ST FRANCIS MEDICAL CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ST FRANCIS MEDICAL CENTER INC (EIN 72-0408970)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201601379349302825
Schema version: 2014v6.0
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T10:17:06-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720408970	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST FRANCIS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MR RONALD E HOGAN	InCareOfNm
Business Name Control	STFR	BusinessNameControlTxt
Phone	3189664000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1901	AddressLine1Txt
City	Monroe	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71210	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RONALD HOGAN	PersonNm
Person Title	REGIONAL CFO	PersonTitleTxt
Phone	3189664000	PhoneNum
Signature	2016-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN HOOKS	PreparerPersonNm
PTIN	P00746825	PTIN
Phone	2253444000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KRISTIN WOLKART	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1901	AddressLine1Txt
City	MONROE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71210	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$247,476,888	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.stfran.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR THE RESEARCH,EDUCATION AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2421	TotalEmployeeCnt
Total Volunteers	113	TotalVolunteersCnt
Total Gross UBI	$3,345,196	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$540,026	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$801,773	PYContributionsGrantsAmt
CY Contributions Grants	$1,693,614	CYContributionsGrantsAmt
PY Program Service Revenue	$233,820,808	PYProgramServiceRevenueAmt
CY Program Service Revenue	$232,522,237	CYProgramServiceRevenueAmt
PY Investment Income	$10,648,141	PYInvestmentIncomeAmt
CY Investment Income	$6,740,353	CYInvestmentIncomeAmt
PY Other Revenue	$3,193,256	PYOtherRevenueAmt
CY Other Revenue	$2,383,605	CYOtherRevenueAmt
PY Total Revenue	$248,463,978	PYTotalRevenueAmt
CY Total Revenue	$243,339,809	CYTotalRevenueAmt
PY Grants And Similar Paid	$351,197	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$320,778	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$132,131,068	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$122,955,285	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$135,920,079	PYOtherExpensesAmt
CY Other Expenses	$140,878,841	CYOtherExpensesAmt
PY Total Expenses	$268,402,344	PYTotalExpensesAmt
CY Total Expenses	$264,154,904	CYTotalExpensesAmt
PY Revenues Less Expenses	-$19,938,366	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$20,815,095	CYRevenuesLessExpensesAmt
Total Assets BOY	$375,845,852	TotalAssetsBOYAmt
Total Assets EOY	$332,510,177	TotalAssetsEOYAmt
Total Liabilities BOY	$231,131,509	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$231,193,750	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$144,714,343	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$101,316,427	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. PRIVILEGED TO SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$192,126,910	ExpenseAmt
Revenue	$232,522,237	RevenueAmt
Desc	St. Francis Medical Center provides quality hospital and medical services primarily to residents of Northeast Louisiana. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the healthcare needs of the people of God, the Medical Center has established a policy under which it provides care to needy members of its communities. Following that policy, health care services costing approximately, $5,347,354 were provided without charge. The Medical Center provided 545 licensed beds, 77,221 inpatient days, 216,961 outpatient visits, and 62,867 ER visits in the year ended June 30, 2015. See Schedule O for further explanation.	Desc
Total Program Service Expenses	$192,126,910	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	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	123	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2421	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	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	MR RONALD E HOGAN	PersonNm
Phone	3189664000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	309 JACKSON ST	AddressLine1Txt
City	MONROE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71201	ZIPCd

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

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
R KEITH WHITE MD
DIRECTOR	50.0	0.0	Yes (X)	$791,778	$0	$29,885
THOMAS J GULLATT MD
DIRECTOR	50.0	0.0	Yes (X)	$511,942	$0	$51,660
LOUIS BREMER
Ex-Officio/President/ CEO	2.0	52.0	Yes (X)	$0	$559,390	$28,834	Yes (X)
KRISTIN WOLKART
President/CEO	2.0	58.0	Yes (X)	$0	$266,783	$44,624	Yes (X)
K SCOTT WESTER
Interim CEO	1.0	57.5	Yes (X)	$0	$784,733	$64,461	Yes (X)
ROLF MORSTEAD MD
Ex-Officio/Chief of Staff	2.0	0.0	Yes (X)	$21,387	$0	$0
JUDY BELL
SECRETARY	1.0	0.5	Yes (X)	$0	$0	$0	Yes (X)
SIDNEY BAILEY MD
DIRECTOR	1.0	0.0	Yes (X)	$1,800	$0	$0
NICK J BRUNO PHD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SR HELEN CAHILL
DIRECTOR	1.0	10.0	Yes (X)	$0	$0	$0
WILLIAM CHEEK
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
BISHOP MICHAEL G DUCA
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
HILL HINKLE MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
SUSAN HOFFMANN
VICE CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
J STEWART GENTRY
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
TERRY KING MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JOHN LUFFEY JR ESQ
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
SR MARY ANN SEPULVADO OSF
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
TONYA SHEPPARD MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
REV LARRY STAFFORD
DIRECTOR	1.0	1.0	Yes (X)	$0	$0	$0
RONALD E HOGAN
REGIONAL CFO	2.0	58.0		$0	$381,170	$52,227	Yes (X)
KAYLA JOHNSON
VP Patient Care Services	40.0	0.0		$225,616	$0	$41,363		Yes (X)
FRED TOLBERT
VP Ancillary Services	40.0	0.0		$216,683	$0	$47,440		Yes (X)
MICHAEL LANGIULLI
Physician	40.0	0.0		$733,167	$0	$30,435			Yes (X)
KEVIN M MEYER
Physician	40.0	0.0		$586,740	$0	$24,776			Yes (X)
DAVID M MCCOY
Physician	40.0	0.0		$505,788	$0	$26,729			Yes (X)
JAMES G SMITH
Physician	40.0	0.0		$433,966	$0	$42,115			Yes (X)
JOHN D BRUCHHAUS
Physician	40.0	0.0		$426,472	$0	$36,103			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,455,339	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,992,076	TotReportableCompRltdOrgAmt
Total Other Compensation	$520,652	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	126	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 Services	$22,045,878
Lincoln Builders
1910 Farmerville Hwy	Ruston	LA	712730400	Building Contractor	$13,560,140
MAYO CLINIC LABORATORIES
PO BOX 4100	ROCHESTER	MN	559034100	LAB TESTING	$1,126,514
PARISH ANESTHESIA OF MONROE
3510 NORTH CAUSEWAY BLVD SUITE 404	METARIE	LA	70002	ANESTHESIA SERVICES	$4,427,870
DVA Renal Healthcare Inc
PO Box 8500-1607	Philadelphia	PA	191781607	Dialysis Services	$1,109,303

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,173,000	RelatedOrganizationsAmt
Government Grants	$194,548	GovernmentGrantsAmt
All Other Contributions	$326,066	AllOtherContributionsAmt
Total Contributions	$1,693,614	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621500	$225,165,537	$221,923,036	$3,242,501
CAFETERIA	900099	$2,100,333	$2,100,333
OTHER PROGRAM SERVICE	900099	$6,364,517	$6,364,517
INCOME FROM EQUITY INVESTEES	900099	-$1,108,150	-$1,098,959	-$9,191

Field	Value	IRS element (for citing)
Total Program Service Revenue	$232,522,237	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,015,178	TotalRevenueColumnAmt
Unrelated Business Revenue	$48,067	UnrelatedBusinessRevenueAmt
Exclusion	$967,111	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	$2,383,605	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,383,605	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,383,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,383,605	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,862,254	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,141,429	SecuritiesAmt
Other	-$4,350	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,720,825	SecuritiesAmt
Other	$4,350	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,725,175	TotalRevenueColumnAmt
Unrelated Business Revenue	$63,819	UnrelatedBusinessRevenueAmt
Exclusion	$5,661,356	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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	$243,339,809	TotalRevenueColumnAmt
Related Or Exempt Func Income	$231,672,532	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,345,196	UnrelatedBusinessRevenueAmt
Exclusion	$6,628,467	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$310,627	TotalAmt
Program Services	$310,627	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	$10,151	TotalAmt
Program Services	$10,151	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,798,845	TotalAmt
Program Services	$1,473,813	ProgramServicesAmt
Management And General	$325,032	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,161,805	TotalAmt
Program Services	$81,244,356	ProgramServicesAmt
Management And General	$17,917,449	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,413,254	TotalAmt
Program Services	$5,202,203	ProgramServicesAmt
Management And General	$1,211,051	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,820,284	TotalAmt
Program Services	$7,154,700	ProgramServicesAmt
Management And General	$1,665,584	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,761,097	TotalAmt
Program Services	$5,483,250	ProgramServicesAmt
Management And General	$1,277,847	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$30,851,221	TotalAmt
Program Services	$20,616,105	ProgramServicesAmt
Management And General	$10,235,116	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,147,327	TotalAmt
Program Services	$748,104	ProgramServicesAmt
Management And General	$399,223	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$52,872	TotalAmt
Program Services	$34,475	ProgramServicesAmt
Management And General	$18,397	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	$439,908	TotalAmt
Management And General	$439,908	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,662,986	TotalAmt
Program Services	$10,291,778	ProgramServicesAmt
Management And General	$6,371,208	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$586,013	TotalAmt
Program Services	$404,381	ProgramServicesAmt
Management And General	$181,632	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,233,088	TotalAmt
Program Services	$8,003,631	ProgramServicesAmt
Management And General	$4,229,457	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$46,634	TotalAmt
Management And General	$46,634	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,299,544	TotalAmt
Program Services	$1,088,453	ProgramServicesAmt
Management And General	$6,211,091	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$548,199	TotalAmt
Program Services	$365,323	ProgramServicesAmt
Management And General	$182,876	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	$5,499,055	TotalAmt
Program Services	$5,499,055	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,911,282	TotalAmt
Program Services	$9,685,414	ProgramServicesAmt
Management And General	$1,225,868	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,238,550	TotalAmt
Program Services	$2,041,182	ProgramServicesAmt
Management And General	$2,197,368	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXPENSE	$41,040,859	$26,783,914	$14,256,945
DECREASE IN ACCRUED PENSION	$9,321,303	$5,685,995	$3,635,308

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$264,154,904	TotalAmt
Program Services	$192,126,910	ProgramServicesAmt
Management And General	$72,027,994	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,165,950	BOYAmt
EOY	$26,767,813	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,541,469	BOYAmt
EOY	$8,837,915	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	$36,307,207	BOYAmt
EOY	$42,984,986	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	$1,155,995	BOYAmt
EOY	$1,720,224	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,653,165	BOYAmt
EOY	$5,809,216	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,055,635	BOYAmt
EOY	$3,162,822	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$355,705,332	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$239,615,660	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$109,378,685	BOYAmt
EOY	$116,089,672	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$71,610,867	BOYAmt
EOY	$49,016,269	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$94,207,958	BOYAmt
EOY	$65,098,800	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,244,473	BOYAmt
EOY	$340,032	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,749,347	BOYAmt
EOY	$5,749,348	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,775,101	BOYAmt
EOY	$6,933,080	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$375,845,852	BOYAmt
EOY	$332,510,177	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,674,445	BOYAmt
EOY	$28,311,387	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	$132,470,104	BOYAmt
EOY	$132,525,589	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,986,960	BOYAmt
EOY	$70,356,774	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,131,509	BOYAmt
EOY	$231,193,750	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$143,468,464	BOYAmt
EOY	$100,484,754	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,245,879	BOYAmt
EOY	$831,673	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	$144,714,343	BOYAmt
EOY	$101,316,427	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$375,845,852	BOYAmt
EOY	$332,510,177	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$20,815,095	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,040,059	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,542,762	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	$14,740,717	OtherCostOrOtherBasisAmt
Book Value	$14,740,717	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,730,406	OtherCostOrOtherBasisAmt
Depreciation	$121,224,647	DepreciationAmt
Book Value	$72,505,759	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,316,857	OtherCostOrOtherBasisAmt
Depreciation	$1,582,026	DepreciationAmt
Book Value	$734,831	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,168,415	OtherCostOrOtherBasisAmt
Depreciation	$115,438,435	DepreciationAmt
Book Value	$26,729,980	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,748,937	OtherCostOrOtherBasisAmt
Depreciation	$1,370,552	DepreciationAmt
Book Value	$1,378,385	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$116,089,672	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	-$22,972	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME SECURITIES	$23,317,991	F
ALTERNATIVE INVESTMENTS	$41,803,781	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$65,098,800	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$92,145
OTHER LIABILITIES	$1,848,541
ACCRUED PENSION COST	$62,428,148
GENERAL AND PROFESSIONAL LIABI	$5,987,940

Field	Value	IRS element (for citing)
Total Liability	$70,356,774	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

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

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	$47,156,968	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$47,156,968	SubtotalSpentAmt
Total Spent	$47,156,968	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Purpose Of Grant	Medical Needs	PurposeOfGrantTxt
Cash Grant	$10,151	CashGrantAmt
Manner Of Cash Disbursement	Cash	MannerOfCashDisbursementTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	$3,897,253	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,897,253	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,498,248	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,678,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,819,781	NetCommunityBenefitExpnsAmt
Total Expense	0.04630	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$721,952	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$637,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,117,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,316,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,801,109	NetCommunityBenefitExpnsAmt
Total Expense	0.06030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,552	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$251,459	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$251,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,756,308	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$607,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,149,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,650	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,191,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$694,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,497,883	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,309,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,010,412	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,298,992	NetCommunityBenefitExpnsAmt
Total Expense	0.06560	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,992	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$184,992	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$416,613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$416,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$19,848,425	BadDebtExpenseAmt
Reimbursed By Medicare	$104,975,732	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$138,286,803	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,311,071	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	P&S Surgical Hospita	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.03340	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.44000	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ST FRANCIS MEDICAL CENTER
1	PO BOX 1901	MONROE	LA	71210	www.fmolhs.org/stfran	License: 157	Yes (X)	Yes (X)	Yes (X)	A
P&S SURGERY CENTER LLC
2	312 GRAMMONT STREET	MONROE	LA	71201	www.pssurgery.com	License: 490	Yes (X)	Yes (X)
ST FRANCIS NORTH HOSPITAL
3	PO BOX 1901	MONROE	LA	71201	www.fmolhs.org/stfran	License: 157-I	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Other Method UsedOtherMethodUsedInd
Group A
13	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	12	false	Yes (true)	false	Yes (true)	Yes (X)	200.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
P&S SURGERY CENTER LLC
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	Yes (true)	false	Yes (true)			Yes (X)	Yes (true)	12	false	Yes (true)	false	Yes (true)	Yes (X)	150.	262.		Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	Yes (X)			Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)		false	false	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	ST. FRANCIS MEDICAL CENTER, ST. FRANCIS NORTH HOSPITAL AND P&S SURGICAL HOSPITAL: THE ORGANIZATIONS ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. SFMC TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING SHELLEY JONES, MD, MPH, WHO IS THE REGIONAL MEDICAL DIRECTOR WITH DHH/LOUISIANA OFFICE OF PUBLIC HEALTH. SFMC ALSO TOOK INTO ACCOUNT INPUT FROM THOSE WHO REPRESENT A BROAD INTEREST OF THE COMMUNITY BY INTERVIEWING LINDSEY MURRAY, HEALTHCARE DIRECTOR AT THE CHILDREN'S COALITION OF NORTHEAST LOUISIANA, DR. JAN CORDER PZYNER, FORMER EXECUTIVE DIRECTOR OF THE LIVING WELL FOUNDATION, RENE STANSBURY, THE TOBACCO CONTROL COORDINATOR AT SOUTHWEST LOUISIANA AREA HEALTH EDUCATION CENTER AND JENNIFER HANELINE, REGION VIII TFL COORDINATOR AT TOBACCO FREE LIVING.
PART V, SECTION B, LINE 6a	P&S SURGICAL HOSPITAL AND ST. FRANCIS NORTH FORMALLY ADOPTED THE COMMUNITY HEALTH NEEDS ASSESSMENT OF ST. FRANCIS MEDICAL CENTER, AN AFFILIATED ENTITY. ST. FRANCIS MEDICAL CENTER, P&S SURGICAL HOSPITAL, AND ST. FRANCIS NORTH ALL SHARE THE SAME DEMOGRAPHIC COMMUNITY SO P&S SURGICAL HOSPITAL AND ST. FRANCIS NORTH FELT THAT THE NEEDS IDENTIFIED BY ST. FRANCIS MEDICAL CENTER WERE REPRESENTATIVE OF ITS COMMUNITY'S NEEDS AS WELL.
PART V, SECTION B, LINE 11	During the current year, SFMC focused on identified community needs of Obesity, Diabetes, and Tobacco Use. While it identified eleven health needs during its last CHNA, it chose not to focus on adolescent health, immunizations, premature birth, domestic violence, mental health and lack of a medical home/barriers to care. Each need not addressed is either being addressed by other organizations in the community or it is not equipped to address the need. SFMC did the following during the year: Obesity: In order to increase the percentage of women who initiate breastfeeding during postpartum hospitalization, SFMC revised parenting and prenatal classes to present breastfeeding as the norm rather than the exception and purchased updated prenatal instruction videos including a section on successful breastfeeding. Diabetes: SFMC provided twenty-one diabetes educational opportunities for all school nurses employed by Monroe City Schools and Ouachita Parish School Board. SFMC also increased the number of people receiving foot exams at the Diabetes & Nutrition Center. SFMC extended an invitation to school nurses to provide diabetes education at small group meetings and at multiple times and provided more than 20 consults for school nurses throughout the school year. Tobacco Use: In January 2015, SFMC and SFN opened the St. Francis Tobacco Cessation Program, a comprehensive, evidence-based program addressing tobacco use and nicotine addiction. The program had an average of 62.5 client visits each month. SFMC provided educational tobacco avoidance presentations to two local elementary schools. SFMC also strengthened its own Tobacco Use policy. P&S Surgical Hospital (P&S): During the current year, P&S focused on identified community needs of Adolescent Health and Immunizations. While it identified eleven health needs during its last CHNA, it chose not to focus on obesity, diabetes, premature birth, domestic violence, mental health, lack of a medical home/barriers to care, tobacco use, asthma, and care for the aging. Each need not addressed is either being addressed by other organizations in the community or it is not equipped to address the need. P&S did the following during the year: Adolescent health: In order to decrease the barriers to dental care for low-income pediatric patients, P&S provided 1,137 dental visits to low-income pediatric patients. Immunizations: P&S provided 184 pediatric immunizations during the year in order to help maintain childhood immunization rates. This program was eliminated at the end of the year due to the State of Louisiana pushing to have immunizations done in the primary care offices. St. Francis North Hospital (SFN): During the current year, SFN focused on identified community needs of Tobacco Use and Adolescent Health. While it identified eleven health needs during its last CHNA, it chose not to focus on obesity, diabetes, premature birth, domestic violence, mental health, lack of a medical home/barriers to care, immunizations, asthma, and care for the aging. Each need not addressed is either being addressed by other organizations in the community or it is not equipped to address the need. SFN did the following during the year: Tobacco Use: In January 2015, SFN and SFMC opened the St. Francis Tobacco Cessation Program, a comprehensive, evidence-based program addressing tobacco use and nicotine addiction. The program had an average of 62.5 client visits each month. SFN also partnered with Monroe Housing Authority (MHA) to provide on-site enrollment and counseling sessions to assist residents as MHA moved to tobacco-free campuses at two of their locations. Adolescent health: SFN provided eight educational sessions to adolescents on lifestyle health risks. These sessions were provided by the school-based health clinic at Carroll Junior High School.
PART V, SECTION B, LINE 7	ST. FRANCIS MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER - NORTH & P&S SURGICAL HOSPITAL: THE CHNA CAN BE FOUND AT HTTPS://FMOLHS.ORG/STFRAN/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX ST. FRANCIS NORTH HOSPITAL
PART V, LINE 16I	ST. FRANCIS MEDICAL CENTER, ST. FRANCIS NORTH HOSPITAL AND P&S SURGICAL HOSPITAL: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE OR DISCOUNTED CARE.
PART V, LINE 13H	ST. FRANCIS MEDICAL CENTER, ST. FRANCIS NORTH HOSPITAL AND P&S SURGICAL HOSPITAL: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART V, QUESTION 22D	P&S SURGICAL HOSPITAL: THE HOSPITAL FACILITY DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR MOTHER MEDICALLY NECESSARY CARE USING THE AVERAGE OF THE BOTTOM QUARTER LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COMMUNITY HEALTH CENTER
920 OLIVER ROAD	MONROE	LA	71201	VARIOUS OUTPATIENT SERVICES
NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREET	MONROE	LA	71210	CANCER TREATMENT AND IMAGING CENTER
Monroe MRI Center
501 Catalpa Street	Monroe	LA	71201	MRI SERVICES
ST FRANCIS PET IMAGING OF MONROE
PO BOX 1851	Monroe	LA	71201	PET IMAGING SERVICES
ST FRANCIS PEDIATRIC AFTER HOURS
PO BOX 207	MONROE	LA	71201	AFTER HOURS CLINIC FOR CHILDREN

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART I, LINE 7G	ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS.
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 JUNE 30, 2015 MEDICARE COST REPORT DATA. FOR PART I LINES 7E, 7F, 7G, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT 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	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
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 hospital's mission. As such, St. Francis Medical Center, Inc. works to conduct health care needs assessments. They work closely with Families helping Families, The Wellspring, The Children's Coalition, YMCA and many other organizations to define community needs and to consolidate efforts to meet those community needs. For example, a school-based health center and a diabetes and nutrition center was initiated after a health care assessment identified the need. The hospital conducted a formal community based needs assessment in 2011 and will continue to use community based data to support decisions for outreach in the community.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Patients are informed through a patient handbook that contains information on the financial policies of St. Francis Medical Center. Additionally, signs are posted in the Admissions areas that Financial Counseling is available upon request. Systems and tools are utilized to conduct high level financial screening to assist in identifying patients eligible for financial assistance. Financial counselors work closely with patients to assist with enrollment for those who are eligible for Medicaid as well as assist those who are eligible for HOSPITAL FINANCIAL ASSISTANCE in determining eligibility.
PART VI, LINE 4	COMMUNITY INFORMATION: ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA THAT SERVES OUACHITA PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 150,862 AND THE SENIOR POPULATION COMPRISES ABOUT 12.6% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $37,298 AND 20.8% OF THE PARISH'S RESIDENTS LIVE BELOW THE POVERTY LEVEL. ST. FRANCIS MEDICAL CENTER PRIMARY SERVICE AREA INCLUDES THE FOLLOWING PARISH: OUACHITA PARISH ST. FRANCIS MEDICAL CENTER SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: CALDWELL PARISH EAST CARROLL PARISH FRANKLIN PARISH JACKSON PARISH LINCOLN PARISH MADISON PARISH MOREHOUSE PARISH RICHLAND PARISH TENSAS PARISH UNION PARISH WEST CARROLL PARISH
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: St. Francis Medical Center participates in community improvement activities because it understands that improvements to a community have a direct link to the improved health of community residents. Community improvement activities include the following: SFMC provides occupancy and utilities free of charge to St. Vincent DePaul charitable pharmacy so that the poorest individuals in the community have access to prescription drugs. SFMC also provides occupancy free of charge to a primary health care clinic located in one of the poorest areas of Monroe. These activities allow the recipient organizations to spend their available funds on activities that have more direct impact on those in need. SFMC provides management oversight of community programs and activities, including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. SMFC proudly serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. SFMC provides leadership development and training for Roman Catholic Priests to serve in the SFMC Community. SFMC improves access to public health through its financial support of an adult day health care facility and a school based health center. SFMC has many programs designed to promote leadership development and provide exposure to various careers in heatlh care. Such programs include health information management, sports medicine program, AHEC (area health education center) program, Carroll High School Housekeeping Program and the Jr. Volunteer Program. A majority of the governing body of SFMC is comprised of individuals from a broad cross-section of the community who reside in the primary service area and who are neither employees nor contractors of the organization. SFMC extends medical staff privileges to all qualified physicians in the community for some or all of the departments, as needed. SFMC applies surplus funds to improvements in patient care through investment in clinical technology, medical information technology, and continued training of clinical staff.
PART VI, LINE 6	St. Francis Medical Center 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. Francis Medical Center is part of the FMOL Health System which includes several hospitals and tax-exempt affiliates throughout the state of Louisiana. St. Francis Medical Center serves the community in Northeastern Louisiana and Southern Arkansas. Other related hospitals in Louisiana include: Our Lady of Lourdes Regional Medical Center Our Lady of the Lake Hospital St. Elizabeth Hospital Our Lady of the Lake Assumption Hospital OUR LADY OF THE ANGELS HOSPITAL
PART III, SECTION A, LINE 2	THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE.
PART I, LINE 7F	FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	School of Nursing Building Fund	AddressLine1Txt
Address Line2	700 University Avenue	AddressLine2Txt
City	Monroe	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71209	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	726028527	RecipientEIN
IRC Section	501c(3)	IRCSectionDesc
Cash Grant	$50,000	CashGrantAmt
Purpose Of Grant	DONATION TO NURSING PROGRAM	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ST. FRANCIS MEDICAL CENTER REQUESTS AN ACKNOWLEDGEMENT LETTER FROM EACH ORGANIZATION TO WHICH WE GIVE $5,000 OR MORE IN A CALENDAR YEAR. ORGANIZATIONS ARE REQUESTED TO IDENTIFY WHEN THE FUNDS WERE RECEIVED, HOW MUCH WAS RECEIVED, HOW THE FUNDS WERE USED AND WHAT THE OUTCOMES WERE OF THE PROJECT OR PROGRAM FOR WHICH THE FUNDS WERE REQUESTED.	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 (13 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
R KEITH WHITE MD
DIRECTOR	$500,011	$0	$288,256	$0	$3,511	$0	$6,500	$0	$23,385	$0	$821,663	$0	$0	$0
THOMAS J GULLATT MD
DIRECTOR	$317,688	$0	$190,816	$0	$3,438	$0	$32,326	$0	$19,334	$0	$563,602	$0	$0	$0
LOUIS BREMER
Ex-Officio/President/ CEO	$0	$317,733	$0	$0	$0	$241,657	$0	$10,400	$0	$18,434	$0	$588,224	$0	$78,266
KRISTIN WOLKART
President/CEO	$0	$208,841	$0	$50,000	$0	$7,942	$0	$23,362	$0	$21,262	$0	$311,407	$0	$0
RONALD E HOGAN
REGIONAL CFO	$0	$276,204	$0	$87,803	$0	$17,163	$0	$26,518	$0	$25,709	$0	$433,397	$0	$0
MICHAEL LANGIULLI
Physician	$675,013	$0	$55,683	$0	$2,471	$0	$6,500	$0	$23,935	$0	$763,602	$0	$0	$0
KEVIN M MEYER
Physician	$343,881	$0	$240,238	$0	$2,621	$0	$6,500	$0	$18,276	$0	$611,516	$0	$0	$0
DAVID M MCCOY
Physician	$357,664	$0	$144,971	$0	$3,153	$0	$6,500	$0	$20,229	$0	$532,517	$0	$0	$0
JAMES G SMITH
Physician	$319,245	$0	$111,283	$0	$3,438	$0	$32,326	$0	$9,789	$0	$476,081	$0	$0	$0
JOHN D BRUCHHAUS
Physician	$318,568	$0	$105,283	$0	$2,621	$0	$24,235	$0	$11,868	$0	$462,575	$0	$0	$0
K SCOTT WESTER
Interim CEO	$0	$583,808	$0	$180,278	$0	$20,647	$0	$37,476	$0	$26,985	$0	$849,194	$0	$0
KAYLA JOHNSON
VP Patient Care Services	$190,216	$0	$34,500	$0	$900	$0	$18,049	$0	$23,314	$0	$266,979	$0	$0	$0
FRED TOLBERT
VP Ancillary Services	$184,591	$0	$30,700	$0	$1,392	$0	$24,061	$0	$23,379	$0	$264,123	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, QUESTION 3	THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT.
PART I, LINE 4A	The CEO and interim CEO are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for termination of employment without cause for good reason. If triggered, the executive would be paid his/her base salary and an annual incentive at target and provided retirement and welfare benefits for an entitlement period. Louis Bremer received a severance payment in the amount of $143,121 during the current year. An officer is entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason or due to change of control. If triggered, the employee would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is 12 months. No payments were made under the plan in the current year.
PART I, QUESTION 7	DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
PART I, QUESTION 4B	FMOLHS maintains two 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. Louis Bremer received a payment in the amount of $84,190 in the current year.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
OUACHITA REHAB ASSOCIATION
BOARD MEMBER IS OWNER	$137,716	MEDICAL DIRECTOR PAYMENTS	false
EMILY BYRD
DAUGHTER OF DIRECTOR	$7,251	COMPENSATION	false
TERRY KING APMC
BOARD MEMBER IS OWNER	$390,837	SFMC PAYS FOR MEDICAL SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990 PART III The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the health needs of the people of God, the Board of Directors has established a policy under which the Medical Center provides care to needy members of its communities. Following that policy, health care services costing $5,347,354 were provided without charge during the year ended June 30, 2015. Gross charges foregone, based on established rates, totaled approximately $17,946,000 for the year ended June 30, 2015. The Medical Center also participates in government programs including Medicare, Medicaid and TriCare programs. Under these programs, the Medical Center provides care to patients at payment rates that are determined by the federal and state governments, regardless of actual cost. In some cases, these programs pay the Medical Center at amounts which are less than its cost of providing services. The following table summarizes the amounts of charges foregone (i.e., contractual allowances) and the estimated unreimbursed costs incurred by the Medical Center due to inadequate payments by these programs and for charity for the year ended June 30, 2015. June 30, 2015 Charity Care and means-tested programs: CHARGES FOREGONE Medicare: $322,608,305 Medicaid: $133,003,989 Charity: $17,946,000 Other: $2,288,053 Total: $475,846,347 Estimated Unreimbursed Charges: Medicare: $32,709,884 Medicaid: $20,226,076 Charity: $5,347,354 Other: $84,182 Total: $58,367,496 In addition to community services directly associated with providing hospital-based care, the Medical Center serves the community in numerous other ways. For example: The Medical Center provides Health Professionals Education in a clinical setting for undergraduate, vocational training, internships, clerkships, and residencies. This program includes registered nurse recruitment activities and collaboration with local colleges for supervision and clinical training in pharmacy, respiratory therapy, health information management and medical technology. The costs incurred for these programs totaled approximately $249,840 during the year ended June 30, 2015. The Medical Center provides subsidized health services which provide a discount, at cost, to all patients that have no form of insurance coverage. The costs incurred for these programs totaled approximately $668,021 during the year ended June 30, 2015. The Medical Center provides cash and in-kind contributions to community groups which include donations to Families Helping Families, Children's Coalition, Wellspring, Haiti Project, Prevent Child Abuse, Alzheimer's Foundation, YMCA, and Komen Foundation. This program also includes employee costs associated with board and community involvement of rural hospitals. The costs incurred for these programs totaled approximately $7,800 during the year ended June 30, 2015. The Medical Center provides occupancy and utilities to St. Vincent DePaul charitable pharmacy. The costs incurred for these programs totaled approximately $43,957 during the year ended June 30, 2015. The Medical Center provides community health education classes on breast feeding, childbirth basics, sibling class and abc's of childcare. This also includes sponsorship of Think First, a national injury prevention organization. The Medical Center provides free depression and anxiety screenings to the community. The costs incurred for these programs totaled approximately $10,131 during the year ended June 30, 2015. The Medical Center provides community support which includes staff costs of management oversight of community benefit programs and activities, including Meals on Wheels, taxi and medication provided to the needy, Bayou Jamb (an annual football jamboree for area high school teams), and community benefit salary dollars. The costs incurred for these programs totaled approximately $169,568 during the year ended June 30, 2015. The Medical Center provides community based clinical services including community based health screenings including behavior health, discounted services provided to Louisiana Baptist Children's home, Veteran's Administration, rural hospitals, ULM athletic department, MDA, Wellspring, and handicap children. The costs incurred for these programs totaled approximately $262,483 during the year ended June 30, 2015. The Medical Center provides leadership development and training for community members. St. Francis serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. The costs incurred for these programs totaled approximately $57,833 during the year ended June 30, 2015. The Medical Center provides community health improvement advocacy which includes the unreimbursed costs of the Adult Day Health Care Facility and the school based health center. The costs incurred for these programs totaled approximately $184,992 during the year ended June 30, 2015. The Medical Center provides workforce development designed to promote leadership development and provided exposure to various careers in health care including: sports medicine program, AHEC (Area Health Education Center Program), Carroll High School housekeeping program and junior volunteer program. The costs incurred for these programs totaled approximately $6,500 during the year ended June 30, 2015.
Part VI, Section A, Question 2	KRISTEN WOLKART, SCOTT WESTER, Ron Hogan, Louis Bremer, and J. Stewart Gentry have a business relationship with each other solely because they all serve as directors of other organizations which are related to St. Francis Medical Center.
Part VI, Section A, Question 6	FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center.
PART VI, SECTION A, QUESTION 7A	FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER.
PART VI, SECTION A, QUESTION 7B	THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: i. To change philosophy, objectives and purposes of corporation. ii. To appoint or remove the Members of the Board of Trustees and Officers of the corporation. iii. To amend, alter, modify or repeal the Articles of Incorporation and Bylaws of the corporation. iv. To authorize merger, consolidation, or affiliation, or participate in joint ventures. v. To dissolve and to distribute assets of the corporation. vi. To appoint and/or terminate with or without cause the Chief Executive Officer of the corporation. vii. To acquire, purchase, sell, lease, transfer, or encumber any immovable property on behalf of the corporation. viii. To add to or incur long-term debt in excess of $5 million by the Corporation. ix. To appoint the fiscal auditor for the corporation. x. 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. xi. To approve the annual operating and capital budgets of the corporation. xii. To approve a strategic business plan of the corporation.
Part VI, Section A, Question 11A	AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT.
PART VI, SECTION B, QUESTION 12C	St. Francis Medical Center has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or his designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest exists or creates the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that she/he (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. Francis Medical Center is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Francis Medical Center provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken.
PART VI, SECTION B, QUESTION 15A & 15B	Our Board of Directors designates an executive committee made up of independent board members to review and set the compensation annually of our officers and key employees. The executive committee obtains and relies upon comparable data including industry-wide compensation information provided by 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 compensation for the CEO of St. Francis Medical Center is set by the compensation committee of FMOL Health System (a related tax-exempt organization) according to their pay practices which are similar to those described above.
GOVERNING DOCUMENTS	PART VI, SECTION C, QUESTION 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request.
PART XI, QUESTION 9	CAPITAL TRANSFER PER FMOL $(16,542,762)
SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION	ST. FRANCIS MEDICAL CENTER is making the election under Treas. Reg. 1.263(a)-3(n) to capitalize those repair and maintenance costs that it treats as capital improvements on its books and records for the tax year ended JUNE 30, 2015.
SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION	ST. FRANCIS MEDICAL CENTER 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, 2015. 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 FRANCIS MEDICAL GROUP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1901	AddressLine1Txt
City	MONROE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71210	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	LA	LegalDomicileStateCd
Total Income	$19,094,337	TotalIncomeAmt
End Of Year Assets	$18,719,008	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFMC	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	FMOLHS	false
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTHCARE	LA	501(C)(3)	7	OLOL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Heart Hospital of Acadiana
1105 Kaliste Saloom Road	Lafayette	LA	70508	300442368	Healthcare	LA	LOURDES	N/A
Perkins Plaza Imaging Development
5000 Hennessy Boulevard	Baton Rouge	LA	70808	203894521	REAL ESTATE	LA	OLOL	N/A
P&S SURGERY CENTER LLC
312 GRAMMONT STREET	MONROE	LA	71201	721387870	HEALTHCARE	LA	SFMC	RELATED	$572,284	$10,984,571	false	$0	Yes (true)	0.50000
Lourdes Imaging Development LLC
4801 AMBASSADOR CAFFERY PKWY	Lafayette	LA	70508	208326287	REAL ESTATE	LA	LOURDES	N/A	$0	$0
Park Place Surgical CENTER
901 Wilson Street	Lafayette	LA	70503	721404092	Healthcare	LA	LOURDES	N/A
BRPT Lake Rehabilitation Centers LLC
530 Shadows Lane	Baton Rouge	LA	70806	721506100	Healthcare	LA	OLOL	N/A
Convenient Care LLC
10319 JEFFERSON HWY	Baton Rouge	LA	70808	721439481	Healthcare	LA	OLOL	N/A
Perkins Plaza Ambulatory Surgery Center
1400 N PORTLAND AVENUE SUITE 200	Eureka	MO	63025	481264699	Healthcare	LA	OLOL	N/A
Surgical Specialty Center of Baton Rouge
8080 Bluebonnet Boulevard	Baton Rouge	LA	70810	263160962	Healthcare	LA	OLOL	N/A
St Elizabeth - Mary Bird Perkins
4950 Essen Lane	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	STEH	N/A
St Mary's Imaging Center II
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508		HEALTHCARE	LA	LOURDES IMAGING	N/A
NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREET	MONROE	LA	71201	721329499	HEALTHCARE	LA	SFMC	RELATED	$318,164	$3,240,043	false	$0	Yes (true)	0.50000
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004	LAFAYETTE	LA	70508	201367299	HEALTHCARE	LA	LOURDES	N/A	$0	$0
LHCG-XIII LLC
420 WEST PINHOOK ROAD SUITE A	LAFAYETTE	LA	70503	208068308	HEALTHCARE	LA	LOURDES	N/A	$0	$0
ST ELIZABETH IMAGING CENTER
8080 BLUEBONNET BLVD STE 1000	GONZALES	LA	70737	364701565	HEALTHCARE	LA	STEH	N/A	$0	$0
CAPITAL AREA SHARED SVC ORGANIZATIONLLC
4200 ESSEN LANE	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	OLOL PG	N/A
CAPITAL AREA SHARED SVC ORGANIZATIONLLC
4200 ESSEN LANE	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	STEP	N/A
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	STEH	N/A	$0	$0
OLOLUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	352457810	HEALTHCARE	TX	OLOL	N/A
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	OLOL	N/A
ST FRANCIS URGENT CARE LLC
2600 TOWER DR 106	MONROE	LA	71201		HEALTHCARE	LA	SFMC	RELATED	$0	$0	false		Yes (true)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	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	$92,900	$2,436	1.00000	Yes (true)
Hospital Assistance Services
PO Box 4027-C	Lafayette	LA	70502	721073486	Healthcare	LA	LOURDES	C Corp			1.00000	Yes (true)
Louise Insurance Company
					INSURANCE		FMOL	C Corp			1.00000	Yes (true)	PO BOX 1051	CJ	KY1-1102	CJ
Monroe Health Services
PO Box 3187	Monroe	LA	71210	721057820	Healthcare	LA	AMBULATORY	C Corp			1.00000	Yes (true)
Northeast LA Health Network
309 Jackson Street	Monroe	LA	71201	721294587	Healthcare	LA	AMBULATORY	C Corp			1.00000	Yes (true)
CHARITABLE REMAINDER TRUST
					Investment	LA	OLOL Foundation	Trust
FRANCISCAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANE	BATON ROUGE	LA	70809	455492379	HEALTHCARE	LA	FMOL	C CORP			1.00000	Yes (true)
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANE	BATON ROUGE	LA	70809	454405024	INVESTMENT	LA	FMOL	C CORP			1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Francis Ambulatory Services
K	$103,408	FMV
P&S Surgical Hospital
A	$808,523	FMV
P&S Surgical Hospital
L	$279,122	FMV
P&S Surgical Hospital
S	$295,714	FMV
St Francis Insurance Agency
A	$2,872	FMV