2015-07-31T08:16:47-05:00 2014-09-30 201941244 HORNE LLP 1020 HIGHLAND COLONY PKWY STE 400 RIDGELAND MS 39157 990 2013-10-01 720535375 LAFAYETTE GENERAL MEDICAL CENTER INC LAFA 3372898125 1214 COOLIDGE BOULEVARD LAFAYETTE LA 705032621 ROGER MATTKE CFO 3372898125 2015-07-27 1 MARSHA H DIECKMAN CPA P00246741 6013261000 2015-07-21 2013 2016-02-25 16:41:14Z DAVID CALLECOD 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 379728040 0 X WWW.LAFAYETTEGENERAL.COM X 1911 LA THE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 21 15 2211 122 3513378 -942017 596224 211434 342198784 357497935 8255877 3556783 12660179 16349373 363711064 377615525 39953882 42435 0 0 100019469 100374500 0 0 214285 218930530 219583764 358903881 320000699 4807183 57614826 425656546 315475291 229673800 60503351 195982746 254971940 X LAFAYETTE GENERAL MEDICAL CENTER'S MISSION IS TO IMPROVE, MAINTAIN AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 297068790 42435 370368387 PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL: TOTAL ACUTE PATIENT DAYS WERE 78,942, TOTAL NURSERY DAYS WERE 5,078, TOTAL REHAB DAYS WERE 3,062 AND TOTAL MENTAL HEALTH DAYS WERE 8,098. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 62,399 EMERGENCY ROOM VISITS, 12,608 SURGERIES (INPATIENT AND OUTPATIENT), AND 2,536 DELIVERIES.THE ORGANIZATION PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY. SERVICES INCLUDED INPATIENT AND OUTPATIENT CARE IN FURTHERANCE OF THE ORGANIZATION'S HEALTHCARE MISSION. THE REVENUES FORM THESE SERVICES ARE $686,534,280 AND $433,810,620, RESPECTIVELY. THERE WERE ACUTE AND SKILLED CARE SERVICES NOT FULLY COMPENSATED. THESE INCLUDED MEDICARE / MEDICAID CONTRACTUALS WITH $506,620,337 OF UNCOMPENSATED SERVICES, OTHER CONTRACTUALS WITH $255,917,350 OF UNCOMPENSATED SERVICES, AND BAD DEBTS OF $44,100,015. THE NET REVENUES OF THE SERVICES PROVIDED WERE $313,707,198.LAFAYETTE GENERAL MEDICAL CENTER (LGMC) SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED ACADIANA WITH 365 STAFFED BEDS (INCLUDING 26 NURSERY BEDS) AND 2,211 EMPLOYEES. LGMC REMAINS THE AREA'S LARGEST, FULL SERVICE, ACUTE-CARE MEDICAL CENTER.OUR HOSPITAL MISSION IS TO RESTORE, MAINTAIN, AND IMPROVE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. WE ARE A COMMUNITY-OWNED AND LOCALLY MANAGED HOSPITAL THAT STAYS TRUE TO OUR MISSION BY DEDICATING SIGNIFICANT RESOURCES TO COMPENSATE A COMPASSIONATE, HIGHLY SKILLED STAFF; ACQUIRE ADVANCED TECHNOLOGY; AND DEVELOP SERVICE IMPROVEMENTS EACH YEAR.IN LINE WITH OUR GOAL OF BUILDING A REGIONAL HEALTH CARE SYSTEM, LAFAYETTE GENERAL HAS ESTABLISHED CLINICAL AFFILIATIONS WITH OUTLYING HOSPITALS, EXTENDING OUR BEST PRACTICES IN CANCER TREATMENTS, CARDIOLOGY, AND NEUROSCIENCE SUPPORT TO OUTLYING PARISHES. WE ALSO ENABLED PATIENTS TO PARTICIPATE MORE IN THEIR HEALTH CARE BY OFFERING AN ONLINE PATIENT PORTAL.ON JULY 1, 2013, AFTER LAFAYETTE GENERAL HEALTH TOOK OVER MANAGEMENT OF UNIVERSITY HOSPITAL & CLINICS (FORMERLY UNIVERSITY MEDICAL CENTER) WHEN IT WAS RUN BY THE STATE OF LOUISIANA, THE RESIDENCY PROGRAM WAS EXPANDED TO LAFAYETTE GENERAL MEDICAL CENTER. THESE TWO HOSPITALS SHARE IN A SYNERGISTIC RELATION, WHERE RESIDENTS BASED OUT OF LSU'S NEW ORLEANS AND BATON ROUGE CAMPUSES ROTATE THROUGHOUT EACH OF THESE HOSPITALS. THESE RESIDENTS SPAN A WIDE RANGE OF SERVICE LINES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, OTOLARYNGOLOGY (EAR, NOSE AND THROAT), GENERAL SURGERY, OBSTETRICS, ANESTHESIOLOGY AND ORTHOPEDICS.LAFAYETTE GENERAL CONTINUES TO EXPAND ITS SERVICES AND FACILITIES IN ORDER TO MEET THE GROWING NEEDS OF OUR COMMUNITY. ORIGINALLY BUILT IN 1963, THE 10-STORY LAFAYETTE GENERAL MEDICAL CENTER MAIN BUILDING COMPLETED AN EXTERIOR AND INTERIOR DESIGN RENOVATION TO FOCUS ON PATIENT HEALTH CARE BY CREATING A HEALING-FOCUSED AND COMFORTABLE ENVIRONMENT. THE $70 MILLION RENOVATION PROJECT ADDED MORE THAN 65 SQUARE FEET OF SPACE TO PATIENT ROOMS AND MORE THAN 12,500 SQUARE FEET OF OVERALL SPACE WITH LARGER PATIENT BATHROOMS, SHOWERS AND A MODERNIZED PATIENT CARE INFRASTRUCTURE.LAFAYETTE GENERAL MEDICAL CENTER COMPLETED A $52.5 MILLION EMERGENCY DEPARTMENT AND OPERATING ROOM EXPANSION AND RENOVATION PROJECT THIS YEAR. THE EXPANSION INCREASED THE EMERGENCY DEPARTMENT BED CAPACITY FROM 31 BEDS TO 45 AND ADDED TWO NEW TRAUMA ROOMS. A NEW TRAUMA ELEVATOR ADDED DIRECT ACCESS FROM THE EMERGENCY HELIPAD LANDING AREA TO THE ER, ICU, AND SURGERY AREAS BELOW. THIS EXPANSION ALSO INCLUDED A 343 SPACE PARKING GARAGE. THE HOSPITAL CAFETERIA BEGAN RENOVATIONS AT THE END OF MAY AND REOPENED IN OCTOBER 2014.OTHER MILESTONES INCLUDED THE OPENING OF THE FIRST LUNG MASS CLINIC IN ACADIANA, AND THE FIRST TO OFFER A NEW ROBOT-ASSISTED KNEE/HIP REPLACEMENT PROCEDURE KNOWN AS MAKOPLASTY IN ACADIANA. IN AN EFFORT TO MEET THE NEEDS OF THE COMMUNITY, LGMC BOASTS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY, A CENTER OF EXCELLENCE IN NEUROSCIENCE, AND ACCREDITED CANCER CENTER, AN ACCREDITED METABOLIC AND BARIATRIC SURGERY PROGRAM, DISEASE-SPECIFIC CARE CERTIFICATION IN JOINT REPLACEMENT FOR HIP AND KNEE AND AN ADVANCED CERTIFIED PRIMARY STROKE CENTER.OUR ACCOLADES AND ACCREDITATIONS GROW EACH YEAR. IN OUR FISCAL YEAR 2014 WE RECEIVED THE FOLLOWING: THE HOSPITAL WAS RECOGNIZED BY CARECHEX AS BEING RANKED IN THE TOP 10% IN THE NATION FOR MEDICAL EXCELLENCE AWARDS FOR MAJOR BOWEL PROCEDURES, JOINT REPLACEMENT, GENERAL SURGERY, NEUROLOGICAL CARE, VASCULAR SURGERY, AND WOMEN'S HEALTH, AND IN THE TOP 10% IN THE NATION FOR PATIENT SAFETY AWARDS FOR NEUROLOGICAL CARE, MAJOR NEURO-SURGERY, STROKE CARE, AND VASCULAR SURGERY. WE WERE ALSO NAMED AS AMONG AMERICA'S BEST HOSPITALS FOR OBSTETRICS, AMERICA BEST HOSPITALS FOR PATIENT EXPERIENCE, AND AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS FOR 2014 BY WOMENCERTIFIED. THE HOSPITAL WAS ALSO RECOGNIZED AMONG THE NATIONS "MOST WIRED" BY HOSPITALS & HEALTH NETWORKS MAGAZINE. THE HOSPITAL WAS AS RECOGNIZED AS A 2013/2014 CONSUMER CHOICE AWARD WINNER FOR THE NINTH-CONSECUTIVE TIME BY NATIONAL RESEARCH CORPORATION, AND THE HOSPITAL RECEIVED THE 2013 PRESS GANEY GUARDIAN OF EXCELLENCE AWARD FOR PATIENT SATISFACTION. ALSO, THE HOSPITAL WAS RECOGNIZED FOR BEING AMONG THE FIRST 50 HOSPITALS IN THE COUNTRY OFFERING A NEW SURGICAL APPROACH TO REACH DEEP BRAIN ABNORMALITIES. LAFAYETTE GENERAL WAS NAMED A 2013 RECIPIENT OF THE TOP PERFORMER ON KEY QUALITY MEASURES FOR 2012 BY THE JOINT COMMISSION FOR EXCELLENT PERFORMANCE IN USING EVIDENCE-BASED CLINICAL PROCESSES IN IMPROVING CARE, SPECIFICALLY FOR CASES OF HEART ATTACK, HEART FAILURE AND PNEUMONIA, AND ALSO FROM THE JOINT COMMISSION THEIR GOLD SEAL OF APPROVAL RECEIVED FOR DISEASE-SPECIFIC CARE CERTIFICATION IN JOINT REPLACEMENT FOR HIP AND KNEE. LAFAYETTE GENERAL MEDICAL CENTER ASSUMES THE ROLE OF A COMMUNITY PARTNER IN A VARIETY OF WAYS. THROUGH FINANCIAL CONTRIBUTIONS WE WORK TO PRESERVE THE PROSPERITY OF OUR COMMUNITY, FURTHER MEDICAL EDUCATION AND RESEARCH AND HELP OUR CONSTITUENTS ACCESS THE MEDICAL CARE THEY NEED. WE COORDINATE EVENTS AND SCREENINGS FREE OF CHARGE TO MAINTAIN THE HEALTH OF THE LOCAL PUBLIC, INCLUDING FREE EKG SCREENINGS AT MONTHLY HEART FAIRS AND FREE COLORECTAL SCREENING KITS. WE ALSO EXTEND OUR WORKFORCE BEYOND THEIR DAILY RESPONSIBILITIES TO PARTICIPATE IN ACTIVITIES THAT PROVIDE FOR THE SAFETY AND BETTERMENT OF OUR COMMUNITY. FINANCIAL CONTRIBUTIONS:IN 2014 WE DONATED OVER $42,000 SUPPORTING ORGANIZATIONS THAT PARALLEL OUR MISSION IN THE COMMUNITY, EMPLOYEES THROUGH CONTINUING EDUCATION AND HELPING TO IMPROVE THE HEALTH OF THOSE WE SERVE. FROM OFFERING CLINICAL SUPPORT TO CAMP BON CEUR ATTENDEES TO SPONSORING EVENTS THAT RAISE RESEARCH MONEY AND AWARENESS FOR ILLNESSES LIKE BREAST CANCER, DIABETES AND HEART DISEASE. IN 2014 THESE MONIES WERE DONATED TO 8 DIFFERENT ORGANIZATIONS IN OUR COMMUNITY.COMMUNITY OUTREACH & HEALTH CARE ACCESS CONTRIBUTIONS:LAFAYETTE GENERAL MEDIAL CENTER MAINTAINS A PROACTIVE APPROACH TO EDUCATION AND WELLNESS IN OUR COMMUNITY. ANNUALLY LGMC PROVIDES A MULTITUDE OF EDUCATIONAL SEMINARS AIMED AT EDUCATING THE PUBLIC ON PREVENTATIVE CARE AND MAINTAINING A HEALTHY LIFESTYLE. SOME OF THESE ACTIVITIES AND PROGRAMS INCLUDE:DONATED $12,132 IN DIAGNOSTIC SERVICES AS PART OF A PARTNERSHIP WITH THE LAFAYETTE COMMUNITY HEALTH CARE CLINIC.WOMEN'S AND CHILDREN'S SERVICES CURRENTLY OFFERS CLASSES WHICH INCLUDE NEWBORN CARE, LABOR AND DELIVERY PROCESS, SIBLING RELATIONSHIPS, BREASTFEEDING YOUR INFANT AND INFANT CPR. FREE SUPPORT GROUPS ARE OPEN TO RESIDENTS DEALING WITH STROKE SURVIVAL, WEIGHT LOSS SURGERY, INFANT BEREAVEMENT, AND MULTIPLE BIRTHS. LGMC ALSO PROVIDES FREE TRANSPORTATION FOR PATIENTS WITH SPECIAL NEEDS, IN ORDER TO ALLOW THEM ACCESS TO MEDICAL CARE AT THE HOSPITAL.TO IMPROVE HEALTH CARE ACCESS FOR THOSE UNINSURED WORKERS LIVING AT OR BELOW POVERTY LEVEL, LGMC MAINTAINS A REFERRAL AGREEMENT WITH THE LOCAL "LAFAYETTE COMMUNITY HEALTHCARE CLINIC" TO PROVIDE DIAGNOSTIC TESTING TO THEIR PATIENT POPULATION. LAFAYETTE GENERAL MEDICAL CENTER IS TRULY A COMMUNITY OWNED HOSPITAL CARING FOR THE NEEDS OF THE COMMUNITY AND INVESTING IN THE FUTURE WELLNESS OF OUR NEIGHBORS. 297068790 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 431 0 1 2211 1 1 1 0 0 0 0 0 0 0 X 21 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 3372898125 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 X CLAY ALLEN CHAIRMAN 3.00 2.00 X 0 0 0 MARTIN BECH TRUSTEE 1.00 1.00 X 0 0 0 BRADLEY J CHASTANT MD TRUSTEE 1.00 1.00 X 11000 0 0 BRADEN DESPOT SECRETARY 1.00 2.00 X 0 0 0 BENJAMIN DOGA MD TRUSTEE 1.00 1.00 X 69960 0 0 JULIE FALGOUT TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM H FENSTERMAKER PAST CHAIRMAN 1.00 1.00 X 0 0 0 PHILIP GACHASSIN MD TRUSTEE 1.00 1.00 X 96473 0 0 ROBERT GILES TRUSTEE 1.00 1.00 X 0 0 0 JOBY JOHN PHD TRUSTEE 1.00 3.00 X 0 0 0 EDWARD KRAMPE VICE CHAIRMAN 1.00 2.00 X 0 0 0 FLO MEADOWS TREASURER 1.00 1.00 X 0 0 0 DAVID CALHOUN TRUSTEE 1.00 1.00 X 0 0 0 MANDI MITCHELL TRUSTEE 1.00 1.00 X 0 0 0 GARY SALMON TRUSTEE 1.00 1.00 X 0 0 0 SAMUEL SHUFFLER MD TRUSTEE 1.00 1.00 X 0 0 0 DAVID WILSON TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH ZANCO TRUSTEE 1.00 1.00 X 0 0 0 JUAN J PEREZ-RUIZ MD CHIEF OF STAFF 1.00 41.00 X 0 262729 10458 G GARY GUIDRY MD TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 ROSE KENNEDY MD TRUSTEE - PART YEAR 1.00 0.00 X 28300 0 0 BRAD BROUSSARD MD TRUSTEE 1.00 0.00 X 24053 0 0 JOHN SCHUTTE MD TRUSTEE 1.00 41.00 X 43200 1394576 11976 DAVID CALLECOD PRESIDENT/CEO - LGHS 40.00 5.00 X 1232869 0 142939 PATRICK W GANDY JR EVP/CEO - LGMC 40.00 1.00 X 599205 0 46359 ROGER MATTKE SVP/CFO 40.00 2.00 X 559179 0 53090 REBECCA F BENOIT VP/CNO 40.00 0.00 X 307201 0 36531 GORDON E ROUNTREE JR SVP/GENERAL COUNSEL 40.00 1.00 X 491812 0 50760 ZIAD M ASHKAR MD CMO 40.00 0.00 X 404423 0 92400 KATHERINE HEBERT ADMINISTRATOR 1.00 40.00 X 283489 0 10427 ANGELA MAYEUX-HEBERT MD DIRECTOR/PERIOP SERVICES 15.00 0.00 X 286915 0 0 EDWINA S MALLERY AVP - IS 40.00 0.00 X 230662 0 6159 DEAN B DUCOTE VP - OPERATIONS 40.00 0.00 X 226439 0 1833 4895180 1657305 462932 82 0 1 0 ARAMARK CORPORATION 25271 NETWORK PLACE CHICAGO IL 60673 HOUSEKEEPING AND DIETARY 7609335 CARDIOVASCULAR INSTITUTE OF THE SOUTH AP 225 DUNN STREET HOUMA LA 703604413 CARDIOLOGY SERVICES 3525436 LSU HEALTH CARE SERVICES 433 BOLIVAR STREET NEW ORLEANS LA 70112 MEDICAL SCHOOL RESIDENTS 2781042 PARISH ANESTHESIA OF LAFAYETTE 3510 N CAUSEWAY BOULEVARD METAIRIE LA 700023531 ANESTHESIA SERVICES 1696359 PARAGON CONTRACTING SERVICES INC PO BOX 634850 CINCINNATI OH 452634850 EMERGENCY SERVICES 1581926 56 61342 150092 211434 PATIENT REVENUE 621990 357497935 357497935 357497935 2697496 2697496 101 101 51796 0 51796 51796 51796 2761825 0 1902538 2761825 -1902538 859287 859287 121753 61342 209977 -88224 -88224 1870 0 1870 1870 OTHER REVENUE 900099 16383830 12870452 3513378 16383830 377615525 370368387 3513378 3522326 X 42435 42435 3420052 229786 3190266 82754005 77307867 5446138 953300 882448 70852 7338020 6448073 889947 5909123 5422464 486659 2044495 2021520 22975 331455 331455 36595 30941 5654 4631421 4038685 592736 77152 55121 22031 3696149 1063391 2632758 219479 183041 36438 27753 27753 5089240 4844367 244873 4000134 68931 3931203 MEDICAL SUPPLIES 65576973 65576760 213 BAD DEBT 44100015 44100015 OVERHEAD EXPENSES 37310848 36305608 1005240 NONCLINICAL CONTRACT LA 15366019 14182818 1183201 37076036 33905311 2956440 214285 320000699 297068790 22717624 214285 6376 5073 57816088 46943521 38841856 33668553 17163979 14665155 8531213 9478061 4578244 1030465 100210503 65582140 198297340 34628363 78924983 83906002 9778 9778 7184724 8582421 1333333 1333333 12968632 81224566 425656546 315475291 44071265 37566383 34571686 9973361 102100501 0 46130612 3957634 2799736 9005973 229673800 60503351 X 195982746 254971940 195982746 254971940 425656546 315475291 57614826 1374368 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 189962 0 189962 297068790 550741154 297068790 550931116 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 23572 23762 24586 189962 261882 250000 250000 250000 250000 1000000 1500000 23572 23762 24586 189962 261882 SCHEDULE C PART II-A, LINE 1A ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED. 5781334 1598399 4182935 1728101 1087463 640638 80847503 62834216 18013287 11853565 62062 11791503 34628363 BOND FUNDS 11529282 DEPOSITS 7453 CSV OF EXEC/KEY LIFE INSURANCE 352114 UNINVESTED VALUE OF SERP 2016796 DUE FROM RELATED PARTY 67318921 81224566 SELF INSURANCE RESERVES 1181315 DUE TO RELATED PARTY 7824658 9005973 X PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACS 740. FASB ACS 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION ALSO PROVIDES GUIDANCE ON RECOGNITION, DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE ORGANIZATION'S VARIOUS FEDERAL INCOME TAX AND EXEMPT ORGANIZATION INCOME TAX RETURNS (IRS FORMS 1065, 1120, AND 990), WHETHER FILED ON A CALENDAR OR FISCAL YEAR BASIS, ARE SUBJECT TO EXAMINATION BY THE IRS. THE INCOME TAX RETURNS FOR YEARS 2010 THROUGH 2012 ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. 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PART V, SECTION B, LINE 3: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY GATHERING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, AS WELL AS INDIVIDUALS PROVIDING INPUT WHO HAVE SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. IT IS MEANT TO PROVIDE DEPTH AND RICHNESS TO THE QUANTITATIVE DATA COLLECTED. ADDITIONALLY, FOCUS GROUPS WERE CONDUCTED TO ALLOW PARTICIPANTS TO PROVIDE INFORMATION ABOUT THEIR EXPERIENCES IN THE COMMUNITY AND WAYS IN WHICH THEY THINK THE SERVICES AND RESOURCES PROVIDED TO THE COMMUNITY CAN BE IMPROVED.INDIVIDUALS PROVIDING INPUT:MANDI MITCHELL, DIRECTOR OF GOVERNMENTAL AFFAIRS -LOUISIANA DEPARTMENT OF ECONOMIC DEVELOPMENT; AREA REPRESENTED: GOVERNMENT OFFICIALREBECCA BENOIT, CHIEF NURSING OFFICER - LGMC; AREA REPRESENTED:HOSPITAL STAFFBOOTSIE DURAND, CHIEF EXECUTIVE OFFICER - SOUTHWEST LOUISIANA AREA HEALTH EDUCATION CENTER; AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVEDR. BRYAN SIBLEY, PEDIATRICIAN; AREA REPRESENTED: COMMUNITY PHYSICIANCLAY ALLEN, CHAIRMAN OF THE BOARD OF TRUSTEES - LGMC; AREA REPRESENTED: HOSPITAL ADMINISTRATIONDAVID CALLECOD, PRESIDENT AND CEO - LGMC; AREA REPRESENTED: HOSPITAL ADMINISTRATIONFLO MEADOWS, BOARD OF TRUSTEES MEMBER - LGMC AND REALTOR - COLDWELL BANKER PELICAN REAL ESTATE; AREA REPRESENTED: HOSPITAL ADMINISTRATIONDR. GARY GUIDRY, PULMONOLOGIST AND BOARD OF TRUSTEES MEMBER - LGMC; AREA REPRESENTED: HOSPITAL STAFFJEANETTE ALCON, EXECUTIVE DIRECTOR - LAFAYETTE COMMUNITY HEALTHCARE CLINIC; AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVEJOEY DUREL, PRESIDENT - LAFAYETTE CITY-PARISH; AREA REPRESENTED: GOVERNMENT OFFICIALMARIA PLACER, EXECUTIVE DIRECTOR - 232-HELP; AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVEPATRICK GANDY, CHIEF OPERATING OFFICER- LGMC; AREA REPRESENTED: HOSPITAL ADMINISTRATIONPAULA WALTERS, EXECUTIVE DIRECTOR - LAFAYETTE COUNCIL ON AGING; AREA REPRESENTED: MEDICALLY UNDERSERVED COMMUNITY ORGANIZATION REPRESENTATIVEPHILIP GACHASSIN, BARIATRIC SURGEON - ACADIANA WEIGHT LOSS SURGERY; AREA REPRESENTED: COMMUNITY PHYSICIANRAYMOND HEBERT, EXECUTIVE DIRECTOR - COMMUNITY FOUNDATION OF ACADIANA; AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVEZIAD ASHKAR, CHIEF MEDICAL OFFICER - LGMC; AREA REPRESENTED: HOSPITAL ADMINISTRATIONMARGARET TRAHAN, UNITED WAY OF ACADIANA, AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVELOUIS HEBERT, HOSPICE FOUNDATION OF ACADIANA, INC.; AREA REPRESENTED: COMMUNITY HEALTH ORGANIZATION REPRESENTATIVEDR. PHILLIP CAILLOUET, UNIVERSITY OF LOUISIANA AT LAFAYETTE, AREA REPRESENTED: HOSPITAL REPRESENTATIVE LAFAYETTE GENERAL MEDICAL CENTER INC. PART V, SECTION B, LINE 14G: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS. PART I, LINE 7: THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 44,100,015. PART III, LINE 4: THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS READS: THE ORGANIZATION REPORTS ACCOUNTS RECEIVABLE NET OF ESTIMATED ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND ADJUSTMENTS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE ORGANIZATION ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING AMOUNT OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE AMOUNT CHARGED TO THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON THE ORGANIZATION'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, AND TRENDS IN GOVERNMENT REIMBURSEMENT. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN OFF WHEN THE ORGANIZATION HAS DETERMINED THE ACCOUNT WILL NOT BE COLLECTED.BAD DEBT EXPENSE EQUALS THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BOTH CHARITY AND BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT 44% OF THE UNINSURED OUTPATIENT EMERGENCY ROOM VISITS THAT WERE ADJUSTED TO BAD DEBT MAY HAVE BEEN PATIENTS THAT COULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY BUT DID NOT INITIATE OR COMPLETE THE NECESSARY DOCUMENTATION.THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS. PART III, LINE 8: THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED 2014 COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7. PART III, LINE 9B: WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE ,WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY. PART VI, LINE 2: A FORMAL NEEDS ASSESSMENT WAS UNDERTAKEN FOR THE YEAR ENDING 09/30/13. WE ENGAGED THE CARNAHAN GROUP TO COMPLETE OUR COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2013. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS. IN ADDITION, THE HOSPITAL DOES HAVE A BOARD OF TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY. SURPLUS RECEIPTS OVER DISBURSEMENTS ARE INVESTED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES AND EQUIPMENT, ADVANCE MEDICAL TRAINING AND EDUCATION. THE HOSPITAL ALSO MAINTAINS AN OPEN MEDICAL STAFF.THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/COMMUNITY%20REPORTS/LGMC-COMMUNITY-NEEDS-ASSESSMENT-FY2013.PDF PART VI, LINE 3: THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE. HOSPITAL PERSONNEL ALSO SCREEN LARGER ACCOUNTS AFTER THE ORIGINAL BILL IS ISSUED, AND CONTACT THE PATIENT TO DETERMINE QUALIFICATIONS FOR CHARITY CARE POLICY. PART VI, LINE 4: THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARISH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE WITHOUT REGARD TO THEIR ABILITY TO PAY. PART VI, LINE 5: THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS, AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS. THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TEST AT LOCAL EVENTS. PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH OTHER HEALTHCARE ORGANIZATIONS. SEE FORM 990 SCHEDULE R FOR A COMPLETE LISTING. ALL OF THE ORGANIZATIONS ARE LOCAL HEALTHCARE ORGANIZATIONS WITH THE SAME PURPOSE AS THE HOSPITAL. 1 CAMP BON COEUR 405 W MAIN LAFAYETTE LA 70501 581710741 501(C)(3) 7500 DONATION LAFAYETTE COMMUNITY HEALTHCARE CLINIC 1317 JEFFERSON STREET LAFAYETTE LA 70501 721221982 501(C)(3) 12132 FEE SCHEDULE LAB SERVICES DONATION; REFERENCE LAB SERVICES MILES PERRET CANCER CENTER 2130 KALISTE SALOAM RD 200 LAFAYETTE LA 70508 753023211 501(C)(3) 15000 DONATION 721038877 721257087 721430540 3 0 PART I, LINE 2: CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFIT ORGINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. X X X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 JUAN J PEREZ-RUIZ MD CHIEF OF STAFF 0 262729 0 0 0 0 0 3604 0 6854 0 273187 0 0 JOHN SCHUTTE MD TRUSTEE 0 1180825 0 213751 43200 0 0 5125 0 6851 43200 1406552 0 0 DAVID CALLECOD PRESIDENT/CEO - LGHS 744400 0 291805 0 196664 0 133617 0 9322 0 1375808 0 0 0 PATRICK W GANDY JR EVP/CEO - LGMC 409266 0 120320 0 69619 0 39725 0 6634 0 645564 0 0 0 ROGER MATTKE SVP/CFO 378791 0 111367 0 69021 0 42826 0 10264 0 612269 0 0 0 REBECCA F BENOIT VP/CNO 239383 0 55811 0 12007 0 34426 0 2105 0 343732 0 0 0 GORDON E ROUNTREE JR SVP/GENERAL COUNSEL 332370 0 97711 0 61731 0 41625 0 9135 0 542572 0 0 0 ZIAD M ASHKAR MD CMO 278958 0 82014 0 43451 0 92400 0 0 0 496823 0 0 0 KATHERINE HEBERT ADMINISTRATOR 205544 0 40288 0 37657 0 3297 0 7130 0 293916 0 0 0 ANGELA MAYEUX-HEBERT MD DIRECTOR/PERIOP SERVICES 244015 0 0 0 42900 0 0 0 0 0 286915 0 0 0 EDWINA S MALLERY AVP - IS 199945 0 30209 0 508 0 4666 0 1493 0 236821 0 0 0 DEAN B DUCOTE VP - OPERATIONS 196230 0 0 0 30209 0 0 0 1833 0 228272 0 0 0 PART I, LINE 1A THE ORGANIZATION DOES ALLOW FOR SPOUSAL TRAVEL FOR THE TRUSTEES AND OFFICERS. SUCH EXPENSES ARE REPORTED ON THEIR W-2'S OR 1099'S. SOCIAL CLUB DUES WERE PAID FOR THE PRESIDENT/CEO-LGHS AND THE EVP/CEO-LGMC AND WERE INCLUDED AS WELL AS COMPENSATION ON THEIR W-2'S. PART I, LINE 4B A SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01,2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $389,500. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS WERE DAVID CALLECOD, PRESIDENT/CEO-LGHS, PATRICK GANDY, EVP/COO-LGMC, ROGER MATTKE, SVP/CFO, GORDON ROUNTREE, GENERAL COUNSEL, REBECCA BENOIT, CNO, KATHERINE HEBERT, ADMINISTRATOR, AND ZIAD ASHKAR, MD, CMO. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2013 W-2 WAGES, TOTALLED $380,769. THE FOLLOWING RECEIVED DISTRIBUTIONS, INCLUDED IN THEIR 2013 W-2 WAGES: DAVID CALLECOD, PRESIDENT/CEO-LGHS, PATRICK GANDY, EVP/COO-LGMC, ROGER MATTKE, SVP/CFO, GORDON ROUNTREE, GENERAL COUNSEL, AND KATHERINE HEBERT, ADMINISTRATOR. PART I, LINE 6 THE ORGANIZATION DOES HAVE A PROFIT SHARING PLAN (SUCCESS SHARING) FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS; 20% EMPLOYEES, 15% SERVICE, 20% QUALITY, 35% FUNDING OUR FUTURE, AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS', AS LISTED ON PART VII OF FORM 990, CALCULATION OF PROFIT SHARING IS IN PART BASED ON THE CONSOLIDATED NET EARNINGS. GBR LLC G. GARY GUIDRY IS A TRUSTEE OF LGMC AND IS A MEMBER OF GBR, LLC 1579852 LAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A CONTRACT WITH GBR, LLC TO PROVIDE CRITICAL CARE SERVICES, PULMONARY/VENTILATOR CARE MANAGEMENT SERVICES AND INTENSIVIST SERVICES FOR HOSPITAL'S ICU AND ASSUME THE ROLE OF MEDICAL DIRECTOR OF THE ICU. IN ADDITION, GBR, LLC WAS PAID TO SERVE AS GRADUATE MEDICAL EDUCATION PROGRAM FACULTY. 0 SURGICAL HOSPITAL MANAGEMENT SYSTEM PHILIP GACHASSIN, M.D. IS A TRUSTEE OF LGMC AND IS A MEMBER OF SHMS, LLC. 700000 LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE ACUTE CARE SURGICALIST SERVICES. 0 STREAMLINE ORTHOPEDIC SERVICES APMLLC JOHN SCHUTTE, MD IS A TRUSTEE OF LGMC AND IS A MEMBER OF SOS, APMLLC 778864 LAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A CONTRACT WITH STREAMLINE ORTHOPEDIC SERVICES, APMLLC TO PROVIDE MEDICAL DIRECTOR SERVICES AND OVERSIGHT OF THE ORTHOPEDIC SERVICES PRODUCT LINE. 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES, CLAY ALLEN AND ROBERT GILES, ARE INVOLVED IN SEPARATE BUSINESS VENTURES TOGETHER THAT ARE WHOLLY UNRELATED TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B YES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERENCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITTEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAY BE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT THE PRESIDENT/CEOS COMPENSATION THEREAFTER. THIS SAME PROCESS IS FOLLOWED FOR THE FOLLOWING SENIOR EXECUTIVES OF THE ORGANIZATION: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER AND GENERAL COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES. FORM 990, PART VII, SECTION A, LINE A PAYMENTS TO THE PHYSICIANS THAT SERVE AS TRUSTEES WERE REPORTED ON 1099 MISC BOX 6. ALL SUCH PAYMENTS WERE IN CONSIDERATION FOR PROVIDING CALL COVERAGE IN OUR EMERGENCY ROOM, OR SERVING AS MEDICAL DIRECTORS FOR VARIOUS HOSPITAL DEPARTMENTS. NO PAYMENTS WERE MADE IN THEIR CAPACITY AS TRUSTEE. THE PAYMENTS TO THE PHYSICIAN SERVING AS CHIEF OF STAFF WERE FROM A RELATED ORGANIZATION AS AN EMPLOYED PHYSICIAN. FORM 990, PART IX, LINE 24E EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 7,866,635. MANAGEMENT AND GENERAL EXPENSES 2,605,943. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,472,578. PHYSICIAN CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 9,695,193. MANAGEMENT AND GENERAL EXPENSES 59,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,754,193. CLINICAL CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,621,489. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,621,489. MEDICAL DIRECTORSHIPS: PROGRAM SERVICE EXPENSES 3,053,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,053,322. FOOD SUPPLIES: PROGRAM SERVICE EXPENSES 2,575,111. MANAGEMENT AND GENERAL EXPENSES 58. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,575,169. OTHER COLLECTION SERVICE: PROGRAM SERVICE EXPENSES 2,442,414. MANAGEMENT AND GENERAL EXPENSES 8,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,450,531. OTHER NONCLINICAL SERVICES: PROGRAM SERVICE EXPENSES 1,724,880. MANAGEMENT AND GENERAL EXPENSES 143,495. FUNDRAISING EXPENSES 214,285. TOTAL EXPENSES 2,082,660. COMMUNITY PHYSICIAN RELATIONS: PROGRAM SERVICE EXPENSES 1,245,762. MANAGEMENT AND GENERAL EXPENSES 10,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,256,366. LAUNDRY: PROGRAM SERVICE EXPENSES 726,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 726,439. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 473,325. MANAGEMENT AND GENERAL EXPENSES 24,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 497,813. BANK CHARGES: PROGRAM SERVICE EXPENSES 157,425. MANAGEMENT AND GENERAL EXPENSES 30,942. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,367. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 109,405. MANAGEMENT AND GENERAL EXPENSES 18,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,264. EMPLOYEE ACTIVITIES: PROGRAM SERVICE EXPENSES 83,548. MANAGEMENT AND GENERAL EXPENSES 21,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,558. TELEPHONE: PROGRAM SERVICE EXPENSES 72,010. MANAGEMENT AND GENERAL EXPENSES 22,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,637. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 38,353. MANAGEMENT AND GENERAL EXPENSES 11,297. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,650. RECRUITING: PROGRAM SERVICE EXPENSES 20,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,000. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANED FROM THE PREVIOUS YEAR. 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