2023-05-15T17:34:09-05:00 2022-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2021-07-01 720423651 OUR LADY OF THE LAKE HOSPITAL INC OURL 2257656565 4200 ESSEN LANE BATON ROUGE LA 70809 JENNIFER CLOWERS REGIONAL CFO 2257656565 2023-05-15 1 JENNIFER CLOWERS 999009999 RYAN HOOKS P00746825 2253444000 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JENNIFER CLOWERS 4200 ESSEN LANE BATON ROUGE LA 70809 2041919222 0 0928 X WWW.OLOLRMC.COM X 1956 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS, AND (SEE SCHEDULE O) 18 14 8994 203 255854 0 65990811 15004969 1516154022 1562847924 44933939 64251103 118324291 121282664 1745403063 1763386660 6283637 74752946 0 0 598162218 641031174 0 0 0 839787997 918725475 1444233852 1634509595 301169211 128877065 2884038878 2564114677 1248290226 1024375210 1635748652 1539739467 X SEE SCHEDULE O 0 0 1067190504 74752946 1401647143 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 209,051 PATIENT DAYS, 203,326 EMERGENCY ROOM VISITS AND 35,947 INPATIENT DISCHARGES. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES. 241003414 282483445 OUR LADY OF THE LAKE HOSPITAL'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 1308193918 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 60 0 1 8994 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 1 1 X AMANDA HYMEL 2259232701 5959 S SHERWOOD BLVD BATON ROUGE LA 70809 WILLIAM E BALHOFF CHAIR 2.00 2.00 X X 0 0 0 GREG BOWSER BOARD MEMBER 2.00 0.00 X 0 0 0 SR HELEN CAHILL BOARD MEMBER 2.00 3.00 X 0 0 0 MICHAEL CRAPANZANO BOARD MEMBER 2.00 0.00 X 0 0 0 RONNIE DAIGLE BOARD MEMBER 2.00 0.00 X 0 0 0 YOLANDA DIXON SECRETARY 2.00 2.00 X X 0 0 0 HENRY EISERLOH MD BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN FRAICHE MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 528939 0 36120 JOHN ENGQUIST VICE-CHAIR 2.00 0.00 X X 0 0 0 SCOTT N HENSGENS BOARD MEMBER 2.00 0.00 X 0 0 0 JEFF LIMBOCKER BOARD MEMBER/CFO OF FMOLHS 1.00 59.50 X 0 991087 185197 DR BEN OUBRE BOARD MEMBER 2.00 0.00 X 0 0 0 HARRY J PHILLIPS JR CHAIR 2.00 2.00 X X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.00 2.50 X 0 0 0 STEPHEN M TOUPS BOARD MEMBER 0.50 0.00 X 0 0 0 KENNETH SCOTT WESTER CEO 5.50 50.00 X X 0 1128872 240484 BETH O'BRIEN BOARD MEMBER INTERIM PRESIDENT 2.00 0.00 X X 0 0 0 MICHAEL MD TEAGUE BOARD MEMBER/PHYSICIAN 42.00 0.00 X 398855 0 52359 LOWELL E STANTON REGIONAL CFO 15.50 40.00 X 0 634011 42886 ALSTON E DUNBAR PRESIDENT OF CHILDREN'S HOSPIT 40.00 0.00 X 582662 0 40686 SHAUN M KEMMERLY VP, CHILDREN'S HOSP CMO 40.00 0.00 X 443379 0 34004 STEPHANIE G MANSON SVP, CHIEF OPERATING OFFICER 40.00 2.00 X 567162 0 50173 NICOLE S TELHIARD SVP, PATIENT CARE SERVICES 40.00 0.50 X 450182 0 52125 DENZIL L MORAES PHYSICIAN 40.00 0.00 X 1242604 0 40110 PAUL M DAMPF PHYSICIAN 40.00 0.00 X 1014052 0 42810 PAUL D GARRETT PHYSICIAN 40.00 0.00 X 1024080 0 40110 MANPREET SINGH PHYSICIAN 2.00 40.00 X 1008797 0 34338 CHARLES A SMITH PHYSICIAN 40.00 0.00 X 1096975 0 44313 STEVEN T GREMILLION FORMER CMO/CURRENT EVP, CMO FMOLHS 0.00 0.00 X 0 992768 39628 8357687 3746738 975343 1089 1 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT FEES 135692227 LSUHSC CLINICS 58725 AIRLINE HWY LSU UNIT BATON ROUGE LA 70805 MEDICAL SERVICES 58485103 GIFTED NURSES 2748 MATAIRIE LAWN DR STE B MATAIRIE LA 70002 STAFFING SERVICES 23354179 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICE 18263440 ANESTHESIOLOGY GROUP ASSOC INC 11414 LAKE SHERWOOD AVE NORTH BATON ROUGE LA 70816 ANSETHESIOLOGY SVCS 18087023 164 645345 8424835 5934789 15004969 PATIENT SERVICE REVENU 622110 1478621674 1478621674 PHARMACY 446110 33684654 33684654 ALL OTHER PROGRAM SERV 900099 33353076 33353076 INCOME FROM EQUITY INV 523000 14796154 14796154 OUTREACH LAB 621500 2265728 2265728 126638 126638 1562847924 9892502 255854 9636648 73 73 19443052 0 19443052 19443052 19443052 332859208 31882 278532562 0 54326646 31882 54358528 54358528 PENSION RELATED CHANGE 900099 101839612 101839612 101839612 1763386660 1684130588 255854 63995249 74746946 74746946 6000 6000 2971178 2762796 208382 549863607 511299185 38564422 6701437 6231435 470002 45927735 42706194 3221541 35567217 33083937 2483280 228142653 116493763 111648890 1306269 901445 404824 2393721 765610 1628111 108316475 61297253 47019222 2577461 824378 1753083 123517075 51206346 72310729 1824988 583706 1241282 33385726 26076376 7309350 864716 276572 588144 173178 55390 117788 20247232 883883 19363349 58967595 49549277 9418318 14691840 6126880 8564960 MEDICAL SUPPLIES EXPENS 284313656 284313656 PURCHASED SERVICES 23234355 23234355 EQUIPMENT & MAINTENANCE 14768535 14768535 1634509595 1308193918 326315677 0 483739705 62112301 25946448 26010619 265893410 190760744 1106911 665452 24092466 25248830 7435939 15259823 1580256884 724750715 860811824 855506169 36858754 1089683029 1154769091 48025587 94954168 31096686 33708019 46206873 68260707 2884038878 2564114677 233634081 222435005 83883431 32990585 502758719 499472511 428013995 269477109 1248290226 1024375210 X 1623998534 1524577539 11750118 15161928 1635748652 1539739467 2884038878 2564114677 X 128877065 -180410714 -44475536 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 94982212 94982212 991716359 381700059 610016300 30159805 17696706 12463099 435967821 317436690 118531131 27430687 7917260 19513427 855506169 INVESTMENT IN CAPITAL RESERVE 1154769091 F 1154769091 DUE TO AFFILIATES 269477109 269477109 X PART X, LINE 2: FIN 48 (ASC 740 FOOTNOTE) THE MEDICAL CENTER 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 JUDGMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 18764968 18200840 564128 0.00030 424226641 345486870 78739771 0.04820 442991609 363687710 79303899 0.04850 89989 16296 73693 0.00000 53932779 24894058 29038721 0.01780 4010226 211756 3798470 0.00230 2763190 1923869 839321 0.00050 517337 517337 0.00030 61313521 27045979 34267542 0.02090 504305130 390733689 113571441 0.06940 143561 -100 143661 0.00010 143561 -100 143661 0.00010 1 73437751 138765285 160590599 -21825314 X 1 1 1 SURGICAL SPECIALTY SURGERY CENTER 0.49000 0.51000 2 REGIONAL EYE SURGERY IMAGING SERVICES 0.10750 0.89250 3 1 OUR LADY OF THE LAKE HOSPITAL 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 WWW.OLOLRMC.COM X X X X 2 SURGICAL SPECIALTY CTR OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 WWW.SSCBR.COM X X 3 LAKE SURGICAL HOSPITAL (SLIDELL) LLC 1700 LINDBERG DR SLIDELL LA 70458 WWW.SSHLA.COM X X OUR LADY OF THE LAKE HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X PART V, SECTION C X PART V, SECTION C X 1 21 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 SURGICAL SPECIALTY CTR OF BATON ROUGE 2 0 0 1 X X X X X X X X X 21 1 1 0 1 X PART V, SECTION C X PART V, SECTION C X 1 21 0 1 0 1 X 138.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X 1 X 0 0 LAKE SURGICAL HOSPITAL (SLIDELL) LLC 3 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTP://OLOLSH.COM/FOR-PATIENTS/ X 1 21 0 1 0 1 X 250.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X 1 X 0 0 OUR LADY OF THE LAKE HOSPITAL PART V, SECTION B, LINE 5: OUR LADY OF THE LAKE HOSPITAL (OLOL) AND SURGICAL SPECIALTY CENTER(SSC) OF BATON ROUGE: OLOL & SSC JOINED THE MAYOR'S HEALTHY CITYINITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPENCOLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGECOMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHY BRAND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESEGROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS INCLUDING THE OFFICE OF PUBLIC HEALTH,NONPROFIT ORGANIZATIONS AND SCHOOLS.THE LOCAL HOSPITALS PARTICIPATINGWERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, OUR LADY OFTHE LAKE REGIONAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER,SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTERBATON ROUGE. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 5: THE ORGANIZATION ENGAGED KEY COMMUNITYPARTNERS THROUGH PERSONAL INTERVIEWS, A REGIONAL FOCUS GROUP, AND SURVEYSDURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNINGPROCESS. LAKE SURGICAL HOSPITAL (SLIDELL) CONSIDERED INPUT FROM THOSEWITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWINGGINA LAGARDE, MD, MBA, REGIONAL MEDICAL DIRECTOR/ADMINISTRATOR, REGION 9,LOUISIANA OFFICE OF PUBLIC HEALTH, IN THE PROCESS OF CONDUCTING ITS NEXTCOMMUNITY HEALTH NEEDS ASSESSMENT AND DETERMINING THE SIGNIFICANT NEEDS OFTHE COMMUNITY. ADDITIONALLY, SLIDELL CONSIDERED INPUT FROM THOSE WHOREPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OFPOPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLYUNDERSERVED, AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIALDETERMINANTS OF HEALTH. OUR LADY OF THE LAKE HOSPITAL PART V, SECTION B, LINE 6A: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGEGENERAL MEDICAL CENTER, OSCHNER MEDICAL CENTER BATON ROUGE, SURGICAL SPECIALTY CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THEMAYOR'S HEALTHY CITY INITIATIVE. SURGICAL SPECIALTY CTR OF BATON ROUGE PART V, SECTION B, LINE 6A: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGEGENERAL MEDICAL CENTER, OUR LADY OF THE LAKE HOSPITAL AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS A JOINT CHNA CONDUCTED WITH OUR LADY OF THE ANGELS HOSPITAL IN BOGALUSA. OUR LADY OF THE LAKE HOSPITAL PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE HOSPITAL IN 2021 PARTICIPATED IN THE DEVELOPMENT OF A JOINT CHNA WITH OTHER AREA HOSPITALS STRENGTHENING PARTNERSHIPS AND BUILDING CAPACITY TO BEST SERVE THE COMMUNITY. COMMUNITY NEEDS/PRIORITY AREAS IDENTIFIED DURING THE 2021 CHNA PROCESS THAT OLOL WILL ADDRESS:1. SEXUALLY TRANSMITTED INFECTIONS AND HIV2. HEALTHY LIVING/LIFESTYLE3. MATERNAL AND INFANT HEALTH4. MENTAL AND BEHAVIORAL HEALTH5. HEALTH EQUITY AND RACIAL DISPARITIES1. SEXUALLY TRANSMITTED INFECTIONS AND HIVOLOL CONTINUES TO FINALIZE PLANS IN RESPONSE TO THE 2006 CDC GUIDELINES FOR ENDING HIV ACROSS THE NATION. AT THE LOCAL LEVEL, THE EAST BATON ROUGE PARISH MAYOR'S OFFICE IN PARTNERSHIP WITH THE RYAN WHITE CITY COUNCIL HAS IMPLEMENTED "ENDING THE HIV EPIDEMIC (EHE): A PLAN FOR AMERICA." OUR EHE OBJECTIVES ALIGN WITH THESE GUIDELINES AND INCLUDE TESTING, LINKAGE TO CARE AND TREATING NEWLY DIAGNOSED OR RETURN TO CARE CLIENTS WITH HIV WITHIN A RAPID START PROGRAM. THIS WILL FURTHER EXPAND ACCESS TO HIV MEDICAL CARE/TREATMENT AND WILL FOCUS ON 1) ACCELERATING ACCESS TO MEDICAL VISITS TO A HIV PROVIDER; 2) INCREASING POINT OF CARE HIV TESTING IN THE BROADER COMMUNITY; 3) ENGAGING AND EDUCATING NEW COMMUNITY PROVIDERS AS A RESOURCE OF TESTING AND REFERRAL TO TREATMENT SERVICES.THROUGHOUT THE FISCAL YEAR WE HAVE BEEN WORKING TO DEVELOP A TEAM TO IMPROVE ENGAGEMENT IN CARE AND EDUCATION. OUR GOAL IS TO INCREASE COMMUNITY TESTING BY PROVIDING INCENTIVES. THE EHE TEAM WILL ALLOW FOR FASTER ENTRY TO CARE AND HIV/STI PREVENTION SERVICES BY PROVIDING IMPROVED RAPID TESTING WITH ONSITE RESULTS, IMMEDIATE SCHEDULING OF NEWLY IDENTIFIED AND RETURNING TO CARE CLIENTS WITH THE FIRST AVAILABLE APPOINTMENT WITH AN EIC PROVIDER.2. HEALTHY LIVING OUR CANCER INSTITUTE PROVIDED THE FOLLOWING CARE: 793 PATIENTS NAVIGATED 134 PATIENTS ENROLLED ON CLINICAL TRIALS SCREENING EVENTS: 337 PATIENTS, 41 OUTREACH EVENTS, 4 PATIENTS DIAGNOSED WITH BREAST CANCER LUNG CANCER SCREENING: 1,437 LDCT SCANS, 50 PATIENTS DIAGNOSED WITH LUNG CANCERGEAUX GET HEALTHY CONTINUED TO SERVE PERSONS SCREENED FOR FOOD INSECURITY BY OFFERING COOKING CLASSES, GROCERY STORE TOURS, AND CLASSES WITH A DIETICIAN. 60 PERSONS SCREENED FOR FOOD INSECURITY 42 PEOPLE ENROLLED IN GGH 10 PARTICIPANTS MADE IMPROVEMENTS IN FOOD INSECURITY BY 1 LEVEL 8 PARTICIPANTS MADE IMPROVEMENTS IN METABOLIC METRIC 4 PARTICIPANTS MADE IMPROVEMENTS IN DEPRESSION SCORES NUMBERS ARE LOWER DUE TO PROGRAM IMPROVEMENT AND EXPANSION OVER THE SUMMER. THE PROGRAM EXPANSION INCLUDED 2 COMMUNITY HEALTH WORKERS, 2 REGISTERED DIETICIANS, 1 PROGRAM MANAGER AND 1 PROGRAM DIRECTOR. PROGRAM RECEIVED FUNDS OF $15K FROM CAPITAL AREA UNITED WAY TO EXPAND TO A SECOND LOCATION.DURING THIS SAME PERIOD OF TIME THE DIABETES & NUTRITION PROGRAM ENABLED 97 PATIENTS TO SUCCESSFULLY COMPLETE THE COMPREHENSIVE DIABETES PROGRAM CONSISTING OF INDIVIDUAL APPOINTMENTS AND GROUP CLASSES. THE AVERAGE A1C REDUCTION WAS 2.65%, THIS IS BETTER THAN NATIONAL BENCHMARK OF ~2.2%.3. MATERNAL AND INFANT HEALTHTHE EBR MATERNAL AND INFANT HEALTH COALITION BEGAN MEETING IN 2021 AND ADOPTED THE CDC HEAR HER CAMPAIGN SEEKING TO RAISE AWARENESS OF URGENT MATERNAL WARNING SIGNS DURING AND AFTER PREGNANCY AND IMPROVE COMMUNICATION BETWEEN PATIENTS AND THEIR HEALTHCARE PROVIDERS. OLOL IS WORKING WITH OTHER COALITION MEMBERS TO: LAUNCH A PUBLIC HEALTH CAMPAIGN AND TO PROVIDE TOOLS FOR WOMEN AND PROVIDERS TO BETTER ENGAGE IN LIFE-SAVING CONVERSATION.4. MENTAL AND BEHAVIORAL HEALTH1- IN 2022 THE ADOLESCENT UNIT AT THE TAU CENTER INCREASED BED CAPACITY FROM 19 TO 21 TO BETTER MEET THE DEMAND FOR THAT AGE GROUP.2- THE CAMS PROGRAM CONTINUES. IN 2022 505 CAMS BRIEF INTERVENTIONS WERE DELIVERED ON THE THREE MENTAL AND BEHAVIORAL HEALTH ADULT IP UNITS AND 18 PATIENTS COMPLETED THE CAMS PROGRAM IN THE LSU GME RESIDENT CLINIC.3- LSU HEALTH MAINTAINED THE BEHAVIORAL HEALTH/PRIMARY CARE PROGRAM. 4- TRANSCRANIAL MAGNETIC STIMULATION (TMS) CONTINUES AT FAMILY CENTER O'DONOVAN. PATIENTS ADMITTED FOR TREATMENT HAS INCREASED FROM THE FIRST YEAR (2021) AND THE PROGRAM HAS EXPERIENCED POSITIVE PATIENT OUTCOMES WHO BEFORE WERE NOT SEEING RESULTS FROM DRUG TREATMENT. 5- KETAMINE TREATMENT FOR DEPRESSION, WHICH STARTED AT THE FAMILY CENTER O'DONOVAN CLINIC IN 2021, IS CURRENTLY AT CAPACITY. PLANNING IS UNDERWAY TO EXPAND CAPACITY TO MEET THE DEMAND. 6- IN LATE 2021 OLOL APPLIED FOR AND WAS AWARDED A GRANT TO PROVIDE EVIDENCE-BASED SUBSTANCE USE THERAPY IN THE LSU EIC (HIV) CLINIC. THE PLANNING PHASE FOR TREATMENT BEGAN IN EARLY 2022 FOR JULY/AUGUST 2022 GO LIVE DATE. THE PROGRAM WILL BE LED AND SUPERVISED BY DR. RAY TUCKER AND THE PSYCHOLOGY INTERNS WILL PROVIDE THE EVIDENCE-BASED THERAPY. 7- IN JANUARY 2022 WE BEGAN A HYBRID COLLABORATIVE CARE PROGRAM IN THE PALLIATIVE CARE CLINIC WITH THE PSYCHOLOGY INTERNS AS THE BEHAVIORAL HEALTH PROVIDERS AND SUPERVISED BY DR. RAY TUCKER.8- OLOL WORKED WITH RURAL SISTER FACILITY OUR LADY OF ANGELS TO PROVIDE PSYCHIATRIC COVERAGE ON THEIR BEHAVIORAL HEALTH INPATIENT UNIT, EMERGENCY DEPARTMENT, AND PSYCH CONSULTS ON THE MEDICAL FLOOR. THE COVERAGE BEGAN IN JANUARY 2022 AND COVERAGE PROVIDED IS TWO DAYS/WEEK WITH A PSYCHIATRIST ON SITE AND TELE-HEALTH FIVE DAYS/WEEK. 9- IN EARLY 2022 OLOL STARTED PLANNING FOR COLLABORATIVE CARE EXPANSION IN TWO MORE PRIMARY CARE CLINICS. 10- IN FISCAL YEAR 2022, THE COPE TEAM PERFORMED 8,618 CRISIS ASSESSMENTS IN THE EMERGENCY DEPARTMENT AND WORKED WITH THE EMERGENCY MDS AND PSYCHIATRISTS ON CRISIS PLANNING FOR DISCHARGE AND/OR DISPOSITION TO A HIGHER LEVEL OF CARE. 11- TO OPEN ACCESS TO CARE FOR MEDICAID PATIENTS, TWO MORE MEDICAID MCOS CONTRACTED WITH THE LSU PSYCH RESIDENCY CLINIC SO THAT PATIENTS DO NOT HAVE TO PAY CASH TO BE SEEN BY A PSYCHIATRIST. THIS BRINGS THE MEDICAID MCO CONTRACTS TO FOUR. 12- OLOL WAS APPROVED BY THE ACGME TO HAVE A CHILD AND ADOLESCENT FELLOWSHIP PROGRAM. RECRUITING AND HIRING FOR STARTUP IS UNDERWAY. SURGICAL SPECIALTY CTR OF BATON ROUGE PART V, SECTION B, LINE 11: SURGICAL SPECIALITY CENTER OF BATON ROUGESSC IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT ALONG SIDE OLOL. SSC IS ADDRESSING HEALTH EQUITY AND RACIAL DISARITIES BY PROVIDING SERVICES TO THOSE WITH MEDICAID COVERAGE AND PROVIDED CHARITY CARE. THE EAR, NOSE AND THROAT DOCTORS AT SSC ARE ONE OF TWO ENT PRACTICES IN EAST BATON ROUGE PARISH WHO ACCEPT MEDICAID. THEY ARE SENT REFERRALS FOR PATIENT LIVING OUTSIDE OF EBR AS WELL. DURING THIS TIME PERIOD, AFTER THE SPIKE OF COVID, SSCBR WAS AVAILABLE TO THE OCMMUNITY TO PROVIDE SURGICAL CARE TO THOSE PATIENTS WITH "TIME SENSITIVE" SURGICAL NEEDS AS THE LARGER COMMUNITY HOSPITALS WERE LIMITING SURGICAL SERVICES. ADDITIONALLY, SSCBR HAS EXPERIENCED GROWTH IN ITS TOTAL JOINT PROGRAM AS MORE ELECTIVE CASES MOVED FROM LARGER HOSPITAL TO SSCBR. SSCBR WILL NOT ADDRESS THE FOLLOWING NEEDS AS THEY ARE OUTSIDE OF THE SCOPE OF SSCBR: BEHAVORIAL HEALTH, HEALTH LIVING/LIFESTYLE, MATERNAL AND INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS AND HIV, CHRONIC DISEASE, PEDIATRIC AND ADOLESCENT HEALTH, PUBLIC HEALTH EMERGENCY PREPAREDNESS, SOCIAL DETERMINANTS OF HEALTH, AND VIOLENCE PREVENTION. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 11: LAKE SURGICAL HOSPITAL (SLIDELL), LLCOUR LADY OF THE LAKE SURGICAL HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN THE FY22 CHNA: ELIMINATING BARRIER TO CARE, HEALTH LITERACY, ECONOMY/POVERTY, RACISM, OBESITY, EDUCATION, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTATION, JOBS, AND SPECIALTY CARE.DURING THE FISCAL YEAR, OUR LADY OF THE LAKE SURGICAL HOSPITAL WAS STILL ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2018 CHNA. OUR LADY OF THE LAKE SURGICAL HOSPITAL ADDRESSED ALL OF THE THREE IDENTIFIED HEALTH NEEDS: OBESITY, ACCESS TO HEALTH SERVICES AND SPECIFIC ORTHOPEDIC LINE ACCESS.OBESITY - PROVIDES NUTRITIONAL INFORMATION TO OLDER ADULTS AND SENIOR CITIZENS THROUGH OUTREACH SEMINARS AND VIRTUAL AND FACE TO FACE MEETINGS WITH DIETITIANS. ONLINE RESOURCES ARE ALSO MADE AVAILABLE. BARIATRIC MEDICAID CASE VOLUME FOR YTD 2022 WAS 71.ACCESS TO HEALTH SERVICES - THE FACILITY CONTINUES TO ADVERTISE ITS SERVICES THROUGHOUT THE BROADER COMMUNITY THROUGH MULTIPLE MEDIA PLATFORMS; AND CONTINUES TO ACCEPT MEDICAID. MEDICAID CASE VOLUME FOR YTD 2022 WAS 226.ORTHOPEDICS - THE GREATEST CHANGE HAS BEEN THE ADDITION OF A LOCAL ORTHOPEDIC OFFICE ALLOWING LSH TO PROVIDE ORTHOPEDIC SERVICES TO THE MEDICAID AND UNINSURED POPULATION IN OUR COMMUNITY. WE HAVE SET UP A PROCESS FOR THOSE IN NEED TO BE ABLE TO RECEIVE SURGICAL SERVICES AND SURGICAL FOLLOW UP. SO, IN SHORT WE ARE EXPANDING OUR OUTREACH OF ORTHOPEDIC SERVICES IN THE COMMUNITY WITHIN THE UNDER INSURED AND UNINSURED POPULATIONS. ORTHOPEDIC CASE VOLUME FOR YTD 2022 WAS 689 CASES; OF THAT 14 WERE MEDICAID. PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE HOSPITAL CONTINUATION: 5. HEALTH EQUITY AND RACIAL DISPARITIESAS A COMMITMENT TO UNDERSTANDING OUR PATIENT'S NEEDS, WE BEGAN SCREENING FOR SDOH IN OCTOBER 2021. OUR SCREENING INCLUDES THE FOLLOWING DOMAINS: FOOD INSECURITY, FINANCIAL INSECURITY, TRANSPORTATION INSECURITY, HOUSING INSECURITY, SUBSTANCE ABUSE AND DOMESTIC VIOLENCE AND BEGAN PLANNING FOR EFFORTS TO CONNECT OUR PATIENTS TO THE RESOURCES THEY NEED BASED ON THE RESULTS OF THE SCREENING. WE ALSO BEGAN DEVELOPING OUR TECHNOLOGY PLATFORM TO BE USED ACROSS OUR HEALTH SYSTEM TO CAPTURE PATIENTS: RACE, ETHNICITY, LANGUAGE, AND SEXUAL ORIENTATION/IDENTITY.OLOL WILL NOT ADDRESS THE FOLLOWING NEEDS AS IT FEELS THERE ARE OTHER ORGANIZATIONS/HOSPITALS THAT ARE ALREADY ADDRESSING THESE NEEDS AND ITS RESOURCES ARE BEST DIRECTED TOWARDS THE FIVE NEEDS MENTIONED ABOVE:SOCIAL DETERMINANTS OF HEALTH VIOLENCE PREVENTIONPEDIATRIC AND ADOLESCENT HEALTHPUBLIC HEALTH EMERGENCY PREPAREDNESSCHRONIC DISEASE PART V, SECTION B, QUESTION 6: OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE. PART V, SECTION B, QUESTION 7: OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: THE JOINT CHNA CAN BE FOUND AT THE FOLLOWING WEBSITES: HTTPS://OLOLRMC.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTP://WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://WWW.SSCBR.COM/ABOUT-US/ PART V, SECTION B, QUESTION 13H: OUR LADY OF THE LAKE HOSPITALPRESUMPTIVE 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. PATIENTS' 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 V, SECTION B, QUESTION 16A, B, & C: OUR LADY OF THE LAKE HOSPITAL: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/SURGICAL SPECIALTY CENTER OF BATON ROUGE: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://WWW.SSCBR.COM/FINANCIAL-ASSISTANCE/LAKE SURGICAL HOSPITAL (SLIDELL): THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTP://OLOLSH.COM/FOR-PATIENTS/ PART V, SECTION B, QUESTION 16J: OUR LADY OF THE LAKE HOSPITAL, SURGICAL SPECIALTY CENTER OF BATON ROUGE, LAKE SURGICAL HOSPITAL (SLIDELL): REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. 6 1 - PERKINS PLAZA AMB SURGERY CENTER 7145 PERKINS ROAD BATON ROUGE LA 708084322 SURGERY CENTER 2 - CONVENIENT CARE LLC 7777 HENNESSY BOULEVARD BATON ROUGE LA 70808 URGENT CARE 3 - BRPT-LAKE REHABILITATION CENTERS LLC 530 SHADOWS LANE BATON ROUGE LA 70806 REHABILITATION 4 - LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 URGENT CARE 5 - OLOL PONTCHARTRAIN SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 SURGERY CENTER 6 - PINNACLE CARE HOLDINGS LLC 5627 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 HOME HEALTH 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, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS 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 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. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS 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 HOPSITAL;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 III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGE 18 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. 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 HELP IDENTIFY (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 IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART III, SECTION A, QUESTION 2: THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. 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, OUR LADY OF THE LAKE HOSPITAL JOINED THE MAYOR'S HEALTHY CITY INITIATIVE IN 2007. STILL TODAY, OLOL SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS JUST ONE OF MANY JOINT EFFORTS THAT OLOL HAS PARTICIPATED IN ALONGSIDE OTHER HOSPITALS AND ORGANIZATIONS.IN MAY OF 2008, BATON ROUGE MAYOR-PRESIDENT MELVIN L. "KIP" HOLDEN COMMISSIONED THE MAYOR'S HEALTHY CITY INITIATIVE TO ENCOURAGE BATON ROUGE RESIDENTS TO ADOPT A HEALTHIER AND MORE ACTIVE LIFESTYLE. IN 2017 THERE WAS A CHANGE IN ADMINISTRATION, AND THE NEW MAYOR; SHARON WESTON BROOM COMMITTED TO AND CONTINUES THE WORK OF THE MAYOR'S HEALTHY CITY INITIATIVE. BOTH MAYORS ENVISION A PROGRAM THAT WOULD PROMOTE AND IDENTIFY RESOURCES AVAILABLE IN THE COMMUNITY FOR RESIDENTS TO LIVE HEALTHIER LIVES FREE OF CHRONIC DISEASE.IN LOUISIANA, ALMOST HALF OF OUR CHILDREN ARE CONSIDERED OVERWEIGHT OR OBESE, PUTTING THEM AT A MUCH GREATER RISK OF OBESITY-RELATED HEALTH PROBLEMS LIKE DIABETES, HEART DISEASE, STROKE, CANCER AND ASTHMA. NATIONWIDE THE NUMBER OF CHILDREN WHO ARE CONSIDERED OVERWEIGHT OR OBESE HAS NEARLY TRIPLED OVER THE PAST 30 YEARS. TO TACKLE THIS PROBLEM, THE MAYOR SUBDIVIDED THE INITIATIVE INTO 2 SEPARATE BUT COMPATIBLE PARTS: HEALTHY BR - A FOCUS ON HEALTHIER EATING AND A MORE ACTIVE LIFESTYLE MEDBR - A FOCUS ON ACCESS TO CARE AND HEALTH OUTCOMES EACH SUBGROUP ENGAGES A VARIETY OF PARTNER ORGANIZATIONS IN A COOPERATIVE EFFORT BETWEEN LOCAL AND STATE GOVERNMENTS, AREA HOSPITALS, PUBLIC HEALTH, AND LOCAL HEALTH ORGANIZATIONS AND NONPROFITS.OLOL IS A MAJOR SUPPORTER AND CONTRIBUTOR OF THE MAYOR'S HEALTHY CITY INITIATIVE. THE MAYOR'S HEALTHY CITY INITIATIVE SERVED AS A COMMON PLATFORM, ALLOWING FOR IN-DEPTH ROUNDTABLE DISCUSSIONS AMONG LOCAL AREA HOSPITALS. THE OLOL COMMUNITY ADVOCACY TEAM FACILITATED THOSE DISCUSSIONS AND PROCESSES FOR COMPLETING THE CHNA REPORT.OLOL ALSO WORKS SEPARATELY WITH COMMUNITY ORGANIZATIONS (ON THE CHNA IMPLEMENTATION PLAN) SUCH AS UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, BREC, BRAC, AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OLOL HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT ADDRESS THE 4 SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATION: OUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, EAST BATON ROUGE HAS A POPULATION OF APPROXIMATELY 440,059 RESIDENTS. THE POPULATION IS RELATIVELY YOUNG, A MEDIAN AGE OF 34. THE SENIOR POPULATION COMPRISES ABOUT 15% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $54,948. 17.7% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 4.4%. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES.OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM.THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE 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.OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED.SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE:OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITALOUR LADY OF THE ANGELS HOSPITAL RELATED HOSPITAL IN MISSISSIPPI:ST. DOMINIC JACKSON MEMORIAL HOSPITAL 1 AMERICAN CANCER SOCIETY 250 WILLIAMS STREET STE 4B ATLANTA GA 30303 131788491 501(C)(3) 75000 0 CANCER SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752314596 135613797 501(C)(3) 100675 0 GENERAL SUPPORT ASCENSION CHAMBER OF COMMERCE PO BOX 1204 GONZALES LA 70707 720701121 501(C)(6) 8750 0 GENERAL SUPPORT BATON ROUGE AREA CHAMBER 564 LAUREL ST BATON ROUGE LA 70801 720126959 501(C)(6) 100000 0 THINK BIGGER REGIONAL STRA PLAN PLEDGE BELLA BOWMAN FOUNDATION INC PO BOX 82610 BATON ROUGE LA 708842610 454551630 501(C)(3) 6000 0 BRAIN CANCER INITIATION CITY OF WALKER PO BOX 217 WALKER LA 70785 726013067 GOVT 6000 0 DONATION FOR OUTDOOR EXERCISE AT SIDNEY THE EMERGE FOUNDATION 7784 INNOVATION PARK DR BATON ROUGE LA 70820 455434705 501(C)(3) 10000 0 AUTISM ACCESS TO CARE HEALTH CARE CENTERS IN SCHOOLS 4336 NORTH BOULEVARD BATON ROUGE LA 70806 721443935 501(C)(3) 1450000 0 GENERAL SUPPORT JUNIOR ACHIEVEMENT 7809 JEFFERSON HWY STE D4 BATON ROUGE LA 70809 720485727 501(C)(3) 10000 0 MENTORING SCHOOL KIDS ON PERSONAL FIN LIVINGSTON ECONOMIC DEVELOPMENT COUNCIL P O BOX 809 LIVINGSTON LA 70754 720966247 501(C)(6) 10000 0 LEDC LIVINGSTON TOMORROW INVESTMENT LIVINGSTON PARISH CHAMBER OF COMMERCE 248 VETERANS BLVD DENHAM SPRINGS LA 70726 720632651 501(C)(6) 5465 0 WOMENS LEADERSHIP EVENT LOUISIANA STATE NURSES ASSN 543 SPANISH TOWN RD BATON ROUGE LA 70810 720368150 501(C)(6) 7500 0 SPONSOR LSNA 22 NURSES MO. INITIATIVES MAYORS HEALTHY CITY INITIATIVE 222 SAINT LOUIS STREET BATON ROUGE LA 70802 272515190 501(C)(3) 20000 0 PROMOTE HEALTHY EATING & LIFESTYLE THE SAFETY PLACE 10245 SIEGAN LN STE B BATON ROUGE LA 70810 274504881 501(C)(3) 10000 0 INJURY PREVENTION VOLUNTEER ASCENSION PO BOX 1564 GONZALES LA 707071564 731376404 501(C)(3) 7820 0 DONATION FOR LESS FORTUNATE VOLUNTEERS OF AMERICA 3949 NORTH BLVD BATON ROUGE LA 70806 721020853 501(C)(3) 10000 0 GENERAL SUPPORT FRANCISCAN UNIVERSITY 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721173156 501(C)(3) 2900000 0 GENERAL SUPPORT OUR LADY OF THE LAKE FOUNDATION 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721014324 501(C)(3) 3100000 0 GENERAL SUPPORT LOUISIANA STATE UNIVERSITY 204 THOMAS BOYD HALL BATON ROUGE LA 70803 726000848 GOVT 66850000 0 DEPLOY INTEGRATED CLINICAL TECHNOLOGY, MEDICAL FACILITY IMPROVEMENTS, AND MEDICAL EDUCATIONAL PROGRAMMING 12 6 MONITORING GRANTS FORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT, ARE CHECKED FOR ALL APPROPRIATE INFORMATION, AND ARE PRESENTED TO EXECUTIVE ADMINISTRATION FOR APPROVAL. THE HOSPITAL GIVES GRANTS TO ORGANIZATIONS WELL-KNOWN IN THE COMMUNITY, OR WHICH IT HAS A HISTORY OF GIVING TO. THE HOSPITAL FOLLOWS UP WITH GRANT RECIPIENTS IF THERE IS AN INDICATION OF POTENTIAL THAT THE FUNDS ARE NOT BEING USED FOR CHARITABLE PURPOSES. 0 1 0 0 0 0 0 0 0 KENNETH SCOTT WESTER CEO 0 690598 0 254965 0 183309 0 210730 0 29754 0 1369356 0 125808 DENZIL L MORAES PHYSICIAN 818245 0 422037 0 2322 0 14500 0 25610 0 1282714 0 0 0 JEFF LIMBOCKER BOARD MEMBER/CFO OF FMOLHS 0 670983 0 234110 0 85994 0 160910 0 24287 0 1176284 0 60058 CHARLES A SMITH PHYSICIAN 761383 0 334350 0 1242 0 14500 0 29813 0 1141288 0 0 0 PAUL D GARRETT PHYSICIAN 643639 0 379199 0 1242 0 14500 0 25610 0 1064190 0 0 0 PAUL M DAMPF PHYSICIAN 424502 0 589010 0 540 0 14500 0 28310 0 1056862 0 0 0 MANPREET SINGH PHYSICIAN 529554 0 478703 0 540 0 14500 0 19838 0 1043135 0 0 0 STEVEN T GREMILLION FORMER CMO/CURRENT EVP, CMO FMOLHS 0 599955 0 385164 0 7649 0 14500 0 25128 0 1032396 0 0 LOWELL E STANTON REGIONAL CFO 0 454544 0 176720 0 2747 0 14500 0 28386 0 676897 0 0 ALSTON E DUNBAR PRESIDENT OF CHILDREN'S HOSPIT 417404 0 162511 0 2747 0 14500 0 26186 0 623348 0 0 0 STEPHANIE G MANSON SVP, CHIEF OPERATING OFFICER 407207 0 158120 0 1835 0 26100 0 24073 0 617335 0 0 0 JOHN FRAICHE MD BOARD MEMBER/PHYSICIAN 431269 0 92879 0 4791 0 14500 0 21620 0 565059 0 0 0 NICOLE S TELHIARD SVP, PATIENT CARE SERVICES 318683 0 129664 0 1835 0 26100 0 26025 0 502307 0 0 0 SHAUN M KEMMERLY VP, CHILDREN'S HOSP CMO 362342 0 78715 0 2322 0 14500 0 19504 0 477383 0 0 0 MICHAEL MD TEAGUE BOARD MEMBER/PHYSICIAN 342343 0 56269 0 243 0 26100 0 26259 0 451214 0 0 0 PART 1, 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 MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE. PART 1, QUESTION 4A: THE CEO AND A BOARD MEMBER ARE 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 KEY EMPLOYEES ARE 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 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. AN OFFICER, A FORMER OFFICER AND A KEY EMPLOYEE ARE 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 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. PART 1, QUESTION 4B: FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN 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 PLAN IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. DURING THE CURRENT YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLANS - JEFF LIMBOCKER $83,247 AND SCOTT WESTER $180,562. FORM 990, PART I, LINE 1: TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY. FORM 990, PART III, LINE 1: 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 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE LAKE HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS THE RESERVED POWERS TO THE MEMBER ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 10. 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 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST OUR LADY OF THE LAKE HOSPITAL, INC. 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 HE OR SHE (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 OUR LADY OF THE LAKE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE LAKE HOSPITAL, INC. 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 15 DETERMINING COMPENSATION OUR BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY OUTSIDE SOURCES. 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 COMPENSATION FOR THE CEO OF OUR LADY OF THE LAKE HOSPITAL, INC. 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS -44,475,536. FORM 990, PART XI, LINE 10: SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION OUR LADY OF THE LAKE HOSPITAL, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THE 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) - DE MINIMIS SAFE HARBOR ELECTION OUR LADY OF THE LAKE HOSPITAL, INC. 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). 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