2015-06-29T12:04:33-05:00 2014-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2013-10-01 720652905 WOMAN'S HOSPITAL FOUNDATION DBA WOMAN'S HOSPITAL WOMA 2259248107 P O BOX 95009 BATON ROUGE LA 70895 STEPHANIE ANDERSON VP FINANCE/CFO 2259248107 2015-05-05 1 BRANDON LAGARDE P01428217 2259224600 2013 2016-04-25 22:37:26Z TERI FONTENOT PO BOX 95009 BATON ROUGE LA 70895 462459803 0 X WWW.WOMANS.ORG X 1968 LA TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 13 7 2081 134 25042696 0 744836 833533 391686546 437974919 -402418 6038406 16911515 12876125 408940479 457722983 86118 137567 0 0 129523336 135506134 96053 77284 658502 265519094 299992202 395224601 435713187 13715878 22009796 746495408 777833378 373117743 375075291 373377665 402758087 TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 0 0 318823448 137567 428262594 THE MISSION OF WOMAN'S HOSPITAL IS TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. WE RESPOND TO THE SPECIFIC NEEDS OF THE COMMUNITY AND SURROUNDING AREA'S NEEDS BY PROVIDING QUALITY MEDICAL AND EDUCATIONAL SERVICES WITHOUT DISTINCTION AS TO THE MEANS OF THE PERSON, HIS/HER RACE, OR DOMICILE. WOMAN'S PROVIDES MANY IMPORTANT HEALTH CARE SERVICES THAT ARE NOT AVAILABLE BY ANY OTHER ENTITY IN OUR SERVICE AREA. (117,286 PATIENTS) 11581000 66052 WOMAN'S HOSPITAL EDUCATES THE COMMUNITY BY SPONSORING PROGRAMS AND EVENTS, AND DISTRIBUTES LITERATURE ON HEALTH TOPICS OF INTEREST TO WOMEN INCLUDING CHILDBIRTH, MENOPAUSE, HEART HEALTH, DRUG ABUSE, AGING, AND SEXUALITY. (196 EDUCATION PROGRAMS) WE ALSO PROVIDE COMMUNITY SERVICE BY ABSORBING VARIOUS COSTS ESSENTIAL TO THE INDIGENT POPULATION, INCLUDING EMERGENCY AND PRENATAL CARE. 374898 369887 WOMEN'S HEALTH RESEARCH INSTITUTE CONCENTRATES ITS SCIENTIFIC RESEARCH ON THE UNIQUE HEALTH CONDITIONS OF VITAL IMPORTANCE TO WOMEN'S HEALTH. ONGOING RESEARCH INCLUDES STUDIES ON MENOPAUSE, HORMONES, OSTEOPOROSIS, BREAST CANCER, MATERNAL-FETAL MEDICINE, NEONATAL MEDICINE, AND GENETICS. (13 NEW PROTOCOLS REVIEWED AND APPROXIMATELY 35 ACTIVE STUDIES) 330779346 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 270 0 1 2081 1 1 1 0 0 0 0 0 0 0 0 0 X 13 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X APRIL F CHAISSON 2259248107 100 WOMANS WAY BATON ROUGE LA 70817 JAMAR A MELTON MD DIRECTOR 4.00 X 0 0 0 MARKHAM R MCKNIGHT DIRECTOR 4.00 X 0 0 0 EDWARD SCHWARTZENBURG MD SECRETARY/TREASURER 4.00 X 3500 0 0 MIKE POLITO DIRECTOR 4.00 X 0 0 0 MIKE WAMPOLD DIRECTOR 4.00 X 0 0 0 RENEE HARRIS MD DIRECTOR 4.00 X 1250 0 0 STEVEN FEIGLEY MD DIRECTOR 4.00 X 700 0 0 DONNA FRAICHE DIRECTOR 4.00 X 0 0 0 TOM HAWKINS JR DIRECTOR 4.00 X 0 0 0 NICOLE HOLLIER MD 2013 CHIEF OF STAFF NON-VOTING 4.00 X 18000 0 0 BEN MARMANDE DIRECTOR 4.00 X 0 0 0 CHEREE SCHWARTZENBURG MD 2014 CHIEF OF STAFF NON-VOTING 4.00 X 3500 0 0 TERI G FONTENOT PRESIDENT/CEO 65.00 X 1239899 0 92231 ROBERT S GREER JR IMMEDIATE PAST CHAIR 4.00 X 0 0 0 FRANK BREAUX MD CHAIR 4.00 X 0 0 0 CHRISTEL SLAUGHTER PHD CHAIR ELECT 4.00 X 0 0 0 STEPHANIE ANDERSON EXECUTIVE VP/COO 65.00 X 357009 0 76539 DONNA BODIN VP, EMPLOYEE SERVICES 65.00 X 211169 0 55767 NANCY CRAWFORD SR VP,MEDICAL STAFF SVCS 65.00 X 257740 0 54749 JAMIE HAEUSER SR VP,STRATEGIC SERVICES 65.00 X 201985 0 79480 CHERI JOHNSON VP, PERINATAL SERVICES 65.00 X 154702 0 25001 PATRICIA JOHNSON SR VP, PATIENT CARE/CHIEF NURSING OFFICER 65.00 X 245341 0 63109 PAUL KIRK VP,INFORMATION SYSTEMS 65.00 X 243170 0 42621 STANLEY SHELTON SR VP,SUPPORT SERVICES 65.00 X 284700 0 45959 GREG SMITH VP, FINANCE/CFO 65.00 X 217063 0 25209 STACI SULLIVAN VP, INFANT/PEDIATRIC SVC 65.00 X 180298 0 37189 LYNN WEILL VP. CHIEF DEVELOPMENT OFFI 65.00 X 187834 0 42493 ALBERT L DIKET MD PHYSICIAN 40.00 X 500625 0 47134 MARK G NEWMAN MD PHYSICIAN 40.00 X 544086 0 74596 MARSHALL ST AMANT MD PHYSICIAN 40.00 X 611696 0 73886 CHARLES M STEDMAN MD PHYSICIAN 40.00 X 474527 0 56440 EDWARD W VEILLON MD PHYSICIAN 40.00 X 449117 0 61977 MEREDITH A WARNER MD HIGHEST COMPENSATED EMPLOYEE 40.00 X 215175 0 29139 6603086 0 983519 89 1 1 0 LAKE CHARLES MEMORIAL HOSPITAL 1701 OAK PARK BLVD LAKE CHARLES LA 70601 MEDICAL SERVICES 8050000 LSUHSC OFFICE OF SPONSORED PROJECTS 433 BOLIVAR STREET NEW ORLEANS LA 70112 MEDICAL SERVICES 6643013 HURON HEALTHCARE 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 3037448 VAN METER AND ASSOCIATES 1816 INDUSTRIAL BLVD HARVEY LA 70058 MEDICAL SERVICES 2602505 WHELAN SECURITY 1699 SOUTH HANLEY RD SUITE 350 ST LOUIS MO 63144 SECURITY 1603517 43 291343 542190 833533 HOSPITAL SERVICES 541900 430349068 411162483 19186585 FITNESS CENTER 713940 4324504 1896496 2428008 CAFETERIA 722210 2209935 2167825 42110 CHILD CARE 624410 1025027 237903 787124 PATIENT EDUCATION 611710 66385 66385 437974919 2977884 2977884 2837198 3596971 -759773 -759773 -759773 2582647 670598 0 192723 2582647 477875 3060522 3060522 188766 88667 100099 100099 1688470 858459 830011 830011 OTHER OPERATING REVENUE 900099 12705788 10106919 2598869 12705788 457722983 428698533 25042696 3148221 137567 137567 3565322 2504279 1048013 13030 111173678 78088306 32679072 406300 20767134 14586819 6104419 75896 357054 74700 281124 1230 96567 20203 76031 333 108774 22757 85642 375 77284 77284 1332462 247938 1037575 46949 2486033 1518220 963663 4150 778027 744612 33415 357593 157510 188513 11570 18732401 18732401 17632611 4516035 13112932 3644 CONTRACTUAL ADJUSTMENTS 188619062 188619062 PATIENT RELATED SUPPLIE 21547689 22093257 -545568 PURCHASED SERVICES 16337853 3429887 12907966 OTHER EXPENSES 9780710 3161837 6613969 4904 21825366 10856357 10956172 12837 435713187 330779346 104275339 658502 102534226 127608074 37309010 40731649 2964110 3004677 470436608 83294848 396474327 387141760 32858985 33266463 174354750 186080755 746495408 777833378 27640227 34123979 199800 199800 345045663 340511983 232053 239529 373117743 375075291 X 371460358 400418302 667307 1089785 1250000 1250000 373377665 402758087 746495408 777833378 X 22009796 7347871 22755 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 0 0 1 0 1 158537 158537 0 PART II-B, LINE 1: ALL OF THE FOLLOWING MEMBERSHIP DUES AMOUNTS RELATE TO THE LOBBYING EXPENSE PORTION OF THE DUES: 1. $4,800 FOR MEMBERSHIP DUES TO THE BATON ROUGE AREA CHAMBER 2. $480 FOR MEMBERSHIP DUES TO THE LOUISIANA STATE MEDICAL SOCIETY. 3. $21,296 FOR MEMBERSHIP DUES TO THE LOUISIANA HOSPITAL ASSOCIATION 4. $3.25 FOR MEMBERSHIP DUES TO THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES. 5. $389 FOR MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION. 6. $22 FOR MEMBERSHIP DUES TO THE AMERICAN ORGANIZATION OF NURSE EXECUTIVES. 7. $108,773 TO JUDY EWELL DAY FOR A LOBBYING CONTRACT. 8. 1% OF TERI FONTENOT'S (PRESIDENT/CEO) ANNUAL SALARY IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THIS AMOUNTS TO $12,398.99 9. $136.08 FOR MEMBERSHIP DUES TO THE AMERICAN NURSES ASSOCIATION. 10. $9,687.69 FOR MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION. 11. $36.19 FOR MEMBERSHIP DUES TO THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION. 12. $361.08 FOR MEMBERSHIP DUES TO THE AMERICAN CONGRESS OF OBSTETRICIANS AND GYNECOLOGISTS. 13. $45 FOR MEMBERSHIP DUES TO THE AMERICAN ACADEMY OF ORTHOPEDIC SURGEONS. 14. $8.83 FOR MEMBERSHIP DUES TO THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY. 15. $12.50 FOR MEMBERSHIP DUES TO THE JEFFERSON PARISH MEDICAL SOCIETY. 16. $87.50 FOR MEMBERSHIP DUES TO THE SOCIETY OF GYNECOLOGIC ONCOLOGY. 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 0 0 12370011 12370011 325472203 26781992 298690211 92232332 56512856 35719476 40362062 40362062 387141760 OTHER RECEIVABLES 10579086 DEFERRED FINANCING CHARGES 3244069 RESTRICTED DONATIONS - OTHERS 5856036 RESTRICTED DONATION - B.R. AREA FOUNDATION 1723742 DEPRECIATION RESERVE 153958644 OTHER ASSETS 4867352 ESTIMATED THIRD PARTY SETTLEMENTS 206949 UNAMORTIZED BOND DISCOUNT 5644877 186080755 OTHER LIABILITIES 239529 239529 X PART V, LINE 4: THE FOUNDATION HOLDS AN ENDOWMENT FUND IN THE AMOUNT OF $1,250,000 FROM THE HELEN BARNES TRUST. THIS AMOUNT IS PERMANENTLY RESTRICTED BUT THE ANNUAL EARNINGS FROM THIS ENDOWMENT ARE FOR USE BY THE FOUNDATION. THE INCOME IS REPORTED ON THE CORE FORM 990, BUT THE BALANCE ON THIS ENDOWMENT DOES NOT CHANGE FROM YEAR TO YEAR SINCE ONLY THE $1,250,000 IS RESTRICTED. PART X, LINE 2: THE HOSPITAL APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL HAS EVALUATED ITS POSITION REGARDING ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE SEPTEMBER 30, 2011. X X 1 ALLEGIANT DIRECT INC 278 FRANKLIN ROAD BRENTWOOD TN 37027 DIRECT MARKETING, INCLUDING STRATEGY AND CONSULTING SERVICES 0 31947 39784 -7837 HANOVER RESEARCH 1700 K STREET NW 8TH FLOOR WASHINGTON DC 20006 CONSULTING, GRANT WRITING SERVICES 0 0 37500 -37500 31947 77284 -45337 GOLF TOURNAMENT 188766 188766 88667 188766 188766 88667 88667 100099 SCHEDULE G, PART I, LINE 2B: (II) ACTIVITY: CONSULTING, GRANT WRITING SERVICES 1 1 X 1 X 0 1 1 0 1 1 4695000 4695000 0.01080 22720000 22720000 0.05210 1534182 1534182 0.00350 28949182 28949182 0.06640 510426 510426 0.00120 6206005 6206005 0.01420 220499 220499 0.00050 169173 169173 0.00040 7106103 7106103 0.01630 36055285 36055285 0.08270 1 6291304 31643 10916332 4908789 6007543 X 1 0 1 WOMAN'S RETAIL VENTURES LLC HOSPITAL GIFT SHOP 0.74000 0.02000 0.24000 2 STUMBERG HOLDING LLC LAND MANAGEMENT 0.64400 0.00000 0.35600 1 1 WOMAN'S HOSPITAL FOUNDATION PO BOX 95009 BATON ROUGE LA 70895 WWW.WOMANS.ORG X WOMAN'S HOSPITAL 1 1 X X X X X X X X 12 1 1 1 X WWW.WOMANS.ORG X X X X X X X X 1 0 1 1 200.000000000000 0 0 1 1 X 1 0 X X 1 X 0 1 WOMAN'S HOSPITAL PART V, SECTION B, LINE 3: WOMAN'S DEVELOPED ITS COMMUNITY HEALTH ASSESSMENT IN COLLABORATION WITH OTHER AREA PROVIDERS AND THE MAYOR-PRESIDENT'S HEALTHY CITY INITIATIVE (MHCI). THE TEAM OF HEALTH CARE LEADERS DEVELOPED A LIST OF BATON ROUGE' S 10 HEALTH PRIORITIES, WHICH WAS REVIEWED AND APPROVED BY ALL MHCI PARTNERS WOMAN'S HOSPITAL PART V, SECTION B, LINE 4: REPRESENTATIVES FROM WOMAN'S HOSPITAL, OUR LADY OF LAKE REGIONAL MEDICAL CENTER, BATON ROUGE MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, AND THE LSU HEALTH/EARL K. LONG MEDICAL CENTER MET TO DISCUSS AN ASSESSMENT OF COMMUNITY HEALTH. WOMAN'S HOSPITAL PART V, SECTION B, LINE 14G: UNINSURED PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR TO DISCUSS OUR FINANCIAL ASSISTANCE POLICY. WOMAN'S HOSPITAL PART V, SECTION B, LINE 18E: WE NOTIFY PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY UPON ADMISSION. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR WHO DISCUSSES OUR FINANCIAL ASSISTANCE POLICY IN DETAIL. WE DOCUMENT WHEN AN APPLICATOIN IS PROVIDED TO A PATIENT/GUARANTOR, WHEN AN APPLICATION IS RECEIVED FROM A PATIENT/GUARANTOR (WHETHER COMPLETE OR INCOMPLETE), FURTHER COMMUNICATION WITH THE PATIENT/GUARANTOR IF THE APPLICATION IS INCOMPLETE, IF THE APPLICATION IS APPROVED OR DENIED, AND THE NOTIFICATION OF THE APPROVAL OR DENIAL TO THE PATIENT/GUARANTOR. WE MAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY BEFORE WE TAKE ANY ACTION TO COLLECT. WOMAN'S HOSPITAL PART V, SECTION B, LINE 20D: THE HOSPITAL CHARGES ALL PATIENTS THE SAME GROSS CHARGE FOR ANY SERVICE REGARDLESS OF THE PAYOR, E.G. SELF PAY, INSURANCE, ETC. WE OFFER DISCOUNTS TO PATIENTS THAT HAVE NO INSURANCE OR THOSE WITH OUT-OF-NETWORK BENEFITS. WE ALSO PROVIDE FREE CARE (BY FULLY DISCOUNTING THE GROSS CHARGE) TO THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AS OUTLINED IN OUR FINANCIAL ASSISTANCE POLICY. WOMAN'S HOSPITAL PART V, SECTION B, LINE 22: THE HOSPITAL CHARGES ALL PATIENTS THE SAME GROSS CHARGE FOR ANY SERVICE REGARDLESS OF THE PAYOR, E.G. SELF PAY, INSURANCE, ETC. WE OFFER DISCOUNTS TO PATIENTS THAT HAVE NO INSURANCE OR THOSE WITH OUT-OF-NETWORK BENEFITS. WE ALSO PROVIDE FREE CARE (BY FULLY DISCOUNTING THE GROSS CHARGE) TO THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AS OUTLINED IN OUR FINANCIAL ASSISTANCE POLICY. PART III, LINE 3: THE HOSPITAL MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE HOSPITAL DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE ORIGINAL BILL DATE; HOWEVER, THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTION OF THE OUTSTANDING BALANCES TO BE DOUBTFUL. THIS IS ONLY AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY. BAD DEBT EXPENSE OF $6,291,304 IS A COMBINATION OF ACTUAL ACCOUNTS WRITTEN OFF AND ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BASED ON A REVIEW OF ALL ACCOUNTS IN WHICH WE WERE UNABLE TO FULLY DETERMINE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (BECAUSE THE FINANCIAL ASSISTANCE APPLICATION WAS INCOMPLETE), WE IDENTIFIED $31,643 OF CHARGES THAT WERE WRITTEN OFF AS BAD DEBT (AFTER ALL REASONABLE COLLECTION EFFORTS WERE FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY). PART III, LINE 8: 100% OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT. THE METHOD USED TO DETERMINE THE MEDICARE ALLOWABLE COST OF CARE IS COST TO CHARGE RATIO. 0 BATON ROUGE AREA CHAMBER 564 LAUREL STREET BATON ROUGE LA 70801 720126959 501(C)(3) 70000 CASH GRANT ECONOMIC DEVELOPMENT CAMPAIGN AMERICAN HEART ASSOCIATION 2644 S SHERWOOD FOREST SUITE 108 BATON ROUGE LA 70816 135613797 501(C)(3) 5900 FMV IN KIND PRINTING GO RED FOR WOMEN MATERIALS MARCH OF DIMES FOUNDATION 12015 JUSTICE AVE BATON ROUGE LA 70816 131846366 501(C)(3) 5000 CASH GRANT NICU FAMILY SUPPORT PROGRAM BATON ROUGE KOMEN RACE FOR THE CURE PO BOX 14615 BATON ROUGE LA 70898 752854972 501(C)(3) 5000 CASH GRANT 2014 RACE SPONSORSHIP GULF COAST EVENT GROUP INC PO BOX 1835 ABITA SPRINGS LA 70420 270160488 35000 CASH GRANT 2014 RACE SPONSORSHIP COMMITTEE FOR PROGRESS 344 3RD STREET BATON ROUGE LA 70801 464998164 5000 CASH GRANT 2014 DONATION MAYOR'S HEALTHY CITY INITIATIVE 222 SAINT LOUIS STREET BATON ROUGE LA 70802 272515190 501(C)(3) 6667 CASH GRANT 2014 SPONSORSHIP BIG BUDDY PROGRAM 1415 MAIN STREET BATON ROUGE LA 70802 720904506 501(C)(3) 5000 CASH GRANT 2014 SPONSORSHIP 6 2 PART I, LINE 2: GRANTS ARE GIVEN TO ORGANIZATIONS FOR SPECIFIC PURPOSES AND ARE NOT MONITORED FURTHER. X X 1 1 X X X X X 0 0 0 0 0 1 0 0 0 TERI G FONTENOT PRESIDENT/CEO 564672 0 180321 0 494906 0 77250 0 14981 0 1332130 0 0 0 STEPHANIE ANDERSON EXECUTIVE VP/COO 289830 0 52661 0 14518 0 58756 0 17783 0 433548 0 0 0 DONNA BODIN VP, EMPLOYEE SERVICES 184176 0 26456 0 537 0 37274 0 18493 0 266936 0 0 0 NANCY CRAWFORD SR VP,MEDICAL STAFF SVCS 204065 0 38440 0 15235 0 48641 0 6108 0 312489 0 0 0 JAMIE HAEUSER SR VP,STRATEGIC SERVICES 194412 0 0 0 7573 0 62859 0 16621 0 281465 0 0 0 CHERI JOHNSON VP, PERINATAL SERVICES 138550 0 15743 0 409 0 24344 0 657 0 179703 0 0 0 PATRICIA JOHNSON SR VP, PATIENT CARE/CHIEF NURSING OF 204065 0 38440 0 2836 0 45783 0 17326 0 308450 0 0 0 PAUL KIRK VP,INFORMATION SYSTEMS 207048 0 30553 0 5569 0 40888 0 1733 0 285791 0 0 0 STANLEY SHELTON SR VP,SUPPORT SERVICES 198910 0 71606 0 14184 0 34478 0 11481 0 330659 0 0 0 GREG SMITH VP, FINANCE/CFO 181230 0 26587 0 9246 0 8348 0 16861 0 242272 0 0 0 STACI SULLIVAN VP, INFANT/PEDIATRIC SVC 151030 0 22157 0 7111 0 20137 0 17052 0 217487 0 0 0 LYNN WEILL VP. CHIEF DEVELOPMENT OFFI 160384 0 23166 0 4284 0 31431 0 11062 0 230327 0 0 0 ALBERT L DIKET MD PHYSICIAN 495958 0 757 0 3910 0 35683 0 11451 0 547759 0 0 0 MARK G NEWMAN MD PHYSICIAN 534830 0 757 0 8499 0 62000 0 12596 0 618682 0 0 0 MARSHALL ST AMANT MD PHYSICIAN 600939 0 757 0 10000 0 54375 0 19511 0 685582 0 0 0 CHARLES M STEDMAN MD PHYSICIAN 455121 0 681 0 18725 0 44134 0 12306 0 530967 0 0 0 EDWARD W VEILLON MD PHYSICIAN 446992 0 731 0 1394 0 43000 0 18977 0 511094 0 0 0 MEREDITH A WARNER MD HIGHEST COMPENSATED EMPLOYEE 200250 0 0 0 14925 0 25275 0 3864 0 244314 0 0 0 PART I, LINE 1A ON THREE SEPARATE OCCASIONS, WOMAN'S HOSPTIAL PROVIDED FOR TRAVEL TO A CONFERENCE FOR THE SPOUSE OF A BOARD MEMBER. WOMAN'S HOSPITAL PAID FOR PERSONAL SERVICES ON BEHALF OF TERI FONTENOT, CEO DURING THE FISCAL YEAR 2014. PART I, LINE 6 WOMAN'S HOSPITAL'S MANAGEMENT INCENTIVE PLAN PROVIDES FOR COMPENSATION IF CERTAIN GOALS/TARGETS ARE ACHIEVED, ONE BEING NET INCOME FROM OPERATIONS. A LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AK0 2010-02-10 3545000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 B LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AC8 2010-02-10 3720000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 C LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AD6 2010-02-10 3915000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 D LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AE4 2010-02-10 4110000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 A 0 0 0 0 B 0 0 0 0 C 0 0 0 0 D 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 A LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AF1 2010-02-10 24380000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 B LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AG9 2010-02-10 32210000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 C LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AH7 2010-02-10 101095000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 D LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AJ3 2010-02-10 60165000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 A 0 0 0 0 B 0 0 0 0 C 0 0 0 0 D 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 A LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AT1 2010-02-10 1325000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 B LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AL8 2010-02-10 1395000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 C LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AM6 2010-02-10 1465000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 D LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AN4 2010-02-10 1545000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 A 0 0 0 0 B 0 0 0 0 C 0 0 0 0 D 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 A LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AP9 2010-02-10 9005000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 B LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AQ7 2010-02-10 11930000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 C LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AR5 2010-02-10 37120000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 D LA LOCAL GOVERNMENT ENVIR FACILITIES & COMM DEVELOPMENT AUTHORITY 721416168 546282AS3 2010-02-10 22595000 FINANCE CONSTRUCTION/EQUIP ASSOC. W/REPLACEMENT FACILITY/MEDICAL COMPLEX 0 0 0 A 0 0 0 0 B 0 0 0 0 C 0 0 0 0 D 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 DR EDWARD SCHWARTZENBURG DR. EDWARD SCHWARTZENBURG IS A DIRECTOR OF THE FOUNDATION. 219624 SCHWARTZENBURG, LAFRANCA, AND GUIDRY RENTS OFFICE SPACE FROM THE FOUNDATION. DR. EDWARD SCHWARTZENBURG IS A MEMBER OF THIS GROUP. 0 DR RENEE HARRIS DR. RENEE HARRIS IS A DIRECTOR OF THE FOUNDATION. 245174 ASSOCIATES IN WOMEN'S HEALTH RENTS OFFICE SPACE FROM THE FOUNDATION. DR RENEE HARRIS IS A MEMBER OF THIS GROUP. 0 DR STEVEN FEIGLEY DR. STEVEN FEIGLEY IS A DIRECTOR OF THE FOUNDATION 1309717 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. STEVEN FEIGLEY IS A MEMBER OF THIS GROUP. 0 DR NICOLE HOLLIER DR. NICOLE HOLLIER IS A DIRECTOR OF THE FOUNDATION 1309717 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. NICOLE HOLLIER IS A MEMBER OF THIS GROUP. 0 DR FRANK BREAUX DR. FRANK BREAUX IS AN OFFICER OF THE FOUNDATION 1309717 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. FRANK BREAUX IS A MEMBER OF THIS GROUP. 0 DR CHEREE SCHWARTZENBURG DR. CHEREE SCHWARTZENBURG IS A DIRECTOR OF THE FOUNDATION. 219624 SCHWARTZENBURG, LAFRANCA, AND GUIDRY RENTS OFFICE SPACE FROM THE FOUNDATION. DR. CHEREE SCHWARTZENBURG IS A MEMBER OF THIS GROUP. 0 FORM 990, PART VI, SECTION A, LINE 2 THROUGH HIS BUSINESS, MIKE POLITO HAS A BUSINESS RELATIONSHIP WITH CHRISTEL SLAUGHTER. FORM 990, PART VI, SECTION A, LINE 6 BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS. THE FOUNDATION CAN VOTE SEPARATELY FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A LETTER AND QUESTIONNAIRE ARE SENT TO EACH BOARD MEMBER ANNUALLY WITH A LIST OF OFFICERS, DIRECTORS, AND KEY PERSONNEL TO USE FOR REFERENCE IN REPORTING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A MARKET COMPARISON AND RESULTING RECOMMENDATIONS FOR TOTAL COMPENSATION AND MANAGEMENT INCENTIVE PLANS ARE CONDUCTED BY A CONSULTING FIRM AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S TAX DOCUMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC. THE FOUNDATION'S ANNUAL REPORT IS AVAILABLE ON THE HOSPITAL WEBSITE. THE FOUNDATION ALSO ISSUES QUARTERLY BOND DISCLOSURE REQUIREMENTS TO BONDHOLDERS AND RATING AGENCIES. FORM 990, PART XI, LINE 9: CHANGE IN AUXILIARY ACCOUNT 22,755. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990. STUMBERG HOLDING LLC 100 WOMANS WAY BATON ROUGE LA 70817 464133824 LAND MANAGEMENT LA 0 0 WOMAN'S HOSPITAL FOUNDATION WOMAN'S RETAIL VENTURES LLC 9000 AIRLINE HWY STE 330 BATON ROUGE LA 70895 043845778 GIFT SHOP RETAIL LA 168700 780003 0 0 0.74000 STUMBERG LAND LLC 100 WOMANS WAY BATON ROUGE LA 70817 464150615 LAND MANAGEMENT LA -5732 2824648 0 0 0.64400 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 WOMAN'S RETAIL VENTURES LLC S 132556 CASH WOMAN'S RETAIL VENTURES LLC J 79196 CASH FORM 990, SCHEDULE R, PART I & PART III STUMBERG HOLDING, LLC, A DISREGARDED ENTITY FOR TAX PURPOSES, IS OWNED 100% BY WOMAN'S HOSPITAL FOUNDATION. STUMBERG HOLDING, LLC IS A 64.4% MEMBER IN STUMBERG LAND, LLC.