UNIVERSITY HOSPITAL & CLINICS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HOSPITAL & CLINICS INC (EIN 46-2605366)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-12
IRS object ID
201611339349303266
Schema version
2014v6.0
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)
Return2016-05-12T12:49:38-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1Txt
CityRIDGELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39157ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462605366EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone3372616013PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12390 WEST CONGRESSAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN KIRKPersonNm
Person TitleCFOPersonTitleTxt
Phone3372616013PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMIE T WHITTINGTON CPAPreparerPersonNm
PTINP01082167PTIN
Phone6013261000PhoneNum
Preparation2016-05-03PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN KIRKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12390 WEST CONGRESSAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$173,751,469GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE ORGANIZATION ALSO SERVES THE COMMUNITY BY OPERATING AS A TEACHING FACILITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee859TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$4,133,772TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$66,104NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$29,244,100PYContributionsGrantsAmt
CY Contributions Grants$16,026,275CYContributionsGrantsAmt
PY Program Service Revenue$151,339,108PYProgramServiceRevenueAmt
CY Program Service Revenue$150,069,353CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$917CYInvestmentIncomeAmt
PY Other Revenue$2,657,920PYOtherRevenueAmt
CY Other Revenue$7,654,924CYOtherRevenueAmt
PY Total Revenue$183,241,129PYTotalRevenueAmt
CY Total Revenue$173,751,469CYTotalRevenueAmt
PY Grants And Similar Paid$4,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,493CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,317,697PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,243,180CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$132,326,167PYOtherExpensesAmt
CY Other Expenses$137,484,240CYOtherExpensesAmt
PY Total Expenses$171,647,904PYTotalExpensesAmt
CY Total Expenses$178,731,913CYTotalExpensesAmt
PY Revenues Less Expenses$11,593,225PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,980,444CYRevenuesLessExpensesAmt
Total Assets BOY$57,222,818TotalAssetsBOYAmt
Total Assets EOY$47,874,338TotalAssetsEOYAmt
Total Liabilities BOY$19,717,215TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,349,179TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,505,603NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,525,159NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$147,829,722ExpenseAmt
Grant$4,493GrantAmt
Revenue$153,590,505RevenueAmt
DescUNIVERSITY HOSPITAL AND CLINICS (UHC) WAS CREATED ON JUNE 24, 2013, AS A WHOLLY-OWNED SUBSIDIARY OF LAFAYETTE GENERAL HEALTH SYSTEM, AND WAS CREATED AS THE RESULT OF A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN THE STATE OF LOUISIANA, LOUISIANA STATE UNIVERSITY, AND LAFAYETTE GENERAL HEALTH TO PROVIDE FOR THE OPERATION OF THE FORMER UNIVERSITY MEDICAL CENTER, ONE OF THE TEN (10) SAFETY-NET HOSPITALS PREVIOUSLY OPERATED BY LOUISIANA STATE UNIVERSITY THROUGH THEIR LSU HEALTH SYSTEM. UHC A GENERAL ACUTE CARE HOSPITAL PROVIDING THE NORMAL COMPLIMENT OF BOTH INPATIENT AND OUTPATIENT SERVICES, PROVIDING BOTH INPATIENT AND OUTPATIENT MEDICAL CARE, DIAGNOSTIC TESTING AND THERAPY SERVICES TO THOSE SEEKING CARE. HEALTHCARE SERVICES ARE PROVIDED ON A CONTINUOUS BASIS, TWENTY-FOUR HOURS PER DAY, SEVEN DAYS PER WEEK. TRADITIONALLY AND CURRENTLY, THIS FACILITY HAS BEEN THE MEDICAL CARE PROVIDER TO WHICH THOSE WHO WERE UNINSURED OR OTHERWISE UNABLE TO PAY FOR THEIR HEALTHCARE SERVICES TURNED TO FOR THOSE SERVICES. THROUGH AN AGREEMENT WITH THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS, UHC ALSO PROVIDES GRADUATE MEDICAL EDUCATION THROUGH A NUMBER OF RESIDENCY PROGRAMS WHICH PROVIDE THE PHYSICIAN SERVICES FOR SEVERAL OUTPATIENT PRIMARY CARE AND SPECIALTY CARE CLINICS. THE ENTIRE PURPOSE OF THE ORGANIZATION IS TO PROVIDE INPATIENT AND OUTPATIENT MEDICAL CARE AND GRADUATE MEDICAL EDUCATION TO PROVIDE FOR THE MEDICAL NEEDS OF THE CITIZENS OF THE ACADIANA REGION OF SOUTH LOUISIANA. THE MAJORITY OF THE MEDICAL CARE PROVIDED AT UHC IS PROVIDED BY BOTH MEDICAL RESIDENTS AND STAFF PHYSICIANS. UHC EMPLOYS NURSING AND OTHER ANCILLARY PROFESSIONALS TO PROVIDE NON-PHYSICIAN HEALTHCARE SERVICES AND SUPPORT TO THE PATIENTS FOR WHOM WE PROVIDE CARE. UHC PROVIDES CARE FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, BASED UPON WRITTEN GUIDELINES WHICH ALLOWS UHC TO PROVIDE CARE TO PATIENTS WITH VARYING FINANCIAL MEANS TO PAY FOR THAT CARE. THROUGH THE AGREEMENT WITH THE STATE OF LOUISIANA, UHC RECEIVES SOME REIMBURSEMENT FOR PATIENTS WHO QUALIFY FOR "FREE CARE", WITH A MAXIMUM ON THE AMOUNT THAT THE STATE WILL REIMBURSE THE HOSPITAL. THE HOSPITAL HAS ALSO ENTERED INTO CONTRACTS AND AGREEMENTS WITH VARIOUS STATE AND FEDERAL HEALTHCARE REIMBURSEMENT PROGRAMS, SUCH AS MEDICAID AND MEDICARE, AS WELL AS PRIVATE INSURANCE PLANS TO REIMBURSE THE HOSPITAL FOR SERVICES PROVIDED TO THEIR BENEFICIARIES.IN ADDITION TO THE TRADITIONAL HOSPITAL SERVICES, UHC OPERATES SEVERAL CLINICS WHICH PROVIDE ONGOING MEDICAL CARE TO PATIENTS. THESE CLINICS OPERATE MONDAY THROUGH FRIDAY AND OPERATE JUST LIKE PRIVATE PHYSICIAN OFFICES. THEY ARE STAFFED BY NURSE PRACTITIONERS AND BY STAFF PHYSICIANS WHO SUPERVISE MEDICAL RESIDENTS, ALLOWING THEM TO GAIN VALUABLE CLINICAL EXPERIENCE AS PART OF THEIR MEDICAL RESIDENCY TRAINING. UHC HAS THREE "HOME-BASED" RESIDENCY PROGRAMS PROVIDING GRADUATE MEDICAL EDUCATION IN FAMILY MEDICINE, INTERNAL MEDICINE, AND A FELLOWSHIP PROGRAM IN GERIATRIC MEDICINE, OPERATED THROUGH THE FAMILY MEDICINE DEPARTMENT. IN ADDITION, UHC OPERATES SEVERAL ROTATING RESIDENCIES THAT ALLOWS RESIDENTS IN RESIDENCY PROGRAMS BASED IN NEW ORLEANS AT THE LSU SCHOOL OF MEDICINE TO SPEND PART OF THEIR RESIDENCY AT UHC PROVIDING CARE FOR OUR PATIENTS AND RECEIVING CLINICAL EXPERIENCE IN THEIR FIELD OF MEDICAL SPECIALTY. THESE RESIDENCIES ARE IN THE SPECIALTIES OF GENERAL SURGERY, OTORHINOLARYNGOLOGY, GYNECOLOGY, ORTHOPEDIC SURGERY, AND OPHTHALMOLOGY.UHC ALSO OPERATES A MEDICAL LIBRARY, STAFFED BY A DEGREED MEDICAL LIBRARIAN WHICH SERVES AS LEARNING RESOURCE CENTER FOR THE REGIONAL AREA HEALTH EDUCATION CENTER (AHEC) WHICH PROVIDES OUTREACH TO AREA HEALTH PROFESSIONALS AND POTENTIAL HEALTHCARE PROFESSIONALS, PROVIDING THEM TOOLS TO OBTAIN INFORMATION REGARDING HEALTHCARE CAREERS, AND RESEARCH ON SPECIFIC HEALTHCARE AND MEDICAL ISSUES.PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL DURING FYE 9/30/15 WERE: 13,866 TOTAL ACUTE PATIENT DAYS, 40,826 EMERGENCY ROOM VISITS AND 2,553 SURGERIES (INPATIENT AND OUTPATIENT).UHC'S FISCAL YEAR 2015 ALSO INCLUDED FULL ACCREDITATION OF THE FAMILY PRACTICE, GERIATRICS AND INTERNAL MEDICINE PROGRAMS AS WELL AS TRANSITIONING TO A COMPLETELY TOBACCO-FREE CAMPUS. UHC HAS ALSO STARTED IMPLEMENTING ICONTRACTS. UHC GARNERED QUALITY RESPIRATORY CARE RECOGNITION BY THE AMERICAN ASSOCIATION FOR RESPIRATORY CARE FOR ITS QUALIFIED RESPIRATORY THERAPISTS. UHC WAS ONE OF ONLY TWO LAFAYETTE HOSPITALS WITH THIS RECOGNITION (LGMC, A RELATED ENTITY, BEING THE OTHER). UHC ALSO ACHIEVED LEVEL 2 WELLSPOT STATUS FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. OFFERING HEALTHY DINING OPTIONS AND BECOMING A SMOKE-FREE CAMPUS AIDED THIS DESIGNATION.Desc
Total Program Service Expenses$147,829,722TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee859EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN KIRK CFOPersonNm
Phone3372616013PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12390 WEST CONGRESSAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70506ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JARED STARK
CEO/VP40.000.00Yes (X)Yes (X)$0$452,687$45,345
JAMES B FALTERMAN JR MD
MEDICAL DIRECTOR40.000.00Yes (X)$0$0$0
DAVID CALLECOD
PRESIDENT/CEO1.0046.00Yes (X)Yes (X)$0$1,177,776$238,614
BETTY D BROWN
TRUSTEE - NON VOTING1.000.00Yes (X)$0$0$0
ALLEN J CELESTINE
TRUSTEE - NON VOTING1.000.00Yes (X)$0$0$0
JOBY JOHN
TRUSTEE1.003.00Yes (X)$0$0$0
ROSEMARY ST CLERGY MD
SECRETARY - NON VOTING1.000.00Yes (X)$0$0$0
DESIREE C AUZENNE
TRUSTEE - NON VOTING1.000.00Yes (X)$0$0$0
GLENN L CRAIG
COO - PART YEAR40.000.00Yes (X)$0$130,448$5,764
LAURENCE VINCENT
CNO40.000.00Yes (X)$0$170,219$3,421
BRIAN KIRK
CFO/VP40.000.00Yes (X)$0$196,347$30,456
KATHERINE D HEBERT
COO - PART YEAR40.0040.00Yes (X)$0$276,095$49,800
ROBERT DUGAS MD
PHYSICIAN40.000.00$0$273,612$9,380Yes (X)
JOSEPH REAGAN OLIVIER
CRNA42.800.00$0$175,938$10,712Yes (X)
RONNI ARNOLD SMITH
CRNA41.500.00$0$169,979$3,773Yes (X)
CHRISTY E LEE
NURSE PRACTITIONER43.700.00$0$169,964$2,206Yes (X)
TRUDI GAIL HOPPER LUQUETTE
PHARMACIST41.400.00$0$164,715$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,357,780TotReportableCompRltdOrgAmt
Total Other Compensation$399,471TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
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 HSC-NEW ORLEANS
433 BOLIVAR STREETNEW ORELANSLA70112RESIDENTS AND FACULTY$6,543,796
PARAGON CONTRACTING SERVICES INC
PO BOX 634850CINCINATTIOH45263ER PROVIDER$3,228,959
ARAMARK HEALTHCARE GROUP
25271 NETWORK PLACECHICAGOIL60673HOUSEKEEPING AND DIETARY$2,516,081
MEDICAL IMAGING ASSOCIATES OF LA
PO BOX 60074LAFAYETTELA70596RADIOLIGIST PROVIDER$1,375,000
CONGRESS EMERGENCY GROUP LLC
PO BOX 82368LAFAYETTELA70598ER PROVIDER$997,152
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Related Organizations$15,760,603RelatedOrganizationsAmt
All Other Contributions$265,672AllOtherContributionsAmt
Total Contributions$16,026,275TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$150,069,353TotalRevenueColumnAmt
Related Or Exempt Func Income$150,069,353RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$150,069,353TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$917TotalRevenueColumnAmt
Exclusion$917ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER REVENUE900099$6,807,805$2,674,033$4,133,772
E.H.R REVENUE900099$847,119$847,119
FieldValueIRS element (for citing)
Other Revenue Total$7,654,924OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,751,469TotalRevenueColumnAmt
Related Or Exempt Func Income$153,590,505RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,133,772UnrelatedBusinessRevenueAmt
Exclusion$917ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,493TotalAmt
Program Services$4,493ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,087,749TotalAmt
Management And General$1,087,749ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,605,010TotalAmt
Program Services$31,349,084ProgramServicesAmt
Management And General$3,255,926ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$400,341TotalAmt
Program Services$371,496ProgramServicesAmt
Management And General$28,845ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,695,045TotalAmt
Program Services$2,405,927ProgramServicesAmt
Management And General$289,118ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,455,035TotalAmt
Program Services$2,228,971ProgramServicesAmt
Management And General$226,064ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,712,302TotalAmt
Management And General$5,712,302ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,194TotalAmt
Program Services$1,047ProgramServicesAmt
Management And General$147ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,249,554TotalAmt
Program Services$1,004,288ProgramServicesAmt
Management And General$245,266ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,772,775TotalAmt
Program Services$1,964,953ProgramServicesAmt
Management And General$15,807,822ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$119,774TotalAmt
Program Services$97,757ProgramServicesAmt
Management And General$22,017ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,596TotalAmt
Program Services$30,945ProgramServicesAmt
Management And General$3,651ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$650TotalAmt
Management And General$650ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$663,031TotalAmt
Program Services$81,964ProgramServicesAmt
Management And General$581,067ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$114,603TotalAmt
Program Services$114,603ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$52,629,991$52,629,991
CONTRACT LABOR$37,319,752$35,471,705$1,848,047
MEDICAL SUPPLIES$16,850,147$16,850,147
EQUIPMENT RENTAL & MAIN$4,784,971$3,061,165$1,723,806

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$230,900TotalAmt
Program Services$161,186ProgramServicesAmt
Management And General$69,714ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$178,731,913TotalAmt
Program Services$147,829,722ProgramServicesAmt
Management And General$30,902,191ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$101,713BOYAmt
EOY$742,511EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,900,200BOYAmt
EOY$9,140,752EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,338,975BOYAmt
EOY$2,134,989EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,790,500BOYAmt
EOY$15,790,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,259,225LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$873,732LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,657,410BOYAmt
EOY$4,385,493EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,434,020BOYAmt
EOY$15,680,093EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,222,818BOYAmt
EOY$47,874,338EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,368,039BOYAmt
EOY$14,053,090EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$349,176BOYAmt
EOY$1,296,089EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,717,215BOYAmt
EOY$15,349,179EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,505,603BOYAmt
EOY$32,525,159EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,505,603BOYAmt
EOY$32,525,159EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,222,818BOYAmt
EOY$47,874,338EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,980,444ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$11,308FilingOrganizationsTotalAmt
Affiliated Group Total$174,268AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$11,308FilingOrganizationsTotalAmt
Affiliated Group Total$174,268AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$147,818,414FilingOrganizationsTotalAmt
Affiliated Group Total$636,621,767AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$147,829,722FilingOrganizationsTotalAmt
Affiliated Group Total$636,796,035AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$2,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$3,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$189,962CurrentYearMinus1Amt
Current Year$174,268CurrentYearAmt
Total$364,230TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$500,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$750,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$189,962CurrentYearMinus1Amt
Current Year$174,268CurrentYearAmt
Total$364,230TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-A LINE 1AFormAndLineReferenceDesc
ExplanationALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THIS ORGANIZATION ARE USED.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,259,225OtherCostOrOtherBasisAmt
Depreciation$873,732DepreciationAmt
Book Value$4,385,493BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,385,493TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
THIRD PARTY PAYABLE$14,990,548
DEPOSITS$116,415
OTHER ASSETS$552,150
INTERCOMPANY RECEIVABLES$20,980
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,680,093TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY PAYABLEDesc
Amt$1,296,089Amt
FieldValueIRS element (for citing)
Total Liability$1,296,089TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740. FASB ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION ALSO PROVIDES GUIDANCE ON RECOGNITION, DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE ORGANIZATION'S VARIOUS FEDERAL INCOME TAX AND EXEMPT ORGANIZATION INCOME TAX RETURNS (IRS FORMS 1065, 1120, AND 990), WHETHER FILED ON A CALENDAR OR FISCAL YEAR BASIS, ARE SUBJECT TO EXAMINATION BY THE IRS. THE INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
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$37,315,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,802,592DirectOffsettingRevenueAmt
Net Community Benefit Expns-$9,487,307NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,274,681TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,149,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,125,013NetCommunityBenefitExpnsAmt
Total Expense0.11990TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,589,966TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,952,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,637,706NetCommunityBenefitExpnsAmt
Total Expense0.11990TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,493TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,493NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,493TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,493NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,594,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,952,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,642,199NetCommunityBenefitExpnsAmt
Total Expense0.11990TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$52,629,991BadDebtExpenseAmt
Bad Debt Expense Attributable$27,367,595BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,019,966ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,888,241CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,868,275MedicareSurplusOrShortfallAmt

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 Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HOSPITAL & CLINIC INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12390 WEST CONGRESS STREETAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70506ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HOSPITAL & CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/COMMUNITY%20REPORTSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
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 Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FAP_UHC_010416.FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FINANCIAL_ASSISFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FINANCIAL_ASSISFAPSummaryOnWebsiteURLTxt
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
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UNIVERSITY HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY GATHERING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, AS WELL AS INDIVIDUALS PROVIDING INPUT WHO HAVE SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. IT IS MEANT TO PROVIDE DEPTH AND RICHNESS TO THE QUANTITATIVE DATA COLLECTED. ADDITIONALLY, FOCUS GROUPS WERE CONDUCTED TO ALLOW PARTICIPANTS TO PROVIDE INFORMATION ABOUT THEIR EXPERIENCES IN THE COMMUNITY AND WAYS IN WHICH THEY THINK THE SERVICES AND RESOURCES PROVIDED TO THE COMMUNITY CAN BE IMPROVED.COMMUNITY LEADER INTERVIEWEES:MANDI MITCHELL, DIRECTOR OF GOV. AFFAIRS, LA DEPT. OF ECONOMIC DEVELOPMENTREBECCA BENOIT, CHIEF NURSING OFFICER, UHCDR. BRYAN SIBLEY, PEDIATRICIANCLAY ALLEN, CHAIRMAN OF THE BOARD OF TRUSTEES, UHCDAVID CALLECOD, PRESIDENT AND CEO, LAFAYETTE GENERAL HEALTHFLO MEADOWS, BOARD OF TRUSTEES MEMBER, UHCDR. GARY GUIDRY, PULMONOLOGIST AND BOARD OF TRUSTEES MEMBER, UHCJEANETTE ALCON, EXECUTIVE DIRECTOR, LAFAYETTE COMMUNITY HEALTHCARE CLINICJOEY DUREL, PRESIDENT, LAFAYETTE CITY-PARISHMARIA PLACER, EXECUTIVE DIRECTOR, 232-HELPPATRICK GANDY, COO, UHCPAULA WALTERS, EXECUTIVE DIRECTOR, LAFAYETTE COUNCIL ON AGINGPHILIP GACHASSIN, BARIATRIC SURGEON, ACADIANA WEIGHT LOSS SURGERYRAYMOND HEBERT, EXECUTIVE DIRECTOR, COMMUNITY FOUNDATION OF ACADIANAZIAD ASHKAR, CHIEF MEDICAL OFFICER, UHCMARGARET TRAHAN, UNITED WAY OF ACADIANALOUIS HEBERT, HOSPICE FOUNDATION OF ACADIANA, INC.DR. PHILLIP CAILLOUET, PROFESSOR, UNIVERSITY OF LOUISIANA AT LAFAYETTEJARED STARK, CEO, UHCDR. LINDA OGE, FAMILY PRACTICE PHYSICIANLAURENCE VINCENT, CHIEF NURSING OFFICER, UHCDR. JOBY JOHN, DEAN AT COLLEGE OF BUSINESS, UNIVERSITY OF LA @ LAFAYETTECAROLYN HUVAL, VP, LAFAYETTE GENERAL MEDICAL CENTERMARGARET DURAND, CEO, SOUTHWEST LOUISIANA AREA HEALTH EDUCATION CENTERDR. JAMES FAULTERMAN, JR., DESIGNATED INSTITUTIONAL OFFICE, UHCDR. ROSEMARY ST. CLERGY, UHC BOARD MEMBER; MEDICAL DIR. OF ACADIANA AMBULANCEVINCENT PIERRE, STATE REPRESENTATIVE
UNIVERSITY HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 11: PLEASE SEE ATTACHED IMPLEMENTATION STRATEGY, ADOPTED AND EXECUTED BY THE HOSPITAL, FOR A DESCRIPTION OF HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THE FOLLOWING NEEDS WERE NOT ADDRESSED FOR THE FOLLOWING REASONS:OVERWEIGHT AND OBESITY: UHC HAS CHOSEN TO ADDRESS THIS PRIORITY THROUGH IT BEHAVIORAL RISK FACTOR STRATEGIES. BOTH OF THE STRATEGIES AIMED AT IMPROVING HEALTH BEHAVIORS WILL ALSO HELP REDUCE OVERWEIGHT AND OBESITY RATES. HEALTHCARE ACCESS & AVAILABILITY: NOW UNDER THE DIRECTION OF LAFAYETTE GENERAL HEALTH, THE HOSPITAL IS FOCUSED ON REVIVING ITS SERVICE LINES AND OPERATING AT ITS FULL POTENTIAL. DESPITE ITS CURRENT STATE OF REJUVENATION, UHC STILL SERVES AS THE PRIMARY CHARITY HOSPITAL IN THE ACADIANA REGION. ONCE IT REACHES THE APPROPRIATE OPERATIONAL CAPACITY AND FUNCTION, UHC HOPES TO CREATE STRATEGIES FOR NEW WAYS TO SERVE THE COMMUNITY.
UNIVERSITY HOSPITAL & CLINICS, INC.PART V, SECTION B, LINE 16I: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FAP_UHC_010416.
UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FINANCIAL_ASSIS
UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/FINANCIAL_ASSIS

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 52,629,991.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL OFFERS A VARIETY OF SPECIALISTS, AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS. THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TEST AT LOCAL EVENTS.
PART III, LINE 4:THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS READS: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE ORGANIZATION'S MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THOSE WITH NO THIRD-PARTY COVERAGE, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED,IS WRITTEN-OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE ORGANIZATION'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REMAINED AT 99% OF SELF PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2015 AND 2014. THE ORGANIZATION HAS EXPERIENCED AN INCREASE IN CHARITY CARE AND BAD DEBT WRITE-OFFS AS A RESULT OF RISING PATIENT RESPONSIBILITIES DUE IN PART TO HIGH DEDUCTIBLE AND HIGH CO-PAY INSURANCE PLANS, AND AN OVERALL INCREASE IN UNINSURED PATIENTS RESULTING FROM THE COLLABORATION WITH THE STATE TO OPERATE THE FORMER LSU TEACHING HOSPITAL IN LAFAYETTE WHICH SERVES A PREDOMINATELY MEDICAID AND UNINSURED POPULATION.BAD DEBT EXPENSE EQUALS THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS.THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BOTH CHARITY AND BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT 52% OF THE UNINSURED OUTPATIENT EMERGENCY ROOM VISITS THAT WERE ADJUSTED TO BAD DEBT MAY HAVE BEEN PATIENTS THAT COULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY BUT DID NOT INITIATE OR COMPLETE THE NECESSARY DOCUMENTATION.THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.
PART III, LINE 8:THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE ESTIMATED BASED ON PREVIOUS COST REPORTS FILED WHEN THE HOSPITAL WAS A GOVERNEMNT RUN HOSPITAL. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7.
PART III, LINE 9B:WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE, WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY.
PART III, LINES 2 & 3BAD DEBT EXPENSE REFLECTED IN PART III EQUALS BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT AT LEAST 52% OF THE TOTAL SELF PAY REVENUE IN BAD DEBT WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY. HOWEVER, SINCE NECESSARY DOCUMENTATION WAS NOT COMPLETED, THIS AMOUNT WAS INSTEAD WRITTEN OFF TO BAD DEBT. THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS. HOWEVER, HOSPITAL BELIEVES THAT THE COST OF THIS BAD DEBT IS A COMMUNITY BENEFIT BECAUSE BY CONTINUING TO TREAT PATIENTS THAT ARE UNABLE TO AFFORD CARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL CARE.
PART VI, LINE 2:A FORMAL NEEDS ASSESSMENT WAS UNDERTAKEN FOR YEAR ENDING 9/30/15. WE ENGAGED AN OUTSIDE CONSULTANT TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT DURING LATE 2014/EARLY 2015. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS. IN ADDITION, THE HOSPITAL DOES HAVE A BOARD OF TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY.
PART VI, LINE 3:THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE.
PART VI, LINE 4:THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARSIH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE WITHOUT REGARD TO THEIR ABILITY TO PAY.
PART VI, LINE 5:THE MAJORITY OF UHC'S BOARD IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. ONLY 2 ARE EMPLOYEES. UHC, SINCE INCEPTION HAS NEVER MADE A SURPLUS AND BY CEA DESIGN, NEVER WILL MAKE A SURPLUS. UHC TAKES CARE OF THE POOR AND INDIGENT IN OUR COMMUNITY AND RECEIVES A COST REPORT SUBSIDY THAT ONLY COVERS ALLOWABLE COSTS. LGH SYSTEM INVESTED MORE THAN $4 MILLION ON AN ELECTRONIC MEDICAL RECORD TO IMPROVE PATIENT SAFETY, SATISFACTION, AND EFFICIENCY. UHC IS A TEACHING HOSPITAL WHICH TRAINS HUNDREDS OF RESIDENTS IN VARIOUS PROGRAMS TO HELP THEM BECOME DOCTORS. UHC EXEMPLIFIED COMMUNITY OUTREACH BY OFFERING FREE MAMMOGRAMS, BREAST SCREENING AND FOLLOW UP CARE TO ELIGIBLE PATIENTS BY WORKING WITH SUSAN G. KOMEN, INC. AND THE LOUISIANA BREAST & CERVICAL HEALTH PROGRAM. LOUISIANA EXCEEDS THE NATIONAL AVERAGE IN BREAST CANCER DEATHS, LARGELY DUE TO LATE OR INCURABLE-STAGE DIAGNOSIS, AND UHC IS NOW HELPING COMBAT THAT.
PART VI, LINE 6:THE HOSPITAL IS AFFILIATED WITH OTHER HEALTHCARE ORGANIZATIONS. SEE FORM 990 SCHEDULE R FOR A COMPLETE LISTING. ALL OF THE ORGANIZATIONS ARE LOCAL HEALTHCARE ORGANIZATIONS WITH THE SAME PURPOSE AS THE HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATESLA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
JARED STARK
CEO/VP$0$300,900$0$75,225$0$76,562$0$38,200$0$7,145$0$498,032$0$0
DAVID CALLECOD
PRESIDENT/CEO$0$774,176$0$309,670$0$93,930$0$228,970$0$9,644$0$1,416,390$0$0
LAURENCE VINCENT
CNO$0$147,328$0$21,631$0$1,260$0$3,421$0$0$0$173,640$0$0
BRIAN KIRK
CFO/VP$0$170,606$0$25,741$0$0$0$25,751$0$4,705$0$226,803$0$0
KATHERINE D HEBERT
COO - PART YEAR$0$213,772$0$42,754$0$19,569$0$42,691$0$7,109$0$325,895$0$0
ROBERT DUGAS MD
PHYSICIAN$0$263,889$0$9,723$0$0$0$5,576$0$3,804$0$282,992$0$0
JOSEPH REAGAN OLIVIER
CRNA$0$175,438$0$500$0$0$0$3,567$0$7,145$0$186,650$0$0
RONNI ARNOLD SMITH
CRNA$0$169,479$0$500$0$0$0$0$0$3,773$0$173,752$0$0
CHRISTY E LEE
NURSE PRACTITIONER$0$169,464$0$500$0$0$0$1,470$0$736$0$172,170$0$0
TRUDI GAIL HOPPER LUQUETTE
PHARMACIST$0$164,215$0$500$0$0$0$0$0$0$0$164,715$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION DOES ALLOW FOR SPOUSAL TRAVEL FOR THE TRUSTEES AND OFFICERS. SUCH EXPENSES ARE REPORTED ON THEIR W-2'S OR 1099'S. SOCIAL CLUB DUES AND HOUSING ALLOWANCE WAS PAID FOR THE CEO/VP AND WAS INCLUDED AS WELL AS COMPENSATION ON HIS W-2.
PART I, LINE 4BA SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01,2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $322,000. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS WERE DAVID CALLECOD, CHAIRMAN, BRIAN KIRK, CFO, JARED STARK, CEO, AND KATHERINE HEBERT, COO. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2014 W-2 WAGES, TOTALLED $42,917. THE FOLLOWING RECEIVED DISTRIBUTIONS, INCLUDED IN THEIR 2014 W-2 WAGES: DAVID CALLECOD, PRESIDENT/CEO-LGHS & KATHERINE D HEBERT, COO
PART I, LINE 6THE ORGANIZATION DOES HAVE AN INCENTIVE PLAN FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS; 20% EMPLOYEES, 15% SERVICE, 20% QUALITY, 35% FUNDING OUR FUTURE, AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS', AS LISTED ON PART VII OF FORM 990, CALCULATION OF INCENTIVE PLAN PAYMENTS ARE IN PART BASED ON THE CONSOLIDATED NET EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BYES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERNANCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITIEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAYBE RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT TO THE PRESIDENT'S COMPENSATION THEREAFTER.
FORM 990, PART VI, SECTION C, LINE 19BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES.
PART VII, SECTION B, INDEPENDENT CONTRACTORSLAFAYETTE GENERAL HEALTH SYSTEMS, INC. (LGHS), A RELATED ORGANIZATION, PAID ALL CONTRACTORS ON BEHALF OF UNIVERSITY HOSPITAL AND CLINICS (UHC), AND UHC REIMBURSED LGHS FOR THESE PAYMENTS. ALL 1099S WERE ISSUED BY LGHS. THE INFORMATION LISTED REFLECTS THE TOTALS THAT WOULD HAVE BEEN REPORTED HAD UHC MADE THE PAYMENTS THEMSELVES.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR OVERSIGHT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST MARTIN HOSPITAL INC
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
1214 COOLIDGE STREETLAFAYETTELA70503383646817HEALTHCARE SUPPORTLA501(C)(3)509(A)(3)0
LAFAYETTE HEALTH VENTURES INC
PO BOX 53092LAFAYETTELA70503721006966PHYSICIAN PRACTICESLA501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL MEDICAL CENTER INC
1214 COOLIDGE BLVDLAFAYETTELA70503720535375HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
ACADIA GENERAL HOSPITAL INC
1305 CROWLEY RAYNE HWYCROWLEYLA70526464958152HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL FOUNDATION INC
1214 COOLIDGE BLVDLAFAYETTELA70503371766778FOUNDATIONLA501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
KAPLAN GENERAL HOSPITAL DBA ABROM KAPLAN MEMORIAL HOSPITAL
1214 COOLIDGE BLVDLAFAYETTELA70503472540179HOSPITALLAPENDING 501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
LAFAYETTE INVESTMENT GROUP LLC
1000 W PINHOOK SUITE 206LAFAYETTELA70503421594593MANAGEMENTLAN/A
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
1000 W PINHOOKLAFAYETTELA70503481300080SURGICAL HOSPITALLAN/A
OIL CENTER SURGICAL PLAZA LLC
1000 W PINHOOK STE 204LAFAYETTELA70503464090110SURGERY CENTERLAN/A
ACADIANA RADIATION THERAPY LLC
104 WOODMONT BLVD STE 500NASHVILLETN37205471752607RADIATION CENTERTNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GREATER LAFAYETTE PHYSICIANS HOSPITAL ORGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 AUDUBON BLVDAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70503ZIPCd
FieldValueIRS element (for citing)
EIN721286969EIN
Primary ActivitiesSUPPORT SERVICESPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
LAFAYETTE GENERAL MEDICAL CENTER
1214 COOLIDGE BOULEVARDLAFAYETTELA70503720535375Yes (X)$0$0$0$368,679,545$368,679,545$1,000,000$250,000$0$0$0
ST MARTIN HOSPITAL
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264Yes (X)$3,955$0$3,955$16,829,149$16,833,104$991,655$247,914$0$0$0
UNIVERSITY HOSPITAL AND CLINICS INC
1214 COOLIDGE BOULEVARDLAFAYETTELA70503462605366Yes (X)$11,308$0$11,308$147,818,414$147,829,722$1,000,000$250,000$0$0$0
ACADIA GENERAL HOSPITAL INC
1305 CROWLEY RAYNE HWYCROWLEYLA70526464958152Yes (X)$7,496$0$7,496$34,827,637$34,835,133$1,000,000$250,000$0$0$0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
1214 COOLIDGE BOULEVARDLAFAYETTELA70503383646817Yes (X)$151,509$0$151,509$67,934,210$68,085,719$1,000,000$250,000$0$0$0
LAFAYETTE GENERAL FOUNDATION
1214 COOLIDGE BOULEVARDLAFAYETTELA70503371766778Yes (X)$0$0$0$532,812$532,812$104,922$26,231$0$0$0

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