WILLIS-KNIGHTON MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WILLIS-KNIGHTON MEDICAL CENTER (EIN 72-0400933)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-05-10
IRS object ID
201731309349303433
Schema version
2015v3.0
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)
Return2017-05-10T16:46:41-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN720506596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COLE EVANS & PETERSONBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE DRAWER 1768AddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP711661768ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720400933EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone3182124000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP711302600ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES K ELRODPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3182124000PhoneNum
Signature2017-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARRY S SHIPPPreparerPersonNm
PTINP00024584PTIN
Phone3182228367PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES K ELRODPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP711302600ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,112,722,802GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WKHS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTHE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTH CARE SERVICES TO THE GENERAL PUBLIC.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee7631TotalEmployeeCnt
Total Volunteers308TotalVolunteersCnt
Total Gross UBI$1,212,643TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,100PYContributionsGrantsAmt
CY Contributions Grants$196,119CYContributionsGrantsAmt
PY Program Service Revenue$1,015,874,484PYProgramServiceRevenueAmt
CY Program Service Revenue$1,102,485,980CYProgramServiceRevenueAmt
PY Investment Income$1,774,488PYInvestmentIncomeAmt
CY Investment Income$2,553,641CYInvestmentIncomeAmt
PY Other Revenue$2,092,100PYOtherRevenueAmt
CY Other Revenue$4,835,251CYOtherRevenueAmt
PY Total Revenue$1,019,752,172PYTotalRevenueAmt
CY Total Revenue$1,110,070,991CYTotalRevenueAmt
PY Grants And Similar Paid$1,781,119PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,022,946CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$401,760,342PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$438,206,039CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$518,637,999PYOtherExpensesAmt
CY Other Expenses$576,190,204CYOtherExpensesAmt
PY Total Expenses$922,179,460PYTotalExpensesAmt
CY Total Expenses$1,016,419,189CYTotalExpensesAmt
PY Revenues Less Expenses$97,572,712PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$93,651,802CYRevenuesLessExpensesAmt
Total Assets BOY$1,190,562,626TotalAssetsBOYAmt
Total Assets EOY$1,273,828,819TotalAssetsEOYAmt
Total Liabilities BOY$374,976,770TotalLiabilitiesBOYAmt
Total Liabilities EOY$420,403,063TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$815,585,856NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$853,425,756NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$859,407,870ExpenseAmt
Grant$2,022,946GrantAmt
Revenue$1,097,960,678RevenueAmt
DescWILLIS-KNIGHTON MEDICAL CENTER STRIVES TO PROVIDE HIGH QUALITY, COST-EFFECTIVE MEDICAL CARE TO THE COMMUNITIES OF NORTHWEST LOUISIANA, NORTHEAST TEXAS, AND SOUTHWEST ARKANSAS. THE MEDICAL CENTER OFFERS SOPHISTICATED TECHNOLOGY AND PROCEDURES THAT MAKE IT A TERTIARY CARE REFERRAL CENTER. GENERAL THE MEDICAL CENTER PROVIDES 24-HOUR EMERGENCY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY, AT ITS FOUR HOSPITALS. THE MEDICAL CENTER PROVIDES AN ORGAN TRANSPLANT PROGRAM, OBSTETRICS, COMPREHENSIVE HEART AND CANCER PROGRAMS, EXTENSIVE SURGICAL OPTIONS, LEADING-EDGE DIAGNOSTICS AS WELL AS A BROAD NETWORK OF PHYSICIANS ENCOMPASSING MOST SPECIALTIES AND SUBSPECIALTIES. THE MEDICAL CENTER PROVIDES THESE SERVICES REGARDLESS OF RACE, COLOR, CREED, RELIGION, GENDER, NATIONAL ORIGIN, DISABILITY OR AGE. THE MEDICAL CENTER HAD 57,255 ADMITTANCES DURING THE YEAR ENDED SEPTEMBER 30, 2016 WITH A TOTAL OF 222,618 PATIENT DAYS AND 3,565 BIRTHS. THE MEDICAL CENTER PARTICIPATES IN THE MEDICAID PROGRAM AND ADMINISTERS A CHARITY CARE POLICY WHEREBY FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO QUALIFIED INDIVIDUALS WITH LIMITED FINANCIAL MEANS. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER PROVIDED AN ESTIMATED $24,600,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO CHARITY CARE (EXCLUDING PROJECT NEIGHBORHEALTH) AND AN ESTIMATED $41,200,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO MEDICAID PATIENTS. THESE ESTIMATES ARE BASED ON THE MEDICAL CENTER'S OVERALL COST-TO-CHARGE RATIO. IN ADDITION TO THESE SERVICES, WILLIS-KNIGHTON PROJECT NEIGHBORHEALTH OPERATES FOUR CLINICS IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED AREAS WITH HEALTH PROFESSIONAL SHORTAGES. SEE SCHEDULE H FOR DETAILED INFORMATION REGARDING PROJECT NEIGHBORHEALTH. REGIONAL TRANSPLANT CENTER THE MEDICAL CENTER OPERATES THE JOHN C. MCDONALD REGIONAL TRANSPLANT CENTER AT WILLIS-KNIGHTON MEDICAL CENTER. ALL TRANSPLANT PATIENTS RECEIVE TRANSPLANTS WITHOUT REGARD TO THEIR ECONOMIC STATUS. THE REGIONAL TRANSPLANT CENTER PROVIDES KIDNEY, PANCREAS, AND LIVER TRANSPLANTS. SUBSTANTIALLY ALL THE COSTS OF OPERATING THE REGIONAL TRANSPLANT CENTER ARE BORNE BY WILLIS-KNIGHTON MEDICAL CENTER. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, 64 PATIENTS RECEIVED ORGAN TRANSPLANTS, CONSISTING OF 54 KIDNEYS (12 OF THOSE PATIENTS ALSO HAD A PANCREAS TRANSPLANT, AND 2 OF THOSE PATIENTS ALSO HAD A LIVER TRANSPLANT), 2 PANCREASES AND 8 LIVERS. OF THE 64 TRANSPLANT SURGERIES PERFORMED AT THE MEDICAL CENTER DURING THE YEAR ENDED SEPTEMBER 30, 2016, 43 PATIENTS WERE BENEFICIARIES OF THE MEDICARE PROGRAM. AS SUCH, THESE TRANSPLANTS WERE PERFORMED AT VERY LITTLE, IF ANY, COST TO THE PATIENTS.EMERGENCY CARE THE MEDICAL CENTER PROVIDES EMERGENCY SERVICES AT FOUR LOCATIONS ON A 24-HOUR BASIS STAFFED BY FULL-TIME EMERGENCY ROOM PHYSICIANS. EMERGENCY PATIENTS ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER'S EMERGENCY ROOMS WERE VISITED BY 188,915 PATIENTS, OF WHOM 22,172 WERE ADMITTED TO THE HOSPITAL FOR FURTHER TREATMENT.WOMEN AND CHILDREN'S HEALTH THE MEDICAL CENTER PROVIDES A VARIETY OF MEDICAL SERVICES FOR WOMEN AND CHILDREN, INCLUDING OBSTETRICS, GYNECOLOGY, NEONATOLOGY, MATERNAL/FETAL HEALTH SERVICES FOR HIGH RISK PREGNANCY, PEDIATRIC INTENSIVE CARE AND PEDIATRIC SUPPORT SERVICES SUCH AS PEDIATRIC GASTROENTEROLOGY, SURGERY, AND PULMONOLOGY. THESE SERVICES INCLUDE BOTH HIGH-RISK AND LOW-RISK OBSTETRICS. MATERNAL TRANSPORTS ARE ACCEPTED. THE LABOR AND DELIVERY (L&D) UNITS ARE DIRECTED BY BOARD CERTIFIED OB-GYN PHYSICIANS AND THE MAJORITY OF THE NURSES ARE CERTIFIED BY THE ASSOCIATION OF WOMEN'S HEALTH, OBSTETRIC & NEONATAL NURSES (AWHON). THERE WERE 3,565 BIRTHS; 9,491 OBSTETRICAL VISITS TO THE L&D UNITS; AND 3,240 OBSTETRICAL AND GYNECOLOGICAL INPATIENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016HEALTH AND WELLNESS CENTERS THE MEDICAL CENTER HAS SIX MEDICALLY-SUPERVISED HEALTH AND WELLNESS CENTERS DEDICATED TO THE PREVENTION OF HEALTH PROBLEMS, FOUR IN SHREVEPORT, ONE IN BOSSIER CITY, AND ONE IN HOMER WITH A TOTAL MEMBER ENROLLMENT AT SEPTEMBER 30, 2016 OF 5,732. THE CENTERS ARE LOCATED ON EACH OF THE FOUR HOSPITAL CAMPUSES, IN THE WK PIERRE AVENUE COMMUNITY CENTER, AND IN THE WK CLAIBORNE REGIONAL HEALTH CENTER. A MEDICAL EVALUATION, INCLUDING A BLOOD CHEMISTRY WORK-UP, IS REQUIRED FOR MEMBERSHIP. THE CENTERS SERVE PULMONARY AND CARDIAC REHABILITATION PATIENTS AND PROVIDE HEALTH AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. NEONATAL INTENSIVE CARE UNIT WILLIS-KNIGHTON'S CENTER FOR WOMEN'S HEALTH HOUSES A 42-BED LEVEL III REGIONAL OBSTETRICAL AND NEONATAL UNIT. THIS UNIT ACCEPTS REFERRALS FROM THE ARK-LA-TEX AREA AND IS SERVICED BY BOTH AIR AND GROUND EMERGENCY TRANSPORT ON A 24-HOUR BASIS. THIS UNIT IS DIRECTED BY A BOARD CERTIFIED NEONATOLOGIST. THE MAJORITY OF THE NURSING STAFF IS CERTIFIED BY AWHON. THE AVERAGE LENGTH OF STAY PER ADMIT IS 16.3 DAYS.HOSPICE HOSPICE OF LOUISIANA IS A DEPARTMENT OF WILLIS-KNIGHTON MEDICAL CENTER THAT PROVIDES COMPREHENSIVE END-OF-LIFE CARE INCLUDING SKILLED AND SUPPORTIVE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE HOSPICE TEAM, UNDER THE GUIDANCE OF THE ATTENDING PHYSICIAN, FOCUSES ON THE ALLEVIATION OF THE PAIN AND DISCOMFORT CONNECTED WITH LIFE-ENDING ILLNESS. QUALITY OF LIFE, EMOTIONAL AND SPIRITUAL BALANCE, SYMPTOM MANAGEMENT, AND PAIN CONTROL ARE THE GOALS THAT TEAM MEMBERS STRIVE FOR AS THEY ASSIST DYING PATIENTS AND THEIR FAMILIES. BEREAVEMENT SUPPORT FOR THE IMMEDIATE FAMILY AND COMPANIONS IS PROVIDED FOR AT LEAST ONE YEAR FOLLOWING THE PATIENT'S DEATH. FOR THE YEAR ENDED SEPTEMBER 30, 2016, HOSPICE OF LOUISIANA SERVED 226 PATIENTS AND THEIR FAMILIES AS DIRECT ADMITS, NOT INCLUDING VISITATION AND COUNSELING PROVIDED THROUGH PRE-ADMIT AND/OR BEREAVEMENT SERVICES. THE TEAM INCLUDES: REGISTERED NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, VOLUNTEERS, ATTENDING PHYSICIANS, AND MEDICAL DIRECTOR.BEHAVIORAL MEDICINE CENTER THE BEHAVIORAL MEDICINE CENTER AT WILLIS-KNIGHTON MEDICAL CENTER OFFERS INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS IN NEED OF MENTAL HEALTH CARE. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE BEHAVIORAL MEDICINE CENTER SPONSORED NUMEROUS INFORMATION SESSIONS FOR VARIOUS GROUPS IN THE SHREVEPORT/BOSSIER AND NORTHWEST LOUISIANA AREAS. SUCH SESSIONS AMOUNTED TO APPROXIMATELY 938 HOURS AND WERE ATTENDED BY APPROXIMATELY 3,950 PEOPLE. TOPICS INCLUDED:MARRIAGE/FAMILY - DEVELOPMENT OF SKILLS TO ENRICH MARRIAGE AND FAMILY LIFE.SELF-ESTEEM - CONCENTRATES ON HOW GOOD SELF-ESTEEM CAN ENHANCE AN INDIVIDUAL'S QUALITY OF LIFE. PARENTING - FOCUSES ON APPROPRIATE PARENTING SKILLS AT VARIOUS DEVELOPMENTAL STAGES. STRESS MANAGEMENT - DEVELOPING SKILLS TO COPE WITH EVERYDAY STRESSES IN LIFE.PERSONAL ENRICHMENT - EMPOWERING OURSELVES TO REACH MAXIMUM POTENTIAL.MOTIVATION/ATTITUDE - HOW ATTITUDE AFFECTS OUR MENTAL AND PHYSICAL HEALTH.COUNSELING ISSUES/TECHNIQUES - ISSUES CONCERNING PROFESSIONAL DEVELOPMENT FOR COUNSELORS/THERAPISTS.AGING - DEVELOPMENT OF A POSITIVE ATTITUDE TO DEAL WITH ISSUES OF AGING.DEPRESSION/SUICIDE - ASSESSMENT OF DEPRESSION AND SUICIDE, AND LEGAL AND ETHICAL ISSUES SURROUNDING SUICIDE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,400,996ExpenseAmt
Revenue$4,525,302RevenueAmt
DescTHE MEDICAL CENTER PROVIDES HOUSING, HEALTHCARE, AND RELATED SERVICES TO THE ELDERLY THROUGH THE OAKS OF LOUISIANA. THE OAKS OF LOUISIANA IS A RESIDENTIAL COMMUNITY DESIGNED SPECIFICALLY FOR ADULTS AGED 55 AND OVER. THIS RESIDENTIAL COMMUNITY PROVIDES SECURE, MAINTENANCE-FREE LIVING AND PROMOTES AN ACTIVE, HEALTHY LIFESTYLE. THE CAMPUS OF THE OAKS OF LOUISIANA INCLUDES THE TOWER AT THE OAKS, A RESIDENTIAL INDEPENDENT LIVING COMMUNITY, AND SAVANNAH AT THE OAKS, AN ASSISTED LIVING FACILITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$869,808,866TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 Bonds0TaxExemptBondsInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document536IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7631EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MR JAMES K ELRODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3182124000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 GREENWOOD ROADAddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP711033908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES K ELROD
PRESIDENT/CEO/TRUSTEE53.00Yes (X)Yes (X)$1,476,097$6,000$216,410
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN40.00Yes (X)$231,052$0$8,788
PHILLIP A ROZEMAN MD
TRUSTEE4.00Yes (X)$0$0$0
FRANK B HUGHES MD
TRUSTEE/CHAIRMAN4.00Yes (X)$0$0$0
RAND H FALBAUM
TRUSTEE4.00Yes (X)$0$0$0
WILLIS L MEADOWS JR
TRUSTEE4.00Yes (X)$0$0$0
SAM J TALBOT
TRUSTEE4.00Yes (X)$0$0$0
VINCENT MARSALA PHD
TRUSTEE4.00Yes (X)$0$0$0
JOHN C MICIOTTO MD
TRUSTEE4.00Yes (X)$0$0$0
GILBERT R SHANLEY CPA
TRUSTEE4.00Yes (X)$0$0$0
WILLIAM J COLE CPA
TRUSTEE/TREASURER8.00Yes (X)Yes (X)$0$0$0
RICHARD SALE
TRUSTEE/ SECRETARY4.00Yes (X)Yes (X)$0$0$0
EUGENE W BRYSON JR
TRUSTEE4.00Yes (X)$0$0$0
ELAINE SIMPKINS PHD
TRUSTEE4.00Yes (X)$0$0$0
MARY JANE WARD
SR VP OF FINANCE40.00Yes (X)$213,853$0$26,247
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO40.00Yes (X)$607,263$0$29,193
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS40.00Yes (X)$337,070$0$26,770
MARGARET G ELROD
SR VP/IND WELLNESS/COMMUN40.00Yes (X)$190,997$0$9,420
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC40.00Yes (X)$196,034$0$30,462
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER/QUALIT40.00Yes (X)$190,754$0$21,347
JANET K ELROD
VP/ADMIN WK SOUTH40.00Yes (X)$188,168$0$9,071
IRA L MOSS
VP/ADMIN WK PIERREMONT40.00Yes (X)$221,401$0$23,327
JILL K ELROD
VP OF LEGAL AFFAIRS40.00Yes (X)$246,846$0$11,765
PEGGY J GAVIN
SR VP OF PHYSICIAN SERVICE40.00Yes (X)$191,847$0$10,911
DEBORAH D OLDS
CHIEF NURSING OFFICER40.00Yes (X)$157,054$0$23,449
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC40.00Yes (X)$494,332$0$20,539
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB40.00Yes (X)$349,759$0$21,327
RANDALL P BREWER MD
PHYSICIAN40.00$1,438,304$0$22,628Yes (X)
MILAN G MODY MD
PHYSICIAN40.00$2,229,800$0$26,783Yes (X)
CHRISTIAN M BRIERY MD
PHYSICIAN40.00$1,330,174$0$26,476Yes (X)
SARAH GLORIOSO MD
PHYSICIAN40.00$1,446,413$0$21,332Yes (X)
CHRISTOPHER SHELBY MD
PHYSICIAN40.00$1,278,073$0$26,766Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,015,291TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,000TotReportableCompRltdOrgAmt
Total Other Compensation$613,011TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K589IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
LSU HEALTH SCIENCES CENTER
PO BOX 33932SHREVEPORTLA71130MEDICAL STAFFING$8,911,021
RED RIVER CARDIOVASCULAR
2751 ALBERT BICKNELL DR SUITE 5CSHREVEPORTLA71103PHYSICIAN SERVICES$4,896,617
AMN HEALTHCARE
8840 CYPRESS WATERS BOULEVARD SUITDALLASTX75019MEDICAL STAFFING$4,606,264
SHREVEPORT ANESTHESIA SERVICE
2600 GREENWOOD ROADSHREVEPORTLA71103PHYSICIAN SERVICES$4,510,075
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN55480LABORATORY TESTING$3,281,942
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K133CntrctRcvdGreaterThan100KCnt
All Other Contributions$196,119AllOtherContributionsAmt
Total Contributions$196,119TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL SERVICES622110$1,097,960,678$1,097,960,678
RESIDENTIAL COMMUNITY531110$4,525,302$4,525,302
FieldValueIRS element (for citing)
Total Program Service Revenue$1,102,485,980TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,646,468TotalRevenueColumnAmt
Exclusion$2,646,468ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,993,739RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,508,912RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$484,827RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$484,827TotalRevenueColumnAmt
Related Or Exempt Func Income$484,827RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$50,072SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$50,088SecuritiesAmt
Other$92,811OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$16SecuritiesAmt
Other-$92,811OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$92,827TotalRevenueColumnAmt
Related Or Exempt Func Income-$92,827RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LABORATORY REVENUE621500$586,089$586,089
(LOSS) FROM SUBSIDIARY - MULTI-FA623110$31,959$31,959
(LOSS) FROM SUBSIDIARY - VIRGINIA623110-$417,594-$417,594

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,149,970TotalRevenueColumnAmt
Related Or Exempt Func Income$3,523,416RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$626,554UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,350,424OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,110,070,991TotalRevenueColumnAmt
Related Or Exempt Func Income$1,106,015,761RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,212,643UnrelatedBusinessRevenueAmt
Exclusion$2,646,468ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,020,061TotalAmt
Program Services$2,020,061ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$2,885TotalAmt
Program Services$2,885ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,675,357TotalAmt
Management And General$5,675,357ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$312,033,066TotalAmt
Program Services$275,550,917ProgramServicesAmt
Management And General$36,482,149ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,141,001TotalAmt
Program Services$25,274,210ProgramServicesAmt
Management And General$3,866,791ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$66,384,534TotalAmt
Program Services$57,575,808ProgramServicesAmt
Management And General$8,808,726ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,972,081TotalAmt
Program Services$21,658,475ProgramServicesAmt
Management And General$3,313,606ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,075,938TotalAmt
Management And General$2,075,938ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,160,627TotalAmt
Management And General$2,160,627ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,638,369TotalAmt
Program Services$1,440,266ProgramServicesAmt
Management And General$1,198,103ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,621,695TotalAmt
Management And General$10,621,695ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$939,748TotalAmt
Management And General$939,748ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$59,505,106TotalAmt
Program Services$32,820,576ProgramServicesAmt
Management And General$26,684,530ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,319,137TotalAmt
Management And General$6,319,137ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT DEPARTMENTAL EXP$451,366,233$451,366,233
TAXES & LICENSES$11,816,674$11,816,674
BUSINESS OFFICE$4,433,706$4,433,706

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,312,971TotalAmt
Program Services$2,099,435ProgramServicesAmt
Management And General$22,213,536ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,016,419,189TotalAmt
Program Services$869,808,866ProgramServicesAmt
Management And General$146,610,323ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,997,698BOYAmt
EOY$29,060,099EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$246,654,347BOYAmt
EOY$296,642,687EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$121,343,845BOYAmt
EOY$172,672,544EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,399,058BOYAmt
EOY$2,929,233EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,367,228BOYAmt
EOY$24,913,786EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,575,953BOYAmt
EOY$5,522,922EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,275,182,265LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$642,784,212LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$591,809,890BOYAmt
EOY$632,398,053EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$160,259,742BOYAmt
EOY$95,689,254EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,170,959BOYAmt
EOY$12,192,921EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,182,398BOYAmt
EOY$1,006,272EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$801,508BOYAmt
EOY$801,048EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,190,562,626BOYAmt
EOY$1,273,828,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$117,658,037BOYAmt
EOY$113,935,247EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,355,362BOYAmt
EOY$136,773,037EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,898,896BOYAmt
EOY$19,523,752EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,064,475BOYAmt
EOY$150,171,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$374,976,770BOYAmt
EOY$420,403,063EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$815,585,856BOYAmt
EOY$853,425,756EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$815,585,856BOYAmt
EOY$853,425,756EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,190,562,626BOYAmt
EOY$1,273,828,819EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$93,651,802ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,958,731NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$58,770,633OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$117,945OtherActivitiesAmt
Total Lobbying Expenditures$117,945TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER PAID DUES TOTALING $55,824 TO THE LOUISIANA STATE MEDICAL SOCIETY ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $13,956 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER PAID DUES TOTALING $9,555 TO THE AMERICAN MEDICAL ASSOCIATION ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $5,255 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER PAID DUES TOTALING $394,937 TO THE LOUISIANA HOSPITAL ASSOCIATION FOR THE MEDICAL CENTER'S MEMBERSHIP IN THE ASSOCIATION AND ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $98,734 WAS RELATED TO LOBBYING ACTIVITIES. HEALTHCARE POLICY IS CRITICAL TO THE MISSION OF THE MEDICAL CENTER, AND ITS MANAGEMENT BELIEVES THAT HEALTHCARE PROVIDERS SHOULD PARTICIPATE IN FORMING HEALTHCARE POLICY BY INTERACTING WITH NATIONAL, STATE, AND LOCAL REPRESENTATIVES AND THEIR STAFFS, WHEN POSSIBLE, TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTHCARE ISSUES. THE MEDICAL CENTER'S MANAGEMENT IS AVAILABLE TO LAWMAKERS, GOVERNMENT OFFICIALS, AND THEIR STAFF MEMBERS, FOR INFORMATION AND OCCASIONALLY RESPONDS TO QUESTIONS AND INITIATES COMMUNICATIONS ABOUT HOW PROPOSED LAWS, POLICIES, REGULATIONS, ETC. MIGHT AFFECT THE MEDICAL CENTER'S ABILITY TO DELIVER COST-EFFECTIVE, QUALITY HEALTHCARE. THE AMOUNT OF TIME AND MONEY RESOURCES INVOLVED IN THESE ACTIVITIES IS INSUBSTANTIAL. THE MEDICAL CENTER HAS NOT AND DOES NOT INTERVENE IN ANY POLITICAL CAMPAIGN.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,037,330InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$51,997,285OtherCostOrOtherBasisAmt
Book Value$53,034,615BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$8,928,038InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$708,889,456OtherCostOrOtherBasisAmt
Depreciation$373,551,261DepreciationAmt
Book Value$344,266,233BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,905,865OtherCostOrOtherBasisAmt
Depreciation$1,476,663DepreciationAmt
Book Value$429,202BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$382,677,064OtherCostOrOtherBasisAmt
Depreciation$251,240,923DepreciationAmt
Book Value$131,436,141BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,747,227OtherCostOrOtherBasisAmt
Depreciation$16,515,365DepreciationAmt
Book Value$103,231,862BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$632,398,053TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$418,997
INVESTMENT IN SUB. - VIRGINIA HALL, INC.$4,571,787
LIABILITY FOR PENSION BENEFITS$145,147,573
ARBITRAGE REBATE LIABILITY$32,670
FieldValueIRS element (for citing)
Total Liability$150,171,027TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,131,484,786TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,958,731NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,958,731RevenueNotReportedAmt
Revenue Subtotal$1,128,526,055RevenueSubtotalAmt
Other Revenues Not Included-$18,455,064OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$18,455,064RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,110,070,991TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,093,644,886TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$77,225,697OtherExpensesIncludedAmt
Expenses Not Reported$77,225,697ExpensesNotReportedAmt
Expenses Subtotal$1,016,419,189ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,016,419,189TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:UNRELATED BUSINESS INCOME-EXTERNAL HOUSEKEEPING, DATA PROCESSING, LAUNDRY SUBSIDIARIES EXPENSES
PART XII, LINE 2D - OTHER ADJUSTMENTS:SUBSIDIARIES INCOME/EXPENSE UNRELATED BUSINESS INCOME-EXTERNAL HOUSEKEEPING, DATA PROCESSNG, LAUNDRY FASB ASC 715-30 PENSION
FORM 990, SCHEDULE D, PART XI, LINE 4D AND PART XII, LINE 2DPART XII, LINE 4B UNRELATED BUSINESS GROSS INCOME: DATA PROCESSING 375,134 HOUSEKEEPING 81,595 LAUNDRY 235,516 SUBSIDIARIES EXPENSES (19,147,309) TOTAL (18,455,064) PART XIII, LINE 2D UNRELATED BUSINESS GROSS INCOME: DATA PROCESSING (375,134) HOUSEKEEPING (81,595) LAUNDRY (235,516) SUBSIDIARIES EXPENSES 19,147,309 PENSION RELATED CHANGES 58,770,633 TOTAL 77,225,697

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
Percent400Yes (X)Percent400Ind
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$24,580,181TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,580,181NetCommunityBenefitExpnsAmt
Total Expense0.02420TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,235,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,038,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,196,469NetCommunityBenefitExpnsAmt
Total Expense0.04050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$133,815,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,038,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,776,650NetCommunityBenefitExpnsAmt
Total Expense0.06470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,458,473TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,458,473NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,233,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,233,661NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,303,132TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$945,631DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,357,501NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,020,061TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,020,061NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,015,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$945,631DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,069,696NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$151,830,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,984,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,846,346NetCommunityBenefitExpnsAmt
Total Expense0.08150TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$23,464,552BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$247,975,184ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$268,129,173CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$20,153,989MedicareSurplusOrShortfallAmt

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
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCd
WILLIS-KNIGHTON MEDICAL CENTER
12600 GREENWOOD ROADSHREVEPORTLA71103WWW.WKHS.COM232Yes (X)Yes (X)Yes (X)Yes (X)REHAB CTR, SNF, PHYSICIAN CLINICSA
WK PIERREMONT HEALTH CENTER
28001 YOUREE DRIVESHREVEPORTLA71115WWW.WKHS.COM232-CYes (X)Yes (X)Yes (X)Yes (X)PHYSICIAN CLINICSA
WK BOSSIER HEALTH CENTER
32400 HOSPITAL DRIVEBOSSIER CITYLA71111WWW.WKHS.COM387Yes (X)Yes (X)Yes (X)PHYSICIAN CLINICSA
WILLIS-KNIGHTON SOUTH
42510 BERT KOUNS INDUSTRIAL LOOPSHREVEPORTLA71118WWW.WKHS.COM232-AYes (X)Yes (X)Yes (X)Yes (X)PHYSICIAN CLINICS/BEHAVIORAL MEDICINEA

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WKHS.COMOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.WKHS.COMStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WKHS.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WKHS.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WKHS.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: WILLIS-KNIGHTON MEDICAL CENTER, - FACILITY 4: WILLIS-KNIGHTON SOUTH, - FACILITY 3: WK BOSSIER HEALTH CENTER, - FACILITY 2: WK PIERREMONT HEALTH CENTER
GROUP A-FACILITY 1 -- WILLIS-KNIGHTON MEDICAL CENTER PART V, SECTION B, LINE 5:CONDUCTED 11 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, COMMUNITY LEADER; FORMER STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); FORMER VICE CHAIR HEALTH & WELFAREWILLIE BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTH; SHREVEPORT CITY COUNCILMAN (DISTRICT A)MARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALTIM WILCOX, DIRECTOR OF WILLIS-KNIGHTON BEHAVIORAL MEDICINE DEPARTMENTDR. PHILLIP ROZEMAN, CARDIOLOGIST; COMMUNITY LEADERJERRY BOWMAN, SHREVEPORT CITY COUNCILMAN (DISTRICT G)KATHERINE LASTER, CADDO PARISH SCHOOL BOARD NURSING SUPERVISORDR. ELAINE SIMPKINS, COMMUNITY LEADER; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBERJANET MARTIN, EXECUTIVE DIRECTOR-INTERFAITH PHARMACYDR. PAUL CRAWFORD, OBSTETRICIAN & GYNECOLOGIST; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBER
GROUP A-FACILITY 1 -- WILLIS-KNIGHTON MEDICAL CENTER PART V, SECTION B, LINE 6A:WK PIERREMONT HEALTH CENTERWK BOSSIER HEALTH CENTERWILLIS-KNIGHTON SOUTH
GROUP A-FACILITY 2 -- WK PIERREMONT HEALTH CENTER PART V, SECTION B, LINE 5:CONDUCTED 11 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, COMMUNITY LEADER; FORMER STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); FORMER VICE CHAIR HEALTH & WELFAREWILLIE BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTH; SHREVEPORT CITY COUNCILMAN (DISTRICT A)MARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALTIM WILCOX, DIRECTOR OF WILLIS-KNIGHTON BEHAVIORAL MEDICINE DEPARTMENTDR. PHILLIP ROZEMAN, CARDIOLOGIST; COMMUNITY LEADERJERRY BOWMAN, SHREVEPORT CITY COUNCILMAN (DISTRICT G)KATHERINE LASTER, CADDO PARISH SCHOOL BOARD NURSING SUPERVISORDR. ELAINE SIMPKINS, COMMUNITY LEADER; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBERJANET MARTIN, EXECUTIVE DIRECTOR-INTERFAITH PHARMACYDR. PAUL CRAWFORD, OBSTETRICIAN & GYNECOLOGIST; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBER
GROUP A-FACILITY 2 -- WK PIERREMONT HEALTH CENTER PART V, SECTION B, LINE 6A:WILLIS-KNIGHTON MEDICAL CENTERWK BOSSIER HEALTH CENTERWILLIS-KNIGHTON SOUTH
GROUP A-FACILITY 3 -- WK BOSSIER HEALTH CENTER PART V, SECTION B, LINE 5:CONDUCTED 11 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, COMMUNITY LEADER; FORMER STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); FORMER VICE CHAIR HEALTH & WELFAREWILLIE BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTH; SHREVEPORT CITY COUNCILMAN (DISTRICT A)MARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALTIM WILCOX, DIRECTOR OF WILLIS-KNIGHTON BEHAVIORAL MEDICINE DEPARTMENTDR. PHILLIP ROZEMAN, CARDIOLOGIST; COMMUNITY LEADERJERRY BOWMAN, SHREVEPORT CITY COUNCILMAN (DISTRICT G)KATHERINE LASTER, CADDO PARISH SCHOOL BOARD NURSING SUPERVISORDR. ELAINE SIMPKINS, COMMUNITY LEADER; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBERJANET MARTIN, EXECUTIVE DIRECTOR-INTERFAITH PHARMACYDR. PAUL CRAWFORD, OBSTETRICIAN & GYNECOLOGIST; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBER
GROUP A-FACILITY 3 -- WK BOSSIER HEALTH CENTER PART V, SECTION B, LINE 6A:WILLIS-KNIGHTON MEDICAL CENTERWK PIERREMONT HEALTH CENTERWILLIS-KNIGHTON SOUTH
GROUP A-FACILITY 4 -- WILLIS-KNIGHTON SOUTH PART V, SECTION B, LINE 5:CONDUCTED 11 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, COMMUNITY LEADER; FORMER STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); FORMER VICE CHAIR HEALTH & WELFAREWILLIE BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTH; SHREVEPORT CITY COUNCILMAN (DISTRICT A)MARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALTIM WILCOX, DIRECTOR OF WILLIS-KNIGHTON BEHAVIORAL MEDICINE DEPARTMENTDR. PHILLIP ROZEMAN, CARDIOLOGIST; COMMUNITY LEADERJERRY BOWMAN, SHREVEPORT CITY COUNCILMAN (DISTRICT G)KATHERINE LASTER, CADDO PARISH SCHOOL BOARD NURSING SUPERVISORDR. ELAINE SIMPKINS, COMMUNITY LEADER; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBERJANET MARTIN, EXECUTIVE DIRECTOR-INTERFAITH PHARMACYDR. PAUL CRAWFORD, OBSTETRICIAN & GYNECOLOGIST; WILLIS-KNIGHTON HEALTH SYSTEM BOARD MEMBER
GROUP A-FACILITY 4 -- WILLIS-KNIGHTON SOUTH PART V, SECTION B, LINE 6A:WILLIS-KNIGHTON MEDICAL CENTERWK BOSSIER HEALTH CENTERWK PIERREMONT HEALTH CENTER
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OUTPATIENT CLINICS
VARIOUS LOCATIONSSHREVEPORTLA71130OUTPATIENT CLINICS
2 - THE OAKS OF LOUISIANA
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115RESIDENTIAL COMMUNITY FOR ADULTS AGE 55 AND OVER
3 - SAVANNAH AT THE OAKS
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115ASSISTED LIVING FACILITY
4 - EXTENDED CARE CENTER
2550 KINGS HIGHWAYSHREVEPORTLA71103SUBACUTE REHABILITATION

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:ALL ITEMS IN THE TABLE, EXCEPT FOR LINE 7G, USE THE COST-TO-CHARGE RATIO COSTING METHOD. PROJECT NEIGHBORHEALTH, WHICH IS INCLUDED ON LINE 7G, USES THE ACTUAL COST METHOD.
PART III, LINE 4:THE MEDICAL CENTER MAINTAINS AN ALLOWANCE FOR DOUBTFUL PATIENT ACCOUNTS RECEIVABLE BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. AS MANAGEMENT DETERMINES THE COLLECTION OF SPECIFIC PATIENT ACCOUNTS TO BE DOUBTFUL, SUCH ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE. BASED ON THIS ANALYSIS, BAD DEBT EXPENSE AS A PERCENTAGE OF GROSS PATIENT BILLINGS (EXCLUDING MEDICARE CHARGES, MEDICAID CHARGES, AND CHARITY CARE) WAS 6.4 PERCENT AND 6.0 PERCENT FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND SEPTEMBER 30, 2015, RESPECTIVELY.
PART III, LINE 8:THE MEDICAL CENTER HAS NOT TO DATE INCLUDED MEDICARE SHORTFALLS IN ANY PUBLIC REPRESENTATION OF ITS COMMUNITY BENEFITS. THE MEDICAL CENTER IS AWARE OF THE VARIOUS ARGUMENTS CIRCULATING WITH REGARDS TO WHETHER THE SO CALLED MEDICARE SHORTFALL SHOULD BE IN WHOLE OR PART TREATED AS A COMMUNITY BENEFIT. THE MOST COMPELLING OF THE PROPONENTS' ARGUMENTS IS THAT BECAUSE TAX EXEMPT HOSPITALS MUST SERVE MEDICARE BENEFICIARIES AT NONNEGOTIABLE RATES SET BY THE GOVERNMENT, SHORTFALLS RESULT FROM UNDERPAYMENTS AND AS SUCH ARE UNAVOIDABLE COMMUNITY BENEFITS. OPPONENTS ARGUE SHORTFALLS ARE RELATED TO EFFICIENCY. THE MEDICAL CENTER IS CONFIDENT THAT ITS MEDICARE SHORTFALL IS NOT ATTRIBUTABLE TO INEFFICIENCIES BUT INSTEAD TO UNDERPAYMENTS FOR COSTS OF PROVIDING HIGH QUALITY MEDICAL CARE AND PATIENT SERVICES BY AN APPROPRIATE NUMBER OF COMPETENT STAFF IN HIGH QUALITY WELL EQUIPPED FACILITIES.THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
PART III, LINE 9B:1. MONTHLY STATEMENTS ARE GENERATED AND MAILED BY THE MEDICAL CENTER TO PATIENTS/GUARANTORS TO MAKE THEM AWARE OF OUTSTANDING BALANCES.2. THE ACCOUNTS RECEIVABLE FILE IS REVIEWED MONTHLY FOR ACCOUNTS THAT HAVE AN OUTSTANDING BALANCE SHOWN TO BE THE PATIENT/GUARANTOR'S RESPONSIBILITY. AN ACCOUNT IS CONSIDERED TO BE IN THE EARLY STAGES OF DELINQUENCY AT A MINIMUM OF 136 DAYS FROM THE FIRST STATEMENT DATE, AT LEAST 3 STATEMENTS HAVE BEEN GENERATED FROM THE MEDICAL CENTER AND IT HAS BEEN GREATER THAN 45 DAYS SINCE THE LAST PAYMENT WAS RECEIVED FROM INSURANCE OR THE PATIENT/GUARANTOR.3. ACCOUNTS MEETING THE ABOVE CRITERIA ARE REFERRED TO AN EARLY OUT AGENCY FOR COLLECTION. THE EARLY OUT AGENCY WILL ATTEMPT TO COLLECT THE OUTSTANDING BALANCE FOR A PERIOD OF 90 DAYS. THE EARLY OUT COLLECTION EFFORTS WILL INCLUDE BOTH PHONE AND WRITTEN COMMUNICATIONS. PAYMENTS AND PATIENT CORRESPONDENCE WILL BE DIRECTED TO THE MEDICAL CENTER, NOT THE EARLY OUT AGENCY.4. THE EARLY OUT AGENCY WILL RETURN FILES TO THE MEDICAL CENTER AT THE END OF THE 90 DAY PERIOD WITH STATUS INFORMATION AS FOLLOWS:A. RETURNED WITH A PAYMENT ARRANGEMENT - ACCOUNTS ARE MAINTAINED IN-HOUSE AND MONITORED BY THE BUSINESSS OFFICE. THE BAD DEBT AGENCY IS CHANGED TO WK-REG. STATEMENTS ARE GENERATED AND MAILED TO THE PATIENT/GUARANTOR MONTHLY. ACCOUNTS ARE MONITORED MONTHLY. IF THE PATIENT DEFAULTS ON THE PAYMENT ARRANGEMENT, THE MEDICAL CENTER WILL MAIL NOTIFICATION CONCERNING THE WILLIS-KNIGHTON HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY AND A FINANCIAL ASSISTANCE APPLICATION AND ALLOW A MINIMUM OF 30 DAYS FOR RESPONSE. APPLICATIONS RECEIVED WILL BE PROCESSED AND NOTIFICATION WILL BE SENT TO THE PATIENT. ACCOUNTS WILL NOT BE REFERRED TO AN OUTSIDE COLLECTION AGENCY UNLESS THE PATIENT FAILS TO RESPOND OR DOES NOT MEET THE FINANCIAL REQUIREMENTS FOR FINANCIAL ASSISTANCE.B. RETURNED WITH NO PAYMENT ARRANGEMENT - THE MEDICAL CENTER WILL MAIL NOTIFICATION CONCERNING THE WILLIS-KNIGHTON HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY AND A FINANCIAL ASSISTANCE APPLICATION AND ALLOW A MINIMUM OF 30 DAYS FOR RESPONSE. APPLICATIONS RECEIVED WILL BE PROCESSED AND NOTIFICATION WILL BE SENT TO THE PATIENT. ACCOUNTS WILL NOT BE REFERRED TO AN OUTSIDE COLLECTION AGENCY UNLESS THE PATIENT FAILS TO RESPOND OR DOES NOT MEET THE FINANCIAL REQUIREMENTS FOR FINANCIAL ASSISTANCE. THE BUSINESS OFFICE DIRECTOR WILL HAVE THE FINAL AUTHORITY FOR DETERMINING THAT THE MEDICAL CENTER HAS MADE REASONABLE EFFORTS TO DETERMINE THAT A PATIENT IS NOT FINANCIAL ASSISTANCE ELIGIBLE AND MAY THEREFORE ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST THE PATIENT. COLLECTION EFFORTS MAY INCLUDE REPORTING TO CREDIT AGENCIES, LAWSUITS OR WAGE GARNISHMENTS.5. THE BUSINESS OFFICE DIRECTOR WILL HAVE THE FINAL AUTHORITY FOR DETERMINING THAT THE MEDICAL CENTER HAS MADE REASONABLE EFFORTS TO DETERMINE THAT A PATIENT IS NOT FINANCIAL ASSISTANCE ELIGIBLE AND MAY THEREFORE ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST THE PATIENT. COLLECTION EFFORTS MAY INCLUDE REPORTING TO CREDIT AGENCIES, LAWSUITS OR WAGE GARNISHMENT.
PART VI, LINE 2:WILLIS-KNIGHTON MEDICAL CENTER OPERATES THROUGHOUT SHREVEPORT, BOSSIER CITY AND NEARBY PARISHES AND PROVIDES FOUR HOSPITALS, NUMEROUS SATELLITE CLINICS, A SKILLED NURSING FACILITY, A RETIREMENT COMMUNITY, AND AN ASSISTED LIVING FACILITY. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES BY STAYING INFORMED ABOUT THE RELEVANT TRENDS OCCURRING IN THE AREAS IN WHICH IT OPERATES.
PART VI, LINE 3:WILLIS-KNIGHTON HEALTH SYSTEM IS COMMITTED TO PROVIDING CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTHCARE SERVICES AND TO BE AN ADVOCATE FOR THOSE WHO ARE MOST IN NEED, WILLIS-KNIGHTON HEALTH SYSTEM STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. PATIENTS ARE EXPECTED TO COOPERATE WITH WILLIS-KNIGHTON HEALTH SYSTEM'S PROCEDURES FOR OBTAINING CHARITY OR OTHER FORMS OF PAYMENT OR FINANCIAL ASSISTANCE, AND TO CONTRIBUTE TO THE COST OF THEIR CARE BASED ON THEIR INDIVIDUAL ABILITY TO PAY.
PART VI, LINE 4:WILLIS-KNIGHTON'S PRIMARY SERVICE AREA COVERS AN APPROXIMATE 35 MILE RADIUS OF SHREVEPORT, COVERING THE LOUISIANA PARISHES OF CADDO, BOSSIER, WEBSTER, CLAIBORNE, RED RIVER, DESOTO AND BIENVILLE, AND WHICH HAD A 2015 ESTIMATED POPULATION OF APPROXIMATELY 482,382 PERSONS. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2015 U.S. CENSUS DATA FOR SHREVEPORT IS $41,234. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2015 U.S. CENSUS DATA FOR BOSSIER PARISH IS $52,892.
PART VI, LINE 5:OTHER COMMUNITY BENEFITS:PROJECT NEIGHBORHEALTH - OVERVIEWDURING 1995, THE MEDICAL CENTER BEGAN A PROGRAM KNOWN AS "PROJECT NEIGHBORHEALTH." THE PROGRAM'S PURPOSE IS TO PROMOTE HEALTH AND WELL-BEING IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED, HEALTH-PROFESSIONAL-SHORTAGE AREAS. THE PROGRAM PROVIDES FREE COMMUNITY PROGRAMS INCLUDING ANTI-DRUG/GANG PROGRAMS, LIFE SKILLS TRAINING, MENTORING PROGRAMS, NUTRITIONAL COUNSELING, POLICE COMMUNITY FORUMS, AND OTHER COMMUNITY-RELATED PROGRAMS. AS PART OF PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER OPERATES THE FOLLOWING CLINICS: SIMPKINS COMMUNITY HEALTH & EDUCATION CENTER, WK PIERRE AVENUE HEALTH & WELLNESS CENTER, WK BRADLEY MEDICAL CLINIC, WK OIL CITY MEDICAL CLINIC AND WK COMMUNITY EDUCATION CENTER.SIMPKINS COMMUNITY HEALTH & EDUCATION CENTERPROJECT NEIGHBORHEALTH: ON SEPTEMBER 1, 1995, AT A COST OF APPROXIMATELY $1,300,000, THE MEDICAL CENTER OPENED A 6,463 SQUARE FOOT, FEDERALLY DESIGNATED INDIGENT CARE MEDICAL CLINIC AND A 3,914 SQUARE FOOT COMMUNITY EDUCATION BUILDING ON HILRY HUCKABY AVENUE IN SHREVEPORT, LOUISIANA. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THESE FACILITIES ARE CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY. THE LOCATION OF THE CLINIC (CENSUS TRACT 246 IN THE DR. MARTIN LUTHER KING DRIVE AREA IN CADDO PARISH) WAS DESIGNATED BY THE DEPARTMENT OF HEALTH AND HOSPITALS AS A HEALTH-PROFESSIONAL-SHORTAGE AREA AND AS A MEDICALLY UNDER-SERVED AREA. PRIOR TO THE CLINIC'S OPENING, THIS AREA WAS THE SECOND LARGEST CONTIGUOUS POPULATION OF MEDICALLY UNDER-SERVED PEOPLE IN THE UNITED STATES. THE CLINIC HAS AN EMERGENCY AND SPECIAL PROCEDURES ROOM, AN X-RAY DEPARTMENT, AND A FULLY EQUIPPED LABORATORY AND DENTAL FACILITY. PREVENTATIVE CARE PROGRAMS INCLUDE BLOOD PRESSURE CHECKS, HEALTH SCREENINGS, IMMUNIZATIONS, AND DIABETES COUNSELING. THE CLINIC'S STAFF INCLUDES A FAMILY PRACTICE PHYSICIAN SPECIALIST, A NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 4,118 MEDICAL PATIENT VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2016. THE EDUCATION FACILITY HOUSES CLASSROOMS, AN AUDITORIUM, A NURSERY, A CONFERENCE ROOM, AND A LIBRARY WITH STUDY AREAS.WK PIERRE AVENUE COMMUNITY HEALTH & WELLNESS CENTERPROJECT NEIGHBORHEALTH: ON AUGUST 1, 1998, THE MEDICAL CENTER OPENED A 15,062 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK PIERRE AVENUE COMMUNITY CENTER" ON PIERRE AVENUE IN SHREVEPORT AT A COST OF APPROXIMATELY $1,375,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THIS FACILITY ALSO CONTAINS A HEALTH AND FITNESS CENTER. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A FAMILY PRACTICE PHYSICIAN SPECIALIST, A NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 3,424 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2016. WK BRADLEY MEDICAL CLINIC ON AUGUST 24, 1998, THE MEDICAL CENTER OPENED A 3,915 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK BRADLEY MEDICAL CLINIC" IN BRADLEY, ARKANSAS AT A COST OF APPROXIMATELY $140,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A NURSE PRACTITIONER WITH A SUPERVISING FAMILY PRACTICE PHYSICIAN AND VARIOUS SUPPORT STAFF. THE CLINIC HAD 1,748 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2016. PROJECT NEIGHBORHEALTH: DURING THE YEAR ENDED SEPTEMBER 30, 2016, UNDER PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER PROVIDED OVER 1,560 HOURS TO COMMUNITY SERVICES/PROJECTS AT NO COST TO THE RECIPIENTS BY 1 PART-TIME EMPLOYEE AND VOLUNTEERS IN ADDITION TO HOURS PROVIDED BY VARIOUS DEPARTMENTS WITHIN THE MEDICAL CENTER.OTHER COMMUNITY SERVICESTHE MEDICAL CENTER MAKES AVAILABLE, FREE-OF-CHARGE, MEETING SPACE TO OUTSIDE COMMUNITY OUTREACH ORGANIZATIONS SUCH AS BOSSIER MEDICAL SOCIETY, CADDO PARISH SHERIFF'S OFFICE, ICE (INNER CITY ENTREPRENEUR), NORTH LOUISIANA AHEC, LIFESHARE BLOOD CENTER, LSU PSYCHIATRY PROGRAM, TEXAS WESLEYAN UNIVERSITY CRNA PROGRAM, NORTHWEST LOUISIANA COALITION FOR WOMEN AND CHILDREN, NORTHWEST LOUISIANA INTERFAITH PHARMACY, VOLUNTEERS FOR YOUTH JUSTICE, UNITED WAY, ALLIANCE FOR EDUCATION, NORTHWEST LOUISIANA FAMILY JUSTICE CENTER, CADDO COUNCIL ON AGING, AND OTHER CHARITABLE AND GOVERNMENTAL ORGANIZATIONS. ROOMS ARE ALSO PROVIDED FOR OFF CAMPUS CLASSES TAUGHT BY BOSSIER PARISH COMMUNITY COLLEGE AT WK TRAINING AND DEVELOPMENT.THE MEDICAL CENTER OFFERS EXTENSIVE ONLINE HEALTH INFORMATION ON ITS WEB SITE. FREE HEALTH INFORMATION IS AVAILABLE, TARGETED TO BOTH ADULTS AND CHILDREN. INFORMATION FOR ADULTS INCLUDES A HEALTH LIBRARY, DRUG INTERACTION CHECKER, NUTRITION AND WELLNESS INFORMATION AND DESCRIPTION OF PROCEDURES, WRITTEN BY HEALTH PROFESSIONALS AND REVIEWED AND UPDATED REGULARLY. THE MEDICAL CENTER ALSO PARTNERS WITH THE NEMOURS FOUNDATION TO OFFER KIDSHEALTH, A HEALTH AND WELLNESS INFORMATION SITE TARGETED TO CHILDREN, TEENS AND THEIR PARENTS. THE WILLIS-KNIGHTON CANCER CENTER WEB SITE OFFERS INFORMATION ON VARIOUS TYPES OF CANCER AND TREATMENTS AS WELL AS AN UPDATED LIST OF CLINICAL TRIALS. DURING THE PAST YEAR THE MEDICAL CENTER'S ON-LINE HEALTH LIBRARY ATTRACTED 666,579 VISITS FROM A TOTAL OF 480,996 VISITORS. KIDSHEALTH ATTRACTED OVER 41,908 VISITS.IMMUNIZATIONS FOR CHILDREN WILLIS-KNIGHTON PROVIDES A MOBILE UNIT THAT OFFERS "SHOTS FOR TOTS". USING ITS MOBILE VAN AND STAFF, VACCINES ARE TAKEN TO VARIOUS NEIGHBORHOODS TO MAKE THEM CONVENIENT FOR PARENTS. UNDER THIS PROGRAM, ANY CHILD MAY RECEIVE IMMUNIZATION SHOTS, FREE OF CHARGE, FOR MEASLES, MUMPS, RUBELLA, DIPHTHERIA, PERTUSSIS, TETANUS, HEPATITIS B, POLIO, MENINGITIS, FLU, AND CHICKEN POX. THE MEDICAL CENTER SUBSIDIZES ALL EXPENSES OF THE PROGRAM EXCEPT THE VACCINE, WHICH IS PROVIDED BY THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH. DURING THE YEAR ENDED SEPTEMBER 30, 2016, THE MEDICAL CENTER IMMUNIZED 2,976 PATIENTS UNDER THIS PROGRAM.HEALTH PROFESSIONS EDUCATIONTHE MEDICAL CENTER PROVIDES VARIOUS EDUCATION PROGRAMS THAT RESULT IN HEALTHCARE PROFESSIONALS RECEIVING DEGREES, CERTIFICATES OR TRAINING THAT IS NECESSARY TO BE LICENSED TO PRACTICE AS HEALTH CARE PROFESSIONALS. WHILE THE MEDICAL CENTER ALSO PROVIDES A VARIETY OF EDUCATION, TRAINING AND STIPEND PROGRAMS THAT ARE EXCLUSIVE TO THE MEDICAL CENTER'S EMPLOYEES AND MEDICAL STAFF, THOSE COSTS ARE NOT INCLUDED IN THIS CATEGORY. THE MEDICAL CENTER MAINTAINS AN ASSOCIATION WITH LSU HEALTH SCIENCES CENTER (A PUBLIC TEACHING, RESEARCH, AND INDIGENT CARE FACILITY) BY PROVIDING GRANTS, ASSISTANCE WITH RESIDENTS AND FELLOWS, ALONG WITH UNDERWRITING THE COST OF CLINICAL SETTINGS FOR TRAINING AND INTERNSHIPS FOR A VARIETY OF OTHER HEALTH PROFESSIONALS.SPORTS MEDICINESPORTS MEDICINE EXPERTS AT WILLIS-KNIGHTON SPORTS MEDICINE WORK WITH ATHLETES ON THE PREVENTION AND TREATMENT OF SPORTS-RELATED INJURIES, HELPING THEM TO MAINTAIN A HEALTHY LIFESTYLE. THIS SERVICE IS OFFERED TO VARIOUS SCHOOLS AND PROGRAMS THROUGHOUT THE LOCAL AREA. THE MEDICAL CENTER SPONSORS A FREE ATHLETIC PHYSICAL DAY FOR YOUNG ATHLETES, STAFFED BY SPORTS MEDICINE PHYSICIANS AND STAFF.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ALLIANCE FOR EDUCATION
820 JORDAN STREETSHREVEPORTLA71101721466587501(C)(3)$15,000DONATION FOR OPERATIONS
AMERICAN CANCER SOCIETY
920 PIERREMONT SUITE 300SHREVEPORTLA71106237040934501(C)(3)$10,000DONATION FOR OPERATIONS
ARC OF CADDO-BOSSIER
351 JORDAN STREETSHREVEPORTLA71101720482891501(C)(3)$30,000DONATION FOR OPERATIONS
BOSSIER CHAMBER OF COMMERCE
710 BENTON ROADBOSSIER CITYLA71111720382231501(C)(6)$12,500DONATION FOR PATRIOT AWARENESS
CADDO-BOSSIER CANCER FOUNDATION
3300 ALBERT BICKNELL DRIVESHREVEPORTLA71103453188641501(C)(3)$10,000DONATION FOR OPERATIONS
CADDO BOSSIER SOCCER ASSOCIATION
1780 EAST BERT KOUNS SUITE 901SHREVEPORTLA71105581652966501(C)(3)$25,000DONATION FOR OPERATIONS
CALVARY ACADEMY
9333 LINWOOD AVENUESHREVEPORTLA71106720482882501(C)(3)$6,000SPONSORSHIP
CHILDREN AND ARTHRITIS
2751 ALBERT BICKNELL DRIVE SUITE 2ESHREVEPORTLA71103721170530501(C)(3)$15,000DONATION FOR OPERATIONS2E
CITY OF SHREVEPORT
263 N COMMON STREETSHREVEPORTLA71101726001326GOVERNMENT$24,940DONATION FOR ROOF ON CITY PARK BUILDING
COUNCIL ON ALCOHOLISM & DRUG ABUSE
2000 FAIRFIELD AVENUESHREVEPORTLA71104720544581501(C)(3)$15,000DONATION FOR VEHICLE
DESOTO HOSPITAL ASSOCIATION INC
207 JEFFERSON STREETMANSFIELDLA71052720500565501(C)(3)$44,333MAGNOLIA BENEFIT DONATION
HOLY ANGELS RESIDENTIAL FACILITY INC
10450 ELLERBE ROADSHREVEPORTLA71106720628035501(C)(3)$60,000DONATION FOR OPERATIONS
INDEPENDENCE BOWL FOUNDATION
PO BOX 1723SHREVEPORTLA71166720297228501(C)(3)$37,000DONATION FOR OPERATIONS
INNER CITY ENTREPRENEUR INSTITUTE
820 JORDAN STREET SUITE 360SHREVEPORTLA71101721418314501(C)(3)$20,000DONATION FOR OPERATIONS
INSTITUTE FOR GLOBAL OUTREACH
1024 PIERRE AVENUE ROOM BSHREVEPORTLA71103331180777501(C)(3)$25,000DONATION FOR WALK FOR HUMANITARISM
JUNIOR ACHIEVEMENT
3003 KNIGHT STREETSHREVEPORTLA71105720595081501(C)(3)$30,000DONATION FOR OPERATIONS
LOUISIANA TECH UNIVERSITY FOUNDATION
PO BOX 3046RUSTONLA71272726021176501(C)(3)$96,188SPONSORSHIP
LOUISIANA TROOPER FOUNDATION
PO BOX 65076BATON ROUGELA70896742918404501(C)(3)$65,000DONATION FOR OPERATIONS
LSUHSC
PO BOX 31650SHREVEPORTLA71115721402222GOVERNMENT$245,000DONATION FOR OPERATIONS AND SPONSORSHIP
MARTIN LUTHER KING HEALTH CENTER
PO BOX 393SHREVEPORTLA71162721079721501(C)(3)$80,000DONATION FOR OPERATIONS
NEW CARDIOVASCULAR HORIZONS
3639 AMBASSADOR CAFFERY PARKWAYLAFAYETTELA70503463186713501(C)(3)$7,500DONATION FOR CARDIOVASCULAR SYMPOSIUMSUITE 605
NORTH LOUISIANA ECONOMIC PARTNERSHIP INC
415 TEXAS STREETSHREVEPORTLA71101720936419501(C)(3)$20,000DONATION FOR OPERATIONS
NORTHWEST LOUISIANA FAMILY JUSTICE CENTER
1513 DOCTORS DRIVE BUILDING 1BOSSIER CITYLA71111474843925501(C)(3)$9,689DONATION FOR OPERATIONS
NORTHWEST LOUISIANA INTERFAITH PHARMACY INC
909 OLIVE STRETSHREVEPORTLA71104721479289501(C)(3)$10,000COMMUNITY OUTREACH
NORTHWEST LOUISIANA FOOD BANK
2307 TEXAS AVENUESHREVEPORTLA71103721328890501(C)(3)$50,000DONATION FOR OPERATIONSDONATION FOR OPERATIONS
NORTHWESTERN FOUNDATION
UNIVERSITY PARKWAYNATCHITOCHESLA71497726021495501(C)(3)$120,000DONATION FOR OPERATIONS
OAKWOOD HOME FOR WOMEN
1700 HIGHLAND AVENUESHREVEPORTLA71101237368054501(C)(3)$10,000DONATION FOR OPERATIONS
PROVIDENCE HOUSE
814 COTTON STREETSHREVEPORTLA71101721205164501(C)(3)$15,000DONATION FOR OPERATIONS
SHREVEPORT-BOSSIER RESCUE MISSION
2033 TEXAS AVENUESHREVEPORTLA71103237050551501(C)(3)$123,622HEALTH INSURANCE FOR RESCUE MISSION EMPLOYEES AND DONATION FOR OPERATIONS
SHREVEPORT CHAMBER OF COMMERCE
400 EDWARDS STREETSHREVEPORTLA71101720315700501(C)(6)$25,000DONATION FOR OPERATIONS
SHREVEPORT LITTLE THEATRE
812 MARGARET PLACESHREVEPORTLA71101720363143501(C)(3)$10,000SPONSORSHIP
SHREVEPORT SYMPHONY
619 LOUISIANA AVENUESHREVEPORTLA71101726001334501(C)(3)$82,480DONATION FOR OPERATIONS
SPRINGHILL MEDICAL SERVICES INC
2001 DOCTORS DRIVESPRINGHILLLA71075721479692501(C)(3)$150,000DONATION FOR OPERATIONS
ST JUDE'S CHILDREN'S RESEARCH HOSPITAL
PO BOX 810MEMPHISTN38101620646012501(C)(3)$25,000DONATION FOR OPERATIONS
ST LUKE'S EPISCOPAL MOBILE MINISTRY INC
PO BOX 53074SHREVEPORTLA71135453786377501(C)(3)$10,000DONATION FOR OPERATIONS
VOLUNTEERS FOR YOUTH JUSTICE
900 JORDAN STREETSHREVEPORTLA71101721057695501(C)(3)$220,000DONATION FOR OPERATIONS
YWCA
360 JORDAN STREETSHREVEPORTLA71101720423896501(C)(3)$10,000DONATION FOR OPERATIONS
YMCA
400 MCNEILSHREVEPORTLA71101720408997501(C)(3)$40,800DONATION FOR OPERATIONS
DOWNTOWN SHREVEPORT LIONS
PO BOX 1307SHREVEPORTLA71164720365242501(C)(3)$7,000DONATION FOR OPERATIONS
EYES SAMARITAN INTERNATIONAL
112 WATERS EDGE DRIVESHREVEPORTLA71106461046320501(C)(3)$15,500DONATION FOR OPERATIONS
FORENSIC NURSE EXAMINERS
PO BOX 44466SHREVEPORTLA71134352262163501(C)(3)$10,000DONATION FOR OPERATIONS
GINGERBREAD HOUSE
1700 BUCKNER SQUARE NO 101SHREVEPORTLA71101721390471501(C)(3)$6,500SPONSORSHIP
GRAMBLING STATE UNIVERSITY
PO BOX 913GRAMBLINGLA71245581736948GOVERNMENT$15,000DONATION FOR SCHOLARSHIP FUND
RADIATING HOPE
PO BOX 521344SALT LAKE CITYUT84106275005906501(C)(3)$50,000DONATION FOR OPERATIONS
SHREVEPORT BOSSIER AFRICAN AMERICAN CHAMBER OF COMMERCE
1315 MILAM STREETSHREVEPORTLA71101726028366501(C)(3)$15,000DONATION FOR OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org40Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MEDICAL CENTER HAS A CONTRIBUTION COMMITTEE THAT APPROVES SUBSTANTIALLY ALL CONTRIBUTIONS. THE CONTRIBUTION COMMITTEE REQUESTS THAT THE ORGANIZATION REQUESTING THE DONATION COMPLETE A CONTRIBUTION REQUEST FORM THAT IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE. BEFORE THE MEDICAL CENTER'S CONTRIBUTION COMMITTEE WILL APPROVE THE CONTRIBUTIONS THE PURPOSE OF THE CONTRIBUTION MUST BE STATED ON THE CONTRIBUTION REQUEST FORM. THE MEDICAL CENTER CONRIBUTIONS ARE USUALLY PROVIDED TO ORGANIZATIONS FOR GENERAL OPERATIONS AND ARE NOT MONITORED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
JAMES K ELROD
PRESIDENT/CEO/TRUSTEE$1,239,410$6,000$0$0$236,687$0$200,000$0$16,410$0$1,692,507$6,000$0$0
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN$200,000$0$26,188$0$4,864$0$1,953$0$6,835$0$239,840$0$0$0
MARY JANE WARD
SR VP OF FINANCE$194,492$0$0$0$19,361$0$4,555$0$21,692$0$240,100$0$0$0
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO$531,781$0$0$0$75,482$0$1,606$0$27,587$0$636,456$0$0$0
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS$313,693$0$0$0$23,377$0$1,582$0$25,188$0$363,840$0$0$0
MARGARET G ELROD
SR VP/IND WELLNESS/COMMUN$164,542$0$0$0$26,455$0$1,843$0$7,577$0$200,417$0$0$0
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC$177,177$0$0$0$18,857$0$2,853$0$27,609$0$226,496$0$0$0
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER/QUALIT$185,712$0$0$0$5,042$0$1,954$0$19,393$0$212,101$0$0$0
JANET K ELROD
VP/ADMIN WK SOUTH$165,095$0$0$0$23,073$0$2,093$0$6,978$0$197,239$0$0$0
IRA L MOSS
VP/ADMIN WK PIERREMONT$195,231$0$0$0$26,170$0$2,452$0$20,875$0$244,728$0$0$0
JILL K ELROD
VP OF LEGAL AFFAIRS$219,320$0$0$0$27,526$0$2,167$0$9,598$0$258,611$0$0$0
PEGGY J GAVIN
SR VP OF PHYSICIAN SERVICE$163,827$0$0$0$28,020$0$2,419$0$8,492$0$202,758$0$0$0
DEBORAH D OLDS
CHIEF NURSING OFFICER$152,854$0$0$0$4,200$0$5,234$0$18,215$0$180,503$0$0$0
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC$469,167$0$0$0$25,165$0$1,873$0$18,666$0$514,871$0$0$0
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB$325,718$0$0$0$24,041$0$1,873$0$19,454$0$371,086$0$0$0
RANDALL P BREWER MD
PHYSICIAN$975,000$0$468,618$0-$5,314$0$1,612$0$21,016$0$1,460,932$0$0$0
MILAN G MODY MD
PHYSICIAN$1,142,162$0$1,091,499$0-$3,861$0$1,595$0$25,188$0$2,256,583$0$0$0
CHRISTIAN M BRIERY MD
PHYSICIAN$700,000$0$634,310$0-$4,136$0$1,606$0$24,870$0$1,356,650$0$0$0
SARAH GLORIOSO MD
PHYSICIAN$673,333$0$775,076$0-$1,996$0$1,588$0$19,744$0$1,467,745$0$0$0
CHRISTOPHER SHELBY MD
PHYSICIAN$640,000$0$641,927$0-$3,854$0$1,578$0$25,188$0$1,304,839$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE VALUE OF EACH PERSON'S FREE MEMBERSHIP IN THE MEDICAL CENTER'S HEALTH & WELLNESS CENTERS IS ADDED TO THE EMPLOYEE'S W-2 WAGES.
PART I, LINE 3THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE CEO OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS. CERTAIN OFFICERS AND OTHER KEY EMPLOYEES HAVE WRITTEN EMPLOYMENT CONTRACTS.
PART I, LINES 4A-BCERTAIN OFFICERS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, PARTICIPATE IN A SECTION 457(B) DEFERRED COMPENSATION PLAN. MR. JAMES K. ELROD PARTICIPATES IN A SUPPLEMENTAL RETIREMENT PLAN. THE MEDICAL CENTER HAS AGREED TO PAY INTO A TRUST FOR THE BENEFIT OF MR. ELROD THE FOLLOWING AMOUNTS IF MR. ELROD IS EMPLOYED BY THE MEDICAL CENTER ON THE SPECIFIC DATES BELOW: 10/1/15 $200,000 10/1/16 $200,000 10/1/17 $200,000
PART I, LINE 5PHYSICIANS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, ARE COMPENSATED BASED ON THEIR OWN PERSONAL PRODUCTIVITY. THE PHYSICIANS ARE PAID A PERCENTAGE OF THEIR INDIVIDUAL COLLECTIONS BASED ON THE CONDITIONS OF EACH PHYSICIAN CONTACT.
FORM 990, SCHEDULE J, PART II, COLUMN (B)(III)EXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION JAMES K. ELROD UNUSED VACATION PAY-$141,866 UNUSED SICK PAY-$32,034 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$768 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$16,129 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,464) CABLE/INTERNET-$1,594 VALUE OF 50TH ANNIVERSARY GIFT-$27,560 TOTAL--$236,687 MARY JANE WARD UNUSED SICK PAY-$5,192 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,105 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,936) TOTAL--$19,361 CHARLES D. DAIGLE UNUSED SICK PAY-$12,959 VALUE ADDED FOR CELL PHONE USAGE-$1,045 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$564 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,136) SEVERANCE PAY-$51,050** TOTAL--$75,482 **THE INCREASE IN GROSS SEVERANCE BENEFIT, TO BE PAID TO MR. DAIGLE ON TERMINATION OF EMPLOYMENT (AS ADDITIONAL COMPENSATION FOR EACH OF HIS YEARS OF SERVICE TO WILLIS-KNIGHTON MEDICAL CENTER), WAS TAXABLE DURING 2015, AND ACCORDINGLY, WAS INCLUDED IN HIS 2015 FORM W-2. WILLIS-KNIGHTON DISBURSED TO THE INTERNAL REVENUE SERVICE AND TO THE LOUISIANA DEPARTMENT OF REVENUE THE REQUIRED TAX WITHHOLDING. WILLIS-KNIGHTON DID NOT PAY MR. DAIGLE THE NET-OF-TAX AMOUNT OF THIS COMPENSATION, BUT, UNDER THE TERMS OF THE AGREEMENT, THE MEDICAL CENTER IS RETAINING THE NET-OF-TAX AMOUNT UNTIL HIS EMPLOYMENT TERMINATES. ACCORDINGLY, THERE WAS NO CURRENT DISBURSEMENT TO MR. DAIGLE FOR SEVERANCE PAY. STEPHEN R. RANDALL UNUSED SICK PAY-$7,239 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,722 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$832 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,736) TOTAL--$23,377 MARGARET G. ELROD UNUSED SICK PAY-$3,797 VALUE ADDED FOR CELL PHONE USAGE-$1,206 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,516 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,064) TOTAL--$26,455 JERRY A. FIELDER,II UNUSED SICK PAY-$4,089 VALUE ADDED FOR CELL PHONE USAGE-$1,593 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$736 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,236) VALUE ADDED FOR CABLE/INTERNET- $1,355 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 TOTAL--$18,857 CLIFFORD M. BROUSSARD UNUSED SICK PAY-$4,285 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$662 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,366 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,591) TOTAL--$5,042 JANET K. ELROD UNUSED SICK PAY-$3,810 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$1,353 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$654 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,464) TOTAL--$23,073 IRA L. MOSS UNUSED SICK PAY-$4,505 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$999 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,842 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,040) PERSONAL USE OF EMPLOYER VEHICLES-$544 TOTAL--$26,170 JILL K. ELROD UNUSED SICK PAY-$5,061 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$3,035 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,242 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,964) VALUE ADDED FOR CABLE/INTERNET- $1,355 PERSONAL USE OF EMPLOYER VEHICLES-$2,077 TOTAL--$27,526 PEGGY J. GAVIN UNUSED SICK PAY-$3,780 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$1,264 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,486 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,982) PERSONAL USE OF EMPLOYER VEHICLES-$1,752 TOTAL--$28,020 DEBORAH D. OLDS UNUSED SICK PAY-$3,435 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$868 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,717 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,540) TOTAL--$4,200 DANIEL J. MOLLER, JR., M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$9,985 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,540) TOTAL--$25,165 CHARLES A. POWERS, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,484 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$7,772 SECTION 457(B) DEFERRED COMPENSATION PLAN-$18,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,535) TOTAL--$24,041 PIERRE V. BLANCHARD,IV, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,328 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,464) TOTAL--$4,864 RANDALL P. BREWER, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$822 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,856) TOTAL--($5,314) MILAN G. MODY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$554 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,735) TOTAL--($3,861) CHRISTIAN M. BRIERY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$562 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,418) TOTAL--($4,136) CHRISTOPHER SHELBY, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$562 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,736) TOTAL--($3,854) SARAH GLORIOSO, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$504 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,820) TOTAL--($1,996) EXPLANATION OF PART II, COLUMN (C) DEFERRED COMPENSATION THIS EMPLOYEE PARTICIPATES IN A DEFINED BENEFIT PENSION PLAN, THE CONTRIBUTIONS TO WHICH ARE ACTUARIALLY DETERMINED. THE AMOUNT SHOWN IS THE INCREASE IN THE ANNUAL VESTED BENEFIT AT NORMAL RETIREMENT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 (NOT DISCOUNTED TO PRESENT VALUE) (NORMAL RETIREMENT IS AGE 65 WITH 5 YEARS OF PARTICIPATION). MR. ELROD HAS REACHED THE MAXIMUM BENEFIT UNDER THE PLAN. EXPLANATION OF PART II, COLUMN (D) NONTAXABLE BENEFITS INCLUDED IN THIS COLUMN IS THE COST OF THE FOLLOWING NONTAXABLE BENEFITS: LONG-TERM DISABILITY INCOME INSURANCE PLAN, GROUP TERM-LIFE INSURANCE, AND THE ESTIMATED COST OF SELF-FUNDED HEALTH INSURANCE PLAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FRANK B HUGHES MD
TRUSTEE$124,616DR. HUGHES RENTS A SUITE FROM THE MEDICAL CENTER.0
PHILLIP A ROZEMAN MD
TRUSTEE$79,641DR. ROZEMAN RENTS A SUITE FROM THE MEDICAL CENTER.0
GREGORY J GAVIN
FAMILY MEMBER OF PEGGY GAVIN, OFFICER$203,119EMPLOYMENT0
KIMBERLY M VANDERMARK
FAMILY MEMBER OF PEGGY GAVIN, OFFICER$59,641EMPLOYMENT0
CHARLES E MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER$91,598EMPLOYMENT0
SHARLENE A BROUSSARD
FAMILY MEMBER OF CLIFFORD BROUSSARD, OFFICER$54,912EMPLOYMENT0
TODD J BLANCHARD
FAMILY MEMBER OF PIERRE BLANCHARD, M.D., TRUSTEE$137,394EMPLOYMENT0
PIERRE V BLANCHARD MD
TRUSTEE$4,426,564THE MEDICAL CENTER LEASES SPACE TO LIFECARE HOSPITALS, INC., AND ALSO PARTICIPATES IN A PURCHASED SERVICE AGREEMENT WITH LIFECARE HOSPITALS, INC., FOR WHICH PIERRE BLANCHARD, M.D. IS THE MEDICAL DIRECTOR.0
WILLIAM J COLE CPA
TRUSTEE$2,124,748ACCOUNTING, PAYROLL AND CONSULTING SERVICES PAID TO COLE, EVANS & PETERSON FOR WHICH WILLIAM J. COLE IS THE MANAGING PARTNER.0
ARIEN WARD PYSD
FAMILY MEMBER OF MARY JANE WARD, OFFICER$52,835EMPLOYMENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 21. FAMILY RELATIONSHIPS WITH JAMES K. ELROD - PRESIDENT, CEO, AND TRUSTEE MARGARET ELROD, SPOUSE - VP-MARKETING, LIVE OAK RETIREMENT COMMUNITY, QUICK CARE, OCCUPATIONAL MEDICINE, AND WELLNESS CENTERS JILL K. ELROD, DAUGHTER - VP OF LEGAL AFFAIRS JANET K. ELROD, DAUGHTER - VP AND ADMINISTRATOR OF WK SOUTH HOSPITAL
FORM 990, PART VI, SECTION B, LINE 11THE MEDICAL CENTER'S CPA FIRM PREPARES THE FORM 990 WITH THE ASSISTANCE OF SEVERAL OF THE MEDICAL CENTER'S EMPLOYEES. THE FORM 990 IS THEN REVIEWED BY THE MEDICAL CENTER'S PRESIDENT. AFTER THIS REVIEW, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES. THE FORM 990 IS DISCUSSED IN A TRUSTEE BOARD MEETING BEFORE THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICTS OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS." AN "INTERESTED PERSON" IS DEFINED AS ANY TRUSTEE, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN AN ENTITY WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A COMPENSATION ARRANGEMENT WITH THE MEDICAL CENTER OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND ALL MATERIAL FACTS RELATED TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE BELIEVES A MEMBER HAS VIOLATED THE CONFLICTS OF INTEREST POLICY, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. PERIODIC REVIEWS ARE CONDUCTED WHICH, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. 2. WHETHER ACQUISITIONS OF GOODS OR SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 3. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 4. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE CEO OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS (SUCH AS "MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS," WHICH IS AN ANNUAL SURVEY PREPARED BY SULLIVAN COTTER) TO UNDERSTAND COMPENSATION PAID TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION COMMITTEES ALSO COMPILE DATA FROM OTHER TAX-EXEMPT HEALTH SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AND USE THAT INFORMATION AS COMPARATIVE COMPENSATION. THE COMMITTEES USE THE INFORMATION FROM THESE SOURCES AS BENCHMARKS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION. THE COMMITTEES ALSO CONSIDER OTHER FACTORS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS LENGTH OF EMPLOYMENT AND THEIR RESPONSIBILITIES. THE EXECUTIVE COMPENSATION COMMITTEE PERIODICALLY HIRES INDEPENDENT CONSULTANTS FOR ANALYSIS OF THE COMPENSATION OF THE MEDICAL CENTER'S CEO. THE COMMITTEES MAINTAIN CONTEMPORANEOUS DOCUMENTATION OF THE BASIS FOR THEIR DECISIONS REGARDING COMPENSATION ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19WILLIS-KNIGHTON MEDICAL CENTER'S GOVERNING DOCUMENTS AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE ON ITS WEBSITE: WWW.WKHS.COM. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.EMMA.MSRB.ORG.
FORM 990, PART XI, LINE 9:FASB ASC 715-30 PENSION -58,770,633.
FORM 990, PART XII, LINE 2CWILLIS-KNIGHTON MEDICAL CENTER DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DUING THE YEAR ENDED 9/30/16.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WK ARBORS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 GREENWOOD ROADAddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71103ZIPCd
FieldValueIRS element (for citing)
EIN464783413EIN
Primary ActivitiesINDEPENDENT LIVINGPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Total Income$1,572,713TotalIncomeAmt
End Of Year Assets$10,876,128EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
2715 ALBERT BICKNELL DRSHREVEPORTLA711033925721047744NURSING CARE-SKILLED NURSING FACILITY FOR THE ELDERLY AND DISABLEDLA501(C)(3)9WILLIS-KNIGHTON MEDICAL CENTER0
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT
600 E FLOURNOY LUCAS ROADSHREVEPORTLA711153855720809402PROVIDE HOUSING, HEALTHCARE AND RELATED SERVICES TO THE ELDERLYLA501(C)(3)9WILLIS-KNIGHTON MEDICAL CENTER0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CLAIMS & BENEFITS ADMINISTRATORS OF LOUISIANA INC
PO BOX 32600SHREVEPORTLA711302600721296277INACTIVELAWILLIS-KNIGHTON MEDICAL CENTERC1.000000
WILLIS-KNIGHTON LAB AND X-RAY SERVICES INC
PO BOX 32600SHREVEPORTLA711302600721137503INACTIVELAWILLIS-KNIGHTON MEDICAL CENTERC1.000000
HEALTH PLUS OF LOUISIANA INC
PO BOX 32600SHREVEPORTLA711302600721264135THIRD-PARTY ADMINISTRATORLAWILLIS-KNIGHTON MEDICAL CENTERC1.000000$100$110,144
HPL INSURANCE AGENCY INC
PO BOX 32625SHREVEPORTLA711302625202199735HEALTH INSURANCE AGENTLAHEALTH PLUS OF LOUISIANA INCC1.000000$427$40,436
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
A$213,111FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
K$640,166FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
O$1,388,539FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
L$1,712,643FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
J$213,111FAIR MARKET VALUE
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMMUNITY
K$381,600FAIR MARKET VALUE
WK ARBORS LLC
A$67,572FAIR MARKET VALUE

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