LAFAYETTE GENERAL MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- LAFAYETTE GENERAL MEDICAL CENTER INC (EIN 72-0535375)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201122279349300727
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T09:01:13-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Postlethwaite & Netterville | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8550 United Plaza Blvd Suite 1001 | AddressLine1 |
| City | Baton Rouge | City |
| State | LA | State |
| ZIP Code | 70809 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720535375 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAFAYETTE GENERAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAFA | NameControl |
| Phone | 3372898125 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1214 COLLIDGE BLVD | AddressLine1 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 705032621 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROGER MATTKE | Name |
| Title | CFO | Title |
| Phone | 3372898125 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ralph Stephens | Name |
| Phone | 2259224600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID CALLECOD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1214 COOLIDGE BLVD | AddressLine1 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 70503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 203413644 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.lafayettegeneral.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1911 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | The 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 pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1875 | TotalNbrEmployees |
| Total Nbr Volunteers | 113 | TotalNbrVolunteers |
| Total Gross UBI | 3575017 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 148309 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 38700 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174058746 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 191746083 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3762222 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3194256 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4019089 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3683321 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 181988366 | TotalRevenuePriorYear |
| Total Revenue Current Year | 198662360 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 136298 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 191479 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 77593234 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 79967336 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 102345244 | OtherExpensePriorYear |
| Other Expenses Current Year | 111203046 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 180074776 | TotalExpensesPriorYear |
| Total Expenses Current Year | 191361861 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1913590 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7300499 | RevenuesLessExpensesCY |
| Total Assets BOY | 275827848 | TotalAssetsBOY |
| Total Assets EOY | 332063015 | TotalAssetsEOY |
| Total Liabilities BOY | 115087536 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 158906541 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 160740312 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 173156474 | NetAssetsOrFundBalancesEOY |
| Mission Description | Lafayette General Medical Center's mission is to improve, maintain and restore the health of the people in the communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 146056859 | Expense |
| Grants | 191479 | Grants |
| Revenue | 191403918 | Revenue |
| Description | Program services statistics related to providing community medical care for the Hospital: total acute patient days were 66,272, total psychiatric days were 2,424, total nursery days were 3,784, and total rehab days were 3,249. Other significant healthcare services provided included 51,588 emergency room visits, 9,198 surgeries (inpatient and outpatient), and 1,891 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 from these services are $393,610,346 and $231,990,008, respectively. There were acute and skilled care services not fully compensated. These included Medicare / Medicaid contractuals with $283,422,438 of uncompensated services, other contractuals with $131,579,886 of uncompensated services, and bad debts of $18,851,947. The net revenues of the services provided were $191,746,083.Lafayette General Medical Center (LGMC) serves the nine parishes in Louisiana designated Acadiana with 329 beds and over 1800 employees. LGMC remains the area's largest, full service, acute-care medical center.Our hospital mission is to improve, maintain and restore the 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.Our accolades and accreditations grow each year. In our fiscal year 2010 we received the following: HealthGrades 2010 Awards:Ranked Among the Top 5 or 10 in LA Vascular SurgeryRanked 2 - Qualified Five Star Rated for Carotid Surgery - 3 YEars in a row (2008-2010)Five Star Rated for Prostatectomy - 1 year (2010)Ranked among the top 5% in the Nation for Prostatectomy, 2010Recipient of the HealthGrades Gastrointestinal Surgery Excellence Award - 3 years in a row (2008-2010)Ranked Among the top 10% in the NAtion of GI Surgery - 3 years in a row (2008-2010)Ranked 1 in LA for 2010 Five Star Rated GI Surgery - 3 Years in a row (2008-2010)Five Star Rated for Cholecystectomy - 3 years in a row (2008-2010)Ranked 1 in LA for GI Surgery - 2010 Ranked Among the Top 5 or 10 in LA for GI Services Ranked 4 - Qualified Ranked Among the Top 5 or 10 in LA for GI SurgeryRecipient of the HealthGrades Orthopedic Surgery Excellence AwardRanked Among the Top 5% in the Nation for Overall Orthopedic Ranked #1 in LA for Overall Orthopedic Services Ranked #3 in LA for Joint Replacement Ranked #4 in LA for Spine SurgeryFive-Star Rated for Overall Orthopedic Services Five-Star Rated for Joint Replacement Five-Star Rated for Spine Surgery - 5 years in a row (2006 - 2010)Five-Star Rated for Total Knee Replacement Five-Star Rated for Hip Fracture Repair Five-Star Rated for Back and Neck Surgery (Spinal Fusion) - 6 years in a row (2005 - 2010)2009 Louisiana Hospital Quality Award - Bronze Level: Eco-Health Solutions2009 Medcal of Honor Recipient, awarded by the Louisiana Organ Procurement AssociationRecipient of Southern Eye Bank 2009 Gift of Sight Hospital of the Year Award Recipient of Excellence in Patient Care for Physicians Award by the Studer Group2010 Recipient of Press Ganey's Top Performer in Patient Satisfaction for Emergency Department Lafayette General Medical Center assumes the role of a community partner in a variety of ways. Through financial contributions we work to preserve the prosperity of our community, further medical education and research and help our constituents' access the medical care they need. We coordinate events and screenings free of charge to maintain the health of the local public. 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 2010 we donated (monetarily, time, man-hours) over $178,000 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 2010 these monies were donated to over 35 different organizations in our community. Lafayette General Medical Center also contributed over $60,000 to the University of Louisiana Lafayette to partially fund the School of Nursing's Accelerated Option Nursing Program for students wishing to obtain a second degree in nursing. 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. LGMC administered 1,050 free flu shots to employees at a cost of $10,258.Donated over $9,300 in diagnostic imaging as part of a partnership with the Lafayette Community Health Care Clinic.Administered over 30 Free Peripheral Vascular Disease ultrasound screenings.Women's and Children's Services currently offers 4 free classes on a monthly basis which include newborn care, labor and delivery process, breastfeeding your infant and infant CPR. These classes serve approximately 75 people per month.LGMC staff administered approximately 297 immunizations to 112 children with our quarterly participation in the Shots for Tots program. Staffed free health booths including AHA Go Red for Women, American Diabetes Association Annual 5K Walk, Susan G Koeman's Race for the Cure, NAMI walk and the Walk from Obesity. Conducted four community education luncheons, "Health in General", at which different physicians spoke to various topics, including orthopedic surgery, minimally invasive spine surgery, colorectal screenings, and breast cancer.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 Expense | 146056859 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 275 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1875 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAFAYETTE GENERAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3372898125 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1214 COOLIDGE BLVD | AddressLine1 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 705032621 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MICHAEL ALEXANDER MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CLAY ALLEN | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| DAVID CALHOUN | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| BRADLEY J CHASTANT MD | |||||||
| TRUSTEE | 1.00 | X | 6000 | 0 | 0 | ||
| IRVIN DAVID | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM H FENSTERMAKER | |||||||
| PAST CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT GILES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| G GARY GUIDRY MD | |||||||
| TRUSTEE | 1.00 | X | 43200 | 0 | 0 | ||
| ROSE KENNEDY MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| EDWARD KRAMPE | |||||||
| VICE CHAIRMAN | 1.00 | X | 4800 | 0 | 0 | ||
| FLO MEADOWS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DONALD REED MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| RAE ROBINSON BRODNAX | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GARY SALMON | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| E GREGORY VOORHLES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| BRADEN DESPOT | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| JULIE FALGOUT | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| PHILIP GACHASSIN | |||||||
| TRUSTEE | 1.00 | X | 93213 | 0 | 0 | ||
| JOBY JOHN | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DANIEL BOURQUE | |||||||
| CHIEF OF STAFF | 1.00 | X | 8800 | 0 | 0 | ||
| DAVID CALLECOD | |||||||
| PRESIDENT/CEO | 40.00 | 519795 | 0 | 92604 | X | ||
| PATRICK W GANDY JR | |||||||
| COO | 40.00 | 277291 | 0 | 37922 | X | ||
| ROGER MATTKE | |||||||
| CFO | 40.00 | 273828 | 0 | 44825 | X | ||
| DEBRA CLARK | |||||||
| CNO | 40.00 | 190733 | 0 | 38370 | X | ||
| GORDON E ROUNTREE JR | |||||||
| GENERAL COUNSEL | 40.00 | 229921 | 0 | 38154 | X | ||
| SHIRLEY LAFFERTY | |||||||
| RN | 59.00 | 151116 | 0 | 4676 | X | ||
| KATHERINE HEBERT | |||||||
| ADMINISTRATOR | 40.00 | 162395 | 0 | 16055 | X | ||
| MATTHEW P LIPARI | |||||||
| RN | 54.00 | 150911 | 0 | 804 | X | ||
| CHRISTINE A HANSEN | |||||||
| RN | 54.00 | 148493 | 0 | 1638 | X | ||
| DANIEL R OVERBET | |||||||
| RN | 61.00 | 142972 | 0 | 10913 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2403468 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 285961 | TotalOtherCompensation |
| Number Individuals GT100 K | 52 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOSPITAL HOUSEKEEPING SYSTEMS LTD | |||||
| PO BOX 826 | SAN ANTONIO | TX | 782930826 | HOUSEKEEPING SERVICES | 2614900 |
| WASHER HILL LIPSCOMB | |||||
| 1744 OAKDALE DR | BATON ROUGE | LA | 70810 | ARCHITECTURE | 1673990 |
| PARISH ANESTHESIA OF LAFAYETTE | |||||
| 3510 N CAUSEWAY BLVD STE 404 | METAIRIE | LA | 70002 | ANESTHESIA SERVICES | 1349275 |
| ASSOC REGIONAL & UNIVERSITY PATHOLOGIST | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84112 | REFERENCE LAB | 802664 |
| med-staff | |||||
| PO BOX 404691 | ATLANTA | GA | 30384 | CONTRACT NURSING | 779448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Government Grants | 38500 | GovernmentGrants |
| All Other Contributions | 200 | AllOtherContributions |
| Total Contributions | 38700 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL PATIENT SERVIC | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 191746083 | TotalRevenueColumn |
| Related Or Exempt Function Income | 191403918 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 342165 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 191746083 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3156376 | TotalRevenueColumn |
| Exclusion | $3,156,376 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 263 | TotalRevenueColumn |
| Exclusion | $263 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3218804 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 136436 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3082368 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3082368 | TotalRevenueColumn |
| Unrelated Business Revenue | 542684 | UnrelatedBusinessRevenue |
| Exclusion | $2,539,684 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4651965 | Securities |
| Other | 500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4614848 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 37117 | Securities |
| Other | 500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37617 | TotalRevenueColumn |
| Exclusion | $37,617 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| HOSPITAL CAFETERIA | 722210 | 1158795 | 0 | $1,158,795 |
| INTERCOMPANY REVENUE | 561000 | 947348 | 798622 | $148,726 |
| REFERENCE LAB | 621500 | 687101 | 687101 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2192291 | TotalRevenueColumn |
| Unrelated Business Revenue | 1204445 | UnrelatedBusinessRevenue |
| Exclusion | -$3,396,736 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 600953 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 198662360 | TotalRevenueColumn |
| Related Or Exempt Function Income | 191403918 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3575017 | UnrelatedBusinessRevenue |
| Exclusion | $3,644,725 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178154 | Total |
| Program Services | 178154 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13325 | Total |
| Program Services | 13325 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1818254 | Total |
| Management And General | 1818254 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65777685 | Total |
| Program Services | 54635944 | ProgramServices |
| Management And General | 11141741 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 651190 | Total |
| Program Services | 588797 | ProgramServices |
| Management And General | 62393 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6944930 | Total |
| Program Services | 4720263 | ProgramServices |
| Management And General | 2224667 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4775277 | Total |
| Program Services | 3841940 | ProgramServices |
| Management And General | 933337 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222249 | Total |
| Program Services | 222249 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 668201 | Total |
| Management And General | 668201 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 367095 | Total |
| Management And General | 367095 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218697 | Total |
| Program Services | 218697 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16213923 | Total |
| Program Services | 9698814 | ProgramServices |
| Management And General | 6515109 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 722146 | Total |
| Program Services | 36445 | ProgramServices |
| Management And General | 685701 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54482143 | Total |
| Program Services | 53082346 | ProgramServices |
| Management And General | 1399797 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3602797 | Total |
| Program Services | 9676 | ProgramServices |
| Management And General | 3593121 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3231843 | Total |
| Program Services | 480636 | ProgramServices |
| Management And General | 2751207 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289300 | Total |
| Program Services | 14923 | ProgramServices |
| Management And General | 274377 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2485586 | Total |
| Program Services | 2485550 | ProgramServices |
| Management And General | 36 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547006 | Total |
| Program Services | 572461 | ProgramServices |
| Management And General | -25455 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12127612 | Total |
| Program Services | 6480718 | ProgramServices |
| Management And General | 5646894 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4301239 | Total |
| Management And General | 4301239 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT RENTAL AND MA | 9089366 | 6710838 | 2378528 |
| 98 bond funding | 1361732 | 1361732 | 0 |
| BOND FUND EXPENSE | 332866 | 332866 | 0 |
| RECRUITING | 291213 | 19411 | 271802 |
| COMMUNITY AND PHYSICIAN | 150672 | 3248 | 147424 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497360 | Total |
| Program Services | 347826 | ProgramServices |
| Management And General | 149534 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191361861 | Total |
| Program Services | 146056859 | ProgramServices |
| Management And General | 45305002 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9260 | BOY |
| EOY | 9360 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43852851 | BOY |
| EOY | 33354380 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35591183 | BOY |
| EOY | 37246717 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1082073 | BOY |
| EOY | 1388458 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5459446 | BOY |
| EOY | 5837931 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1797579 | BOY |
| EOY | 2227116 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 274315896 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 135686229 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107210510 | BOY |
| EOY | 138629667 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60368100 | BOY |
| EOY | 65148967 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9778 | BOY |
| EOY | 9778 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17235587 | BOY |
| EOY | 19089105 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1466667 | BOY |
| EOY | 1403925 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1744814 | BOY |
| EOY | 27717611 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275827848 | BOY |
| EOY | 332063015 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21271701 | BOY |
| EOY | 32237951 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40170 | BOY |
| EOY | 12922 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27041962 | BOY |
| EOY | 84140736 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55675000 | BOY |
| EOY | 34363100 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3859010 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7199693 | BOY |
| EOY | 8151832 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115087536 | BOY |
| EOY | 158906541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160740312 | BOY |
| EOY | 173156474 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160740312 | BOY |
| EOY | 173156474 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275827848 | BOY |
| EOY | 332063015 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 22710 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 22710 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 191339151 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 191361861 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 21046 | CurrentYearMinus3 |
| Current Year Minus2 | 22141 | CurrentYearMinus2 |
| Current Year Minus1 | 20618 | CurrentYearMinus1 |
| Current Year | 22710 | CurrentYear |
| Total | 86515 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 21046 | CurrentYearMinus3 |
| Current Year Minus2 | 22141 | CurrentYearMinus2 |
| Current Year Minus1 | 20618 | CurrentYearMinus1 |
| Current Year | 22710 | CurrentYear |
| Total | 86515 | Total |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part IV, Supplemental Information: | Identifier |
| Explanation | 990 SCHEDULE C PART II-A, LINE 1A: ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8897052 | OtherCostOrOtherBasis |
| Book Value | 8897052 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 158709794 | OtherCostOrOtherBasis |
| Depreciation | 60009448 | Depreciation |
| Book Value | 98700346 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2525788 | OtherCostOrOtherBasis |
| Depreciation | 1070859 | Depreciation |
| Book Value | 1454929 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 104183262 | OtherCostOrOtherBasis |
| Depreciation | 74605922 | Depreciation |
| Book Value | 29577340 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 138629667 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LAFAYETTE HEALTH VENTURES INC | 14641289 | C |
| PREMIER | 84500 | C |
| SAINT MARTIN HOSPITAL | 1420028 | C |
| LAFAYETTE INVESTMENT GROUP | 1309600 | C |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | 1633688 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 19089105 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| LIFE INSURANCE - CASH SURRENDER VALUE ON EXECUTIVES | 265185 |
| UNVESTED VALUE OF SERP | 479817 |
| BOND TRUSTEE FUNDS | 25123415 |
| BOND ISSUE COSTS | 1843991 |
| UTILITY COMPANY DEPOSIT | 5203 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 27717611 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SElf INSURANCE RESERVES | $3,750,468 |
| INTERCOMPANY PAYABLE - LAFAYETTE HEALTH VENTURES INC | $4,322,644 |
| INTERCOMPANY PAYABLE - LAFAYETTE GENERAL IMAGING | $1,246 |
| SAINTS STREET LAFAYETTE GENERAL AMB ENDOCOPY CENTER | $20,810 |
| LAFAYETTE GENERAL IMAGING | $56,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8151832 | TotalOfAmounts |
| Total Revenue | 198662360 | TotalRevenue |
| Total Expenses | 191361861 | TotalExpenses |
| Excess Or Deficit For Year | 7300499 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 5115662 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 5115662 | TotalAdjustments |
| Excess Or Deficit Per FS | 12416161 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 221019055 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5115662 | NetUnrealizedGainsInvestments |
| Other Revenues | 17459729 | OtherRevenues |
| Revenue Not Rptd F990 | 22575391 | RevenueNotRptdF990 |
| Revenue Subtotal | 198443664 | RevenueSubtotal |
| Investment Expenses Not Included | 218697 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 218697 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 198662361 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 208602893 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 17459729 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 17459729 | ExpensesNotRptdF990 |
| Expenses Subtotal | 191143164 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 218697 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 218697 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 191361861 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part XII & PART XIII, LINE 2D: BAD DEBT 18,851,947 RENTAL EXPENSE 136,436 ELIMINATED AUXILLARY CONTRIBUTIONS 32,675 MINERAL RIGHTS & PARTNERSHIP INCOME (199,596) DEBT REFINANCING (1,361,732) ROUNDING (1) TOTAL 17,459,729 | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1745969 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1745969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25309084 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9182479 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16126605 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08430 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27055053 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9182479 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17872574 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 225092 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 225092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 393697 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 264025 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 129672 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 178154 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 178154 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 796943 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 264025 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 532918 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27851996 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9446504 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18405492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09630 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,433,395 | BadDebtExpenseAmount |
| Amount Attributable To | 1147200 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 63692527 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 65834531 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2142004 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicy |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAFAYETTE GENERAL MEDICAL CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1214 COOLIDGE BLVD | AddressLine1 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 70503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: Part I, Line 7. A cost to charge ratio was used to estimate cost 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Part I, line 7, column (f). The hospital used total expenses from Form 990, Part IX, line 25 which excluded bad debt expense. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Part III, line 4. Footnote to the audited financial statements:The Medical Center 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 Medical Center 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 Medical Center's assessment of historical and expected net collections, business and economic conditions, and trends in government reimbursement. Uncollectible accounts are written off when the Medical Center has determined the account will not be collected.Worksheet A, Estimate Bad Debt Expense (at cost) was used to determine the amount of bad debt expense reported on line 2. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: 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 hospital's filed 2010 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. | ShortfallAsCommunityBenefit |
| Needs Assessment | Part VI, Line 2: Part VI, line 2 Needs assessment. A formal needs assessment has not been undertaken; however, the hospital does have a Board of Trustees and members of the corporation comprised of individuals from the local community, which are independently aware of the medical needs of the community. Surplus receipts over disbursements are invested to improve the quality of patient care, expand hospital facilities and equipment, advance medical training and education. The hospital also maintains an open medical staff. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Part VI, line 3. Patient education of eligibility for assistance. 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. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Part VI, line 4 Community information. 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 hospitals 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. | CommunityInformation |
| Other Information | Part VI, Line 6: Part VI, line 6 Other information. 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. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: Part VI, line 7. 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. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| ACADIANA OUTREACH CENTER | ||||||||||
| 125 S BUCHANAN ST | LAFAYETTE | LA | 70501 | 581925867 | 501(C)3 | 12500 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| AMERICAN CANCER SOCIETY | ||||||||||
| 1604 W PINHOOK ROAD SUITE 182 | LAFAYETTE | LA | 70508 | 640329009 | 501(C)3 | 6000 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| AMERICAN HEART ASSOCIATION | ||||||||||
| 139B JAMES COMEAUX RAOD 596 | LAFAYETTE | LA | 70508 | 360726140 | 501(C)3 | 17500 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| CAMP BON COUER | ||||||||||
| 405 W MAINT ST | LAFAYETTE | LA | 70501 | 581710741 | 501(C)3 | 13000 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| HEARTS OF HOPE | ||||||||||
| 911 GENERAL MOUTON AVE | LAFAYETTE | LA | 70501 | 721321800 | 501(C)3 | 5040 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| HOSPICE OF ACADIA | ||||||||||
| 2600 JOHNSTON ST | LAFAYETTE | LA | 70501 | 720966231 | 501(C)3 | 5125 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| LAFAYETTE COMMUNITY HEALTH | ||||||||||
| 1317 JEFFERSON ST | LAFAYETTE | LA | 70501 | 721227982 | 501(C)3 | 1500 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | 9294 | fee schedule | lab services |
| UNITED WAY OF ACADIANA | ||||||||||
| PO BOX 52033 | LAFAYETTE | LA | 70501 | 720513639 | 501(C)3 | 22500 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| MILES PERRETT CENTER | ||||||||||
| 2130 KALISTE SALOOM RD | LAFAYETTE | LA | 70501 | 753023211 | 501(C)3 | 12500 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| OIL CENTER RENAISSANCE ASSOC | ||||||||||
| 1005 E SAINT MARY BLVD | LAFAYETTE | LA | 70501 | 721257087 | 501(C)6 | 20000 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| LOUISIANA OPEN INC | ||||||||||
| 124 HEYMANN BLVD | LAFAYETTE | LA | 70501 | 721043611 | 501(C)3 | 6400 | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFT AND GOVERNMENT ORGAINIZATIONS THAT PARALLEL OUR HEALTHCARE MISSION IN THE COMMUNITY. | |||
| CHANCES FOR CHILDREN | ||||||||||
| 20343 N HAYDEN RD | SCOTTSDALE | AZ | 85255 | 205835605 | 501(C)3 | HAITI EARTHQUAKE | 9295 | COST | MEDICAL SUPPLIES | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 36 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | DISBURSEMENT TO QUALIFYING LPN SCHOOL STUDENTS - HENRY P. HEBERT SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 17 | NumberOfRecipients |
| Amount Of Cash Grant | 13325 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Other Information: | Identifier |
| Return Reference | Part IV: | ReturnReference |
| Explanation | CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFIT GOVERNMENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID CALLECOD | |||||||||||||
| 446250 | 0 | 0 | 0 | 73545 | 0 | 82350 | 0 | 10254 | 0 | 612399 | 0 | 0 | 0 |
| PATRICK W GANDY JR | |||||||||||||
| 268400 | 0 | 0 | 0 | 8891 | 0 | 29576 | 0 | 8346 | 0 | 315213 | 0 | 0 | 0 |
| ROGER MATTKE | |||||||||||||
| 253892 | 0 | 0 | 0 | 19936 | 0 | 34979 | 0 | 9846 | 0 | 318653 | 0 | 0 | 0 |
| DEBRA CLARK | |||||||||||||
| 184748 | 0 | 0 | 0 | 5985 | 0 | 35100 | 0 | 3270 | 0 | 229103 | 0 | 0 | 0 |
| GORDON E ROUNTREE JR | |||||||||||||
| 225773 | 0 | 0 | 0 | 4148 | 0 | 29608 | 0 | 8546 | 0 | 268075 | 0 | 0 | 0 |
| SHIRLEY LAFFERTY | |||||||||||||
| 151116 | 0 | 0 | 0 | 0 | 0 | 3037 | 0 | 1639 | 0 | 155792 | 0 | 0 | 0 |
| KATHERINE HEBERT | |||||||||||||
| 142830 | 0 | 18017 | 0 | 1548 | 0 | 13371 | 0 | 2684 | 0 | 178450 | 0 | 0 | 0 |
| MATTHEW P LIPARI | |||||||||||||
| 150911 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 804 | 0 | 151715 | 0 | 0 | 0 |
| CHRISTINE A HANSEN | |||||||||||||
| 148493 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1638 | 0 | 150131 | 0 | 0 | 0 |
| DANIEL R OVERBET | |||||||||||||
| 142972 | 0 | 0 | 0 | 0 | 0 | 2874 | 0 | 8039 | 0 | 153885 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | THE ORGANIZATION DOES ALLOW FOR SPOUSAL TRAVEL FOR THE TRUSTEES AND OFFICERS. SUCH EXPENSES ARE REPORTED ON THEIR W-2S OR 1099S. A HOUSING ALLOWANCE WAS PAID TO THE PRESIDENT/CEO, BUT WAS INCLUDED AS COMPENSATION ON HIS W-2. SOCIAL CLUB DUES WERE PAID FOR THE PRESIDENT/CEO AND THE COO AND WERE INCLUDED AS WELL AS COMPENSATION ON THEIR W-2S. 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 4a | A supplemental Employee Retirement Plan (SERP) was adopted effective January 01, 2008. The SERP iS classified as a supplemental non-qualified retirement plan, the purpose of which is to provide participants with supplemental retirement benefits. COntribution for the year was $231,475. 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 Carolyn Huval, Vice President. |
| Part I, Line 6 | THE ORGANIZATION DOES HAVE A PROFIT SHARING PLAN (SUCCESS SHARING) FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ONE THIRD ON NET EARNINGS OF THE ORGANIZATION, ONE THIRD ON QUALITY MEASURES, AND ONE THIRD ON PATIENT SATISFACTION SCORES. PART 1, LINE 6B: 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
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOUISIANA PUBLIC FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 720895871 | IssuerEIN |
| CUSIP Number | 546395H80 | CUSIPNumber |
| Date Issued | 2010-08-12 | DateIssued |
| Issue Price | 84137555 | IssuePrice |
| Description Of Purpose | CAPITAL IMPROVEMENT RENOVATIONS PROJECT & REFUND OF 8/18/98 ISSUE | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 84137555 | TotalProceeds |
| Amount Defeased | 27900219 | AmountDefeased |
| Amount Unspent | 25123415 | AmountUnspent |
| Issuance Costs From Proceeds | 1527554 | IssuanceCostsFromProceeds |
| Capital Expenditures | 29586629 | CapitalExpenditures |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LAFAYETTE INVESTMENT GROUP LLC | |||
| SEE SCHEDULE O | 562735 | SEE SCHEDULE O | 0 |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | |||
| SEE SCHEDULE O | 2596087 | SEE SCHEDULE O | 0 |
| LAFAYETTE HEALTH VENTURES INC | |||
| SEE SCHEDULE O | 9687001 | SEE SCHEDULE O | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Trustees, Clay Allen and Robert Giles, are involved in a separate business venture together that is wholly unrelated to the organization. |
| Form 990, Part VI, Section A, line 6 | The organization is a non-stock not-for-profit corporation with one class of membership. |
| Form 990, Part VI, Section A, line 7a | The members ratify the selection of the individuals that serve on the Board of Trustees (Governing Body) after those individuals have been selected as a Trustee by the Board of Trustees. |
| Form 990, Part VI, Section A, line 7b | Yes, the individuals of the Trustees (Governing Body) and the members must be approved by the Membership body. |
| Form 990, Part VI, Section B, line 11 | The Form 990s are prepared and reviewed by the organizations accounting staff. The completed forms are reviewed by the officers and then presented to the Board for review, comment and corrections if needed before filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | An annual survey is sent to the Board members and officers requiring them to disclose conflicts of interest. After receipt of these surveys, the Governance Committee and its Chairperson review all conflicts and report on same to the Governance Committee. Thereafter the Chairperson of the Governance Committee and the organization's General Council (who attends all Board meetings) insures that all conflicts are timely disclosed and appropriate recusals are made on business matters that may be related to the conflict. |
| Form 990, Part VI, Section B, line 15 | An independent external consultant firm, Sullivan Cotter and Associates, is engaged by the Compensation Committee of the Board of Trustees, which is comprised of Disinterested Directors, to prepare compensation survey and fair market value report. The Compensation Committee annually reviews the market comparables and makes adjustment the President/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 19 | Basic financial information is made available and sent out to the community by means of the Organization's Annual Report. Other documents and more detailed financial information are available to the public upon request within the parameters of regulatory / legal authorities. |
| SCH. L PART IV Lafayette Investment Group LLC (LIG) is a related organization of Lafayette General Medical Center Inc. Current trustees, Bradley J Chastant, MD and David Callecod, President/CEO serve on both boards. The group owns and operates a surgical hospital and medical office building. LGMC paid LIG building rent of $417,068 and loans of $142,117 to pay for construction related expenses Lafayette General Surgical Hospital LLC (LGSH) is a related organization of LGMC. Current trustee Bradley J Chastant, MD, David Callecod, President/CEO, and Patrick W Gandy Jr. COO serve on both boards. Former trustee WW Rucks III serves on the LGSH board. The surgical hospital operates a 10-licensed-bed acute care hospital specializing in short stay surgical procedures located in the LIG building. LGMC reimbursed LGSH for expenses of $1,141. LGSH paid LGMC $203,262 for an equipment loan, $937,500 in distributions, and $1,456,466 for expenses and services. Lafayette Health Ventures Inc (LHVI) is a related organization owned entirely by LGMC. Current trustees Joby John, Ph.D., Braden Despot, Rae Robinson and Gary Salmon and current officers David Callecod and Patrick Gandy Jr. serve on LHVI's board. Former trustee Irvin David served on the LHVI board. LHVI operates a collection agency, retail store for durable medical equipment, operates medical clinics, and employs physician practices. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARTIN HOSPITAL INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 CHAMPAGNE BLVD | AddressLine1 |
| City | BREAUX BRIDGE | City |
| State | LA | State |
| ZIP Code | 70517 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264626264 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | LA | LegalDomicileState |
| Exempt Code Section | PENDING 501(C)(3) | ExemptCodeSection |
| Public Charity Status | HOSPITAL | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAFAYETTE INVESTMENT GROUP | ||||||||||||
| 1000 W PINHOOK SUITE 206 | LAFAYETTE | LA | 70503 | 421594593 | MANAGEMENT | LA | N/A | RELATED HEALTHCARE | 90028 | 2403250 | 0 | 0 |
| lafayette general surgical hospital llc | ||||||||||||
| 1000 W PINHOOK | LAFAYETTE | LA | 70503 | 481300080 | surgical hospital | LA | N/A | RELATED HEALTHCARE | 1079905 | 1371820 | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAFAYETTE HEALTH VENTURES | |||||||||||
| PO BOX 53092 | LAFAYETTE | LA | 70505 | 721006966 | SUPPORT SERVICES | LA | N/A | C | 15690314 | 11015947 | 1.00000 |
| GREATER LAFAYETTE PHYSICIANS HOSPITAL ORG | |||||||||||
| 117 AUDUBON BLVD | LAFAYETTE | LA | 70503 | 721286969 | SUPPORT SERVICES | LA | N/A | C | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| ST MARTIN HOSPITAL INC | |
| D | 530000 |
| ST MARTIN HOSPITAL INC | |
| O | 162848 |
| ST MARTIN HOSPITAL INC | |
| K | 867540 |
| LAFAYETTE INVESTMENT GROUP | |
| J | 417068 |
| LAFAYETTE INVESTMENT GROUP | |
| D | 142117 |
| LAFAYETTE INVESTMENT GROUP | |
| O | 3550 |
| ST MARTIN HOSPITAL INC | |
| E | 699000 |
| ST MARTIN HOSPITAL INC | |
| P | 353227 |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | |
| O | 1141 |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | |
| E | 203262 |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | |
| P | 1456466 |
| LAFAYETTE GENERAL SURGICAL HOSPITAL LLC | |
| C | 937500 |
| LAFAYETTE HEALTH VENTURES INC | |
| O | 20670805 |
| LAFAYETTE HEALTH VENTURES INC | |
| L | 700196 |
| LAFAYETTE HEALTH VENTURES INC | |
| P | 11684000 |