FURP.ORG / PUBLIC DATA EXPLORER

LAFAYETTE GENERAL MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAFAYETTE GENERAL MEDICAL CENTER INC (EIN 72-0535375)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201342279349303004
Schema version
2011v1.5
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)
Timestamp2013-08-15T13:35:18-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201941244EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1
CityRIDGELANDCity
StateMSState
ZIP Code39157ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720535375EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROGER MATTKEName
TitleCFOTitle
Phone3372898125Phone
Date Signed2013-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARSHA H DIECKMAN CPAName
PTINP00246741PTIN
Phone6013261000Phone
Date Prepared2013-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11214 COOLIDGE BOULEVARDAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70503ZIPCode
FieldValueIRS element (for citing)
Gross Receipts290582586GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAFAYETTEGENERAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAYActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1968TotalNbrEmployees
Total Nbr Volunteers87TotalNbrVolunteers
Total Gross UBI4129262TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year55685ContributionsGrantsPriorYear
Contributions Grants Current Year176822ContributionsGrantsCurrentYear
Program Service Revenue Prior Year208935210ProgramServiceRevenuePriorYear
Program Service Revenue CY267878843ProgramServiceRevenueCY
Investment Income Prior Year4263716InvestmentIncomePriorYear
Investment Income Current Year4544236InvestmentIncomeCurrentYear
Other Revenue Prior Year-2497091OtherRevenuePriorYear
Other Revenue Current Year16078835OtherRevenueCurrentYear
Total Revenue Prior Year210757520TotalRevenuePriorYear
Total Revenue Current Year288678736TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year164723GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY37046759GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year82736870SalariesEtcPriorYear
Salaries Etc Current Year92736428SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year121466800OtherExpensePriorYear
Other Expenses Current Year174661444OtherExpensesCurrentYear
Total Expenses Prior Year204368393TotalExpensesPriorYear
Total Expenses Current Year304444631TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6389127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15765895RevenuesLessExpensesCY
Total Assets BOY336016610TotalAssetsBOY
Total Assets EOY372408831TotalAssetsEOY
Total Liabilities BOY158533156TotalLiabilitiesBOY
Total Liabilities EOY180941977TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY177483454NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY191466854NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLAFAYETTE GENERAL MEDICAL CENTER'S MISSION IS TO IMPROVE, MAINTAIN AND RESTORE THE HEALTH OFTHE PEOPLE IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense258985502Expense
Grants37046759Grants
Revenue276410700Revenue
DescriptionPROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL: TOTAL ACUTE PATIENT DAYS WERE 72,298, TOTAL NURSERY DAYS WERE 3,767, TOTAL REHAB DAYS WERE 3,105 AND TOTAL MENTAL HEALTH DAYS WERE 2,105. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 60,318 EMERGENCY ROOM VISITS, 9,376 SURGERIES (INPATIENT AND OUTPATIENT), AND 1,843 DELIVERIES.THE ORGANIZATION PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDED INPATIENT AND OUTPATIENT CARE IN FURTHERANCE OF THE ORGANIZATION'S HEALTHCARE MISSION. THE REVENUES FORM THESE SERVICES ARE $515,664,238 AND $334,123,372, RESPECTIVELY. THERE WERE ACUTE AND SKILLED CARE SERVICES NOT FULLY COMPENSATED. THESE INCLUDED MEDICARE / MEDICAID CONTRACTUALS WITH $397,834,001 OF UNCOMPENSATED SERVICES, OTHER CONTRACTUALS WITH $184,365,899 OF UNCOMPENSATED SERVICES, AND BAD DEBTS OF $27,061,524. THE NET REVENUES OF THE SERVICES PROVIDED WERE $240,526,186.LAFAYETTE GENERAL MEDICAL CENTER (LGMC) SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED ACADIANA WITH 362 STAFFED BEDS AND 1,670 EMPLOYEES. LGMC REMAINS THE AREA'S LARGEST, FULL SERVICE, ACUTE-CARE MEDICAL CENTER.OUR HOSPITAL MISSION IS TO RESTORE, MAINTAIN, AND IMPROVE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. WE ARE A COMMUNITY-OWNED AND LOCALLY MANAGED HOSPITAL THAT STAYS TRUE TO OUR MISSION BY DEDICATING SIGNIFICANT RESOURCES TO COMPENSATE A COMPASSIONATE, HIGHLY SKILLED STAFF; ACQUIRE ADVANCED TECHNOLOGY; AND DEVELOP SERVICE IMPROVEMENTS EACH YEAR.IN LINE WITH OUR GOAL OF BUILDING A REGIONAL HEALTH CARE SYSTEM, LAFAYETTE GENERAL HAS ESTABLISHED CLINICAL AFFILIATIONS WITH OUTLYING HOSPITALS, EXTENDING OUR BEST PRACTICES IN CANCER TREATMENTS, CARDIOLOGY, AND NEUROSCIENCE SUPPORT TO OUTLYING PARISHES.LAFAYETTE GENERAL CONTINUES TO EXPAND ITS SERVICES AND FACILITIES IN ORDER TO MEET THE GROWING NEEDS OF OUR COMMUNITY. ORIGINALLY BUILT IN 1963, THE 10-STORY LAFAYETTE GENERAL MEDICAL CENTER MAIN BUILDING COMPLETED AN EXTERIOR AND INTERIOR DESIGN RENOVATION TO FOCUS ON PATIENT HEALTH CARE BY CREATING A HEALING-FOCUSED AND COMFORTABLE ENVIRONMENT. THE $70 MILLION RENOVATION PROJECT ADDED MORE THAN 65 SQUARE FEET OF SPACE TO PATIENT ROOMS AND MORE THAN 12,500 SQUARE FEET OF OVERALL SPACE WITH LARGER PATIENT BATHROOMS, SHOWERS AND A MODERNIZED PATIENT CARE INFRASTRUCTURE.OUR ACCOLADES AND ACCREDITATIONS GROW EACH YEAR. IN OUR FISCAL YEAR 2012 WE RECEIVED THE FOLLOWING: WE WERE RECOGNIZED BY HEALTHGRADES AS BEING RANKED NUMBER 1 IN LOUISIANA FOR GENERAL SURGERY AND RANKED NUMBER 2 IN OVERALL ORTHOPEDICS AND GI SERVICES. HEALTHGRADES ALSO RECOGNIZED LAFAYETTE GENERAL AS A 5-STAR RATED HOSPITAL FOR JOINT REPLACEMENT (2010-2012), KNEE REPLACEMENT (2010-2012), HIP FRACTURE TREATMENT (2010-2012, GI PROCEDURES AND SURGERIES, TREATMENT OF GI BLEED AND CHOLECYSTECTOMY. THE BARIATRIC SURGERY DEPARTMENT WAS DESIGNATED AS A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. WE ALSO RECEIVED SPECIAL RECOGNITION AS AN ADVANCED CERTIFIED PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE STROKE CENTER AS RECEIVED A BRONZE AWARD UNDER THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS "GET WITH THE GUIDELINES" PROGRAM. THE NEUROSCIENCE PROGRAM WAS AWARDED THE CENTER OF EXCELLENCE STATUS BASED ON THE RESULTS OF THE MOST CURRENT NEUROSCIENCE CENTER OF EXCELLENCE SURVEY BY NEUSTRATEGY. WE WERE ALSO NAMED AS AMERICA'S BEST 100 HOSPITALS FOR PATIENT EXPERIENCE BY WOMENCERTIFIEDLAFAYETTE GENERAL MEDICAL CENTER ASSUMES THE ROLE OF A COMMUNITY PARTNER IN A VARIETY OF WAYS. THROUGH FINANCIAL CONTRIBUTIONS WE WORK TO PRESERVE THE PROSPERITY OF OUR COMMUNITY, FURTHER MEDICAL EDUCATION AND RESEARCH AND HELP OUR CONSTITUENTS ACCESS THE MEDICAL CARE THEY NEED. WE COORDINATE EVENTS AND SCREENINGS FREE OF CHARGE TO MAINTAIN THE HEALTH OF THE LOCAL PUBLIC. WE ALSO EXTEND OUR WORKFORCE BEYOND THEIR DAILY RESPONSIBILITIES TO PARTICIPATE IN ACTIVITIES THAT PROVIDE FOR THE SAFETY AND BETTERMENT OF OUR COMMUNITY. FINANCIAL CONTRIBUTIONS:IN 2012 WE DONATED OVER $267,000 SUPPORTING ORGANIZATIONS THAT PARALLEL OUR MISSION IN THE COMMUNITY, EMPLOYEES THROUGH CONTINUING EDUCATION AND HELPING TO IMPROVE THE HEALTH OF THOSE WE SERVE. FROM OFFERING CLINICAL SUPPORT TO CAMP BON CEUR ATTENDEES TO SPONSORING EVENTS THAT RAISE RESEARCH MONEY AND AWARENESS FOR ILLNESSES LIKE BREAST CANCER, DIABETES AND HEART DISEASE. IN 2012 THESE MONIES WERE DONATED TO OVER 42 DIFFERENT ORGANIZATIONS IN OUR COMMUNITY.COMMUNITY OUTREACH & HEALTH CARE ACCESS CONTRIBUTIONS:LAFAYETTE GENERAL MEDIAL CENTER MAINTAINS A PROACTIVE APPROACH TO EDUCATION AND WELLNESS IN OUR COMMUNITY. ANNUALLY LGMC PROVIDES A MULTITUDE OF EDUCATIONAL SEMINARS AIMED AT EDUCATING THE PUBLIC ON PREVENTATIVE CARE AND MAINTAINING A HEALTHY LIFESTYLE. SOME OF THESE ACTIVITIES AND PROGRAMS INCLUDE:DONATED $8,400 IN DIAGNOSTIC SERVICES AS PART OF A PARTNERSHIP WITH THE LAFAYETTE COMMUNITY HEALTH CARE CLINIC.WOMEN'S AND CHILDREN'S SERVICES CURRENTLY OFFERS CLASSES WHICH INCLUDE NEWBORN CARE, LABOR AND DELIVERY PROCESS, BREASTFEEDING YOUR INFANT AND INFANT CPR. PARTICIPANT IN THE SHOTS FOR TOTS PROGRAM, BY PROVIDING CHILDREN'S IMMUNIZATIONS AT THE HOSPITAL FOUR TIMES DURING THE YEAR.FREE SUPPORT GROUPS ARE OPEN TO RESIDENTS DEALING WITH STROKE SURVIVAL, WEIGHT LOSS SURGERY, INFANT BEREAVEMENT, AND MULTIPLE BIRTHS. LGMC ALSO PROVIDES FREE TRANSPORTATION FOR PATIENTS WITH SPECIAL NEEDS, IN ORDER TO ALLOW THEM ACCESS TO MEDICAL CARE AT THE HOSPITAL.TO IMPROVE HEALTH CARE ACCESS FOR THOSE UNINSURED WORKERS LIVING AT OR BELOW POVERTY LEVEL, LGMC MAINTAINS A REFERRAL AGREEMENT WITH THE LOCAL "LAFAYETTE COMMUNITY HEALTHCARE CLINIC" TO PROVIDE DIAGNOSTIC TESTING TO THEIR PATIENT POPULATION. LAFAYETTE GENERAL MEDICAL CENTER IS TRULY A COMMUNITY OWNED HOSPITAL CARING FOR THE NEEDS OF THE COMMUNITY AND INVESTING IN THE FUTURE WELLNESS OF OUR NEIGHBORS.Description
Total Program Service Expense258985502TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096312NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1968NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CLAY ALLEN
CHAIRMAN1.00X000
DAVID CALHOUN
TREASURER1.00X000
BRADLEY J CHASTANT MD
TRUSTEE1.00X1900000
BRADEN DESPOT
SECRETARY1.00X000
BENJAMIN DOGA MD
TRUSTEE1.00X2000000
JULIE FALGOUT
TRUSTEE1.00X000
WILLIAM H FENSTERMAKER
PAST CHAIRMAN1.00X000
PHILIP GACHASSIN MD
TRUSTEE1.00X7086000
ROBERT GILES
TRUSTEE1.00X000
G GARY GUIDRY MD
TRUSTEE1.00X1800000
JOBY JOHN PHD
TRUSTEE1.00X000
ROSE KENNEDY MD
TRUSTEE1.00X1020000
EDWARD KRAMPE
TRUSTEE1.00X000
FLO MEADOWS
TRUSTEE1.00X000
RAE ROBINSON BRODNAX - 1ST PART OF
TRUSTEE1.00X000
MANDI MITCHELL
TRUSTEE1.00X000
GARY SALMON
TRUSTEE1.00X000
SAMUEL SHUFFLER MD
TRUSTEE1.00X000
E GREG VOORHIES
TRUSTEE1.00X000
DAVID WILSON
TRUSTEE1.00X000
DANIEL BOURQUE MD
CHIEF OF STAFF1.00X4284000
DAVID CALLECOD
PRESIDENT/CEO40.007206060110070X
PATRICK W GANDY JR
COO40.00368338040526X
ROGER MATTKE
CFO40.00334555052355X
DEBRA CLARK
CNO-THRU APR 201140.006952801265X
REBECCA F BENOIT
CNO-STARTING AUG 201140.001154050456X
GORDON E ROUNTREE JR
GENERAL COUNSEL40.00311027038633X
ZIAD M ASHKAR MD
CMO40.0038966700X
KATHERINE HEBERT
ADMINISTRATOR1.00253716018794X
MAURICE SULLIVAN MD
CHIEF OF GENERAL MEDICINE40.0016481804651X
DEAN B DUCOTE
AVP-SUPPORT SERVICES40.00153736076X
EDWINA S MALLERY
AVP-INFORMATION SYSTEMS40.0014883205241X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3211128TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation272067TotalOtherCompensation
Number Individuals GT100 K55NumberIndividualsGT100K
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
HOSPITAL HOUSEKEEPING SYSTEMS LTD
PO BOX 826SAN ANTONIOTX782930826HOUSEKEEPING SERVICES2614814
CARDIOVASCULAR INSTITUTE OF THE SOUTH AP
225 DUNN STREETHOUMALA703604413CARDIOLOGY SERVICES2070284
COMPREHENSIVE PHARMACY SERVICES INC
6409 QUAIL HOLLOW ROADMEMPHISTN381201414PHARMACY SERVICES1601113
WASHER HILL LIPSCOMB
1744 OAKDALE DRIVEBATON ROUGELA708103111ARCHITECTURE1186270
PARISH ANESTHESIA OF LAFAYETTE
3510 N CAUSEWAY BOULEVARDMETAIRIELA700023531ANESTHESIA SERVICES1048748
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Fundraising Events175011FundraisingEvents
Government Grants1500GovernmentGrants
All Other Contributions311AllOtherContributions
Total Contributions176822TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column267878843TotalRevenueColumn
Related Or Exempt Function Income267878843RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue267878843TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2343368TotalRevenueColumn
Exclusion$2,343,368ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column1548TotalRevenueColumn
Exclusion$1,548ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3894645Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real512881Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3381764Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3381764TotalRevenueColumn
Exclusion$3,381,764ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3360117Securities
Other450Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other1159699Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3360117Securities
Other-1159249Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2200868TotalRevenueColumn
Exclusion$2,200,868ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events175011CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses36373FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-36373TotalRevenueColumn
Exclusion-$36,373ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory265674GrossSalesOfInventory
Cost Of Goods Sold194897CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column70777TotalRevenueColumn
Exclusion$70,777ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column12661119TotalRevenueColumn
Related Or Exempt Function Income8531857RelatedOrExemptFunctionIncome
Unrelated Business Revenue4129262UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue12661119TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column288678736TotalRevenueColumn
Related Or Exempt Function Income276410700RelatedOrExemptFunctionIncome
Unrelated Business Revenue4129262UnrelatedBusinessRevenue
Exclusion$7,961,952ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total37039559Total
Program Services37039559ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7200Total
Program Services7200ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2100359Total
Program Services180900ProgramServices
Management And General1919459ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total78158970Total
Program Services65391872ProgramServices
Management And General12767098ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total998445Total
Program Services684062ProgramServices
Management And General314383ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5837223Total
Program Services4375738ProgramServices
Management And General1461485ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5641431Total
Program Services4675667ProgramServices
Management And General965764ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2593573Total
Program Services1176477ProgramServices
Management And General1417096ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total983845Total
Program Services713ProgramServices
Management And General983132ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total209431Total
Management And General209431ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total784154Total
Program Services155985ProgramServices
Management And General628169ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4571783Total
Program Services3855396ProgramServices
Management And General716387ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6240868Total
Program Services54611ProgramServices
Management And General6186257ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3645023Total
Program Services689746ProgramServices
Management And General2955277ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total478333Total
Program Services203219ProgramServices
Management And General275114ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6062843Total
Program Services6062000ProgramServices
Management And General843ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total-332960Total
Management And General-332960ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16644911Total
Program Services10239003ProgramServices
Management And General6405908ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3369654Total
Management And General3369654ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES5937341559373415
BAD DEBT2706152427061524
EQUIPMENT RENTAL AND MA1081201484912532320761
NONCLINICAL CONTRACT LA81838637832263351600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23979170Total
Program Services21434899ProgramServices
Management And General2544271ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total304444631Total
Program Services258985502ProgramServices
Management And General45459129ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9960BOY
EOY10646EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28005070BOY
EOY24704541EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY12459BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36474682BOY
EOY54483332EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5319705BOY
EOY5500953EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6600609BOY
EOY7403946EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2742021BOY
EOY4323173EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis349039274LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec164852407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY175516154BOY
EOY184186867EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63724191BOY
EOY72564399EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9778BOY
EOY9778EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY8755928BOY
EOY7758020EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1333333BOY
EOY1333333EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7512720BOY
EOY10129843EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY336016610BOY
EOY372408831EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29912905BOY
EOY34712798EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY84164015BOY
EOY88157258EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY41470563BOY
EOY55556527EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2985673BOY
EOY2515394EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY158533156BOY
EOY180941977EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY177483454BOY
EOY191466854EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY177483454BOY
EOY191466854EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY336016610BOY
EOY372408831EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-15765895ReconcilationRevenueExpenses
Reconcilation Other Changes29749295ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals23762FilingOrganizationsTotals
Affiliated Group Totals25583AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals23762FilingOrganizationsTotals
Affiliated Group Totals25583AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals258961740FilingOrganizationsTotals
Affiliated Group Totals272496729AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals258985502FilingOrganizationsTotals
Affiliated Group Totals272522312AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

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

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

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

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus320618CurrentYearMinus3
Current Year Minus222710CurrentYearMinus2
Current Year Minus123572CurrentYearMinus1
Current Year23762CurrentYear
Total90662Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

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

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus320618CurrentYearMinus3
Current Year Minus222710CurrentYearMinus2
Current Year Minus123572CurrentYearMinus1
Current Year23762CurrentYear
Total90662Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8897050OtherCostOrOtherBasis
Book Value8897050BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis188340510OtherCostOrOtherBasis
Depreciation70993566Depreciation
Book Value117346944BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3832688OtherCostOrOtherBasis
Depreciation1539103Depreciation
Book Value2293585BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis141867128OtherCostOrOtherBasis
Depreciation91990373Depreciation
Book Value49876755BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6101898OtherCostOrOtherBasis
Depreciation329365Depreciation
Book Value5772533BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings184186867TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVES$2,258,123
DUE TO RELATED PARTY$257,271
FieldValueIRS element (for citing)
Total Of Amounts2515394TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACS 740. FASB ACS 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION ALSO PROVIDES GUIDANCE ON RECOGNITION, DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE ORGANIZATION'S VARIOUS FEDERAL INCOME TAX AND EXEMPT ORGANIZATION INCOME TAX RETURNS (IRS FORMS 1065, 1120, AND 990), WHETHER FILED ON A CALENDAR OR FISCAL YEAR BASIS, ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA - OCTOBER 6, 2011NameOfEvent1
Gross Receipts Event172506GrossReceiptsEvent1
Charitable Contributions Event172506CharitableContributionsEvent1
Other Direct Expenses Event130009OtherDirectExpensesEvent1
Name Of Event2GALA - OCTOBER 2, 2012NameOfEvent2
Gross Receipts Event2102505GrossReceiptsEvent2
Charitable Contributions Event2102505CharitableContributionsEvent2
Other Direct Expenses Event26364OtherDirectExpensesEvent2
Gross Receipts Total175011GrossReceiptsTotal
Charitable Contributions Total175011CharitableContributionsTotal
Other Direct Expenses Total Events36373OtherDirectExpensesTotalEvents
Direct Expense Summary Events36373DirectExpenseSummaryEvents
Net Income Summary-36373NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1336704TotalCommunityBenefitExpense
Net Community Benefit Expense1336704NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25999517TotalCommunityBenefitExpense
Direct Offsetting Revenue22300669DirectOffsettingRevenue
Net Community Benefit Expense3698848NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27336221TotalCommunityBenefitExpense
Direct Offsetting Revenue22300669DirectOffsettingRevenue
Net Community Benefit Expense5035552NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6875104TotalCommunityBenefitExpense
Net Community Benefit Expense6875104NetCommunityBenefitExpense
Percent Of Total Expense0.02480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense283720TotalCommunityBenefitExpense
Direct Offsetting Revenue109713DirectOffsettingRevenue
Net Community Benefit Expense174007NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense267489TotalCommunityBenefitExpense
Net Community Benefit Expense267489NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7426313TotalCommunityBenefitExpense
Direct Offsetting Revenue109713DirectOffsettingRevenue
Net Community Benefit Expense7316600NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense34762534TotalCommunityBenefitExpense
Direct Offsetting Revenue22410382DirectOffsettingRevenue
Net Community Benefit Expense12352152NetCommunityBenefitExpense
Percent Of Total Expense0.04450PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$27,061,524BadDebtExpenseAmount
Amount Attributable To5400000AmountAttributableTo
Amount Reimbursed By Medicare72847209AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare81837775CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8990566MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 27061524.
PART III, LINE 4: THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS READS: THE ORGANIZATION REPORTS ACCOUNTS RECEIVABLE NET OF ESTIMATED ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND ADJUSTMENTS. TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE ORGANIZATION ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING AMOUNT OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THE AMOUNT CHARGED TO THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON THE ORGANIZATION'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, AND TRENDS IN GOVERNMENT REIMBURSEMENT. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN OFF WHEN THE ORGANIZATION HAS DETERMINED THE ACCOUNT WILL NOT BE COLLECTED.BAD DEBT EXPENSE EQUALS THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BOTH CHARITY AND BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT 44% OF THE UNINSURED OUTPATIENT EMERGENCY ROOM VISITS THAT WERE ADJUSTED TO BAD DEBT MAY HAVE BEEN PATIENTS THAT COULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY BUT DID NOT INITIATE OR COMPLETE THE NECESSARY DOCUMENTATION. THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.
PART III, LINE 8: THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED 2012 COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7.
PART III, LINE 9B: WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE ,WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY.
PART V, SECTION B, LINE 13G: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS.LAFAYETTE GENERAL MEDICAL CENTER INC.
PART V, SECTION B, LINE 17E: LARGER BALANCES ARE MANUALLY CHECKED TO SEE IF THEY MAY QUAILIFY FOR CHARITY ASSISTANCE.LAFAYETTE GENERAL MEDICAL CENTER INC.
PART V, SECTION B, LINE 19D: THE AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS ARE BASED ON A SLIDING SCALE MODEL INCORPORATING THE POVERTY INCOME GUIDELINES. THE INDIVIDUAL'S INCOME LIMITS AND QUALIFYING FAMILY SIZE ARE COMPARED TO THE SLIDING SCALE AND THE MAXIMUM AMOUNT THAT CAN BE CHARGED IS DETERMINED.LAFAYETTE GENERAL MEDICAL CENTER INC.
PART VI, LINE 2: THE HOSPITAL DOES HAVE A BOARD 0F TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY. SURPLUS RECEIPTS OVER DISBURSEMENTS ARE INVESTED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES AND EQUIPMENT, ADVANCE MEDICAL TRAINING AND EDUCATI0N. THE H0SPITAL ALSO MAINTAINS AN OPEN MEDICAL STAFF.A FORMAL NEEDS ASSESSMENT WAS NOT UNDERTAKEN FOR YEAR ENDING 9/30/12, HOWEVER, WE ENGAGED THE CARNAHAN GROUP TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2013. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS.
PART VI, LINE 3: THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE. HOSPITAL PERSONNEL ALSO SCREEN LARGER ACCOUNTS AFTER THE ORIGINAL BILL IS ISSUED, AND CONTACT THE PATIENT TO DETERMINE QUALIFICATIONS FOR CHARITY CARE POLICY.
PART VI, LINE 4: THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARISH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE WITHOUT REGARD TO THEIR ABILITY TO PAY.
PART VI, LINE 5: THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS, AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS. THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TEST AT LOCAL EVENTS.
PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH OTHER HEALTHCARE ORGANIZATIONS. SEE FORM 990 SCHEDULE R FOR A COMPLETE LISTING. ALL OF THE ORGANIZATIONS ARE LOCAL HEALTHCARE ORGANIZATIONS WITH THE SAME PURPOSE AS THE HOSPITAL.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
ACADIANA OUTREACH CENTER
625 N UNIVERSITY AVENUELAFAYETTELA70502581925867501(C)(3)13000DONATION
AMERICAN HEART ASSOCIATION
139-B JAMES COMEAUX ROAD 596LAFAYETTELA70508360726140501(C)(3)15000DONATION
CAMP BON COEUR
405 W MAINLAFAYETTELA70501581710741501(C)(3)10000DONATION
COMMUNITY FOUNDATION OF ACADIANA
1035 CAMELIA BLVD SUITE 100LAFAYETTELA70508721493023501(C)(3)10000DONATION
FIBERCORPS
PO BOX 3034LAFAYETTELA70502208233506501(C)(6)15000DONATION
HOSPICE OF ACADIANA
2600 JOHNSTON ST 200LAFAYETTELA70503720966231501(C)(3)5000DONATION
GREATER LAFAYETTE CHAMBER OF COMMERCE
804 E ST MARY BLVDLAFAYETTELA70503720232780501(C)(6)6525DONATION
LAFAYETTE COMMUNICTY HEALTHCARE CLINIC
1317 JEFFERSON STREETLAFAYETTELA70501721221982501(C)(3)10950DONATION8408FEE SCHEDULELAB SERVICES
LSU EUNCIE
2048 JOHNSON HWYEUNICELA70535582028025501(C)(3)7700DONATION
MILES PERRET CENTER CANCER SERVICES
2130 KALISTE SALOAM RD 200LAFAYETTELA70508753023211501(C)(3)25000DONATION
NAMI LOUISIANA
10842 RANCHWOOD DRBATON ROUGELA70835721038877501(C)(3)5000DONATION
OIL CENTER RENAISSANCE ASSOCIATES
1005 E ST MARY BLVDLAFAYETTELA70503721257087501(C)(6)15000DONATION
SACRED HEART OF JESUS ROMAN CATHOLIC CHURCH OF BROUSSARD
200 W MAIN STREETBROUSSARDLA70518720544168501(C)(3)DONATION21410COSTMEDICAL SUPPLIES
SOUTH LOUISIANA CLINICAL RESEARCH FOUNDATION
3639 AMBASSADOR CATTERY PKWY STELAFAYETTELA70503721430540501(C)(3)42500DONATION605
UNITED WAY OF ACADIANA
215 E PINHOOK ROADLAFAYETTELA70501720513639501(C)(3)21870DONATION
UNIVERSITY OF LOUISIANA AT LAFAYETTE
104 E UNIVERSITY AVENUELAFAYETTELA70504726023836501(C)(3)11040DONATION
LAFAYETTE HEALTH VENTURES INC
1211 COOLIDGE STREETLAFAYETTELA70503721006966501(C)(3)36758339AFFILIATE SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants14TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS TO LPN SCHOOL STUDENTSTypeOfGrant
Number Of Recipients5NumberOfRecipients
Amount Of Cash Grant7200AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base 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
DAVID CALLECOD
54000001652950153110956430144270830676000
PATRICK W GANDY JR
288483061122018733031792087340408864000
ROGER MATTKE
275049057842016640382910140640386910000
GORDON E ROUNTREE JR
245662051343014022032663059700349660000
ZIAD M ASHKAR MD
32500005112601354100000389667000
KATHERINE HEBERT
180180030541042995014872039220272510000
MAURICE SULLIVAN MD
164818000002792018590169469000
DEAN B DUCOTE
13586301787300000760153812000
EDWINA S MALLERY
1301830168490180003036022050154073000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZATION DOES ALLOW FOR SPOUSAL TRAVEL FOR THE TRUSTEES AND OFFICERS. SUCH EXPENSES ARE REPORTED ON THEIR W-2'S OR 1099'S. SOCIAL CLUB DUES WERE PAID FOR THE PRESIDENT/CEO AND THE COO AND WERE INCLUDED AS WELL AS COMPENSATION ON THEIR W-2'S. TAXABLE FRINGE BENEFITS SUCH AS SPOUSAL TRAVEL AND SOCIAL CLUB DUES ARE ACCUMULATED AND GROSSED UP WHEN ADDED TO THE W-2 EARNINGS FOR THE YEAR.
PART I, LINE 4BA SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01,2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $163,348. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS WERE DAVID CALLECOD, CEO, PATRICK GANDY, COO, ROGER MATTKE, CFO, GORDON ROUNTREE, GENERAL COUNSEL, DEBRA CLARK, CNO, KATHERINE HEBERT, VICE-PRESIDENT, AND ZIAD ASHKAR, MD, CMO. DEBRA CLARK, CNO. PRIOR CONTRIBUTIONS WERE FORFEITED IN 2011 UPON HER SEPARATION.
PART I, LINE 6THE ORGANIZATION DOES HAVE A PROFIT SHARING PLAN (SUCCESS SHARING) FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS; 20% EMPLOYEES, 15% SERVICE, 15% QUALITY, 40% FUNDING OUR FUTURE, AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS', AS LISTED ON PART VII OF FORM 990, CALCULATION OF PROFIT SHARING IS IN PART BASED ON THE CONSOLIDATED NET EARNINGS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
LOUISIANA PUBLIC FACILITIES AUTHORITY
720895871546395H802010-08-1284137555TOWER RENOVATION PROJECT AND REFUND OF 08-19-98 ISSUE000
LOUISIANA PUBLIC FACILITIES AUTHORITY
7208958712011-02-253850000REPLACE/UPGRADE CARDIAC CATH LAB000
LOUISIANA PUBLIC FACILITIES AUTHORITY
7208958712012-07-2660000000A&B-EXPANSION/RENOVATION/EQUIPPING OF OR/ER AREA AND PARKING FACILITY000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
103000084137555373397515507517885282920111011
857301385000059703379029720110011
6000000033320815786682014000158088124

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
000001
010001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I, LINE A, COLUMNC C:MULTIPLE CUSIP NUMBERS:546395J21, 546395J39, 546395J47, 546395J54
SCHEDULE K, PART II, LINE 3, COLUMN CSUPPLEMENTAL INFORMATION:BOTH SERIES A AND B BONDS WERE ISSUED AS DRAW-DOWN BONDS WITH ONLY $5 MILLION REQUESTED AT THE END OF THE TAX YEAR.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GBH LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipG. GARY GUIDRY IS A TRUSTEE OF LGMC AND IS A MEMBER OF GBH, LLCRelationship
Amount Of Transaction916667AmountOfTransaction
Description Of TransactionLAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A CONTRACT WITH GBH, LLC TO PROVIDE CRITICAL CARE SERVICES, PULMONARY/VENTILATOR CARE MANAGEMENT SERVICES AND INTENSIVIST SERVICES FOR HOSPITAL'S ICU AND ASSUME THE ROLE OF MEDICAL DIRECTOR OF THE ICU. TRUSTEE G. GARY GUIDRY MD IS A MEMBER OF GBH, LLC.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2TRUSTEES, CLAY ALLEN AND ROBERT GILES, ARE INVOLVED IN SEPARATE BUSINESS VENTURES TOGETHER THAT ARE WHOLLY UNRELATED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BYES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERNANCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITIEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAYBE RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT TO THE PRESIDENT/CEO'S COMPENSATION THEREAFTER. THIS SAME PROCESS IS FOLLOWED FOR THE FOLLOWING SENIOR EXECUTIVES OF THE ORGANIZATION: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER AND GENERAL COUNSEL.
FORM 990, PART VI, SECTION C, LINE 19BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES.
FORM 990, PART VII, SECTION A, LINE 1APAYMENTS TO THE PHYSICIANS THAT SERVICE AS TRUSTEES WERE REPORTED ON 1099 MISC BOX 6. ALL SUCH PAYMENTS WERE IN CONSIDERATION FOR PROVIDING CALL COVERAGE IN OUR EMERGENCY ROOM, OR SERVING AS MEDICAL DIRECTORS FOR VARIOUS HOSPITAL DEPARTMENTS. NO PAYMENTS WERE MADE IN THEIR CAPACITY AS TRUSTEE.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 4,722,447. PRIOR PERIOD ADJUSTMENTS: 25,026,848. TOTAL TO FORM 990, PART XI, LINE 5: 29,749,295.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.
FORM 990, PART VII, LINE 1A, COLUMN BKATHERINE HEBERT, ADMINISTRATOR SPENDS AN ADDITIONAL 40 HRS/WEEK ON RELATED ORGS. DAVID CALLECOD, PRESIDENT SPENDS AN ADDITIONAL 3 HRS/WEEK ON RELATED ORGS. EDWARD KRAMPE, BOARD MEMBER SPENDS AN ADDITIONAL 1 HRS/WEEK ON RELATED ORGS. BRADLEY CHASTANT, BOARD MEMBER SPENDS AN ADDITIONAL 2 HRS/WEEK ON RELATED ORGS. PATRICK GANDY, BOARD MEMBER SPENDS AN ADDITIONAL 1 HRS/WEEK ON RELATED ORGS. BRADEN DESPOT, BOARD MEMBER SPENDS AN ADDITIONAL 1 HRS/WEEK ON RELATED ORGS. JOBY JOHN, BOARD MEMBER SPENDS AN ADDITIONAL 1 HRS/WEEK ON RELATED ORGS. ROGER MATTKE, CFO SPENDS AN ADDITIONAL 1 HRS/WEEK ON RELATED ORGS. IN ADDITION TO THE HOURS LISTED ABOVE, THE OFFICERS AND BOARD MEMBERS FOR LAFAYETTE GENERAL MEDICAL CENTER ARE THE SAME AS THOSE OF LAFAYETTE GENERAL HEALTH SYSTEMS.AVERAGE HOURS PER WEEK- RELATED ORGS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST MARTIN HOSPITAL INC
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264HOSPITALLAPENDING 501(C)(3)170(B)(1)(A) (III)LAFAYETTE GENERAL MEDICAL CENTER1
LAFAYETTE HEALTH VENTURES INC
1211 COOLIDGE STREETLAFAYETTELA70503721006966PHYSICIAN PRACTICESLAPENDING 501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
1214 COOLIDGE STREETLAFAYETTELA70503383646817HEALTHCARE SUPPORTLA501(C)(3)509(A)(3)0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LAFAYETTE INVESTMENT GROUP LLC
1000 WEST PINHOOK ROAD STE 206LAFAYETTELA70503421594593MANAGEMENTLALAFAYETTE GENERAL MEDICAL CENTERRELATED79765666531000.29430
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
1000 WEST PINHOOK ROADLAFAYETTELA70503481360080SURGICAL HOSPITALLALAFAYETTE GENERAL MEDICAL CENTERRELATED11928111941930000.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LAFAYETTE GENERAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST MARTIN HOSPITAL INC
K1413510COST
ST MARTIN HOSPITAL INC
Q978604COST
ST MARTIN HOSPITAL INC
P2261545COST
LAFAYETTE INVESTMENT GROUP LLC
B340483COST
LAFAYETTE INVESTMENT GROUP LLC
J695416CONTRACT
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
G80929CONTRACT
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
E49050NOTE
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
P702770COST
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
C975000COST