OUR LADY OF THE LAKE ASCENSION COMMUNITY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: OUR LADY OF THE LAKE ASCENSION COMMUNITY (EIN 72-1470744)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201701359349310765
Schema version: 2015v3.0
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 D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T15:42:12-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	721470744	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OUR LADY OF THE LAKE ASCENSION	BusinessNameLine1Txt
Business Name Line2	COMMUNITY HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% JEFF LIMBOCKER	InCareOfNm
Business Name Control	OURL	BusinessNameControlTxt
Phone	2256475000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1Txt
City	GONZALES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70737	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFF LIMBOCKER	PersonNm
Person Title	REGIONAL CFO	PersonTitleTxt
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTANY ELLISER	PreparerPersonNm
PTIN	P01284594	PTIN
Phone	2253444000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBERT BURGESS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1Txt
City	GONZALES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70737	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$100,034,115	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STEH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	The purpose of the hospital is to provide FOR THE CARE OF THE ILL, injured, or disabled persons and to enhance the health of those in the community through research and education.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	972	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$1,165	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$35,494	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$580,681	PYContributionsGrantsAmt
CY Contributions Grants	$272,044	CYContributionsGrantsAmt
PY Program Service Revenue	$93,550,036	PYProgramServiceRevenueAmt
CY Program Service Revenue	$98,648,926	CYProgramServiceRevenueAmt
PY Investment Income	$612,695	PYInvestmentIncomeAmt
CY Investment Income	$304,722	CYInvestmentIncomeAmt
PY Other Revenue	$744,201	PYOtherRevenueAmt
CY Other Revenue	$653,524	CYOtherRevenueAmt
PY Total Revenue	$95,487,613	PYTotalRevenueAmt
CY Total Revenue	$99,879,216	CYTotalRevenueAmt
PY Grants And Similar Paid	$42,918	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$45,322	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,779,984	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,113,782	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$39,432,265	PYOtherExpensesAmt
CY Other Expenses	$40,270,843	CYOtherExpensesAmt
PY Total Expenses	$92,255,167	PYTotalExpensesAmt
CY Total Expenses	$96,429,947	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,232,446	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,449,269	CYRevenuesLessExpensesAmt
Total Assets BOY	$102,553,425	TotalAssetsBOYAmt
Total Assets EOY	$98,481,094	TotalAssetsEOYAmt
Total Liabilities BOY	$33,928,014	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,006,046	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$68,625,411	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$65,475,048	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 THOSE 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	$49,131,364	ExpenseAmt
Grant	$45,322	GrantAmt
Revenue	$57,390,701	RevenueAmt
Desc	SERVICES TO ITS PATIENTS. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES WERE PROVIDED WITHOUT CHARGE OR AT RATES WHICH ARE LESS THAN THE COST OF PROVIDING SUCH SERVICES. THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR 10,585 PATIENT DAYS AND 189,763 PHYSICIAN OFFICE VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$12,376,702	ExpenseAmt
Revenue	$13,996,742	RevenueAmt
Desc	THE HOSPITAL PROVIDES PATIENTS WITH SURGICAL CARE. 333,782 SURGICAL MINUTES WERE USED DURING THE YEAR.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,905,725	ExpenseAmt
Revenue	$27,261,483	RevenueAmt
Desc	THE HOSPITAL PROVIDES RADIOLOGY SERVICES TO ITS INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL PERFORMED 38,636 RADIOLOGY PROCEDURES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$70,413,791	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	false	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	Yes (true)	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	70	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	972	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (true)	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	JEFF LIMBOCKER	PersonNm
Phone	2256475071	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 W HIGHWAY 30	AddressLine1Txt
City	GONZALES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70737	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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
Sr Martha Ann Abshire
BOARD MEMBER	2.0	10.0	Yes (X)	$0	$0	$0
ROBERT BURGESS
PRESIDENT AND CEO	50.0	0.0	Yes (X)	$380,821	$0	$20,406	Yes (X)
CARY PAUL AQUILLARD JR MD
BOARD MEMBER	40.0	0.0	Yes (X)	$361,981	$0	$32,139
DAWN ZITMAN
BOARD MEMBER	40.0	0.0	Yes (X)	$212,568	$0	$26,214
JAMES D'ANTONI MD
CHIEF OF STAFF	40.0	0.0	Yes (X)	$234,920	$0	$30,044
JOHN F FRAICHE MD
PRES STEPG	40.0	0.0	Yes (X)	$537,545	$0	$10,515
MARK K DEARMAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RJ DAIGLE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ROGER KEESE
SECRETARY	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
THE HONORABLE ALVIN TURNER JR
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
THE HONORABLE JOHN BERTHELOT
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
THE HONORABLE TERI CASSO
BOARD MEMBER-CHAIR	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
ANTHONY NOBILE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
LORIN CRENSHAW
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
STACEY CHAISSON
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
DENZIL MORAES MD
BOARD MEMBER	2.0	58.0	Yes (X)	$0	$1,322,972	$34,782
Robert Schutte MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SR VERNOLA LYONS
BOARD MEMBER	2.0	0.5	Yes (X)	$0	$0	$0
THE HONORABLE TESS STROMBERG
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
Sue Knight
COO	40.0	0.0		$254,598	$0	$65,540	Yes (X)
Jeffrey Limbocker
CFO	2.0	58.0		$0	$519,413	$62,312	Yes (X)
Yvonne Pellerin
CNO	40.0	0.0		$185,877	$0	$14,741		Yes (X)
JILL LEE
CNO	40.0	0.0		$148,806	$0	$4,862		Yes (X)
Rahil D Shah
Staff Physician	40.0	0.0		$590,552	$0	$10,672			Yes (X)
Dawn B Sharp
Physician	40.0	0.0		$628,927	$0	$36,320			Yes (X)
MICHAEL A GOODIER
Physician	40.0	0.0		$396,696	$0	$16,255			Yes (X)
Stephen B Manale
Physician	40.0	0.0		$373,476	$0	$31,899			Yes (X)
James N Williams
Physician	40.0	0.0		$362,625	$0	$34,639			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,669,392	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,842,385	TotReportableCompRltdOrgAmt
Total Other Compensation	$431,340	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	72	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	$2,118,336
Trimedx
5451 Lakeview Parkway S Drive	Indianapolis	IN	46268	Clinical Maintenance	$652,000
Regional Radiology LLC
PO Box 1608	Kenner	LA	700631608	Radiologist Services	$650,000
Van Meter Emergency Physicians
PO Box 636343	Cincinnati	OH	452636343	ER Physician Service	$612,500
Acadiana Computer System Inc
324 Dulles Drive	Lafayette	LA	70506	Billing Services	$420,534

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$8,990	FundraisingAmt
Government Grants	$59,987	GovernmentGrantsAmt
All Other Contributions	$203,067	AllOtherContributionsAmt
Total Contributions	$272,044	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	900099	$97,506,137	$97,506,137
Hearing and Balance	900099	$95,036	$95,036
CAFETERIA	900099	$201,704	$201,704
Outreach Lab	900099	$55,508	$55,508
ALL OTHER PROGRAM SERVICE REVENUE	900099	$790,541	$790,541

Field	Value	IRS element (for citing)
Total Program Service Revenue	$98,648,926	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$103,120	TotalRevenueColumnAmt
Unrelated Business Revenue	-$282	UnrelatedBusinessRevenueAmt
Exclusion	$103,402	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$668,557	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$668,557	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$668,557	TotalRevenueColumnAmt
Related Or Exempt Func Income	$668,557	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$337,258	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$121,858	SecuritiesAmt
Other	$13,798	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$215,400	SecuritiesAmt
Other	-$13,798	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$201,602	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,447	UnrelatedBusinessRevenueAmt
Exclusion	$200,155	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,210	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$8,990	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$19,243	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,033	TotalRevenueColumnAmt
Exclusion	-$15,033	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,879,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$99,317,483	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,165	UnrelatedBusinessRevenueAmt
Exclusion	$288,524	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$45,322	TotalAmt
Program Services	$45,322	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	$0	TotalAmt

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	$1,777,153	TotalAmt
Program Services	$1,172,921	ProgramServicesAmt
Management And General	$604,232	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	$42,588,417	TotalAmt
Program Services	$28,108,355	ProgramServicesAmt
Management And General	$14,480,062	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,056,776	TotalAmt
Program Services	$2,677,472	ProgramServicesAmt
Management And General	$1,379,304	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,875,755	TotalAmt
Program Services	$3,217,998	ProgramServicesAmt
Management And General	$1,657,757	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,815,681	TotalAmt
Program Services	$1,858,349	ProgramServicesAmt
Management And General	$957,332	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,138,939	TotalAmt
Program Services	$9,138,939	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$81,640	TotalAmt
Program Services	$53,882	ProgramServicesAmt
Management And General	$27,758	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$708,769	TotalAmt
Program Services	$467,788	ProgramServicesAmt
Management And General	$240,981	ManagementAndGeneralAmt

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	$21,641	TotalAmt
Program Services	$14,283	ProgramServicesAmt
Management And General	$7,358	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,523,876	TotalAmt
Program Services	$2,985,758	ProgramServicesAmt
Management And General	$1,538,118	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$494,863	TotalAmt
Program Services	$326,610	ProgramServicesAmt
Management And General	$168,253	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,291,378	TotalAmt
Program Services	$2,172,309	ProgramServicesAmt
Management And General	$1,119,069	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,143,021	TotalAmt
Program Services	$754,394	ProgramServicesAmt
Management And General	$388,627	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,045,408	TotalAmt
Program Services	$1,349,969	ProgramServicesAmt
Management And General	$695,439	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$176,875	TotalAmt
Program Services	$116,737	ProgramServicesAmt
Management And General	$60,138	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	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$542,311	TotalAmt
Program Services	$357,925	ProgramServicesAmt
Management And General	$184,386	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,741,585	TotalAmt
Program Services	$2,469,446	ProgramServicesAmt
Management And General	$1,272,139	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,583,457	TotalAmt
Program Services	$1,045,082	ProgramServicesAmt
Management And General	$538,375	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies Expense	$10,727,584	$10,727,584
DUES AND SUBSCRIPTIONS	$10,000	$6,600	$3,400
REPAIRS AND MAINTENANCE	$1,977,077	$1,304,871	$672,206
SPECIAL EVENTS	$62,419	$41,197	$21,222

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,429,947	TotalAmt
Program Services	$70,413,791	ProgramServicesAmt
Management And General	$26,016,156	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,624,706	BOYAmt
EOY	$18,310,136	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	$14,553,249	BOYAmt
EOY	$13,324,973	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,492,747	BOYAmt
EOY	$1,527,340	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,048,258	BOYAmt
EOY	$1,345,671	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$94,127,423	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$43,350,640	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$49,391,790	BOYAmt
EOY	$50,776,783	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,292,208	BOYAmt
EOY	$3,302,981	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,373,944	BOYAmt
EOY	$4,621,766	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,039,905	BOYAmt
EOY	$3,198,919	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,736,618	BOYAmt
EOY	$2,072,525	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$102,553,425	BOYAmt
EOY	$98,481,094	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,907,915	BOYAmt
EOY	$16,676,736	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	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,865,508	BOYAmt
EOY	$11,865,494	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	$3,143,035	BOYAmt
EOY	$2,483,148	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,011,556	BOYAmt
EOY	$1,980,668	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,928,014	BOYAmt
EOY	$33,006,046	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$68,302,232	BOYAmt
EOY	$65,114,243	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$323,179	BOYAmt
EOY	$360,805	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	$68,625,411	BOYAmt
EOY	$65,475,048	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$102,553,425	BOYAmt
EOY	$98,481,094	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,449,269	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$421,383	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,178,249	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$3,747,277	OtherCostOrOtherBasisAmt
Book Value	$3,747,277	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,802,382	OtherCostOrOtherBasisAmt
Depreciation	$20,889,651	DepreciationAmt
Book Value	$37,912,731	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$915,113	OtherCostOrOtherBasisAmt
Depreciation	$896,343	DepreciationAmt
Book Value	$18,770	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,169,046	OtherCostOrOtherBasisAmt
Depreciation	$21,564,646	DepreciationAmt
Book Value	$8,604,400	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$493,605	OtherCostOrOtherBasisAmt
Book Value	$493,605	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$50,776,783	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
SELF-INSURANCE LIABILITY	$1,470,733
TAIL COVERAGE & NONREIMBURSABLE LIA	$277,806
DUE FROM AFFILIATES	$232,129

Field	Value	IRS element (for citing)
Total Liability	$1,980,668	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	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 position have been recorded.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$2,338,766	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$2,338,766	SubtotalSpentAmt
Total Spent	$2,338,766	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$13,200	GrossReceiptsEvent1Amt
Charitable Contri Event1	$8,990	CharitableContriEvent1Amt
Gross Revenue Event1	$4,210	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$1,416	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$10,416	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$556	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$6,855	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$13,200	GrossReceiptsTotalAmt
Charitable Contributions Tot	$8,990	CharitableContributionsTotAmt
Gross Revenue Total Events	$4,210	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,416	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$10,416	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$556	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$6,855	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$19,243	DirectExpenseSummaryEventsAmt
Net Income Summary	-$15,033	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$692,817	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$692,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,737,559	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,429,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,307,804	NetCommunityBenefitExpnsAmt
Total Expense	0.05500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,430,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,429,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,000,621	NetCommunityBenefitExpnsAmt
Total Expense	0.06220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$820,324	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$820,324	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,517	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,162,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,162,805	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,593,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,429,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,163,426	NetCommunityBenefitExpnsAmt
Total Expense	0.07430	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$883	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$883	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$18,166,291	BadDebtExpenseAmt
Reimbursed By Medicare	$31,803,424	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,122,629	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,680,795	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
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1Txt
City	GONZALES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70737	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FMOLHS.ORG/STEH	WebsiteAddressTxt
State License	434	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 16I	REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE OR DISCOUNTED CARE. THE POLICY IS ALSO POSTED AT THE HOSPITAL ADMISSION AREAS.
PART V, LINE 22D	THE HOSPITAL FACILITY DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE USING THE AVERAGE OF THE BOTTOM QUARTER LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.
PART V, LINE 5	THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. ST. ELIZABETH HOSPITAL TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY WORKING WITH GONZALES MENTAL HEALTH, COMMUNITY CLINICS, AND THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS. ST. ELIZABETH HOSPITAL ALSO INTERVIEWED COMMUNITY ORGANIZATIONS, HEALTHCARE PROVIDERS, AND RELIGIOUS ORGANIZATIONS.
PART V, LINE 11	St. Elizabeth Hospital conducted a community health needs assessment in TAX YEAR 2015. The CHNA identified three significant community health needs: obesity, cancer, and mental health/substance abuse. ST. ELIZABETH HOSPITAL has done the following to address those needs in the current year. Obesity and Related Chronic Diseases: St. Elizabeth HOSPITAL opened the St. Elizabeth Physician Wellness Clinic in Ascension Parish which specifically targets and addresses nutrient activity and medical counselling for this patient population as identified in the CHNA. St. Elizabeth HOSPITAL also continues to operate and fund the St. Elizabeth Physician Diabetes Management Program (DMP). The DMP program provided diabetes education, screenings and access to medical treatment for diabetes. The number of St. Elizabeth HOSPITAL obesity and chronic disease related community educational offerings was budgeted at a 10 % increase for FY 2016-17. St. Elizabeth HOSPITAL provided 58 community educations offering on obesity and related chronic diseases. Cancer: St. Elizabeth HOSPITAL focused on providing cancer related screenings, evaluation and education on the following types of cancer as identified through the CHNA. St. Elizabeth HOSPITAL provided 16 community educational sessions on cancer and cancer related conditions. The following are examples of the types of cancer evaluation and education offerings. - Skin cancer evaluation was performed yearly through partnerships at the annual Family Health Festival - Colon cancer evaluation and screenings was performed annually. - Prostate cancer community screenings, evaluation and education performed annually. St. Elizabeth HOSPITAL also established the St. Elizabeth Tobacco Cessation Program to reduce the number of cancer related diseases cause by tobacco use. Mental Health & Substance Abuse: In collaboration with other community organizations such as the Ascension Counseling Center and Gonzales Mental Health Unit St. Elizabeth HOSPITAL has increased the number of mental health related community educational events. In 2016 St. Elizabeth HOSPITAL supported 152 community educational sessions and provided support for groups dealing with mental health related issues. In addition, in collaboration with Alzheimers Services of Greater Baton Rouge and other community organizations, ST. ELIZABETH HOSPITAL helped to facilitate bringing a respite center to Ascension Parish for patients suffering with dementia. The Franciscan Missionaries of Our Lady Health System and St. Elizabeth Hospital as a sponsor organization has also identified the need for mental health services as a system wide strategic initiative.
PART V, LINE 7	The CHNA can be found at https://steh.com/Pages/About-Us/Community-Health-Needs-Assessment.aspx.
PART V QUESTION 13H	PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST ELIZ-MARY BIRD PERKINS CANCER CENTER
4950 ESSEN LANE	BATON ROUGE	LA	70809	CANCER TREATMENT CENTER
COMMUNITY HEALTH CLINIC
1125 HIGHWAY 30	GONZALES	LA	70737	LOW INCOME CLINIC
LAKE URGENT CARE ASCENSION LLC
10313 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
PART III, LINE 4	THE BAD DEBT FOOTNOTE IS ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8	CMS REGULATIONS/GUIDELINES ARE USED IN COMPLETING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS THE TOOL USED IN DETERMINING MEDICARE ALLOWABLE COSTS.
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 DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
PART VI, LINE 2	NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED IS PRIMARY TO THE MISSION OF ST. ELIZABETH HOSPITAL. ST. ELIZABETH HOSPITAL IDENTIFIES THE COMMUNITY'S HEALTH NEEDS BY UTILIZING THE FOLLOWING INFORMATION GATHERING TECHNIQUES: COMMUNITY SURVEY: ON AN ANNUAL BASIS, ST. ELIZABETH HOSPITAL, ALONG WITH THE HELP OF STRATEGIC MARKETING AND RESEARCH, LLC, PERFORM A COMMUNITY SURVEY AIMED AT IDENTIFYING THE HEALTH CARE NEEDS AND PREFERENCES OF LOCAL RESIDENTS. THE SURVEY IS CONDUCTED VIA PHONE WHILE USING A RANDOM SAMPLE OF RESPONDENTS. THE FINDINGS FROM THIS RESEARCH SERVE AS A FOUNDATION FOR THE DEVELOPMENT OF FUTURE PROGRAMS FOR OFFERING HEALTHCARE IN ASCENSION PARISH. THE SURVEY ALSO IDENTIFIES THOSE SERVICES THAT ARE SOUGHT OUTSIDE OF ASCENSION PARISH, DUE TO SERVICES NOT BEING OFFERED OR NOT KNOWN TO BE OFFERED (PUBLIC AWARENESS). SUCH DATA HELPS ST. ELIZABETH HOSPITAL ASSESS WHETHER SPECIFIC MEDICAL NEEDS ARE UNDERSERVED. COMMUNITY EDUCATION SURVEY: EVERY TWO YEARS, THE COMMUNITY EDUCATION DEPARTMENT PREPARES A COMMUNITY EDUCATION SURVEY THAT IS GIVEN TO ASCENSION PARISH RESIDENTS WHO ATTEND LOCAL HEALTH SCREENINGS OR OTHER EDUCATIONAL EVENTS. THIS SURVEY IS DESIGNED TO IDENTIFY THE HEALTH EDUCATION NEEDS OF THE AREA RESIDENTS.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH ST. ELIZABETH HOSPITAL: 1. SCHEDULING (OUTPATIENT/SURGERY): DURING THE SCHEDULING OF PROCEDURES, A SCHEDULER INFORMS INDIVIDUALS OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PHONE. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED EITHER BY MAIL OR PICKUP TO COMPLETE AND RETURN TO THE HOSPITAL VIA PRE-PAID POSTAGE ENVELOPE. 2. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. 3. FINANCIAL COUNSELING: DURING FINANCIAL COUNSELING, THE INDIVIDUAL IS INFORMED OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PERSON TO PERSON CONVERSATION. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED AT THAT TIME FOR THE INDIVIDUAL TO COMPLETE AND RETURN TO THE HOSPITAL. ADDITIONALLY, CASHIERS HAVE POSTED NOTIFICATIONS OF THE FINANCIAL ASSISTANCE OPPORTUNITIES IN THE CASHIER'S OFFICE AND THE EMERGENCY ROOM COLLECTION DESK. 4. WEBSITE NOTIFICATION: ST. ELIZABETH HOSPITAL'S WEBSITE, LOCATED AT WWW.STEH.COM INCLUDES A PAGE CALLED "HELP FOR THE UNINSURED" WHICH PROVIDES INFORMATION CONCERNING ST. ELIZABETH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. A TELEPHONE NUMBER IS ALSO PROVIDED TO THOSE WHO ARE INTERESTED IN CONTACTING FINANCIAL COUNSELORS FOR ADDITIONAL INFORMATION. 5. THE POLICY IS AVAILABLE UPON REQUEST.
PART VI, LINE 4	COMMUNITY INFORMATION: ST. ELIZABETH HOSPITAL SERVES ASCENSION PARISH AND PORTIONS OF THE SURROUNDING PARISHES OF ASSUMPTION, IBERVILLE, EAST BATON ROUGE, AND ST. JAMES. THIS AREA HAS HAD SIGNIFICANT GROWTH IN THE LAST DECADE. SPECIFICALLY, THE HISPANIC/LATINO POPULATION HAS MORE THAN DOUBLED IN SOME PORTIONS OF THE SERVICE AREA. THE NORTHERN PARTS OF THE SERVICE AREA TEND TO HAVE A MORE AFFLUENT POPULATION; WHEREAS, THE SOUTHERN TRACTS HAVE CONTINUED BARRIERS TO HEALTHCARE. PURSUANT TO THE HOSPITAL'S LAST CHNA, ST. ELIZABETH'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 117,694 AND IS ONE OF THE FASTEST GROWING PARISHES IN THE STATE. DESPITE THE GROWTH, 9.6% OF FAMILIES LIVE BELOW THE POVERTY LEVEL AND 15% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE. HEALTH STATISTICS THAT ARE ROUTINELY COLLECTED INDICATE THAT RESIDENTS OF THE SERVICE AREA EXPERIENCE MANY HEALTH PROBLEMS. THE POPULATION SUFFERS HIGHER RATES OF STROKE, OBESITY, CANCER, DIABETES AND HYPERTENSION THAN THE NATION AS A WHOLE. ST. ELIZABETH'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING PARISH: ASCENSION PARISH
PART II	ST. ELIZABETH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE DEVOTING TIME TO NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECTS, PARTICIPATING IN ECONOMIC DEVELOPMENT COUNCILS/CHAMBERS OF COMMERCE AND PARTICIPATING IN SCHOOL MENTORING PROGRAMS. ALL OF THESE PROGRAMS HELP DEVELOP THE GENERAL WELL-BEING OF THE COMMUNITY WHICH, IN TURN, PROMOTES THE HEALTH OF THE COMMUNITY ST. ELIZABETH SERVES. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE TIME DEVOTED TO FORMING COLLABORATIVE PARTNERSHIPS WITH VARIOUS ORGANIZATIONS SUCH AS THE DEPARTMENT OF HEALTH & HUMAN SERVICES, LOCAL SCHOOL BOARDS, AND OTHER HOSPITALS TO IMPROVE THE GENERAL COMMUNITY HEALTH. ADDITIONALLY, ST. ELIZABETH PARTNERS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES. IT ALSO PARTICIPATES IN SCHOOL-BASED PROGRAMS RELATED TO HEALTH CARE CAREERS.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: ST. ELIZABETH HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE-MEMBER. ST. ELIZABETH IS PART OF THE FMOLHS HEALTH CARE SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. ST. ELIZABETH HOSPITAL SERVES THE COMMUNITY IN GONZALES, LA AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL ST. ELIZABETH HOSPITAL WORKS CLOSELY WITH OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (A TAX-EXEMPT HOSPITAL AFFILIATE) TO PROVIDE COMPREHENSIVE MEDICAL SERVICES AS PART OF THE OVERALL HEALTHCARE PROVIDED TO THE COMMUNITY.
PART III, LINE 2	THE ORGANIZATION ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF ACCOUNTS AND HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW OF THE COLLECTIONS TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING 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. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO OLOL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF THE GOVERNING BODY OF ST. ELIZABETH HOSPITAL IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. ST. ELIZABETH HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Volunteer Ascension
PO Box 1564	Gonzales	LA	70737	721376404	501(C)(3)	$5,575	GENERAL SUPPORT
Leadership Ascension Foundation
1006 West Highway 30	Gonzales	LA	70737	463520621	501(C)(3)	$6,000	GENERAL SUPPORT
Mary Bird Perkins Cancer Center
4950 Essen Lane	Baton Rouge	LA	70809	237010520	501(C)(3)	$7,200	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, QUESTION 2	FormAndLineReferenceDesc
Explanation	All charitable donations are made to well-known charitable organizations or through referral from either a board or team member associated with the local/national charity. St. Elizabeth Hospital utilizes several resources to verify the integrity and authenticity of the charitable organization including, but not limited to, 1) Office of Inspector General Sanction List 2) General Services Administration Sanctions List 3) U.S Treasury Sanctions List 4) Internal Revenue Service's list of tax deductible charitable organizations or 5) Better Business Bureau Resource Library. Charitable recipients are asked to provide a donation letter explaining the intent for which the donation will be used.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
ROBERT BURGESS
PRESIDENT AND CEO	$287,233	$0	$73,748	$0	$19,840	$0	$10,600	$0	$9,806	$0	$401,227	$0	$0	$0
CARY PAUL AQUILLARD JR MD
BOARD MEMBER	$241,830		$120,151		$0		$10,600		$21,539		$394,120		$0	$0
DAWN ZITMAN
BOARD MEMBER	$173,492		$39,076				$8,265		$17,949		$238,782		$0	$0
JAMES D'ANTONI MD
CHIEF OF STAFF	$177,143	$0	$57,777	$0		$0	$9,421	$0	$20,623	$0	$264,964	$0	$0	$0
JOHN F FRAICHE MD
PRES STEPG	$489,592		$47,828		$125		$8,365		$2,150		$548,060		$0	$0
DENZIL MORAES MD
BOARD MEMBER		$849,167		$457,693		$16,112		$10,600		$24,182		$1,357,754	$0	$0
Rahil D Shah
Staff Physician	$504,554		$85,873		$125		$10,600		$72		$601,224		$0	$0
Dawn B Sharp
Physician	$461,622		$167,180		$125		$10,600		$25,720		$665,247		$0	$0
MICHAEL A GOODIER
Physician	$326,848		$69,723		$125		$10,600		$5,655		$412,951		$0	$0
Stephen B Manale
Physician	$280,097		$93,254		$125		$10,600		$21,299		$405,375		$0	$0
James N Williams
Physician	$301,284		$61,341				$10,600		$24,039		$397,264		$0	$0
Sue Knight
COO	$214,673		$38,978		$947		$56,396		$9,144		$320,138		$0	$0
Jeffrey Limbocker
CFO	$0	$390,673	$0	$111,560	$0	$17,180	$0	$38,295	$0	$24,017	$0	$581,725	$0	$0
Yvonne Pellerin
CNO	$158,617		$26,848		$412		$7,429		$7,312		$200,618		$0	$0
JILL LEE
CNO	$37,752	$0	$5,461	$0	$105,593	$0	$0	$0	$4,862	$0	$153,668	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Question 7	THE ORGANIZATION HAS PROVIDED LISTED PERSONS WITH INCENTIVE COMPENSATION WHICH IS BASED ON A FORMULA DERIVED FROM QUALITY, EFFICIENCY, AND OTHER PERFORMANCE MEASURES. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
Part I question 4a	The President & CEO and CFO are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason or due to change of control. If triggered, the employee would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is 12 months. Jill Lee received severance IN THE AMOUNT OF $148,806 IN THE CURRENT YEAR.
PART I, QUESTION 3	THE CEO AND CFO WERE 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 COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINED AND RELIED UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWED COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION WAS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION WAS DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I, QUESTION 4B	FMOLHS maintains three unfunded deferred compensation plans which meet the requirements of IRC Section 457(f) and IRC Section 409A. The plans provide for compensation to be deferred and paid upon the occurrence of certain events such as termination without cause, disability, death or attainment of a specific payment date. Participation in the plans is limited to certain executives and is subject to 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI, SECTION A, QUESTION 6	Question 8 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL
PART VI, SECTION A, QUESTION 7A	FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. ELIZABETH HOSPITAL
Page 6, Part VI, Section B	Question 12c St. Elizabeth Hospital 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 a 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 St. Elizabeth Hospital is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Elizabeth Hospital provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports of possible conflicts of interest are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken.
Page 6, Part VI, Section B	Question 15 THE BOARD OF DIRECTORS DESIGNATES THE EXECUTIVE COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR EXECUTIVES AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE PRESIDENT AND CEO OF ST. ELIZABETH HOSPITAL IS AN EMPLOYEE OF FMOL HEALTH SYSTEM, AND HIS SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION WHICH RESEMBLE THE ABOVE.
Page 6, 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 7B	THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHARGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION
PART VI, SECTION A, QUESTION 11	AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG, LLP, THE RETURN IS REVIEWED BY ONE OR MORE MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
Part XI, Question 9	Capital Transfers - $ (6,178,249)
SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION	ST. ELIZABETH HOSPITAL 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, 2016.
SECTION 1.263 (A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION	ST. ELIZABETH HOSPITAL 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, 2016. 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	St Elizabeth Physicians	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2647 S ST ELIZABETH BLVD	AddressLine1Txt
City	GONZALES	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70737	ZIPCd

Field	Value	IRS element (for citing)
EIN	721439296	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	LA	LegalDomicileStateCd
Total Income	$25,526,766	TotalIncomeAmt
End Of Year Assets	$4,950,006	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
ST BERNARD HEALTH FUND
4200 ESSEN LANE	BATON ROUGE	LA	70809	204685614	HEALTHCARE	LA	501(C)(3)	11 TYPE 1	FMOL	false
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTCHARE	LA	501(C)(3)	7	OLOL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HEART HOSPITAL OF ACADIANA LLC
1105 KALISTE SALOOM ROAD	LAFAYETTE	LA	70508	300442368	HEALTHCARE	LA	LOURDES	N/A
PERKINS PLAZA IMAGING DEVELOPMENT LLC
5000 HENNESSY BOULEVARD PLAZA 2 S	BATON ROUGE	LA	70808	203894521	REAL ESTATE	LA	OLOL	N/A
P&S SURGERY CENTER LLC
312 GRAMMONT STREET	MONROE	LA	71201	203894521	HEALTHCARE	LA	SFMC	N/A
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	208326287	REAL ESTATE	LA	LOURDES	N/A
PARK PLACE SURGICAL CENTER LLC
4811 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70503	721404092	HEALTHCARE	LA	LOURDES	N/A
BRPT LAKE REHABILITATION CENTER LLC
5222 BRITTANY DRIVE	BATON ROUGE	LA	70806	721404092	HEALTHCARE	LA	OLOL	N/A
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	HEALTHCARE	LA	OLOL	N/A
PERKINS PLAZA AMBULATORY SURGERY CENTER
1400 N PORTLAND AVENUE SUITE 200	OKLAHOMA CITY	LA	73134	481264699	HEALTHCARE	LA	OLOL	N/A
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BLVD	BATON ROUGE	LA	70810	233160962	HEALTHCARE	LA	OLOL	N/A
ST ELIZABETH-MARY BIRD PERKINS CANCER C
4950 ESSEN LANE	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	STEH	Related	$185,625	$2,895,164	false	$0	Yes (true)	0.35000
ST MARYS IMAGING CENTER II LLC
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	233160962	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
420 WEST PINHOOK ROAD SUITE A	LAFAYETTE	LA	70503	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
ST ELIZABETH IMAGING CENTER LLC
8080 BLUEBONNET BLVD STE 1000	BATON ROUGE	LA	70810	271470744	HEALTHCARE	LA	STEH	Related	$3,127	-$20,587	false	$0	Yes (true)	0.51000
CAPITAL AREA SHARED SERVICES ORGANIZATIO
4200 ESSEN LANE	BATON ROUGE	LA	70809	275173212	HEALTHCARE	LA	STEP	Related	-$81,166		false	$0	Yes (true)	0.17000
CAPITAL AREA SHARED SERVICES ORG LLC
4200 ESSEN LANE	BATON ROUGE	LA	70809	275173212	HEALTHCARE	LA	OLOL PG	N/A
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	STEH	Related	$135,116	$73,933	false	$0	Yes (true)	0.20000
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	OLOL	N/A
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	352457810	HEALTHCARE	TX	OLOL	N/A
ST FRANCIS URGENT CARE LLC
2600 TOWER DR 106	MONROE	LA	71201	352463092	HEALTHCARE	LA	SFMC	N/A
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	811827194	HEALTHCARE	LA	OLOL	N/A
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	HEALTHCARE	LA	OLOL	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 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	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ST FRANCIS INSURANCE AGENCY
309 JACKSON STREET	MONROE	LA	71201	721435136	INSURANCE	LA	SFMC	C CORP
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	CJ	KY1-1102	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	ROUGE	LA	70809	455492379	HEALTHCARE	LA	FMOL	C CORP
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANE	ROUGE	LA	70809	454405024	INVESTMENT	LA	FMOL	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	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
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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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