2024-02-14T08:53:29-06:00 2022-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2022-01-01 061587311 CHILDRENS HOSPITAL ANESTHESIA CORPORATION CHIL 5048969388 1100 POYDRAS ST 2500 ENERGY CENTR NEW ORLEANS LA 70163 JOANN KUNKEL DIRECTOR 5048969388 2024-02-12 1 JOANN KUNKEL 999009999 0 JOHN S WILES CPA P01222673 5048355522 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LCMC HEALTH ANESTHESIA CORPORATION GREGORY C FEIRN 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 48731249 0 X N/A X 2000 LA THIS CORPORATION IS FORMED FOR THE PURPOSE OF ENGAGING IN THE PRACTICE OF (CONT'D ON SCH O) MEDICINE IN CONJUNCTION WITH AND IN SUPPORT OF THE PATIENT CARE, GRADUATE MEDICAL EDUCATION AND RESEARCH MISSIONS OF LCMC AFFILIATED HEALTHCARE FACILITIES TO PROVIDE IN CONJUNCTION WITH LCMC AFFILIATED HEALTHCARE FACILITIES AND MANAGED HEALTHCARE FACILITIES, COST-EFFECTIVE COMPREHENSIVE ANESTHESIA AND ANESTHESIA-RELATED SERVICES TO THE COMMUNITIES SERVED BY THE LCMC HEALTH SYSTEM AND TO RENDER ALL SERVICES INCIDENTAL OR ANCILLARY THERETO. 2 0 225 0 0 0 0 0 40921301 48724664 0 6585 0 0 40921301 48731249 0 0 0 0 38889835 44609518 0 0 0 2026415 4121732 40916250 48731250 5051 -1 9380564 15982874 9375689 15978000 4875 4874 X LCMC HEALTH ANESTHESIA CORPORATION (LHAC) WAS FORMED WITH THE PURPOSE OF ENGAGING IN THE PRACTICE OF MEDICINE IN CONJUNCTION WITH AND IN SUPPORT OF THE PATIENT CARE, GRADUATE MEDICAL EDUCATION AND RESEARCH MISSIONS OF LCMC AFFILIATED HEALTHCARE FACILITIES TO (CONT'D ON SCH O) PROVIDE IN CONJUNCTION WITH LCMC AFFILIATED HEALTHCARE FACILITIES AND MANAGED CARE FACILITIES, COST EFFECTIVE COMPREHENSIVE ANESTHESIA AND ANESTHESIA RELATED SERVICES TO THE COMMUNITIES SERVED BY THE LCMC HEALTH SYSTEM. 0 0 46666443 48724664 PATIENT SERVICES: CHILDREN'S HOSPITAL ANESTHESIA CORPORATION BEGAN OPERATIONS ON JULY 1, 2000. DURING 2021, CHILDREN'S HOSPITAL ANESTHESIA CORPORATION'S MEDICAID POPULATION REPRESENTED 37.70% OF TOTAL GROSS PATIENT REVENUES. CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DOES NOT DISCRIMINATE ON ANY PATIENT'S ABILITY TO PAY AND, IN ADDITION TO THE MEDICAID POPULATION SERVED, RENDERED SERVICES TOTALING OVER $668,275 IN FREE CARE DURING 2022. 46666443 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 225 1 0 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 5048969388 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 GREGORY C FEIRN BOARD MEMBER, CEO LCMC 1.00 54.00 X 0 2439917 33804 JOHN HEATON MD BOARD MEMBER/PRES 1.00 54.00 X X 0 996323 28631 BRANDON S BLACK ANESTHESIOLOGIST 40.00 X 585620 0 12200 AKKARA PAUL ANESTHESIOLOGIST 40.00 X 594925 0 38568 PATRICK S MCCARTY ANESTHESIOLOGIST 40.00 X 640462 0 37971 CHRISTOPHER J BROUSSARD ANESTHESIOLOGIST 40.00 X 663969 0 41618 GREGORY J BORDELON ANESTHESIOLOGIST 40.00 X 812318 0 38652 3297294 3436240 231444 152 0 1 0 LOUISIANA ANESTHESIA 135 14TH ST NEW ORLEANS LA 70124 ANESTHESIOLOGY SERVICES 1176170 ANESTHESIA RESOURCE NETWORK INC PO BOX 66247 MARIETTA GA 30066 BILLING & COLLECTION SERVICES 1096967 LYNLEY LEITHEAD MD 22 SWAN ST NEW ORLEANS LA 70124 ANESTHESIOLOGY SERVICES 153000 3 PHYSICIAN SERVICES 621990 48724664 48724664 48724664 6585 6585 48731249 48724664 0 6585 40692650 40404943 287707 875001 868901 6100 932325 826797 105528 2109542 2089604 19938 54446 54446 2915032 1365243 1549789 21375 21375 35474 32912 2562 30863 30863 945570 931651 13919 DUES & MEMBERSHIPS 59300 59300 PERMITS, LICENSES & FIL 38791 38791 BOOKS & SUBSCRIPTIONS 11630 11630 OTHER MISCELLANEOUS EXP 5000 5000 4251 808 3443 48731250 46666443 2064807 0 745314 1934656 250000 4122362 5104601 3779959 8372022 482929 571595 9380564 15982874 5107123 6456567 103785 4164781 9521433 9375689 15978000 X 4875 4874 4875 4874 9380564 15982874 -1 0 X X 0 1 X 1 1 1 X 2884224 2884224 29755678 36485593 37405830 40921301 48724664 193293066 29755678 36485593 40290054 40921301 48724664 196177290 0 0 0 196177290 6585 6585 6585 6585 29755678 36485593 40290054 40921301 48731249 196183875 1.00000 1.00000 0.00000 X 0 DUE TO LCMC 9521433 9521433 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 GREGORY C FEIRN BOARD MEMBER, CEO LCMC 0 2035199 0 393303 0 11415 0 12200 0 21604 0 2473721 0 0 JOHN HEATON MD BOARD MEMBER/PRES 0 786476 0 193530 0 16317 0 12200 0 16431 0 1024954 0 0 GREGORY J BORDELON ANESTHESIOLOGIST 745431 0 64868 0 2019 0 12200 0 26452 0 850970 0 0 0 CHRISTOPHER J BROUSSARD ANESTHESIOLOGIST 600559 0 61277 0 2133 0 12200 0 29418 0 705587 0 0 0 PATRICK S MCCARTY ANESTHESIOLOGIST 580109 0 58220 0 2133 0 12200 0 25771 0 678433 0 0 0 AKKARA PAUL ANESTHESIOLOGIST 543927 0 47383 0 3615 0 12200 0 26368 0 633493 0 0 0 BRANDON S BLACK ANESTHESIOLOGIST 530889 0 51116 0 3615 0 12200 0 0 0 597820 0 0 0 PART I, LINE 3 BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE IS A SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 PRIOR TO FEBRUARY 6, 2017, CHILDREN'S HOSPITAL WAS THE SOLE MEMBER OF ITS AFFILIATE, CHILDREN'S HOSPITAL ANESTHESIA CORPORATION (CHAC). EFFECTIVE FEBRUARY 6, 2017, LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) AND CHILDREN'S EXECUTED A MEMBER SUBSTITUTION AGREEMENT WHEREBY LCMC BECAME THE SOLE MEMBER OF CHILDREN'S HOSPITAL ANESTHESIA CORPORATION. AFTER THE MEMBER SUBSTITUTION, CHAC BEGAN DOING BUSINESS UNDER THE NAME LCMC HEALTH ANESTHESIA CORPORATION (LHAC). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD DIRECTOR APPOINTS ALL OF THE OTHER MEMBERS OF THE BOARD. LOUISIANA CHILDREN'S MEDICAL CENTER IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL ANESTHESIA CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B NOTWITHSTANDING ANY PROVISION OF LAW OR THESE THIRD AMENDED AND RESTATED BY-LAWS TO THE CONTRARY, THE BOARD OF DIRECTORS MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE PRIOR WRITTEN APPROVAL OF THE SOLE MEMBER. (A) ADOPT, APPROVE OR AMEND ANY OPERATING, CAPITAL OR CASH FLOW BUDGET OF THE CORPORATION; (B) AUTHORIZE OR APPROVE ANY INSTITUTIONAL AFFILIATION; (C) AUTHORIZE THE ADMISSION OF ANY NEW MEMBER; (D) AUTHORIZE THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE, PLEDGE, HYPOTHECATION, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (E) ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; (F) ADOPT A PLAN OF DISSOLUTION, LIQUIDATION, AND/OR DISTRIBUTION OF THE ASSETS OF THE CORPORATION; (G) ORGANIZE, ACQUIRE OR DISSOLVE, OR AUTHORIZE THE ORGANIZATION, ACQUISITION OR DISSOLUTION OF, ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (H) ADOPT, APPROVE OR AMEND THE ARTICLES OF INCORPORATION OR THESE THIRD AMENDED AND RESTATED BY-LAWS; (I) REMOVE THE PRESIDENT OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 8A THE BOARD OF CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DOES NOT HAVE SCHEDULED MEETINGS. FORM 990, PART VI, SECTION A, LINE 8B THE BOARD OF CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DOES NOT HAVE SCHEDULED MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ACCOUNTING STAFF OF LCMC. THE ORGANIZATION'S FORM 990 WAS PRESENTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD FOR REVIEW VIA EMAIL LINK TO A SECURE DROP BOX. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEE'S PERMANENT RECORD AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL OF THE LCMC EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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