Form 990 for tax year 2022
Filed by MULTI-FAITH RETIREMENT SERVICES LIVE OAK RETIREMENT CENTER.
Totals
- Total revenue
- $10,591,835
- Total expenses
- $12,994,606
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $10,682,010
- Management and general expenses
- $2,312,596
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,682,010
Program services were 82.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JERRY A FIELDER II
PRESIDENT/CEO/TRUSTEE
- Total calculated
- $2,598,544
- From this org
- $0
- From related orgs
- $2,571,730
- Other
- $26,814
- Hours/week
- 5
Schedule J breakdown matched by us
- Base
- $0 + $1,113,733 related
- Bonus
- $0
- Other
- $0 + $1,457,997 related
- Deferred
- $0 + $1,345 related
- Nontaxable benefits
- $0 + $25,469 related
- Filer's total
- $0 + $2,598,544 related
-
JAMES K ELROD
FORMER CEO/TRUSTEE
- Total calculated
- $1,133,917
- From this org
- $0
- From related orgs
- $1,129,155
- Other
- $4,762
- Hours/week
- 5
Schedule J breakdown matched by us
- Base
- $0 + $1,103,833 related
- Bonus
- $0
- Other
- $0 + $25,322 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $4,762 related
- Filer's total
- $0 + $1,133,917 related
-
PIERRE V BLANCHARD IV MD
TRUSTEE/PHYSICIAN
- Total calculated
- $241,653
- From this org
- $0
- From related orgs
- $233,843
- Other
- $7,810
- Hours/week
- 4
Schedule J breakdown matched by us
- Base
- $0 + $199,996 related
- Bonus
- $0 + $2,308 related
- Other
- $0 + $31,539 related
- Deferred
- $0 + $1,462 related
- Nontaxable benefits
- $0 + $6,348 related
- Filer's total
- $0 + $241,653 related
-
FRANK B HUGHES MD
TRUSTEE/CHAIRMAN
- Total calculated
- $0
- Hours/week
- 4
-
WILLIAM J COLE CPA
TRUSTEE/TREASURER
- Total calculated
- $0
- Hours/week
- 8
-
RICHARD H SALE
TRUSTEE/SECRETARY
- Total calculated
- $0
- Hours/week
- 4
-
EUGENE W BRYSON JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
ELAINE SIMPKINS PHD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
RAYMOND J LASSEIGNE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
LAMAR P PUGH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
-
DEBORAH D OLDS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 4
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 5b · Pay contingent on a related organization's revenues
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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-$1,042 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$2,359 SECTION 457(B) DEFERRED COMPENSATION PLAN-$20,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(7,570) VALUE ADDED FOR CABLE/INTERNET-$2,158 SEVERANCE PAY-$1,417,500** TOTAL--$1,457,997 **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 2022, AND ACCORDINGLY, WAS INCLUDED IN HIS 2022 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. JAMES K. ELROD VALUE ADDED FOR COMPUTER USAGE-$200 VALUE ADDED FOR CELL PHONE USAGE-$1,121 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$4,820 SECTION 457(B) DEFERRED COMPENSATION PLAN-$20,500 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,319) TOTAL--$25,322 PIERRE V. BLANCHARD,IV, M.D. VALUE ADDED FOR HEALTH & FITNESS USAGE-$384 SECTION 457(B) DEFERRED COMPENSATION PLAN-$20,500 COST OF GROUP TERM LIFE INSURANCE IN EXCESS OF $50,000-$3,214 SHARED SAVINGS QUALITY PROGRAM-$9,201 EMPLOYEE CAFETERIA PLAN CONTRIBUTIONS-$(1,760) TOTAL--$31,539 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, 2022 (NOT DISCOUNTED TO PRESENT VALUE) (NORMAL RETIREMENT IS AGE 65 WITH 5 YEARS OF PARTICIPATION). MR. ELROD HAS REACHED THE MAXIMUM BENEFIT UNDER THE PLAN. 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
WILLIS-KNIGHTON MEDICAL CENTER IS THE SOLE MEMBER OF THE RETIREMENT COMMUNI
501(C)3 · ACUTE CARE HOSPITAL · LA
-
VIRGINIA HALL NURSING HOME DBA PROGRESSIVE CARE CENTER
501(C)3 · SKILLED NURSING FACILITY · LA
Directly controlled by WILLIS-KNIGHTON MEDICAL CENTER
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402159349300435
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