2025-05-15T14:36:57-05:00 2024-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2023-07-01 720423651 OUR LADY OF THE LAKE HOSPITAL INC OURL 2257656565 4200 ESSEN LANE BATON ROUGE LA 70809 JENNIFER CLOWERS REGIONAL CFO 2257656565 2025-05-15 1 0 RYAN HOOKS P00746825 2253444000 2025-05-14 2023 2025-03-06 01:10:19Z JENNIFER CLOWERS 4200 ESSEN LANE BATON ROUGE LA 70809 2049073020 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) 17 12 8368 216 8966440 5887084 6806204 24198373 1618288353 1843176393 26965951 19856236 32640940 14486158 1684701448 1901717160 8359123 10451130 0 0 648530206 689925921 0 0 0 934651817 1018519827 1591541146 1718896878 93160302 182820282 2699246110 3213678720 959844289 1178237135 1739401821 2035441585 X SEE SCHEDULE O 0 0 1082802936 10451130 1513553756 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 209,111 PATIENT DAYS, 207,271 EMERGENCY ROOM VISITS AND 39,873 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. 287115327 0 335142355 OUR LADY OF THE LAKE HOSPITAL'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 1369918263 1 1 0 0 0 0 0 0 0 0 1 1 0 1 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 0 0 1 8368 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 12 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 GREG BOWSER SECRETARY 2.00 2.00 X X 0 0 0 JAMIE BURGESS BOARD MEMBER 2.00 0.00 X 0 0 0 SR HELEN CAHILL BOARD MEMBER 2.00 3.50 X 0 0 0 TODD CARUSO BOARD MEMBER 2.00 0.00 X 0 0 0 CURTIS CHASTAIN BOARD MEMBER/PHYSICIAN 40.00 0.00 X 1209487 0 58706 MICHAEL CRAPANZANO BOARD MEMBER 2.00 2.00 X 0 0 0 RONNIE DAIGLE BOARD MEMBER 2.00 1.00 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 2.00 X 655629 0 38603 STEVEN GREMILLION MD BD MBR/FMOLHS CHIEF MEDICAL OFFICER 40.00 0.75 X 0 1158377 42891 SCOTT N HENSGENS VICE CHAIR 2.00 2.00 X X 0 0 0 HARRY J PHILLIPS JR CHAIR 2.00 2.00 X X 0 0 0 MARY RAVEN MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 341333 0 18352 KIM HUNTER REED PHD BOARD MEMBER 2.00 0.00 X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.00 2.00 X 0 0 0 CHARLES L SPICER JR BOARD MEMBER/MARKET PRESIDENT 4.00 40.00 X X 0 926102 129969 STEPHEN M TOUPS BOARD MEMBER 0.50 2.00 X 0 0 0 JENNIFER CLOWERS VP, FINANCE/REGIONAL CFO 1.00 40.00 X 0 632613 82941 NICOLE S TELHIARD SVP, PATIENT CARE SVCS 40.00 0.00 X 443973 0 56192 SHAUN M KEMMERLY VP, CHIEF MEDICAL OFFICER 40.00 0.00 X 604579 0 36941 LOGAN AUSTIN SVP, COO (START 8/14/23) 40.00 0.00 X 172862 0 2682 DENZIL MORAES PHYSICIAN 40.00 0.00 X 1564584 0 48407 PAUL GARRETT PHYSICIAN 40.00 0.00 X 1099964 0 47127 PAUL DAMPF PHYSICIAN 40.00 0.00 X 1198849 0 45506 VINCE CATALDO PHYSICIAN 40.00 0.00 X 1173269 0 26894 TIMOTHY DEVRAJ PHYSICIAN 40.00 0.00 X 1119673 0 48961 LOWELL STANTON FORMER REGIONAL CFO/LOURDES CFO 0.00 40.50 X 0 600074 42876 STEPHANIE MANSON FORMER SVP, CURRENT LOURDES MKT PRES 1.00 40.00 X 0 758593 56031 KENNETH SCOTT WESTER FORMER CEO 0.00 0.00 X 0 703310 0 ALSTON E DUNBAR FORMER PRES - CHILDREN'S HOSPITAL 0.00 0.00 X 432848 0 0 10017050 4779069 783079 1389 1 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT FEES 144585115 LSUHSC-NEW ORLEANS 433 BOLIVAR STREET NEW ORLEANS LA 70112 MEDICAL SERVICES 63898464 ANESTHESIOLOGY GROUP ASSOC INC 11414 LAKE SHERWOOD AVE NORTH BATON ROUGE LA 70816 ANSETHESIOLOGY SVCS 31010491 TRIMEDX INC PO BOX 636129 CINCINNATI OH 45263 BIOMED SERVICES 19420202 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICES 17139698 189 1286140 19504587 3407646 24198373 PATIENT SERVICE REVENU 621400 1683569546 1683569546 PHARMACY 456110 83033056 83033056 ALL OTHER PROGRAM SERV 900099 55050801 55050801 INCOME FROM EQUITY INV 523000 15431132 6464692 8966440 OUTREACH LAB 621500 5343764 5343764 748094 748094 1843176393 21867143 21867143 -8527 -8527 12747164 0 12747164 12747164 12747164 144560890 792590 147355860 0 -2794970 792590 -2002380 -2002380 PENSION RELATED CHANGE 900099 1738994 1738994 1738994 1901717160 1848696111 8966440 19856236 10451130 10451130 3622316 3391134 231182 583978635 543317065 40661570 16996480 15936160 1060320 48066061 45064263 3001798 37262429 34937825 2324604 267105946 153076928 114029018 719235 408514 310721 2794 1587 1207 2683512 2683512 125719787 90943232 34776555 3999512 1471169 2528343 125754572 56283205 69471367 1222204 449572 772632 30060631 23582592 6478039 890460 327544 562916 287481 105746 181735 24612294 1011876 23600418 61209023 51872600 9336423 17358070 7075716 10282354 MEDICAL SUPPLIES EXPENS 341816422 316259848 25556574 PURCHASED SERVICES 6142770 5683494 459276 OTHER EXPENSES 5258153 4865017 393136 REPAIRS & MAINTENANCE 3676961 3402046 274915 1718896878 1369918263 348978615 0 22046548 5032881 10454910 226668780 135530564 141891643 349980 307449 24143139 22697424 8234721 9414875 1582611019 807394567 815853922 775216452 1173183242 1338927788 94053195 95221763 33236288 33188904 382159601 565110761 2699246110 3213678720 233413013 259104516 9340806 1592961 497213129 493848468 219877341 423691190 959844289 1178237135 X 1721482702 2016178237 17919119 19263348 1739401821 2035441585 2699246110 3213678720 X 182820282 156862388 -43642906 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 83230883 83230883 979631929 442191003 537440926 28643193 4096329 24546864 470905977 341564687 129341290 20199037 19542548 656489 775216452 FND DEPR FMOL PORTFOLIO 1338927788 F 1338927788 DUE FROM AFFILIATES 565260560 565260560 RETIREMENT PAYABLE - LT 87143074 OPERATING LEASES 18605730 NOTES PAYABLE 36605399 FINANCIAL LEASES 1838601 OTHER PAYABLES 48139601 SELF INSURANCE LIABILITY 16359524 INVESTMENTS HELD AT FMOLHS 214999261 423691190 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 0 15728990 15728990 0.00920 494458616 494458616 510187606 494458616 15728990 0.00920 1033629 144745 888884 0.00050 90208458 62144176 28064282 0.01630 11767595 1377988 10389607 0.00600 4290370 1106617 3183753 0.00190 781418 781418 0.00050 108081470 64773526 43307944 0.02520 618269076 559232142 59036934 0.03440 397 397 0.00000 397 397 0.00000 1 72912732 130732657 136638997 -5906340 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 SEE SUPPLEMENT AT PART V 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 CITY INITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHY BR AND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESE GROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS INCLUDING THE OFFICE OF PUBLIC HEALTH, NONPROFIT ORGANIZATIONS AND SCHOOLS.THE LOCAL HOSPITALS PARTICIPATING WERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTER BATON ROUGE. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 5: THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS, A REGIONAL FOCUS GROUP, AND SURVEYS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNING PROCESS. LAKE SURGICAL HOSPITAL (SLIDELL) CONSIDERED INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING GINA LAGARDE, MD, MBA, REGIONAL MEDICAL DIRECTOR/ADMINISTRATOR, REGION 9, LOUISIANA OFFICE OF PUBLIC HEALTH, IN THE PROCESS OF CONDUCTING ITS NEXT COMMUNITY HEALTH NEEDS ASSESSMENT AND DETERMINING THE SIGNIFICANT NEEDS OF THE COMMUNITY. ADDITIONALLY, SLIDELL CONSIDERED INPUT FROM THOSE WHO REPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OF POPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLY UNDERSERVED, AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIAL DETERMINANTS 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 ROUGE GENERAL MEDICAL CENTER, OSCHNER MEDICAL CENTER BATON ROUGE, SURGICAL SPECIALTY CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'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: DURING THE CURRENT YEAR, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (OLOLRMC) CONTINUED TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE PRIOR CHNA. THOSE NEEDS WERE HEALTH EQUITY/RACIAL DISPARITIES, MATERNAL AND INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS/HIV, HEALTHY LIVING/LIFESTYLE, BEHAVIORAL HEALTH. DURING THE CURRENT YEAR, TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF HEALTH EQUITY/RACIAL DISPARITIES, MATERNAL AND INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS/HIV, HEALTHY LIVING/LIFESTYLE, BEHAVIORAL HEALTH, THE HOSPITAL DID THE FOLLOWING:SEXUALLY TRANSMITTED INFECTIONS/HIV:OLOLRMC ADDRESSED HIV/STIS WITH A PAP COMPLETION RATE OF 56% (AN INCREASE FROM 37%). WITH A VIRAL SUPPRESSION RATE HOLDING AT 90% SINCE MARCH 2023, OLOLRMC'S SOAR GROUP HAS NOW MOVED THE METER TO A 1005 VIRAL SUPPRESSION FOR PATIENTS PARTICIPATING IN THE GROUP.HEALTH EQUITY/RACIAL DISPARITIES:OLOLRMC CONTINUED SCREENING PATIENTS FOR THE SOCIAL DETERMINANTS OF HEALTH. A TOTAL OF 303 PATIENTS WERE REFERRED FOR SERVICES AFTER INDICATING FOOD INSECURITY. OF THOSE 303 PATIENTS, 116 FOLLOWED THROUGH TO ENROLL IN A PROGRAM TO ADDRESS THEIR FOOD INSECURITY. NUTRITION EDUCATION CLASSES WERE PROVIDED TO 72 PARTICIPANTS. IN THE PHYSICIAN GROUP (LPG), 75% (19,515 OF 25,952) OF AMBULATORY PATIENTS WERE SCREENED FOR SOCIAL DETERMINANTS OF HEALTH (SDOH), AND, OF THOSE WHO WERE SCREENED, 55% SCREENED POSITIVE FOR AT LEAST ONE INDICATOR. REFERRALS FOR THESE PATIENTS WERE MADE FROM THE PHYSICIANS TO THE SOCIAL WORK TEAM TO ADDRESS AND FOLLOW THROUGH THE PROCESS AFTER THE REFERRALS WERE MADE. IN THE INPATIENT SETTING, 51% OF ADMITTED ADULTS (10,747 OF 21,031 PATIENTS) WERE SCREENED FOR SDOH (INCLUDES DATA FROM OUR LADY OF THE LAKE ASCENSION). HEALTHCARE CENTERS IN SCHOOL, FUNDED BY OLOLRMC, REPORTED A TOTAL OF 9527 VISITS IN 2023 AND 11521 VISITS IN 2024. THE VISITS WERE A MIX OF MEDICAL, BEHAVIORAL HEALTH AND WELL CHILD CHECKS. THE CENTERS PROVIDED CARE TO 40,287 STUDENTS ACROSS 76 SCHOOLS IN EAST BATON ROUGE PARISH SCHOOL SYSTEM AND 2972 CHILD THROUGH CHARTER SCHOOL PARTNERSHIPS. DURING THE 2023-24 SCHOOL YEAR, HEALTHCARE CENTERS IN SCHOOLS INCREASED THE NUMBER OF IMMUNIZATIONS GIVEN FROM 233 TO 816. DIVERSITY, EQUITY AND INCLUSION EFFORTS SHOWCASED WORKFORCE DEVELOPMENT AS A CRUCIAL WAY TO ADVANCE HEALTH EQUITY BY ADDRESING SDOH WHEN CREATING ECONOMIC OPPORTUNITIES IN UNDERSERVED COMMUNITIES. FOR THE TIMEFRAME DESCRIBED, 29 CERTIFIED NURSING ASSISTANTS (OUTWARD FACING), 8 STERILE PROCESSING TECHNICIANS (IN-HOUSE), AND 1 MRI TECHNICIAN (IN-HOUSE) WERE CREDENTIALED. OLOLRMC ALSO HOSTED 17 HIGH SCHOOL INTERNSHIPS, 10 COLLEGIATE-LEVEL INTERNSHIPS, AND 4 INTERNSHIPS HOSTED FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES THROUGH PARTNERSHIPS WITH POST-SECONDARY INSTITUTIONS. OLOLRMC CONDUCTED 6 HOSPITAL TOURS TO INTRODUCE HEALTHCARE TO PRIMARY AND SECONDARY SCHOOL AUDIENCES, COLLABORATED WITH FRANU TO HOST HOSA STUDENTS IN A HOSPITAL TOUR AND TO HOST STEM NOLA STUDENTS IN A STEM SATURDAY EVENT AT FRANU, AND COORDINATED WITH SOUTHEASTERN LOUISIANA AREA EDUCATION CENTER. ADDITIONALLY, OLOLRMC REPORTED A 2% IMPROVEMENT IN MINORITY TURNOVER AND 100% COMPLIANCE IN UNCONSCIOUS BIAS RECRUITER TRAINING. HEALTHY LIVING/LIFESTYLE:OLOLRMC'S OUTPATIENT COMPREHENSIVE DIABETES EDUCATION PROGRAM SERVED MORE THAN 682 ADULTS AND CHILDREN THROUGH BOTH IN-PERSON AND TELEMEDICINE SESSIONS. THE PROGRAM SUCCESSFULLLY REDUCED PATIENTS' HGBA1C LEVELS BY MORE THAN 2 POINTS. THE PROGRAM PARTNERED WITH LSU'S AGRICULTURAL DEPARTMENT ON A RESEARCH STUDY THAT WAS PUBLISHED IN "THE SCIENCE OF DIABETES SELF-MANAGEMENT AND CARE JOURNAL, AND THE PROGRAM WAS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR PROVIDING QUALITY SELF-MANAGEMENT EDUCATION.THE PROGRAM ALSO VOLUNTEERS EACH SUMMER AT THE AMERICAN DIABETES ASSOCIATION'S DIABAETES CAMP, "CAMP VICTORY." DIABETES NUTRITION MID-CITY REPORTED 1468 VISITS, INPATIENT DIABETES AND NUTRITION AT OLOLRMC REPORTED 530 VISITS, AND OUTPATIENT DIABETES AND NUTRITION AT OLOLRM REPORTED 92 VISITS. FOR A TOTAL OF 2090 VISITS FOR THE YEAR. 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 SURGICAL SPECIALTY CTR OF BATON ROUGE PART V, SECTION B, LINE 11: SURGICAL SPECIALTY CENTER OF BATON ROUGE (SSC) IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT CHNA WITH OUR LADY OF THE LAKE HOSPITAL. SSC IS ADDRESSING HEALTH EQUITY AND RACIAL DISPARITIES BY PROVIDING SERVICES TO PATIENTS MEDICAID COVERAGE AND PROVIDING 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 FROM PATIENTS LIVING OUTSIDE OF EBR AS WELL. SSC OFFERED COMMUNITY SUPPORT BY SPONSORING THE BLUE RIBBON SOIREE TO ADVANCE PROSTATE CANCER PREVENTION AND TREATMENT. SSC ALSO SPONSORED CASA, SERVING THE UNDERSERVED POPULATION OF CHILDREN WHO NEED COURT APPOINTED ADVOCATES. SSC HAS EXPERIENCED MORE GROWTH IN ITS TOTAL JOINT PROGRAM AS MORE ELECTIVE CASES MOVED FROM LARGER HOSPITALS TO SSC. SSC RECENTLY EXPANDED THE JOINT PROGRAM TO PROVIDE ROBOTIC JOINT REPLACEMENT IN ORDER TO INCREASE ACCESS TO CARE THAT IMPROVES HEALING, OUTCOMES, AND MORE FOR PATIENTS. SURGICAL SPECIALTY CENTER OF BATON ROUGE STARTED A PREADMISSIONS CLINIC TO ASSIST WITH CONTINUUM OF CARE / ACCESS TO SERVICES / OTHER PROVIDERS. THE PREADMISSIONS CLINIC PROVIDES MORE RIGOROUS HEALTH SCREENING AND HELPS ADDRESS CHRONIC DISEASE MANAGEMENT. ADDITIONALLY, THE CENTER IMPLEMENTED A SUICIDE SCREENING FOR ALL PATIENTS UPON ADMISSION. SSC WILL NOT ADDRESS THE FOLLOWING NEEDS AS THEY ARE OUTSIDE OF THE SCOPE OF SSC: BEHAVIORAL HEALTH, MATERNAL AND INFANT HEALTH, AND SEXUALLY TRANSMITTED INFECTIONS. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE SURGICAL HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN THE FY22 CHNA: ELIMINATING BARRIERS TO CARE, HEALTH LITERACY, ECONOMY/POVERTY, RACISM, OBESITY, EDUCATION, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTATION, JOBS, AND SPECIALTY CARE. DURING 2024, IN AN ATTEMPT TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS SURROUNDING BARRIERS TO CARE AND HEALTH LITERACY ISSUES, OLOLSH DID THE FOLLOWING:IN 2024, OLOLSH PROVIDED NUTRITIONAL EDUCATION AND WEIGHT MANAGEMENT SERVICES TO A VULNERABLE POPULATION WHO ALSO EXPERIENCES CHALLENGES WITH RESPECT TO ACCESS TO CARE. OLOLSH PROVIDED NUTRITIONAL EDUCATION TO MORE THAN 60 PATIENTS MONTHLY WHO RECEIVE EDUCATION AT THE FACILITY PROVIDED BY A LICENSED DIETITIAN. THE DIETITIAN ALSO PROVIDED NUTRITIONAL EDUCATION TO PATIENTS BOTH AT THE FACILITY AND AT THE COUNCIL ON AGING OFFICE TO PATIENTS AND MEMBERS OF THE COUNCIL ON AGING TO ASSIST WITH DIET AND NUTRITIONAL MANAGEMENT. OLOLSH IS A DESIGNATED CENTER OF EXCELLENCE FOR BARIATRIC SURGERY AND PROVIDES PATIENTS WITH SURGICAL OPTIONS THAT OFTEN RESULTS IN A BETTER QUALITY OF LIFE FOR YEARS TO COME. OLOLSH RECOGNIZED A LARGE PORTION OF THE NORTHERN ST. TAMMANY AND WASHINGTON PARISH COMMUNITIES SUFFERED FROM POOR ACCESS TO CARE AND TRANSPORTATION. THIS PORTION OF THE COMMUNITY IS UNDERSERVED SECONDARY TO INCOME LEVELS, EDUCATION, AND TRANSPORTATION AND THERE ARE VERY FEW PROVIDERS TO SERVICE THIS POPULATION. IN EARLY 2022, OLOLSH OPENED AN ORTHOPEDIC CLINIC TO BETTER SERVE THIS POPULATION. A MIDLEVEL PROVIDER WAS RETAINED TO SEE THE INITIAL PATIENTS AND DIRECT THOSE PATIENTS TO PHYSICIANS WHO CAN CONTINUE TO TREAT THEIR MEDICAL NEEDS. IN 2024, OLOLSH PROVIDED A PHYSICIAN WHO CAN PROVIDE SURGICAL INTERVENTION TO THAT SAME POPULATION. THE PROGRAM HAS EXPANDED TO INCLUDE SURGICAL OPPORTUNITIES FOR THE UNDERSERVED POPULATION AND HAS EXPANDED TO PARTNER WITH OUR LADY OF ANGELS HOSPITAL IN WASHINGTON PARISH AS WELL. OLOLSH EFFORTS IN ORTHOPEDIC SERVICES IS ONGOING ALLOWING THE FACILITY TO CONTINUE TO SERVE ITS MOST VULNERABLE POPULATIONS. OLOLSH HAS ALSO PROVIDED A SECOND PHYSICIAN TO EXPAND CLINIC AND SURGERY TO PATIENTS OF LOWER INCOME FAMILIES REGARDLESS OF ABILITY TO PAY.OLOLSH HAS EVALUATED ITS POSITION IN THE HEALTHCARE MARKET AND IS FOCUSED ON HEALTH EQUITY IN OUR COMMUNITY'S OVERALL SERVICE AREAS. OLOLSH HAS A VERY DIVERSE GROUP OF EMPLOYEES WHO ARE ALWAYS FOCUSED ON DELIVERING HIGH QUALITY HEALTHCARE TO THE ENTIRE COMMUNITY. OLOLSH ALSO PROVIDES SERVICES TO ALL THOSE IN OUR COMMUNITY IN NEED OF CARE WITHOUT REGARD FOR ABILITY TO PAY, AND WE CONTINUE TO SERVICE THOSE LESS FORTUNATE IN OUR COMMUNITY. OLOLSH HAS CONTINUED TO PROVIDE WEIGHT MANAGEMENT PROGRAMS, ORTHOPEDIC SERVICES, AND IN-HOSPITAL CARE TO ALL IN NEED WITHOUT JUDGEMENT. WE CONTINUE TO PROVIDE ENT SERVICES TO CHILDREN WHO NEED CARE FROM FAMILIES WHO HAVE INCOME CHALLENGES. OUR STAFF PROVIDES CHRISTMAS SERVICES EVERY YEAR SINCE 2007, ALONG WITH SUPPORT TO CHILDREN IN OUR COMMUNITY OF INCOME-CHALLENGED FAMILIES.OLOLSH RECOGNIZES THE COMMUNITY'S NEED FOR TRANSPORTATION SERVICES AND THE DIFFICULTY PATIENTS AND COMMUNITIES EXPERIENCE WITH RESPECT TO MAKING APPOINTMENTS AND REECEIVING CARE. THROUGH OUTREACH, OLOLSH PROVIDES A PHYSICIAN ASSISTANT TO ASSIST WITH PATIENT CARE IN WASHINGTON PARISH AND TO THOSE IN OUR SERVICE AREAS IN AN ATTEMPT TO BRING THE PROVIDER TO THE PATIENT. TWO ADDITIONAL CLINICS WERE ALSO MAINTAINED IN THE IMMEDIATE SERVICE AREA. THESE CLINICS PROVIDE SERVICE FOR UNDERSERVED POPULATIONS WHO ARE SEEKING CARE. WHEN NECESSARY, OLOLSH PROVIDES TRANSPORTATION TO ASSIST PATIENTS WHO NEED TRANSPORTATION ASSISTANCE AFTER DISCHARGE TO RETURN TO THEIR RESIDENCE. OLOLSH WILL NOT DIRECTLY ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED OF ECONOMY/POVERTY, RACISM, OBESITY, EDUCATION, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTATION, JOBS, AND SPECIALTY CARE AS THESE NEEDS ARE EITHER OUTSIDE OF THE HOSPITAL'S SCOPE OR BETTER ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. 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://WWW.FMOLHS.ORG/ABOUT-US/COMMUNITY-IMPACTHTTP://WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://WWW.SSCBR.COM/ABOUT-US/ PART V, SECTION B, LINE 7A: THE HOSPITAL FACILITY'S CHNA CAN BE FOUND AT HTTPS://OLOLSH.COM/FOR-PATIENTS (PLEASE TYPE INTO BROWSER USING LOWER CASE LETTERS). 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:HTTPS://OLOLSH.COM/FOR-PATIENTS (PLEASE TYPE INTO BROWSER USING LOWER CASE LETTERS) 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: EFFECTIVE JULY 1, 2023, THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH IMPLEMENTED A NEW MEDICAID PAYMENT PROGRAM WHICH MATERIALLY INCREASED HOSPITAL MEDICAID FUNDING. THE NEW PAYMENT MODEL IS DESIGNED TO PAY HOSPITALS ABOVE COST BY PAYING AMOUNTS ROUGHLY EQUIVALENT TO RATES PAID BY COMMERCIAL INSURANCE COMPANIES. ACCORDINGLY, EVEN THOUGH SERVICES TO MEDICAID PATIENTS REMAINED CONSISTENT WITH PAST YEARS, NO COMMUNITY BENEFIT IS BEING DERIVED FROM THE SERVICES PROVIDED TO MEDICAID PATIENTS. A COST TO CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. 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 15 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 HEALTH IS ONE OF THE 25 LARGEST HOSPITALS IN THE NATION AND ONE OF ONLY THREE LEVEL I TRAUMA CENTERS IN THE LOUISIANA (AND THE ONLY IN THE CAPITAL REGION). RECOGNIZED FOR EXCELLENCE IN THE AREAS OF HEART AND VASCULAR, TRAUMA AND EMERGENCY, STROKE, CANCER, MINIMALLY INVASIVE PROCEDURES AND MORE, OUR LADY OF THE LAKE HEALTH IS POSITIONED TO SERVE ALL CORNERS OF ITS COMMUNITY, ATTRACT TOP MEDICAL TALENT TO THE AREA AND GROW THE STRENGTH OF MEDICAL EDUCATION, TRAINING, AND RESEARCH. OUR LADY OF THE LAKE HEALTH GIVES PATIENTS ACCESS TO: A MORE THAN 900-LICENSED BED HOSPITAL, THE AREA'S ONLY LEVEL I TRAUMA CENTER, CARE COORDINATION WITH THE OUR LADY OF THE LAKE CHILDREN'S HOSPITAL LOCATED IMMEDIATELY ACROSS THE STREET, A MORE THAN 650-PROVIDER CARE NETWORK COVERING MORE THAN 40 SPECIALTIES, A NETWORK OF NEARLY 15 URGENT CARE CLINICS, AND OUTPATIENT IMAGING, PHYSICAL THERAPY, REHABILITATION AND SURGERY CENTERS. OUR LADY OF THE LAKE HEALTH IS A BRANCH CAMPUS FOR THE LSU SCHOOL OF MEDICINE, CONSISTENTLY RECOGNIZED AS A NATIONAL LEADER IN IMPLEMENTING INNOVATIVE MODELS FOR COLLABORATION, INCLUDING THE AIAMC INNOVATION AWARD, PATHWAY INNOVATOR IN PURSUING EXCELLENCE IN CLINICAL LEARNING ENVIRONMENTS, AND THE AIAMC JUSTICE, EQUITY, DIVERSITY AND INCLUSION NATIONAL INITIATIVE. OUR LADY OF THE LAKE HEALTH'S NINE-STORY, 330,000-SQUARE-FOOT HEART & VASCULAR INSTITUTE BRINGS THE HIGHEST LEVEL OF PATIENT CARE TO THE GREATER BATON ROUGE AND SOUTH LOUISIANA COMMUNITIES IN A SINGLE, HEALING ENVIRONMENT. DESIGNED IN PARTNERSHIP WITH PHYSICIANS, NURSES, AND OTHER CLINICAL TEAM MEMBERS, THE FACILITY FEATURES A UNIVERSAL PATIENT FLOOR WHERE PATIENTS CAN ACCESS THE FULL CONTINUUM OF CARE AND STAY IN THE SAME PRIVATE ROOM THROUGHOUT THE HEALING PROCESS. THE INTENSIVE CARE ROOMS ALSO INCLUDE SLEEPING ACCOMMODATIONS FOR LOVED ONES, AND THE UNIT DESIGN WAS NAMED THE BEST IN THE COUNTRY BY THE SOCIETY OF CRITICAL CARE MEDICINE FOR HAVING THE IDEAL PATIENT- AND FAMILY-FOCUSED ELEMENTS TO PROMOTE RECOVERY. OUR LADY OF THE LAKE CANCER INSTITUTE IS THE REGION'S LEADER IN PROVIDING COMPREHENSIVE PREVENTION, EARLY DETECTION, TREATMENT, AND SURVIVORSHIP CARE. THE TEAMS HAVE A VAST NETWORK OF COLLABORATORS ACROSS LOUISIANA TO ADDRESS TREATMENT ISSUES AND MAKE DISCOVERIES THAT HAVE A NATIONAL IMPACT AND OFFER EACH CANCER PATIENT INDIVIDUALLY TAILORED TREATMENT OPTIONS. THE INSTITUTE DRAWS UPON RESOURCES FROM ITS NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER AND FROM OUR LADY OF THE LAKE'S GRADUATE MEDICAL EDUCATION PROGRAMS AND STRONG RELATIONSHIPS WITH LOUISIANA STATE UNIVERSITY AND PENNINGTON BIOMEDICAL RESEARCH CENTER. CANCER RESEARCHERS AND PROVIDERS WORK SIDE BY SIDE TO ADVANCE CANCER TREATMENT. AS THE REGION'S DESTINATION FOR CANCER CARE, OUR LADY OF THE LAKE CANCER INSTITUTE OFFERS THE MOST ADVANCED TECHNOLOGY AND SERVICES PROVIDED BY A DEDICATED TEAM OF NATIONALLY RECOGNIZED ONCOLOGY EXPERTS. THE INSTITUTE PROVIDES BEST PRACTICE, COMPREHENSIVE CARE AT EVERY STATE OF THE CANCER JOURNEY, INCLUDING DISEASE SITE-SPECIFIC, MULTIDISCIPLINARY CARE TEAMS, A ROBUST CLINICAL RESEARCH PROGRAM, AND EXTENSIVE SUPPORT CARE SERVICES. OUR LADY OF THE LAKE CANCER INSTITUTE IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS, FOR EXCELLENCE IN COLON AND RECTAL CANCER TREATMENT. THIS ACCREDITATION IS GRANTED ONLY TO THOSE PROGRAMS COMMITTED TO PROVIDING THE BEST POSSIBLE CARE TO PATIENTS WITH RECTAL CANCER. 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 HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752314596 135613797 501(C)(3) 150000 0 GENERAL SUPPORT ASCENSION CHAMBER OF COMMERCE PO BOX 1204 GONZALES LA 70707 720701121 501(C)(6) 17125 0 GENERAL SUPPORT BATON ROUGE AREA CHAMBER 564 LAUREL ST BATON ROUGE LA 70801 720126959 501(C)(6) 50000 0 REGIONAL ECONOMIC DEVELOPMENT BELLA BOWMAN FOUNDATION INC PO BOX 82610 BATON ROUGE LA 708842610 454551630 501(C)(3) 19000 0 BRAIN CANCER SUPPORT THE EMERGE FOUNDATION 7784 INNOVATION PARK DR BATON ROUGE LA 70820 455434705 501(C)(3) 12500 0 AUTISM ACCESS TO CARE HEALTH CARE CENTERS IN SCHOOLS 4336 NORTH BOULEVARD BATON ROUGE LA 70806 721443935 501(C)(3) 2900000 0 ACCESS TO CARE FOR SCHOOL STUDENTS JUNIOR ACHIEVEMENT 7809 JEFFERSON HWY STE D4 BATON ROUGE LA 70809 720485727 501(C)(3) 12500 0 MENTORING SCHOOL KIDS ON PERSONAL FINANCE AND WORK UNDERSTANDING 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) 8175 0 GENERAL SUPPORT THE SAFETY PLACE 10245 SIEGAN LN STE B BATON ROUGE LA 70810 274504881 501(C)(3) 30000 0 INJURY PREVENTION VOLUNTEER ASCENSION PO BOX 1564 GONZALES LA 707071564 731376404 501(C)(3) 10000 0 DONATION FOR LESS FORTUNATE (SCHOOL SUPPLIES, SCHOOL TOOLS, CONNECTIONS, ) BATON ROUGE SOCCER ASSOCIATION 142 LOBDELL AVE BATON ROUGE LA 70806 720805656 501(C)(3) 40000 0 GENERAL SUPPORT PENNINGTON BIOMEDICAL RESEARCH FOUNDATION 6400 PERKINS RD BATON ROUGE LA 70808 581767810 501(C)(3) 7500 0 GENERAL SUPPORT SOUTHERN UNIVERSITY SYSTEM FOUNDATION JS CLARK ADMINISTRATION BUILDING 4 BATON ROUGE LA 70813 237052911 501(C)(3) 92000 0 GENERAL SUPPORT THE JOHN PAUL II FOUNDATION 23110 HAZEL FIELD COURT KATY TX 77494 461840643 501(C)(3) 10000 0 OFFER CONTINUING EDUCATION FOR HEALTHCARE PROFESSIONALS FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721173156 501(C)(3) 1000000 0 GENERAL SUPPORT OUR LADY OF THE LAKE FOUNDATION 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721014324 501(C)(3) 3100000 0 GENERAL SUPPORT BATON ROUGE AREA FOUNDATION 100 NORTH STREET STE 900 BATON ROUGE LA 70802 726030391 501(C)(3) 30000 0 GENERAL SUPPORT BATON ROUGE CHILDRENS ADVOCACY CENTER PO BOX 64740 BATON ROUGE LA 70896 260028918 501(C)(3) 6000 0 PREVENTION OF CHILD ABUSE SPONSORSHIP BROC FOUNDATION INC 8080 BLUEBONNET BLVD STE1000 BATON ROUGE LA 70810 461941501 501(C)(3) 368900 0 ALTHELETIC TRAINING (ATC) OUTREACH FUND KIWANIS CLUB OF CORTANA PO BOX 84174 BATON ROUGE LA 70884 275005531 501(C)(3) 7000 0 GENERAL SUPPORT CHILDRENS HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70115 720467503 501(C)(3) 25000 0 GENERAL SUPPORT EPILEPSY ALLIANCE LOUISIANA 11822 JUSTICE AVE BATON ROUGE LA 70816 720824847 501(C)(3) 7500 0 GENERAL SUPPORT FOR EPILEPSY FRIENDS OF BATON ROUGE ZOO 3601 THOMAS ROAD BATON ROUGE LA 70807 721094494 501(C)(3) 10000 0 ANIMAL WELLBEING, CONSERVATION, COMMUNITY ENGAGEMENT & EDUCATION LMHPCO (LOUISIANA MISSISSIPPI HOSPICE PALLIATIVE CARE ORGANIZATION) 717 KERLEREC NEW ORLEANS LA 70116 581895161 501(C)(3) 7500 0 HOSPICE AND PALLIATIVE CARE LOUISIANA NURSES FOUNDATION INC 543 SPANISH TOWN ROAD BATON ROUGE LA 70802 581697506 501(C)(3) 30000 0 ADVANCE AND SUPPORT PROFESSIONAL NURSES IN LOUISIANA THROUGH RESEARCH, EDUCATION. LOUISIANA STATE UNIVERSITY PO BOX 25095 BATON ROUGE LA 70894 501(C)(3) 39065 0 GENERAL SUPPORT LSU FOUNDATION 3796 NICHOLSON DRIVE BATON ROUGE LA 70802 501(C)(3) 25000 0 LSU AI INITIATIVE LSU HEALTH FOUNDATION NEW ORLEANS LSU HEALTH FOUNDATION NEW ORLEANS NEW ORLEANS LA 70112 721115391 501(C)(3) 20000 0 GENERAL SUPPORT THE HOSPICE OF BATON ROUGE 3600 FLORIDA BLVD BATON ROUGE LA 70806 581613267 501(C)(3) 15000 0 GENERAL SUPPORT TIGER ATHLETIC FOUNDATION PO BOX 711 BATON ROUGE LA 70821 501(C)(3) 132000 0 GENERAL SUPPORT REDEMPTORIST STGERARD SCHOOL 3655 SAINT GERARD AVE BATON ROUGE LA 70805 720687764 501(C)(3) 0 70000 FMV COSTS FOR PAINTING RENOVATIONS GENERAL SUPPORT 28 4 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. X 1 1 1 1 0 0 0 0 0 0 0 DENZIL MORAES PHYSICIAN 1056485 0 505688 0 2411 0 16500 0 31907 0 1612991 0 0 0 CURTIS CHASTAIN BOARD MEMBER/PHYSICIAN 1143185 0 62251 0 4051 0 29700 0 29006 0 1268193 0 0 0 PAUL DAMPF PHYSICIAN 539596 0 658692 0 561 0 16500 0 29006 0 1244355 0 0 0 STEVEN GREMILLION MD BD MBR/FMOLHS CHIEF MEDICAL OFFICER 0 650948 0 499516 0 7913 0 16500 0 26391 0 1201268 0 0 VINCE CATALDO PHYSICIAN 999832 0 167307 0 6130 0 16500 0 10394 0 1200163 0 0 0 TIMOTHY DEVRAJ PHYSICIAN 1068202 0 50181 0 1290 0 16500 0 32461 0 1168634 0 0 0 PAUL GARRETT PHYSICIAN 766796 0 331878 0 1290 0 16500 0 30627 0 1147091 0 0 0 CHARLES L SPICER JR BOARD MEMBER/MARKET PRESIDENT 0 716043 0 163924 0 46135 0 104500 0 25469 0 1056071 0 0 STEPHANIE MANSON FORMER SVP, CURRENT LOURDES MKT PRES 0 480766 0 275104 0 2723 0 29700 0 26331 0 814624 0 0 JENNIFER CLOWERS VP, FINANCE/REGIONAL CFO 0 410422 0 220415 0 1776 0 55765 0 27176 0 715554 0 0 KENNETH SCOTT WESTER FORMER CEO 0 0 0 0 0 703310 0 0 0 0 0 703310 0 0 JOHN FRAICHE MD BOARD MEMBER/PHYSICIAN 558034 0 86043 0 11552 0 16500 0 22103 0 694232 0 0 0 LOWELL STANTON FORMER REGIONAL CFO/LOURDES CFO 0 470903 0 123980 0 5191 0 16500 0 26376 0 642950 0 0 SHAUN M KEMMERLY VP, CHIEF MEDICAL OFFICER 457046 0 139682 0 7851 0 16500 0 20441 0 641520 0 0 0 NICOLE S TELHIARD SVP, PATIENT CARE SVCS 336605 0 104645 0 2723 0 29700 0 26492 0 500165 0 0 0 ALSTON E DUNBAR FORMER PRES - CHILDREN'S HOSPITAL 0 0 0 0 432848 0 0 0 0 0 432848 0 0 0 MARY RAVEN MD BOARD MEMBER/PHYSICIAN 324652 0 15840 0 841 0 16500 0 1852 0 359685 0 0 0 LOGAN AUSTIN SVP, COO (START 8/14/23) 122543 0 50000 0 319 0 0 0 2682 0 175544 0 0 0 PART I, LINE 1A CHARTER TRAVEL WAS USED BY A BOARD MEMBER, WHO ALSO SERVES IN A FMOLHS ROLE, WHEN IT WAS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL BETWEEN SUBSIDARY HOSPITALS THROUGHOUT THE STATES OF LOUISIANA AND MISSISSIPPI. THESE AMOUNTS WERE NOT INCLUDED IN EMPLOYEE COMPENSATION BECAUSE THE FLIGHTS WERE STRICTLY FOR BUSINESS PURPOSES. PART 1, QUESTION 3: THE MARKET PRESIDENT 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 MARKET PRESIDENT'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: ONE OFFICER AND ONE 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 18 MONTHS. ALSTON DUNBAR, A FORMER KEY EMPLOYEE, RECEIVED A PAYMENT IN THE CURRENT YEAR OF $432,848. KENNETH SCOTT WESTER, A FORMER OFFICER, RECEIVED A PAYMENT IN CURRENT YEAR OF $703,310. PART 1, QUESTION 4B: FMOLHS MAINTAINS TWO 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. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY. 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 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 THE RESERVED POWERS TO THE SOLE 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 -43,642,906. 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, 2024. 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, 2024. 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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