WILLIS-KNIGHTON MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WILLIS-KNIGHTON MEDICAL CENTER (EIN 72-0400933)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-13
IRS object ID
201441339349300634
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)
Timestamp2014-05-13T07:49:13-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN720506596EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLE EVANS & PETERSONBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE DRAWER 1768AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711661768ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720400933EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone3182124000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711302600ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES K ELRODName
TitlePRESIDENTTitle
Phone3182124000Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameC WILLIAM GERARDY JRName
PTINP00024591PTIN
Phone3182228367Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES K ELRODNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 32600AddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711302600ZIPCode
FieldValueIRS element (for citing)
Gross Receipts911312193GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WKHS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTH CARE SERVICES TO THE GENERAL PUBLIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees6992TotalNbrEmployees
Total Nbr Volunteers302TotalNbrVolunteers
Total Gross UBI1188569TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26840ContributionsGrantsPriorYear
Contributions Grants Current Year12857ContributionsGrantsCurrentYear
Program Service Revenue Prior Year847199480ProgramServiceRevenuePriorYear
Program Service Revenue CY891166400ProgramServiceRevenueCY
Investment Income Prior Year1641187InvestmentIncomePriorYear
Investment Income Current Year283508InvestmentIncomeCurrentYear
Other Revenue Prior Year947805OtherRevenuePriorYear
Other Revenue Current Year4132928OtherRevenueCurrentYear
Total Revenue Prior Year849815312TotalRevenuePriorYear
Total Revenue Current Year895595693TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2340463GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1841191GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year351641743SalariesEtcPriorYear
Salaries Etc Current Year375192529SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year412207323OtherExpensePriorYear
Other Expenses Current Year444496160OtherExpensesCurrentYear
Total Expenses Prior Year766189529TotalExpensesPriorYear
Total Expenses Current Year821529880TotalExpensesCurrentYear
Revenues Less Expenses Prior Year83625783RevenuesLessExpensesPriorYear
Revenues Less Expenses CY74065813RevenuesLessExpensesCY
Total Assets BOY950515940TotalAssetsBOY
Total Assets EOY1006411418TotalAssetsEOY
Total Liabilities BOY370437103TotalLiabilitiesBOY
Total Liabilities EOY280746051TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY580078837NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY725665367NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense684127238Expense
Grants1841191Grants
Revenue889000078Revenue
DescriptionWILLIS-KNIGHTON MEDICAL CENTER STRIVES TO PROVIDE HIGH QUALITY, COST-EFFECTIVE MEDICAL CARE TO THE COMMUNITIES OF NORTHWEST LOUISIANA, NORTHEAST TEXAS, AND SOUTHWEST ARKANSAS. THE MEDICAL CENTER OFFERS SOPHISTICATED TECHNOLOGY AND PROCEDURES THAT MAKE IT A TERTIARY CARE REFERRAL CENTER. GENERAL THE MEDICAL CENTER PROVIDES 24-HOUR EMERGENCY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY, AT ITS FOUR HOSPITALS. THE MEDICAL CENTER PROVIDES AN ORGAN TRANSPLANT PROGRAM, OBSTETRICS, COMPREHENSIVE HEART AND CANCER PROGRAMS, EXTENSIVE SURGICAL OPTIONS, LEADING-EDGE DIAGNOSTICS AS WELL AS A BROAD NETWORK OF PHYSICIANS ENCOMPASSING MOST SPECIALTIES AND SUBSPECIALTIES. THE MEDICAL CENTER PROVIDES THESE SERVICES REGARDLESS OF RACE, COLOR, CREED, RELIGION, GENDER, NATIONAL ORIGIN, DISABILITY OR AGE. THE MEDICAL CENTER HAD 50,997 ADMITTANCES DURING THE YEAR ENDED SEPTEMBER 30, 2013 WITH A TOTAL OF 202,918 PATIENT DAYS AND 3,291 BIRTHS. THE MEDICAL CENTER PARTICIPATES IN THE MEDICAID PROGRAM AND ADMINISTERS A CHARITY CARE POLICY WHEREBY FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO QUALIFIED INDIVIDUALS WITH LIMITED FINANCIAL MEANS. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER PROVIDED AN ESTIMATED $18,300,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO CHARITY CARE (EXCLUDING PROJECT NEIGHBORHEALTH) AND AN ESTIMATED $24,000,000 IN UNREIMBURSED COSTS ATTRIBUTABLE TO MEDICAID PATIENTS. THESE ESTIMATES ARE BASED ON THE MEDICAL CENTER'S OVERALL COST-TO-CHARGE RATIO. IN ADDITION TO THESE SERVICES, WILLIS-KNIGHTON PROJECT NEIGHBORHEALTH OPERATES FOUR CLINICS IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED AREAS WITH HEALTH PROFESSIONAL SHORTAGES. SEE SCHEDULE H FOR DETAILED INFORMATION REGARDING PROJECT NEIGHBORHEALTH. REGIONAL TRANSPLANT CENTER THE MEDICAL CENTER OPERATES THE JOHN C. MCDONALD REGIONAL TRANSPLANT CENTER AT WILLIS-KNIGHTON MEDICAL CENTER. ALL TRANSPLANT PATIENTS RECEIVE TRANSPLANTS WITHOUT REGARD TO THEIR ECONOMIC STATUS. THE REGIONAL TRANSPLANT CENTER PROVIDES KIDNEY, PANCREAS, AND LIVER TRANSPLANTS. SUBSTANTIALLY ALL THE COSTS OF OPERATING THE REGIONAL TRANSPLANT CENTER ARE BORNE BY WILLIS-KNIGHTON MEDICAL CENTER. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, 36 PATIENTS RECEIVED ORGAN TRANSPLANTS, CONSISTING OF 28 KIDNEYS (6 OF THOSE PATIENTS ALSO HAD A PANCREAS TRANSPLANT, AND 1 OF THOSE PATIENTS ALSO HAD A LIVER TRANSPLANT) AND 9 LIVERS. OF THE 36 TRANSPLANT SURGERIES PERFORMED AT THE MEDICAL CENTER DURING THE YEAR ENDED SEPTEMBER 30, 2013, 22 PATIENTS WERE BENEFICIARIES OF THE MEDICARE PROGRAM. AS SUCH, THESE TRANSPLANTS WERE PERFORMED AT VERY LITTLE, IF ANY, COST TO THE PATIENTS.EMERGENCY CARE THE MEDICAL CENTER PROVIDES EMERGENCY SERVICES AT FOUR LOCATIONS ON A 24-HOUR BASIS STAFFED BY FULL-TIME EMERGENCY ROOM PHYSICIANS. EMERGENCY PATIENTS ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER'S EMERGENCY ROOMS WERE VISITED BY 156,981 PATIENTS, OF WHOM 20,382 WERE ADMITTED TO THE HOSPITAL FOR FURTHER TREATMENT.WOMEN AND CHILDREN'S HEALTH THE MEDICAL CENTER PROVIDES A VARIETY OF MEDICAL SERVICES FOR WOMEN AND CHILDREN, INCLUDING OBSTETRICS, GYNECOLOGY, NEONATOLOGY, MATERNAL/FETAL HEALTH SERVICES FOR HIGH RISK PREGNANCY, PEDIATRIC INTENSIVE CARE AND PEDIATRIC SUPPORT SERVICES SUCH AS PEDIATRIC GASTROENTEROLOGY AND PEDIATRIC SURGERY. THESE SERVICES INCLUDE BOTH HIGH-RISK AND LOW-RISK OBSTETRICS. MATERNAL TRANSPORTS ARE ACCEPTED. THE LABOR AND DELIVERY (L&D) UNITS ARE DIRECTED BY BOARD CERTIFIED OB-GYN PHYSICIANS AND THE MAJORITY OF THE NURSES ARE CERTIFIED BY THE ASSOCIATION OF WOMEN'S HEALTH, OBSTETRIC & NEONATAL NURSES (AWHON). THERE WERE 3,291 BIRTHS; 8,601 OBSTETRICAL VISITS TO THE L&D UNITS; AND 3,579 OBSTETRICAL AND GYNECOLOGICAL INPATIENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013HEALTH AND WELLNESS CENTERS THE MEDICAL CENTER HAS SIX MEDICALLY-SUPERVISED HEALTH AND WELLNESS CENTERS DEDICATED TO THE PREVENTION OF HEALTH PROBLEMS, FOUR IN SHREVEPORT, ONE IN BOSSIER CITY, AND ONE IN HOMER WITH A TOTAL MEMBER ENROLLMENT AT SEPTEMBER 30, 2013 OF 6,410. THE CENTERS ARE LOCATED ON EACH OF THE FOUR HOSPITAL CAMPUSES, IN THE WK PIERRE AVENUE COMMUNITY CENTER, AND IN THE WK CLAIBORNE REGIONAL HEALTH CENTER. A MEDICAL EVALUATION, INCLUDING A BLOOD CHEMISTRY WORK-UP, IS REQUIRED FOR MEMBERSHIP. THE CENTERS SERVE PULMONARY AND CARDIAC REHABILITATION PATIENTS AND PROVIDE HEALTH AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. NEONATAL INTENSIVE CARE UNIT WILLIS-KNIGHTON'S CENTER FOR WOMEN'S HEALTH HOUSES A 42-BED LEVEL III REGIONAL OBSTETRICAL AND NEONATAL UNIT. THIS UNIT ACCEPTS REFERRALS FROM THE ARK-LA-TEX AREA AND IS SERVICED BY BOTH AIR AND GROUND EMERGENCY TRANSPORT ON A 24-HOUR BASIS. THIS UNIT IS DIRECTED BY A BOARD CERTIFIED NEONATOLOGIST. THE MAJORITY OF THE NURSING STAFF IS CERTIFIED BY AWHON. THE AVERAGE LENGTH OF STAY PER ADMIT IS 19.4 DAYS.HOSPICE HOSPICE OF LOUISIANA IS A DEPARTMENT OF WILLIS-KNIGHTON MEDICAL CENTER THAT PROVIDES COMPREHENSIVE END-OF-LIFE CARE INCLUDING SKILLED AND SUPPORTIVE SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE HOSPICE TEAM, UNDER THE GUIDANCE OF THE ATTENDING PHYSICIAN, FOCUSES ON THE ALLEVIATION OF THE PAIN AND DISCOMFORT CONNECTED WITH LIFE-ENDING ILLNESS. QUALITY OF LIFE, EMOTIONAL AND SPIRITUAL BALANCE, SYMPTOM MANAGEMENT, AND PAIN CONTROL ARE THE GOALS THAT TEAM MEMBERS STRIVE FOR AS THEY ASSIST DYING PATIENTS AND THEIR FAMILIES. BEREAVEMENT SUPPORT FOR THE IMMEDIATE FAMILY AND COMPANIONS IS PROVIDED FOR AT LEAST ONE YEAR FOLLOWING THE PATIENT'S DEATH. FOR THE YEAR ENDED SEPTEMBER 30, 2013, HOSPICE OF LOUISIANA SERVED 202 PATIENTS AND THEIR FAMILIES AS DIRECT ADMITS, NOT INCLUDING VISITATION AND COUNSELING PROVIDED THROUGH PRE-ADMIT AND/OR BEREAVEMENT SERVICES. THE TEAM INCLUDES: REGISTERED NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, VOLUNTEERS, ATTENDING PHYSICIANS, AND MEDICAL DIRECTOR.BEHAVIORAL MEDICINE CENTER THE BEHAVIORAL MEDICINE CENTER AT WILLIS-KNIGHTON MEDICAL CENTER OFFERS INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS IN NEED OF MENTAL HEALTH CARE. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE BEHAVIORAL MEDICINE CENTER SPONSORED NUMEROUS INFORMATION SESSIONS FOR VARIOUS GROUPS IN THE SHREVEPORT/BOSSIER AND NORTHWEST LOUISIANA AREAS. SUCH SESSIONS AMOUNTED TO APPROXIMATELY 470 HOURS AND WERE ATTENDED BY APPROXIMATELY 3,800 PEOPLE. TOPICS INCLUDED:MARRIAGE/FAMILY - DEVELOPMENT OF SKILLS TO ENRICH MARRIAGE AND FAMILY LIFE.SELF-ESTEEM - CONCENTRATES ON HOW GOOD SELF-ESTEEM CAN ENHANCE AN INDIVIDUAL'S QUALITY OF LIFE. PARENTING - FOCUSES ON APPROPRIATE PARENTING SKILLS AT VARIOUS DEVELOPMENTAL STAGES. STRESS MANAGEMENT - DEVELOPING SKILLS TO COPE WITH EVERYDAY STRESSES IN LIFE.PERSONAL ENRICHMENT - EMPOWERING OURSELVES TO REACH MAXIMUM POTENTIAL.MOTIVATION/ATTITUDE - HOW ATTITUDE AFFECTS OUR MENTAL AND PHYSICAL HEALTH.COUNSELING ISSUES/TECHNIQUES - ISSUES CONCERNING PROFESSIONAL DEVELOPMENT FOR COUNSELORS/THERAPISTS.AGING - DEVELOPMENT OF A POSITIVE ATTITUDE TO DEAL WITH ISSUES OF AGING.DEPRESSION/SUICIDE - ASSESSMENT OF DEPRESSION AND SUICIDE, AND LEGAL AND ETHICAL ISSUES SURROUNDING SUICIDE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11056139Expense
Revenue4485520Revenue
DescriptionTHE MEDICAL CENTER PROVIDES HOUSING, HEALTHCARE, AND RELATED SERVICES TO THE ELDERLY THROUGH THE OAKS OF LOUISIANA. THE OAKS OF LOUISIANA IS A RESIDENTIAL COMMUNITY DESIGNED SPECIFICALLY FOR ADULTS AGED 55 AND OVER. THIS RESIDENTIAL COMMUNITY PROVIDES SECURE, MAINTENANCE-FREE LIVING AND PROMOTES AN ACTIVE, HEALTHY LIFESTYLE. THE CAMPUS OF THE OAKS OF LOUISIANA INCLUDES THE TOWER AT THE OAKS, A RESIDENTIAL COMMUNITY, AND SAVANNAH AT THE OAKS, AN ASSISTED LIVING FACILITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense695183377TotalProgramServiceExpense
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 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096550NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees6992NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MR JAMES K ELRODBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3182124000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12611 GREENWOOD ROADAddressLine1
CitySHREVEPORTCity
StateLAState
ZIP Code711033908ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES K ELROD
PRESIDENT/CEO/TRUSTEE53.00XX1487262550012899
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN40.00X20530706804
RAY P ODEN JR
TRUSTEE/CHAIRMAN4.00X000
PHILLIP A ROZEMAN MD
TRUSTEE4.00X000
TIGNER A WALKER
TRUSTEE4.00X000
FRANK B HUGHES MD
TRUSTEE/CHAIRMAN4.00X000
RAND H FALBAUM
TRUSTEE4.00X000
TWAIN K GIDDENS
TRUSTEE4.00X000
WILLIS L MEADOWS JR
TRUSTEE4.00X000
SAM J TALBOT
TRUSTEE4.00X000
VINCENT MARSALA PHD
TRUSTEE4.00X000
JOHN C MICIOTTO MD
TRUSTEE4.00X000
GILBERT R SHANLEY
TRUSTEE4.00X000
ROBERT D HUIE
EXECUTIVE VP & CFO52.00X1147461019888
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO40.00X444136021319
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS40.00X308090021252
MARGARET G ELROD
VP/IND WELLNESS/COMMUNITY40.00X17425608625
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC40.00X164081021773
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER40.00X174786014117
JANET K ELROD
VP/ADMIN WK SOUTH40.00X17364908953
IRA L MOSS
VP/ADMIN WK PIERREMONT40.00X203327015086
JILL K ELROD
VP OF LEGAL AFFAIRS40.00X229136012208
PEGGY J GAVIN
VP OF PHYSICIAN SERVICES40.00X17629109291
DEBORAH D OLDS
VP OF NURSING40.00X136153015185
RAMONA D FRYER
VP OF REV/QUALITY/COMPLIAN40.00X180248016899
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC40.00X321969013683
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB40.00X321409014387
RANDALL P BREWER MD
PHYSICIAN40.002217347023903X
MILAN G MODY MD
PHYSICIAN40.001699363018901X
CHRISTIAN M BRIERY MD
PHYSICIAN40.001549919018646X
MATTHEW S MOSURA MD
PHYSICIAN40.001304848018899X
CLINT M CORMIER MD
PHYSICIAN40.001458837018039X
FieldValueIRS element (for citing)
Total Reportable Comp From Org14077875TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5500TotalReportableCompFrmRltdOrgs
Total Other Compensation330757TotalOtherCompensation
Number Individuals GT100 K462NumberIndividualsGT100K
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
LSU HEALTH SCIENCES CENTER
PO BOX 33932SHREVEPORTLA71130MEDICAL STAFFING5091089
SHREVEPORT ANESTHESIA SERVICE
2600 GREENWOOD ROADSHREVEPORTLA71103PHYSICIAN SERVICES4097893
RED RIVER CARDIOVASCULAR SURGEONS
2751 ALBERT BICKNELL DR SUITE 5CSHREVEPORTLA71103PHYSICIAN SERVICES3330000
TEG ARCHITECTS LLC
903 SPRING STREETJEFFERSONVILLEIN47130ARCHITECTUAL FEES2241302
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN55480LABORATORY TESTING SERVICES2117420
FieldValueIRS element (for citing)
Number Of Contractors GT100 K118NumberOfContractorsGT100K
All Other Contributions12857AllOtherContributions
Total Contributions12857TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL SERVICES900099886680880886680880
RESIDENTIAL COMMUNITY90009944855204485520
FieldValueIRS element (for citing)
Total Program Service Revenue891166400TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column908669TotalRevenueColumn
Exclusion$908,669ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1558434Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1277483Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real280951Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column280951TotalRevenueColumn
Related Or Exempt Function Income280951RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13777004Securities
Other36852Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13754668Securities
Other684349Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities22336Securities
Other-647497Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-625161TotalRevenueColumn
Related Or Exempt Function Income-625161RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LABORATORY REVENUE621500484973484973
(LOSS) FROM SUBSIDIARY - HEALTH P5241146955969559
(LOSS) FROM SUBSIDIARY - VIRGINIA623000-434968-434968

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3732413TotalRevenueColumn
Related Or Exempt Function Income3028817RelatedOrExemptFunctionIncome
Unrelated Business Revenue703596UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue3851977TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column895595693TotalRevenueColumn
Related Or Exempt Function Income893485598RelatedOrExemptFunctionIncome
Unrelated Business Revenue1188569UnrelatedBusinessRevenue
Exclusion$908,669ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1834039Total
Program Services1834039ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total7152Total
Program Services7152ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6623380Total
Management And General6623380ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total272060334Total
Program Services237778932ProgramServices
Management And General34281402ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22519959Total
Program Services19214513ProgramServices
Management And General3305446ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total50623146Total
Program Services43192756ProgramServices
Management And General7430390ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23365710Total
Program Services19936126ProgramServices
Management And General3429584ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total798546Total
Management And General798546ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1712614Total
Management And General1712614ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2817683Total
Program Services1140130ProgramServices
Management And General1677553ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7089213Total
Management And General7089213ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total710315Total
Management And General710315ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total45463399Total
Program Services22561253ProgramServices
Management And General22902146ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5231662Total
Management And General5231662ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT DEPARTMENTAL EXP347843147347843147
TAXES & LICENSES80631668063166
BUSINESS OFFICE53845205384520

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19381895Total
Program Services1675329ProgramServices
Management And General17706566ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total821529880Total
Program Services695183377ProgramServices
Management And General126346503ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY5326613EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY156688418BOY
EOY118581569EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY126115486BOY
EOY141524578EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY11401086BOY
EOY7798107EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20574027BOY
EOY21296159EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3385510BOY
EOY3864762EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1070719690LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec543441018LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY510393592BOY
EOY527278672EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY102365990BOY
EOY165730061EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY16882615BOY
EOY12754760EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1648502BOY
EOY1443318EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1060714BOY
EOY812819EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY950515940BOY
EOY1006411418EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY90271313BOY
EOY92060255EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY177443951BOY
EOY164265868EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY102721839BOY
EOY24419928EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370437103BOY
EOY280746051EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY580078837BOY
EOY725665367EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY580078837BOY
EOY725665367EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY950515940BOY
EOY1006411418EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses74065813ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-338760ReconciliationUnrealizedInvest
Reconcilation Other Changes71859477ReconcilationOtherChanges
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

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$65,053OtherActivitiesAmount
Total Lobbying Expenditures IIB65053TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER PAID DUES TOTALING $31,600 TO THE LOUISIANA STATE MEDICAL SOCIETY ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $6,636 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER PAID DUES TOTALING $6,790 TO THE AMERICAN MEDICAL ASSOCIATION ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $3,735 WAS RELATED TO LOBBYING ACTIVITIES. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER PAID DUES TOTALING $260,390 TO THE LOUISIANA HOSPITAL ASSOCIATION FOR THE MEDICAL CENTER'S MEMBERSHIP IN THE ASSOCIATION AND ON BEHALF OF DOCTORS IN THE MEDICAL CENTER'S PHYSICIAN NETWORK, WHICH CONSISTS OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEDICAL CENTER. A PORTION OF THE DUES, $54,682 WAS RELATED TO LOBBYING ACTIVITIES. HEALTHCARE POLICY IS CRITICAL TO THE MISSION OF THE MEDICAL CENTER, AND ITS MANAGEMENT BELIEVES THAT HEALTHCARE PROVIDERS SHOULD PARTICIPATE IN FORMING HEALTHCARE POLICY BY INTERACTING WITH NATIONAL, STATE, AND LOCAL REPRESENTATIVES AND THEIR STAFFS, WHEN POSSIBLE, TO HELP THEM BETTER UNDERSTAND THE COMPLEXITIES AND RAMIFICATIONS OF KEY HEALTHCARE ISSUES. THE MEDICAL CENTER'S MANAGEMENT IS AVAILABLE TO LAWMAKERS, GOVERNMENT OFFICIALS, AND THEIR STAFF MEMBERS, FOR INFORMATION AND OCCASIONALLY RESPONDS TO QUESTIONS AND INITIATES COMMUNICATIONS ABOUT HOW PROPOSED LAWS, POLICIES, REGULATIONS, ETC. MIGHT AFFECT THE MEDICAL CENTER'S ABILITY TO DELIVER COST-EFFECTIVE, QUALITY HEALTHCARE. THE AMOUNT OF TIME AND MONEY RESOURCES INVOLVED IN THESE ACTIVITIES IS INSUBSTANTIAL. THE MEDICAL CENTER HAS NOT AND DOES NOT INTERVENE IN ANY POLITICAL CAMPAIGN.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1272830InvestmentCostOrOtherBasis
Other Cost Or Other Basis47885590OtherCostOrOtherBasis
Book Value49158420BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis9550416InvestmentCostOrOtherBasis
Other Cost Or Other Basis602556749OtherCostOrOtherBasis
Depreciation297534059Depreciation
Book Value314573106BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1903870OtherCostOrOtherBasis
Depreciation1247534Depreciation
Book Value656336BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis310987785OtherCostOrOtherBasis
Depreciation230242390Depreciation
Book Value80745395BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96562450OtherCostOrOtherBasis
Depreciation14417035Depreciation
Book Value82145415BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings527278672TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$2,094,365
INVESTMENT IN SUB. - VIRGINIA HALL, INC.$3,582,683
LIABILITY FOR PENSION BENEFITS$18,742,880
FieldValueIRS element (for citing)
Total Of Amounts24419928TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt912442115TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-338762NetUnrealizedGainsInvestments
Revenue Not Rptd F990-338762RevenueNotRptdF990
Revenue Subtotal912780877RevenueSubtotal
Other Revenues Not Included-17185184OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-17185184RevenueNotRptdOnFinStmt
Total Revenue Per Form990895595693TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt766855587TotExpensesEtcAuditedFinclStmt
Other Expenses Included-54674293OtherExpensesIncluded
Expenses Not Rptd F990-54674293ExpensesNotRptdF990
Expenses Subtotal821529880ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990821529880TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:UNRELATED BUSINESS INCOME-EXTERNAL HOUSEKEEPING, DATA PROCESSING, LAUNDRY SUBSIDIARIES EXPENSES
PART XII, LINE 2D - OTHER ADJUSTMENTS:SUBSIDIARIES INCOME/EXPENSE UNRELATED BUSINESS INCOME-EXTERNAL HOUSEKEEPING, DATA PROCESSNG, LAUNDRY FASB ASC 715-30 PENSION
PART XII, LINE 4B UNRELATED BUSINESS GROSS INCOME: DATA PROCESSING 297,460 HOUSEKEEPING 81,338 LAUNDRY 262,730 SUBSIDIARIES EXPENSES (17,826,712) TOTAL (17,185,184) PART XIII, LINE 2D UNRELATED BUSINESS GROSS INCOME: DATA PROCESSING (297,460) HOUSEKEEPING (81,338) LAUNDRY (262,730) SUBSIDIARIES EXPENSES 17,826,712 PENSION RELATED CHANGES (71,859,477) TOTAL (54,674,293)

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionRUSSIA & THE NEWLY INDEPENDENT STATES -Region
Purpose Of GrantPROVIDE MEDICAL SUPPLIES FOR MEDICAL MISSION TRIP TO THE UKRAINEPurposeOfGrant
Amount Of Non Cash Assistance7152AmountOfNonCashAssistance
Description Of Non Cash AssistanceMEDICAL SUPPLIESDescriptionOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense18423846TotalCommunityBenefitExpense
Net Community Benefit Expense18423846NetCommunityBenefitExpense
Percent Of Total Expense0.02240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense72549043TotalCommunityBenefitExpense
Direct Offsetting Revenue48546525DirectOffsettingRevenue
Net Community Benefit Expense24002518NetCommunityBenefitExpense
Percent Of Total Expense0.02920PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense90972889TotalCommunityBenefitExpense
Direct Offsetting Revenue48546525DirectOffsettingRevenue
Net Community Benefit Expense42426364NetCommunityBenefitExpense
Percent Of Total Expense0.05160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4525384TotalCommunityBenefitExpense
Net Community Benefit Expense4525384NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4667879TotalCommunityBenefitExpense
Net Community Benefit Expense4667879NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2508160TotalCommunityBenefitExpense
Direct Offsetting Revenue904635DirectOffsettingRevenue
Net Community Benefit Expense1603525NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1834039TotalCommunityBenefitExpense
Net Community Benefit Expense1834039NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13535462TotalCommunityBenefitExpense
Direct Offsetting Revenue904635DirectOffsettingRevenue
Net Community Benefit Expense12630827NetCommunityBenefitExpense
Percent Of Total Expense0.01540PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense104508351TotalCommunityBenefitExpense
Direct Offsetting Revenue49451160DirectOffsettingRevenue
Net Community Benefit Expense55057191NetCommunityBenefitExpense
Percent Of Total Expense0.06700PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$18,293,419BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare217697259AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare192359558CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall25337701MedicareSurplusOrShortfall

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 Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOtherFacility Reporting GroupFacilityReportingGroup
WILLIS-KNIGHTON MEDICAL CENTER
12600 GREENWOOD ROADSHREVEPORTLA71103XXXXREHAB CTR, SNF, PHYSICIAN CLINICSA
WK PIERREMONT HEALTH CENTER
28001 YOUREE DRIVESHREVEPORTLA71115XXXXPHYSICIAN CLINICSA
WK BOSSIER HEALTH CENTER
32400 HOSPITAL DRIVEBOSSIER CITYLA71111XXXPHYSICIAN CLINICSA
WILLIS-KNIGHTON SOUTH
42510 BERT KOUNS INDUSTRIAL LOOPSHREVEPORTLA71118XXXXPHYSICIAN CLINICSA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WILLIS-KNIGHTON HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
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 Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OUTPATIENT CLINICS
VARIOUS LOCATIONSSHREVEPORTLA71130OUTPATIENT CLINICS
THE OAKS OF LOUISIANA
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115RESIDENTIAL COMMUNITY FOR ADULTS AGE 55 AND OVER
SAVANNAH AT THE OAKS
600 EAST FLOURNOY LUCUS ROADSHREVEPORTLA71115ASSISTED LIVING FACILITY
EXTENDED CARE CENTER
2550 KINGS HIGHWAYSHREVEPORTLA71103SUBACUTE REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: ALL ITEMS IN THE TABLE, EXCEPT FOR LINE 7G, USE THE COST-TO-CHARGE RATIO COSTING METHOD. PROJECT NEIGHBORHEALTH, WHICH IS INCLUDED ON LINE 7G, USES THE ACTUAL COST METHOD.
PART III, LINE 4: THE MEDICAL CENTER MAINTAINS AN ALLOWANCE FOR DOUBTFUL PATIENT ACCOUNTS RECEIVABLE BASED ON MANAGEMENTS ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. AS MANAGEMENT DETERMINES THE COLLECTION OF SPECIFIC PATIENT ACCOUNTS TO BE DOUBTFUL, SUCH ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE. BASED ON THIS ANALYSIS, BAD DEBT EXPENSE AS A PERCENTAGE OF GROSS PATIENT BILLINGS (EXCLUDING MEDICARE CHARGES, MEDICAID CHARGES, AND CHARITY CARE) WAS 5.8 PERCENT AND 6.9 PERCENT FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND SEPTEMBER 30, 2012, RESPECTIVELY.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
PART III, LINE 9B: MONTHLY STATEMENTS ARE GENERATED AND MAILED BY THE MEDICAL CENTER TO KEEP PATIENTS/GUARANTORS INFORMED OF OUTSTANDING ACCOUNT BALANCES. STATEMENT MESSAGES ARE GENERATED FOR EACH ACCOUNT THAT LET THE PATIENT/GUARANTOR KNOW IF THE BALANCE IS PENDING PAYMENT FROM THEIR INSURANCE CARRIER OR DEEMED TO BE THE PATIENT'S RESPONSIBILITY.THE IN-HOUSE COLLECTIONS DEPARTMENT IS RESPONSIBLE FOR SELF-PAY COLLECTIONS. THIS INCLUDES COLLECTION OF BALANCES AFTER ALL INSURANCE HAS PAID AND COLLECTION OF BALANCES FROM PATIENTS WHO HAVE NO INSURANCE. THE MEDICAL CENTER UTILIZES SELF PAY COMPASS (A COMPANY THAT SPECIALIZES IN ESTIMATING INDIVIDUAL'S INCOME AND FINANCIAL RESOURCES) TO IDENTIFY ACCOUNTS THAT HAVE A HIGH PROBABILITY FOR PAYMENT. THE PROBABILITY OF PAYMENT REPORT GENERATED BY SELF PAY COMPASS IS BASED ON OUTSIDE INFORMATION SOURCES THAT PROVIDE A PERSON'S CREDIT HISTORY, ESTIMATED HOUSEHOLD INCOME, MEDICAL BILL PAYMENT HISTORY, ETC. REPORTS ARE GENERATED FROM SELF PAY COMPASS ON A WEEKLY BASIS FOR ALL ACCOUNTS WITH A SELF-PAY BALANCE AND CALCULATED PROBABILITY OF PAYMENT GREATER THAN 70%. ACCOUNTS FROM THESE REPORTS ARE THEN PROCESSED BY MEDITECH (THE MEDICAL CENTER'S CORE SOFTWARE) TO DETERMINE IF THE GUARANTOR HAS ADDITIONAL SELF-PAY BALANCES. IF THE GUARANTOR IS CURRENTLY PAYING ON ANOTHER ACCOUNT(S), THE ACCOUNT FROM THE REPORT IS COMBINED WITH THE OTHER ACCOUNT(S) SO THE GUARANTOR RECEIVES ONE STATEMENT OR COLLECTION LETTER EACH MONTH. IF THE GUARANTOR HAS NO OTHER ACCOUNTS ON WHICH THEY ARE PAYING, A PHONE CALL IS MADE. A REPORT IS GENERATED FROM SELF PAY COMPASS ON A MONTHLY BASIS TO DETERMINE ACCOUNTS WITH BALANCES LESS THAN $100 THAT ARE DELINQUENT. THESE ACCOUNTS ARE IMPORTED INTO MEDITECH TO RECEIVE A COLLECTION LETTER WHEN APPROPRIATE. A REPORT IS GENERATED FROM MEDITECH ON A MONTHLY BASIS TO IDENTIFY ACCOUNTS WITH BALANCES OVER $10,000. THE IN-HOUSE COLLECTOR REVIEWS THE COLLECTION ACTIVITY AND FOLLOWS UP WITH THE APPROPRIATE ACTION WHICH MAY INCLUDE PHONE CALLS, ASSISTING THE PATIENT WITH APPLYING FOR CHARITY CARE, ESTABLISHING A PAYMENT ARRANGEMENT OR RECOMMENDING THAT THE ACCOUNT BE REFERRED FOR OUTSIDE COLLECTIONS. OTHER REPORTS ARE GENERATED FROM MEDITECH AND SELF PAY COMPASS ON AN AS-NEEDED BASIS TO IDENTIFY OTHER ACCOUNTS REQUIRING COLLECTION ACTIVITY.
PART VI, LINE 2: WILLIS-KNIGHTON MEDICAL CENTER OPERATES THROUGHOUT SHREVEPORT, BOSSIER CITY AND NEARBY PARISHES AND PROVIDES FOUR HOSPITALS, NUMEROUS SATELLITE CLINICS, A SKILLED NURSING FACILITY, A RETIREMENT COMMUNITY, AND AN ASSISTED LIVING FACILITY. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES BY STAYING INFORMED ABOUT THE RELEVANT TRENDS OCCURRING IN THE AREAS IN WHICH IT OPERATES.
PART VI, LINE 3: WILLIS-KNIGHTON HEALTH SYSTEM IS COMMITTED TO PROVIDING CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTHCARE SERVICES AND TO BE AN ADVOCATE FOR THOSE WHO ARE MOST IN NEED, WILLIS-KNIGHTON HEALTH SYSTEM STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. PATIENTS ARE EXPECTED TO COOPERATE WITH WILLIS-KNIGHTON HEALTH SYSTEM'S PROCEDURES FOR OBTAINING CHARITY OR OTHER FORMS OF PAYMENT OR FINANCIAL ASSISTANCE, AND TO CONTRIBUTE TO THE COST OF THEIR CARE BASED ON THEIR INDIVIDUAL ABILITY TO PAY.PATIENTS OF THE MEDICAL CENTER ARE INFORMED OF THEIR ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE ORGANIZATION'S CHARITY CARE POLICY IN THE FOLLOWING MANNERS:1)IF THE PATIENT DOES NOT HAVE INSURANCE, THEN THE MEDICAL CENTER WILL ASSIST THEM IN DETERMINING WHETHER OR NOT THEY QUALIFY FOR MEDICAID.2)INFORMATION CONCERNING THE MEDICAL CENTER'S CHARITY CARE PROGRAM IS AVAILABLE ON THE MEDICAL CENTER'S WESITE, WWW.WKHS.COM.3)ONCE A PATIENT HAS BEEN ADMITTED INTO THE HOSPITAL, AND IT IS DETERMINED THAT THEY DO NOT HAVE INSURANCE, THEN A MEDICAL CENTER EMPLOYEE IS RESPONSIBLE FOR REQUESTING A DEPOSIT FROM THE PATIENT. IF THE PATIENT IS NOT ABLE TO PAY, THEN THE PATIENT IS GIVEN AN APPLICATION FOR THE CHARITY CARE PROGRAM AT THAT TIME.4)IN THE EVENT THERE IS NO WRITTEN DOCUMENTATION TO SUPPORT A PATIENT'S ELIGIBILITY FOR CHARITY CARE, THE MEDICAL CENTER UTILIZES SELF PAY COMPASS (A COMPANY THAT SPECIALIZES IN ESTIMATING AN INDIVIDUAL'S INCOME AND FINANCIAL RESOURCES) TO DETERMINE CHARITY CARE ELIGIBILITY. THE MEDICAL CENTER RELIES ON SELF PAY COMPASS TO ESTIMATE INCOME AND FINANCIAL RESOURCES ONLY FOR THOSE INDIVIDUALS WHOSE INCOME IS ESTIMATED TO BE 400% OR LESS OF THE FEDERAL POVERTY LEVEL. REPORTS ARE GENERATED ON A QUARTERLY BASIS TO IDENTIFY ACCOUNTS THAT MEET THIS CRITERION, AND CHARITY CARE ADJUSTMENTS ARE APPLIED, IF APPLICABLE.
PART VI, LINE 4: WILLIS-KNIGHTON'S PRIMARY SERVICE AREA COVERS AN APPROXIMATE 35 MILE RADIUS OF SHREVEPORT, COVERING THE LOUISIANA PARISHES OF CADDO, BOSSIER, WEBSTER, CLAIBORNE, RED RIVER, DESOTO AND BIENVILLE, AND WHICH HAD A 2011 ESTIMATED POPULATION OF APPROXIMATELY 485,023 PERSONS. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2010 U.S. CENSUS DATA FOR SHREVEPORT IS $39,086. THE MEDIAN HOUSEHOLD INCOME ACCORDING TO THE 2010 U.S. CENSUS DATA FOR BOSSIER PARISH IS $46,518.
PART VI, LINE 5: OTHER COMMUNITY BENEFITS:PROJECT NEIGHBORHEALTH - OVERVIEWDURING 1995, THE MEDICAL CENTER BEGAN A PROGRAM KNOWN AS "PROJECT NEIGHBORHEALTH." THE PROGRAM'S PURPOSE IS TO PROMOTE HEALTH AND WELL-BEING IN COMMUNITIES THAT ARE ECONOMICALLY DISTRESSED AND/OR DESIGNATED AS MEDICALLY UNDER-SERVED, HEALTH-PROFESSIONAL-SHORTAGE AREAS. THE PROGRAM PROVIDES FREE COMMUNITY PROGRAMS INCLUDING ANTI-DRUG/GANG PROGRAMS, LIFE SKILLS TRAINING, MENTORING PROGRAMS, NUTRITIONAL COUNSELING, POLICE COMMUNITY FORUMS, AND OTHER COMMUNITY-RELATED PROGRAMS. AS PART OF PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER OPERATES THE FOLLOWING CLINICS: SIMPKINS COMMUNITY HEALTH & EDUCATION CENTER, WK PIERRE AVENUE HEALTH & WELLNESS CENTER, WK BRADLEY MEDICAL CLINIC, AND THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTER.SIMPKINS COMMUNITY HEALTH & EDUCATION CENTERPROJECT NEIGHBORHEALTH: ON SEPTEMBER 1, 1995, AT A COST OF APPROXIMATELY $1,300,000, THE MEDICAL CENTER OPENED A 6,463 SQUARE FOOT, FEDERALLY DESIGNATED INDIGENT CARE MEDICAL CLINIC AND A 3,914 SQUARE FOOT COMMUNITY EDUCATION BUILDING ON SHREVEPORT-BLANCHARD ROAD AT DR. MARTIN LUTHER KING DRIVE IN SHREVEPORT, LOUISIANA. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THESE FACILITIES ARE CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY. THE LOCATION OF THE CLINIC (CENSUS TRACT 246 IN THE DR. MARTIN LUTHER KING DRIVE AREA IN CADDO PARISH) WAS DESIGNATED BY THE DEPARTMENT OF HEALTH AND HOSPITALS AS A HEALTH-PROFESSIONAL-SHORTAGE AREA AND AS A MEDICALLY UNDER-SERVED AREA. PRIOR TO THE CLINIC'S OPENING, THIS AREA WAS THE SECOND LARGEST CONTIGUOUS POPULATION OF MEDICALLY UNDER-SERVED PEOPLE IN THE UNITED STATES. THE CLINIC HAS AN EMERGENCY AND SPECIAL PROCEDURES ROOM, AN X-RAY DEPARTMENT, AND A FULLY EQUIPPED LABORATORY AND DENTAL FACILITY. PREVENTATIVE CARE PROGRAMS INCLUDE BLOOD PRESSURE CHECKS, HEALTH SCREENINGS, IMMUNIZATIONS, AND DIABETES COUNSELING. THE CLINIC'S STAFF INCLUDES 2 PART-TIME FAMILY PRACTICE PHYSICIANS, A PART-TIME NURSE PRACTITIONER, AND SUPPORT STAFF. THE CLINIC HAD 4,500 MEDICAL PATIENT VISITS DURING THE YEAR ENDED SEPTEMBER 30, 2013. THE EDUCATION FACILITY HOUSES CLASSROOMS, AN AUDITORIUM, A NURSERY, A CONFERENCE ROOM, AND A LIBRARY WITH STUDY AREAS.WK PIERRE AVENUE COMMUNITY HEALTH & WELLNESS CENTERPROJECT NEIGHBORHEALTH: ON AUGUST 1, 1998, THE MEDICAL CENTER OPENED A 15,062 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK PIERRE AVENUE COMMUNITY CENTER" ON PIERRE AVENUE IN SHREVEPORT AT A COST OF APPROXIMATELY $1,375,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THIS FACILITY ALSO CONTAINS A HEALTH AND FITNESS CENTER. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES 2 PART-TIME FAMILY PRACTICE PHYSICIANS, A PART-TIME PHYSICIAN ASSISTANT, AND SUPPORT STAFF. THE CLINIC HAD 4,441 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2013. WK BRADLEY MEDICAL CLINIC ON AUGUST 24, 1998, THE MEDICAL CENTER OPENED A 3,915 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "WK BRADLEY MEDICAL CLINIC" IN BRADLEY, ARKANSAS AT A COST OF APPROXIMATELY $140,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES A NURSE PRACTITIONER AND VARIOUS SUPPORT STAFF. THE CLINIC HAD 1,980 MEDICAL PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2013. THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTERPROJECT NEIGHBORHEALTH: ON OCTOBER 15, 2001, THE MEDICAL CENTER OPENED A 3,049 SQUARE FOOT MEDICAL CLINIC KNOWN AS THE "THE CHILDREN'S DENTAL CLINIC AND WK COMMUNITY EDUCATION CENTER" ON SOUTHERN AVENUE IN SHREVEPORT. THE MEDICAL CLINIC IS HOUSED IN A DONATED BUILDING THAT THE MEDICAL CENTER RENOVATED AT A COST OF APPROXIMATELY $162,000. LOCATED IN AN ECONOMICALLY DISTRESSED COMMUNITY, THIS FACILITY IS CONVENIENT TO AND PRIMARILY FOR THE BENEFIT OF THE PEOPLE IN THAT COMMUNITY. THE MEDICAL CENTER PROVIDES EQUIPMENT AND MEDICAL STAFF FOR THE CLINIC. THE CLINIC'S STAFF INCLUDES 57 DENTISTS FROM THE NORTHWEST LOUISIANA DENTAL VOLUNTEERS, WHO EACH DONATE ONE-THIRD DAY PER MONTH TO THE CLINIC. THE CLINIC HAD APPROXIMATELY 750 PATIENTS DURING THE YEAR ENDED SEPTEMBER 30, 2013. DURING THE YEAR ENDED SEPTEMBER 30, 2013, UNDER PROJECT NEIGHBORHEALTH, THE MEDICAL CENTER PROVIDED OVER 15,000 HOURS TO COMMUNITY SERVICES/PROJECTS AT NO COST TO THE RECIPIENTS BY 3 FULL-TIME EMPLOYEES, 1 PART-TIME EMPLOYEE, AND VOLUNTEERS IN ADDITION TO HOURS PROVIDED BY VARIOUS DEPARTMENTS WITHIN THE MEDICAL CENTER.OTHER COMMUNITY SERVICESTHE MEDICAL CENTER MAKES AVAILABLE, FREE-OF-CHARGE, MEETING SPACE TO OUTSIDE COMMUNITY OUTREACH ORGANIZATIONS SUCH AS QUEENSBOROUGH NEIGHBORHOOD ASSOCIATION, BOSSIER MEDICAL SOCIETY, CADDO PARISH SHERIFF'S OFFICE, ICE (INNER CITY ENTREPRENEUR), NORTH LOUISIANA AHEC, LIFESHARE BLOOD CENTER, LSU PSYCHIATRY PROGRAM, TEXAS WESLEYAN UNIVERSITY CRNA PROGRAM, NORTHWEST LOUISIANA COALITION FOR WOMEN AND CHILDREN, NORTHWEST LOUISIANA INTERFAITH PHARMACY, VOLUNTEERS FOR YOUTH JUSTICE AND OTHER CHARITABLE AND GOVERNMENTAL ORGANIZATIONS. ROOMS ARE ALSO PROVIDED FOR OFF CAMPUS CLASSES TAUGHT BY BOSSIER PARISH COMMUNITY COLLEGE AT THE WK CAREER INSTITUTE.THE MEDICAL CENTER OFFERS EXTENSIVE ONLINE HEALTH INFORMATION ON ITS WEB SITE. FREE HEALTH INFORMATION IS AVAILABLE, TARGETED TO BOTH ADULTS AND CHILDREN. INFORMATION FOR ADULTS INCLUDES A HEALTH LIBRARY, DRUG INTERACTION CHECKER, NUTRITION AND WELLNESS INFORMATION AND DESCRIPTION OF PROCEDURES, WRITTEN BY HEALTH PROFESSIONALS AND REVIEWED AND UPDATED REGULARLY. THE MEDICAL CENTER ALSO PARTNERS WITH THE NEMOURS FOUNDATION TO OFFER KIDSHEALTH, A HEALTH AND WELLNESS INFORMATION SITE TARGETED TO CHILDREN, TEENS AND THEIR PARENTS. THE WILLIS-KNIGHTON CANCER CENTER WEB SITE OFFERS INFORMATION ON VARIOUS TYPES OF CANCER AND TREATMENTS AS WELL AS AN UPDATED LIST OF CLINICAL TRIALS. DURING THE PAST YEAR THE MEDICAL CENTER'S ON-LINE HEALTH LIBRARY ATTRACTED 260,000 VISITS FROM A TOTAL OF 219,000 VISITORS. KIDSHEALTH ATTRACTED OVER 191,000 VISITS.IMMUNIZATIONS FOR CHILDREN WILLIS-KNIGHTON PROVIDES A MOBILE UNIT THAT OFFERS "SHOTS FOR TOTS". USING ITS MOBILE VAN AND STAFF, VACCINES ARE TAKEN TO VARIOUS NEIGHBORHOODS TO MAKE THEM CONVENIENT FOR PARENTS. UNDER THIS PROGRAM, ANY CHILD MAY RECEIVE IMMUNIZATION SHOTS, FREE OF CHARGE, FOR MEASLES, MUMPS, RUBELLA, DIPHTHERIA, PERTUSSIS, TETANUS, HEPATITIS B, POLIO, MENINGITIS, FLU, AND CHICKEN POX. THE MEDICAL CENTER SUBSIDIZES ALL EXPENSES OF THE PROGRAM EXCEPT THE VACCINE, WHICH IS PROVIDED BY THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE MEDICAL CENTER IMMUNIZED 3,129 PATIENTS UNDER THIS PROGRAM.HEALTH PROFESSIONS EDUCATIONTHE MEDICAL CENTER PROVIDES VARIOUS EDUCATION PROGRAMS THAT RESULT IN HEALTH CARE PROFESSIONALS RECEIVING DEGREES, CERTIFICATES OR TRAINING THAT IS NECESSARY TO BE LICENSED TO PRACTICE AS HEALTH CARE PROFESSIONALS. WHILE THE MEDICAL CENTER ALSO PROVIDES A VARIETY OF EDUCATION, TRAINING AND STIPEND PROGRAMS THAT ARE EXCLUSIVE TO THE MEDICAL CENTER'S EMPLOYEES AND MEDICAL STAFF, THOSE COSTS ARE NOT INCLUDED IN THIS CATEGORY. THE MEDICAL CENTER MAINTAINS AN ASSOCIATION WITH LSU HEALTH SCIENCES CENTER (A PUBLIC TEACHING, RESEARCH, AND INDIGENT CARE FACILITY) BY PROVIDING GRANTS, ASSISTANCE WITH RESIDENTS AND FELLOWS, ALONG WITH UNDERWRITING THE COST OF CLINICAL SETTINGS FOR TRAINING AND INTERSHIPS FOR A VARIETY OF OTHER HEALTH PROFESSIONALS.SPORTS MEDICINESPORTS MEDICINE EXPERTS AT WILLIS-KNIGHTON SPORTS MEDICINE WORK WITH ATHLETES ON THE PREVENTION AND TREATMENT OF SPORTS-RELATED INJURIES, HELPING THEM TO MAINTAIN A HEALTHY LIFESTYLE. THIS SERVICE IS OFFERED TO VARIOUS SCHOOLS AND PROGRAMS THROUGHOUT THE LOCAL AREA.
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
CONDUCTED 17 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADERFACILITY 1 -- WILLIS-KNIGHTON MEDICAL CENTERPART V, SECTION B, LINE 3:
WK PIERREMONT HEALTH CENTERWK BOSSIER HEALTH CENTERWILLIS-KNIGHTON SOUTHFACILITY 1 -- WILLIS-KNIGHTON MEDICAL CENTERPART V, SECTION B, LINE 4:
CONDUCTED 17 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADERFACILITY 2 -- WK PIERREMONT HEALTH CENTERPART V, SECTION B, LINE 3:
WILLIS-KNIGHTON MEDICAL CENTERWK BOSSIER HEALTH CENTERWILLIS-KNIGHTON SOUTHFACILITY 2 -- WK PIERREMONT HEALTH CENTERPART V, SECTION B, LINE 4:
CONDUCTED 17 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADERFACILITY 3 -- WK BOSSIER HEALTH CENTERPART V, SECTION B, LINE 3:
WILLIS-KNIGHTON MEDICAL CENTERWK PIERREMONT HEALTH CENTERWILLIS-KNIGHTON SOUTHFACILITY 3 -- WK BOSSIER HEALTH CENTERPART V, SECTION B, LINE 4:
CONDUCTED 17 INTERVIEWS (LIST OF INTERVIEWEES FOLLOWS) WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52.DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. GATHERED BACKGROUND INFORMATION, INCLUDING CREDENTIALS, ON EACH INTERVIEWEE.SHERRI BUFFINGTON, STATE SENATOR DISTRICT 38(CADDO AND DESOTO PARISH); VICE CHAIR HEALTH & WELFAREBARROW PEACOCK, STATE SENATOR DISTICT 37 (SHREVEPORT AND BOSSIER PARISH)WILLIS BRADFORD, WILLIS-KNIGHTON DIRECTOR OF PROJECT NEIGHBORHEALTHMARTHA MARAK, DIRECTOR OF THE FOOD BANK OF NORTHWEST LOUISIANADR. DAN MOLLER, CMO, WILLIS-KNIGHTON HEALTH SYSTEMDR. ANIL NANDA, NEUROSURGEON, LSU HEALTH - SHREVEPORTDR. CHARLES POWERS, CMO - WILLIS-KNIGHTON BOSSIER HOSPITALRON WEBB, CITY COUNCILMAN, DISTRICT E, CITY OF SHREVEPORTDR. MARTHA WHYTE, DIRECTOR - DEPARTMENT OF PUBLIC HEALTH REGION 7BRIDGET CAUSEY, RN, BSN, NURSING SUPERVISOR, CADDO PARISH PUBLIC SCHOOLSWILLIE WHITE, CEO OF DAVID RAINES COMMUNITY HEALTH CENTERSDR. JOHN MICIOTTO, RETIRED OB/GYN, FORMER MEDICAL DIRECTOR, NORTHWEST LOUISIANA DEPT. OF HEALTHANTHONY MARTIN, DIRECTOR - WILLIS-KNIGHTON HOME HEALTH/HOSPICETIM WILCOX, DIRECTOR - WILLIS-KNIGHTON BEHAVIORAL HEALTHC.O. SIMPKINS, SR., DDS - COMMUNITY LEADER, EX-CITY COUNCILMANBRUCE WILSON, DIRECTOR - UNITED WAY OF NORTHWEST LOUISIANADR. PHILLIP ROZEMAN, CARDIOLOGIST, COMMUNITY LEADERFACILITY 4 -- WILLIS-KNIGHTON SOUTHPART V, SECTION B, LINE 3:
WILLIS-KNIGHTON MEDICAL CENTERWK BOSSIER HEALTH CENTERWK PIERREMONT HEALTH CENTERFACILITY 4 -- WILLIS-KNIGHTON SOUTHPART V, SECTION B, LINE 4:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (39 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
HOLY ANGELS RESIDENTIAL FACILITY INC
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INDEPENDENCE BOWL FOUNDATION
PO BOX 1723SHREVEPORTLA71166720297228501(C)(3)35750SPONSORSHIP
INNER CITY ENTREPRENEUR INSTITUTE
820 JORDAN STREET SUITE 360SHREVEPORTLA71101721418314501(C)(3)20000BIZCAMP SPONSOR
INSTITUTE FOR GLOBAL OUTREACH
1024 PIERRE AVENUE ROOM BSHREVEPORTLA71103331180777501(C)(3)25000WALK FOR HUMANITY WORLDKARE
NORTH AMERICA IAPB INC
137 HAMPTON ROADSOUTHAMPTONNY11968043796216501(C)(3)50000DONATION FOR OPERATIONS
JUNIOR ACHIEVEMENT
3003 KNIGHT STREETSHREVEPORTLA71105720595081501(C)(3)20000DONATION FOR OPERATIONS
LSUHSC
PO BOX 31650SHREVEPORTLA71115721402222GOVERNMENT210500DONATION FOR OPERATIONS
LOUISIANA TECH UNIVERSITY FOUNDATION
PO BOX 3046RUSTONLA71272726021176501(C)(3)76500SPONSORSHIP
NORTH LOUISIANA ECONOMIC PARTNERSHIP INC
415 TEXAS STREETSHREVEPORTLA71101720936419501(C)(3)20400DONATION FOR OPERATIONS
MARCH OF DIMES FOUNDATION
1120 SOUTH POINTE PARKWAY BLDG DSHREVEPORTLA71105131846366501(C)(3)23000DONATION FOR OPERATIONS
NEW CARDIOVASCULAR HORIZONS FOUNDATION
3639 AMBASSADOR CAFFERY PARKWAYLAFAYETTELA70503463186713501(C)(3)10000DONATION FOR CARDIOVASCULAR SYMPOSIUMSUITE 605
NORTHWEST LOUISIANA FOOD BANK
2307 TEXAS AVENUESHREVEPORTLA71103721328890501(C)(3)30000DONATION FOR OPERATIONS
NORTHWESTERN FOUNDATION
UNIVERSITY PARKWAYNATCHITOCHESLA71497726021495501(C)(3)240000DONATION FOR OPERATIONS
OAKWOOD HOME FOR WOMEN INC
1700 HIGHLAND AVENUESHREVEPORTLA71101237368054501(C)(3)10000DONATION FOR OPERATIONS
THE ODYSSEY FOUNDATION
401 TEXAS STREETSHREVEPORTLA71101331055253501(C)(6)19600DONATION FOR AUTISM LIBRARY AND WALKING FOR AUTISM FUNDRAISER
PROVIDENCE HOUSE
814 COTTON STREETSHREVEPORTLA71101721205164501(C)(3)50000DONATION FOR OPERATIONS
RED RIVER REVEL ARTS FESTIVAL
101 CROCKET STREET SUITE CSHREVEPORTLA71101720953274501(C)(3)25200SPONSORSHIP OF REGIONAL CULTURAL EVENT
RED RIVER RADIO PUBLIC BROADCASTING
PO BOX 5250SHREVEPORTLA71135720702001501(C)(3)9000DONATION FOR OPERATIONS
SAMARITAN COUNSELING CENTER
1525 STEPHENS AVENUESHREVEPORTLA71101721014069501(C)(3)10500DONATION FOR OPERATIONS
SHREVEPORT CHAMBER OF COMMERCE
400 EDWARDS STREETSHREVEPORTLA71101720315700501(C)(6)25000DONATION FOR OPERATIONS
SHREVEPORT-BOSSIER RESCUE MISSION
2033 TEXAS AVENUESHREVEPORTLA71103237050551501(C)(3)134335HEALTH INSURANCE FOR RESCUE MISSION EMPLOYEES AND DONATION FOR OPERATIONS
SHREVEPORT SYMPHONY
619 LOUISIANA AVENUESHREVEPORTLA71101726001334501(C)(3)65000DONATION FOR OPERATIONS
SOUTH LOUISIANA CLINICAL RESEARCH
225 DUNN STREETHOUMALA70360721430540501(C)(3)7500SPONSORSHIP
SOUTHERN UNIVERSITY FOUNDATION
610 TEXAS STREET SUITE 400SHREVEPORTLA71101721454141501(C)(3)12500SPONSORSHIP
ST JUDE'S CHILDREN'S RESEARCH HOSPITAL
PO BOX 810MEMPHISTN38101620646012501(C)(3)25000DREAM HOME DONATION
ULM FOUNDATION
3601 DESIARD STREETMONROELA71209726028527501(C)(3)120000DONATION FOR OPERATIONS
WOODLAWN HIGH SCHOOL
7340 WYNGATE BLVDSHREVEPORTLA71106726000224GOVERNMENT5499PURCHASED SCHOOL SIGN
YMCA
400 MCNEILSHREVEPORTLA71101720408997501(C)(3)40800SPONSORSHIP
ALLIANCE FOR EDUCATION
820 JORDAN STREETSHREVEPORTLA71101721466587501(C)(3)25000DONATION FOR PATHWAY TO EXCELLENCE
AMERICAN CANCER SOCIETY
920 PIERREMONT SUITE 300SHREVEPORTLA71106237040934501(C)(3)15000SPONSOR CADDO AND BOSSIER RELAY FOR LIFE
AMERICAN HEART ASSOCIATION
PO BOX 37388SHREVEPORTLA71133135613797501(C)(3)39500DONATION FOR OPERATIONS
BOSSIER CHAMBER OF COMMERCE
710 BENTON ROADBOSSIER CITYLA71111720382231501(C)(6)10000DONATION FOR OPERATIONS
CADDO BOSSIER SOCCER ASSOCIATION
1780 EAST BERT KOUNS SUITE 901SHREVEPORTLA71105581652966501(C)(3)18000SPONSORSHIP
CALVARY ACADEMY
9333 LINWOOD AVENUESHREVEPORTLA71106720482882501(C)(3)6000SPONSORSHIP
CHILDREN AND ARTHRITIS
2751 ALBERT BICKNELL DRIVE SUITE 2ESHREVEPORTLA71103721170530501(C)(3)15000DONATION FOR OPERATIONS2E
COUNCIL FOR A BETTER LOUISIANA
PO BOX 4308BATON ROUGELA70821720570930501(C)(6)10000DONATION FOR OPERATIONS
DESOTO REGIONAL HEALTH SYSTEM
PO BOX 1636MANSFIELDLA71052721491325501(C)(3)29597DONATION FOR OPERATIONS
FRIENDS OF LOUISIANA STATE EXHIBIT MUSEUM
PO BOX 38356SHREVEPORTLA71133720960820501(C)(3)30000DONATION FOR OPERATIONS
COALITION TO PROTECT AMERICA'S HEALTHCARE
PO BOX 30211BETHESDAMD20824522253225501(C)(4)10000DONATION FOR OPERATIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants34TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations5TotalNbrOfOtherOrganizations

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: THE MEDICAL CENTER HAS A CONTRIBUTION COMMITTEE THAT APPROVES SUBSTANTIALLY ALL CONTRIBUTIONS. THE CONTRIBUTION COMMITTEE REQUESTS THAT THE ORGANIZATION REQUESTING THE DONATION COMPLETE A CONTRIBUTION REQUEST FORM THAT IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE. BEFORE THE MEDICAL CENTER'S CONTRIBUTION COMMITTEE WILL APPROVE THE CONTRIBUTIONS THE PURPOSE OF THE CONTRIBUTION MUST BE STATED ON THE CONTRIBUTION REQUEST FORM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
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 Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 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
JAMES K ELROD
PRESIDENT/CEO/TRUSTEE11206745500003665880001289901500161550000
PIERRE V BLANCHARDIV MD
TRUSTEE/PHYSICIAN200091000521601953048510212111000
ROBERT D HUIE
EXECUTIVE VP & CFO5888670005585940235601753201167349000
CHARLES D DAIGLE
SR VP OF OPERATIONS & COO42092500023211016210196980465455000
STEPHEN R RANDALL
SR VP-SPECIAL OPERATIONS28808500020005015540196980329342000
MARGARET G ELROD
VP/IND WELLNESS/COMMUNITY1499530002430302789058360182881000
JERRY A FIELDER II
VP/ADMINISTRATOR WKMC1615570002524040150177580185854000
CLIFFORD M BROUSSARD
VP/ADMIN WK BOSSIER1705520004234017690123480188903000
JANET K ELROD
VP/ADMIN WK SOUTH1516180002203103011059420182602000
IRA L MOSS
VP/ADMIN WK PIERREMONT17929400024033024180126680218413000
JILL K ELROD
VP OF LEGAL AFFAIRS20025900028877021010101070241344000
PEGGY J GAVIN
VP OF PHYSICIAN SERVICES1492960002699503858054330185582000
DEBORAH D OLDS
VP OF NURSING1304890005664039320112530151338000
RAMONA D FRYER
VP OF REV/QUALITY/COMPLIAN16318300017065023770145220197147000
DANIEL J MOLLER JR MD
CHIEF-MEDICAL AFFAIRS-WKMC29668500025284018600118230335652000
CHARLES A POWERS MD
CHIEF-MED. AFFAIRS-WKB29666700024742018620125250335796000
RANDALL P BREWER MD
PHYSICIAN975000012505060-81590160502229802241250000
MILAN G MODY MD
PHYSICIAN675000010269910-26280160301729801718264000
CHRISTIAN M BRIERY MD
PHYSICIAN70000008528460-29270163801700801568565000
MATTHEW S MOSURA MD
PHYSICIAN86095004477780-38800160101729801323747000
CLINT M CORMIER MD
PHYSICIAN70000007613680-25310165001638901476876000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE VALUE OF EACH PERSON'S FREE MEMBERSHIP IN THE MEDICAL CENTER'S HEALTH & WELLNESS CENTERS IS ADDED TO THE EMPLOYEE'S W-2 WAGES.
PART I, LINE 3THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE TOP TWO EXECUTIVES (CEO AND CFO) OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE, CONSISTING OF THE CEO AND CFO, DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS. OFFICERS AND OTHER KEY EMPLOYEES ARE PROVIDED WITH A WRITTEN EMPLOYMENT CONTRACT BEFORE EMPLOYMENT COMMENCES.
PART I, LINE 4BCERTAIN OFFICERS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, PARTICIPATE IN A SECTION 457(B) DEFERRED COMPENSATION PLAN.
PART I, LINE 5PHYSICIANS INCLUDED IN FORM 990, PART VII, SECTION A, LINE 1A, ARE COMPENSATED BASED ON THEIR OWN PERSONAL PRODUCTIVITY. THE PHYSICIANS ARE PAID A PERCENTAGE OF THEIR INDIVIDUAL COLLECTIONS BASED ON THE CONDITIONS OF EACH PHYSICIAN CONTACT.
PART IIIEXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION JAMES K. ELROD UNUSED VACATION PAY-$155,748 UNUSED SICK PAY-$26,150 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$2,597 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$12,638 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,113) CABLE/INTERNET-$1,051 PERSONAL USE OF EMPLOYER VEHICLES-$2,309 SEVERANCE PAY-$150,008** TOTAL--$366,588 **THE INCREASE IN GROSS SEVERANCE BENEFIT, TO BE PAID TO MR. ELROD ON TERMINATION OF EMPLOYMENT (AS ADDITIONAL COMPENSATION FOR EACH OF HIS YEARS OF SERVICE TO WILLIS-KNIGHTON MEDICAL CENTER), WAS TAXABLE DURING 2012, AND, ACCORDINGLY, WAS INCLUDED IN HIS 2012 FORM W-2. WILLIS-KNIGHTON DISBURSED TO THE INTERNAL REVENUE SERVICE AND TO THE LOUISIANA DEPARTMENT OF REVENUE THE REQUIRED TAX WITHHOLDING. WILLIS-KNIGHTON DID NOT PAY MR. ELROD THE NET-OF-TAX AMOUNT OF THIS COMPENSATION, BUT, UNDER THE TERMS OF THE AGREEMENT, THE MEDICAL CENTER IS RETAINING THE NET-OF-TAX AMOUNT UNTIL HIS EMPLOYMENT TERMINATES. ACCORDINGLY, THERE WAS NO CURRENT DISBURSEMENT TO MR. ELROD FOR SEVERANCE PAY. ROBERT D. HUIE NONQUALIFIED DEFERRED COMPENSATION PLAN-$506,205 (PLEASE SEE EXPLANATION FOLLOWING) UNUSED VACATION PAY-$35,482 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$1,377 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$5,200 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(8,070) TOTAL--$558,594 CHARLES D. DAIGLE UNUSED SICK PAY-$9,991 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,245 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$558 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,783) TOTAL--$23,211 STEPHEN R. RANDALL UNUSED SICK PAY-$6,894 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,132 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$562 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,783) TOTAL--$20,005 MARGARET G. ELROD UNUSED SICK PAY-$3,588 VALUE ADDED FOR CELL PHONE USAGE-$2,268 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,543 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,013) PERSONAL USE OF EMPLOYER VEHICLES-$917 TOTAL--$24,303 JERRY A. FIELDER,II UNUSED SICK PAY-$3,866 VALUE ADDED FOR CELL PHONE USAGE-$1,940 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$650 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,983) VALUE ADDED FOR CABLE/INTERNET- $1,051 TOTAL--$2,524 CLIFFORD M. BROUSSARD UNUSED SICK PAY-$4,081 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$791 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,972 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,270) TOTAL--$4,234 JANET K. ELROD UNUSED SICK PAY-$3,628 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$2,270 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$586 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,113) TOTAL--$22,031 IRA L. MOSS UNUSED SICK PAY-$4,290 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$1,332 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,192 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,561) PERSONAL USE OF EMPLOYER VEHICLES-$580 TOTAL--$24,033 JILL K. ELROD UNUSED SICK PAY-$4,792 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$4,408 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$1,229 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(6,113) VALUE ADDED FOR CABLE/INTERNET- $1,051 PERSONAL USE OF EMPLOYER VEHICLES-$5,850 TOTAL--$28,877 PEGGY J. GAVIN UNUSED SICK PAY-$3,573 VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$2,057 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,526 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,613) PERSONAL USE OF EMPLOYER VEHICLES-$2,252 TOTAL--$26,995 RAMONA D. FRYER UNUSED SICK PAY-$2,604 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,279 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$992 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(5,470) TOTAL--$17,065 DEBORAH D. OLDS UNUSED SICK PAY-$3,122 VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 VALUE ADDED FOR CELL PHONE USAGE-$1,922 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,321 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,361) TOTAL--$5,664 DANIEL J. MOLLER, JR., M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$9,985 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(2,361) TOTAL--$25,284 CHARLES A. POWERS, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 VALUE ADDED FOR CELL PHONE USAGE-$2,113 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$7,699 SECTION 457(B) DEFERRED COMPENSATION PLAN-$17,000 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,270) TOTAL--$24,742 PIERRE V. BLANCHARD,IV, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$6,329 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,113) TOTAL--$5,216 RANDALL P. BREWER, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$564 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(9,383) TOTAL--($8,159) MATTHEW S. MOSURA, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$503 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,383) TOTAL--($3,880) MILAN G. MODY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$1,200 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$554 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,382) TOTAL--($2,628) CHRISTIAN M. BRIERY, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$660 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$506 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,093) TOTAL--($2,927) CLINT M. CORMIER, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$503 VALUE ADDED FOR HEALTH & FITNESS USAGE-$440 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(3,474) TOTAL--($2,531) EXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION THE AMOUNT CONTRIBUTED FOR THE CALENDAR YEAR 2012 FOR MR. HUIE'S SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IS INCLUDED IN THE DETAILS FOR PART II, COLUMN (B)(III). EXPLANATION OF PART II, COLUMN (C) DEFERRED COMPENSATION THIS EMPLOYEE PARTICIPATES IN A DEFINED BENEFIT PENSION PLAN, THE CONTRIBUTIONS TO WHICH ARE ACTUARIALLY DETERMINED. THE AMOUNT SHOWN IS THE INCREASE IN THE ANNUAL VESTED BENEFIT AT NORMAL RETIREMENT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012 (NOT DISCOUNTED TO PRESENT VALUE) (NORMAL RETIREMENT IS AGE 65 WITH 5 YEARS OF PARTICIPATION). MR. ELROD HAS REACHED THE MAXIMUM BENEFIT UNDER THE PLAN. EXPLANATION OF PART II, COLUMN (D) NONTAXABLE BENEFITS INCLUDED IN THIS COLUMN IS THE COST OF THE FOLLOWING NONTAXABLE BENEFITS: LONG-TERM DISABILITY INCOME INSURANCE PLAN, GROUP TERM-LIFE INSURANCE, AND THE ESTIMATED COST OF SELF-FUNDED HEALTH INSURANCE PLAN.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FRANK B HUGHES MD
TRUSTEE124616RENT-BUILDING0
PHILLIP A ROZEMAN MD
TRUSTEE79641RENT-BUILDING0
GREGORY J GAVIN
FAMILY MEMBER OF PEGGY GAVIN, OFFICER196938EMPLOYMENT0
KIMBERLY M MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER58047EMPLOYMENT0
CHARLES E MULLINS
FAMILY MEMBER OF PEGGY GAVIN, OFFICER77805EMPLOYMENT0
SHARLENE ANN BROUSSARD
FAMILY MEMBER OF CLIFFORD BROUSSARD, OFFICER46125EMPLOYMENT0
TODD JUSTIN BLANCHARD
FAMILY MEMBER OF PIERRE BLANCHARD, M.D., TRUSTEE136896EMPLOYMENT0
PIERRE V BLANCHARD MD
TRUSTEE5551922RENT-BUILDING, PURCHASED SERVICE AGREEMENT WITH LIFECARE HOSPITALS, INC., FOR WHICH PIERRE BLANCHARD, M.D. IS THE MEDICAL DIRECTOR0
SARAH GLORIOSO MD
FAMILY MEMBER OF TWAIN K. GIDDENS, TRUSTEE855983EMPLOYMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 21. FAMILY RELATIONSHIPS WITH JAMES K. ELROD - PRESIDENT, CEO, AND TRUSTEE MARGARET ELROD, SPOUSE - VP-MARKETING, LIVE OAK RETIREMENT COMMUNITY, QUICK CARE, OCCUPATIONAL MEDICINE, AND WELLNESS CENTERS JILL K. ELROD, DAUGHTER - VP OF LEGAL AFFAIRS JANET K. ELROD, DAUGHTER - VP AND ADMINISTRATOR OF WK SOUTH HOSPITAL
FORM 990, PART VI, SECTION B, LINE 11THE MEDICAL CENTER'S CPA FIRM PREPARES THE FORM 990 WITH THE ASSISTANCE OF SEVERAL OF THE MEDICAL CENTER'S EMPLOYEES. THE FORM 990 IS THEN REVIEWED BY THE MEDICAL CENTER'S PRESIDENT. AFTER THIS REVIEW, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES, AND THE PRESIDENT, VICE-PRESIDENT AND CPA FIRM REVIEW AND DISCUSS THE FORM 990 WITH THE TRUSTEES BEFORE THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICTS OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS." AN "INTERESTED PERSON" IS DEFINED AS ANY TRUSTEE, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN AN ENTITY WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A COMPENSATION ARRANGEMENT WITH THE MEDICAL CENTER OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER HAS A TRANSACTION OR ARRANGEMENT; OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE MEDICAL CENTER IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND ALL MATERIAL FACTS RELATED TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE BELIEVES A MEMBER HAS VIOLATED THE CONFLICTS OF INTEREST POLICY, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. PERIODIC REVIEWS ARE CONDUCTED WHICH, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. 2. WHETHER ACQUISITIONS OF GOODS OR SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 3. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 4. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE TOP TWO EXECUTIVES (CEO AND CFO) OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE, CONSISTING OF THE CEO AND CFO, DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS (SUCH AS "MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS," WHICH IS AN ANNUAL SURVEY PREPARED BY SULLIVAN COTTER) TO UNDERSTAND COMPENSATION PAID TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION COMMITTEES ALSO COMPILE DATA FROM OTHER TAX-EXEMPT HEALTH SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AND USE THAT INFORMATION AS COMPARATIVE COMPENSATION. THE COMMITTEES USE THE INFORMATION FROM THESE SOURCES AS BENCHMARKS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION. THE COMMITTEES ALSO CONSIDER OTHER FACTORS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS LENGTH OF EMPLOYMENT AND THEIR RESPONSIBILITIES. THE EXECUTIVE COMPENSATION COMMITTEE PERIODICALLY HIRES INDEPENDENT CONSULTANTS FOR ANALYSIS OF THE COMPENSATION OF THE MEDICAL CENTER'S TOP TWO EXECUTIVES (CEO AND CFO). THE COMMITTEES MAINTAIN CONTEMPORANEOUS DOCUMENTATION OF THE BASIS FOR THEIR DECISIONS REGARDING COMPENSATION ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19WILLIS-KNIGHTON MEDICAL CENTER'S GOVERNING DOCUMENTS AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE ON ITS WEBSITE: WWW.WKHS.COM. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.EMMA.MSRB.ORG.
FORM 990, PART XI, LINE 9:FASB ASC 715-30 PENSION 71,859,477.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CWILLIS-KNIGHTON MEDICAL CENTER DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DUING THE YEAR ENDED 9/30/13.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
2715 ALBERT BICKNELL DRIVESHREVEPORTLA711033925721047744NURSING CARE-SKILLED NURSING FACILITY FOR THE ELDERLY AND DISABLEDLA501(C)(3)9N/A0
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT
600 E FLOURNOY LUCAS ROADSHREVEPORTLA711153855720809402PROVIDE HOUSING, HEALTHCARE AND RELATED SERVICES TO THE ELDERLYLA501(C)(3)9N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTH SHREVEPORT PHARMACY INC
PO BOX 1768SHREVEPORTLA711661768721131182INACTIVELAN/AC1.000000
CLAIMS & BENEFITS ADMINISTRATORS OF LOUISIANA INC
PO BOX 32600SHREVEPORTLA711302600721296277INACTIVELAN/AC1.000000
WILLIS-KNIGHTON LAB AND X-RAY SERVICES INC
PO BOX 32600SHREVEPORTLA711302600721137503INACTIVELAN/AC1.000000
HEALTH PLUS OF LOUISIANA INC
2219 LINE AVENUESHREVEPORTLA711042128721264135THIRD-PARTY ADMINISTRATORLAN/AC1.000000294612625116
HPL INSURANCE AGENCY INC
PO BOX 32625SHREVEPORTLA711302625202199735HEALTH INSURANCE AGENTLAC1.00000070240248HEALTH PLUS OF LOUISIANA INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
A213112FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
K259020FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
B163000FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
O1312615FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
L1223486FAIR MARKET VALUE
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
J213112FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
A16250FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
S2000000FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
P2817074FAIR MARKET VALUE
HEALTH PLUS OF LOUISIANA INC
J16250FAIR MARKET VALUE
MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMMUNITY
K381600FAIR MARKET VALUE

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