WILLIS-KNIGHTON MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WILLIS-KNIGHTON MEDICAL CENTER (EIN 72-0400933)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-04-28
IRS object ID
201641199349300974
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)
Return2016-04-28T17:52:36-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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
Signature2016-04-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonC WILLIAM GERARDY JRPreparerPersonNm
PTINP00024591PTIN
Phone3182228367PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$1,052,933,979GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee7335TotalEmployeeCnt
Total Volunteers285TotalVolunteersCnt
Total Gross UBI$1,279,203TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,100PYContributionsGrantsAmt
CY Contributions Grants$11,100CYContributionsGrantsAmt
PY Program Service Revenue$927,927,793PYProgramServiceRevenueAmt
CY Program Service Revenue$1,015,874,484CYProgramServiceRevenueAmt
PY Investment Income$1,181,510PYInvestmentIncomeAmt
CY Investment Income$1,774,488CYInvestmentIncomeAmt
PY Other Revenue$5,705,054PYOtherRevenueAmt
CY Other Revenue$2,092,100CYOtherRevenueAmt
PY Total Revenue$934,826,457PYTotalRevenueAmt
CY Total Revenue$1,019,752,172CYTotalRevenueAmt
PY Grants And Similar Paid$1,776,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,781,119CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$373,219,732PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$401,760,342CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$476,643,453PYOtherExpensesAmt
CY Other Expenses$518,637,999CYOtherExpensesAmt
PY Total Expenses$851,640,035PYTotalExpensesAmt
CY Total Expenses$922,179,460CYTotalExpensesAmt
PY Revenues Less Expenses$83,186,422PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$97,572,712CYRevenuesLessExpensesAmt
Total Assets BOY$1,094,232,338TotalAssetsBOYAmt
Total Assets EOY$1,190,562,626TotalAssetsEOYAmt
Total Liabilities BOY$320,919,969TotalLiabilitiesBOYAmt
Total Liabilities EOY$374,976,770TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$773,312,369NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$815,585,856NetAssetsOrFundBalancesEOYAmt
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$774,774,132ExpenseAmt
Grant$1,781,119GrantAmt
Revenue$1,012,398,775RevenueAmt
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 55,964 ADMITTANCES DURING THE YEAR ENDED SEPTEMBER 30, 2015 WITH A TOTAL OF 221,416 PATIENT DAYS AND 3,720 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, 2015, THE MEDICAL CENTER PROVIDED AN ESTIMATED $25,100,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO CHARITY CARE (EXCLUDING PROJECT NEIGHBORHEALTH) AND AN ESTIMATED $33,800,000 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, 2015, 40 PATIENTS RECEIVED ORGAN TRANSPLANTS, CONSISTING OF 33 KIDNEYS (5 OF THOSE PATIENTS ALSO HAD A PANCREAS TRANSPLANT, AND 1 OF THOSE PATIENTS ALSO HAD A LIVER TRANSPLANT) AND 7 LIVERS. OF THE 40 TRANSPLANT SURGERIES PERFORMED AT THE MEDICAL CENTER DURING THE YEAR ENDED SEPTEMBER 30, 2015, 33 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, 2015, THE MEDICAL CENTER'S EMERGENCY ROOMS WERE VISITED BY 184,867 PATIENTS, OF WHOM 22,733 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 3,720 BIRTHS; 8,756 OBSTETRICAL VISITS TO THE L&D UNITS; AND 3,575 OBSTETRICAL AND GYNECOLOGICAL INPATIENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015HEALTH 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, 2015 OF 5,766. 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 19.7 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, 2015, 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, 2015, THE BEHAVIORAL MEDICINE CENTER SPONSORED NUMEROUS INFORMATION SESSIONS FOR VARIOUS GROUPS IN THE SHREVEPORT/BOSSIER AND NORTHWEST LOUISIANA AREAS. SUCH SESSIONS AMOUNTED TO APPROXIMATELY 860 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$10,916,489ExpenseAmt
Revenue$4,386,844RevenueAmt
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$785,690,621TotalProgramServiceExpensesAmt
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 Document507IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7335EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
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 Line12611 GREENWOOD ROADAddressLine1Txt
CitySHREVEPORTCityNm
State AbbreviationLAStateAbbreviationCd
ZIP711033908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 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)$1,368,052$6,000$14,940
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN40.00Yes (X)$212,224$0$7,318
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
TWAIN K GIDDENS JR
TRUSTEE/ VICE-CHAIRMAN4.00Yes (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
VICE PRESIDENT OF FINANCE40.00Yes (X)$161,000$0$20,557
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO40.00Yes (X)$515,298$0$23,060
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS40.00Yes (X)$324,133$0$21,500
MARGARET G ELROD
SR VP/IND WELLNESS/COMMUNITY40.00Yes (X)$182,947$0$9,810
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC40.00Yes (X)$171,629$0$24,840
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER/QUALITY CONTROL40.00Yes (X)$183,987$0$16,529
JANET K ELROD
VP/ADMIN WK SOUTH40.00Yes (X)$182,075$0$7,533
IRA L MOSS
VP/ADMIN WK PIERREMONT40.00Yes (X)$213,997$0$18,745
JILL K ELROD
VP OF LEGAL AFFAIRS40.00Yes (X)$239,453$0$10,206
PEGGY J GAVIN
SR VP OF PHYSICIAN SERVICES40.00Yes (X)$183,835$0$9,361
DEBORAH D OLDS
CHIEF NURSING OFFICER40.00Yes (X)$144,344$0$17,079
RAMONA D FRYER
VP OF REV/QUALITY/COMPLIAN40.00Yes (X)$316,122$0$18,963
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC40.00Yes (X)$432,165$0$16,003
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB40.00Yes (X)$339,069$0$16,762
RANDALL P BREWER MD
PHYSICIAN40.00$1,981,788$0$18,248Yes (X)
MILAN G MODY MD
PHYSICIAN40.00$1,530,919$0$20,641Yes (X)
CHRISTIAN M BRIERY MD
PHYSICIAN40.00$1,253,450$0$20,364Yes (X)
CLINT M CORMIER MD
PHYSICIAN40.00$1,220,821$0$19,714Yes (X)
HALIM SALIM ABOU FAYCAL MD
PHYSICIAN40.00$1,227,065$0$24,862Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,384,373TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,000TotReportableCompRltdOrgAmt
Total Other Compensation$357,035TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K516IndivRcvdGreaterThan100KCnt
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
SHREVEPORT ANESTHESIA SERVICE
2600 GREENWOOD ROADSHREVEPORTLA71103PHYSICIAN SERVICES$5,403,451
LSU HEALTH SCIENCES CENTER
PO BOX 33932SHREVEPORTLA71130MEDICAL STAFFING$5,105,229
RED RIVER CARDIOVASCULAR SURGEONS
2751 ALBERT BICKNELL DR SUITE 5CSHREVEPORTLA71103PHYSICIAN SERVICES$3,533,040
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN55480LABORATORY TESTING SERVICES$3,432,708
TEG ARCHITECTS LLC
903 SPRING STREETJEFFERSONVILLEIN47130ARCHITECTUAL FEES$2,472,349
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K127CntrctRcvdGreaterThan100KCnt
All Other Contributions$11,100AllOtherContributionsAmt
Total Contributions$11,100TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL SERVICES622110$1,011,487,640$1,011,487,640
RESIDENTIAL COMMUNITY531110$4,386,844$4,386,844
FieldValueIRS element (for citing)
Total Program Service Revenue$1,015,874,484TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,676,250TotalRevenueColumnAmt
Exclusion$1,676,250ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,926,991RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,497,935RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$429,056RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$429,056TotalRevenueColumnAmt
Related Or Exempt Func Income$429,056RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$30,710,942SecuritiesAmt
Other$71,168OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,683,872SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$27,070SecuritiesAmt
Other$71,168OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,238TotalRevenueColumnAmt
Related Or Exempt Func Income$98,238RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LABORATORY REVENUE621500$526,187$526,187
(LOSS) FROM SUBSIDIARY - MULTI-FA623110-$70,802-$70,802
(LOSS) FROM SUBSIDIARY - VIRGINIA623110-$442,371-$442,371

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,650,030TotalRevenueColumnAmt
Related Or Exempt Func Income$897,014RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$753,016UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,663,044OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,019,752,172TotalRevenueColumnAmt
Related Or Exempt Func Income$1,016,785,619RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,279,203UnrelatedBusinessRevenueAmt
Exclusion$1,676,250ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,776,437TotalAmt
Program Services$1,776,437ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$4,682TotalAmt
Program Services$4,682ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,891,309TotalAmt
Management And General$5,891,309ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$297,652,186TotalAmt
Program Services$261,715,825ProgramServicesAmt
Management And General$35,936,361ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,801,099TotalAmt
Program Services$15,348,144ProgramServicesAmt
Management And General$2,452,955ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$54,710,759TotalAmt
Program Services$47,171,729ProgramServicesAmt
Management And General$7,539,030ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,704,989TotalAmt
Program Services$22,162,894ProgramServicesAmt
Management And General$3,542,095ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,671,889TotalAmt
Management And General$1,671,889ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,057,769TotalAmt
Management And General$2,057,769ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,902,611TotalAmt
Program Services$973,761ProgramServicesAmt
Management And General$928,850ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,813,020TotalAmt
Management And General$10,813,020ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$590,349TotalAmt
Management And General$590,349ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,091,052TotalAmt
Program Services$31,068,455ProgramServicesAmt
Management And General$24,022,597ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,403,658TotalAmt
Management And General$5,403,658ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT DEPARTMENTAL EXP$403,454,864$403,454,864
TAXES & LICENSES$9,521,215$9,521,215
BUSINESS OFFICE$4,470,811$4,470,811

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,660,761TotalAmt
Program Services$2,013,830ProgramServicesAmt
Management And General$21,646,931ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$922,179,460TotalAmt
Program Services$785,690,621ProgramServicesAmt
Management And General$136,488,839ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,813,034BOYAmt
EOY$26,997,698EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$164,779,181BOYAmt
EOY$246,654,347EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$132,883,301BOYAmt
EOY$121,343,845EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,871,535BOYAmt
EOY$2,399,058EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,626,553BOYAmt
EOY$23,367,228EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,236,493BOYAmt
EOY$3,575,953EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,195,757,458LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$603,947,568LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$567,095,754BOYAmt
EOY$591,809,890EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$178,520,552BOYAmt
EOY$160,259,742EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,241,757BOYAmt
EOY$12,170,959EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,370,819BOYAmt
EOY$1,182,398EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$793,359BOYAmt
EOY$801,508EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,094,232,338BOYAmt
EOY$1,190,562,626EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$102,674,340BOYAmt
EOY$117,658,037EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,586,270BOYAmt
EOY$144,355,362EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$22,748,604BOYAmt
EOY$21,898,896EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,910,755BOYAmt
EOY$91,064,475EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$320,919,969BOYAmt
EOY$374,976,770EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$773,312,369BOYAmt
EOY$815,585,856EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$773,312,369BOYAmt
EOY$815,585,856EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,094,232,338BOYAmt
EOY$1,190,562,626EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$97,572,712ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,128,296NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$54,170,929OtherChangesInNetAssetsAmt
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$70,580OtherActivitiesAmt
Total Lobbying Expenditures$70,580TotalLobbyingExpendituresAmt
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, 2015, THE MEDICAL CENTER PAID DUES TOTALING $48,748 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, $12,187 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2015, THE MEDICAL CENTER PAID DUES TOTALING $6,475 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, $3,238 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2015, THE MEDICAL CENTER PAID DUES TOTALING $262,645 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, $55,155 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$1,014,170InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$49,722,551OtherCostOrOtherBasisAmt
Book Value$50,736,721BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$8,935,474InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$660,477,678OtherCostOrOtherBasisAmt
Depreciation$347,781,116DepreciationAmt
Book Value$321,632,036BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,905,865OtherCostOrOtherBasisAmt
Depreciation$1,400,390DepreciationAmt
Book Value$505,475BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$363,123,768OtherCostOrOtherBasisAmt
Depreciation$238,890,471DepreciationAmt
Book Value$124,233,297BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,577,952OtherCostOrOtherBasisAmt
Depreciation$15,875,591DepreciationAmt
Book Value$94,702,361BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$591,809,890TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$917,064
INVESTMENT IN SUB. - VIRGINIA HALL, INC.$4,154,193
LIABILITY FOR PENSION BENEFITS$85,985,939
ARBITRAGE REBATE LIABILITY$7,279
FieldValueIRS element (for citing)
Total Liability$91,064,475TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,036,472,876TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,128,296NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,128,296RevenueNotReportedAmt
Revenue Subtotal$1,037,601,172RevenueSubtotalAmt
Other Revenues Not Included-$17,849,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$17,849,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,019,752,172TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$994,199,389TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$72,019,929OtherExpensesIncludedAmt
Expenses Not Reported$72,019,929ExpensesNotReportedAmt
Expenses Subtotal$922,179,460ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$922,179,460TotalExpensesPerForm990Amt

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 422,907 HOUSEKEEPING 74,519 LAUNDRY 261,379 SUBSIDIARIES EXPENSES (18,607,805) TOTAL (17,849,000) PART XIII, LINE 2D UNRELATED BUSINESS GROSS INCOME: DATA PROCESSING (422,907) HOUSEKEEPING (74,519) LAUNDRY (261,379) SUBSIDIARIES EXPENSES 18,607,805 PENSION RELATED CHANGES 54,170,929 TOTAL 72,019,929

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$25,132,566TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,132,566NetCommunityBenefitExpnsAmt
Total Expense0.02730TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,576,935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,769,530DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,807,405NetCommunityBenefitExpnsAmt
Total Expense0.03670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,709,501TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,769,530DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,939,971NetCommunityBenefitExpnsAmt
Total Expense0.06400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,332,258TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,332,258NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,706,791TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,706,791NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,330,983TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$924,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,406,390NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,776,437TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,776,437NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,146,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$924,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,221,876NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,855,970TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,694,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,161,847NetCommunityBenefitExpnsAmt
Total Expense0.07940TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$20,865,194BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$242,641,709ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$255,534,445CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,892,736MedicareSurplusOrShortfallAmt

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 Conducted12CHNAConductedYr
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 Adpt12ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
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 Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
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 (12 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
WILLIS-KNIGHTON HEALTH SYSTEM PART V, SECTION B, LINE 16A WEBSITE:WWW.WKHS.COM
WILLIS-KNIGHTON HEALTH SYSTEM PART V, SECTION B, LINE 16B WEBSITE:WWW.WKHS.COM
GROUP A-FACILITY 1 -- WILLIS-KNIGHTON MEDICAL CENTER PART V, SECTION B, LINE 5:CONDUCTED 17 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, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADER
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 17 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, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADER
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 17 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, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADER
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 17 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, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADER
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
OUTPATIENT CLINICS
VARIOUS LOCATIONSSHREVEPORTLA71130OUTPATIENT CLINICS
THE OAKS OF LOUISIANA
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115RESIDENTIAL COMMUNITY FOR ADULTS AGE 55 AND OVER
SAVANNAH AT THE OAKS
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115ASSISTED LIVING FACILITY
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 6.0 PERCENT AND 6.3 PERCENT FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2014, 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 KEEP PATIENTS/GUARANTORS INFORMED OF OUTSTANDING ACCOUNT BALANCES. STATEMENT MESSAGES ARE GENERATED FOR EACH ACCOUNT THAT LET THE PATIENT/GUARANTOR KNOW IF THE BALANCE IS PENDING PAYMENT FROM THEIR INSURANCE CARRIER OR DEEMED TO BE THE PATIENT'S RESPONSIBILITY.2. THE ACCOUNTS RECEIVABLE FILE IS REVIEWED WEEKLY 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 ONCE IT BECOMES 90 DAYS OLD, RECEIVED AT LEAST THREE STATEMENTS FROM THE HEALTH SYSTEM 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 FOR COLLECTION TO PINNACLE HEALTHCARE GROUP FOR FOLLOW UP WITH THE PATIENT/GUARANTOR. PINNACLE HEALTHCARE GROUP WILL ATTEMPT TO COLLECT THE OUTSTANDING BALANCE FOR A PERIOD OF 75 DAYS. PINNACLE HEALTHCARE GROUP COLLECTION EFFORTS WILL INCLUDE BOTH PHONE AND WRITTEN COMMUNICATIONS. PAYMENTS AND PATIENT CORRESPONDENCE WILL BE DIRECTED TO WILLIS-KNIGHTON HEALTH SYSTEM, NOT PINNACLE HEALTHCARE GROUP.4. PINNACLE HEALTHCARE GROUP WILL RETURN FILES TO WILLIS-KNIGHTON HEALTH SYSTEM AT THE END OF THE 75 DAY PERIOD WITH STATUS INFORMATION AS FOLLOWS:A. RETURNED WITH A PAYMENT ARRANGEMENT - ACCOUNTS ARE MAINTAINED IN HOUSE AND MONITORED BY THE BUSINESS OFFICE. THE BAD DEBT AGENCY IS CHANGED FROM SP-PHG TO WK-REG. STATEMENTS ARE GENERATED AND MAILED TO THE PATIENT/GUARANTOR MONTHLY. ACCOUNTS ARE MONITORED MONTHLY AND WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY IF THE PATIENT/GUARANTOR DEFAULTS ON THE PAYMENT AGREEMENT.B. RETURNED WITH NO PAYMENT ARRANGEMENT - ACCOUNTS ARE REFERRED TO THE CREDIT BUREAU FOR BAD DEBT COLLECTIONS REGARDLESS OF THE PAYER CLASS.
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 2014 ESTIMATED POPULATION OF APPROXIMATELY 484,108 PERSONS. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2014 U.S. CENSUS DATA FOR SHREVEPORT IS $41,053. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2014 U.S. CENSUS DATA FOR BOSSIER PARISH IS $53,248.
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 SHREVEPORT-BLANCHARD ROAD AT DR. MARTIN LUTHER KING DRIVE 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 2 PART-TIME FAMILY PRACTICE PHYSICIANS, A PART-TIME NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 3,869 MEDICAL PATIENT VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2015. 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 2 PART-TIME FAMILY PRACTICE PHYSICIANS, A PART-TIME PHYSICIAN ASSISTANT, AND SUPPORT STAFF. THE CLINIC HAD 3,831 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2015. 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 AND VARIOUS SUPPORT STAFF. THE CLINIC HAD 1,796 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2015. PROJECT NEIGHBORHEALTH: DURING THE YEAR ENDED SEPTEMBER 30, 2015, UNDER PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER PROVIDED OVER 3,000 HOURS TO COMMUNITY SERVICES/PROJECTS AT NO COST TO THE RECIPIENTS BY 3 FULL-TIME EMPLOYEES, 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 QUEENSBOROUGH NEIGHBORHOOD ASSOCIATION, 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 AND OTHER CHARITABLE AND GOVERNMENTAL ORGANIZATIONS. ROOMS ARE ALSO PROVIDED FOR OFF CAMPUS CLASSES TAUGHT BY BOSSIER PARISH COMMUNITY COLLEGE AT THE WK CAREER INSTITUTE.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 3,548,235 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, 2015, THE MEDICAL CENTER IMMUNIZED 1,004 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 INTERSHIPS 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ARC OF CADDO-BOSSIER
351 JORDAN STREETSHREVEPORTLA71101720482891501(C)(3)$10,000DONATION FOR OPERATIONS
ARK-LA-TEX AMBASSADORS
220 CARROLL STREET SUITE C-2SHREVEPORTLA71105726011282501(C)(3)$7,500HOLIDAY IN DIXIE PROGRAM DONATION
BLUEPRINT LOUISIANA
9331 BLUEBONNET BLVDBATON ROUGELA70810205591232501(C)(6)$7,500DONATION FOR OPERATIONS
BLUE FOREVER INC
205 PINEY DRIVEPRINCETONLA71067464022115501(C)(3)$27,000DONATION FOR OPERATIONS
BOSSIER CHAMBER OF COMMERCE
710 BENTON ROADBOSSIER CITYLA71111720382231501(C)(6)$10,000DONATION FOR OPERATIONS
CADDO BOSSIER SOCCER ASSOCIATION
1780 EAST BERT KOUNS SUITE 901SHREVEPORTLA71105581652966501(C)(3)$18,500DONATION FOR OPERATIONS
CALVARY ACADEMY
9333 LINWOOD AVENUESHREVEPORTLA71106720482882501(C)(3)$6,000DONATION FOR OPERATIONS
CHILDREN AND ARTHRITIS
2751 ALBERT BICKNELL DRIVE SUITE 2ESHREVEPORTLA71103721170530501(C)(3)$15,000DONATION FOR OPERATIONS2E
COUNCIL FOR A BETTER LOUISIANA
PO BOX 4308BATON ROUGELA70821720570930501(C)(6)$10,000DONATION FOR OPERATIONS
COUNCIL ON ALCOHOLISM & DRUG ABUSE
2000 FAIRFIELD AVENUESHREVEPORTLA71104720544581501(C)(3)$7,400DONATION FOR OPERATIONS
DESOTO HOSPITAL ASSOCIATION INC
207 JEFFERSON STREETMANSFIELDLA71052720500565501(C)(3)$161,162DONATION FOR OPERATIONS
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)$20,000BIZCAMP SPONSOR
INSTITUTE FOR GLOBAL OUTREACH
1024 PIERRE AVENUE ROOM BSHREVEPORTLA71103331180777501(C)(3)$25,000DONATION FOR OPERATIONS
LOUISIANA HERO'S PROJECT
2515 VANCE AVENUEALEXANDRIALA71301462720419501(C)(3)$18,580DONATION FOR OPERATIONS
LOUISIANA TECH UNIVERSITY FOUNDATION
PO BOX 3046RUSTONLA71272726021176501(C)(3)$41,250DONATION FOR OPERATIONS
LOUISIANA TEEN CHALLENGE
1905 FRANKLIN AVENUENEW ORLEANSLA70117721106641501(C)(3)$10,000DONATION FOR OPERATIONS
LOUISIANA TROOPER FOUNDATION
PO BOX 65076BATON ROUGELA70896742918404501(C)(3)$15,000DONATION FOR OPERATIONS
LSUHSC
PO BOX 31650SHREVEPORTLA71115721402222GOVERNMENT$227,000DONATION FOR OPERATIONS
MARCH OF DIMES FOUNDATION
1120 SOUTH POINTE PARKWAY BLDG DSHREVEPORTLA71105131846366501(C)(3)$46,250DONATION FOR OPERATIONS
MARTIN LUTHER KING HEALTH CENTER
PO BOX 393SHREVEPORTLA71162721079721501(C)(3)$63,500DONATION FOR OPERATIONS
NAACP
4805 MOUNT HOPE DRIVEBALTIMOREMD21215131084135501(C)(3)$5,102DONATION FOR OPERATIONS
NORTH LOUISIANA ECONOMIC PARTNERSHIP INC
415 TEXAS STREETSHREVEPORTLA71101720936419501(C)(3)$40,000DONATION FOR OPERATIONS
NORTHWEST LOUISIANA FOOD BANK
2307 TEXAS AVENUESHREVEPORTLA71103721328890501(C)(3)$50,000DONATION FOR OPERATIONS
LOUISIANA CHAPTER AMERICAN ACADEMY OF PEDIATRICS
PO BOX 64629BATON ROUGELA70896721002968501(C)(6)$5,710DONATION FOR OPERATIONSDONATION FOR OPERATIONS
NORTHWESTERN FOUNDATION
UNIVERSITY PARKWAYNATCHITOCHESLA71497726021495501(C)(3)$16,670DONATION FOR OPERATIONS
OAK PARK ELEMENTARY
4331 HENRY STREETSHREVEPORTLA71109726000224GOVERNMENT$6,014DONATION FOR SIGN
RED RIVER RADIO
PO BOX 5250SHREVEPORTLA71135720702001501(C)(3)$7,000DONATION FOR OPERATIONS
SHREVEPORT-BOSSIER RESCUE MISSION
2033 TEXAS AVENUESHREVEPORTLA71103237050551501(C)(3)$136,960HEALTH INSURANCE FOR RESCUE MISSION EMPLOYEES AND DONATION FOR OPERATIONS
SHREVEPORT CHAMBER OF COMMERCE
400 EDWARDS STREETSHREVEPORTLA71101720315700501(C)(6)$25,000DONATION FOR OPERATIONS
SHREVEPORT OPERA
212 TEXAS STREET NO 1SHREVEPORTLA71101726021455501(C)(3)$20,000DONATION FOR OPERATIONS
SHREVEPORT SYMPHONY
619 LOUISIANA AVENUESHREVEPORTLA71101726001334501(C)(3)$80,000DONATION FOR OPERATIONS
SOUTHERN UNIVERSITY
610 TEXAS STREEETSHREVEPORTLA71101721454141501(C)(3)$15,000DONATION FOR OPERATIONS
ST JUDE'S CHILDREN'S RESEARCH HOSPITAL
PO BOX 810MEMPHISTN38101620646012501(C)(3)$25,000DREAM HOME DONATION
ST LUKE'S EPISCOPAL MOBILE MINISTRY INC
PO BOX 53074SHREVEPORTLA71135453786377501(C)(3)$10,000DONATION FOR OPERATIONS
ULM FOUNDATION
3601 DESIARD STREETMONROELA71209726028527501(C)(3)$60,000DONATION FOR PHARMACY PROFESSORSHIP
VOLUNTEERS OF AMERICA
360 JORDAN STREETSHREVEPORTLA71101720506820501(C)(3)$10,000DONATION FOR OPERATIONS
YMCA
400 MCNEILSHREVEPORTLA71101720408997501(C)(3)$50,800DONATION FOR OPERATIONS
FOUNDATION FOR EXCELLENCE IN LOUISIANA PUBLIC BROADCASTING
7733 PERKINS ROADBATON ROUGELA70810721233347501(C)(3)$18,750DONATION FOR OPERATIONS
FRIENDS OF LOUISIANA STATE EXHIBIT MUSEUM INC
PO BOX 38356SHREVEPORTLA71133720960820501(C)(3)$35,000DONATION FOR OPERATIONS
GINGERBREAD HOUSE
1700 BUCKNER SQUARE NO 101SHREVEPORTLA71101721390471501(C)(3)$6,500DONATION FOR OPERATIONS
STATE FAIR OF LOUISIANA
3701 HUDSON STREETSHREVEPORTLA71109726000719501(C)(5)$192,949DONATION FOR BUILDING EXPENSES
LSU-SHREVEPORT FOUNDATION
ONE UNIVERSITY PLACESHREVEPORTLA71105721031108501(C)(3)$18,500DONATION FOR ADVISORY BOARD
FieldValueIRS element (for citing)
Total501c3 Org38Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

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 (21 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$1,147,339$6,000$0$0$220,713$0$0$0$14,940$0$1,382,992$6,000$0$0
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN$200,000$0$7,350$0$4,874$0$1,953$0$5,365$0$219,542$0$0$0
MARY JANE WARD
VICE PRESIDENT OF FINANCE$160,925$0$0$0$75$0$3,685$0$16,872$0$181,557$0$0$0
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO$492,277$0$0$0$23,021$0$1,576$0$21,484$0$538,358$0$0$0
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS$302,490$0$0$0$21,643$0$1,516$0$19,984$0$345,633$0$0$0
MARGARET G ELROD
SR VP/IND WELLNESS/COMMUNITY$158,666$0$0$0$24,281$0$1,831$0$7,979$0$192,757$0$0$0
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC$170,850$0$0$0$779$0$3,364$0$21,476$0$196,469$0$0$0
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER/QUALITY CONTROL$179,079$0$0$0$4,908$0$1,788$0$14,741$0$200,516$0$0$0
JANET K ELROD
VP/ADMIN WK SOUTH$159,199$0$0$0$22,876$0$2,051$0$5,482$0$189,608$0$0$0
IRA L MOSS
VP/ADMIN WK PIERREMONT$188,259$0$0$0$25,738$0$2,439$0$16,306$0$232,742$0$0$0
JILL K ELROD
VP OF LEGAL AFFAIRS$211,487$0$0$0$27,966$0$2,078$0$8,128$0$249,659$0$0$0
PEGGY J GAVIN
SR VP OF PHYSICIAN SERVICES$157,976$0$0$0$25,859$0$2,383$0$6,978$0$193,196$0$0$0
DEBORAH D OLDS
CHIEF NURSING OFFICER$138,705$0$0$0$5,639$0$3,447$0$13,632$0$161,423$0$0$0
RAMONA D FRYER
VP OF REV/QUALITY/COMPLIAN$253,209$0$0$0$62,913$0$1,643$0$17,320$0$335,085$0$0$0
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC$407,500$0$0$0$24,665$0$1,873$0$14,130$0$448,168$0$0$0
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB$315,000$0$0$0$24,069$0$1,873$0$14,889$0$355,831$0$0$0
RANDALL P BREWER MD
PHYSICIAN$975,000$0$1,012,072$0-$5,284$0$1,568$0$16,680$0$2,000,036$0$0$0
MILAN G MODY MD
PHYSICIAN$675,000$0$859,751$0-$3,832$0$1,557$0$19,084$0$1,551,560$0$0$0
CHRISTIAN M BRIERY MD
PHYSICIAN$700,000$0$557,567$0-$4,117$0$1,588$0$18,776$0$1,273,814$0$0$0
CLINT M CORMIER MD
PHYSICIAN$700,000$0$524,283$0-$3,462$0$1,596$0$18,118$0$1,240,535$0$0$0
HALIM SALIM ABOU FAYCAL MD
PHYSICIAN$225,000$0$1,009,713$0-$7,648$0$3,278$0$21,584$0$1,251,927$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. OFFICERS AND OTHER KEY EMPLOYEES ARE PROVIDED WITH A WRITTEN EMPLOYMENT CONTRACT BEFORE EMPLOYMENT COMMENCES.
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.
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-$158,864 UNUSED SICK PAY-$27,458 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$698 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$16,129 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,455) CABLE/INTERNET-$1,319 TOTAL--$220,713 MARY JANE WARD UNUSED SICK PAY-$3,985 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,796 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,706) TOTAL--$75 CHARLES D. DAIGLE UNUSED SICK PAY-$11,781 VALUE ADDED FOR CELL PHONE USAGE-$1,288 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$558 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,106) TOTAL--$23,021 STEPHEN R. RANDALL UNUSED SICK PAY-$7,239 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,628 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$562 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,606) TOTAL--$21,643 MARGARET G. ELROD UNUSED SICK PAY-$3,797 VALUE ADDED FOR CELL PHONE USAGE-$1,727 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,212 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,955) TOTAL--$24,281 JERRY A. FIELDER,II UNUSED SICK PAY-$4,089 VALUE ADDED FOR CELL PHONE USAGE-$1,560 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$697 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,206) VALUE ADDED FOR CABLE/INTERNET- $1,319 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 TOTAL--$779 CLIFFORD M. BROUSSARD UNUSED SICK PAY-$4,286 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$644 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,164 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,506) TOTAL--$4,908 JANET K. ELROD UNUSED SICK PAY-$3,810 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$1,682 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$619 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,455) TOTAL--$22,876 IRA L. MOSS UNUSED SICK PAY-$4,505 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,330 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,478 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,040) PERSONAL USE OF EMPLOYER VEHICLES-$645 TOTAL--$25,738 JILL K. ELROD UNUSED SICK PAY-$5,061 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$3,935 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,242 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,955) VALUE ADDED FOR CABLE/INTERNET- $1,319 PERSONAL USE OF EMPLOYER VEHICLES-$2,144 TOTAL--$27,966 PEGGY J. GAVIN UNUSED SICK PAY-$3,781 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,919 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,701 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,955) PERSONAL USE OF EMPLOYER VEHICLES-$1,593 TOTAL--$25,859 RAMONA D. FRYER SEVERANCE PAY-$49,114 VALUE ADDED FOR CELL PHONE USAGE-$1,315 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,270 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(7,006) TOTAL--$62,913 DEBORAH D. OLDS UNUSED SICK PAY-$3,435 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 VALUE ADDED FOR CELL PHONE USAGE-$2,577 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,447 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,540) TOTAL--$5,639 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-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,540) TOTAL--$24,665 CHARLES A. POWERS, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 VALUE ADDED FOR CELL PHONE USAGE-$1,983 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$7,772 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,506) TOTAL--$24,069 PIERRE V. BLANCHARD,IV, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,329 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,455) TOTAL--$4,874 RANDALL P. BREWER, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$822 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,826) TOTAL--($5,284) MILAN G. MODY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,320 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$554 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,706) TOTAL--($3,832) CHRISTIAN M. BRIERY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$561 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,398) TOTAL--($4,117) CLINT M. CORMIER, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$558 VALUE ADDED FOR HEALTH & FITNESS USAGE-$720 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,740) TOTAL--($3,462) SALIM ABOU FAYCAL, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$558 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,206) TOTAL--($7,648) 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, 2015 (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 (12 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$207,258EMPLOYMENT0
KIMBERLY M VANDERMARK
FAMILY MEMBER OF PEGGY GAVIN, OFFICER$60,996EMPLOYMENT0
CHARLES E MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER$91,875EMPLOYMENT0
SHARLENE A BROUSSARD
FAMILY MEMBER OF CLIFFORD BROUSSARD, OFFICER$51,290EMPLOYMENT0
TODD J BLANCHARD
FAMILY MEMBER OF PIERRE BLANCHARD, M.D., TRUSTEE$136,437EMPLOYMENT0
PIERRE V BLANCHARD MD
TRUSTEE$5,224,922THE 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
SARAH GLORIOSO MD
FAMILY MEMBER OF TWAIN K. GIDDENS, JR., TRUSTEE$1,294,371EMPLOYMENT0
WILLIAM J COLE CPA
TRUSTEE$2,174,743ACCOUNTING, 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$101,3470
WINSTON MOORE III
FAMILY MEMBER OF MARGARET ELROD, OFFICER$17,6440

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 -54,170,929.
FORM 990, PART XII, LINE 2CWILLIS-KNIGHTON MEDICAL CENTER DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DUING THE YEAR ENDED 9/30/15.

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$1,526,904TotalIncomeAmt
End Of Year Assets$11,053,572EndOfYearAssetsAmt

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
2219 LINE AVENUESHREVEPORTLA711042128721264135THIRD-PARTY ADMINISTRATORLAWILLIS-KNIGHTON MEDICAL CENTERC1.000000$44$110,044
HPL INSURANCE AGENCY INC
PO BOX 32625SHREVEPORTLA711302625202199735HEALTH INSURANCE AGENTLAHEALTH PLUS OF LOUISIANA INCC1.000000$129$40,115
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 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 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 (8 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$520,875FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
O$1,437,654FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
L$1,434,398FAIR 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$360,800FAIR MARKET VALUE
WK ARBORS LLC
A$25,200FAIR MARKET VALUE
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMMUNITY
C$2,500,000FAIR MARKET VALUE

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