2016-05-16T10:17:49-05:00 2015-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2014-07-01 721028323 FMOL HEALTH SYSTEM INC % ROBERT D RAMSEY FMOL 2259232701 4200 ESSEN LANE BATON ROUGE LA 708092158 Robert Ramsey CFO 2259232701 2016-05-11 true RYAN HOOKS P00746825 2253444000 2014 2016-08-17 19:52:53Z JOHN FINAN 4200 ESSEN LANE BATON ROUGE LA 70809 122625609 false 0928 X WWW.FMOLHS.ORG X 1984 LA FMOLHS MANAGES AN INTEGRATED HEALTH SYSTEM to MAKE A difference in our communities through Catholic Health Services by calling forth all who serve in the healthcare ministry. 12 9 614 12 646257 0 0 339128 104792125 122178635 672747 101749 721492 0 106186364 122619512 194865 56864 0 0 53324793 61583928 0 0 0 71856399 95817763 125376057 157458555 -19189693 -34839043 85402581 96019649 39034352 51140307 46368229 44879342 X INSPIRED BY THE VISION OF ST. FRANCIS AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. false false 4568139 122517763 FMOL HEALTH SYSTEM SERVES AS THE SOLE-MEMBER TO THE FOLLOWING HOSPITALS ACROSS LOUISIANA: ST. FRANCIS MEDICAL CENTER IN MONROE, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER IN BATON ROUGE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IN LAFAYETTE, ST. ELIZABETH HOSPITAL IN GONZALES AND OUR LADY OF THE ANGELS HOSPITAL IN BOGALUSA. THESE HOSPITALS OFFER A FULL ARRAY OF ACUTE CARE AND TERTIARY SERVICES. FMOL HEALTH SYSTEM PROVIDES FOR ALL ITS SUBSIDIARIES STRATEGIC PLANNING, LEADERSHIP SERVICES, AND BUSINESS SUPPORT FUNCTIONS. THESE SERVICES INCLUDE PLANNING, FINANCE, LEGAL, RISK MANAGEMENT, MATERIALS, AND COMPLIANCE. ADDITIONALLY, THE FMOL HEALTH SYSTEM PROVIDES TECHNOLOGY SUPPORT THAT MAKES IT EASIER FOR DOCTORS TO MAKE THE RIGHT DIAGNOSIS, MAKES HEALTHCARE SAFER AND IMPROVES THE QUALITY OF CARE. FMOL HEALTH SYSTEM ALSO PROVIDES GUIDANCE AND RESOURCES THAT SUPPORT THE ENTIRE SYSTEM'S EFFORTS IN MARKEDLY CHANGING HOW THE HEALTHCARE SYSTEM CARES FOR THE ELDERLY POPULATION. FMOL HEALTH SYSTEM COORDINATES AND SUPPORTS ITS SYSTEM-WIDE MISSION OF REACHING THOSE PEOPLE WHO ARE MOST IN NEED OF HEALTH CARE IN EACH OF THE COMMUNITES SERVED BY ITS HOSPITALS. 56864 56864 GRANTS ARE MADE TO CHARITABLE ORGANIZATION IN ORDER TO SUPPORT THE CHARITABLE MISSION OF FMOL HEALTH SYSTEMS, INC. 4625003 true true false true false false false false false false true false false true true true false true false false true false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true 46 0 true 614 true true true true CJ false false false false false false false false X 12 9 false false false false true true true true true false false true true true true false false true true false X ROBERT D RAMSEY 2259232701 4200 ESSEN LANE BATON ROUGE LA 70809 X Mr Jim Prince Board Member- Chair 1.0 0.0 X X 0 0 0 CW Bill Lovell II MD Board Member 1.0 2.0 X 0 1900 0 John J Finan Jr President/ CEO 50.0 2.5 X X 1214018 0 80185 Richard M Dearman MD Board Member 1.0 0.0 X 0 0 0 John S Lore Board Member 1.0 0.0 X 0 0 0 Sr Brendan Mary Ronayne OSF Board Member 1.0 2.0 X 0 0 0 Kevin Schexnayder BOARD MEMBER 1.0 0.0 X 0 0 0 Mr Claude W Harbarger BOARD MEMBER 1.0 0.0 X 0 0 0 Mr Howard Harvill Board Member 1.0 2.0 X 0 0 0 Archbishop Gregory Aymond Board Member 1.0 0.0 X 0 0 0 James W Moore Jr Board Member 1.0 0.0 X 0 0 0 Dr Karen Williams Board Member 1.0 40.0 X 0 121814 2976 Steven R Nathanson Board Member 1.0 0.0 X 0 0 0 Gerald Boudreaux Board Member 1.0 0.5 X 0 0 0 Jolee Bollinger General Counsel/SECRETARY 50.0 1.0 X 474520 0 64728 Robert D Ramsey Chief Financial Officer 50.0 3.0 X 600247 0 130025 Karen B Allen President/ CEO Sr. Services 50.0 0.0 X 266509 0 60880 William Barrow President/ CEO Lourdes 50.0 1.0 X 514365 0 73214 Louis Bremer President/ CEO St. Francis 50.0 4.0 X 559390 0 28834 Robert Burgess President/ CEO St. Elizabeth 50.0 2.0 X 363316 0 19845 Ronald Hogan Regional CFO 58.0 2.0 X 381170 0 52227 Jeffrey D Limbocker Regional CFO 58.0 2.0 X 474458 0 59003 Kristin Wolkart President/CEO St. Francis 50.0 2.0 X 266783 0 44624 William P Mosser VP of Materials Management 50.0 0.0 X 304261 0 29773 Vindell Washington VP Perf Excellence 50.0 0.0 X 543238 0 33785 K Scott Wester President/ CEO OLOL 50.0 8.5 X 784733 0 64461 Rene Ragas President/CEO OLOLA 50.0 2.0 X 262233 0 46792 Barry M Chambers VP of Finance 50.0 0.0 X 273838 0 27787 Wilson J Gordon III VP of Strategy 50.0 0.0 X 457985 0 74133 Richard R Vath Director of Education Research 50.0 2.0 X 534947 0 72426 Craig A Vitrano Physician 50.0 0.0 X 450242 0 69746 Roland S Funsten VP REVENUE CYCLE 50.0 0.0 X 272473 0 29081 8998726 123714 1064525 82 false true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 641412702 CONSULTING & SERVICE 16354753 BEECHER CARLSON HOLDINGS INC 21800 OXNARD ST SUITE 1080 WOODLAND HILLS CA 91367 INSURANCE SERVICES 5025195 VENTURE TECHNOLOGIES 860 CENTER STREET RIDGELAND MS 39157 CONSULTING & SERVICE 3082163 CDW GOVERNMENT LLC 230 N MILWAUKEE AVE VERNON HILLS IL 600611577 CONSULTING & SERVICE 2766693 XTEND HEALTHCARE 500 WEST MAIN ST HENDERSONVILLE TN 37075 SELF PAY COLLECTIONS 2758713 107 339128 339128 Management Fees 900099 119060422 119057922 2500 Medical Supply Sales 900099 2612639 2612639 Product Discount 900099 505574 505574 122178635 107846 643757 -535911 0 0 0 0 0 6097 -6097 -6097 -6097 0 0 0 0 122619512 122176135 646257 -542008 X 56864 56864 0 0 0 7334303 631 7333672 0 0 40285207 40349 40244858 7327273 1554 7325719 3752671 230 3752441 2884474 3064 2881410 0 1004271 3870 1000401 1151036 1151036 70680 70680 0 0 57929181 654467 57274714 287940 287940 1854256 91380 1762876 8679 8679 0 3063661 623093 2440568 1207690 1207690 0 747025 747025 827943 827943 0 22656466 102015 22554451 732871 18171 714700 Medical Supplies Expense 3029315 3029315 Interest Rate Swap 1246749 1246749 157458555 4625003 152833552 0 5838862 6228500 2731775 2624815 0 0 1311517 296916 0 0 0 0 0 0 0 3763520 8353013 9140529 161922544 108524698 49988864 53397846 0 0 -454048 1256241 0 0 225657 0 17406941 19311282 85402581 96019649 18222797 20585661 0 0 0 1000000 170000 170000 0 0 0 0 0 0 0 0 20641555 29384646 39034352 51140307 X 46368229 44540214 0 339128 0 0 46368229 44879342 85402581 96019649 X -34839043 -85762 33435918 X false true X true true true X X 1 FRANCISCAN MISSIONARIES OF OUR LADY NORTH AMERICAN PROVINCE 720958584 1 true 157458555 0 1 157458555 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 70680 false false false 70680 false 0 0 1149942 182462 967480 158430252 108342236 50088016 2342350 2342350 53397846 DUE FROM AFFILIATES 17240088 SELF INSURANCE RECEIVABLE 1433616 OTHER 637578 19311282 0 ACCRUED NON-QUALIFIED DEFERRED COMP 2473728 OTHER LIABILITIES-CLAIMS 31375 CAPITAL LEASES 13093668 SELF INSURANCE LIAB- L.T. 1433616 INTEREST RATE SWAP 12352259 29384646 X FIN 48 (ASC 740) FOOTNOTE "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." Central America and the Caribbean Investments 130000 130000 130000 true false true true true false true Our Lady of the Lake HOSPITAL INC 5000 Hennessy Blvd Baton Rouge LA 70808 720423651 501(C)(3) 19000 General Purpose 1 SCHEDULE I, PART 1, LINE 2 ACCORDING TO THE LEVELS OF AUTHORIZATION'S POLICIES AND PROCEDURES, ALL CHARITABLE CONTRIBUTIONS ARE APPROVED BY THE CEO OF THE FMOL HEALTH SYSTEM. X false true X X X true true false false false false false true false John J Finan Jr President/ CEO 893733 0 284718 0 35567 0 50472 0 29713 0 1294203 0 0 0 Karen B Allen President/ CEO Sr. Services 192362 0 53500 0 20647 0 38360 0 22520 0 327389 0 0 0 William Barrow President/ CEO Lourdes 379481 0 107000 0 27884 0 53779 0 19435 0 587579 0 0 0 Jolee Bollinger General Counsel/SECRETARY 347007 0 110400 0 17113 0 33844 0 30884 0 539248 0 0 0 Louis Bremer President/ CEO St. Francis 317733 0 0 0 241657 0 10400 0 18434 0 588224 0 78266 0 Robert Burgess President/ CEO St. Elizabeth 259242 0 83400 0 20674 0 10400 0 9445 0 383161 0 0 0 Barry M Chambers VP of Finance 223646 0 48800 0 1392 0 10400 0 17387 0 301625 0 0 0 Wilson J Gordon III VP of Strategy 332524 0 106538 0 18923 0 49398 0 24735 0 532118 0 0 0 Ronald Hogan Regional CFO 276204 0 87803 0 17163 0 26518 0 25709 0 433397 0 0 0 Jeffrey D Limbocker Regional CFO 354015 0 103280 0 17163 0 35804 0 23199 0 533461 0 0 0 Kristin Wolkart President/CEO St. Francis 208841 0 50000 0 7942 0 23362 0 21262 0 311407 0 0 0 William P Mosser VP of Materials Management 221090 0 66558 0 16613 0 10400 0 19373 0 334034 0 0 0 Robert D Ramsey Chief Financial Officer 438314 0 146010 0 15923 0 50619 0 79406 0 730272 0 0 0 Richard R Vath Director of Education Research 397039 0 136900 0 1008 0 55892 0 16534 0 607373 0 0 0 Vindell Washington VP Perf Excellence 402144 0 123700 0 17394 0 10400 0 23385 0 577023 0 0 0 K Scott Wester President/ CEO OLOL 583808 0 180278 0 20647 0 37476 0 26985 0 849194 0 0 0 Craig A Vitrano Physician 335296 0 112961 0 1985 0 53779 0 15967 0 519988 0 0 0 Roland S Funsten VP REVENUE CYCLE 206428 0 65686 0 359 0 10400 0 18681 0 301554 0 0 0 Rene Ragas President/CEO OLOLA 176272 0 68849 0 17112 0 23840 0 22952 0 309025 0 0 0 SCHEDULE J, PART I, LINE 1A WILLIAM BARROW RECEIVED REIMBURSEMENT FOR SOCIAL CLUB DUES. THESE EXPENSES WERE TREATED AS TAXABLE COMPENSATION TO THE LISTED PERSON. SCHEDULE J, PART I, LINE 1B HUMAN RESOURCES IS INVOLVED IN THE DECISION-MAKING PROCESS IN DETERMINING THAT THE ORGANIZATION WOULD PROVIDE SOCIAL CLUB DUES. SCHEDULE J, PART I, LINE 4A THE CFO, GENERAL COUNSEL, AND TWO KEY EMPLOYEES 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 A 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. THE ENTITLEMENT PERIOD IS 24 MONTHS. LOUIS BREMER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $143,121 DURING THE CURRENT YEAR. THE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID 75% OF HIS BASE SALARY AND 75% OF HIS INCENTIVE PAYMENT DETERMINED AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. ONE KEY EMPLOYEE IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGES FROM 18 TO 36 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. SEVERAL KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES 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. SCHEDULE J, PART I, LINE 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 J, PART I, LINE 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 DEPENDING ON THE INDIVIDUAL'S JOB LEVEL. A LOUISIANA PUBLIC FACILITIES AUTHORITY 05A 05D 720895871 546395B78 2005-10-25 170286095 CAPITAL, REFUND PRIOR ISSUES 7/23/ false false false A 135123548 0 170143548 0 0 0 1683949 1675000 0 83574599 83210000 0 2009 false true true true A false false false true false 0 0.00000 0.00000 false false false true A false true false false 0 true HYPO RE BANK 3.5 true true true A true PART II, LINE 3 CAPITAL, REFUND PRIOR ISSUES 7/23/98: THE INTEREST EARNINGS WERE SPENT ON CAPITAL EXPENDITURES. PART IV, LINE 2C CAPITAL, REFUND PRIOR ISSUES 7/23/98: THE REBATE COMPUTATION WAS PERFORMED JUNE 30,2015. PART IV, LINE 5 CAPITAL, REFUND PRIOR ISSUES 7/23/98: THE GROSS PROCEEDS WERE INVESTED IN A GIC IN 2005 FOR 3 YEARS. NO PROCEEDS ARE CURRENTLY INVESTED IN A GIC. A LA PUBLIC FACILITIES AUTHORITY O5B 05C 720895871 546394D92 2008-05-28 100000000 CAPITAL,REFUND PRIOR ISSUE 10/4/05 A 50700000 0 104257715 0 0 0 1141630 0 0 53116085 50000000 0 2009 true false true true A false true true true false 0.00000 0.00000 0.00000 false false false true A false true true false 0 true HYPO RE BANK 3. true false true A true PART IV, LINE 2C CAPITAL, REFUND PRIOR ISSUE 10/04/05: THE REBATE COMPUTATION WAS PERFORMED JUNE 30,2013. PART IV, LINE 5 CAPITAL, REFUND PRIOR ISSUE 10/04/05: THE GROSS PROCEEDS WERE INVESTED IN A GIC IN 2005 FOR 3 YEARS. NO PROCEEDS ARE CURRENTLY INVESTED IN A GIC. A LA PUBLIC FACILITIES AUTHORITY 2005D 720895871 546395C28 2008-07-21 88325000 REOFFERED 05D,REFUND PART 98A&98C false false false A 17025000 0 88325000 0 0 0 0 0 0 0 88325000 0 2008 true false true true A false false false false 0 false false false true A false true true true MERRILL LYNCH 20.5 true false false 0 false true A true PART IV, LINE 2C REOFFERED O5D, REFUND PART 98A & 98C: THE REBATE COMPUTATION WAS PERFORMED JUNE 30, 2010. PART IV, LINE 3C REOFFERED 05D, REFUND PART 98A & 98C: THE TERM ON THE HEDGE LISTED IS THE ENTIRE TERM. REMAINING TIME LEFT ON THE HEDGE DIFFERS BY BOND ISSUE. A LA PUBLIC FACILITIES AUTHORITY 98B 08A 720895871 546395E83 2008-08-07 82485000 REOFFER 98B REFUND 98A, 98C false false false A 28960000 0 82485000 0 0 0 467933 67667 0 0 81949400 0 2008 true false true true A false false false false 0 false false false true A false true true true MERRILLGOLDMAN 17. true false false 0 false true A true PART IV, LINE 2C REOFFER 98B REFUND 98A, 98C: THE REBATE COMPUTATION WAS PERFORMED JUNE 30, 2013. PART IV, LINE 3C REOFFER 98B REFUND 98A, 98C: THE TERM ON THE HEDGE LISTED IS THE ENTIRE TERM. REMAINING TIME LEFT ON THE HEDGE DIFFERS BY BOND ISSUE. A LOUISIANA PUBLIC FACILITIES AUTHORITY 2012B 720895871 546395J88 2012-11-01 104972722 CAPITAL EXPENDITURES false false false A 0 0 104972722 0 1842000 0 1463796 0 0 101666926 0 0 2013 false false true true A false true true true false 0.00020 0.00000 0.00020 false false false true A false true true false 0 false 0 false true A true A LOUISIANA PUBLIC FACILITIES AUTHORITY 2012A 720895871 2012-10-03 56530000 REFUND 7/23/2009 2005C BONDS false false false A 0 0 56530000 0 0 0 445107 0 0 0 56084893 0 2012 false true true true A false true false true false 0.00010 0.00140 0.00150 false false false true A false true false false 0 false 0 false true A true A LOUISIANA PUBLIC FACILITIES AUTHORITY 2015A 720895871 2015-03-01 202788360 REFUND 2005A & 2009A false false false A 0 0 202788360 0 0 0 2308799 0 0 0 200479561 0 2015 false true true true A false true true true false 0.00010 0.00170 0.00180 false false false true A false true false false 0 false 0 false true A true PART VI, SECTION A, QUESTION 6 THE ENTITY IS ORGANIZED AS A NON-PROFIT CORPORATION WITH MEMBERS. THE MEMBERS ARE THE PROVINCIAL OF THE FMOL NORTH AMERICAN PROVINCE AND THOSE PERSONS WHO ARE MEMBERS OF THE PROVINCIAL COUNCIL OF FMOL NORTH AMERICAN PROVINCE. PART VI, SECTION A, QUESTION 7A THE MEMBERS RETAIN THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF FMOL HEALTH SYSTEM. PART VI, SECTION A, QUESTION 7B THE RESERVED POWERS TO THE MEMBERS ARE AS FOLLOWS: 1. CHANGE PHILOSOPHY, OBJECTIVES, PURPOSES OF CORPORATION AND ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 2. APPOINT AND REMOVE BOARD OF TRUSTEES AND OFFICERS OF FMOL HEALTH SYSTEM 3. ALTER ARTICLES OF INCORPORATION AND BYLAWS OF FMOL HEALTH SYSTEM AND ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 4. AUTHORIZE MERGER, CONSOLIDATION OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. DISSOLVE AND DISTRIBUTE ASSETS OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 6. APPOINT AND TERMINATE CEO OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 7. ACQUIRE, LEASE, ENCUMBER REAL ESTATE ON BEHALF OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 8. ADD TO OR INCUR LONG TERM DEBT IN EXCESS OF $5 MILLION BY FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS PART VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW BY KPMG LLP, MANAGEMENT WILL REVIEW THE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. PART VI, SECTION B, QUESTION 12C FMOL HEALTH SYSTEM 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 RESULTS IN CREATING 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 OR 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 FMOL HEALTH SYSTEM 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, FMOL HEALTH SYSTEM 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 THE HUMAN RESOURCES AND COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR EXECUTIVES AND KEY EMPLOYEES. THE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMMITTEE. PART VI, SECTION C, QUESTION 19 COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PROGRAM SERVICE THE FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM ("FMOLHS") WAS FORMED IN 1984 BY THE FRANCISCAN MISSIONARIES OF OUR LADY - NORTH AMERICAN PROVINCE, A RELIGIOUS COMMUNITY OF THE ROMAN CATHOLIC CHURCH, TO ENSURE THE PERPETUATION OF THEIR MISSION. THE HEALTH SYSTEM DELIVERS MEDICAL CARE AND COMMUNITY SERVICES THROUGH ITS SPONSORED HOSPITALS, SUBSIDIARIES AND AFFILIATES: OUR LADY OF THE LAKE HOSPITAL, INC. IN BATON ROUGE, LOUISIANA; ST. ELIZABETH HOSPITAL, IN GONZALES, LOUISIANA; OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IN LAFAYETTE, LOUISIANA; ST. FRANCIS MEDICAL CENTER IN MONROE, LOUISIANA; AND OUR LADY OF THE ANGELS HOSPITAL, INC. IN BOGALUSA, LOUISIANA. CALAIS HEALTH, LLC, A WHOLLY OWNED CORPORATE HEALTH SERVICES SUBSIDIARY, AND FRANCISCAN PACE, INC., A WHOLLY OWNED CORPORATION FORMED FOR THE PURPOSE OF PERFORMING RELIGIOUS, BENEVOLENT, CHARITABLE, HEALTHCARE AND EDUCATIONAL ACTIVITIES, ARE BOTH HEADQUARTERED IN BATON ROUGE AND OPERATE THROUGHOUT LOUISIANA. LOUISE INSURANCE COMPANY SEEKS TO ASSURE BEST-COST LIABILITY COVERAGE FOR HEALTH SYSTEM-SPONSORED ORGANIZATIONS. THESE SPONSORED HOSPITALS, SUBSIDIARIES AND AFFILIATES ARE REFERRED TO HEREIN AS "FMOLHS AFFILIATES". FMOLHS SUPPORTS THE PURPOSE AND ACTIVITIES OF FMOLHS AFFILIATES AND ITS POWER MUST BE EXERCISED IN ACCORDANCE WITH THE TEACHINGS, TRADITIONS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH FACILITIES PROMULGATED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS OF THE UNITED STATES CATHOLIC CONFERENCE. FMOLHS SUPPORTS THE ACTIVITIES OF THE ENTIRE SYSTEM BY PROVIDING EXECUTIVE LEADERSHIP AND CENTRALIZED SUPPORT AND MANAGERIAL FUNCTIONS. SYSTEM-LEVEL ACTIVITIES INCLUDE STRATEGIC PLANNING, CAPITAL AND OPERATIONAL BUDGETING, HUMAN RESOURCES ADMINISTRATION, CENTRALIZED CASH MANAGEMENT AND TREASURY FUNCTIONS, INFORMATION TECHNOLOGY DEVELOPMENT AND SUPPORT, BUSINESS OFFICE, DECISION SUPPORT, AND OTHER SUPPORT AND MANAGEMENT FUNCTIONS. FMOLHS AND THE FMOLHS AFFILIATES ARE ACTIVE, CARING MEMBERS OF THE COMMUNITIES THEY SERVE. 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 FMOLHS AFFILIATES PROVIDE CARE TO NEEDY MEMBERS OF THEIR COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING $21,386,000 WERE PROVIDED WITHOUT CHARGE DURING THE YEAR ENDED JUNE 30, 2015. CHARGES FOREGONE, BASED ON ESTABLISHED RATES, TOTALED $235,718,000 FOR THE YEAR ENDED JUNE 30, 2015. THE FMOLHS AFFILIATES ALSO PARTICIPATE IN GOVERNMENT PROGRAMS INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. UNDER THESE PROGRAMS, THE FMOLHS AFFILIATES PROVIDE 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 FMOLHS AFFILIATES AT AMOUNTS WHICH ARE LESS THAN THEIR COST OF PROVIDING SERVICES. THE FOLLOWING TABLE SUMMARIZES THE AMOUNT OF CHARGES FOREGONE (I.E., CONTRACTUAL ADJUSTMENTS) AND THE ESTIMATED LOSSES INCURRED BY THE FMOLHS AFFILIATES DUE TO INADEQUATE PAYMENTS BY THESE PROGRAMS AND FOR CHARITY FOR THE YEAR ENDED JUNE 30, 2015: CHARGES FOREGONE ESTIMATED UNREIMBURSED COSTS MEDICARE $1,169,467,000 $93,158,000 MEDICAID $447,599,000 $58,629,000 OTHER $10,638,000 $615,000 CHARITY $235,718,000 $21,386,000 TOTALS $1,863,422,000 $173,788,000 IN ADDITION TO COMMUNITY SERVICES DIRECTLY ASSOCIATED WITH PROVIDING HOSPITAL BASED CARE, FMOLHS AFFILIATES SERVE THEIR COMMUNITIES IN NUMEROUS OTHER WAYS. ALTHOUGH THE FMOLHS AFFILIATES HAVE ESTIMATED THE COST OF EACH OF THESE EFFORTS TO SERVE THEIR COMMUNITIES, MANAGEMENT AND THE BOARDS OF DIRECTORS BELIEVE THAT SUCH COSTS REPRESENT ONLY SOME OF THE MANY WAYS FMOLHS AFFILIATES SERVE THEIR COMMUNITIES. THE ESTIMATED COSTS FOR THE YEAR ENDED JUNE 30, 2015 ARE AS FOLLOWS: SUBSIDIZED HEALTH SERVICES $1,862,000 COMMUNITY HEALTH IMPROVEMENT SERVICES $4,105,000 HEALTH PROFESSIONS EDUCATION $1,873,000 COMMUNITY BUILDING ACTIVITIES $120,000 DONATIONS AND IN-KIND CONTRIBUTIONS $1,282,000 TOTAL $9,242,000 SUBSIDIZED HEALTH SERVICES- INCLUDES THE DISCOUNT PROVIDED, AT COST, TO ALL PATIENTS THAT HAVE NO FORM OF INSURANCE COVERAGE. PROGRAMS SUCH AS ST. ELIZABETH COMMUNITY CLINIC, BAYOU HEALTH CLINIC, ST. BERNADETTE'S CLINIC, AND JACKSON STREET CLINIC. MENTAL HEALTH SERVICES AND PALLIATIVE CARE ARE ALSO PROVIDED TO THE COMMUNITY. COMMUNITY HEALTH IMPROVEMENT SERVICES - INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND COSTS WHICH ARE UNDERWRITTEN BY FMOLHS AFFILIATES. THESE SERVICES INCLUDE CAMP BLUEBIRD, LAFAYETTE COMMUNITY HEALTHCARE CLINIC, A MEDICATION PROGRAM, CONGREGATIONAL HEALTH SERVICES, NORTHSIDE HIGH SCHOOL HEALTH CENTER, COMMUNITY SEMINARS, IMMUNOLOGICAL SUPPPORT, PARISH NURSE PROGRAM, LAKELINE DIRECT, ST. MARTHA ACTIVITY CENTER, care bus health services to students, ALS Clinic, Health Teacher School based program, and depression/anxiety screening. HEALTH PROFESSIONS EDUCATION - INCLUDES ASSISTANCE TO FUTURE HEALTH CARE PROFESSIONALS, NURSING STUDENTS AND PHARMACY STUDENTS. CLINICAL SETTING FOR UNDERGRADUATE, VOCATIONAL TRAINING, INTERNSHIPS, CLERKSHIPS, AND RESIDENCIES. COLLABORATION WITH LOCAL COLLEGES FOR SUPERVISION AND CLINICAL TRAINING IN PHARMACY, RESPIRATORY THERAPY, HEALTH INFORMATION MANAGEMENT, AND MEDICAL TECHNOLOGY. REGISTERED NURSE RECRUITMENT ACTIVITIES, OLOL COLLEGE, AND PARTICIPATION IN MEDICARE'S GRADUATE MEDICAL EDUCATION THROUGH AFFILIATION WITH LOUISIANA MEDICAL SCHOOL AND MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS WILL CONTINUE TO SUPPORT AVAILABILITY OF FUTURE HEALTH CARE PROFESSIONALS. COMMUNITY BUILDING ACTIVITIES- INCLUDES LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS SUCH AS EMERGENCY PREPAREDNESS PROGRAMS; COMMUNITY HEALTH EDUCATION SUCH AS CLASSES ON BREAST FEEDING, CHILDBIRTH BASICS, SIBLING CLASS, AND ABC'S OF CHILDCARE; COMMUNITY SUPPORT WITH MEALS ON WHEELS; COMMUNITY-BASED CLINICAL SERVICES, INCLUDING HEALTH SCREENINGS, DISCOUNTED SERVICES PROVIDED TO LOUISIANA BAPTIST CHILDREN'S HOME, VETERAN'S ADMINISTRATION, RURAL HOSPITALS, ULM ATHLETIC DEPARTMENT, MDA, WELLSPRING, AND HANDICAP CHILDREN; WORKFORCE DEVELOPMENT including Area Health Education Center; AND PROVIDES COMMUNITY CLINICS, ST. VINCENT DEPAUL CHARITABLE PHARMACY AND MARY BIRD PERKINS USE OF LAND AND BUILDINGS. DONATIONS AND IN-KIND CONTRIBUTIONS - INCLUDES DONATIONS TO VARIOUS AREA COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY, FAMILIES HELPING FAMILIES, CHILDREN'S COALITION, WELLSPRING, YMCA, HAITI PROJECT, PREVENT CHILD ABUSE, KOMEN FOUNDATION, ALZHEIMER'S FOUNDATION, MARCH OF DIMES, JUNIOR ACHIEVEMENT, CYSTIC FIBROSIS, COMMUNITY FUND FOR THE ARTS AND Miles Perret Cancer Foundation, AS WELL AS EMPLOYEE COSTS ASSOCIATED WITH BOARD AND COMMUNITY INVOLVEMENT IN VARIOUS COMMUNITY ORGANIZATIONS. PART XI, LINE 9 CAPITAL TRANSFERS $31,725,629 INCOME FROM CORPORATE SUBSIDIARIES $1,710,289 Section 1.263(a)-3(n) Election - Book Conformity Election FMOL Health System, Inc. is making the election under Treas. Reg. 1.263(a)-3(n) to capitalize those repair and maintenance costs that it treats as capital improvements on its books and records for the tax year ended June 30,2015. Section 1.263(a)-1(f) - De Minimis Safe Harbor Election FMOL Health System, inc. hereby makes the de minimis safe harbor election under Section 1.263(a)-1(f) of the Treasury Regulations, effective only for the tax year ending June 30, 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). FORM 990 PART IX LINE 11G DESCRIPTION:Other Purchased Services TOTAL FEES:57929181 CALAIS HEALTH LLC 5745 ESSEN LANE BATON ROUGE LA 70809 721470366 HEALTHCARE LA 190 1276005 FMOL FMOL HEALTH SYSTEM MANAGEMENT SERVICES 4200 ESSEN LANE BATON ROUGE LA 70809 300668218 MGMT SERVICE LA FMOL FMOLHS MGMT SERVICES- NEW ORLEANS EAST 4200 ESSEN LANE BATON ROUGE LA 70809 MGMT SERVICE LA FMOL MGT SVC FMOLHS MANAGEMENT SERVICES- ST BERNARD 4200 ESSEN LANE BATON ROUGE LA 70809 300679332 MGMT SERVICE LA 2500 FMOL MGT SVC FMOLHS CLINICAL NETWORKS LLC 4200 ESSEN LANE BATON ROUGE LA 70809 HEALTHCARE LA FMOL FMOLHS CENTRAL DISTRIBUTION CENTER LLC 4200 ESSEN LANE BATON ROUGE LA 70809 HEALTHCARE LA 2612640 6681306 FMOL 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 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