2019-05-15T11:42:34-05:00 2018-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2017-07-01 463123178 OUR LADY OF THE ANGELS HOSPITAL INC % AMANDA HYMEL OURL 9857306700 5000 Hennessy Boulevard Baton Rouge LA 70808 JEFF LIMBOCKER CFO 2257656565 2019-05-14 true RYAN HOOKS P00746825 2253444000 2019-05-15 167.68.102.5 72049520191355000004 2019-05-15 P C9AF59023642A88A8AE17D7E5493C34929B3C810 EB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCD 2017 2019-02-21 02:37:17Z RENE RAGAS 433 PLAZA STREET BOGALUSA LA 70427 66727384 false 0928 X N/A X 2013 LA THE HOSPITAL'S PURPOSE IS TO PROVIDE CARE CARE FOR THE ILL, INJURED, OR DISABLED PERSONS & TO PROVIDE FOR RE- SEARCH, EDUCATION, & THE ENHANCEMENT OF HEALTH OF THOSE IN S.E. LA. 11 9 537 5 0 3513 185995 223253 60310007 66504131 0 0 0 0 60496002 66727384 0 16105 0 0 28046675 28887398 0 0 0 31476062 34568738 59522737 63472241 973265 3255143 19118625 17316570 13482570 8748766 5636055 8567804 X INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. false false 46060345 16105 66504131 OUR LADY OF THE ANGELS HOSPITAL, INC. PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTHEAST LOUISIANA. THE HOSPITAL 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 HOSPITAL HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE HOSPITAL PROVIDED 92 LICENSED BEDS AND 12,447 INPATIENT DAYS IN THE YEAR ENDED JUNE 30, 2018. 46060345 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 9 0 true 537 true true true false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true false false false false false X AMANDA HYMEL 9857306700 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 ROBERT BURGESS BOARD MEMBER 2.0 50.0 X 0 389802 57587 RENE RAGAS PRESIDENT & CEO 2.0 50.0 X X 0 379341 60422 REV BOB ADAMS CHAIRMAN 2.0 0.0 X X 0 0 0 BERNIE CHASCIN BOARD MEMBER 2.0 0.0 X 0 0 0 SR UYEN VU BOARD MEMBER 2.0 0.5 X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.0 2.5 X 0 0 0 JUDITH WAMSLEY BOARD MEMBER 2.0 0.0 X 0 0 0 CRAIG ROBICHAUX VICE CHAIR 2.0 0.0 X X 0 0 0 CHRIS TREVINO MD BOARD MEMBER 2.0 0.0 X 0 0 0 ROGER KEESE SECRETARY 2.0 2.0 X X 0 0 0 LEO MICKENHEIM BOARD MEMBER 2.0 0.0 X 0 0 0 JEFFREY D LIMBOCKER REGIONAL CFO 2.0 58.0 X 0 552329 131623 RALPH SERPAS CNO 40.0 0.0 X 183240 0 31515 HAMID HUSSAIN STAFF PHYSICIAN 40.0 0.0 X 616767 0 32934 MARIA CHRIST BEUNAFLOR STAFF PHYSICIAN 40.0 0.0 X 346925 0 18869 MAXIMO KIOK PHYSICIAN 40.0 0.0 X 289495 0 35032 GARLAND E ANDERSON STAFF PHYSICIAN 40.0 0.0 X 310356 0 32532 RAYMOND J DEVLIN CRNA 40.0 0.0 X 232800 0 31446 1979583 1321472 431960 26 false true false Beckman Coulter 250 S Kramer Brea CA 92822 Chemistry Services 262822 Mercy Specialized Billing 655 Maryville Centre St Louis MO 63141 Billing Services 433402 Lammico 1 Galleria Blvd Ste 700 Metairie LA 70001 Insurance 115874 Louisiana Patients PO Box 3718 Baton Rouge LA 70821 Comp Services 275704 TRIMEDX INC 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 BIOMEDICAL SERVICES 407059 5 161697 61556 223253 PATIENT SERVICE REVENUE 622110 65258817 65258817 PHAMARCY SALES 622110 500006 500006 PURCHASE DISCOUNTS 622110 181677 181677 CAFETERIA SALES 622110 172750 172750 GIFT SHOP 622110 20101 20101 370780 370780 66504131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66727384 66504131 X 16105 16105 0 0 0 105031 73975 31056 0 24162470 17017901 7144569 716379 504554 211825 2254788 1588073 666715 1648730 1161219 487511 3346313 2356846 989467 29511 20785 8726 0 0 0 0 13926949 9808907 4118042 84872 59776 25096 5794858 4081384 1713474 123815 87204 36611 0 6528367 5949369 578998 89051 62720 26331 0 0 257 181 76 0 213612 150449 63163 818122 576213 241909 Medical Supplies Expense 3613011 2544684 1068327 63472241 46060345 17411896 0 X 5197311 7015568 0 0 0 0 3922810 -549864 0 0 0 0 0 0 651750 670979 5658722 6079579 4561224 472724 3679013 4088500 0 0 0 0 0 0 0 0 9019 11808 19118625 17316570 5683458 7055094 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7799112 1693672 13482570 8748766 X 5629674 8558686 6381 9118 0 0 5636055 8567804 19118625 17316570 X 3255143 -323394 X false true X true false X 125000 125000 1533510 210211 1323299 1186507 262513 923994 1716207 1716207 4088500 0 DUE TO AFFILIATES 785518 DEFINED CONTRIBUTION PAYABLE 405166 OTHER LIABILITIES 502988 1693672 X FIN 48 (ASC 740) FOOTNOTE Form Sch D Part X Line 2 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 JUDGMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. true true true X 250. false true true true false true true 1398509 1398509 0 0.00000 22290683 22290683 0 0.00000 23689192 23689192 0 0.00000 5917955 66353 5851602 0.12700 5917955 66353 5851602 0.12700 29607147 23755545 5851602 0.12700 false 331029 13140712 13458772 -318060 X true true 1 1 OUR LADY OF THE ANGELS HOSPITAL INC 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 WWW.OLOAH.ORG X X X X OUR LADY OF THE ANGELS HOSPITAL INC 1 false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 15 false true false true X 250. 0. X X X X X true true X X X true X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X true X false X X X X true X false false Part V, SECTION B, Line 5 THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM THE COMMUNITY BY CONDUCTING EIGHT FOCUS GROUP SESSIONS AS WELL AS CONDUCTING SEMI-STRUCTURED INTERVIEWS WITH VARIOUS INDIVIDUALS REPRESENTING ORGANIZATIONS ACTIVE IN THE COMMUNITY. THE SEMI-STRUCTURED INTERVIEWS INCLUDED THE FOLLOWING INDIVIDUALS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH: GINA LAGARDE, MD, REGIONAL ADMINISTRATOR/MEDICAL DIRECTOR, OFFICE OF PUBLIC HEALTH, REGION IX, DEPARTMENT OF HEALTH & HOSPITALS DIANE LEWIS, RN, NURSE SUPERVISOR, WASHINGTON PARISH HEALTH UNIT PART V, SECTION B, LINE 11 THE 2016 CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS: OVERCOMING BARRIERS TO GOOD HEALTH; HEART DISEASE AND STROKE; OLDER ADULTS AND AGING (SENIOR SERVICES); OTHER CHRONIC DISEASES; AND MENTAL HEALTH AND MENTAL DISORDERS. IN FISCAL YEAR 2018, OLOLAH CONTINUED TO ADDRESS TWO OF THE IDENTIFIED SIGNIFICANT NEEDS: OVERCOMING BARRIERS TO GOOD HEALTH AND SENIOR SERVICES. CONCERNING BARRIERS TO GOOD HEALTH, OLOAH HAS CONTINUED A SUCCESSFUL "WALK WITH A DOC" PROGRAM TO ENCOURAGE PHYSICAL ACTIVITY AND INCREASE ACCESS TO PHYSICIANS. WE CONTINUED TO PROMOTE AND OFFER THE DIABETES SELF-MANAGEMENT PROGRAM RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. WE OFFERED MULTIPLE COMMUNITY EDUCATIONS AND HEALTH SCREENINGS AT LOCAL HEALTH FAIRS, SCHOOLS AND COMMUNITY ORGANIZATIONS SUCH AS THE ROTARY CLUB. OLOAH HELD ITS ANNUAL HEALTH FAIR, FAMILY FEST, INVITING THE ENTIRE BOGALUSA AND WASHINGTON PARISH COMMUNITIES WHERE COMMUNITY PARTNERS SHARE THEIR RESOURCES AND OLOAH HOLDS HEALTH SCREENINGS, INCLUDING, BUT NOT LIMITED TO, BLOOD PRESSURE, CHOLESTEROL, AND BIOMETRICS. WE HAVE CONTINUED OUR PARTNERSHIP WITH LSU AGRICULTURAL CENTER, THE LOUISIANA DEPARTMENT OF HEALTH, AND THE MAYOR OF BOGALUSA TO DEVELOP AND SUSTAIN THE MULTI-SECTORAL HEALTHY COMMUNITY COALITION. OUR PARTNERSHIP ORIGINALLY FOUNDED THE BOGALUSA MAYOR'S WELLNESS COUNCIL AND THEN DEVELOPED THE COALITION CALLED BOGALUSA STRONG. BOGALUSA STRONG IS A COLLABORATIVE PARTNERSHIP OF COMMUNITY MEMBERS, LEADERS, BUSINESS AND ORGANIZATIONS WORKING TOGETHER TO IMPROVE OUR QUALIFY OF LIFE BY PROMOTING PHYSICAL, SOCIAL AND ENVIRONMENTAL HEALTH. IN OUR ROLE WITH BOGALUSA STRONG, OLOAH HELPED TO COORDINATE AND LEAD A COMMUNITY FORUM WHERE OVER 75 COMMUNITY PARTNERS CAME TOGETHER TO DISCUSS THE NEEDS IN BOGALUSA. WE ACTIVELY PARTICIPATED IN COMMUNITY PROJECTS INSPIRED BY THE WELLNESS COUNCIL INCLUDING A WALKING AUDIT, THE MAYOR'S WALK, THE UNITED WAY BORN LEARNING TRAIL INITIATIVE AND THE LSU AGRICULTURE STENCIL PROJECT. THE BOGALUSA MAYOR'S WELLNESS COUNCIL HELD MONTHLY MEETINGS WITH COMMUNITY PARNTERS. BOGALUSA STRONG WAS FORMED AND SUBSEQUENTLY CREATED FOUR COMMITTEES TO ADDRESS HEALTH NEEDS: BREAKING BARRIERS TO GOOD HEALTH/HEALTHY PLACES; HEALTHY EATING, GET MOVING, GET HEALTHY; AND EMOTIONAL AND BEHAVIORAL HEALTH. EACH COMMITTEE CONSIDERS ACTIVITIES TO HOST IN THE COMMUNITY. OLOAH HAS CONTINUED SERVICES AND HEALTH EDUCATION FOR SENIORS WITH THE COUNCIL ON AGING AND WESTMINSTER WOODS APARTMENTS. OLOAH MADE HOME VISITS WITH BOTH NURSE PRACTITIONERS AND PHYSICIANS' RESIDENTS FROM TEH RURAL FAMILY MEDICINE PROGRAM. STAFF GAVE END OF LIFE EDUCATION IN COMMUNITY AND CLINIC SETTINGS AND BEGAN DISCUSSION OF A PILOT PROGRAM TO FURTHER ITS EFFORTS WITH ADVANCE CARE PLANNING. OLOAH DID NOT ADDRESS THREE OF THE FIVE SIGNIFICANT NEEDS: HEART DISEASE AND STROKE, OTHER CHRONIC DISEASES, AND MENTAL HEALTH AND MENTAL DISORDERS. OLOAH ACKNOWLEDGES THE SIGNIFICANCE OF ALL HEALTH-RELATED ISSUES IDENTIFIED FROM THE DATA ANALYSIS AND ESPECIALLY THAT OF THE FIVE SIGNIFICANT HEALTH NEEDS NAMED IN THE 2016 CHNA. SINCE THE OVERALL HEALTH PICTURE FOR WASHINGTON PARISH WAS SO POOR, WE BELIEVED THAT IT WOULD HAVE BEEN TOO NARROW TO FOCUS ON THOSE THREE SIGNIFICANT HEALTH NEEDS AS MAIN PRIORITIES. HOWEVER, THESE THREE NEEDS WERE ADDRESSED AS SUBCATEGORIES UNDER "OVERCOMING BARRIERS TO GOOD HEALTH"OLDER ADULTS & AGING." AS WE IMPLEMENTED STRATEGIES IN THE TWO OLOAH PRIORITY AREAS, WE EXPECTED TO ENCOUNTER LINKAGES AMONG THE VARIOUS AREAS. FOR EXAMPLE, WHILE WE DID NOT DIRECTLY ADDRESS HEART DISEASE AND STROKE AS A PRIORITY AREA, WE DID ADDRESS HEALTH BARRIERS THROUGH EDUCATION, SCREENINGS AND HEALTHY LIVING PROGRAMS. ADDITIONALLY, ALTHOUGH WE DID NOT DIRECTLY ADDRESS COPD, OUR WORK IN THE PRIORITY AREA OF SENIOR CARE IDENTIFIED GAPS IN THE AVAILABILITY OF DME (DURABLE MEDICAL EQUIPMENT), SUCH AS OXYGEN TANKS. WE ALSO HOSTED AN ONGOING TOBACCO CESSATION PROGRAM. ALSO, ALTHOUGH MENTAL HEALTH AND MENTAL DISORDERS WAS NOT A SELECTED IDENTIFIED NEED IN THE CHNA, OLOAH DID COLLABORATE WITH LOCAL, STATE AND COMMUNITY PARTNERS IN ORDER TO STUDY AND RESPOND TO THE OPIOID EPIDEMIC AND SUBSTANCE ABUSE ISSUES IN WASHINGTON PARISH. SOCIAL SERVICES ALSO PARTICIPATED IN SEVERAL COMMUNITY EDUCATIONS CONCERNING BEHAVIORAL AND SUBSTANCE USE. THESE EDUCATIONS FOCUSED ON LOCAL RESOURCES AND APPROPRIATE PLACES OF CARE IN PART TO LIMIT EMERGENCY DEPARTMENT VISITS. PART V, SECTION B, LINE 7A THE CHNA CAN BE LOCATED AT HTTP://WWW.OLOAH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.HTML PART V, SECTION B, LINE 16J REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, 16A, B, & C THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP WERE ALL AVAILABLE AT: HTTPS://FMOLHS.ORG/PAGES/FINANCIAL-ASSISTANCE-POLICY.ASPX PART V, SECTION B, LINE 13H PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. PATIENTS' CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5. PATIENT ELIGIBLE FOR FOOD STAMPS; 6. MEDICAID ELIGIBLE PATIENT; 7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY PART I, LINE 3C: Financial assistance is available for individuals who are uninsured, underinsured, ineligible for any government health care benefit program, and who are unable to pay for their care. Fully discounted care is available if income and assets meet certain federal poverty guideline levels. Fully discounted care is also available for those patients with catastrophic medical bills where medical bills exceed a certain percentage of income and assets. PART I, LINE 7F: FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. PART I, LINE 7: THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7A-7D AND WAS OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT. PART III, SECTION A, QUESTION 2 THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. PART III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, RESIDENCY, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR DISCOUNTED CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART VI, LINE 2: NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE ANGELS HOSPITAL WORKS CLOSELY WITH CHARITABLE ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. OUR LADY OF THE ANGELS ADOPTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT BY JUNE 30, 2016 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE ANGELS HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION: Our Lady of the Angels Hospital is a community-based, not-for-profit hospital located in Bogalusa, Louisiana, that serves Washington Parish and portions of the surrounding parishes. Based on the last CHNA, Washington Parish has a population of approximately 45,997 and 17,761 households. The Senior population compromises about 17.08% of the total population. The median household income is $31,750, and 20.14% of households have income below the poverty level. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE ANGELS HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE ANGELS ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT MAY BE FOREGONE OR POSTPONED RESULTING IN MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE ANGELS PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE ANGELS HOSPITAL IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. OUR LADY OF THE ANGELS HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE ANGELS HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE ANGELS HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF THE ANGELS HOSPITAL SERVES THE COMMUNITY IN WASHINGTON PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE HOSPITAL OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL OUR LADY OF THE LAKE ASSUMPTION HOSPITAL false true false false false false false false false ROBERT BURGESS BOARD MEMBER 0 297801 0 75666 0 16335 0 47652 0 9935 0 447389 0 0 RENE RAGAS PRESIDENT & CEO 0 273443 0 91473 0 14425 0 36421 0 24001 0 439763 0 0 HAMID HUSSAIN STAFF PHYSICIAN 485058 0 131709 0 0 0 10800 0 22134 0 649701 0 0 0 RALPH SERPAS CNO 149806 0 33129 0 305 0 7635 0 23880 0 214755 0 0 0 MARIA CHRIST BEUNAFLOR STAFF PHYSICIAN 272400 0 74525 0 0 0 10800 0 8069 0 365794 0 0 0 JEFFREY D LIMBOCKER REGIONAL CFO 0 427364 0 110390 0 14575 0 107606 0 24017 0 683952 0 0 MAXIMO KIOK PHYSICIAN 289495 0 0 0 0 0 10800 0 24232 0 324527 0 0 0 GARLAND E ANDERSON STAFF PHYSICIAN 211995 0 98361 0 0 0 10800 0 21732 0 342888 0 0 0 RAYMOND J DEVLIN CRNA 232675 0 0 0 125 0 22134 0 9312 0 264246 0 0 0 PART 1, QUESTION 3 The CEO is paid by FMOL Health System, a related tax exempt organization. The FMOLHS board of directors designates a compensation committee, made up of independent board members, to review and set the CEO's compensation annually. The compensation committee obtains and relies upon comparable data including a compensation study/survey from an independent compensation consultant. The compensation committee reviews compensation packages and appropriate compensation is determined and approved. The basis for making such determination is documented by the compensation committee. PART 1, QUESTION 4A A board member 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 base salary and an annual incentive at target and provided retirement and welfare benefits for an entitlement period. The entitlement period is 24 months. No payments were made under the plan in the current year. Two officers are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason, or due to change of control. If triggered, the employee would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is 12 months. No payments were made under the plan in the current year. PART 1, QUESTION 4B FMOLHS maintains three unfunded deferred compensation plans which meet the requirements of IRC Section 457(f) and IRC Section 409A. The 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 the approval of FMOLHS Board of directors or a designated committee of such board. No one listed on Part VII, Section A received a payment from the plans in the current year. FORM 990, PART VI, LINE 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC. Form 990 Part VI Line 7a FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE ANGELS HOSPITAL, INC. Form 990 Part VI Line 7b THE 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 CHARGE 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 Line 11b AFTER PREPARATION AND REVIEW BY KPMG, LLP, MANAGEMENT WILL REVIEW THE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. Form 990 Part VI Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PART VI, SECTION B, QUESTION 12 OUR LADY OF THE ANGELS HOSPITAL, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT OUR LADY OF THE ANGELS HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE ANGELS HOSPITAL, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. PART VI, SECTION B, QUESTIONS 13 & 14 THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A DOCUMENT RETENTION POLICY AND A WHISTLEBLOWER POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS OR A COMMITTEE THEREOF BEFORE JUNE 30, 2018. PART VI, SECTION B, QUESTION 15A & 15B THE PRESIDENT & CEO, AND CFO OF THIS ORGANIZATION ARE EMPLOYEES OF FMOL HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHOSE SALARIES ARE 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 OUTSIDE SOURCES. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. Part XI Line 9 CAPITAL TRANSFER (323,394) SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION OUR LADY OF THE ANGELS HOSPITAL 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 ELECTION OUR LADY OF THE ANGELS HOSPITAL 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, 2018. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2772 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7268249 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1181634 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:32658 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:5441636 HEALTH CARE CENTERS IN SCHOOLS 5000 HENNESSY BLVD BATON ROUGE LA 70808 721443935 HEALTHCARE LA 501(C)(3) 7 OLOL true ST BERNARD HEALTH FUND 4200 ESSEN LANE BATON ROUGE LA 70809 204685614 HEALTHCARE LA 501(C)(3) 11 TYPE 1 FMOL false ST FRANCIS AMBULATORY SERVICES PO BOX 1901 MONROE LA 71210 721206096 HEALTHCARE LA 501(C)(3) 3 SFMC true HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 300442368 HEALTHCARE LA LOURDES N/A PERKINS PLAZA IMAGING DEVELOPMENT LLC 5000 HENNESSY BOULEVARD PLAZA 2 S BATON ROUGE LA 70808 203894521 REAL ESTATE LA OLOL N/A P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 721387870 HEALTHCARE LA SFMC N/A LOURDES IMAGING DEVELOPMENT LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 208326287 REAL ESTATE LA LOURDES N/A PARK PLACE SURGICAL CENTER LLC 4811 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 721404092 HEALTHCARE LA LOURDES N/A BRPT LAKE REHABILITATION CENTER LLC 5222 BRITTANY DRIVE BATON ROUGE LA 70808 721506100 HEALTHCARE LA OLOL N/A CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 721439481 HEALTHCARE LA OLOL N/A SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 263160962 HEALTHCARE LA OLOL N/A ST ELIZABETH-MARY BIRD PERKINS CANCER C 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 HEALTHCARE LA STEH N/A ST MARYS IMAGING CENTER II LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 481264699 HEALTHCARE LA LOURDES IMAGING N/A NORTHEAST LA CANCER INSTITUTE LLC 411 CALYPSO STREET MONROE LA 71201 721329499 HEALTHCARE LA SFMC N/A LHCG-XIII LLC 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 208068308 HEALTHCARE LA LOURDES N/A LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE LA 70809 201367299 HEALTHCARE LA LOURDES N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA STEH N/A OLOLUSP SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 352457810 HEALTHCARE TX OLOL N/A ST FRANCIS URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 474013731 HEALTHCARE LA SFMC N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA OLOL N/A GAMMA KNIFE OF LOUISIANA LLC 4950 ESSEN LANE BATON ROUGE LA 70809 811827194 HEALTHCARE LA OLOL N/A PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 472665226 HEALTHCARE LA OLOL N/A PINNACLE CARE HOLDINGS LLC 5627 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 720423651 HEALTHCARE LA LOURDES N/A LHCG LXVII LLC 901 S HUGH WALLIS RD LAFAYETTE LA 70508 720423635 HEALTHCARE LA LOURDES N/A HOSPITAL ASSISTANCE SERVICES PO BOX 4027-C LAFAYETTE LA 70502 721073486 HEALTHCARE LA LOURDES C CORP LOUISE INSURANCE COMPANY PO BOX 1051 KY1-1102 CAYMAN ISLANDS CAYMAN ISLANDS CJ INSURANCE CJ FMOL C CORP FRANCISICAN HEALTH & WELLNESS SERVICES I 4200 ESSEN LANE BATON ROUGE LA 70809 455492379 HEALTHCARE LA FMOL C CORP FMOL HEALTH SYSTEM HOLDINGS INC 4200 ESSEN LANE BATON ROUGE LA 70809 454405024 INVESTMENT LA FMOL C CORP ST FRANCIS INSURANCE AGENCY 309 JACKSON STREET MONROE LA 71201 721435136 INSURANCE LA SFMC C CORP MONROE HEALTH SERVICES PO BOX 3187 MONROE LA 71210 721057820 HEALTHCARE LA AMBULATORY C CORP NORTHEAST LA HEALTH NETWORK 309 JACKSON STREET MONROE LA 71201 721294587 HEALTHCARE LA AMBULATORY C CORP false false false false false false false false false false false true false true true true true true