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OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC (EIN 72-0423635)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202001979349306260
Schema version
2018v3.3
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)
Return2020-07-15T15:45:55-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720423635EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF LOURDES REGIONAL MEDICALBusinessNameLine1Txt
Business Name Line2CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% AMANDA HYMELInCareOfNm
Business Name ControlOURLBusinessNameControlTxt
Phone3374702000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14801 AMBASSADOR CAFFERY PARKWAYAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF LIMBOCKERPersonNm
Person TitleCFO/EVPPersonTitleTxt
Phone3374702000PhoneNum
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTANY ELLISERPreparerPersonNm
PTINP01284594PTIN
Phone2253444000PhoneNum
Preparation2020-07-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.206.0.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id72049520201975000017FederalOriginalSubmissionId
Federal Original Submission Id2020-07-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCDAtSubmissionCreationDeviceId
At Submission Filing Device Id606B868638B351F0DD3B21299E8CEABE66140F96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerW BRYAN LEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14801 AMBASSADOR CAFFERY PKWYAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$343,764,915GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressLOURDESRMC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee1778TotalEmployeeCnt
Total Volunteers158TotalVolunteersCnt
Total Gross UBI$1,273,634TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,547,743PYContributionsGrantsAmt
CY Contributions Grants$2,560,423CYContributionsGrantsAmt
PY Program Service Revenue$244,736,441PYProgramServiceRevenueAmt
CY Program Service Revenue$325,581,998CYProgramServiceRevenueAmt
PY Investment Income$6,827,904PYInvestmentIncomeAmt
CY Investment Income$5,836,514CYInvestmentIncomeAmt
PY Other Revenue$7,600,622PYOtherRevenueAmt
CY Other Revenue$2,530,962CYOtherRevenueAmt
PY Total Revenue$261,712,710PYTotalRevenueAmt
CY Total Revenue$336,509,897CYTotalRevenueAmt
PY Grants And Similar Paid$279,077PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$61,301CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$92,534,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$119,408,075CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$166,553,060PYOtherExpensesAmt
CY Other Expenses$205,760,416CYOtherExpensesAmt
PY Total Expenses$259,366,246PYTotalExpensesAmt
CY Total Expenses$325,229,792CYTotalExpensesAmt
PY Revenues Less Expenses$2,346,464PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,280,105CYRevenuesLessExpensesAmt
Total Assets BOY$333,193,074TotalAssetsBOYAmt
Total Assets EOY$396,956,240TotalAssetsEOYAmt
Total Liabilities BOY$275,086,066TotalLiabilitiesBOYAmt
Total Liabilities EOY$333,110,711TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$58,107,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$63,845,529NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. EXTENDS THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. CALLS 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$222,352,069ExpenseAmt
Grant$43,652GrantAmt
Revenue$304,977,066RevenueAmt
DescHOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTH LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER PROVIDED SERVICES FOR 74,211 PATIENT DAYS, 14,895 INPATIENT DISCHARGES, AND 52,178 EMERGENCY ROOM VISITS IN THE YEAR ENDED JUNE 30, 2019. SEE SCHEDULE O FOR FURTHER EXPLANATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$23,161,007ExpenseAmt
Revenue$20,019,242RevenueAmt
DescOUR LADY OF LOURDES RMC'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$245,513,076TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
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 ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document248IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1778EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Members20GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMANDA HYMELPersonNm
Phone2257658496PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FR CHESTER ARCENEAUX
BOARD MEMBER0.51.0Yes (X)$0$0$0
SENATOR PAGE CORTEZ
BOARD MEMBER0.50.0Yes (X)$0$0$0
DR CHANCELLOR DONALD
BOARD MEMBER0.50.0Yes (X)$0$0$0
KENNETH L HIX
IMMEDIATE PAST CHAIR0.50.0Yes (X)$0$0$0Yes (X)
IAN MACDONALD
BOARD MEMBER0.50.0Yes (X)$0$0$0
ROBERT MAHTOOK JR
CHAIR0.50.0Yes (X)$0$0$0Yes (X)
DR THOMAS MONTGOMERY
BOARD MEMBER0.50.0Yes (X)$0$0$0
ANDREW SHENKAN
BOARD MEMBER0.50.0Yes (X)$0$0$0
KELLY T CAHILL JR MD
BOARD MEMBER/PHYSICIAN50.00.0Yes (X)$420,752$0$33,502
MICHAEL P MARAIST
BOARD MEMBER0.50.0Yes (X)$0$0$0
JOHN L INDEST
CHAIR0.50.0Yes (X)$0$0$0Yes (X)
SR MARGARIDA VASQUES
BOARD MEMBER0.53.0Yes (X)$0$0$0
SR ANN CATHERINE NGUYEN
BOARD MEMBER0.51.0Yes (X)$0$0$0
BRYAN HANKS
VICE CHAIR0.50.0Yes (X)$0$0$0Yes (X)
Dave Barrios
Chief of Staff/BOARD MEMBER0.50.0Yes (X)$0$0$0
Julie Dronet
board member0.50.0Yes (X)$0$0$0
LOUIS PERRET
BOARD MEMBER0.50.0Yes (X)$0$0$0
W BRYAN LEE
CEO0.550.0Yes (X)$0$549,809$78,319Yes (X)
CHRISTA V BILLEAUD
BOARD MEMBER0.50.0Yes (X)$0$0$0
STEPHEN J DELATTE
BOARD MEMBER0.50.0Yes (X)$0$0$0
ANITA M FONTENOT
BOARD MEMBER0.50.0Yes (X)$0$0$0
EDWARD J KRAMPE
BOARD MEMBER0.50.0Yes (X)$0$0$0
JEFF LIMBOCKER
CFO/EVP2.058.0$0$696,323$138,768Yes (X)
JENNIFER J CLOWERS
CFO & VP OF FINANCE1.040.0$0$271,237$40,328Yes (X)
DONNA F LANDRY
COO40.00.0$361,438$0$50,580Yes (X)
DANNA M CRAIN
COO/VP CARDIAC SERVICES40.00.0$285,772$0$82,691Yes (X)
ANTHONY P BLALOCK
CMO40.01.0$438,987$0$54,187Yes (X)
GILBERT HUMBERT
CNO40.00.0$53,679$0$160Yes (X)
FRANK W COURMIER
STAFF PHYSICIAN40.00.0$445,195$0$35,230Yes (X)
JON C LIPRIE
HOSPITALIST40.00.0$366,610$0$33,608Yes (X)
Justin M Ardoin
Staff Physician40.00.0$472,521$0$20,431Yes (X)
GENE T CALLAIS
STAFF PHYSICIAN40.00.0$369,780$0$37,807Yes (X)
WARTELLE CASTILLE JR
STAFF PHYSICIAN40.00.0$367,584$0$35,402Yes (X)
TERRY BROUSSARD
FORMER CNO/VP PCS0.00.0$225,053$0$1,415Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,807,371TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,517,369TotReportableCompRltdOrgAmt
Total Other Compensation$642,428TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K122IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FMOL HEALTH SYSTEM
4200 ESSEN LANEBATON ROUGELA70809MANAGEMENT FEES$30,872,054
TRIMEDX INC
5451 LAKEVIEW PARKWAY S DRIVEINDIANAPOLISIN46268EQUIPT MAINTENANCE$4,681,438
SODEXO INC AFFILIATES
9801 WASHINGTON BLVDGAITHERSBURGMD20878MANAGEMENT FEES$3,013,079
LA ONCOLOGY ASSOCIATES
4809 AMBASSADOR CAFFERY PKWY STE 11LAFAYETTELA70508PHYSICIAN SERVICES$2,805,534
OLYMPUS AMERICA INC
3500 CORPORATE PARKWAY PO BOX 610CENTER VALLEYPA18034MEDICAL SERVICES$1,643,506
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Related Organizations$2,248,049RelatedOrganizationsAmt
Government Grants$130,005GovernmentGrantsAmt
All Other Contributions$182,369AllOtherContributionsAmt
Total Contributions$2,560,423TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621400$316,404,986$316,404,986
OUTREACH LAB621500$3,868,444$2,691,408$1,177,036
Heart Hospital Management Fees900099$1,550,432$1,550,432
Food Service900099$1,579,082$1,579,082
OTHER REVENUE900099$2,179,054$2,082,456$96,598
FieldValueIRS element (for citing)
Total Program Service Revenue$325,581,998TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,662,717TotalRevenueColumnAmt
Exclusion$4,662,717ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$884TotalRevenueColumnAmt
Exclusion$884ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,530,962RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,530,962RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,530,962TotalRevenueColumnAmt
Exclusion$2,530,962ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,585,266SecuritiesAmt
Other$3,842,665OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,524,856SecuritiesAmt
Other$3,730,162OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,060,410SecuritiesAmt
Other$112,503OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,172,913TotalRevenueColumnAmt
Exclusion$1,172,913ExclusionAmt
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$336,509,897TotalRevenueColumnAmt
Related Or Exempt Func Income$324,308,364RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,273,634UnrelatedBusinessRevenueAmt
Exclusion$8,367,476ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$49,301TotalAmt
Program Services$49,301ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Program Services$12,000ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,674,173TotalAmt
Program Services$1,138,438ProgramServicesAmt
Management And General$535,735ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$94,701,082TotalAmt
Program Services$64,396,736ProgramServicesAmt
Management And General$30,304,346ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,376,832TotalAmt
Program Services$3,656,246ProgramServicesAmt
Management And General$1,720,586ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,127,224TotalAmt
Program Services$7,566,512ProgramServicesAmt
Management And General$3,560,712ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,528,764TotalAmt
Program Services$4,439,560ProgramServicesAmt
Management And General$2,089,204ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$45,414,211TotalAmt
Program Services$30,881,663ProgramServicesAmt
Management And General$14,532,548ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,000,165TotalAmt
Program Services$680,112ProgramServicesAmt
Management And General$320,053ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,357TotalAmt
Program Services$923ProgramServicesAmt
Management And General$434ManagementAndGeneralAmt

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$47,364TotalAmt
Program Services$32,208ProgramServicesAmt
Management And General$15,156ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,092,890TotalAmt
Program Services$4,823,165ProgramServicesAmt
Management And General$2,269,725ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$798,453TotalAmt
Program Services$542,948ProgramServicesAmt
Management And General$255,505ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,318,302TotalAmt
Program Services$12,456,445ProgramServicesAmt
Management And General$5,861,857ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$327,094TotalAmt
Program Services$222,424ProgramServicesAmt
Management And General$104,670ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,712,693TotalAmt
Program Services$6,910,489ProgramServicesAmt
Management And General$4,802,204ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$249,196TotalAmt
Program Services$169,453ProgramServicesAmt
Management And General$79,743ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,856,441TotalAmt
Program Services$4,662,380ProgramServicesAmt
Management And General$2,194,061ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,093,511TotalAmt
Program Services$5,955,172ProgramServicesAmt
Management And General$4,138,339ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,210,878TotalAmt
Program Services$1,503,397ProgramServicesAmt
Management And General$707,481ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXPENSE$82,186,745$82,186,745
DECREASE IN ACCRUED PENSION$19,451,116$13,226,759$6,224,357

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$325,229,792TotalAmt
Program Services$245,513,076ProgramServicesAmt
Management And General$79,716,716ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,616,119BOYAmt
EOY$25,461,258EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,767,998BOYAmt
EOY$6,730,939EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,554,082BOYAmt
EOY$46,271,786EOYAmt

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$703,332BOYAmt
EOY$733,144EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,288,583BOYAmt
EOY$6,933,424EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,005,281BOYAmt
EOY$3,058,306EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$371,604,689LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$135,474,406LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$209,383,617BOYAmt
EOY$236,130,283EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$100,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,748,829BOYAmt
EOY$20,336,391EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$23,549,620BOYAmt
EOY$20,731,942EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$20,572,163BOYAmt
EOY$20,572,162EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,903,450BOYAmt
EOY$9,896,605EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$333,193,074BOYAmt
EOY$396,956,240EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,467,720BOYAmt
EOY$67,779,036EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,856,524BOYAmt
EOY$165,809,236EOYAmt

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$80,761,822BOYAmt
EOY$99,522,439EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,086,066BOYAmt
EOY$333,110,711EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,961,398BOYAmt
EOY$56,581,211EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,145,610BOYAmt
EOY$7,264,318EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,107,008BOYAmt
EOY$63,845,529EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$333,193,074BOYAmt
EOY$396,956,240EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,280,105ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$588,746NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,952,838OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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$42,794,575OtherCostOrOtherBasisAmt
Book Value$42,794,575BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$210,509,161OtherCostOrOtherBasisAmt
Depreciation$41,529,365DepreciationAmt
Book Value$168,979,796BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,906,401OtherCostOrOtherBasisAmt
Depreciation$2,912,059DepreciationAmt
Book Value$1,994,342BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,955,293OtherCostOrOtherBasisAmt
Depreciation$57,173,647DepreciationAmt
Book Value$17,781,646BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,439,259OtherCostOrOtherBasisAmt
Depreciation$33,859,335DepreciationAmt
Book Value$4,579,924BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$236,130,283TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN CAPITAL RESERVEDesc
Book Value$20,336,391BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$20,336,391TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN PARK PLACE$6,041,950F
INVESTMENT IN LHC GROUP$516,149F
INVEST IN LOURDES AFTER HOURS$854,889F
INVESTMENT IN HHL$12,295,422F
INVESTMENT IN LID$678,850F
INVESTMENT IN LAFAYETTE SURGIC$344,682F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$20,731,942TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PENSION COSTDesc
Amt$99,522,439Amt
FieldValueIRS element (for citing)
Total Liability$99,522,439TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 FOOTNOTE (ASC 740)FormAndLineReferenceDesc
ExplanationSCHEDULE D, PART XIV 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 JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGrantmakingTypeOfActivitiesConductedTxt
Region Total Expenditures$12,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$12,000SubtotalSpentAmt
Total Spent$12,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Purpose Of GrantHAITI MISSIONPurposeOfGrantTxt
Cash Grant$12,000CashGrantAmt
Manner Of Cash DisbursementCHECKMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLine 2FormAndLineReferenceDesc
ExplanationTHE HOSPITAL GIVES GRANTS TO ORGANIZATIONS WITH WHICH IT HAS A HISTORY OF GIVING. THE HOSPITAL FOLLOWS UP WITH GRANT RECIPIENTS IF THERE IS AN INDICATION OR POTENTIAL THAT THE FUNDS ARE NOT BEING USED FOR CHARITABLE PURPOSES.ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,045,058TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,045,058NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,947,795TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,466,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,481,726NetCommunityBenefitExpnsAmt
Total Expense0.05050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,992,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,466,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,526,784NetCommunityBenefitExpnsAmt
Total Expense0.05340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,054,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$318,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$735,727NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,522TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,522NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$435,031TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$435,031NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$131,674TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$131,674NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,683,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$318,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,364,954NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,676,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,784,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,891,738NetCommunityBenefitExpnsAmt
Total Expense0.05720TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,339NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,339NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,579,465BadDebtExpenseAmt
Reimbursed By Medicare$91,915,159ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$99,908,484CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,993,325MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
LOURDES IMAGING DEV
LEASOR OF IMAGING PROP & EQUI0.365990.029970.60404
HEART HOSP OF LAFAYE
SPECIALTY HOSPITAL0.60.2052
PARK PLACE SURGICAL
SPECIALTY SURGERY CENTER0.450.05190.4981
LAFAYETTE SURGICARE
AMBULATORY SURGERY CENTER0.508330.4825
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
OUR LADY OF LOURDES RMC
14801 AMBASSADOR CAFFERY PARKWAYLAFAYETTELA70508WWW.LOURDESRMC.COMYes (X)Yes (X)Yes (X)
HEART HOSPITAL OF ACADIANA LLC
21105 KALISTE SALOOM ROADLAFAYETTELA70508www.hearthospitallaf.netYes (X)Yes (X)Yes (X)
PARK PLACE SURGICAL HOSPITAL
34811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508www.parkplacesurgery.comYes (X)Yes (X)SURGERY CENTER

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxt
OUR LADY OF LOURDES RMC
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)19falseYes (true)falseYes (true)Yes (X)250.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
HEART HOSPITAL OF ACADIANA LLC
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)19falseYes (true)falseYes (true)Yes (X)250.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)SEE PART V, SECTION C
PARK PLACE SURGERY CENTER LLC
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)19falseYes (true)falseYes (true)Yes (X)250.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)SEE PART V, SECTION C

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, & PARK PLACE SURGERY: THE HOSPITALS GATHERED INFORMATION BY CONDUCTING 45 INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATION, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION AND OTHER HOSPITAL STAFF MEMBERS. INTERVIEWEES REPRESENTED NUMEROUS ORGANIZATIONS IN THE COMMUNITY INCLUDING LAFAYETTE GENERAL HEALTH, OUR LADY OF LOURDES, THE DIOCESE OF LAFAYETTE, MILES PERRET CANCER SERVICES, LOUISIANA DEPARTMENT OF HEALTH AND THE REGIONAL MEDICAL DIRECTOR OF REGION 4 OFFICE OF PUBLIC HEALTH. THE HOSPITAL ALSO HELD 5 FOCUS GROUPS THROUGHOUT THE SERVICE AREA AND RECEIVED 363 PAPER SURVEYS COMPLETED BY COMMUNITY MEMBERS WITHIN THE SERVICE AREA.
PART V, SECTION B, LINE 6LOURDES REGIONAL MEDICAL CENTER ADOPTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH HEART HOSPITAL OF LAFAYETTE AND PARK PLACE SURGICAL HOSPITAL.
PART V, SECTION B, LINE 7AOUR LADY OF LOURDES REGIONAL MEDICAL CENTER: THE CHNA CAN BE FOUND AT lourdesrmc.com/community-health/community-health-needs-assessment HEART HOSPITAL OF ACADIANA: THE CHNA CAN BE FOUND AT HTTP://WWW.HEARTHOSPITALOFLAFAYETTE.COM/COMMUNITY/OUTREACH.HTML AND AT lourdesrmc.com/community-health/community-health-needs-assessment PARK PLACE SURGICAL HOSPITAL: THE CHNA CAN BE FOUND AT HTTP://WWW.PARKPLACESURGERY.COM/FOR-PATIENTS/PATIENT-FORMS AND AT lourdesrmc.com/community-health/community-health-needs-assessment
PART V, SECTION B, LINE 11DURING THE CURRENT YEAR, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, HEART HOSPITAL OF LAFAYETTE AND PARK PLACE SURGICAL HOSPITAL WORKED TO CONDUCT AN UPDATED JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IDENTIFIED NINE SIGNIFICANT HEALTH NEEDS: ACCESS TO CARE, CANCER, HEALTH LITERACY, HEART DISEASE & STROKE, NUTRITION & WEIGHT STATUS, MENTAL HEALTH/BEHAVIORAL HEALTH, PHYSICAL ACTIVITY, MATERNAL & CHILD HEALTH, AND DIABETES. WHILE WORKING ON THE UPDATED JOINT CHNA, THE HOSPITALS CONTINUED TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED DURING THE PREVIOUS CHNA. THOSE NEEDS WERE MENTAL HEALTH, OBESITY, CANCER, HEART DISEASE, DIABETES, ACCESS TO/LACK OF TRANSPORTATION TO HEALTH CARE, AND SUBSTANCE ABUSE. REGARDING THE PREVIOUS CHNA, LOURDES CHOSE NOT TO ADDRESS ACCESS TO/LACK OF TRANSPORTATION TO HEALTH CARE, AND SUBSTANCE ABUSE SINCE THESE COMMUNITY NEEDS WERE EITHER OUTSIDE OF THE SCOPE OF THEIR PRACTICE, OTHER COMMUNITY AGENCIES WERE ALREADY TACKLING SUCH NEEDS OR THE NEED WAS BEING INDIRECTLY IMPACTED IN A POSITIVE WAY BY THE TIME AND RESOURCES LOURDES SPENT ON OTHER COMMUNITY NEEDS. THE HOSPITALS HAVE DONE THE FOLLOWING DURING THE CURRENT YEAR TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF HEART DISEASE, OBESITY, CANCER, AND MENTAL/BEHAVIORAL HEALTH. HEART DISEASE: AS A GOAL TO IMPROVE CARDIOVASCULAR HEALTH AND PROVIDE EARLY DETECTION OF HIGH RISK INDIVIDUALS IN OUR COMMUNITY, ST. BERNADETTE'S CLINIC (SBC), AS PART OF THE TRIAGE OF NEW PATIENTS, 50% OF ALL PATIENTS WERE SCREENED FOR ABNORMAL GLUCOSE AND CHOLESTEROL LEVELS. HIGH RISK PATIENTS WERE REFERRED TO THEIR PRIMARY CARE PHYSICIAN. HEART HOSPITAL OF LAFAYETTE (HHL) OFFERED FREE OR DISCOUNTED CARDIAC SCREENINGS FOR 50 LOW-INCOME, UNINSURED, OR MEDICAID PATIENTS ANNUALLY. HHL AND SBC CONTINUED THEIR PARTNERSHIP AND OFFERED FREE CAROTID SCREENINGS TO THE UNINSURED/UNDER-INSURED POPULATION WE SERVE. PARK PLACE SURGICAL HOSPITAL (PPSH) CONTINUED TO FUND A FULL-TIME NURSE PRACTITIONER AT SBC WHO PROVIDES SERVICE TO THE INDIGENT, UNINSURED AND UNDER-RESOURCED POPULATION. CANCER: IN AN EFFORT TO INCREASE THE NUMBER OF INDIVIDUALS SCREENED FOR CANCER AND PROVIDE EARLY DETECTION, SBC PROVIDED TOBACCO SCREENINGS TO 90% OF ALL PATIENTS. ANTI-CRAVING MEDICATIONS WERE PROVIDED TO 90% OF THOSE PATIENTS THAT WERE NOT REFERRED TO A SMOKING CESSATION PROGRAM. CONGREGATIONAL HEALTH SERVICES (CHS) DISTRIBUTED CANCER PREVENTION/AWARENESS INFORMATION AT ALL CHURCH EVENTS (OVER 25 CHURCHES) I.E. HEALTH FAIRS, ANNUAL AWARENESS DAYS (BREAST, COLON, PROSTATE, ETC.). OBESITY: TO INCREASE THE NUMBER OF INDIVIDUALS WITH A HEALTHY BODY MASS INDEX (BMI) OF LESS THAN 25, 50% OF ALL IDENTIFIED PATIENTS WITH A BMI OF 30 AND ABOVE WERE REFERRED TO OUR NUTRITIONIST FOR COUNSELING AND EDUCATION. THE REFERRALS FOR THOSE PATIENTS WERE NOTED IN THE PATIENTS' CHARTS AT SBC. EVERY PATIENT AT NORTHSIDE SCHOOL- BASED HEALTH CENTER (NSBHC) WAS SCREENED FOR BMI IDENTIFYING THOSE STUDENTS WITH A BMI AT OR ABOVE THE 90TH PERCENTILE OF THE SAME AGE AND SEX; THOSE STUDENTS WERE ALSO REFERRED TO THE COMMUNITY SERVICES DIETITIAN AT SBC FOR WEIGHT COUNSELING. EDUCATION AND COUNSELING WAS PROVIDED TO 50% OF ALL STUDENTS IDENTIFIED AT OR ABOVE THE 90TH PERCENTILE OF BMI FOR THE SAME AGE AND SEX. CHS CONTINUED TO OFFER WEEKLY EXERCISE CLASSES AT THREE CHURCH PARTNERS, WITH QUARTERLY WEIGH-INS AND WEIGHT CHALLENGES. A KID'S HEALTHY HEART PROGRAM WAS CONTINUED AT ONE CHURCH PARTNER THAT EMPHASIZES THE 3-E'S (EXERCISE, EDUCATION, AND EATING HABITS), SERVING AN AVERAGE OF 50 YOUTHS PER MONTH. SBC'S COLLABORATION WITH ST. JOSEPH'S DINER (SOUP KITCHEN) CONTINUED THE NUTRITION PROGRAM PROVIDING MEALS USING THE HEALTHY MEAL PLANS PREPARED BY OUR DIETITIAN AT SBC; 10 HEALTHY MEALS PER WEEK WERE PLANNED AND PREPARED FOR THE HOMELESS POPULATION. MENTAL/BEHAVIORAL HEALTH: OUR GOAL IS TO INCREASE AWARENESS, EDUCATION AND REFERRALS TO MENTAL/BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY. AT SBC, AT-RISK PATIENTS WERE SCREENED FOR MENTAL/BEHAVIORAL HEALTH ISSUES AND REFERRED FOR FURTHER DIAGNOSES. AT NSBHC, THE CLINIC'S SOCIAL WORKER COORDINATED FIVE PRESENTATIONS DURING THE SCHOOL YEAR ON WARNING SIGNS AND HOW TO HELP A PERSON AT RISK. ALSO, AS PART OF OFFICE OF PULIC HEALTH (OPH) REQUIREMENTS, ALL STUDENTS SEEN AT THE NHS HEALTH CENTER HAD A RISK ASSESSMENT DONE BY NURSING PERSONNEL AND WERE REFERRED TO NSBHC'S LICENSED CLINICAL SOCIAL WORKER. CHS ALSO PROVIDED EDUCATIONAL INFORMATION AT ALL CHURCH HEALTH FAIRS (OVER 25 DURING THE YEAR) TO IMPROVE COMMUNITY KNOWLEDGE AND INCREASE AWARENESS ON COMMUNITY RESOURCES FOR MENTAL/BEHAVIORAL HEALTH.
PART V, SECTION B, LINE 13HOUR LADY OF LOURDES RMC: FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART V, SECTION B, LINE 16A,B&COUR LADY OF LOURDES RMC: 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/ PARK PLACE SURGERY: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://WWW.PARKPLACESURGERY.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE HEART HOSPITAL OF LAFAYETTE: 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/
PART V, SECTION B, LINE 16JOUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, PARK PLACE SURGERY CENTER, LAFAYETTE GENERAL MEDICAL CENTER: REGISTRATION PERSONNEL REFER UNINSURED, UNDERINSURED, AND LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
LOURDES IMAGING NETWORK LLC
4809 AMBASSADOR CAFFERY SUITE 350LAFAYETTELA70506IMAGING CENTER
LOURDES AFTER HOURS LLC
2130 KALISTE SALOOM ROADLAFAYETTELA70508HEALTHCARE CLINIC
LHCG-XIII LLC
601 WEST ST MARY BLVD SUITE 309LAFAYETTELA70506HOME HEALTH AGENCY
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508HOME HEALTH AGENCY
LAFAYETTE SURGICARE
4630 Ambassador Caffery PkwyLAFAYETTELA70508AMBULATORY SURGICAL FACILITY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I LINE 3CFinancial 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 hospital; 2) State-funded prescription programs; 3) homeless, indigent, or homeless clinic patient; 4) patient's children who qualify for other financial assistance programs; 5) patient eligible for food stamps; 6) Medicaid eligible patient; 7) patient is deceased with no known responsible party; 8) patient is incarcerated and has no other responsible party.
PART I LINE 7GOUR LADY OF LOURDES PROVIDES SUBSIDIZED HEALTH SERVICES INCLUDING HEALTH CARE CLINICS. ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION, IS INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. St. Bernadette Clinic $644,436.
PART I LINE 7THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE JUNE 30, 2019 MEDICARE COST REPORT DATA. 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 III, SECTION A, LINE 2THIS AMOUNT REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF LOURDES REGIONAL MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.
PART III LINE 8THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENT AND GUIDELINES. THE MEDICARE COST REPORT (MCR) is an annual report required of all institutions participating in the Medicare program. The MCR records each institution's total costs and charges associated with providing services to all patients, the portion of those costs and charges allocated to Medicare patients, and the Medicare payments received.
PART III LINE 9BPATIENTS 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 HOPSITAL'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 DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
PART VI LINE 2NEEDS ASSESSMENT THE COMMUNITY SERVICES DEPARTMENT AT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER WAS FORMED NUMEROUS YEARS AGO TO ASSESS THE COMMUNITY NEEDS. IT HAS GROWN INTO 5 DISTINCT SERVICE AREAS WHICH PROVIDES HEALTHCARE TO NEEDY RESIDENTS IN THE ACADIANA AREA. IN TAKING "HEALTHCARE TO THE HIGHEST POWER", THE DEPARTMENT REACHES OUT TO THOSE MOST IN NEED, SPECIFICALLY, THE UNINSURED AND UNDERINSURED. IN PURSUING THE MISSION TO IMPROVE THE HEALTH STATUS OF ACADIANA'S POOREST RESIDENTS, THE DEPARTMENT HAS STRATEGICALLY PLACED ACCESSIBLE SERVICES THROUGHOUT THE COMMUNITY. COMMUNITY SERVICES' CATHOLIC IDENTITY IS MADE TANGIBLE IN THE COMMUNITY THROUGH THESE UNIQUE SERVICES. THE DEPARTMENT STEWARDS ITS RESOURCES BY ENGAGING COMMUNITY MEMBERS, FORMING PARTNERSHIPS, AND ESTABLISHING COLLABORATIVE RELATIONSHIPS. THESE UNIQUE SERVICES CLEARLY DISTINGUISH OUR LADY OF LOURDES FROM OTHER HEALTHCARE FACILITIES IN ACADIANA. THE MEDICAL CENTER DOES EXTENSIVE RESEARCH REGARDING COMMUNITY ISSUES AND NEEDS WITHIN ITS SERVICE AREAS. THE RESEARCH IS CONDUCTED IN AN EFFORT TO DETERMINE IF ITS COMMUNITY BENEFIT PROGRAMS ARE STILL APPROPRIATE AND TO DETERMINE IF OTHER PROGRAMS ARE NEEDED. THE SENIOR EXECUTIVE TEAM DETERMINES THE FOCUS GROUPS TO BETTER UNDERSTAND WHAT THE PEOPLE WITHIN THE REGION CONSIDER TO BE THE MAJOR COMMUNITY NEEDS. THE FOCUS GROUP INCLUDES COMMUNITY LEADERS, RELIGIOUS LEADERS, COMMUNITY SERVICE EMPLOYEES, LOW WAGE EMPLOYEES AND CLIENTS FROM CLINICS. SOME OF THE RESULTS OF THE MEDICAL CENTER'S NEEDS ASSESSMENT INCLUDE: ST. CLARE'S CLINIC ST. BERNADETTE'S COMMUNITY CLINIC NORTHSIDE HIGH SCHOOL BASED HEALTH CENTER CONGREGATIONAL HEALTH SERVICES
PART VI LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE GIVEN THE MEDICAL CENTER'S PATIENT HANDBOOK WHERE THEY ARE REFERRED TO THE SECTION ENTITLED "FINANCIAL INFORMATION - WHAT TO EXPECT". FINANCIAL COUNSELORS ALSO MEET WITH THE PATIENTS AND EDUCATE THEM ABOUT THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND ALSO THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. FOR THE CONVENIENCE OF THE PATIENTS, THE MEDICAL CENTER ALSO OPERATES A MEDICAID ENROLLMENT CENTER TO ASSIST PATIENTS INTERESTED IN APPLYING FOR MEDICAID BENEFITS. THIS OFFICE IS OPEN MONDAY - FRIDAY FROM 8:00 A.M. - 4:00 P.M. A TELEPHONE NUMBER IS ALSO PROVIDED IN THE HANDBOOK.
PART VI LINE 4COMMUNITY INFORMATION OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL THAT TREATS PATIENTS FROM ACROSS THE ACADIANA REGION. PURSUANT TO THE HOSPITAL'S LAST CHNA, OUR LADY OF LOURDES' PRIMARY AND SECONDARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 716,583. IT IS ESTIMATED THAT 18.1% OF THE POPULATION AND 21.6% OF THE CHILDREN OF LAFAYETTE PARISH (THE PRIMARY SERVICE AREA) IS LIVING IN POVERTY. THE PRIMARY SERVICE ARE INCLUDES THE FOLLOWING PARISH: LAFAYETTE PARISH THE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: ACADIA PARISH EVANGELINE PARISH IBERIA PARISH JEFFERSON DAVID PARISH ST. LANDRY PARISH ST. MARTIN PARISH ST. MARY PARISH VERMILLION PARISH
PART VI LINE 5PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS COMPRISED OF INDIVIDUALS WITH A BROAD CROSS-SECTION OF HEALTH CARE AND BUSINESS EXPERIENCE. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO 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 6AFFILIATED HEALTH CARE SYSTEM OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEATLH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF LOURDES IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF LOURDES RMC SERVES THE COMMUNITY IN LAFAYETTE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER, ST. ELIZABETH HOSPITAL, OUR LADY OF THE LAKE ASSUMPTION HOSPITAL, AND OUR LADY OF THE ANGELS HOSPITAL.
PART III, LINE 4THE BAD DEBT FOOTNOTE IS ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART I, LINE 7FFOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2TxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
COMMUNITY FOUNDATION OF ACADIANA
1035 CAMILLIA BLVD SUITE 100LAFAYETTELA70508721493023501 (C) (3)$6,500GENERAL SUPPORT
CATHOLIC SERVICES OF ACADIANA
501 W St Mary BlvdLAFAYETTELA70506720977497501 (c) (3)$15,000GENERAL SUPPORTSUITE 500
MILES PERRET CANCER SERVICES
230 KALISTE SALOOM ROADLAFAYETTELA70508753023211501 (C) (3)SUITE 200$9,416COSTDONATION OF FOOD
BEACON COMMUNITY CONNECTIONS
2600 Johnston St 330LAFAYETTELA70503831455134501 (C) (3)$19,355GENERAL SUPPORT
UNITED WAY
215 E Pinhook RoadLafayetteLA70501720513639501 (C) (3)$7,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMONITORING GRANTSFormAndLineReferenceDesc
ExplanationFORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT, ARE CHECKED FOR ALL APPROPRIATE INFORMATION, AND ARE PRESENTED TO THE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
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 (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DONNA F LANDRY
COO$299,064$0$54,267$0$8,107$0$40,791$0$9,789$0$412,018$0$0$0
DANNA M CRAIN
COO/VP CARDIAC SERVICES$243,146$0$42,501$0$125$0$56,586$0$26,105$0$368,463$0$0$0
ANTHONY P BLALOCK
CMO$373,422$0$65,440$0$125$0$51,808$0$2,379$0$493,174$0$0$0
KELLY T CAHILL JR MD
BOARD MEMBER/PHYSICIAN$282,558$0$138,194$0$0$0$11,000$0$22,502$0$454,254$0$0$0
FRANK W COURMIER
STAFF PHYSICIAN$326,446$0$118,698$0$51$0$11,000$0$24,230$0$480,425$0$0$0
JON C LIPRIE
HOSPITALIST$273,073$0$93,385$0$152$0$11,000$0$22,608$0$400,218$0$0$0
W BRYAN LEE
CEO$0$428,638$0$120,776$0$395$0$51,483$0$26,836$0$628,128$0$0
JEFF LIMBOCKER
CFO/EVP$0$535,092$0$160,416$0$815$0$114,181$0$24,587$0$835,091$0$0
Justin M Ardoin
Staff Physician$389,088$0$83,433$0$0$0$11,000$0$9,431$0$492,952$0$0$0
GENE T CALLAIS
STAFF PHYSICIAN$289,519$0$80,261$0$0$0$11,000$0$26,807$0$407,587$0$0$0
WARTELLE CASTILLE JR
STAFF PHYSICIAN$311,521$0$56,063$0$0$0$11,000$0$24,402$0$402,986$0$0$0
GILBERT HUMBERT
CNO$33,654$0$20,000$0$25$0$0$0$160$0$53,839$0$0$0
TERRY BROUSSARD
FORMER CNO/VP PCS$99,290$0$26,645$0$99,118$0$0$0$1,415$0$226,468$0$0$0
JENNIFER J CLOWERS
CFO & VP OF FINANCE$0$232,296$0$38,516$0$425$0$11,000$0$29,328$0$311,565$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 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 OCCURANCE 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.
SCHEDULE J, PART I, LINE 4ATHE CFO/EVP IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. AN OFFICER AND A FORMER KEY EMPLOYEE ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS BASE SALARY AND AN ANNUAL INCENTIVE PAYMENT AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 12 MONTHS. TERRY BROUSSARD RECEIVED $98,700 OF SEVERANCE IN THE CURRENT YEAR.
SCHEDULE J, PART I, LINE 3THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, QUESTION 11AFTER 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.
PART VI, SECTION B, QUESTION 12COUR LADY OF LOURDES REGIONAL MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT 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 LOURDES REGIONAL MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS OF POSSIBLE CONFLICTS OF INTERESTS ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
PART VI, SECTION C, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VI, SECTION A, QUESTION 7aFMOL HEALTH SYSTEM INC., AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER.
PART VI, SECTION B, QUESTION 15A & 15BTHE PRESIDENT AND CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS AN EMPLOYEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) WHOSE SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION. SUCH PAY PRACTICES INCLUDE THE USE OF AN INDEPENDENT BOARD COMMITTEE WHICH REVIEWS COMPENSATION ANNUALLY AFTER OBTAINING AND RELYING UPON INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE CEO AND AN EXECUTIVE COMMITTEE. THE CEO AND EXECUTIVE COMMITTEE IS PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO AND EXECUTIVE COMMITTEE THEN USES THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND DOCUMENTS THE HUMAN RESOURCE FILES.
PART VI, SECTION A, QUESTION 7BTHE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. 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 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
PART VI, SECTION A, QUESTION 6FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER.
PART XI, LINE 9CAPITAL TRANSFERS (4,952,838)
Section 1.263(a)-1(f) - De Minimis Safe Harbor ElectionOUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. does have Applicable Financial Statements for the year of the election, and intend to apply the de minimis safe harbor 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)(ii).
SECTION 1.263(A)-3(N) ELECTION- BOOK CONFORMITY ELECTIONOUR LADY OF LOURDES REGIONAL MEDICAL CENTER, 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, 2019.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LOURDES PHYSICIANS GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14801 AMBASSADOR CAFFERY PKWYAddressLine1Txt
CityLAFAYETTECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70508ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Total Income$20,019,242TotalIncomeAmt
End Of Year Assets-$644,933EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LOURDESBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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)11 TYPE 1FMOLfalse
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)7OLOLYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HEART HOSPITAL OF ACADIANA LLC
1105 KALISTE SALOOM ROADLAFAYETTELA70508300442368HEALTHCARELALOURDESRELATED-$399,428$20,036,468false$0Yes (true)0.60000
PERKINS PLAZA IMAGING DEVELOPMENT LLC
5000 HENNESSY BLVD PLAZA 2 SUITEBATON ROUGELA70808203894521REAL ESTATELAOLOLN/A
P&S SURGERY CENTER LLC
312 GRAMMONT STREETMONROELA71201721387870HEALTHCARELASFMCN/A
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELALOURDESRELATED$415,118$86,843false$0Yes (true)0.33000
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELALOURDESRELATED$3,788,305$8,107,578false$0Yes (true)0.45000
BRPT LAKE REHABILITATION CENTERS LLC
5222 BRITTANY DRIVEBATON ROUGELA70808721506100HEALTHCARELAOLOLN/A
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAOLOLN/A
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BLVDBATON ROUGELA70810263160962HEALTHCARELAOLOLN/A
ST ELIZABETH-MARY BIRD PERKINS CANCER C
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELAOLOLN/A
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELASFMCN/A
LHCG-XIII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELALOURDESUNRELATED$56,856$140,286false$57,043Yes (true)0.33000
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELALOURDESRELATED$306,355$524,247false$0Yes (true)0.50000
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELAOLOLN/A
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXOLOLN/A
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELASFMCN/A
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAOLOLN/A
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508720423635HEALTHCARELALOURDESRELATED$39,722$163,308false$0Yes (true)0.33000
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAOLOLN/A
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816720423651HEALTHCARELALAKEN/A0.90000
LAFAYETTE SURGERY CENTER LTS PARTNERSHIP
C/O C T CORP SYSTEM 3867 PLAZA TOWBATON ROUGELA70816HEALTHCARELALOURDESRELATEDfalse$0Yes (true)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HOSPITAL ASSISTANCE SERVICES
PO BOX 4027-CLAFAYETTELA70502721073486HEALTHCARELALOURDESC CORP$0$01.00000Yes (true)
LOUISE INSURANCE COMPANY
INVESTMENTFMOLC CORPYes (true)PO Box 1051CJKY1-1102CJ
FRANCISICAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANEBATON ROUGELA70809455492379HEALTHCARELAFMOLC CORPYes (true)
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANEBATON ROUGELA70809454405024INVESTMENTLAFMOLC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEART HOSPITAL OF LAFAYETTE LLC
s$2,895,729FMV
PARK PLACE SURGERY CENTER LLC
s$3,420,000FMV