2024-03-28T15:17:55-04:00 2023-05-31 854373220 Steven M DeRouen & Associates LLC P O Box 4265 Lake Charles LA 70606 990 2022-06-01 721015384 SWLA CENTER FOR HEALTH SERVICES SWLA PO BOX 19010 Lake Charles LA 706169010 WILLIAM BRENT III CEO 3374399983 2024-03-19 true WILLIAM BRENT Steven M DeRouen P01050140 3375134915 2024-03-28 X 0 00 AAL2 IAL1 2022 2023-04-26 12:10:37Z WILLIAM BRENT 23266500 false X www.swlahealth.org X 1978 LA TO PROVIDE MEDICAL CARE TO THE DISADVANTAGED AND UNDERSERVED. 10 10 263 0 0 7307083 8742560 12874193 13851125 30974 111414 4851977 561401 25064227 23266500 0 0 13747861 16323666 0 0 7445287 6868321 21193148 23191987 3871079 74513 23169398 23174487 3215268 3145844 19954130 20028643 TO PROVIDE MEDICAL CARE TO THE DISADVANTAGED AND UNDERSERVED. 13320368 13851125 COMMUNITY HEALTH CARE CENTER PROVIDING MEDICAL, LAB, KIDMED, HIV, AND OTHER SERVICES TO RESIDENTS IN SOCIO-ECONONOMICALLY DISADVANTAGED REGIONS OF SOUTHWEST LOUISIANA. 13320368 true true false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false false true 19 0 263 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X Jason Ng 3374399983 2000 Opelousas Street Lake Charles LA 70601 WILLIAM BRENT CEO 50.00 0.00 X 317854 0 29790 SUZANNE FOSTER PHYSICIAN 40.00 0.00 X 256205 0 26146 TAMMY MITCHELL PHYSICIAN 40.00 0.00 X 257721 0 22321 KIMNGAN TRAN PHYSICIAN 40.00 0.00 X 240423 0 24145 CANDACE DOUGLAS PHYSICIAN 40.00 0.00 X 233392 0 22820 LISA VAUGHN PHYSICIAN 40.00 0.00 X 219188 0 28757 PAULETTE LOFTON COO 40.00 0.00 X 226058 0 7413 JASON NG CFO 40.00 0.00 X 195186 0 36883 KIMBERLY BIBBINS DENTIST 40.00 0.00 X 202832 0 28308 DAVID KOSNOSKY PHYSICIAN 40.00 0.00 X 178879 0 26433 DON WILLIAMS DENTIST 40.00 0.00 X 182160 0 21577 JULIE STEINER DENTIST 40.00 0.00 X 169225 0 18423 ESPERANZA PRATO DENTIST 40.00 0.00 X 179194 0 56 KERRY ANDRUS Jr PHARMACIST 40.00 0.00 X 154141 0 6204 JOHN FALLER DENTIST 40.00 0.00 X 153783 0 5718 TONYA RYDER BOARD MEMBER 2.00 0.00 X 0 0 0 HILDA WILTZ BOARD MEMBER 2.00 0.00 X 0 0 0 SANDRA SEMIEN BOARD MEMBER 2.00 0.00 X 0 0 0 CLYDE MITCHELL BOARD MEMBER 2.00 0.00 X 0 0 0 CURTIS MORRISON BOARD MEMBER 2.00 0.00 X 0 0 0 CATHERINE VINSON BOARD MEMBER 2.00 0.00 X 0 0 0 MANDI MITCHELL VICE CHAIR 2.00 0.00 X X 0 0 0 BARBARA HARDY CHAIRPERSON 2.00 0.00 X X 0 0 0 MARK LEWIS TREASURER 2.00 0.00 X X 0 0 0 BERNITA LOYD SECRETARY 2.00 0.00 X X 0 0 0 3166241 0 304994 15 false true false Easy Clean Janitorial Services 201 Rue Envie Carencro LA 70520 Janitorial Service 209505 MARSHALL SIMIEN 2129 FITZENREITER RD Lake Charles LA 70601 ATTORNEY SERVICES 108000 RHINO RENOVATORS 1027 ENTERPRISE BLVD Lake Charles LA 70601 CONSTRUCTION 373512 3 8541046 201514 145588 8742560 PATIENT SERVICE REVENUE 621400 13851125 13851125 13851125 111414 111414 MISCELLANEOUS INCOME 621400 561401 561401 561401 23266500 14412526 0 111414 X 3471235 2311685 1159550 10287897 6687133 3600764 1555755 929643 626112 1008779 646923 361856 108299 108299 58069 58069 1638204 302195 1336009 367686 10 367676 415926 415926 315896 139317 176579 70742 70742 870859 146910 723949 204900 204900 REPAIRS AND MAINTENANCE 218625 60521 158104 RECRUITMENT COST 15968 15968 MEDICAL SUPPLIES 2130999 1926952 204047 TAXES AND LICENSES 41291 6533 34758 410857 146578 264279 23191987 13320368 9871619 0 8191852 8644582 1501234 1250527 68637 96260 174617 198352 20453540 7930490 12771576 12523050 461482 461716 23169398 23174487 1609700 1406287 237700 1367868 1324575 414982 3215268 3145844 X 19954130 20028643 19954130 20028643 23169398 23174487 74513 0 X false true X true true true X 6365418 6561540 7371814 7542157 8742560 36583489 10797332 11077523 10472613 11070803 13851125 57269396 17162750 17639063 17844427 18612960 22593685 93852885 93852885 20078 60294 24999 30974 111414 247759 20078 60294 24999 30974 111414 247759 658493 1271599 11579182 13747861 561401 27818536 17841321 18970956 29448608 32391795 23266500 121919180 0.76980 0.75740 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 953584 953584 13002462 4533467 8468995 6082512 3397023 2685489 414982 414982 12523050 RIGHT OF USE LEASE LIABILITY 414982 414982 23266500 23266500 23266500 23191987 23191987 23191987 X X X false false false false false false false false false LISA VAUGHN MD PHYSICIAN 217938 1250 15472 13285 247945 PAULETTE LOFTON COO 219089 6969 1328 6085 233471 KIMNGAN TRAN MD PHYSICIAN 239073 1350 16953 7192 264568 CANDACE DOUGLAS MD PHYSICIAN 232892 500 16469 6351 256212 WILLIAM BRENT CEO 289032 28822 23464 6326 347644 KIMBERLY BIBBINS DENTIST 198832 4000 14964 13344 231140 JASON NG CFO 183406 11780 13663 23220 232069 SUZANNE FOSTER PHYSICIAN 201605 54600 17917 8229 282351 KERRY ANDRUS Jr PHARMACIST 154141 6204 160345 JOHN FALLER DENTIST 148033 5750 5718 159501 DAVID KOSNOSKY PHYSICIAN 178379 500 13182 13251 205312 ESPERANZA PRATO DENTIST 175944 3250 56 179250 JULIE STEINER DENTIST 169225 12175 6248 187648 DON WILLIAMS DENTIST 174910 7250 8851 12726 203737 TAMMY MITCHELL PHYSICIAN 251971 5750 16232 6089 280042 X 1 145588 COST Form 990 governing body review Part VI line 11 THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, CEO, AND CONTROLLER PRIOR TO ITS ISSUANACE. Conflict of interest policy compliance Part VI line 12c SWLA CENTER FOR HEALTH SERVICES DESCRIBES THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND ALSO INFORMS EMPLOYEES OF THE POLICY ON SIGNS AT VARIOUS LOCATIONS IN THE BUILDING. ANY INSTANCES OF NONCOMPLIANCE ARE TO BE REPORTED. CEO executive director top management comp Part VI line 15a THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. Other officer or key employee compensation Part VI line 15b THE BOARD OF DIRECTORS UTILIZE THE HEALTH CENTER COMPENSATION AND BENEFIT REPORT AS GUIDANCE. THE REPORT WAS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. Governing documents etc available to public Part VI line 19 SWLA CENTER FOR HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. List of other fees for services expenses Part IX line 11g Contractual - Provider $195,479Contractual - Lab 68,783Contractual - Security 149,227Contractual - MIS Support 787,873Contractual - Waste Control 42,527Contractual - Office 32,984Contractual - Other 53,561Contractual - Janitorial Services - 179,345Consulting Services 61,045Lawn Service - 67,380Total - $1,638,204