OUR LADY OF THE LAKE HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: OUR LADY OF THE LAKE HOSPITAL INC (EIN 72-0423651)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-22
IRS object ID: 201941429349301474
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-22T14:18:43-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 Main Street Suite 2150	AddressLine1Txt
City	Baton Rouge	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720423651	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of the Lake Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% AMANDA HYMEL	InCareOfNm
Business Name Control	OURL	BusinessNameControlTxt
Phone	2257656565	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5000 HENNESSY BOULEVARD	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70808	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFF LIMBOCKER	PersonNm
Person Title	REGIONAL CFO	PersonTitleTxt
Phone	2257656565	PhoneNum
Signature	2019-05-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN HOOKS	PreparerPersonNm
PTIN	P00746825	PTIN
Phone	2253444000	PhoneNum
Preparation	2019-05-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	72049520191355000007	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	744BF7D84084AC7DB780DAB75B741F6B51BD3729	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCD	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEFF LIMBOCKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5000 HENNESSY BOULEVARD	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70808	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,417,469,033	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ololrmc.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	to provide for the care of the ill, injured, or disabled persons, and to provide for research, education, and for the enhancement of health of those in the community	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7555	TotalEmployeeCnt
Total Volunteers	144	TotalVolunteersCnt
Total Gross UBI	$6,242,204	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,501,828	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,481,251	PYContributionsGrantsAmt
CY Contributions Grants	$13,147,896	CYContributionsGrantsAmt
PY Program Service Revenue	$1,148,893,438	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,167,503,418	CYProgramServiceRevenueAmt
PY Investment Income	$22,348,091	PYInvestmentIncomeAmt
CY Investment Income	$65,085,995	CYInvestmentIncomeAmt
PY Other Revenue	$44,774,992	PYOtherRevenueAmt
CY Other Revenue	$32,063,189	CYOtherRevenueAmt
PY Total Revenue	$1,227,497,772	PYTotalRevenueAmt
CY Total Revenue	$1,277,800,498	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,127,101	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,292,661	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$448,462,178	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$455,533,467	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$691,403,727	PYOtherExpensesAmt
CY Other Expenses	$673,203,674	CYOtherExpensesAmt
PY Total Expenses	$1,144,993,006	PYTotalExpensesAmt
CY Total Expenses	$1,134,029,802	CYTotalExpensesAmt
PY Revenues Less Expenses	$82,504,766	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$143,770,696	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,840,968,379	TotalAssetsBOYAmt
Total Assets EOY	$1,924,172,030	TotalAssetsEOYAmt
Total Liabilities BOY	$913,221,418	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$892,572,014	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$927,746,961	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,031,600,016	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$538,552,275	ExpenseAmt
Grant	$5,302,661	GrantAmt
Revenue	$779,718,296	RevenueAmt
Desc	THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 182,492 PATIENT DAYS. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$207,135,490	ExpenseAmt
Revenue	$299,891,651	RevenueAmt
Desc	THE MEDICAL CENTER PROVIDES PATIENTS WITH BOTH INPATIENT AND OUTPATIENT SURGICAL CARE. DURING THE YEAR, 24,072 SURGICAL PROCEDURES WERE PERFORMED	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$82,854,196	ExpenseAmt
Revenue	$119,956,660	RevenueAmt
Desc	THE MEDICAL CENTER PROVIDES PATIENTS WITH PHARMACEUTICALS IN THE COURSE OF THEIR MEDICAL CARE. IN THE CURRENT YEAR, THE HOSPITAL DISPENSED 17,719,132 UNIT DOSES	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$828,541,961	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	311	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7555	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	AMANDA HYMEL	PersonNm
Phone	2259232701	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5959 S SHERWOOD BLVD	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70809	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DR JAMES CRAVEN
BOARD MEMBER/PHYSICIAN	40.0	0.0	Yes (X)	$197,791	$0	$9,579
YOLANDA DIXON
Secretary	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
DR RICK KOUBEK
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
JULIO MELARA
BOARD MEMBER	2.0	0.5	Yes (X)	$0	$0	$0
DR BEN OUBRE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SR EILEEN ROWE
BOARD MEMBER	2.0	2.5	Yes (X)	$0	$0	$0
JOHN SELSER
Chair	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
K SCOTT WESTER
CEO	2.0	55.5	Yes (X)	$0	$760,798	$198,983	Yes (X)
William E Balhoff
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
SR HELEN CAHILL
BOARD MEMBER	2.0	10.0	Yes (X)	$0	$0	$0
HENRY EISERLOCH MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
Scott N Hensgens
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
Harry J Phillips Jr
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
Michael Crapanzano
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
John Engquist
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
LOUIS BARFIELD MD
BOARD MEMBER	40.0	0.0	Yes (X)	$480,905	$0	$34,789
GREG BOWSER
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JEFFREY D LIMBOCKER
Regional CFO	2.0	58.0		$0	$552,329	$131,623	Yes (X)
TERRIE P STERLING
COO	40.0	0.0		$546,367	$0	$141,120		Yes (X)
Nicole Telhiard
VP Patient Care Services	40.0	0.5		$306,181	$0	$64,943		Yes (X)
KENNETH C CIVELLO
STAFF PHYSICIAN	40.0	0.0		$1,035,379	$0	$33,864			Yes (X)
STEVEN T GREMILLION
STAFF PHYSICIAN	40.0	0.0		$971,626	$0	$30,756			Yes (X)
CHARLES A SMITH
STAFF PHYSICIAN	40.0	0.0		$1,091,031	$0	$29,833			Yes (X)
Paul M Dampf
STAFF PHYSICIAN	40.0	0.0		$953,696	$0	$37,289			Yes (X)
Paul D Garrett
Staff Physician	40.0	0.0		$960,612	$0	$32,296			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,543,588	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,313,127	TotReportableCompRltdOrgAmt
Total Other Compensation	$745,075	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	398	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FMOL HEALTH SYSTEM
4200 Essen Lane	BATON ROUGE	LA	70809	Management Fees	$62,371,510
LSUHSC-NEW ORLEANS
1901 Perdido St Box P3-1	NEW ORLEANS	LA	70112	Medical Services	$38,599,122
ANESTHESIOLOGY GROUP ASSOC
7777 Hennessy Blvd	BATON ROUGE	LA	70808	ANESTHESIOLOGY SVCS	$12,788,178
MILTON J WOMACK INC
8440 JEFFERSON HWY	BATON ROUGE	LA	70809	Contractor Services	$11,161,354
MORRISON MGMT SPECIALISTS
400 Northridge Road Suite 600	ATLANTA	GA	30350	Cafeteria Services	$11,851,689

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	389	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,608,303	RelatedOrganizationsAmt
Government Grants	$1,537,575	GovernmentGrantsAmt
All Other Contributions	$1,002,018	AllOtherContributionsAmt
Total Contributions	$13,147,896	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$1,113,378,518	$1,113,378,518
OUTREACH LABORATORY	900099	$9,855,707	$5,427,659	$4,428,048
PHARMACY	900099	$18,717,408	$17,773,057	$944,351
MANAGEMENT FEES	900099	$1,102,862	$1,102,862
INCOME FROM EQUITY INVESTEES	900099	$12,195,045	$11,325,240	$869,805

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,253,878	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,253,878	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,167,503,418	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,792,854	TotalRevenueColumnAmt
Exclusion	$9,792,854	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,204,733	TotalRevenueColumnAmt
Exclusion	$1,204,733	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$15,039,272	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,241,738	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$13,797,534	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,797,534	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,797,534	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$190,141,208	SecuritiesAmt
Other	$2,373,996	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$135,793,440	SecuritiesAmt
Other	$2,633,357	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$54,347,768	SecuritiesAmt
Other	-$259,361	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,088,408	TotalRevenueColumnAmt
Exclusion	$54,088,408	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Increase in accrued pension	Desc
Total Revenue Column	$18,265,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$18,265,655	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,265,655	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,277,800,498	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,193,324,403	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,242,204	UnrelatedBusinessRevenueAmt
Exclusion	$65,085,995	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,280,661	TotalAmt
Program Services	$5,280,661	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$12,000	TotalAmt
Program Services	$12,000	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,183,381	TotalAmt
Program Services	$793,242	ProgramServicesAmt
Management And General	$390,139	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$366,735,689	TotalAmt
Program Services	$245,829,723	ProgramServicesAmt
Management And General	$120,905,966	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,731,958	TotalAmt
Program Services	$19,259,563	ProgramServicesAmt
Management And General	$9,472,395	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,108,119	TotalAmt
Program Services	$23,533,622	ProgramServicesAmt
Management And General	$11,574,497	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,774,320	TotalAmt
Program Services	$15,936,367	ProgramServicesAmt
Management And General	$7,837,953	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$183,347,519	TotalAmt
Program Services	$122,901,237	ProgramServicesAmt
Management And General	$60,446,282	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,305,457	TotalAmt
Program Services	$875,072	ProgramServicesAmt
Management And General	$430,385	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,622,018	TotalAmt
Management And General	$1,622,018	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,204,486	TotalAmt
Program Services	$12,202,804	ProgramServicesAmt
Management And General	$6,001,682	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,401,306	TotalAmt
Program Services	$2,959,907	ProgramServicesAmt
Management And General	$1,441,399	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,555,124	TotalAmt
Program Services	$17,800,391	ProgramServicesAmt
Management And General	$8,754,733	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,542,553	TotalAmt
Program Services	$1,704,320	ProgramServicesAmt
Management And General	$838,233	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,937,186	TotalAmt
Program Services	$10,012,672	ProgramServicesAmt
Management And General	$4,924,514	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$363,817	TotalAmt
Program Services	$243,873	ProgramServicesAmt
Management And General	$119,944	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,471,649	TotalAmt
Program Services	$986,474	ProgramServicesAmt
Management And General	$485,175	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,616,380	TotalAmt
Program Services	$11,138,267	ProgramServicesAmt
Management And General	$5,478,113	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,385,416	TotalAmt
Program Services	$29,082,048	ProgramServicesAmt
Management And General	$14,303,368	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,954,974	TotalAmt
Program Services	$6,673,003	ProgramServicesAmt
Management And General	$3,281,971	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies Expense	$205,390,776	$205,390,776	$0
Equipment & Maintenance	$33,017,228	$22,132,059	$10,885,169
PURCHASED SERVICES	$110,063,244	$73,777,430	$36,285,814
OTHER	$24,541	$16,450	$8,091

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,134,029,802	TotalAmt
Program Services	$828,541,961	ProgramServicesAmt
Management And General	$305,487,841	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$72,037,829	BOYAmt
EOY	$93,118,004	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$179,272,811	BOYAmt
EOY	$94,006,592	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$116,796,849	BOYAmt
EOY	$92,662,198	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$454,112	BOYAmt
EOY	$513,753	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,635,661	BOYAmt
EOY	$17,275,188	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,380,585	BOYAmt
EOY	$8,795,143	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,224,707,440	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$525,528,072	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$597,730,804	BOYAmt
EOY	$699,179,368	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$292,842,148	BOYAmt
EOY	$1,472,430	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$400,461,255	BOYAmt
EOY	$761,139,296	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$41,202,863	BOYAmt
EOY	$43,175,276	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,696,685	BOYAmt
EOY	$31,696,686	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$76,456,777	BOYAmt
EOY	$81,138,096	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,840,968,379	BOYAmt
EOY	$1,924,172,030	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$148,294,432	BOYAmt
EOY	$135,323,213	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$16,777,731	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$445,032,224	BOYAmt
EOY	$435,819,091	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$28,927,321	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$303,117,031	BOYAmt
EOY	$292,502,389	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$913,221,418	BOYAmt
EOY	$892,572,014	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$894,662,679	BOYAmt
EOY	$988,115,374	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,084,282	BOYAmt
EOY	$43,484,642	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$927,746,961	BOYAmt
EOY	$1,031,600,016	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,840,968,379	BOYAmt
EOY	$1,924,172,030	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$143,770,696	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$17,363,750	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,553,891	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$15,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$15,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B LINE 1F	FormAndLineReferenceDesc
Explanation	PORTION OF DUES TO AN IRC SECTION 501(C)(6) ORGANIZATION THAT IS CONSIDERED LOBBYING	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,181,241	OtherCostOrOtherBasisAmt
Book Value	$76,181,241	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$773,269,735	OtherCostOrOtherBasisAmt
Depreciation	$271,152,071	DepreciationAmt
Book Value	$502,117,664	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,643,727	OtherCostOrOtherBasisAmt
Depreciation	$4,241,023	DepreciationAmt
Book Value	$1,402,704	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$348,248,445	OtherCostOrOtherBasisAmt
Depreciation	$236,238,403	DepreciationAmt
Book Value	$112,010,042	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,364,292	OtherCostOrOtherBasisAmt
Depreciation	$13,896,575	DepreciationAmt
Book Value	$7,467,717	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$699,179,368	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN REGIONAL EYE	$324,941	F
INVESTMENT IN CAPITAL RESERVE	$760,814,355	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$761,139,296	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$18,586
ACCRUED PENSION COSTS	$287,888,660
OTHER LIABILITIES	$4,595,143

Field	Value	IRS element (for citing)
Total Liability	$292,502,389	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FIN 48 (ASC 740 FOOTNOTE)	FormAndLineReferenceDesc
Explanation	Schedule D The Medical Center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. No reserves for uncertain tax positions have been recorded.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Purpose Of Grant	General Support	PurposeOfGrantTxt
Cash Grant	$12,000	CashGrantAmt
Manner Of Cash Disbursement	check	MannerOfCashDisbursementTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,477,691	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,691,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$786,610	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$273,563,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$215,919,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,643,865	NetCommunityBenefitExpnsAmt
Total Expense	0.04860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,041,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$238,610,647	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,430,475	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,485,883	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,863	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,211,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,794,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,859,036	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,935,552	NetCommunityBenefitExpnsAmt
Total Expense	0.02180	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,122,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$442,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,680,046	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,949,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,422,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,527,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$682,574	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$682,574	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,034,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,998,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,036,763	NetCommunityBenefitExpnsAmt
Total Expense	0.02960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$353,076,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$259,608,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,467,238	NetCommunityBenefitExpnsAmt
Total Expense	0.07890	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$171,764	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$171,764	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$89,580,075	BadDebtExpenseAmt
Reimbursed By Medicare	$158,091,304	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$164,198,836	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,107,532	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SURGICAL SPECIALTY
SURGERY CENTER	0.49	0.51
REGIONAL EYE SURGERY
IMAGING SERVICES	0.1275	0.8725

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
OUR LADY OF THE LAKE HOSPITAL
1	5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	WWW.FMOLHS.ORG/OLOLRMC	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SURGICAL SPECIALTY CTR OF BATON ROUGE
2	8080 BLUEBONNET BLVD	BATON ROUGE	LA	70810	WWW.SSCBR.COM	Yes (X)	Yes (X)
LAKE SURGICAL HOSPITAL (SLIDELL) LLC
3	1700 LINDBERG DR	SLIDELL	LA	70458	WWW.SSHLA.COM	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	Engaged Legal Judicial ProcessEngagedLegalJudicialProcessInd	No Emergency CareNoEmergencyCareInd	No Emergency Care PolicyNoEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
OUR LADY OF THE LAKE HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	PART V, SECTION C	Yes (X)	PART V, SECTION C	Yes (X)	Yes (true)	15	false	Yes (true)	false	Yes (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 SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SURGICAL SPECIALTY CTR OF BATON ROUGE
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	PART V, SECTION C	Yes (X)	PART V, SECTION C	Yes (X)	Yes (true)	15	false	Yes (true)	false	Yes (true)	Yes (X)	138.	0.	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (true)	Yes (X)	Yes (true)		Yes (X)	Yes (X)		false	Yes (X)	false	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Lake Surgical Hospital (Slidell) LLC
4	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	false	false	Yes (true)	Yes (X)	SSHLA.COM/ADDITIONAL-DOCUMENTS			Yes (X)	Yes (true)	17	false	Yes (true)	false	Yes (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 SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	SEE SUPPLEMENT AT PART V	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (true)	Yes (X)	Yes (true)		Yes (X)	Yes (X)		false		false	false		Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, QUESTION 13H	OUR LADY OF THE LAKE HOSPITAL: 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 V, SECTION B, QUESTION 5	OUR LADY OF THE LAKE HOSPITAL (OLOL) AND SURGICAL SPECIALTY CENTER (SSC) OF BATON ROUGE: OLOL & SSC JOINED THE MAYOR'S HEALTHY CITY INITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHY BR AND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESE GROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS INCLUDING THE OFFICE OF PUBLIC HEALTH, NONPROFIT ORGANIZATIONS AND SCHOOLS. THE LOCAL HOSPITALS PARTICIPATING WERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, AND SURGICAL SPECIALTY CENTER OF BATON ROUGE. THE REPRESENTATIVES ALSO INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MARILYN REYNAUD, MD, MPH, REGIONAL ADMINISTRATOR/MEDICAL DIRECTOR FOR THE DEPARTMENT OF HEALTH AND HOSPITALS, REGION 2 OFFICE OF PUBLIC HEALTH AND DR. JIMMY GUIDRY, STATE HEALTH OFFICER, PROVIDED INPUT AND GUIDANCE ON THE CHNA. LAKE SURGICAL HOSPITAL: LAKE SURGICAL HOSPITAL (SLIDELL) GATHERED INFORMATION FOR ITS CHNA USING SURVEYS, INTERVIEWS, AND PUBLISHED MATERIALS. THE HOSPITAL INTERVIEWED LEADERS FROM ORGANIZATION THAT INCLUDED PUBLIC HEALTH EXPERTISE, PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA, AND REPRESENTATIVES OF UNDERSERVED POPULATIONS. ALLYSON VILLARS, ST. TAMMANY PARISH DIRECTOR OF HEALTH AND HUMAN SERVICES, AS WELL AS LEADERS FROM THE CHAMBER OF COMMERCE, COUNCIL ON AGING, COMFORCARE, HOME INSTEAD SENIOR CARE, AND FATHER PAT WATTIGNY PROVIDED INPUT AND GUIDANCE ON THE CHNA.
PART V, SECTION B, QUESTION 6	OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE.
PART V, SECTION B, QUESTION 7	OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: THE JOINT CHNA CAN BE FOUND AT THE FOLLOWING WEBSITES: HTTPS://OLOLRMC.COM/PAGES/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX WWW.SSCBR.COM/USERFILES/FILE/CHNA_FINAL-062416.PDF HTTP://WWW.HEALTHYBR.COM/ASSETS/UPLOADS/DOCS/CHNA.FINAL.6.24.16.PDF
PART V, SECTION B, QUESTION 11	OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: IN 2015 THE PARTICIPANTS IN THE JOINT CHNA IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. OLOL FOCUSES ON ALL FOUR SIGNIFICANT NEEDS IDENTIFIED - OBESITY, HIV/AIDS, OVERUSE OF THE EMERGENCY DEPARTMENT, AND MENTAL HEALTH AND BEHAVIORAL HEALTH. OLOL HAS DONE THE FOLLOWING TO HELP ADDRESS THE IDENTIFIED COMMUNITY NEEDS: OBESITY OLOL PHYSICIAN GROUP PHYSICIAN, DR. TYSON PROVIDES A CHILDHOOD OBESITY PROGRAM IN PARTNERSHIP WITH PENNINGTON RESEARCH CENTER. HEALTH CARE CENTERS IN SCHOOLS (AN AFFILIATED TAX-EXEMPT ORGANIZATION WHICH IS FUNDED BY OLOL) AND BATON ROUGE CHILDREN'S HEALTH PROJECT BOTH PROMOTED THE CHILDHOOD OBESITY PREVENTION MESSAGE, 5210+10 IN 85 EBR PARISH SCHOOLS. OLOL ALSO SPONSORED BREADA FOR $15,000 TO PROMOTE 5210+10 AT FARMERS MARKETS, RYAN ELEMENTARY SCHOOL, AND MAIN LIBRARY. 3,400 LIVES WERE IMPACTED. OLOL PARTNERED WITH CITY YEAR TO TRAIN MORE THAN 90 CORP MEMBERS IN 5210+10, CPR, AND TRAUMA PROGRAM STOP THE BLEED EFFORTS. COMMUNITY EDUCATION ON OBESITY PREVENTION WAS ALSO PROVIDED TO 1,707 PEOPLE. OLOL ALSO BEGAN PARTICIPATING IN THE USDA SUMMER FEEDING PROGRAM PROVIDING 2961 MEALS IN THE SUMMER OF 2017 AND 8001 MEALS IN THE SUMMER OF 2018 AT ITS GOODWOOD PEDIATRIC CLINIC. ALSO, WE HOSTED THE AMAZING HALF MARATHON FOR 2,000 PARTICIPANTS IN MARCH 2018. ANNUALLY OLOL PROVIDES TWO SEASONAL FARM TO WORK PROGRAMS (PRODUCE BOXES FROM LOCAL FARMERS ARE DELIVERED TO WORKSITE). OLOL PROVIDES SUBSIDIZED BOXES FOR TEAM MEMBERS WHO MAKE LESS THAN $15/HOUR, FOR $5,225. THE PROGRAM SERVED 544 PARTICIPANTS DURING FYE18. HIV/AIDS OLOL PERFORMED 3,375 TESTS IN THREE EMERGENCY DEPARTMENTS AND SCREENED 13,383 PATIENTS IN TWO URGENT CARE CENTERS. 85 NEW CASES OF HIV WERE IDENTIFIED AT ALL FIVE TESTING SITES. OLOL CONTINUES TO OFFER COMMUNITY BASED SCREENINGS AS WELL AS EDUCATION AND AWARENESS ABOUT HIV/AIDS RESOURCES AND TREATMENT OPTIONS. OLOL WORKED WITH OCHSNER HOSPITAL TO START HIV OPT-OUT TESTING IN THEIR EMERGENCY DEPARTMENTS. OLOL ALSO WORKS WITH HEALTHY BR PARTNERS TO DECREASE COMMUNITY STIGMA AROUND HIV/AIDS AND ADVOCATES FOR POLICY CHANGE THAT AFFECTS STIGMA AND TREATMENT, AND INCREASE COMMUNITY SCREENINGS. DURING ITS WORK WITH HEALTHY BR PARTNERS, COMMUNITY SCREENINGS INCREASED BY 7 AND, 213 INDIVIDUALS WERE SCREENED FOR HIV. MENTAL/BEHAVIORAL HEALTH THE JOINT LSU-OLOL PSYCHIATRY RESIDENCY PROGRAM TRAINED 25 PSYCHIATRY RESIDENTS DURING FYE 18. THE PHYSICIANS PROVIDED SERVICES AT OLOL HOSPITAL AND IN OUTPATIENT LOCATIONS ACROSS THE COMMUNITY. OLOL LAUNCHED A COLLABORATIVE CARE MODEL FOR MENTAL HEALTH, SUPPORTED BY A $300,000 GRANT. THE LSU-OLOL PSYCH PROGRAM INITIATED A SUICIDE PREVENTION ASSESSMENT. OVER UTILIZATION OF THE EMERGENCY DEPARTMENT THE COMPLEX PATIENT PROJECT (PATIENTS WHO HAVE BEEN TO THE EMERGENCY DEPARTMENT 5 OR MORE TIMES DURING A 6 MONTH PERIOD) WORKED WITH 796 PATIENTS IN FY18. WE DEVELOP RELATIONSHIPS WITH THE PATIENTS TO HELP THEM TO IDENTIFY AND UTILIZE MEDICAL RESOURCES OTHER THAN THE ED TO GET THEIR MEDICAL NEEDS MET, SO THAT THEY WOULD NOT HAVE TO COME TO THE ED AS OFTEN. OUR GOAL IS TO BE SURE THAT EACH PATIENT GETS THE BEST EVIDENCE-BASED MEDICAL CARE FOR THEIR CONDITION IN THE LEAST RESTRICTIVE SETTING. PATIENTS WHO SIGNIFICANTLY REDUCED THEIR ADMISSIONS TO THE EMERGENCY DEPARTMENT AS A RESULT OF OUR INTERVENTIONS: 594 PATIENTS WHO CONTINUED TO BE ADMITTED TO THE EMERGENCY DEPARTMENT THE SAME NUMBER OF TIMES OR MORE AFTER OUR INTERVENTIONS: 209 FOR THE 209 WHO DID NOT IMPROVE, WE DEVELOPED A COMPLEX PATIENT TREATMENT, MULTIDISCIPLINARY PLANNING TEAM LED BY EMERGENCY ROOM AND HOSPITALIST DOCTORS TO ADDRESS THEIR COMPLEX NEEDS. A TOTAL OF 125,675 PATIENTS WERE SEEN IN OUR EMERGENCY DEPARTMENTS. MEDICAID EXPANSION OLOL CENTER USES ID SUPPORT WITH MEDICAID OUTREACH SPECIALISTS ON SITE. SURGICAL SPECIALTY CENTER OF BATON ROUGE SURGICAL SPECIALTY CENTER WILL ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH OUR LADY OF THE LAKE HOSPITAL. SSC PROVIDES SERVICES TO THOSE WITH MEDICAID COVERAGE AND PROVIDES CHARITY CARE. THE EAR, NOSE & THROAT DOCTORS AT SSC ARE THE ONLY ENT DOCTORS IN EAST BATON ROUGE PARISH WHO ACCEPT MEDICAID. THEY ARE SENT REFERRALS FROM AREAS OUTSIDE OF EAST BATON ROUGE PARISH AS WELL.
PART V, SECTION B, QUESTION 16A, B, & C	OUR LADY OF THE LAKE HOSPITAL: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/PAGES/FINANCIAL-ASSISTANCE-POLICY.ASPX SURGICAL SPECIALTY CENTER OF BATON ROUGE: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: WWW.SSCBR.COM/PAGE.PHP?PID=21 LAKE SURGICAL HOSPITAL (SLIDELL): THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: SSHLA.COM/ADDITIONAL-DOCUMENTS
PART V, SECTION B, QUESTION 16J	OUR LADY OF THE LAKE HOSPITAL, SURGICAL SPECIALTY CENTER OF BATON ROUGE, LAKE SURGICAL HOSPITAL (SLIDELL): REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, QUESTION 16I	OUR LADY OF THE LAKE HOSPITAL WIDELY PUBLICIZES ITS FAP, IN PART, BY INCLUDING ON ITS WEBSITE LANGUAGE TRANSLATIONS OF ITS FINANCIAL ASSISTANCE POLICY AND ASSOCIATED DOCUMENTS. LAKE SURGICAL HOSPITAL AND SURGICAL SPECIALTY CENTER ARE SMALLER, ASSOCIATED HOSPITALS WHO ALSO WIDELY PUBLICIZE THE FAP IN MANY WAYS. HOWEVER, IT WAS DISCOVERED IN MAY 2018 THAT BOTH LAKE SURGICAL HOSPITAL AND SURGICAL SPECIALTY CENTER WERE MISSING THE NEEDED TRANSLATIONS OF THE FINANCIAL ASSISTANCE POLICIES AND ASSOCIATED DOCUMENTS ON THEIR WEBSITES. LAKE SURGICAL HOSPITAL CORRECTED THE ERROR BY POSTING THE NEEDED TRANSLATIONS TO ITS WEBSITE. THE WEBSITES ARE NOW BEING ROUTINELY MONITORED TO ENSURE THE NEEDED TRANSLATION DOCUMENTS REMAIN AVAILABLE TO THE PUBLIC.
PART V, SECTION B, QUESTION 21	WHILE OUR LADY OF THE LAKE HOSPITAL HAS A COMPLIANT EMERGENCY CARE POLICY, IT WAS DISCOVERED THAT SMALL AFFILIATED HOSPITALS, SURGICAL SPECIALTY CENTER AND LAKE SURGICAL HOSPITAL, HAD AN EMERGENCY CARE POLICY THAT WAS NOT FULLY COMPLIANT WITH IRC REGULATION 1.501(R)-4(C) DUE TO A SMALL AMOUNT OF MISSING LANGUAGE. SURGICAL SPECIALTY CENTER AND LAKE SURGICAL HOSPITAL DO NOT HAVE AN EMERGENCY DEPARTMENT, BUT AT ALL TIMES ACTED IN COMPLIANCE WITH EMTALA REGULATIONS. THE FACILITIES DID NOT DISCRIMINATE AGAINST ANY PATIENT WITH AN EMERGENCY CONDITION AND BOTH NOW HAVE A WRITTEN POLICY CONTAINING ALL REQUIRED LANGUAGE.
PART V, SECTION B, QUESTION 20A	LAKE SURGICAL HOSPITAL (SLIDELL): LAKE SURGICAL HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY DESIGNED TO ASSIST PATIENTS WITH LOW INCOME AND NO HEALTH INSURANCE. FOR THOSE WHO FALL OUTSIDE OF THE FINANCIAL ASSISTANCE POLICY, LAKE SURGICAL HOSPITAL WILL INITIATE ECAS IN AN EFFORT TO COLLECT PAYMENT FOR SERVICES PROVIDED. IRC REGULATION 1.501(R)-6(C)(4)(A) REQUIRES THAT LAKE SURGICAL HOSPITAL SEND TO ALL PATIENTS (EVEN NON-QUALIFYING PATIENTS WITH HEALTH INSURANCE) A PLAIN LANGUAGE SUMMARY OF THE FAP AND A COMPLIANT LETTER PRIOR TO INITIATING THE ECA. IT WAS DISCOVERED IN MAY 2018 THAT ECAS WERE INITIATED ON 29 PATIENTS WITH HEALTH INSURANCE BEFORE THE REQUIRED INFORMATION HAD BEEN MAILED TO THEM. SINCE THESE 29 PATIENTS WERE NOT ELIGIBLE UNDER THE FAP DUE TO THEIR INSURANCE STATUS, THEY WERE NOT NEGATIVELY IMPACTED FROM THE ERROR. THE TOTAL AMOUNT INVOLVED WAS $54,080. BEFORE THE FISCAL YEAR ENDED, LAKE SURGICAL HOSPITAL CHANGED ITS PROCEDURES SO THAT ALL PATIENTS RECEIVE A PLAIN LANGUAGE SUMMARY AND A COMPLIANCE LETTER PRIOR TO INITIATING ECAS REGARDLESS OF INSURANCE STATUS. SURGICAL SPECIALTY CENTER: SURGICAL SPECIALTY CENTER (SSC) HAS A FINANCIAL ASSISTANCE POLICY DESIGNED TO ASSIST PATIENTS WITH LOW INCOME AND NO HEALTH INSURANCE. FOR THOSE WHO FALL OUTSIDE OF THE FINANCIAL ASSISTANCE POLICY, SSC WILL INITIATE ECAS IN AN EFFORT TO COLLECT PAYMENT FOR SERVICES PROVIDED. IRC REGULATION 1.501(R)-6(C)(4)(A) REQUIRES THAT SSC SEND TO ALL PATIENTS (EVEN NON-QUALIFYING PATIENTS WITH HEALTH INSURANCE) A PLAIN LANGUAGE SUMMARY OF THE FAP AND A COMPLIANT LETTER PRIOR TO INITIATING THE ECA. IT WAS DISCOVERED IN MAY 2018 THAT ECAS WERE INITIATED ON A FEW PATIENTS WITH HEALTH INSURANCE BEFORE THE REQUIRED INFORMATION HAD BEEN MAILED TO THEM. SINCE THESE PATIENTS WERE NOT ELIGIBLE UNDER THE FAP DUE TO THEIR INSURANCE STATUS, THEY WERE NOT NEGATIVELY IMPACTED FROM THE ERROR. PROCEDURAL CORRECTIONS ARE BEING MADE TO PREVENT THIS FROM RE-OCCURING IN THE FUTURE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PERKINS PLAZA AMB SURGERY CENTER
7145 PERKINS ROAD	BATON ROUGE	LA	708084322	SURGERY CENTER
CONVENIENT CARE LLC
7777 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	URGENT CARE
BRPT-LAKE REHABILITATION CENTERS LLC
530 SHADOWS LANE	BATON ROUGE	LA	70806	REHABILITATION
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	URGENT CARE
OLOL PONTCHARTRAIN SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	As part of its mission to improve the lives and health of community members, OLOL has a cooperative endeavor agreement (CEA) with the State of Louisiana Department of Health, formerly known as DHH, and Louisiana State University Health Sciences (LSU) that trains future physicians for our area and provides healthcare access to uninsured and under-insured residents. This public-private partnership has enabled positive healthcare transformation in Baton Rouge. Despite the closing of state-run hospitals and clinics, including Earl K. Long Medical Center in April 2013, and added challenges to the healthcare system created by the Baton Rouge Generals closure of its Mid-City Emergency Room (ER) in March 2015, recent data shows that this new model of care in Baton Rouge is working well. The benefits of the CEA to the community are visible in the following ways: Patient Care A. Uninsured and Medicaid patients have access to more than 20 specialty services, many of which were not available to prior to the CEA. Local services now provided oncology, mental health/psych, mental health integration into primary care with the availability of a psychiatrist as a consultant, diabetes care, dermatology, cardiology and more, along with pharmacy, imaging and diagnostic services. With the 2016 Medicaid expansion in Louisiana, we have seen an increase across the board in clinic visits, up from 114,840 in 2016 to 197,939 in 2017. Those outpatient visits have more than doubled from 2012(90,096 visits) due to expanded insurance coverage and more opportunity to access care. Increased access to care also included access to pharmacy and urgent care services. Patients filled 83,135 prescriptions that helped treat both acute and chronic conditions such as hypertension, asthma, diabetes and HIV. B. In coordination with LSU Health, OLOL operates two urgent care clinics to cost-effectively treat a wide range of injuries and conditions including infections, flus and fevers, broken bones and minor burns. Patients with these conditions would typically seek treatment in EDs which carry increased costs. Uninsured and an increasing number of patients with Medicaid, now have access to a more abundant right place, right level of care for these healthcare needs through LSU Health Urgent Care Centers and Lake After Hours. LSU Health has encountered 50,908 patients via its two Urgent Care locations. C. Increasing capacity for Emergency care has also been a priority for OLOL, especially in light of being the only Emergency Department in a 20 mile radius of North Baton Rouge and Mid City. Through the CEA with support from the state of Louisiana, OLOL made the decision to expand access and open a stand-alone Emergency Department on the campus of LSU Health North Baton Rouge clinic and urgent care site. By being in such close proximity to the Urgent Care vs the ED, this care coordination allows for opportunities to educate patients on the appropriate use of the emergency department as well as allows those who truly are in need of emergent care to receive treatment in a timely manner. D. Our Lady of the Lake is the only designated trauma center in region 2, which cared for 2652 patients in 2017. 24.7% of all trauma patients were uninsured in 2017 and 31% had Medicaid as their payment source. The trend of half of all trauma patients treated each year being uninsured or having Medicaid has been consistent since 2012. Graduate Medical Education A. Through the CEA, OLOL is training future generations of physicians in nearly all medical specialties and subspecialties as these clinicians commit to improve patient care in Baton Rouge. Equally important, academic medical centers such as OLOL are attracting the top physicians in the country, which helps advance medicine and deliver more comprehensive services in Baton Rouge, the surrounding parishes and the state. B. OLOL serves as a clinical teaching site for 25 residency and fellowship programs, including 17 through Louisiana State University Health Sciences Center, Tulane University School of Medicine (2), OLOL (2), Baton Rouge General (3), and a joint program between OLOL and LSU (1). In addition to these improvements in the quality of care for uninsured and Medicaid patients in the area, OLOL has made capital investments that have benefitted families in the community and the region, including: 1. Groundbreaking on Children's Hospital in 2016 2. Opening of new North BR Emergency Room. Through this innovative partnership, OLOL has increased its efforts and reaffirmed its focus to bring better, more accessible care to the residents of Baton Rouge, and the organization remains devoted to serving the health needs of this community well into the future. LDH provides payments under a reimbursement structure which are intended to compensate the hospital for incremental costs associated with higher Medicaid and uninsured patient volumes. Because of these reimbursements, which are considered direct offsetting revenue, the hospitals vital impact to the community in this effort is not directly reflected in the net community benefit percentage found at line 7k, column (f). The significant benefit to the community is better expressed as a percentage of total community benefit expense.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE.
PART III, LINE 4:	THE BAD DEBT FOOTNOTE IS ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
PART III, LINE 9B:	PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
PART VI, LINE 2:	NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE LAKE HOSPITAL JOINED the Mayors Healthy City Initiative in 2007. Still today, OLOL sits among other local area hospitals in an open collaborative effort to improve the health of the Baton Rouge community. The Community Health Needs Assessment is just one of many joint efforts that OLOL has participated in alongside other hospitals and organizations. In May of 2008, Baton Rouge Mayor-President Melvin L. "Kip" Holden commissioned the Mayors Healthy City Initiative to encourage Baton Rouge residents to adopt a healthier and more active lifestyle. In 2017 there was a change in administration, and a new mayor was elected; Sharon Weston Broom committed to and continues the work of the Mayor's Healthy City Initiative. Both Mayors envision a program that would promote and identify resources available in the community for residents to live healthier lives free of chronic disease. In Louisiana, almost half of our children are considered overweight or obese, putting them at a much greater risk of obesity-related health problems like diabetes, heart disease, stroke, cancer and asthma. Nationwide the number of children who are considered overweight or obese has nearly tripled over the past 30 years. To tackle this problem, the Mayor subdivided the Initiative into 2 separate but compatible parts: Healthy BR - a focus on healthier eating and a more active lifesyle MedBR - a focus on access to care and health outcomes Each subgroup engages a variety of partner organizations in a cooperative effort between local and state governments, area hospitals, public health, and local health organizations and nonprofits. OLOL is a major supporter and contributor of the Mayors Healthy City Initiative. the Mayors Healthy City Initiative served as a common platform, allowing for in-depth roundtable discussions among local area hospitals. The OLOL Community Advocacy team facilitated those discussions and processes for completing the CHNA report. OLOL ALSO WORKS SEPARATELY WITH COMMUNITY ORGANIZATIONS (on the CHNA Implementation Plan) SUCH AS UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, BREC, BRAC, AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OLOL HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT ADDRESS THE 4 SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE.
PART VI, LINE 4	COMMUNITY INFORMATION: OUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, EAST BATON ROUGE HAS A POPULATION OF APPROXIMATELY 445,227 RESIDENTS. THE POPULATION IS RELATIVELY YOUNG, WITH 23% OF RESIDENTS BELOW 18 YEARS OF AGE. THE SENIOR POPULATION COMPRISES ABOUT 12% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $47,770. 20.5% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 5.8%.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM. THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. FOR MORE INFORMATION ON THE PROMOTION OF COMMUNITY HEALTH, PLEASE REFER TO THE PART VI SUPPLEMENTAL INFORMATION DESCRIPTION FOR PART 1 QUESTION 7.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL
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 I, LINE 3C	FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FORM A COMMUNITY CLINIC AND IS REFERRED TO THE HOPSITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
City Year Inc
287 Columbia Avenue	Boston	ME	021165114	222882549	501(C)(3)	$10,000	General Support
Mayors Healthy City Initiative
222 Saint Louis Street	Baton Rouge	LA	70802	272515190	501(C)(3)	$10,000	General Support
Children's Miracle Network
205 West 700 South	Salt Lake City	UT	84101	870387205	501(C)(3)	$6,000	General Support
Boys & Girls Club
8281 Goodwood Blvd Ste H	Baton Rouge	LA	70806	720928014	501(C)(3)	$6,000	General Support
American Heart Association
7272 Greenville Avenue	Dallas	TX	752314596	135613797	501(C)(3)	$65,000	General Support
McMains Childrens Development Center
1805 College Drive	Baton Rouge	LA	70808	720459036	501(C)(3)	$10,000	General Support
Livingston Economic Development Council
P O Box 809	Livingston	LA	70754	720966247	501(C)(6)	$15,000	SEE PART IV
Fore Kids Foundation
11005 Lapalco Blvd	Avondale	LA	70094	581940111	501(C)(3)	$30,000	General Support
Louisiana Soccer Association
475 Gardere Ln	Baton Rouge	LA	70820	721067495	501(C)(3)	$15,000	General Support
Baton Rouge Area Chamber
564 Laurel St	Baton Rouge	LA	70801	720126959	501(C)(6)	$125,000	SEE PART IV
Louisiana Resource And DEVELOPMENT COUNCIL
PO Box 44422	Baton Rouge	LA	70804	581686563	501(C)(3)	$6,000	GENERAL SUPPORT
Baton Rouge Health District
5246 Brittany Dr	Baton Rouge	LA	70808	472593574	501(C)(3)	$150,000	GENERAL SUPPORT
Baton Rouge Speech and HEARING FOUNDATION
7784 Innovation Park Drive	Baton Rouge	LA	70820	720542134	501(C)(3)	$10,000	GENERAL SUPPORT
Louisiana AAP Foundation
PO Box 64629	Baton Rouge	LA	70896	161629344	501(C)(3)	$10,000	GENERAL SUPPORT
HEALTH CARE CENTERS IN SCHOOLS
4336 NORTH BOULEVARD	BATON ROUGE	LA	70806	721443935	501(C)(3)	$2,900,000	GENERAL SUPPORT
FRANCISCAN UNIVERSITY
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	721173156	501(C)(3)	$1,500,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Monitoring grants

FORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT, ARE CHECKED FOR ALL APPROPRIATE INFORMATION, AND ARE PRESENTED TO EXECUTIVE ADMINISTRATION FOR APPROVAL. THE HOSPITAL GIVES GRANTS TO ORGANIZATIONS WELL-KNOWN IN THE COMMUNITY, OR WHICH IT HAS A HISTORY OF GIVING TO. THE HOSPITAL FOLLOWS UP WITH GRANT RECIPIENTS IF THERE IS AN INDICATION OF POTENTIAL THAT THE FUNDS ARE NOT BEING USED FOR CHARITABLE PURPOSES.

PURPOSE OF GRANT OR ASSISTANCE

LIVINGSTON ECONOMIC DEVELOPMENT COUNCIL - TO SUPPORT "LIVINGSTON TOMORROW" BATON ROUGE AREA CHAMBER - TO SUPPORT "THINK BIGGER" REGIONAL STRATEGIC PLAN

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JAMES CRAVEN
BOARD MEMBER/PHYSICIAN	$187,536	$0	$10,000	$0	$255	$0	$7,904	$0	$1,675	$0	$207,370	$0	$0	$0
KENNETH C CIVELLO
STAFF PHYSICIAN	$639,073	$0	$392,434	$0	$3,872	$0	$10,800	$0	$23,064	$0	$1,069,243	$0	$0	$0
STEVEN T GREMILLION
STAFF PHYSICIAN	$663,330	$0	$307,655	$0	$641	$0	$10,800	$0	$19,956	$0	$1,002,382	$0	$0	$0
JEFFREY D LIMBOCKER
Regional CFO	$0	$427,364	$0	$110,390	$0	$14,575	$0	$107,606	$0	$24,017	$0	$683,952	$0	$0
CHARLES A SMITH
STAFF PHYSICIAN	$734,127	$0	$351,186	$0	$5,718	$0	$10,800	$0	$19,033	$0	$1,120,864	$0	$0	$0
K SCOTT WESTER
CEO	$0	$592,086	$0	$153,897	$0	$14,815	$0	$171,180	$0	$27,803	$0	$959,781	$0	$0
TERRIE P STERLING
COO	$425,673	$0	$120,053	$0	$641	$0	$122,931	$0	$18,189	$0	$687,487	$0	$0	$0
Nicole Telhiard
VP Patient Care Services	$262,982	$0	$42,894	$0	$305	$0	$41,440	$0	$23,503	$0	$371,124	$0	$0	$0
Paul M Dampf
STAFF PHYSICIAN	$383,072	$0	$516,453	$0	$54,171	$0	$10,800	$0	$26,489	$0	$990,985	$0	$0	$0
Paul D Garrett
Staff Physician	$571,078	$0	$389,354	$0	$180	$0	$10,800	$0	$21,496	$0	$992,908	$0	$0	$0
LOUIS BARFIELD MD
BOARD MEMBER	$463,138	$0	$17,587	$0	$180	$0	$10,800	$0	$23,989	$0	$515,694	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 1, QUESTION 4B	FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLAN IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO ONE LISTED ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR.
PART 1, QUESTION 3	THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART 1, QUESTION 4A	THE CEO 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. THE CFO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE IN 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GOVERNING DOCUMENTS	PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
PART VI, SECTION A, QUESTION 6	FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC.
MEMBERS	PART VI, SECTION A, QUESTION 7B THE RESERVED POWERS TO THE MEMBER ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION
CONFLICT OF INTEREST	OUR LADY OF THE LAKE HOSPITAL, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT OUR LADY OF THE LAKE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE LAKE HOSPITAL, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
PART VI, SECTION A, QUESTION 11	AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
PART VI, SECTION A, QUESTION 7A	FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE LAKE Hospital, Inc.
DETERMINING COMPENSATION	PART VI, SECTION B, QUESTION 15A & 15B OUR BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY OUTSIDE SOURCES. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION FOR THE CEO OF OUR LADY OF THE LAKE HOSPITAL, INC. IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
Part XI, Line 9	Other Changes in net assets or fund balances: Capital Transfers FMOL (22,553,891)
PART III, QUESTION 4D	THE HOSPITAL PROVIDES VARIOUS OTHER PROGRAMS SUCH AS DIETARY, RESPIRATORY, PHARMACY AND SPECIAL PROCEDURES.
SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION	OUR LADY OF THE LAKE HOSPITAL, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2018.
SECTION 1.263 (A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION	OUR LADY OF THE LAKE HOSPITAL, INC. HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDING JUNE 30, 2018. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OUR LADY OF THE LAKE PHYSICIANS GROUP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5000 HENNESSY BLVD	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70808	ZIPCd

Field	Value	IRS element (for citing)
EIN	274026658	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	LA	LegalDomicileStateCd
Total Income	$197,648,714	TotalIncomeAmt
End Of Year Assets	$26,854,144	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OLOL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTHCARE	LA	501(C)(3)	7	OLOL	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
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 BLVD PLAZA 2 SUITE	BATON ROUGE	LA	70808	203894521	REAL ESTATE	LA	OLOL	RELATED	$263,364	$3,109,530	false	Yes (true)	0.63210
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 SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	721404092	HEALTHCARE	LA	LOURDES	N/A
BRPT LAKE REHABILITATION CENTERS LLC
5222 BRITTANY DRIVE	BATON ROUGE	LA	70808	721506100	HEALTHCARE	LA	OLOL	RELATED	$201,170	$1,016,469	false	Yes (true)	0.33000
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	HEALTHCARE	LA	OLOL	RELATED	$1,755,387	$3,310,076	false	Yes (true)	0.50000
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BLVD	BATON ROUGE	LA	70810	263160962	HEALTHCARE	LA	OLOL	RELATED	$6,822,565	$28,749,842	false	Yes (true)	0.49000
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	721329499	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
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	OLOL	RELATED	$539,031	$522,597	false	Yes (true)	0.30000
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	352457810	HEALTHCARE	TX	OLOL	RELATED	$777,141	$20,131,781	false	Yes (true)	0.51000
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	474013731	HEALTHCARE	LA	SFMC	N/A
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	811827194	HEALTHCARE	LA	OLOL	RELATED	-$30,984	$2,002,179	false	Yes (true)	0.50000
LHCG LXVII LLC
901 S HUGH WALLIS ROAD	LAFAYETTE	LA	70508	720423635	HEALTHCARE	LA	LOURDES	N/A
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	HEALTHCARE	LA	OLOL	RELATED	$0	$0	false	Yes (true)	0.50000	$0
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVD	BATON ROUGE	LA	70816	720423651	HEALTHCARE	LA	LOURDES	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HOSPITAL ASSISTANCE SERVICES
PO BOX 4027-C	LAFAYETTE	LA	70502	721073486	HEALTHCARE	LA	LOURDES	C CORP
LOUISE INSURANCE COMPANY
					INSURANCE		FMOL	C CORP	PO BOX 1051 KY1-1102	CAYMAN ISLANDS	GRAND CAYMAN	CJ	CJ
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
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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Our Lady of the Lake Foundation
C	$10,298,521	FMV
Our Lady of the Lake Foundation
Q	$2,865,141	FMV
OLLIE STEELE BURDEN MANOR
Q	$4,826,521	FMV
OLOL ASSUMPTION
Q	$1,290,488	FMV
FRANCISCAN UNIVERSITY
L	$129,000	FMV
FRANCISCAN UNIVERSITY
Q	$3,818,684	FMV
FRANCISCAN UNIVERSITY
A	$149,917	FMV
FRANCISCAN UNIVERSITY
B	$1,500,000	FMV
VILLA ST FRANCIS
Q	$146,046	FMV
ASSISI VILLAGE
Q	$175,977	FMV
CALAIS HOUSE
Q	$109,515	FMV
CHATEAU LOUISE
Q	$99,490	FMV
HEALTH CARE CENTERS IN SCHOOLS
M	$257,000	FMV
HEALTH CARE CENTERS IN SCHOOLS
Q	$1,165,128	FMV
HEALTH CARE CENTERS IN SCHOOLS
B	$2,900,000	FMV
PERKINS PLAZA IMAGING DEVELOPMENT
S	$122,000	FMV
SURGICAL SPECIALTY HOSPITAL
S	$6,678,795	FMV
GAMMA KNIFE
S	$538,500	FMV
LAKE URGENT CARE ASCENSION
S	$120,000	FMV
OLOLUSP SURGERY CENTER LLC
S	$1,237,577	FMV
PINNACLE CARE HOLDINGS
S	$4,050,000	FMV
CONVENIENT CARE
S	$1,150,000	FMV