FURP.ORG / PUBLIC DATA EXPLORER

LAFAYETTE GENERAL MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LAFAYETTE GENERAL MEDICAL CENTER INC (EIN 72-0535375)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201412269349304206
Schema version
2012v2.1
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)
Timestamp2014-08-14T15:58:00-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201941244EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1
CityRIDGELANDCity
StateMSState
ZIP Code39157ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720535375EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAFANameControl
Phone3372898125Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11214 COOLIDGE BOULEVARDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code705032621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROGER MATTKEName
TitleCFOTitle
Phone3372898125Phone
Date Signed2014-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA H DIECKMAN CPAName
PTINP00246741PTIN
Phone6013261000Phone
Date Prepared2014-08-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID CALLECODNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11214 COOLIDGE BOULEVARDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
Gross Receipts364831308GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAFAYETTEGENERAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAYActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2106TotalNbrEmployees
Total Nbr Volunteers134TotalNbrVolunteers
Total Gross UBI4466468TotalGrossUBI
Net Unrelated Business Txbl Income-831375NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year176822ContributionsGrantsPriorYear
Contributions Grants Current Year596224ContributionsGrantsCurrentYear
Program Service Revenue Prior Year267878843ProgramServiceRevenuePriorYear
Program Service Revenue CY342198784ProgramServiceRevenueCY
Investment Income Prior Year4544236InvestmentIncomePriorYear
Investment Income Current Year8255877InvestmentIncomeCurrentYear
Other Revenue Prior Year16078835OtherRevenuePriorYear
Other Revenue Current Year12660179OtherRevenueCurrentYear
Total Revenue Prior Year288678736TotalRevenuePriorYear
Total Revenue Current Year363711064TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year37046759GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY39953882GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year92736428SalariesEtcPriorYear
Salaries Etc Current Year100019469SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year174661444OtherExpensePriorYear
Other Expenses Current Year218930530OtherExpensesCurrentYear
Total Expenses Prior Year304444631TotalExpensesPriorYear
Total Expenses Current Year358903881TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15765895RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4807183RevenuesLessExpensesCY
Total Assets BOY372408831TotalAssetsBOY
Total Assets EOY425656546TotalAssetsEOY
Total Liabilities BOY180941977TotalLiabilitiesBOY
Total Liabilities EOY229673800TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY191466854NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY195982746NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLAFAYETTE GENERAL MEDICAL CENTER'S MISSION IS TO IMPROVE, MAINTAIN AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense303393734Expense
Grants39953882Grants
Revenue346769712Revenue
DescriptionPROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL: TOTAL ACUTE PATIENT DAYS WERE 74,477, TOTAL NURSERY DAYS WERE 4,120, TOTAL REHAB DAYS WERE 3,124 AND TOTAL MENTAL HEALTH DAYS WERE 6,985. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 65,029 EMERGENCY ROOM VISITS, 12,390 SURGERIES (INPATIENT AND OUTPATIENT), AND 2,059 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 $622,184,303 AND $411,701,788, RESPECTIVELY. THERE WERE ACUTE AND SKILLED CARE SERVICES NOT FULLY COMPENSATED. THESE INCLUDED MEDICARE / MEDICAID CONTRACTUALS WITH $469,849,529 OF UNCOMPENSATED SERVICES, OTHER CONTRACTUALS WITH $221,571,364 OF UNCOMPENSATED SERVICES, AND BAD DEBTS OF $52,274,525. THE NET REVENUES OF THE SERVICES PROVIDED WERE $290,190,673.LAFAYETTE GENERAL MEDICAL CENTER (LGMC) SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED ACADIANA WITH 377 STAFFED BEDS AND 2,106 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.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.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.CONSTRUCTION BEGAN THIS FISCAL YEAR ON THE $52.5 MILLION EMERGENCY DEPARTMENT AND OPERATING ROOM EXPANSION AND RENOVATION PROJECT. THE EXPANSION WILL INCREASE THE EMERGENCY DEPARTMENT BED CAPACITY AND ADD TWO NEW TRAUMA ROOMS. A NEW TRAUMA ELEVATOR WILL ADD DIRECT ACCESS FROM THE EMERGENCY HELIPAD LANDING AREA TO THE ER, ICU, AND SURGERY AREAS BELOW. CONSTRUCTION IS EXPECTED TO BE COMPLETED IN FISCAL YEAR 2014.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, AND AN ADVANCED CERTIFIED PRIMARY STROKE CENTER.OUR ACCOLADES AND ACCREDITATIONS GROW EACH YEAR. IN OUR FISCAL YEAR 2013 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 AND MAJOR ORTHOPEDIC SURGERY, AND IN THE TOP 10% IN THE NATION FOR PATIENT SAFETY AWARDS FOR CANCER CARE AND CARDIAC CARE. WE WERE ALSO NAMED AS AMERICA'S BEST 100 HOSPITALS FOR PATIENT EXPERIENCE BY WOMENCERTIFIED. THE HOSPITAL WAS ALSO RECOGNIZED AMONG THE NATIONS "MOST WIRED" BUY HOSPITALS & HEALTH NETWORKS MAGAZINE. THE HOSPITAL WAS AS RECOGNIZED AS A 2012/2013 CONSUMER CHOICE AWARD WINNER FOR THE EIGHTH TIME BY NATIONAL RESEARCH CORPORATION, AND THE HOSPITAL RECEIVED THE 2012 PRESS GANEY TOP IMPROVER AWARD FOR INPATIENT SATISFACTION.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 2013 WE DONATED OVER $290,000 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 2013 THESE MONIES WERE DONATED TO OVER 50 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 $13,677 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.Description
Total Program Service Expense303393734TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096328NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2106NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3372898125TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11214 COOLIDGE BOULEVARDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CLAY ALLEN
CHAIRMAN3.001.00X000
MARTIN BECH
TRUSTEE1.001.00X000
BRADLEY J CHASTANT MD
TRUSTEE1.001.00X1100000
BRADEN DESPOT
SECRETARY1.002.00X000
BENJAMIN DOGA MD
TRUSTEE1.001.00X3580000
JULIE FALGOUT
TRUSTEE1.001.00X000
WILLIAM H FENSTERMAKER
PAST CHAIRMAN1.001.00X000
PHILIP GACHASSIN MD
TRUSTEE1.001.00X8668000
ROBERT GILES
TRUSTEE1.001.00X000
G GARY GUIDRY MD
TRUSTEE1.001.00X000
JOBY JOHN PHD
TRUSTEE1.003.00X000
ROSE KENNEDY MD
TRUSTEE1.001.00X1196000
EDWARD KRAMPE
VICE CHAIRMAN1.002.00X000
FLO MEADOWS
TREASURER1.001.00X000
DAVID CALHOUN
TRUSTEE1.001.00X000
MANDI MITCHELL
TRUSTEE1.001.00X000
GARY SALMON
TRUSTEE1.001.00X000
SAMUEL SHUFFLER MD
TRUSTEE1.001.00X000
E GREG VOORHIES
TRUSTEE - PART YEAR1.001.00X000
DAVID WILSON
TRUSTEE1.001.00X000
DANIEL BOURQUE MD
CHIEF OF STAFF - PART YEAR1.001.00X4472000
JOE ZANCO
TRUSTEE1.001.00X000
JUAN J PEREZ-RUIZ MD
CHIEF OF STAFF - PART YEAR1.001.00X02148898342
DAVID CALLECOD
PRESIDENT/CEO - LGHS40.004.007658920145251X
PATRICK W GANDY JR
EVP/CEO - LGMC40.001.00405442045964X
ROGER MATTKE
SVP/CFO40.002.00361534055073X
REBECCA F BENOIT
VP/CNO40.001.00249484018904X
GORDON E ROUNTREE JR
SVP/GENERAL COUNSEL40.001.00311157051064X
ZIAD M ASHKAR MD
CMO40.00414057092400X
KATHERINE HEBERT
ADMINISTRATOR1.0040.00219825041760X
ANGELA MAYEUX-HEBERT MD
DIRECTOR/PERIOP SERVICES15.0024401500X
CARRIE E TEMPLETON
ADMINISTRATOR40.0017208505298X
CAROLYN M HUVAL
VP - MARKETING & BUSINESS DEVELOPMENT40.00168546035265X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3502197TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs214889TotalReportableCompFrmRltdOrgs
Total Other Compensation499321TotalOtherCompensation
Number Individuals GT100 K65NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARDIOVASCULAR INSTITUTE OF THE SOUTH AP
225 DUNN STREETHOUMALA703604413CARDIOLOGY SERVICES3635947
PARAGON CONTRACTING SERVICES INC
PO BOX 634850CINCINNATIOH452634850EMERGENCY SERVICES2660921
PARISH ANESTHESIA OF LAFAYETTE
3510 N CAUSEWAY BOULEVARDMETAIRIELA700023531ANESTHESIA SERVICES1538321
WASHER HILL LIPSCOMB
1744 OAKDALE DRIVEBATON ROUGELA708103111ARCHITECTURE1482274
ACADIA HOSPITAL OF LAFAYETTE
2520 NORTH UNIVERSITY AVENUELAFAYETTELA70507MANAGEMENT SERVICES1037119
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Fundraising Events213974FundraisingEvents
All Other Contributions382250AllOtherContributions
Noncash Contributions380000NoncashContributions
Total Contributions596224TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column342198784TotalRevenueColumn
Related Or Exempt Function Income342198784RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue342198784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3307183TotalRevenueColumn
Exclusion$3,307,183ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column1577TotalRevenueColumn
Exclusion$1,577ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4356076Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real646245Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3709831Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3709831TotalRevenueColumn
Exclusion$3,709,831ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4753886Securities
Other574905Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other380097Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4753886Securities
Other194808Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4948694TotalRevenueColumn
Exclusion$4,948,694ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events213974CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses93902FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-93902TotalRevenueColumn
Exclusion-$93,902ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory5277GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5277TotalRevenueColumn
Exclusion$5,277ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column9037396TotalRevenueColumn
Related Or Exempt Function Income4570928RelatedOrExemptFunctionIncome
Unrelated Business Revenue4466468UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue9037396TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column363711064TotalRevenueColumn
Related Or Exempt Function Income346769712RelatedOrExemptFunctionIncome
Unrelated Business Revenue4466468UnrelatedBusinessRevenue
Exclusion$11,878,660ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total39953882Total
Program Services39953882ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2283669Total
Program Services190160ProgramServices
Management And General2093509ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83671928Total
Program Services69982701ProgramServices
Management And General13689227ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1191095Total
Program Services726563ProgramServices
Management And General464532ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6689364Total
Program Services5163615ProgramServices
Management And General1525749ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6183413Total
Program Services5141212ProgramServices
Management And General1042201ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4728201Total
Program Services1683421ProgramServices
Management And General3044780ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1442543Total
Program Services5150ProgramServices
Management And General1437393ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total319716Total
Management And General319716ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total392630Total
Program Services392630ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total933789Total
Program Services144984ProgramServices
Management And General788805ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3481661Total
Program Services796361ProgramServices
Management And General2685300ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6751750Total
Program Services74018ProgramServices
Management And General6677732ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3923976Total
Program Services866831ProgramServices
Management And General3057145ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total584611Total
Program Services316386ProgramServices
Management And General268225ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6267103Total
Program Services6267103ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17187061Total
Program Services10331139ProgramServices
Management And General6855922ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4058498Total
Management And General4058498ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES64512040645089583082
BAD DEBT5227452652274526
NONCLINICAL CONTRACT LA1095681210077175879637
EQUIPMENT RENTAL AND MA1094504183583762586665

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30170572Total
Program Services26138543ProgramServices
Management And General4032029ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total358903881Total
Program Services303393734ProgramServices
Management And General55510147ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10646BOY
EOY6376EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY24704541BOY
EOY57816088EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY54483332BOY
EOY38841856EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5500953BOY
EOY17163979EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7403946BOY
EOY8531213EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4323173BOY
EOY4578244EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis376977716LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec178680376LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY184186867BOY
EOY198297340EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY72564399BOY
EOY78924983EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9778BOY
EOY9778EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY7758020BOY
EOY7184724EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1333333BOY
EOY1333333EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10129843BOY
EOY12968632EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY372408831BOY
EOY425656546EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34712798BOY
EOY44071265EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY34571686EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY88157258BOY
EOY102100501EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY55556527BOY
EOY46130612EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2515394BOY
EOY2799736EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY180941977BOY
EOY229673800EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY191466854BOY
EOY195982746EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY191466854BOY
EOY195982746EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY372408831BOY
EOY425656546EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4807183ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-291291ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals24586FilingOrganizationsTotals
Affiliated Group Totals27835AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals24586FilingOrganizationsTotals
Affiliated Group Totals27835AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals303369148FilingOrganizationsTotals
Affiliated Group Totals317991369AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals303393734FilingOrganizationsTotals
Affiliated Group Totals318019204AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus322710CurrentYearMinus3
Current Year Minus223572CurrentYearMinus2
Current Year Minus123762CurrentYearMinus1
Current Year24586CurrentYear
Total94630Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus322710CurrentYearMinus3
Current Year Minus223572CurrentYearMinus2
Current Year Minus123762CurrentYearMinus1
Current Year24586CurrentYear
Total94630Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationALL 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8829052OtherCostOrOtherBasis
Book Value8829052BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis188937214OtherCostOrOtherBasis
Depreciation76038583Depreciation
Book Value112898631BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3924235OtherCostOrOtherBasis
Depreciation1832402Depreciation
Book Value2091833BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis146075585OtherCostOrOtherBasis
Depreciation100408982Depreciation
Book Value45666603BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29211630OtherCostOrOtherBasis
Depreciation400409Depreciation
Book Value28811221BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings198297340TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVES$2,493,127
DUE TO RELATED PARTY$306,609
FieldValueIRS element (for citing)
Total Of Amounts2799736TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA - 2012NameOfEvent1
Gross Receipts Event1121381GrossReceiptsEvent1
Charitable Contributions Event1121381CharitableContributionsEvent1
Rent Facility Costs Event11800RentFacilityCostsEvent1
Food And Beverage Event121744FoodAndBeverageEvent1
Entertainment Event15000EntertainmentEvent1
Other Direct Expenses Event117806OtherDirectExpensesEvent1
Name Of Event2GALA - 2013NameOfEvent2
Gross Receipts Event292593GrossReceiptsEvent2
Charitable Contributions Event292593CharitableContributionsEvent2
Rent Facility Costs Event23500RentFacilityCostsEvent2
Food And Beverage Event227503FoodAndBeverageEvent2
Entertainment Event23400EntertainmentEvent2
Other Direct Expenses Event213149OtherDirectExpensesEvent2
Gross Receipts Total213974GrossReceiptsTotal
Charitable Contributions Total213974CharitableContributionsTotal
Rent Facility Costs Total Events5300RentFacilityCostsTotalEvents
Food And Beverage Total Events49247FoodAndBeverageTotalEvents
Entertainment Total Events8400EntertainmentTotalEvents
Other Direct Expenses Total Events30955OtherDirectExpensesTotalEvents
Direct Expense Summary Events93902DirectExpenseSummaryEvents
Net Income Summary-93902NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense677694TotalCommunityBenefitExpense
Net Community Benefit Expense677694NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28118835TotalCommunityBenefitExpense
Direct Offsetting Revenue68735407DirectOffsettingRevenue
Net Community Benefit Expense-40616572NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28796529TotalCommunityBenefitExpense
Direct Offsetting Revenue68735407DirectOffsettingRevenue
Net Community Benefit Expense-39938878NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8264861TotalCommunityBenefitExpense
Net Community Benefit Expense8264861NetCommunityBenefitExpense
Percent Of Total Expense0.02700PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1146892TotalCommunityBenefitExpense
Direct Offsetting Revenue128001DirectOffsettingRevenue
Net Community Benefit Expense1018891NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense304440TotalCommunityBenefitExpense
Net Community Benefit Expense304440NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9716193TotalCommunityBenefitExpense
Direct Offsetting Revenue128001DirectOffsettingRevenue
Net Community Benefit Expense9588192NetCommunityBenefitExpense
Percent Of Total Expense0.03130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense38512722TotalCommunityBenefitExpense
Direct Offsetting Revenue68863408DirectOffsettingRevenue
Net Community Benefit Expense-30350686NetCommunityBenefitExpense
Percent Of Total Expense0.03350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$52,274,526BadDebtExpenseAmount
Amount Attributable To9996000AmountAttributableTo
Amount Reimbursed By Medicare82251530AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare90185355CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7933825MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11214 COOLIDGE BLVDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $ 52274526.
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 2013 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.
TO CONDUCT A CHNA, ALL OF THE FOLLOWING STEPS MUST BE COMPLETED:1. DEFINE COMMUNITY IT SERVES2. ASSESS THE HEALTH NEEDS OF THAT COMMUNITY3. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THAT COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH4. DOCUMENT THE CHNA IN A WRITTEN REPORT THAT IS ADOPTED FOR THE HOSPITAL FACILITY BY AN AUTHORIZED BODY OF THE HOSPITAL FACILITY; AND5. MAKE THE CHNA REPORT WIDELY AVAILABLE TO PUBLIC (WEBSITE AND AVAILABLE IN PRINT FOR PUBLIC INSPECTION)LAFAYETTE GENERAL MEDICAL CNETER MET STEPS 1-3, BUT STEPS 4 AND 5 WEREN'T MET UNTIL OCTOBER 2013; WHICH IS AFTER THEIR YEAR END OF 9/30/13. HOSPITALS WITH YEAR ENDS BEGINNING AFTER MARCH 2012 SHOULD HAVE CONDUCTED THE CHNA BY THE END OF THEIR FISCAL YEAR. THEREFORE, LGMC DID NOT MEET THIS REQUIREMENT. HOWEVER, SINCE THE CHNA REPORT WAS COMPLETE BUT NOT ADOPTED, WE BELIEVE THEY WOULD QUALIFY FOR THE CORRECTION OF FAILURE EXEMPTION UNDER IRS NOTICE 2014-3. UNDER IRS NOTICE 2014-3, THE HOSPITAL ORGANIZATION WILL BE CONSIDERED TO HAVE DISCLOSED THE FAILURE IF IT REPORTS THE FOLLOWING INFORMATION ON ITS IRS FORM 990 SCHEDULE H:- A DESCRIPTION OF THE FAILURE, INCLUDING THE TYPE OF FAILURE, LOCATION, DATE, NUMBER OF OCCURRENCES, NUMBER OF PERSONS AFFECTED (IF ANY), FINANCIAL IMPACT, CAUSE, AND THE RELEVANT PRACTICES AND PROCEDURES IN PLACE (IF ANY) PRIOR TO THE FAILURE;LAFAYETTE GENERAL MEDICAL CENTER FAILED TO COMPLETE THE FINAL STEPS IN CONDUCTING THEIR CHNA UNTIL AFTER THEIR FISCAL YEAR END; HOWEVER, THE CHNA REPORT WAS COMPLETED AND IN ITS FINAL FORM AS OF SEPTEMBER 10, 2013. HOWEVER, THEIR SEPTEMBER BOARD MEETING WAS UNEXPECTEDLY POSTPONED UNTIL OCTOBER 1ST. THE CHNA REPORT WAS PROMPTLY ADOPTED BY THE HOSPITAL BOARD ON OCTOBER 1ST, 2013 AND IT WAS UPLOADED TO THE HOSPITAL WEBSITE SOON AFTERWARDS, MAKING IT WIDELY AVAILABLE TO THE PUBLIC. WE FEEL THAT THERE WAS NO FINANCIAL IMPACT AND NO PERSON AFFECTED BY THIS LATE ISSUING OF REPORT. PROCEDURES ARE IN PLACE TO ENSURE THE NEXT CHNA IS ADOPTED AND PUBLISHED TO THEIR WEBSITE BEFORE THAT FISCAL YEAR ENDS.- A DESCRIPTION OF THE DISCOVERY;THIS DISCOVERY WAS MADE UPON REALIZATION THAT THE BOARD MEETING WAS BEING POSTPONED.- A DESCRIPTION OF THE CORRECTION MADE, INCLUDING THE METHOD, DATE, AND WHETHER ALL PERSONS WERE RESTORED TO THE POSITION THEY WOULD HAVE BEEN IN HAD THE FAILURE NOT OCCURRED (AND IF NOT, THE REASON WHY); ANDCORRECTION WAS MADE BY APPROVING AND PUBLISHING THE CHNA REPORT TO THEIR WEBSITE AS SOON AS POSSIBLE.- A DESCRIPTION OF (1) ANY NEW OR REVISED PRACTICES AND PROCEDURES IN PLACE TO MINIMIZE THE CHANCE OF THE FAILURE RECURRING AND TO PROMPTLY IDENTIFY THE FAILURES THAT DO OCCUR; OR (2) IF NO NEW OR REVISED PRACTICES AND PROCEDURES WERE PUT IN PLACE, AN EXPLANATION AS TO WHY THEY WERE NOT NEEDED.AS NOTED ABOVE, PROCEDURES ARE IN PLACE TO ENSURE THE NEXT CHNA IS ADOPTED AND PUBLISHED TO THEIR WEBSITE BEFORE THAT FISCAL YEAR ENDS.DISCLOSURE OF FAILURE - CONDUCTING OF CHNAFORM 990, PART V, SECTION B
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 REPRESENTATIVELAFAYETTE GENERAL MEDICAL CENTER INC.
PART V, SECTION B, LINE 14G: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS.LAFAYETTE GENERAL MEDICAL CENTER INC.
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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
ACADIANA OUTREACH CENTER
625 N UNIVERSITY AVENUELAFAYETTELA70502581925867501(C)(3)5000DONATION
CAMP BON COEUR
405 W MAINLAFAYETTELA70501581710741501(C)(3)10000DONATION
COMMUNITY FOUNDATION OF ACADIANA
1035 CAMELIA BLVD SUITE 100LAFAYETTELA70508721493023501(C)(3)17500DONATION
FIBERCORPS
PO BOX 3034LAFAYETTELA70502208233506501(C)(6)10000DONATION
GREATER LAFAYETTE CHAMBER OF COMMERCE
804 E ST MARY BLVDLAFAYETTELA70503720232780501(C)(6)6300DONATION
LAFAYETTE COMMUNITY HEALTHCARE CLINIC
1317 JEFFERSON STREETLAFAYETTELA70501721221982501(C)(3)11500DONATION; REFERENCE LAB SERVICES13677FEE SCHEDULELAB SERVICES
MILES PERRET CENTER CANCER SERVICES
2130 KALISTE SALOAM RD 200LAFAYETTELA70508753023211501(C)(3)9000DONATION
NAMI LOUISIANA
10842 RANCHWOOD DRBATON ROUGELA70835721038877501(C)(3)5000DONATION
OIL CENTER RENAISSANCE ASSOCIATES
1005 E ST MARY BLVDLAFAYETTELA70503721257087501(C)(6)8100DONATION
SOUTH LOUISIANA CLINICAL RESEARCH FOUNDATION
3639 AMBASSADOR CATTERY PKWY STELAFAYETTELA70503721430540501(C)(3)27500DONATION605
UNITED WAY OF ACADIANA
215 E PINHOOK ROADLAFAYETTELA70501720513639501(C)(3)15560DONATION
UNIVERSITY OF LOUISIANA AT LAFAYETTE
104 E UNIVERSITY AVENUELAFAYETTELA70504726023836501(C)(3)25540DONATION
SOUTH LOUISIANA COMMUNITY COLLEGE
1101 BERTRAND DRIVELAFAYETTELA70506721425264501(C)(3)37500DONATION
LAFAYETTE ASSOCIATION FOR RETARDED CITIZENS INC
303 NEW HOPE ROADLAFAYETTELA70506720604268501(C)(3)5000DONATION
LOUISIANA SUCCESS
9331 BLUEBONNET BLVDBATON ROUGELA70810205591232501(C)(3)20000DONATION
FESTIVAL INTERNATIONAL DE LOUISIANE
444 JEFFERSON STREETLAFAYETTELA70501581705676501(C)(3)25000DONATION
LAFAYETTE HEALTH VENTURES INC
1211 COOLIDGE STREETLAFAYETTELA70503721006966501(C)(3)10736774AFFILIATE SUPPORT
UNIVERSITY HOSPITAL AND CLINICS
1214 COOLIDGE STREETLAFAYETTELA70503462605366501(C)(3) - PENDING28912668AFFILIATE SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants15TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFIT ORGINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. DISBURSEMENTS FOR SCHOLARSHIPS, FELLOWSHIPS, AND STUDENT LOANS ARE MADE DIRECTLY IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS-THE PURPOSE OF WHICH THE HOSPITAL WAS ORGANIZED AND OPERATES. THE DISBURSEMENTS ARE BASED ON PERSONAL INTERVIEWS, ACADEMIC ACHIEVEMENTS, AND THE APPROVAL OF THE HOSPITAL'S ADMINISTRATION CERTAIN STANDARDS AND CONDITIONS ARE ESTABLISHED TO ENSURE THAT RECIPIENTS ARE QUALIFIED AND THE DISBURSEMENTS ARE FOR HEALTH CARE OCCUPATIONS. THE CRITERIA FOR EDUCATIONAL LOANS ARE 1) EMPLOYEES MUST HAVE COMPLETED ONE YEAR OF EMPLOYMENT. 2) EMPLOYEE HAS ATTEMPTED TO GAIN OTHER FINANCIAL ASSISTANCE. 3) MUST HAVE A LETTER OF RECOMMENDATION FROM DEPARTMENT DIRECTOR. 4) MUST NOT HAVE AN UNSATISFACTORY EVALUATION. 5)THE EMPLOYEE MUST SIGN A CONTRACT. 6) ANY SINGLE LOAN MUST NOT EXCEED $ 10,000.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JUAN J PEREZ-RUIZ MD
CHIEF OF STAFF - PART YEAR021488900000323105111022323100
DAVID CALLECOD
PRESIDENT/CEO - LGHS572400017515401833801352250100260911143000
PATRICK W GANDY JR
EVP/CEO - LGMC317331072828015283039625063390451406000
ROGER MATTKE
SVP/CFO290031066413050900427250123480416607000
REBECCA F BENOIT
VP/CNO200000038250011234016898020060268388000
GORDON E ROUNTREE JR
SVP/GENERAL COUNSEL25638104866206114041525095390362221000
ZIAD M ASHKAR MD
CMO334750064021015286092400000506457000
KATHERINE HEBERT
ADMINISTRATOR18738702867003768032351094090261585000
ANGELA MAYEUX-HEBERT MD
DIRECTOR/PERIOP SERVICES244015000000000244015000
CARRIE E TEMPLETON
ADMINISTRATOR140000028000040850477005280177383000
CAROLYN M HUVAL
VP - MARKETING & BUSINESS DEVELOPMEN15096001758600029896053690203811000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZATION DOES ALLOW FOR SPOUSAL TRAVEL FOR THE TRUSTEES AND OFFICERS. SUCH EXPENSES ARE REPORTED ON THEIR W-2'S OR 1099'S. SOCIAL CLUB DUES 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 4BA SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01,2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $400,100. 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, ZIAD ASHKAR, MD, CMO, CARRIE TEMPLETON, ADMINISTRATOR, AND CAROLYN HUVAL, VICE-PRESIDENT.
PART I, LINE 6THE 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
LOUISIANA PUBLIC FACILITIES AUTHORITY
A720895871546395H802010-08-1284137555TOWER RENOVATION PROJECT AND REFUND OF 08-19-98 ISSUE000
LOUISIANA PUBLIC FACILITIES AUTHORITY
B7208958712011-02-253850000REPLACE/UPGRADE CARDIAC CATH LAB000
LOUISIANA PUBLIC FACILITIES AUTHORITY
C7208958712012-07-2660000000A&B-EXPANSION/RENOVATION/EQUIPPING OF OR/ER AREA AND PARKING FACILITY000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
A211000084137555373397515507517885282920111011
B1666018385000059703379029720110011
C60000000414018190883532015000140497629

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000
C0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001000000
B001000000
C001010000

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I, LINE A, COLUMN C:MULTIPLE CUSIP NUMBERS:546395H98, 546395J21, 546395J39, 546395J47, 546395J54
SCHEDULE K, PART II, LINE 3, COLUMN CSUPPLEMENTAL INFORMATION:BOTH SERIES A AND B BONDS WERE ISSUED AS DRAW-DOWN BONDS WITH ONLY $20 MILLION CUMULATIVE REQUESTED AT THE END OF THE TAX YEAR.
SCHEDULE K, PART II, LINE 9SUPPLEMENTAL INFORMATIONTHE BOND DOCUMENTS DO REQUIRE COMPLIANCE WITH THESE SECTIONS AND THE REQUIREMENTS ARE REVIEWED PERIODICALLY TO ENSURE CONTINUED COMPLIANCE WITH PRIVATE BUSINESS TESTS OR THE PRIVATE LOAN FINANCING TEST.
SCHEDULE K, PART IV, LINE 7SUPPLEMENTAL INFORMATIONTHE BOND DOCUMENTS DO REQUIRE COMPLIANCE WITH THIS SECTION AND THE REQUIREMENTS ARE REVIEWED PERIODICALLY TO ENSURE CONTINUED COMPLIANCE WITH YIELD RESTRICTIONS AND ARBITRAGE.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GBR LLC
G. GARY GUIDRY IS A TRUSTEE OF LGMC AND IS A MEMBER OF GBR, LLC1175524LAFAYETTE 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. TRUSTEE G. GARY GUIDRY MD IS A MEMBER OF GBR, LLC. 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.500000LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE SURGICALIST SERVICES.0
GACHASSIN LAW FIRM
PHILIP GACHASSIN, M.D.,TRUSTEE OF LGMC, IS A FAMILY MEMBER OF OWNER OF FIRM452706GACHASSIN LAW FIRM PROVIDES LEGAL SERVICES FOR LAFAYETTE GENERAL MEDICAL CENTER.0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990380000NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISED BY EXPERTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2TRUSTEES, 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 6THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BYES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE 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 ORGANIZATIONS 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 15AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT 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 19BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES.
FORM 990, PART VII, SECTION A, LINE 1APAYMENTS 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 XII, LINE 2CTHE PROCESS HAS NOT CHANED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST MARTIN HOSPITAL INC
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264HOSPITALLA501(C)(3)170(B)(1)(A) (III)LAFAYETTE GENERAL MEDICAL CENTER1
LAFAYETTE HEALTH VENTURES INC
1211 COOLIDGE STREETLAFAYETTELA70503721006966PHYSICIAN PRACTICESLA501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
1214 COOLIDGE STREETLAFAYETTELA70503383646817HEALTHCARE SUPPORTLA501(C)(3)509(A)(3)0
UNIVERSITY HOSPITAL & CLINICS INC
1211 COOLIDGE STREETLAFAYETTELA70503462605366HOSPITALLAPENDING 501(C)(3)170(B)(1)(A) (III)LAFAYETTE GENERAL HEALTH SYSTEMS0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LAFAYETTE INVESTMENT GROUP LLC
1000 WEST PINHOOK ROAD STE 206LAFAYETTELA70503421594593MANAGEMENTLALAFAYETTE GENERAL MEDICAL CENTERRELATED1184361534739000.29430
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
1000 WEST PINHOOK ROADLAFAYETTELA70503481360080SURGICAL HOSPITALLALAFAYETTE GENERAL MEDICAL CENTERRELATED24520802667003000.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREATER LAFAYETTE PHYSICIANS HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1117 AUDUBON BOULEVARDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
EIN721286969EIN
Primary ActivitySUPPORT SERVICESPrimaryActivity
Legal Domicile StateLALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST MARTIN HOSPITAL INC
L1373404COST
ST MARTIN HOSPITAL INC
R1084945COST
ST MARTIN HOSPITAL INC
Q3033858COST
LAFAYETTE INVESTMENT GROUP LLC
K1068093CONTRACT
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
Q1634237COST
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
S1250000COST