2025-08-07T15:35:25-05:00 2024-09-30 720506596 COLE EVANS & PETERSON POST OFFICE DRAWER 1768 SHREVEPORT LA 711661768 990 2023-10-01 721047744 VIRGINIA HALL NURSING HOME VIRG 3182128200 CO COLEEVANSPETERSONPO DRAWER17 SHREVEPORT LA 711661768 JERRY A FIELDER II PRESIDENT 3182224000 2025-08-06 1 0 TIM W BORST P00024750 3182228367 2023 2025-03-06 01:10:19Z PROGRESSIVE CARE CENTER JERRY A FIELDER II POST OFFICE BOX 32600 SHREVEPORT LA 711302600 6195937 0 X WWW.WKPROGRESSIVECARE.COM X 1985 LA NURSING CARE - SKILLED NURSING FACILITY FOR THE ELDERLY AND DISABLED 10 6 105 1 0 0 0 0 4668821 5802008 2 0 277455 393929 4946278 6195937 0 0 0 0 3013722 3100132 0 0 0 3832518 4381628 6846240 7481760 -1899962 -1285823 1390367 1465675 11386629 12747760 -9996262 -11282085 TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. 0 0 6176485 6192383 NURSING CARE - SKILLED NURSING FACILITY FOR THE ELDERLY AND DISABLED 6176485 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 16 0 1 105 1 0 0 0 0 0 0 0 0 0 0 X 10 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DEBRA CRUMP 3182128200 2715 ALBERT BICKNELL DR SHREVEPORT LA 711033925 JAMES K ELROD FORMER CEO/TRUSTEE 4.00 X 0 0 0 PIERRE V BLANCHARD IV MD TRUSTEE/PHYSICIAN 4.00 X 0 223932 12234 FRANK B HUGHES MD TRUSTEE/CHAIRMAN 4.00 X 0 0 0 RICHARD H SALE TRUSTEE/SECRETARY 4.00 X X 0 0 0 EUGENE W BRYSON JR TRUSTEE 4.00 X 0 0 0 ELAINE SIMPKINS PHD TRUSTEE 4.00 X 0 0 0 RAYMOND J LASSEIGNE TRUSTEE 4.00 X 0 0 0 JERRY A FIELDER II PRESIDENT/CEO/TRUSTEE 5.00 X X 0 2614964 31447 LAMAR P PUGH TRUSTEE/COMPLIANCE OFFICER 4.00 X X 0 0 0 DEBORAH D OLDS TRUSTEE 4.00 X 0 0 0 0 2838896 43681 0 0 1 0 PER DIEM NURSING INC 2223 OLD MINDEN RD SUITE C5 BOSSIER CITY LA 711122303 MEDICAL STAFFING 545442 LTC STAFFING SERVICESLLC PO BOX 13686 ALEXANDRIA LA 71315 MEDICAL STAFFING 528690 2 PROGRAM SERVICES 623000 3717273 3717273 MEDICARE/MEDICAID PAYM 623000 2084735 2084735 5802008 BED RESERVATION FEES 623000 390375 390375 CAFETERIA 623000 1815 1815 MISCELLANEOUS 623000 1739 1739 393929 6195937 6192383 0 3554 2730838 2219636 511202 173195 140774 32421 196099 159390 36709 3483 3483 68994 68994 642 642 13560 13560 412608 391978 20630 4273 4273 104755 104755 CONTRACT SERVICES 2255859 2079141 176718 BAD DEBTS 394743 394743 DRUGS 334276 334276 FOOD 228017 228017 560418 513603 46815 7481760 6176485 1305275 0 236777 234427 958560 1120085 2518 2518 139247 18534 2329184 2318416 8802 10768 44463 79343 1390367 1465675 11385129 12746260 1500 1500 11386629 12747760 X -9996262 -11282085 -9996262 -11282085 1390367 1465675 -1285823 0 X 1 X 1 X 1 0 X 699681 121485 151583 972749 6164579 4718168 4656186 4668821 5802008 26009762 6864260 4839653 4807769 4668821 5802008 26982511 0 0 0 26982511 2 2 2 2 211884 423883 131097 277455 393929 1438248 7076144 5263536 4938866 4946278 6195937 28420761 0.94940 0.94630 0.00000 X 0 0 0 0 0 0 0 0 1 2738 2738 0 PART II-B, LINE 1: DURING THE YEAR ENDED SEPTEMBER 30, 2024, THE NURSING HOME PAID DUES OF $7,021 TO THE LOUISIANA NURSING HOME ASSOCIATION. A PORTION OF THE DUES, $2,738, WAS RELATED TO LOBBYING EXPENSES. 495340 495340 0 1833844 1823076 10768 10768 CERTIFICATE OF NEED & GOING CONCERN 14428 PREPAID EXPENSES 53548 HEALTH FSA DEBIT CARD ACCOUNT 11367 79343 X 1 1 X X X X X 0 1 0 0 1 0 0 0 0 JERRY A FIELDER II PRESIDENT/CEO/TRUSTEE 0 1154982 0 0 0 1459982 0 1278 0 30169 0 2646411 0 0 PIERRE V BLANCHARD IV MD TRUSTEE/PHYSICIAN 0 199996 0 2308 0 21628 0 1953 0 10281 0 236166 0 0 FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) EXPLANATION OF PART II, COLUMN (B)(III) OTHER COMPENSATION JERRY A. FIELDER,II UNUSED SICK PAY-$21,808 VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$1,169 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,359 SECTION 457(B) DEFERRED COMPENSATION PLAN-$22,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(7,770) VALUE ADDED FOR CABLE/INTERNET- $2,216 SEVERANCE PAY-$1,417,500** TOTAL--$1,459,982 **THE INCREASE IN GROSS SEVERANCE BENEFIT, TO BE PAID TO MR. FIELDER ON TERMINATION OF EMPLOYMENT (AS ADDITIONAL COMPENSATION FOR EACH OF HIS YEARS OF SERVICE TO WILLIS-KNIGHTON MEDICAL CENTER), WAS TAXABLE DURING 2023, AND ACCORDINGLY, WAS INCLUDED IN HIS 2023 FORM W-2. WILLIS-KNIGHTON DISBURSED TO THE INTERNAL REVENUE SERVICE AND TO THE LOUISIANA DEPARTMENT OF REVENUE THE REQUIRED TAX WITHHOLDING. WILLIS-KNIGHTON DID NOT PAY MR. FIELDER THE NET-OF-TAX AMOUNT OF THIS COMPENSATION, BUT, UNDER THE TERMS OF THE AGREEMENT, THE MEDICAL CENTER IS RETAINING THE NET-OF-TAX AMOUNT UNTIL HIS EMPLOYMENT TERMINATES. ACCORDINGLY, THERE WAS NO CURRENT DISBURSEMENT TO MR. FIELDER FOR SEVERANCE PAY. PIERRE V. BLANCHARD,IV, M.D. COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,214 SECTION 457(B) DEFERRED COMPENSATION PLAN-$22,500 SHARED SAVINGS QUALITY PROGRAM-$524 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(4,610) TOTAL--$21,628 EXPLANATION OF PART II, COLUMN (C) DEFERRED COMPENSATION THIS EMPLOYEE PARTICIPATES IN A DEFINED BENEFIT PENSION PLAN, THE CONTRIBUTIONS TO WHICH ARE ACTUARIALLY DETERMINED. THE AMOUNT SHOWN IS THE INCREASE IN THE ANNUAL VESTED BENEFIT AT NORMAL RETIREMENT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024 (NOT DISCOUNTED TO PRESENT VALUE) (NORMAL RETIREMENT IS AGE 65 WITH 5 YEARS OF PARTICIPATION). EXPLANATION OF PART II, COLUMN (D) NONTAXABLE BENEFITS INCLUDED IN THIS COLUMN IS THE COST OF THE FOLLOWING NONTAXABLE BENEFITS: LONG-TERM DISABILITY INCOME INSURANCE PLAN, GROUP TERM-LIFE INSURANCE, AND THE ESTIMATED COST OF SELF-FUNDED HEALTH INSURANCE PLAN. WILLIAM J COLE CPA FORMER TRUSTEE 2739506 ACCOUNTING, PAYROLL AND CONSULTING SERVICES PAID TO COLE, EVANS & PETERSON FOR WHICH WILLIAM J. COLE WAS THE MANAGING PARTNER. WILLIS-KNIGHTON MEDICAL CENTER INCURRED FEES WITH CEP TOTALING $2,739,506 OF WHICH $68,994 WAS BILLED DIRECTLY TO PROGRESSIVE CARE CENTER. 0 LAMAR P PUGH TRUSTEE/OFFICER 869214 EXECUTIVE AND DEPARTMENT LEVEL ASSISTANCE AND REPRESENTATION RELATED TO LEGAL ISSUES AND REGULATORY COMPLIANCE PAID TO THE LAW FIRM OF PUGH, PUGH & PUGH, L.L.P. FOR WHICH LAMAR P. PUGH, TRUSTEE/OFFICER, IS A PARTNER. NONE OF THESE FEES WERE BILLED DIRECTLY TO VIRGINIA HALL NURSING HOME. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS CORPORATION IS WILLIS-KNIGHTON MEDICAL CENTER, A NON-PROFIT CORPORATION, DOMICILED IN CADDO PARISH, LOUISIANA. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE APPOINTED AND ELECTED BY A VOTE OF TWO-THIRDS (2/3) OF THE MEMBERS OF THE CORPORATION, AND THE CORPORATION MEMBERS SHALL DETERMINE THE TERM OF OFFICE OF EACH MEMBER WHO IS APPOINTED OR ELECTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE NURSING HOME'S CPA FIRM PREPARES THE FORM 990 WITH THE ASSISTANCE OF SEVERAL OF THE NURSING HOME'S EMPLOYEES. THE FORM 990 IS THEN REVIEWED BY MEDICAL CENTER'S PRESIDENT. AFTER THIS REVIEW, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES, AND THE PRESIDENT AND CPA FIRM REVIEW AND DISCUSS THE FORM 990 WITH THE TRUSTEES BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICTS OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS." AN "INTERESTED PERSON" IS DEFINED AS ANY TRUSTEE, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN AN ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. INTERESTED PERSONS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST AND ALL MATERIAL FACTS RELATED TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE BELIEVES A MEMBER HAS VIOLATED THE CONFLICTS OF INTEREST POLICY, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. PERIODIC REVIEWS ARE CONDUCTED WHICH, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: 1. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. 2. WHETHER ACQUISITIONS OF GOODS OR SERVICES AND OTHER PROVIDER SERVICES RESULTS IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 3. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. 4. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION OF THE CEO OF THE MEDICAL CENTER. A SECOND COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEES STUDY DATA FROM INDEPENDENT SALARY SURVEYS (SUCH AS "MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS," WHICH IS AN ANNUAL SURVEY PREPARED BY SULLIVAN COTTER) TO UNDERSTAND COMPENSATION PAID TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION COMMITTEES ALSO COMPILE DATA FROM OTHER TAX-EXEMPT HEALTH SYSTEMS OF SIMILAR SIZE AND COMPLEXITY AND USE THAT INFORMATION AS COMPARATIVE COMPENSATION. THE COMMITTEES USE THE INFORMATION FROM THESE SOURCES AS BENCHMARKS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION. THE COMMITTEES ALSO CONSIDER OTHER FACTORS IN DETERMINING OFFICER AND KEY EMPLOYEE COMPENSATION, SUCH AS LENGTH OF EMPLOYMENT AND THEIR RESPONSIBILITIES. THE EXECUTIVE COMPENSATION COMMITTEE PERIODICALLY HIRES INDEPENDENT CONSULTANTS FOR ANALYSIS OF THE COMPENSATION OF THE MEDICAL CENTER'S CEO. THE COMMITTEES MAINTAIN CONTEMPORANEOUS DOCUMENTATION OF THE BASIS FOR THEIR DECISIONS REGARDING COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON ITS WEBSITE: WWW.WKPROGRESSIVECARE.COM. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.EMMA.MSRB.ORG. WILLIS-KNIGHTON MEDICAL CENTER POST OFFICE BOX 32600 SHREVEPORT LA 711302600 720400933 ACUTE CARE HOSPITAL LA 501(C)(3) LINE 3 0 MULTI-FAITH RETIREMENT SERVICES DBA LIVE OAK RETIREMENT COMM 600 E FLOURNOY LUCAS ROAD SHREVEPORT LA 711153855 720809402 PROVIDE HOUSING, HEALTHCARE AND RELATED SERVICES TO THE ELDERLY LA 501(C)(3) LINE 10 WILLIS-KNIGHTON MEDICAL CENTER 0 HEALTH PLUS OF LOUISIANA INC PO BOX 32600 SHREVEPORT LA 711302600 721264135 THIRD-PARTY ADMINISTRATOR LA WILLIS-KNIGHTON MEDICAL CENTER C 0 HPL INSURANCE AGENCY INC PO BOX 32625 SHREVEPORT LA 711302625 202199735 HEALTH INSURANCE AGENT LA HEALTH PLUS OF LOUISIANA INC C 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 WILLIS-KNIGHTON MEDICAL CENTER K 213111 FAIR MARKET VALUE WILLIS-KNIGHTON MEDICAL CENTER A 339750 FAIR MARKET VALUE WILLIS-KNIGHTON MEDICAL CENTER O 1705945 FAIR MARKET VALUE WILLIS-KNIGHTON MEDICAL CENTER M 1472305 FAIR MARKET VALUE WILLIS-KNIGHTON MEDICAL CENTER J 339750 FAIR MARKET VALUE