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ST FRANCIS MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS MEDICAL CENTER INC (EIN 72-0408970)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202301359349318070
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T17:36:18-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN STREET SUITE 2150AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720408970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTFRBusinessNameControlTxt
Phone2259232701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 ESSEN LANEAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR THOMAS GULLATTPersonNm
Person TitleADMINISTRATOR - FMOLHSPersonTitleTxt
Phone2259232701PhoneNum
Signature2023-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastTHOMAS GULLATTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAXWELL BARLOWPreparerPersonNm
PTINP01959439PTIN
Phone2253444000PhoneNum
Preparation2023-05-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS J GULLATTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 ESSEN LANEAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$360,779,126GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STFRAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1913FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS (SEE SCHEDULE O) AND TO PROVIDE FOR THE RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2041TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$69,350TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$43,705NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$32,043,454PYContributionsGrantsAmt
CY Contributions Grants$5,355,145CYContributionsGrantsAmt
PY Program Service Revenue$321,306,759PYProgramServiceRevenueAmt
CY Program Service Revenue$302,915,074CYProgramServiceRevenueAmt
PY Investment Income$3,943,753PYInvestmentIncomeAmt
CY Investment Income$6,202,925CYInvestmentIncomeAmt
PY Other Revenue$25,191,405PYOtherRevenueAmt
CY Other Revenue$21,430,914CYOtherRevenueAmt
PY Total Revenue$382,485,371PYTotalRevenueAmt
CY Total Revenue$335,904,058CYTotalRevenueAmt
PY Grants And Similar Paid$33,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,946CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$127,144,136PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,885,924CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$190,895,514PYOtherExpensesAmt
CY Other Expenses$191,607,401CYOtherExpensesAmt
PY Total Expenses$318,073,500PYTotalExpensesAmt
CY Total Expenses$326,518,271CYTotalExpensesAmt
PY Revenues Less Expenses$64,411,871PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,385,787CYRevenuesLessExpensesAmt
Total Assets BOY$337,131,087TotalAssetsBOYAmt
Total Assets EOY$272,580,931TotalAssetsEOYAmt
Total Liabilities BOY$253,102,955TotalLiabilitiesBOYAmt
Total Liabilities EOY$196,196,512TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,028,132NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$76,384,419NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$200,594,722ExpenseAmt
Grant$24,946GrantAmt
Revenue$295,003,345RevenueAmt
DescST. FRANCIS MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF NORTHEAST LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING APPROXIMATELY, $4,583,599 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED 276 LICENSED BEDS, 71,855 INPATIENT DAYS, 12,149 INPATIENT DISCHARGES, AND 53,684 ER VISITS IN THE YEAR ENDED JUNE 30, 2022.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$25,299,266ExpenseAmt
Revenue$29,273,293RevenueAmt
DescST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$225,893,988TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2041EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMANDA HYMELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2257658496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15959 S SHERWOOD FOREST BLVDAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTIN S WOLKART
EX-OFFICIO, PRES/CEO SFMC1.0051.00Yes (X)Yes (X)$0$591,648$110,478
CARRIE BAKER
BOARD MEMBER1.000.00Yes (X)$0$0$0
SR HELEN CAHILL
BOARD MEMBER1.004.00Yes (X)$0$0$0
JANET DURDEN
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
THOMAS J GULLATT MD
EX-OFFICIO, PRES/CEO SFMC40.000.00Yes (X)Yes (X)$543,106$0$45,611
HILL HINKLE MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
LJ HOLLAND
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
JOHN JONES
BOARD MEMBER1.000.00Yes (X)$0$0$0
REV BRIAN MERCER
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROLF MORSTEAD MD
EX-OFFICIO:CHIEF OF STAFF1.000.00Yes (X)$0$0$0
JOHN REA
BOARD MEMBER1.000.00Yes (X)$0$0$0
SR MARY ANN SEPULVADO OSF
BOARD MEMBER1.001.00Yes (X)$0$0$0
REV EVERETT SLACK
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIAM SMART
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DR RON BERRY
BOARD MEMBER1.000.00Yes (X)$0$0$0
TARA HANEY
BOARD MEMBER & FMOLHS COS1.0040.00Yes (X)$0$475,366$76,057
BISHOP FRANCIS MALONE
BOARD MEMBER1.000.00Yes (X)$0$0$0
SHERITA WILLIAMS
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIAM BART LILES MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
JEREMY ROGERS
VP, CHIEF OPERATING OFFICER41.001.00Yes (X)$341,267$0$39,486
JEFFREY D LIMBOCKER
EVP, CHIEF FINANCIAL OFFICER1.0059.50Yes (X)$0$991,087$185,197
TERRI L HICKS
FMOLHS1.0040.00Yes (X)$0$109,574$12,273
KAYLA B JOHNSON
VP, PATIENT CARE SVCS40.000.00$300,735$0$51,843Yes (X)
JOHN KAHL
VP, OPS AND PHYSICIAN SVCS40.000.00$254,725$0$30,709Yes (X)
SARAH AHMAD
STAFF PHYSICIAN40.000.00$685,184$0$33,382Yes (X)
JOHN D BRUCHHAUS
STAFF PHYSICIAN40.000.00$680,734$0$54,419Yes (X)
DARSHAN PATEL
STAFF PHYSICIAN40.000.00$685,813$0$40,081Yes (X)
JAMES G SMITH
HOSPITALIST40.000.00$718,845$0$45,642Yes (X)
RICHARD DEARMAN
STAFF PHYSICIAN40.000.00$842,574$0$35,579Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,052,983TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,167,675TotReportableCompRltdOrgAmt
Total Other Compensation$760,757TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K236IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FMOL HEALTH SYSTEM
4200 ESSEN LANEBATON ROUGELA70809MANAGEMENT SERVICES$44,671,932
SPECIALTY MGMT SER OF OUACHITA
101 CATALPA STMONROELA71201CONTRACT LABOR SVCS$16,914,846
NELA TITLE COMPANY LLC
2551 TOWER DR STE 6MONROELA71201LEGAL SERVICES$6,369,850
MORRISON MGMT SPECIALISTS
5801 PEACHTREE DUNWOODY RDATLANTAGA303421503DIETARY SERVICES$5,477,567
TRIMEDX INC
5451 LAKEVIEW PARKWAY S DRINDIANAPOLISIN46268MAINTENANCE SERVICES$5,084,210
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K73CntrctRcvdGreaterThan100KCnt
Government Grants$4,888,045GovernmentGrantsAmt
All Other Contributions$467,100AllOtherContributionsAmt
Total Contributions$5,355,145TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621500$294,927,867$294,927,867
OTHER621500$4,115,782$4,115,782
CAFETERIA722514$1,521,536$1,521,536
INCOME FROM EQUITY INVESTEES523000$959,205$889,855$69,350
MGT FEE INTERCOMPANY621500$727,593$727,593

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$663,091TotalRevenueColumnAmt
Related Or Exempt Func Income$663,091RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$302,915,074TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$716,246TotalRevenueColumnAmt
Exclusion$716,246ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,108,242RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,108,242RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,108,242TotalRevenueColumnAmt
Related Or Exempt Func Income$2,108,242RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,557,644SecuritiesAmt
Other$1,804,098OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,820,922SecuritiesAmt
Other$1,054,146OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,736,722SecuritiesAmt
Other$749,952OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,486,674TotalRevenueColumnAmt
Exclusion$5,486,674ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINCREASE IN ACCRUED PENSIONDesc
Total Revenue Column$19,322,672TotalRevenueColumnAmt
Related Or Exempt Func Income$19,322,672RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,322,672OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,904,058TotalRevenueColumnAmt
Related Or Exempt Func Income$324,276,638RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$69,350UnrelatedBusinessRevenueAmt
Exclusion$6,202,925ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$24,946TotalAmt
Program Services$24,946ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$941,334TotalAmt
Program Services$672,272ProgramServicesAmt
Management And General$269,062ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$110,822,001TotalAmt
Program Services$79,145,690ProgramServicesAmt
Management And General$31,676,311ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,649,125TotalAmt
Program Services$1,788,874ProgramServicesAmt
Management And General$860,251ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,520,709TotalAmt
Program Services$8,474,920ProgramServicesAmt
Management And General$4,045,789ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,952,755TotalAmt
Program Services$5,370,254ProgramServicesAmt
Management And General$2,582,501ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$54,462,854TotalAmt
Program Services$25,767,568ProgramServicesAmt
Management And General$28,695,286ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$300,616TotalAmt
Program Services$273,795ProgramServicesAmt
Management And General$26,821ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$110TotalAmt
Program Services$110ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$193,426TotalAmt
Program Services$52,256ProgramServicesAmt
Management And General$141,170ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,138,049TotalAmt
Program Services$12,247,000ProgramServicesAmt
Management And General$9,891,049ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$945,793TotalAmt
Program Services$255,513ProgramServicesAmt
Management And General$690,280ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,435,923TotalAmt
Program Services$13,157,628ProgramServicesAmt
Management And General$4,278,295ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$851,074TotalAmt
Program Services$229,924ProgramServicesAmt
Management And General$621,150ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,559,448TotalAmt
Program Services$6,335,491ProgramServicesAmt
Management And General$223,957ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$256,962TotalAmt
Program Services$69,420ProgramServicesAmt
Management And General$187,542ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,693TotalAmt
Program Services$2,348ProgramServicesAmt
Management And General$6,345ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,309,736TotalAmt
Program Services$32,027ProgramServicesAmt
Management And General$4,277,709ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,274,944TotalAmt
Program Services$10,102,260ProgramServicesAmt
Management And General$2,172,684ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,718,468TotalAmt
Program Services$926,220ProgramServicesAmt
Management And General$2,792,248ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP$65,046,138$58,187,712$6,858,426
REPAIRS$2,988,753$2,673,621$315,132
SPECIAL PROCEDURES$116,414$104,139$12,275

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$326,518,271TotalAmt
Program Services$225,893,988ProgramServicesAmt
Management And General$100,624,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$88,054,581BOYAmt
EOY$22,097,641EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,890,565BOYAmt
EOY$34,409,800EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,197BOYAmt
EOY$166,642EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,427,342BOYAmt
EOY$6,229,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,941,403BOYAmt
EOY$2,176,479EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$367,456,927LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$267,937,051LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$99,730,463BOYAmt
EOY$99,519,876EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$99,554,709BOYAmt
EOY$90,500,828EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,316,350BOYAmt
EOY$1,492,009EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,205,477BOYAmt
EOY$15,988,082EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$337,131,087BOYAmt
EOY$272,580,931EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,705,855BOYAmt
EOY$38,137,694EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,408,546BOYAmt
EOY$12,036,145EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,601,574BOYAmt
EOY$114,098,296EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,386,980BOYAmt
EOY$31,924,377EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$253,102,955BOYAmt
EOY$196,196,512EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,597,302BOYAmt
EOY$75,221,122EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$430,830BOYAmt
EOY$1,163,297EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,028,132BOYAmt
EOY$76,384,419EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$337,131,087BOYAmt
EOY$272,580,931EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,385,787ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$14,319,732NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,709,768OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,660,508OtherCostOrOtherBasisAmt
Book Value$10,660,508BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,010,126OtherCostOrOtherBasisAmt
Depreciation$139,874,197DepreciationAmt
Book Value$51,135,929BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,523,692OtherCostOrOtherBasisAmt
Depreciation$1,515,703DepreciationAmt
Book Value$7,989BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,967,250OtherCostOrOtherBasisAmt
Depreciation$126,547,151DepreciationAmt
Book Value$34,420,099BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,295,351OtherCostOrOtherBasisAmt
Book Value$3,295,351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$99,519,876TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD AT FMOLHSDesc
Book Value$90,500,828BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$90,500,828TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
NET DUE TO/FROM AFFILIATES$9,190,957
SELF INSURANCE RECEIVABLE LONG TERM$3,710,809
INT IN NET ASSETS OF FND$1,163,297
INTERCOMPANY AR$7,740
BOND INTEREST$1,915,279
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,988,082TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RETIREMENT PAYABLE LONG TERM$26,013,713
OTHER LIABILITIES$5,910,664
FieldValueIRS element (for citing)
Total Liability$31,924,377TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFIN 48 (ASC 740) FOOTNOTE: FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$694,296TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$694,296DirectOffsettingRevenueAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,625,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,742,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,882,184NetCommunityBenefitExpnsAmt
Total Expense0.04250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,319,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,437,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,882,184NetCommunityBenefitExpnsAmt
Total Expense0.04250TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$578,545TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$578,545NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$138,118TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$138,118NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,168,368TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,168,368NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$150,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$150,106NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,035,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,035,137NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,354,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,437,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,917,321NetCommunityBenefitExpnsAmt
Total Expense0.05180TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,869TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,869NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$536TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$536NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,119TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,119NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,524TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,524NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$398,244BadDebtExpenseAmt
Reimbursed By Medicare$62,672,193ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,938,756CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,266,563MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1901AddressLine1Txt
CityMONROECityNm
State AbbreviationLAStateAbbreviationCd
ZIP71210ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FMOLHS.ORG/STFRANWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 5: ST. FRANCIS MEDICAL CENTER, INC., CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. SFMC'S 2021 CHNA IS INTENDED TO BE AN OVERVIEW OF THE CURRENT HEALTH STATUS AND HEALTH PRIORITIES OF THE PEOPLE OF REGION 8 OF NORTHEAST LOUISIANA. SFMC DEFINES ITS COMMUNITY AS A SERVICE AREA THAT CAN BE BEST AFFECTED WITH MEASURABLY EFFECTIVE IMPLEMENTATION STRATEGIES THAT IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE SERVED. THE 2021 CHNA PRIORITY AREAS ARE DEFINED BY THE INFORMATION GATHERED FROM DATA SOURCES, INTERVIEWS, A FOCUS GROUP HOSTED OCTOBER 5, 2021, AND COMMUNITY SURVEYS WITH ATTENTION GIVEN TO VULNERABLE POPULATIONS, INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. FOCUS GROUP ATTENDEES' RESPONSES TO GUIDING QUESTIONS FOCUSED HEAVILY ON ACCESS TO CARE, MENTAL HEALTH, AND MAKING HEALTHY CHOICES. COMMUNITY SURVEY RESPONDENTS WERE ASKED TO RANK WHAT THEY FELT WERE THE TOP FOUR HEALTH ISSUES FACING NORTHEAST LOUISIANA RESIDENTS. AFTER EXAMINATION OF THE SURVEY DATA AND COMPARISON TO FEEDBACK GAINED FROM INTERVIEWS WITH COMMUNITY STAKEHOLDERS, SEVERAL OVERARCHING THEMES DEVELOPED: - CHRONIC DISEASE MANAGEMENT AFFECTS PATIENTS IN MANY STAGES OF LIFE AND ACROSS ALL SOCIOECONOMIC CLASSES. - OBESITY/SEDENTARY LIFESTYLES IS A MAJOR CONCERN FOR THE PEOPLE OF REGION 8 AND IS A CONTRIBUTING FACTOR TO OTHER HEALTH AND QUALITY-OF-LIFE CONCERNS. - ACCESS TO CARE CAN CAUSE SIGNIFICANT, NEGATIVE HEALTH IMPACTS. THE IDEA OF ACCESS IS MORE THAN LACK OF PHYSICIANS AND INABILITY TO PAY - IT CAN BE INABILITY TO UNDERSTAND HOW TO ACCESS CARE, DIVERSITY/INCLUSION ISSUES, AND SO MUCH MORE. - SUBSTANCE ABUSE IS A PERVASIVE PROBLEM THROUGHOUT REGION 8. - CARING FOR THE ELDERLY IS A PRIORITY AS PEOPLE ARE LIVING LONGER LIVES. SFMC CONSULTED WITH JACKIE WHITE, MD, MEDICAL DIRECTOR, REGION 8 OFFICE OF PUBLIC HEALTH, IN AN INTERVIEW ON OCTOBER 11, 2021, AS PART OF THE CHNA PROCESS. DR. WHITE ALSO PARTICIPATED IN THE SFMC FOCUS GROUP. IN A FOLLOW-UP MEETING ON NOVEMBER 8, 2021, WITH SFMC EXECUTIVE COUNCIL REPRESENTATIVES, DR. WHITE AND THE REGION 8 OPH TEAM DISCUSSED BEING A COLLABORATING PARTNER WITH SFMC THROUGHOUT THE 2021 CHNA IMPLEMENTATION PLAN MEASUREMENT PERIOD TO ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE DEFINED COMMUNITY/SERVICE AREA AND THROUGHOUT REGION 8. DR. WHITE AND THE OPH TEAM UTILIZED SFMC'S PREVIOUS CHNA DOCUMENT IN RELATION TO ITS LINCOLN PARISH DATA AND WILL BE WORKING WITH SFMC ON THE 2021 CHNA IMPLEMENTATION PLAN. DR. WHITE AND HER TEAM SHARED THEIR REGIONAL OUTLINE OF HEALTH PRIORITIES AND CHALLENGES BOTH FROM PATIENT AND OPERATIONAL PERSPECTIVES, WHICH MIRRORED THE DATA ANALYSIS AND COMMUNITY SURVEY RESULTS SFMC RECEIVED DURING THE CHNA PROCESS. DISCUSSION DURING BOTH THE OCTOBER 11 AND NOVEMBER 8 MEETINGS CENTERED ON HOW THE ORGANIZATIONS CAN COLLABORATE TO ADDRESS THE PRIORITY AREAS IDENTIFIED IN THE CHNA IN BOTH SFMC'S DEFINED COMMUNITY AND THROUGHOUT REGION 8. BASED ON A COMPREHENSIVE DATA ANALYSIS AND FEEDBACK RECEIVED FROM THE COMMUNITY SURVEY AND INTERVIEWS, SFMC IDENTIFIED THE FOLLOWING HEALTH NEEDS AREAS FOR ITS 2021 CHNA (IN RANK ORDER): 1. CHRONIC DISEASE MANAGEMENT 2. ACCESS TO CARE 3. OBESITY / SEDENTARY LIFESTYLES 4. MENTAL HEALTH 5. SUBSTANCE ABUSE 6. HEART DISEASE/STROKE 7. CARE FOR THE ELDERLYST. FRANCIS MEDICAL CENTER HAS DECIDED TO ADDRESS THE TOP THREE IDENTIFIED NEEDS (CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, AND OBESITY/SEDENTARY LIFESTYLES), AND WILL NOT DIRECTLY ADDRESS THE REMAINING FOUR NEEDS LISTED ABOVE. HOWEVER, AS SFMC IMPLEMENTS STRATEGIES IN EACH OF THE THREE SELECTED PRIORITY AREAS, INDIRECT BENEFITS ARE EXPECTED FOR THE FOUR HEALTH CONCERNS THAT WERE NOT TARGETED DUE TO LINKAGES. SFMC WILL NOT ADDRESS THE IDENTIFIED NEEDS OF MENTAL HEALTH, SUBSTANCE ABUSE, HEART DISEASE/STROKE, AND CARE FOR THE ELDERLY BECAUSE; 1) THOSE NEEDS HAVE A LESSER AMOUNT OF WORK THAT STILL NEEDS TO TAKE PLACE TO SEE A POSITIVE IMPACT; 2) THOSE NEEDS WERE MENTIONED LESS FREQUENTLY DURING THE CHNA DEVELOPMENT PROCESS; AND 3) THE SELECTED NEEDS HAVE A MORE NOTEWORTHY INFLUENCE ON VULNERABLE COMMUNITY POPULATIONS THAT, IF BROUGHT UNDER CONTROL, COULD HAVE A DEEPER, MORE LASTING IMPACT ON THE PEOPLE AFFECTED.PART V, SECTION B, LINE 7AST. FRANCIS MEDICAL CENTER:THE CHNA CAN BE FOUND AT: HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 11: DURING THE CURRENT YEAR, SFMC DEVELOPED ITS NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION PLAN AND CONTINUED TO FOCUS ON THE IDENTIFIED COMMUNITY NEEDS OF CHRONIC DISEASE MANAGEMENT, OBESITY/SEDENTARY LIFESTYLES, SUBSTANCE ABUSE, ACCESS TO CARE, AND CARE FOR THE ELDERLY. IN THE CURRENT YEAR, SFMC HAD A TOTAL KNOWN IMPACT OF 84,211 LIVES. SPECIFIC ACTIONS TAKEN TO ADDRESS AREAS OF NEED INCLUDED MEDICATION SAFETY TIPS FOR SENIORS IN PARTNERSHIP WITH REGION 8 COUNCILS ON AGING, MEALS DISTRIBUTED THROUGH MEALS ON WHEELS, CHILDBIRTH, ABC'S OF BABY CARE, AND BREASTFEEDING CLASSES OFFERED THROUGH ONLINE CLASSES TO ADDRESS PATIENTS WITH TRANSPORTATION PROBLEMS AND TO ALLOW PATIENTS FROM THROUGHOUT REGION 8 TO ACCESS THE CLASS WHERE CLASSES ARE NOT OFFERED, REGIONAL TRAUMA OUTREACH TO ADDRESS PREVENTABLE HOSPITAL STAYS THROUGH "STOP THE BLEED" CLASSES, VARIOUS HEALTH FAIRS, FOOD DRIVES, AND DONATION DRIVES TARGETING POPULATIONS IN NEED, AND TOBACCO CESSATION EDUCATION EFFORTS THROUGHOUT REGION 8. SFMC PLACED A GREAT DEAL OF FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AS THEY RELATE TO EACH OF THESE AREAS AND WORKS CLOSELY WITH THE SFMC DIVERSITY, EQUITY, AND INCLUSION COUNCIL TO EDUCATE INTERNAL AUDIENCES AND TO MONITOR ACTIVITIES, SUCH AS HIRING PROCESSES AND COMMUNITY SUPPORT OF MINORITY-OWNED BUSINESSES. SFMC ENCOURAGED IMPROVEMENT IN ALL CATEGORIES AMONG ITS TEAM MEMBERS AND THEIR FAMILY MEMBERS THROUGH ITS TOTAL REWARDS PROGRAM, WHICH REWARDS TEAM MEMBERS WITH POINTS THROUGHOUT THE YEAR FOR LOGGING ACTIVITIES THAT ARE COMPLETED. TEAM MEMBERS ARE ENCOURAGED TO ENGAGE IN HEALTH IMPROVEMENT ACTIVITIES NOT ONLY FOR PHYSICAL HEALTH BUT ALSO FOR MENTAL AND SPIRITUAL HEALTH, AS WELL AS INCREASED INVOLVEMENT IN VOLUNTEERISM AND FINANCIAL WELL-BEING.
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2. STATE-FUNDED PRESCRIPTION PROGRAMS;3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4. PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5. PATIENT ELIGIBLE FOR FOOD STAMPS;6. MEDICAID ELIGIBLE PATIENT;7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATIONS FOR FULLY DISCOUNTED CARE.
PART V, SECTION B, LINE 16:ST. FRANCIS MEDICAL CENTER:THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - COMMUNITY HEALTH CENTER
2600 TOWER DRIVEMONROELA71201VARIOUS OUTPATIENT SERVICES
2 - NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREETMONROELA71210CANCER TREATMENT AND IMAGING CENTER
3 - MONROE MRI CENTER
501 CATALPA STREETMONROELA71201MRI SERVICES
4 - ST FRANCIS PET IMAGING OF MONROE
PO BOX 1851MONROELA71201PET IMAGING SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART I, LINE 7:THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7G, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE.
PART I, LINE 7G:ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS.
PART I, LN 7 COL(F):FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.
PART III, LINE 4:THE BAD DEBT FOOTNOTE IS ON PAGES 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELPIDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT ISDETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
PART III, SECTION A, LINE 2:AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.
PART VI, LINE 2:NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, ST. FRANCIS MEDICAL CENTER (SFMC) WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA, THE UNITED WAY OF NORTHEAST LOUISIANA, OUACHITA COUNCIL ON AGING, CATHOLIC CHARITIES OF NORTH LOUISIANA, NEW OPPORTUNITIES VISION ACHIEVEMENT (NOVA), EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE, LIVING WELL FOUNDATION, LIFESHARE BLOOD CENTER, LSU AG CENTER, MONROE CITY SCHOOLS, OUACHITA PARISH SCHOOLS, NORTHEAST DELTA HUMAN SERVICES AUTHORITY, NORTHEAST LA WAR VETERAN'S HOME, ST. VINCENT DEPAUL PHARMACY, UNIVERSITY OF LOUISIANA AT MONROE, WEST OUACHITA SENIOR CENTER, AND OTHER COMMUNITY STAKEHOLDERS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, SFMC'S TRAUMA OUTREACH PROGRAMS, SUCH AS "STOP THE BLEED," HAVE EXPANDED INTO THE COMMUNITY TO ADDRESS PREVENTABLE HOSPITAL STAYS AND ACCESS TO CARE, AND SFMC HAS IMPLEMENTED PROGRAMS TO ADDRESS IMMEDIATE COMMUNITY NEEDS, SUCH AS FAN DRIVES IN THE SUMMER, FOOD DRIVES THROUGHOUT THE YEAR, AND PRESCRIPTION TAKEBACK DAY PLANNING IN PARTNERSHIP WITH THE UNIVERSITY OF LOUISIANA AT MONROE SCHOOL OF PHARMACY. THE HOSPITAL CONDUCTED AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT IN TAX YEAR 2018 AND 2021 AND WILL CONTINUE TO USE COMMUNITY-BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF ST. FRANCIS MEDICAL CENTER. ADDITIONALLY, SIGNS ARE POSTED IN THE ADMISSIONS AREAS THAT FINANCIAL COUNSELING IS AVAILABLE UPON REQUEST. SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR THOSE WHO ARE ELIGIBLE FOR MEDICAID AS WELL AS ASSIST THOSE WHO ARE ELIGIBLE FOR HOSPITAL FINANCIAL ASSISTANCE IN DETERMINING ELIGIBILITY.
PART VI, LINE 4:COMMUNITY INFORMATION:ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA, IN OUACHITA PARISH. FOR PURPOSE OF THE CHNA, THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS OUACHITA AND LINCOLN PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY OF 205,383. OF THOSE PEOPLE, 47,934 RESIDE IN LINCOLN PARISH, AND 157,150 RESIDE IN OUACHITA PARISH, AND THE SENIOR POPULATION COMPRISES 13.48% OF LINCOLN PARISH AND 13.28% OF OUACHITA PARISH. THE MEDIAN HOUSEHOLD INCOME IN LINCOLN PARISH IS $37,842, AND THE AVERAGE HOUSEHOLD INCOME IS $61,321. THE MEDIAN HOUSEHOLD INCOME IN OUACHITA PARISH IS $40,167, AND THE AVERAGE HOUSEHOLD INCOME IS $62,699. BOTH PARISHES REPORT LOWER MEDIAN HOUSEHOLD INCOME THAN LOUISIANA AS A WHOLE ($49,216).
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH:ST. FRANCIS MEDICAL CENTER (SFMC) PARTICIPATES IN COMMUNITY INVOLVEMENT ACTIVITIES BECAUSE IMPROVEMENTS TO A COMMUNITY DIRECT IMPACT THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: PROVISION OF A MEDICAID CLINIC DEDICATED TO WOMEN'S AND CHILDREN'S HEALTH, CASH AND IN-KIND DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND/OR SUPPORTING THE PRIORITY AREAS IDENTIFIED IN THE SFMC CHNA; PROGRAMS AND EDUCATIONAL OUTREACH THAT ADDRESS FOOD INSECURITY, DIVERSITY, EQUITY, AND INCLUSION, PREVENTABLE HOSPITAL STAYS, CARE FOR THE ELDERLY, OBESITY, AND TOBACCO CESSATION; ONGOING SPONSORSHIP OF BLOOD DRIVES TO SUPPORT THE LOCAL SUPPLY AVAILABLE TO PATIENTS. SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL PHARMACY SO THAT UNINSURED, UNDERINSURED AND WORKING POOR MEDICALLY DISENFRANCHISED INDIVIDUALS AND FAMILIES HAVE ACCESS TO PRESCRIPTION MEDICATIONS. THIS ALLOWS THE PHARMACY TO SPEND ITS FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON PEOPLE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS AND COMMUNITY BENEFIT SALARY DOLLARS, AND PROUDLY SERVES AS THE DESIGNATED REGIONAL HOSPITAL FOR REGION 8 AND PROVIDES LEADERSHIP AND COORDINATION FOR EMERGENCY PREPAREDNESS ACTIVITIES. SFMC PROVIDES LEADERSHIP DEVELOPMENT AND TRAINING FOR ROMAN CATHOLIC PRIESTS TO SERVE IN THE SFMC COMMUNITY AND HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM FOR STUDENTS PREPARING TO GRADUATE FROM HIGH SCHOOL, RADIOLOGY, LABORATORY, AND RESPIRATORY PROGRAMS, AS WELL AS PARTNERSHIPS WITH SEVERAL NURSING SCHOOLS AND A DEVELOPING RELATIONSHIP WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE LOCATED AT THE UNIVERSITY OF LOUISIANA AT MONROE. THE ROLE OF SFMC'S COMMUNITY IMPACT MANAGER EXPANDED IN THE CURRENT FISCAL YEAR TO ASSIST ORGANIZATIONS THROUGHOUT THE MINISTRY WITH PROGRAMMING AND ACCOUNTABILITY, AS WELL AS THE CHNA AND IMPLEMENTATION PLANNING PROCESS, AND ALSO EXPANDED WITHIN SFMC TO INCLUDE EXPANSION OF COMMUNITY EDUCATION AND OUTREACH. A MAJORITY OF THE GOVERNING BODY OF SFMC IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL THE DEPARTMENTS, AS NEEDED, AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT ARE THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.
PART VI, LINE 6:ST. FRANCIS MEDICAL CENTER IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. ST. FRANCIS MEDICAL CENTER IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. ST. FRANCIS MEDICAL CENTER SERVES THE COMMUNITY IN NORTHEASTERN LOUISIANA AND SOUTHERN ARKANSAS. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE:- OUR LADY OF LOURDES REGIONAL MEDICAL CENTER- OUR LADY OF THE LAKE HOSPITAL- ST. ELIZABETH HOSPITAL- OUR LADY OF THE LAKE ASSUMPTION HOSPITAL- OUR LADY OF THE ANGELS HOSPITALRELATED HOSPITAL IN MISSISSIPPI:- ST. DOMINIC JACKSON MEMORIAL HOSPITAL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY D LIMBOCKER
EVP, CHIEF FINANCIAL OFFICER$0$670,983$0$234,110$0$85,994$0$160,910$0$24,287$0$1,176,284$0$60,058
RICHARD DEARMAN
STAFF PHYSICIAN$836,568$0$0$0$6,006$0$14,500$0$21,079$0$878,153$0$0$0
JAMES G SMITH
HOSPITALIST$670,672$0$42,177$0$5,996$0$26,100$0$19,542$0$764,487$0$0$0
JOHN D BRUCHHAUS
STAFF PHYSICIAN$646,869$0$30,191$0$3,674$0$26,100$0$28,319$0$735,153$0$0$0
DARSHAN PATEL
STAFF PHYSICIAN$592,067$0$90,828$0$2,918$0$14,500$0$25,581$0$725,894$0$0$0
SARAH AHMAD
STAFF PHYSICIAN$679,717$0$2,550$0$2,917$0$14,500$0$18,882$0$718,566$0$0$0
KRISTIN S WOLKART
EX-OFFICIO, PRES/CEO SFMC$0$423,714$0$165,187$0$2,747$0$90,358$0$20,120$0$702,126$0$0
THOMAS J GULLATT MD
EX-OFFICIO, PRES/CEO SFMC$482,842$0$56,700$0$3,564$0$26,100$0$19,511$0$588,717$0$0$0
TARA HANEY
BOARD MEMBER & FMOLHS COS$0$337,959$0$136,142$0$1,265$0$59,366$0$16,691$0$551,423$0$0
JEREMY ROGERS
VP, CHIEF OPERATING OFFICER$266,785$0$71,735$0$2,747$0$13,535$0$25,951$0$380,753$0$0$0
KAYLA B JOHNSON
VP, PATIENT CARE SVCS$230,592$0$62,494$0$7,649$0$26,100$0$25,743$0$352,578$0$0$0
JOHN KAHL
VP, OPS AND PHYSICIAN SVCS$198,526$0$55,048$0$1,151$0$11,287$0$19,422$0$285,434$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, QUESTION 3:THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT.
PART I, QUESTION 4A:THE CFO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. TWO BOARD MEMBERS ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.
PART I, LINE 4B:FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. IN THE CURRENT YEAR, JEFFREY LIMBOCKER RECEIVED A PAYMENT OF $83,247.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OUACHITA REHAB ASSOCIATES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionENTITY MORE THAN 35% OWNED BY ROLF MORSTEAD, BOARD MEMBERRelationshipDescriptionTxt
Transaction$191,867TransactionAmt
TransactionPERFORMANCE OF SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.
FORM 990, PART VI, SECTION A, LINE 6FMOL HEALTH SYSTEM, INC. (AN IRS SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF THE MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AFMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BTHE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION. XI. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. XII. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BAFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 12CST. FRANCIS MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT SHE/HE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT ST. FRANCIS MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, ST. FRANCIS MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST, ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
FORM 990, PART VI, SECTION B, LINE 15BOUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. FRANCIS MEDICAL CENTER IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CAPITAL TRANSFERS -2,709,768.
SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION:ST. FRANCIS MEDICAL CENTER IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2022.
SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION:ST. FRANCIS MEDICAL CENTER HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDING JUNE 30, 2022. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE(OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1901AddressLine1Txt
CityMONROECityNm
State AbbreviationLAStateAbbreviationCd
ZIP71210ZIPCd
FieldValueIRS element (for citing)
EIN364709524EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Total Income$31,896,424TotalIncomeAmt
End Of Year Assets$9,225,194EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SFMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)LINE 10OLOL0
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216640714999HOLDING COMS501(C)(3)LINE 12C, III-FIFMOLHS0
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVEJACKSONMS39216640884870HEALTH PROGRAMMS501(C)(3)LINE 10SDHS0
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
969 LAKELAND DRIVEJACKSONMS39216640303091HOSPITALMS501(C)(3)LINE 3SDHS0
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVEJACKSONMS39216431992975FUNDRAISINGMS501(C)(3)LINE 7SDHS0
ST CATHERINE'S VILLAGE INC
969 LAKELAND DRIVEJACKSONMS39216640714997RET HOMEMS501(C)(3)LINE 10SDHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELAN/AN/A00
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELAN/AN/A00
BRPT LAKE REHABILITATION CENTERS LLC
175 S ENGLISH STATION RD STE 218LOUISVILLEKY40245721506100HEALTHCARELAN/AN/A00
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAN/AN/A00
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAN/AN/A00
PERKINS PLAZA AMBULATORY SURGERY CENTER LLC
7145 PERKINS ROADBATON ROUGELA70808481264699HEALTHCARELAN/AN/A00
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVDBATON ROUGELA70810263120962HEALTHCARELAN/AN/A00
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELAN/AN/A00
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELARELATED00SFMC$390,973$5,169,4100.50000
LHCG-XIII LLC DBA LOURDES HOME HEALTH
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELAN/AN/A00
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELAN/AN/A00
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELAN/AN/A00
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELARELATED00SFMC$179,801$430,0810.50000
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAN/AN/A00
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508474283509HEALTHCARELAN/AN/A00
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816821637627HEALTHCARELAN/AN/A00
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508943419282HEALTHCARELAN/AN/A00
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6METAIRIELA70002843084552HEALTHCARELAN/AN/A00
OLOL PONTCHARTRAIN SURGERY CENTER LLC
4200 ESSEN LANEBATON ROUGELA70809461379031HEALTHCARELAN/AN/A00
LAKE SURGICAL HOSPITAL (SLIDELL) LLC
1700 LINDBERG DRSLIDELLLA70458474228147HEALTHCARELAN/AN/A00
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAN/AN/A00
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
LOUISE INSURANCE COMPANY
PO BOX 1051CAYMAN ISLANDSCJKY1-1102INSURANCECJC0
FRANCISICAN HEALTH & WELLNESS SERVICES I
HEALTHCAREC04200 ESSEN LANEBATON ROUGELA70809455492379LA
FMOL HEALTH SYSTEM HOLDINGS INC
INVESTMENTC04200 ESSEN LANEBATON ROUGELA70809454405024LA
ST DOMINIC MADISON HEALTH SERVICES INC
HEALTHCAREC0969 LAKELAND DRIVEJACKSONMS39216202870254MS
FIRST INTERMED CORPORATION
MEDICAL SERVICESC0308 CORPORATE DRIVERIDGELANDMS39157640824796MS
ST DOMINIC INTEGRATED SERVICES INC
INVESTMENTSC0969 LAKELAND DRIVEJACKSONMS39216271493623MS
LAFAYETTE SURGICARE INC
HEALTHCAREC0C/O C T CORPORATION SYSTEM 3867 PLABATON ROUGELA70816943419282LA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST LA CANCER INSTITUTE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$400,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt