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OLLIE STEELE BURDEN MANOR INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
OLLIE STEELE BURDEN MANOR INC (EIN 72-0780429)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-06-02
IRS object ID
202101539349300430
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-06-02T15:26:47-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 Main Street Suite 2150AddressLine1Txt
CityBaton RougeCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720780429EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ollie Steele Burden Manor INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AMANDA HYMELInCareOfNm
Business Name ControlOLLIBusinessNameControlTxt
Phone2257657709PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOWELL STANTONPersonNm
Person TitleREGIONAL CFOPersonTitleTxt
Phone2253444000PhoneNum
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRyan HooksPreparerPersonNm
PTINP00746825PTIN
Phone2253444000PhoneNum
Preparation2021-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerKAREN ALLENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BOULEVARDAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70808ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,098,141GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE HOSPITAL IS TO PROVIDE CARE FOR THE ILL INJURED OR DISABLED PERSONS,ESPECIALLY THE ELDERLY AND FOR THE ENHANCEMENT OF HEALTH OF THE ELDERLY IN THE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee452TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,536PYContributionsGrantsAmt
CY Contributions Grants$135,579CYContributionsGrantsAmt
PY Program Service Revenue$20,230,833PYProgramServiceRevenueAmt
CY Program Service Revenue$17,956,981CYProgramServiceRevenueAmt
PY Investment Income$12,493PYInvestmentIncomeAmt
CY Investment Income$4,114CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$20,247,862PYTotalRevenueAmt
CY Total Revenue$18,096,674CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,277CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,365,201PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,628,342CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,880,810PYOtherExpensesAmt
CY Other Expenses$7,854,648CYOtherExpensesAmt
PY Total Expenses$23,246,011PYTotalExpensesAmt
CY Total Expenses$24,484,267CYTotalExpensesAmt
PY Revenues Less Expenses-$2,998,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,387,593CYRevenuesLessExpensesAmt
Total Assets BOY$17,954,922TotalAssetsBOYAmt
Total Assets EOY$19,621,535TotalAssetsEOYAmt
Total Liabilities BOY$17,747,639TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,815,744TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$207,283NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$6,194,209NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionATTACHMENT 1MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,465,256ExpenseAmt
Grant$1,277GrantAmt
Revenue$17,956,981RevenueAmt
DescSPECIALLY DESIGNED TO PROVIDE THE HIGHEST LEVEL OF CARE FOR THOSE SUFFERING WITH COMPLEX PHYSICAL HEALTH ISSUES INCLUDING ALZHEIMER'S DISEASE AND DEMENTIA. THE NURSING HOMES PROVIDE 24 HOUR NURSING CARE IN A REHABILITATIVE SETTING THAT MINISTERS TO THE NEEDS OF THE WHOLE PERSON. THE NURSING HOME PROVIDED CARE AND HOUSING FOR 80,388 RESIDENT DAYS.Desc
Total Program Service Expenses$21,465,256TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee452EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMANDA HYMELPersonNm
Phone2259232701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15959 S SHERWOOD FOREST BLVDAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENNETH SCOTT WESTER
BOARD MEMBER1.054.5Yes (X)$0$1,218,510$238,581
JEFFREY D LIMBOCKER
CFO - 20191.054.5$0$898,795$161,397Yes (X)
KAREN B ALLEN
PRESIDENT40.010.0Yes (X)$0$374,230$87,428Yes (X)
Jennifer L Antoine
CLINICAL COORD - RN40.00.0$139,897$0$13,887Yes (X)
KEITH COOPER
ADMINISTRATOR40.00.0$130,420$0$10,224Yes (X)
ALTHEA COLLINS
DIRECTOR OF NURSING40.00.0$105,210$0$19,430Yes (X)
KATHERINE THIBODEAUX
DIRECTOR OF NURSING40.00.0$105,675$0$16,860Yes (X)
MARY TAUZIN
BOARD MEMBER1.00.0Yes (X)$0$0$0
KEVIN CURRY
BOARD MEMBER1.00.0Yes (X)$0$0$0
ARTHUR LANDRY
CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
SR ANN CATHERINE NGUYEN
BOARD MEMBER1.00.5Yes (X)$0$0$0
JEFF KUEHNY MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROBERT KUHN
BOARD MEMBER1.00.0Yes (X)$0$0$0
DR LISA PEREZ
BOARD MEMBER1.00.0Yes (X)$0$0$0
HUGH ELEY
BOARD MEMBER1.00.0Yes (X)$0$0$0Yes (X)
NORMA RUTLEDGE
BOARD MEMBER1.00.0Yes (X)$0$0$0
TRENT BOUDREAUX
BOARD MEMBER1.00.0Yes (X)$0$0$0
PHIL BRANTLEY PhD
BOARD MEMBER1.00.0Yes (X)$0$0$0
LOWELL STANTON
REGIONAL CFO - 20201.054.5$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$481,202TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,491,535TotReportableCompRltdOrgAmt
Total Other Compensation$547,807TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES INC
7160 North Dallas Parkway Suite 40PlanoTX72902Therapy Services$750,506
SOUTHERN MEDICAL STAFFING
1247 Macaurthur Drive Suite BALEXANDRIALA71302STAFFING SERVICES$161,949
Advantage Medical Professional
3340 Severn Ave Ste 320MetairieLA700027410Contract Labor Servi$125,290
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$134,690GovernmentGrantsAmt
All Other Contributions$889AllOtherContributionsAmt
Total Contributions$135,579TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE900099$17,926,867$17,926,867
Vending Revenue900099$6,780$6,780
Medical Records900099$25$25
Franciscan Sister Services900099$9,600$9,600
All other Program Services900099$13,709$13,709
FieldValueIRS element (for citing)
Total Program Service Revenue$17,956,981TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,434TotalRevenueColumnAmt
Exclusion$4,434ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,147OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,467OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$320OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$320TotalRevenueColumnAmt
Exclusion-$320ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,096,674TotalRevenueColumnAmt
Related Or Exempt Func Income$17,956,981RelatedOrExemptFuncIncomeAmt
Exclusion$4,114ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,277TotalAmt
Program Services$1,277ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,077,225TotalAmt
Program Services$11,746,937ProgramServicesAmt
Management And General$1,330,288ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$799,144TotalAmt
Program Services$715,518ProgramServicesAmt
Management And General$83,626ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,808,746TotalAmt
Program Services$1,619,701ProgramServicesAmt
Management And General$189,045ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$943,227TotalAmt
Program Services$844,524ProgramServicesAmt
Management And General$98,703ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$53,283TotalAmt
Program Services$43,323ProgramServicesAmt
Management And General$9,960ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$212,377TotalAmt
Management And General$212,377ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,140,864TotalAmt
Program Services$809,835ProgramServicesAmt
Management And General$331,029ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,765TotalAmt
Program Services$9,330ProgramServicesAmt
Management And General$21,435ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,763,724TotalAmt
Program Services$1,480,741ProgramServicesAmt
Management And General$282,983ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$70,420TotalAmt
Program Services$21,355ProgramServicesAmt
Management And General$49,065ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$791,480TotalAmt
Program Services$746,445ProgramServicesAmt
Management And General$45,035ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,637TotalAmt
Program Services$1,103ProgramServicesAmt
Management And General$2,534ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,413TotalAmt
Program Services$1,035ProgramServicesAmt
Management And General$2,378ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$89,310TotalAmt
Program Services$18,430ProgramServicesAmt
Management And General$70,880ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$969,279TotalAmt
Program Services$914,127ProgramServicesAmt
Management And General$55,152ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$142,692TotalAmt
Program Services$6,776ProgramServicesAmt
Management And General$135,916ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXPENSE$1,513,325$1,513,325$0
PROVIDER FEES$971,474$971,474
REPAIRS & MAINTANENCE$98,605$98,605

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,484,267TotalAmt
Program Services$21,465,256ProgramServicesAmt
Management And General$3,019,011ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,303,489EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,554,830BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,402,821BOYAmt
EOY$1,132,908EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$60,329BOYAmt
EOY$69,366EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$84,202BOYAmt
EOY$81,264EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,489,171LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,701,147LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,571,172BOYAmt
EOY$12,788,024EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$187,568BOYAmt
EOY$176,484EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$94,000BOYAmt
EOY$70,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,954,922BOYAmt
EOY$19,621,535EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,376,511BOYAmt
EOY$6,559,244EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,189,383EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,371,128BOYAmt
EOY$18,067,117EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,747,639BOYAmt
EOY$25,815,744EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$203,879BOYAmt
EOY-$6,197,639EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,404BOYAmt
EOY$3,430EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$207,283BOYAmt
EOY-$6,194,209EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,954,922BOYAmt
EOY$19,621,535EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,387,593ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$13,906NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$7OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$905,168OtherCostOrOtherBasisAmt
Book Value$905,168BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,492,570OtherCostOrOtherBasisAmt
Depreciation$13,323,527DepreciationAmt
Book Value$10,169,043BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$836,271OtherCostOrOtherBasisAmt
Depreciation$513,562DepreciationAmt
Book Value$322,709BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,255,162OtherCostOrOtherBasisAmt
Depreciation$4,864,058DepreciationAmt
Book Value$1,391,104BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$12,788,024TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO/FROM LAKE$18,064,917
DEPOSITS$2,200
FieldValueIRS element (for citing)
Total Liability$18,067,117TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 (ASC 740) FOOTNOTEFormAndLineReferenceDesc
ExplanationSCHEDULE D FMOLHS recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. No reserves for uncertain tax positions have been recorded.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KAREN B ALLEN
PRESIDENT$274,081$98,446$1,703$61,834$25,594$461,658
KENNETH SCOTT WESTER
BOARD MEMBER$680,881$397,346$140,283$208,896$29,685$1,457,091$119,260
JEFFREY D LIMBOCKER
CFO - 2019$550,613$293,047$55,135$135,652$25,745$1,060,192$45,920
Jennifer L Antoine
CLINICAL COORD - RN$136,729$450$2,718$5,669$8,218$153,784

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I QUESTION 3THE 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 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 DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I QUESTION 4BFMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. THE FOLLOWING PEOPLE LISTED IN PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLANS IN THE CURRENT YEAR: KENNETH SCOTT WESTER - $137,584 AND JEFF LIMBOCKER - $52,976.
PART I QUESTION 4AA BOARD MEMBER AND CFO ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT GOOD 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. THE PRESIDENT IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Question 1INSPIRED 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, QUESTION 6OUR LADY OF THE LAKE HOSPITAL, INC.( AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC.
FORM 990, PART VI, QUESTION 7AOUR LADY OF THE LAKE HOSPITAL INC., AS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OLLIE STEELE BURDEN MANOR, INC.
FORM 990, PART VI, QUESTION 7BOUR LADY OF THE LAKE HOSPITAL, AS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC. RESERVES THE FOLLOWING POWERS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES, 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 ARTICLES OF INCORPORATION AND BYLAWS OF CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND 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 IMMOVABLE PROPERTY ON BEHALF OF CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT FISCAL AUDITOR OF 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 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION
FORM 990, PART VI, SECTION A, QUESTION 11AFTER PREPARATION OF THE FORM 990 BY KPMG LLP, MANAGEMENT REVIEWED FORM 990. A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS.
FORM 990, PART VI, QUESTIONS 12-14THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A CONFLICT OF INTEREST POLICY, DOCUMENT RETENTION POLICY, AND A WHISTLEBLOWER POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE JUNE 30, 2020. THE CONFLICT OF INTEREST POLICY AND THE DOCUMENT RETENTION POLICY HAVE, HOWEVER, BEEN APPROVED BY THE BOARD OF DIRECTORS OF OUR LADY OF THE LAKE HOSPITAL, INC. (THE ORGANIZATION'S SOLE-MEMBER).
FORM 990, PART VI, QUESTION 12COLLIE STEELE BURDEN MANOR 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 OLLIE STEELE BURDEN MANOR IS A CHARITABLE ORGANIZATION, AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OLLIE STEELE BURDEN MANOR 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 QUESTION 15A & 15BOTHER RELATED TAX EXEMPT ORGANIZATIONS SET THE COMPENSATION AND PAY THE EXECUTIVES. THAT BOARD OF DIRECTORS DESIGNATES THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE COMPENSATION ANNUALLY OF EXECUTIVES. 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.
FORM 990, PART VI, SECTION C, QUESTION 19OLLIE STEELE BURDEN MANOR, INC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Section 1.263(A)-3 (N) Election - BOOK CONFORMITY ELECTIONOLLIE STEELE BURDEN MANOR, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2020.
Section 1.263(a)-1(f) ELECTION- DE MINIMIS SAFE HARBOROllie Steele Burden Manor, 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, 2020. Taxpayer does have 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 $5000 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)(ii).
FORM 990, PART XI, LINE 9ROUNDING - $7.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST BERNARD HEALTH FUND
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(C)(3)12 TYPE 1FMOLfalse
HEALTH CARE CENTERS IN SCHOOLS
4200 ESSEN LANEBATON ROUGELA70809721443935HEALTCHARELA501(C)(3)10OLOLfalse
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216640714999HOLDINGCOMS501(C)(3)12 TYPE 3FIFMOLfalse
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVEJACKSONMS39216640884870HEALTHPROGRAMMS501(C)(3)10SDHSfalse
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
969 LAKELAND DRIVEJACKSONMS39216640303091HOSPITALMS501(C)(3)3SDHSfalse
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVEJACKSONMS39216431992975FUNDRAISINGMS501(C)(3)7SDHSfalse
ST CATHERINE'S VILLAGE INC
969 LAKELAND DRIVEJACKSONMS39216640714997RET HOMEMS501(C)(3)10SDHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELALOURDESN/AfalseYes (true)
PARK PLACE SURGICAL CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70503721404092HEALTHCARELALOURDESN/AfalseYes (true)
BRPT LAKE REHABILITATION CENTER LLC
175 S English Station RD Ste 218LOUISVILLEKY40245721506100HEALTHCARELAOLOLN/AfalseYes (true)
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAOLOLN/AfalseYes (true)
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BLVDBATON ROUGELA70810263120962HEALTHCARELAOLOLN/AfalseYes (true)
ST ELIZABETH-MARY BIRD PERKINS CANCER C
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELAOLOLN/AfalseYes (true)
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELASFMCN/AfalseYes (true)
LHCG-XIII LLC
901 S Hugh Wallis RoadLAFAYETTELA70508208068308HEALTHCARELALOURDESN/AfalseYes (true)
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELALOURDESN/AfalseYes (true)
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXOLOLN/AfalseYes (true)
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70816352463092HEALTHCARELAOLOLN/AfalseYes (true)
LAFAYETTE SURGERY CENTER LTD PARTNERSHIP
C/O C T CORP SYSTEM 3867 PLAZA TOWBATON ROUGELA70816201367299HEALTHCARELALOURDESN/AfalseYes (true)
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELASFMCN/AfalseYes (true)
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAOLOLN/AfalseYes (true)
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508474283509HEALTHCARELALOURDESN/AfalseYes (true)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAOLOLN/AfalseYes (true)
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816821637627HEALTHCARELAOLOLN/AfalseYes (true)
HIGHLAND MEDICAL ARTS LLC
PO BOX 55769JACKSONMS39216743073171MED BUILDINGMSSDHSN/AfalseYes (true)
D1 SPORTS TRAINING OF MISSISSIPPI LLC
7715 SOUTH SPRINGS DRIVEFRANKLINTN37067275277568ATHLETIC CENTREMSSDMHSN/AfalseYes (true)
MEA PRIMARY CARE PLUS LLC
308 CORPORATE DRIVERIDGELANDMS39157HEALTHCAREMSFICN/AfalseYes (true)
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD STEMETAIRIELA70002HEALTHCARELAFMOLHSN/A
FREMAUX MOB LLC
3500 NORTH CAUSEWAY BOULEVARD STEMETAIRIELA70002MED BLDGLAFMOLHSN/A
HEART HOSPITAL OF ACADIANA
1105 KALISTE SALOOM ROADLAFAYETTELA70508300442368HEALTHCARELALOURDESN/A
SHP MANAGING MEMBER LLC
7015 HIGHWAY 190 E SERVICE ROAD STCOVINGTONLA70433832168844HEALTHCARELAOLOLN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
HOSPITAL ASSISTANCE SERVICES
4200 Essen LaneBATON ROUGELA70809721073486HEALTHCARELALOURDESC CORP
LOUISE INSURANCE COMPANY
PO BOX 1051 KY1-1102LAFAYETTELA70502721073486INSURANCELAFMOLC CORP
FRANCISICAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANEBATON ROUGELA70809455492379HEALTHCARELAFMOLC CORP
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANEBATON ROUGELA70809454405024INVESTMENTLAFMOLC CORP
ST DOMINIC MADISON HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216202870254HEALTHCAREMSSDHSC Corp
FIRST INTERMED CORPORATION
308 CORPORATE DRIVERIDGELANDMS39157640824796MEDICALSERVICEMSSDHSC Corp
ST DOMINIC INTEGRATED SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216271493623INVESTMENTSMSSDJMHC Corp
LAFAYETTE SURGICARE INC
C/O C T CORPORATION SYSTEM 3867 PLBATON ROUGELA70816943419282HEALTHCARELALOURDESC CORP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd