVARD lAFAYETTE LA 70503 462605366 hOSPITAL LA 501(C)(3) 170(B)(1)(A) (III) lAFAYETTE GENERAL HEALTH SYSTEM INC 1 ACADIA GENERAL HOSPITAL INC 1305 crowley rayne hwy crowley LA 70526 464958152 HOSPITAL LA 501(C)(3) 170(B)(1)(A) (III) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 LAFAYETTE GENERAL FOUNDATION INC 1214 COOLIDGE BOULEVARD lAFAYETTE LA 70503 371766778 FOUNDATION LA 501(C)(3) 509(A)(3) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 KAPLAN GENERAL HOSPITAL DBA ABROM KAPLAN MEMORIAL HOSPITAL 1214 COOLIDGE BOULEVARD lAFAYETTE LA 70503 472540179 HOSPITAL LA 501(C)(3) 170(B)(1)(A) (III) LAFAYETTE GENERAL HEALTH SYSTEM INC 1 LAFAYETTE INVESTMENT GROUP LLC 1000 WEST PINHOOK ROAD ste 206 LAFAYETTE LA 70503 421594593 MANAGEMENT LA N/A LAFAYETTE GENERAL SURGICAL HOSPITAL LLC 1000 WEST PINHOOK ROAD LAFAYETTE LA 70503 481360080 SURGICAL HOSPITAL LA N/A oil center plaza llc 1000 WEST PINHOOK ROAD ste 204 lAFAYETTE LA 70503 464090110 surgery center LA N/A ACADIANA RADIATION THERAPY LLC 104 WOODMONT BLVD STE 500 NASHVILLE TN 37205 471752607 RADIATION CENTER TN N/A MTS-LGH THERAPY SERVICES LLC MCLEOD-TRAHAN-SHEFFIELD PHYSICAL 920 W PINHOOK ROAD LAFAYETTE LA 70503 821448014 PHYSICAL THERAPY LA LAFAYETTE GENERAL HEALTH SYSTEM INC RELATED 0 0 0.50000 1 1 1 0 0 0 0 0 1 0 0 1 0 1 1 1 1 1 1 acadia General Hospital Inc S 19261095 cash acadia General Hospital Inc O 15584907 cost Acadia General Hospital Inc R 3612 cost Acadia General Hospital Inc L 681551 cost kaplan general hospital S 9310754 cash kaplan general hospital L 1139985 cost kaplan general hospital R 9322 cost kaplan general hospital O 5370282 cost lafayette general foundation inc L 45773 cost lafayette general foundation inc O 369871 cost lafayette general foundation inc B 566656 debt forgiveness lafayette general foundation inc R 377372 cost lafayette general foundation inc C 15986 fmv lafayette general foundation inc S 267088 cash lafayette general foundation inc B 588608 cost lafayette general foundation inc N 2550 cost lafayette General Medical Center Inc P 205156858 cost lafayette General Medical Center Inc O 132199392 cost lafayette General Medical Center Inc N 17137163 cost Lafayette General Medical Center Inc S 472241808 cost Lafayette General Medical Center Inc L 76946292 cost Lafayette General Medical Center Inc R 5546238 cost Lafayette General Medical Center Inc I 2764158 cost lafayette health ventures inc A 653310 cash lafayette health ventures inc S 21112730 cash lafayette health ventures inc O 37069299 cost lafayette health ventures inc B 21612867 debt forgiveness lafayette health ventures inc J 653310 cost lafayette health ventures inc I 266 cost Lafayette Health Ventures Inc L 5001658 cost Lafayette Health Ventures Inc R 1064 cost mts - lgh therapy services llc O 517504 cost mts - lgh therapy services llc R 20152 cost st Martin Hospital Inc O 8273691 cost st Martin Hospital Inc L 1762818 cost St Martin Hospital Inc S 13351087 CASH St Martin Hospital Inc R 4931 cost university Hospital & Clinics Inc B 24157961 debt forgiveness university Hospital & Clinics Inc O 44679124 cost university Hospital & Clinics Inc R 15796655 cost University Hospital & Clinics Inc L 13372460 cost University Hospital & Clinics Inc S 49690278 cost lafayette general medical center 1214 coolidge boulevard lafayette LA 70503 720535375 X 0 0 0 466491171 466491171 1000000 250000 0 0 0 st martin hospital 210 champagne boulevard breaux bridge LA 70517 264626264 X 4511 0 4511 15933961 15938472 946924 236731 0 0 0 university hospital and clinics inc 1214 coolidge boulevard lafayette LA 70503 462065366 X 12591 0 12591 131464891 131477482 1000000 250000 0 0 0 acadia general hospital inc 1305 crowley rayne hwy crowley LA 70526 464958152 X 7959 0 7959 37700536 37708495 1000000 250000 0 0 0 lafayette general health systems inc 1214 coolidge boulevard lafayette LA 70503 383646817 X 195824 0 195824 86278206 86474030 1000000 250000 0 0 0 lafayette general foundation 1214 coolidge boulevard lafayette LA 70503 371766778 X 0 0 0 579350 579350 111903 27976 0 0 0 kaplan general hospital 1214 coolidge boulevard lafayette LA 70503 472540179 X 2095 0 2095 11336157 11338252 716913 179228 0 0 0