2017-05-15T15:42:12-05:00 2016-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2015-07-01 721470744 OUR LADY OF THE LAKE ASCENSION COMMUNITY HOSPITAL % JEFF LIMBOCKER OURL 2256475000 1125 HIGHWAY 30 GONZALES LA 70737 JEFF LIMBOCKER REGIONAL CFO 2017-05-15 true BRITTANY ELLISER P01284594 2253444000 2015 2021-01-29 14:40:06Z ST ELIZABETH HOSPITAL ROBERT BURGESS 1125 HIGHWAY 30 GONZALES LA 70737 100034115 false 0928 X WWW.STEH.COM X 2000 LA 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. 17 11 972 21 1165 -35494 580681 272044 93550036 98648926 612695 304722 744201 653524 95487613 99879216 42918 45322 0 0 52779984 56113782 0 0 0 39432265 40270843 92255167 96429947 3232446 3449269 102553425 98481094 33928014 33006046 68625411 65475048 X 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. false false 49131364 45322 57390701 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. 12376702 13996742 THE HOSPITAL PROVIDES PATIENTS WITH SURGICAL CARE. 333,782 SURGICAL MINUTES WERE USED DURING THE YEAR. 8905725 27261483 THE HOSPITAL PROVIDES RADIOLOGY SERVICES TO ITS INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL PERFORMED 38,636 RADIOLOGY PROCEDURES. 70413791 true true false false false false false false false false true false false false true true false true false false true true false false true false true true true false true false false false false false false false false false false false false true true true true false false true 70 0 true 972 true true true false false false false true true false false false false X 17 11 false false false false true true true true true false false true true true true true true false true true true X JEFF LIMBOCKER 2256475071 1125 W HIGHWAY 30 GONZALES LA 70737 X X Sr Martha Ann Abshire BOARD MEMBER 2.0 10.0 X 0 0 0 ROBERT BURGESS PRESIDENT AND CEO 50.0 0.0 X X 380821 0 20406 CARY PAUL AQUILLARD JR MD BOARD MEMBER 40.0 0.0 X 361981 0 32139 DAWN ZITMAN BOARD MEMBER 40.0 0.0 X 212568 0 26214 JAMES D'ANTONI MD CHIEF OF STAFF 40.0 0.0 X 234920 0 30044 JOHN F FRAICHE MD PRES STEPG 40.0 0.0 X 537545 0 10515 MARK K DEARMAN BOARD MEMBER 2.0 0.0 X 0 0 0 RJ DAIGLE BOARD MEMBER 2.0 0.0 X 0 0 0 ROGER KEESE SECRETARY 2.0 2.0 X X 0 0 0 THE HONORABLE ALVIN TURNER JR BOARD MEMBER 2.0 0.0 X 0 0 0 THE HONORABLE JOHN BERTHELOT BOARD MEMBER 2.0 0.0 X 0 0 0 THE HONORABLE TERI CASSO BOARD MEMBER-CHAIR 2.0 2.0 X X 0 0 0 ANTHONY NOBILE BOARD MEMBER 2.0 0.0 X 0 0 0 LORIN CRENSHAW BOARD MEMBER 2.0 0.0 X 0 0 0 STACEY CHAISSON BOARD MEMBER 2.0 0.0 X 0 0 0 DENZIL MORAES MD BOARD MEMBER 2.0 58.0 X 0 1322972 34782 Robert Schutte MD BOARD MEMBER 2.0 0.0 X X 0 0 0 SR VERNOLA LYONS BOARD MEMBER 2.0 0.5 X 0 0 0 THE HONORABLE TESS STROMBERG BOARD MEMBER 2.0 0.0 X 0 0 0 Sue Knight COO 40.0 0.0 X 254598 0 65540 Jeffrey Limbocker CFO 2.0 58.0 X 0 519413 62312 Yvonne Pellerin CNO 40.0 0.0 X 185877 0 14741 JILL LEE CNO 40.0 0.0 X 148806 0 4862 Rahil D Shah Staff Physician 40.0 0.0 X 590552 0 10672 Dawn B Sharp Physician 40.0 0.0 X 628927 0 36320 MICHAEL A GOODIER Physician 40.0 0.0 X 396696 0 16255 Stephen B Manale Physician 40.0 0.0 X 373476 0 31899 James N Williams Physician 40.0 0.0 X 362625 0 34639 4669392 1842385 431340 72 false true false FMOL Health System 4200 Essen Lane Baton Rouge LA 70809 Management Fees 2118336 Trimedx 5451 Lakeview Parkway S Drive Indianapolis IN 46268 Clinical Maintenance 652000 Regional Radiology LLC PO Box 1608 Kenner LA 700631608 Radiologist Services 650000 Van Meter Emergency Physicians PO Box 636343 Cincinnati OH 452636343 ER Physician Service 612500 Acadiana Computer System Inc 324 Dulles Drive Lafayette LA 70506 Billing Services 420534 36 X 8990 59987 203067 272044 Patient Service Revenue 900099 97506137 97506137 Hearing and Balance 900099 95036 95036 CAFETERIA 900099 201704 201704 Outreach Lab 900099 55508 55508 ALL OTHER PROGRAM SERVICE REVENUE 900099 790541 790541 98648926 103120 -282 103402 0 0 668557 668557 0 668557 668557 337258 121858 13798 215400 -13798 201602 1447 200155 4210 8990 19243 -15033 -15033 0 0 0 99879216 99317483 1165 288524 45322 45322 0 0 0 1777153 1172921 604232 0 42588417 28108355 14480062 4056776 2677472 1379304 4875755 3217998 1657757 2815681 1858349 957332 9138939 9138939 81640 53882 27758 708769 467788 240981 0 0 21641 14283 7358 4523876 2985758 1538118 494863 326610 168253 3291378 2172309 1119069 1143021 754394 388627 0 2045408 1349969 695439 176875 116737 60138 0 0 542311 357925 184386 0 3741585 2469446 1272139 1583457 1045082 538375 Medical Supplies Expense 10727584 10727584 DUES AND SUBSCRIPTIONS 10000 6600 3400 REPAIRS AND MAINTENANCE 1977077 1304871 672206 SPECIAL EVENTS 62419 41197 21222 96429947 70413791 26016156 0 0 0 22624706 18310136 0 0 14553249 13324973 0 0 0 0 0 0 1492747 1527340 1048258 1345671 94127423 43350640 49391790 50776783 3292208 3302981 4373944 4621766 3039905 3198919 0 0 2736618 2072525 102553425 98481094 15907915 16676736 0 0 0 0 11865508 11865494 0 0 0 0 3143035 2483148 0 0 3011556 1980668 33928014 33006046 X 68302232 65114243 323179 360805 0 0 68625411 65475048 102553425 98481094 X 3449269 -421383 -6178249 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3747277 3747277 58802382 20889651 37912731 915113 896343 18770 30169046 21564646 8604400 493605 493605 50776783 0 SELF-INSURANCE LIABILITY 1470733 TAIL COVERAGE & NONREIMBURSABLE LIA 277806 DUE FROM AFFILIATES 232129 1980668 X FIN 48 (ASC 740) FOOTNOTE 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. Central America and the Caribbean Investments 2338766 2338766 2338766 true false true true true false Golf Tournament 13200 8990 4210 1416 10416 556 6855 0 13200 8990 4210 1416 10416 556 6855 19243 -15033 true true true X true X true true false true true 692817 692817 0.00720 8737559 3429755 5307804 0.05500 9430376 3429755 6000621 0.06220 820324 820324 0.00850 255739 255739 0.00270 45517 45517 0.00050 41225 41225 0.00040 1162805 1162805 0.01210 10593181 3429755 7163426 0.07430 4197 4197 0.00010 883 883 0.00010 5080 5080 0.00020 false 18166291 31803424 29122629 2680795 X true true 1 1 ST ELIZABETH HOSPITAL 1125 HIGHWAY 30 GONZALES LA 70737 WWW.FMOLHS.ORG/STEH 434 X X X ST ELIZABETH HOSPITAL false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 15 false true false true X 200. 300. X X X true true X X true X X X X X true X false X X X X true X false false 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. 3 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 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. true Volunteer Ascension PO Box 1564 Gonzales LA 70737 721376404 501(C)(3) 5575 GENERAL SUPPORT Leadership Ascension Foundation 1006 West Highway 30 Gonzales LA 70737 463520621 501(C)(3) 6000 GENERAL SUPPORT Mary Bird Perkins Cancer Center 4950 Essen Lane Baton Rouge LA 70809 237010520 501(C)(3) 7200 GENERAL SUPPORT 3 PART I, QUESTION 2 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. true true false false false false false true false ROBERT BURGESS PRESIDENT AND CEO 287233 0 73748 0 19840 0 10600 0 9806 0 401227 0 0 0 CARY PAUL AQUILLARD JR MD BOARD MEMBER 241830 120151 0 10600 21539 394120 0 0 DAWN ZITMAN BOARD MEMBER 173492 39076 8265 17949 238782 0 0 JAMES D'ANTONI MD CHIEF OF STAFF 177143 0 57777 0 0 9421 0 20623 0 264964 0 0 0 JOHN F FRAICHE MD PRES STEPG 489592 47828 125 8365 2150 548060 0 0 DENZIL MORAES MD BOARD MEMBER 849167 457693 16112 10600 24182 1357754 0 0 Rahil D Shah Staff Physician 504554 85873 125 10600 72 601224 0 0 Dawn B Sharp Physician 461622 167180 125 10600 25720 665247 0 0 MICHAEL A GOODIER Physician 326848 69723 125 10600 5655 412951 0 0 Stephen B Manale Physician 280097 93254 125 10600 21299 405375 0 0 James N Williams Physician 301284 61341 10600 24039 397264 0 0 Sue Knight COO 214673 38978 947 56396 9144 320138 0 0 Jeffrey Limbocker CFO 0 390673 0 111560 0 17180 0 38295 0 24017 0 581725 0 0 Yvonne Pellerin CNO 158617 26848 412 7429 7312 200618 0 0 JILL LEE CNO 37752 0 5461 0 105593 0 0 0 4862 0 153668 0 0 0 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. 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). St Elizabeth Physicians 2647 S ST ELIZABETH BLVD GONZALES LA 70737 721439296 HEALTHCARE LA 25526766 4950006 STEH 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 true HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 300442368 HEALTHCARE LA LOURDES N/A PERKINS PLAZA IMAGING DEVELOPMENT LLC 5000 HENNESSY BOULEVARD PLAZA 2 S BATON ROUGE LA 70808 203894521 REAL ESTATE LA OLOL N/A P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 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 185625 2895164 false 0 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 3127 -20587 false 0 true 0.51000 CAPITAL AREA SHARED SERVICES ORGANIZATIO 4200 ESSEN LANE BATON ROUGE LA 70809 275173212 HEALTHCARE LA STEP Related -81166 false 0 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 135116 73933 false 0 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 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 PO BOX 1051 CJ KY1-1102 INSURANCE CJ FMOL C CORP MONROE HEALTH SERVICES PO BOX 3187 MONROE LA 71210 721057820 HEALTHCARE LA AMBULATORY C CORP NORTHEAST LA HEALTH NETWORK 309 JACKSON STREET MONROE LA 71201 721294587 HEALTHCARE LA AMBULATORY C CORP 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 false true true false false false false false true false false true false false true true true true