2023-11-13T14:00:39-06:00 2022-12-31 923320348 EAG GULF COAST LLC 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2022-01-01 270833927 SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION FOUNDATION INC SOUT 3374943204 1701 OAK PARK BOULEVARD LAKE CHARLES LA 70601 DEVIN HYDE PRESIDENT/CEO 3374943204 2023-11-13 1 DEVIN HYDE 999009999 0 GINA RACHEL P01216293 2259224600 2023-11-09 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEVIN HYDE 1701 OAK PARK BLVD LAKE CHARLES LA 70601 653109 0 X N/A X 2009 LA THE FOUNDATION IS THE PHILANTHROPIC ARM OF LAKE CHARLES MEMORIAL HOSPITAL AND WORKS TO ENHANCE THE HOSPITAL'S MISSION OF COMPASSIONATE CARE, COMMUNITY SERVICE AND CUTTING-EDGE TECHNOLOGY FOR THE PEOPLE OF SOUTHWEST LOUISIANA THROUGH LEADERSHIP, RESOURCE DEVELOPMENT AND FINANCIAL STEWARDSHIP. 22 13 0 128 0 0 462947 599529 0 0 162818 2074 -26603 -75222 599162 526381 270401 118250 0 0 412603 255365 0 0 76716 98783 159928 781787 533543 -182625 -7162 3549923 3826880 3172815 3455590 377108 371290 X THE FOUNDATION SERVES AS THE PHILANTHROPIC ARM OF LAKE CHARLES MEMORIAL HOSPITAL, WORKING TO SUPPORT AND ENHANCE THE HOSPITAL'S MISSION OF PROVIDING COMPASSIONATE CARE, COMMUNITY SERVICE AND CUTTING-EDGE TECHNOLOGY FOR THE PEOPLE OF SOUTHWEST LOUISIANA THROUGH LEADERSHIP, RESOURCE DEVELOPMENT AND FINANCIAL STEWARDSHIP. 0 0 118650 118250 THE FOUNDATION SPONSORS SEVERAL RECURRING EVENTS THAT ARE TO PROMOTE HEALING FOR THE HOSPITAL'S PATIENTS AND THEIR FAMILIES. ART FOR THE SOUL FEATURES PAINTINGS AND PHOTOGRAPHY FROM LOCAL ARTISTS WHICH ARE DISPLAYED IN THE HOSPITAL. FIRST MONDAY PROGRAM FEATURES MUSIC PROVIDED BY LOCAL MUSICIANS. THE FOUNDATION ALSO PROVIDED FOOTBALL EQUIPMENT FOR SEVERAL HIGH SCHOOL FOOTBALL TEAMS IN NEED, ENHANCING THE SAFETY OF MANY STUDENT ATHLETES. THE FOUNDATION DONATED ATHLETIC TRAINING EQUIPMENT TO HELP PREVENT AND TREAT SPORTS INJURIES AND CONCUSSIONS. THE FOUNDATION ALSO PROVIDES FUNDS FOR SCHOLARSHIPS FOR NURSING STUDENTS. 118650 1 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 22 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X DAWN JOHNSON-HATCHER 3374942094 1701 OAK PARK BLVD LAKE CHARLES LA 706018911 JACKIE ROE VICE CHAIR 1.00 X X 0 0 0 RICHARD RATLIFF ROE IV BOARD MEMBER 1.00 X 0 64500 987 GREG WISE BOARD MEMBER 1.00 X 0 0 0 DAWN JOHNSON VICE PRESIDENT OF FINANCE 1.00 40.00 X X 0 389922 20149 SCOTT DAIGLE DIRECTOR- RADIOLOGY 1.00 40.00 X X 0 144560 13233 JENNIFER SCHELETTE BOARD MEMBER 1.00 40.00 X 0 71360 11428 DALLAS KINGHAM BOARD MEMBER 1.00 X 0 0 0 KEVIN MELTON BOARD MEMBER 1.00 X 0 0 0 GARRETT STINE CHAIR 1.00 X 0 0 0 DEVON HYDE PRESIDENT 1.00 40.00 X X 0 888126 26512 MICHAEL ARDOIN BOARD MEMBER 1.00 40.00 X 0 99882 7036 BERNITA LOYD BROWN BOARD MEMBER 1.00 40.00 X 0 265746 8892 WILLIAM BRENT III BOARD MEMBER 1.00 X 0 0 0 MEGAN HARTMAN BOARD MEMBER 1.00 X 0 0 0 WILL HENNING BOARD MEMBER 1.00 X 0 0 0 HEATHER HOHENSEE BOARD MEMBER 1.00 X 0 0 0 JERRY PIERROITIE BOARD MEMBER 1.00 X 0 0 0 DENISE RAU BOARD MEMBER 1.00 X 0 0 0 CALVIN THIBODEAUX BOARD MEMBER 1.00 X 0 0 0 MARIA SOL HALLIBURTON BOARD MEMBER 1.00 40.00 X 0 0 114231 ADA O'QUAIN BOARD MEMBER 1.00 X 0 0 0 SHERRY SCHOEFIELD BOARD MEMBER 1.00 X 0 0 0 0 1924096 202468 0 0 1 0 0 244056 355473 599529 2074 2074 51506 244056 126728 -75222 -75222 526381 0 0 -73148 93280 93280 24970 24970 200582 200582 54783 54783 12206 12206 10057 10057 4258 4258 1995 1995 482 241 241 FOUNDATION FUNDRAISING 62459 62459 PRINTING 52468 52468 DUES AND SUBSCRIPTIONS 6311 6311 BUSINESS LUNCH 5325 5325 4367 400 8 3959 533543 118650 338177 76716 2612695 2886233 67839 68445 18955 21768 850434 850434 3549923 3826880 3172815 3448090 0 7500 3172815 3455590 X 377108 371290 377108 371290 3549923 3826880 -7162 1344 0 X X 0 1 X 1 0 X X X 1 SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION 720551963 3 1 36232 0 1 36232 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION C THE FOUNDATION HAS 19 BOARD MEMBERS. OF THESE 19, 3 ARE OFFICERS IN THE SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION, AND 3 OTHERS ARE EMPLOYEES OF SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION. THESE MEMBERS MAKE UP 32% OF THE BOARD MEMBERSHIP, WHICH IS LESS THAN A MAJORITY BUT CONSTITUTES A SIGNIFICANT PRESENCE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 GEORGE RODRIGUE PAINTINGS 850434 850434 UNEARNED INCOME 7500 7500 X PART III, LINE 1A: THE ITEMS ARE DISPLAYED THROUGHOUT THE HOSPITAL ENHANCING THE PUBLIC AND PATIENT AREAS OF THE FACILITY. PART X, LINE 2: "THE SYSTEM APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE SYSTEM HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS." TIM COFFEY GOLF TRAUMA FUND 66245 60695 5550 13432 11075 ON THE TOWN GALA 183733 150131 33602 21438 24946 14300 21244 1 45584 33230 12354 4500 4696 2650 8447 295562 244056 51506 39370 29642 16950 40766 126728 -75222 0 SOUTHWEST LOUISIANA HOSPITAL ASSOCATION 1701 OAK PARK BOULEVARD LAKE CHARLES LA 70601 720551963 501(C)(3) 36232 0 FMV LSU FAMILY PRACTICE RESIDENT FUND PROVIDENT RESOURCES GROUP 5565 BANKERS AVE BATON ROUGE LA 70808 582492101 501(C)(3) 50000 0 FMV CHILDREN'S MUSEUM PLEDGE TERREBONNE GENERAL HOSPITAL 8166 W MAIN ST HOUMA LA 70360 720880258 501(C)(3) 7048 0 FMV HURRICANE IDA ASSISTANCE TO PROVIDE ASSISTANCE AN EMPLOYEE. 1 5000 TO PROVIDE ASSISTANCE TO EMPLOYEES AND PATIENTS. 250 19970 0 0 0 0 0 0 0 0 0 DEVON HYDE PRESIDENT 0 653751 0 234375 0 0 0 11488 0 15024 0 914638 0 0 DAWN JOHNSON VICE PRESIDENT OF FINANCE 0 356422 0 33500 0 0 0 11853 0 8296 0 410071 0 0 BERNITA LOYD BROWN BOARD MEMBER 0 243906 0 21840 0 0 0 8672 0 220 0 274638 0 0 SCOTT DAIGLE DIRECTOR- RADIOLOGY 0 140815 0 3745 0 0 0 4192 0 9041 0 157793 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B BYLAW CHANGES MUST BE APPROVED BY THE BOARD OF SOUTHWEST LOUISANA HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C RELATIONSHIPS SUCH AS BANKING, INSURANCE AND OTHERS THAT HAVE BEEN DISCLOSED BY BOARD MEMBERS ARE SUBJECT TO DISCUSSION AT BOARD MEETINGS AND GENERALLY THE BOARD MEMBER WITHIN THAT RELATIONSHIP WILL EXCLUDE THEMSELVES FROM THE MEETING. FORM 990, PART VI, SECTION B, LINE 15A COMPARISON WITH VHA GULF STATES GREATER NEW ORLEANS SOCIETY OF HUMAN RESOURCES ASSN AND LHA DATA WAS DONE BY THE SALARY COMMITTEE OF THE BOARD OF TRUSTEES. MINUTES OF THE SALARY COMMITTEE WERE MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION DBA LAKE CHARLES MEMORIAL HOSPITA 1701 OAK PARK BOULEVARD LAKE CHARLES LA 70601 720551963 HOSPITAL AND RELATED HEALTHCARE SERVICES LA 501(C)(3) 170(B)(1)(A) SOUTHWEST LOUISIANA HEALTHCARE SYSTEM INC 0 SOUTHWEST LOUISIANA HEALTHCARE SYSTEM INC 1701 OAK PARK BOULEVARD LAKE CHARLES LA 70601 721103255 SUPPORT OF LAKE CHARLES MEMORIAL HOSPITAL LA 501(C)(3) 509(A)(1) N/A 0 LAKE CHARLES MEDICAL PLAZA SOUTH LP 1701 OAK PARK BLVD LAKE CHARLES LA 70601 621447910 REAL ESTATE MANAGEMENT LA N/A N/A 0 0 SECOND AVENUE MRI LLC 2800 SECOND AVE SUITE C LAKE CHARLES LA 70601 202226374 IMAGING SERVICES LA N/A N/A 0 0 LAKE CHARLES PHARM & MED EQUP SUPPLY CO LLC 7000 CARDINAL PLACE DUBLIN OH 43017 721300617 MEDICAL SERVICES OH N/A N/A 0 0 GULF SOUTH QUALITY NETWORK 3501 N CAUSEWAY BLVD STE 710 METARIE LA 70002 475133985 CLINICAL NETWORK LA N/A N/A 0 0 WLW PROPERTIES INC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 721023846 REAL ESTATE / EQUITY LA N/A C 0 LAKE CHARLES MEDICAL SERVICES LLC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 721285200 MEDICAL SERVICES LA N/A C 0 SWLHS LLC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 721103283 MEDICAL SERVICES LA N/A C 0 SWLHS ONCOLOGY LLC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 201541727 MEDICAL SERVICES - ONCOLOGY LA N/A C 0 LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER LLC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 721381266 MEDICAL SERVICES LA N/A C 0 MEMORIAL MEDICAL GROUP LLC 1701 OAK PARK BLVD LAKE CHARLES LA 70601 461516260 HOLDING COMPANY LA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION B 36232 CASH SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION O 255365 CASH