STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST FRANCIS MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS MEDICAL CENTER INC (EIN 72-0408970)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201411359349305031
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T11:52:42-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1301 Main Street Suite 2150AddressLine1
CityBaton RougeCity
StateLAState
ZIP Code70801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720408970EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MR RONALD E HOGANInCareOfName
Name ControlSTFRNameControl
Phone3189667369Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1901AddressLine1
Address Line2SuiteAddressLine2
CityMonroeCity
StateLAState
ZIP Code71210ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD HOGANName
TitleREGIONAL CFOTitle
Phone3189667369Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRyan HooksName
Phone2253444000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOUIS BREMERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1901AddressLine1
CityMONROECity
StateLAState
ZIP Code71210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts295120248GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stfran.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1913YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THE HOSPITAL IS TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2680TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI2127384TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1043555ContributionsGrantsPriorYear
Contributions Grants Current Year868817ContributionsGrantsCurrentYear
Program Service Revenue Prior Year253370138ProgramServiceRevenuePriorYear
Program Service Revenue CY255055662ProgramServiceRevenueCY
Investment Income Prior Year2157916InvestmentIncomePriorYear
Investment Income Current Year5210406InvestmentIncomeCurrentYear
Other Revenue Prior Year3599421OtherRevenuePriorYear
Other Revenue Current Year12149198OtherRevenueCurrentYear
Total Revenue Prior Year260171030TotalRevenuePriorYear
Total Revenue Current Year273284083TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year147316GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY123300GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year118399769SalariesEtcPriorYear
Salaries Etc Current Year125931886SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year153146291OtherExpensePriorYear
Other Expenses Current Year129313313OtherExpensesCurrentYear
Total Expenses Prior Year271693376TotalExpensesPriorYear
Total Expenses Current Year255368499TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11522346RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17915584RevenuesLessExpensesCY
Total Assets BOY365133702TotalAssetsBOY
Total Assets EOY374036971TotalAssetsEOY
Total Liabilities BOY234049883TotalLiabilitiesBOY
Total Liabilities EOY220726355TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY131083819NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY153310616NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINSPIRED 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense189144817Expense
Grants123300Grants
Revenue252968556Revenue
DescriptionSt. 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, $5,910,000 were provided without charge. The Medical Center provided 545 licensed beds and 94,381 inpatient days in the year ended June 30, 2013. See Schedule O for further explanation.Description
Total Program Service Expense189144817TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096167NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2680NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR RONALD E HOGANNamePerson
Telephone Number3189667369TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1309 JACKSON STAddressLine1
CityMONROECity
StateLAState
ZIP Code71201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
J STEWART GENTRY
CHAIRMAN1.0XX000
JUDY BELL
SECRETARY1.0XX000
KAREN A PUCKETT
DIRECTOR1.0X000
SR MARY ANN SEPULVADO OSF
DIRECTOR1.0X0001.0
TERRY KING MD
DIRECTOR1.0X000
CHARLES MORGAN MD
DIRECTOR1.0X000
REV LARRY STAFFORD
DIRECTOR1.0X000
BISHOP MICHAEL G DUCA
DIRECTOR1.0X000
SUSAN HOFFMANN
VICE CHAIRMAN1.0XX000
NICK J BRUNO PHD
DIRECTOR1.0X000
LOUIS BREMER
CEO/DIRECTOR2.0XX05019792271852.0
MARK NAPOLI MD
DIRECTOR1.0X000
SIDNEY BAILEY MD
DIRECTOR1.0X000
JOHN L LUFFEY JR ESQ
DIRECTOR1.0X000
WILLIAM E CHEEK
DIRECTOR1.0X000
R Keith White MD
DIRECTOR40.0X825173031718
Rolf Morstead MD
Ex-Officio/Chief of Staff2.0X825000
ARTHUR LILES MD
EX-OFFICIO/ CHIEF OF STAFF1.0X000
WILSON T BARHAM MD
DIRECTOR1.0X000
SR HELEN CAHILL OSF
DIRECTOR1.0X000
RONALD E HOGAN
Secretary-Treasurer50.0X3273980514082.0
THOMAS J GULLATT
HOSPITALIST MED DIR40.0489417054613X
ANTTI G MARAN
PHYSICIAN40.0288884018271X
JOSE A BERMUDEZ
PHYSICIAN40.0378475017057X
JOHN D BRUCHHAUS
HOSPITALIST40.0415306030903X
JAMES G SMITH
HOSPITALIST40.0431767040298X
Syed A Mehmood
PHYSICIAN40.0407505012238X
Kevin M Meyer
PHYSICIAN40.0628190025468X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4200365TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs501979TotalReportableCompFrmRltdOrgs
Total Other Compensation304692TotalOtherCompensation
Number Individuals GT100 K75NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FMOL HEALTH SYSTEM INC
4200 Essen LaneBATON ROUGELA70809Management Services29342896
PARISH ANESTHESIA OF MONROE
3510 North Causeway BlvdMETAIRIELA70002Anesthesia Services4515129
NORTH MONROE ER PHYSICIANS
6061 Oak Ridge RdOAK RIDGELA71261ER SERVICES1331337
DVA RENAL HEALTHCARE
PO Box 8500-1607PHILADELPHIAPA191781607Dialysis Services1111822
MAYO COLLABORATIVE SERVICES
P O Box 4100ROCHESTERMN55903Laboratory Testing1028629
FieldValueIRS element (for citing)
Number Of Contractors GT100 K47NumberOfContractorsGT100K
Related Organizations253057RelatedOrganizations
Government Grants238763GovernmentGrants
All Other Contributions376997AllOtherContributions
Total Contributions868817TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE6215002500426362479757792066857
CAFETERIA SALES90009920284482028448
INCOME FROM EQUITY INVESTEES9000991113942109369320249
COMMUNITY DIABETES CENTER900099284206284206
WIC PROGRAM900099189223189223

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1397207TotalRevenueColumn
Related Or Exempt Function Income1397207RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue255055662TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1466818TotalRevenueColumn
Unrelated Business Revenue21034UnrelatedBusinessRevenue
Exclusion$1,445,784ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1913767Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1702521Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real211246Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column211246TotalRevenueColumn
Related Or Exempt Function Income199372RelatedOrExemptFunctionIncome
Exclusion$11,874ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities23877232Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities18383425Securities
Other1750219Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5493807Securities
Other-1750219Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3743588TotalRevenueColumn
Unrelated Business Revenue19244UnrelatedBusinessRevenue
Exclusion$3,724,344ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INCREASE IN ACCRUED PENSION9000999082635$9,082,635
SPECIALTY HOSPITAL9000992216357$2,216,357
CANCER INSTITUTE900099638960$638,960
FieldValueIRS element (for citing)
Total Other Revenue11937952TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column273284083TotalRevenueColumn
Related Or Exempt Function Income253167928RelatedOrExemptFunctionIncome
Unrelated Business Revenue2127384UnrelatedBusinessRevenue
Exclusion$17,119,954ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total111300Total
Program Services111300ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total12000Total
Program Services12000ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5789263Total
Program Services5139660ProgramServices
Management And General649603ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total93774102Total
Program Services76830152ProgramServices
Management And General16943950ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8122010Total
Program Services6588285ProgramServices
Management And General1533725ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18246511Total
Program Services14800920ProgramServices
Management And General3445591ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1102936Total
Program Services737029ProgramServices
Management And General365907ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total427808Total
Program Services278948ProgramServices
Management And General148860ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total326086Total
Program Services212621ProgramServices
Management And General113465ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total23684Total
Management And General23684ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total355396Total
Management And General355396ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25428351Total
Program Services16517296ProgramServices
Management And General8911055ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total648993Total
Program Services447841ProgramServices
Management And General201152ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total35450333Total
Program Services23201610ProgramServices
Management And General12248723ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6029985Total
Program Services1294262ProgramServices
Management And General4735723ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total772866Total
Program Services515042ProgramServices
Management And General257824ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6139259Total
Program Services6139259ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11505748Total
Program Services10278911ProgramServices
Management And General1226837ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4463125Total
Program Services2170166ProgramServices
Management And General2292959ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES EXPENSE365323882384161412690774
MISCELLANEOUS EXPENSE1063552790178454

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total255368499Total
Program Services189144817ProgramServices
Management And General66223682ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21222230BOY
EOY9988207EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13071704BOY
EOY12053803EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34611600BOY
EOY46780652EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2608548BOY
EOY1080699EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6112953BOY
EOY6118261EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3704814BOY
EOY6361717EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis323497218LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec219747010LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY106502465BOY
EOY103750208EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY51588290BOY
EOY70092738EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY95048345BOY
EOY92493236EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4240190BOY
EOY3709716EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3743789BOY
EOY3743789EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22678774BOY
EOY17863945EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY365133702BOY
EOY374036971EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29434017BOY
EOY27544053EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY140232126BOY
EOY137426259EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64383740BOY
EOY55756043EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY234049883BOY
EOY220726355EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY130006000BOY
EOY153310616EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1077819BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY131083819BOY
EOY153310616EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY365133702BOY
EOY374036971EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17915584ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9780552ReconciliationUnrealizedInvest
Reconcilation Other Changes-5469339ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$23,684GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB23684TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis14350165OtherCostOrOtherBasis
Book Value14350165BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis172925046OtherCostOrOtherBasis
Depreciation111135058Depreciation
Book Value61789988BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2311834OtherCostOrOtherBasis
Book Value2311834BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis128541534OtherCostOrOtherBasis
Depreciation106034522Depreciation
Book Value22507012BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5368639OtherCostOrOtherBasis
Depreciation2577430Depreciation
Book Value2791209BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings103750208TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value73423BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FIXED INCOME SECURITIES33019039F
ALTERNATIVE INVESTMENTS59400774F
FieldValueIRS element (for citing)
Total Of Book Value Securities92493236TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$2,114,314
OTHER LIABILITIES$2,143,610
ACCRUED PENSION COST$44,489,444
GENERAL AND PROFESSIONAL LIABI$7,008,675
FieldValueIRS element (for citing)
Total Of Amounts55756043TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XIIIReturnReference
Explanation"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."Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures32759083TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent32759083SubtotalAmountSpent
Total Amount Spent32759083TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Purpose Of GrantMEDICAL SUPPORTPurposeOfGrant
Amount Of Cash Grant12000AmountOfCashGrant
Manner Of Cash DisbursementCASHMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To Most HospitalsXPolicyAppliedToMostHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4905352TotalCommunityBenefitExpense
Net Community Benefit Expense4905352NetCommunityBenefitExpense
Percent Of Total Expense0.01800PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense39841433TotalCommunityBenefitExpense
Direct Offsetting Revenue16387505DirectOffsettingRevenue
Net Community Benefit Expense23453928NetCommunityBenefitExpense
Percent Of Total Expense0.08600PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense794706TotalCommunityBenefitExpense
Direct Offsetting Revenue612913DirectOffsettingRevenue
Net Community Benefit Expense181793NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense45541491TotalCommunityBenefitExpense
Direct Offsetting Revenue17000418DirectOffsettingRevenue
Net Community Benefit Expense28541073NetCommunityBenefitExpense
Percent Of Total Expense0.10470PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense427285TotalCommunityBenefitExpense
Direct Offsetting Revenue262906DirectOffsettingRevenue
Net Community Benefit Expense164379NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense559869TotalCommunityBenefitExpense
Net Community Benefit Expense559869NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1785214TotalCommunityBenefitExpense
Direct Offsetting Revenue398853DirectOffsettingRevenue
Net Community Benefit Expense1386362NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense99029TotalCommunityBenefitExpense
Net Community Benefit Expense99029NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2871397TotalCommunityBenefitExpense
Direct Offsetting Revenue661759DirectOffsettingRevenue
Net Community Benefit Expense2209639NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense48412888TotalCommunityBenefitExpense
Direct Offsetting Revenue17662177DirectOffsettingRevenue
Net Community Benefit Expense30750712NetCommunityBenefitExpense
Percent Of Total Expense0.11290PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense43095TotalCommunityBuildingExpense
Net Community Building Expense43095NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense179513TotalCommunityBuildingExpense
Net Community Building Expense179513NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1733TotalCommunityBuildingExpense
Net Community Building Expense1733NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense175126TotalCommunityBuildingExpense
Direct Offsetting Revenue174451DirectOffsettingRevenue
Net Community Building Expense675NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense17511TotalCommunityBuildingExpense
Net Community Building Expense17511NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense416978TotalCommunityBuildingExpense
Direct Offsetting Revenue174451DirectOffsettingRevenue
Net Community Building Expense242527NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,959,895BadDebtExpenseAmount
Amount Reimbursed By Medicare115759334AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare143221171CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-27461837MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1P&S Surgical HospitaBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMEDICAL SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.49990OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.05600OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.41820PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
ST FRANCIS MEDICAL CENTER
1PO BOX 1901MONROELA71210www.fmolhs.org/stfranXXX
P&S SURGERY CENTER LLC
2312 GRAMMONT STREETMONROELA71201www.pssurgery.comXX
ST FRANCIS NORTH HOSPITAL
3PO BOX 1901MONROELA71201www.fmolhs.org/stfranXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

CHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyInclude Operational PlansIncludeOperationalPlansAdopt BudgetAdoptBudgetPrioritize Health NeedsPrioritizeHealthNeedsPrioritize ServicesPrioritizeServicesAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther MethodOtherMethod
ST FRANCIS MEDICAL CENTER
trueXXXXXXXXX12truefalsetrueXXXXXXXXfalsefalsetruetrue200.true400.trueXXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse
P&S SURGERY CENTER LLC
trueXXXXXXXXX12truetruetrueXXXXXfalsefalsetruetrue150.true262.trueXXXXXtruetrueXXtruefalseXXtrueXfalsefalseX
ST FRANCIS NORTH HOSPITAL
trueXXXXXXXXX12truetruetrueXXXXXXfalsefalsetruetrue200.true400.trueXXXXXXXtruetrueXXXXXtruefalseXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREETMONROELA71201CANCER TREATMENT AND IMAGING CENTER
OPEN MRI CENTER OF MONROE LLC
309 JACKSON STREETMONROELA71210MRI SERVICES
ST FRANCIS PET IMAGING OF MONROE LLC
PO BOX 1851MONROELA71210MRI SERVICES
Monroe MRI Center LLC
501 Catalpa StreetMonroeLA71201GENERAL MEDICAL AND SURGICAL
Community Health Center
920 Oliver RoadMonroeLA71201Various Outpatient Services
ST FRANCIS PEDIATRIC AFTER HOURS
PO BOX 207MONROELA71201PRIMARY CARE CLINIC FOR CHILDREN

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3CSt. Francis Medical Center uses information obtained related to income levels, etc. to determine eligibility for discounted care. A range of charity care is provided to those who do not meet the 200% of FPG. All uninsured patients are provided a 15% self-pay discount.
PART I, LINE 6AThe organization prepares its own community benefit report.
PART I, LINE 7GST. FRANCIS MEDICAL CENTER INCLUDES THE COST OF THE SEVERAL PHYSICIAN CLINICS IN THE SUBSIDIZED HEALTH SERVICES. THESE CLINICS, OFFERING SERVICES IN PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS.
PART I, LINE 7The cost to charge ratio is utilized as the costing methodology to calculate the amounts reported in Part I line 7g, subsidized health services. The cost to charge ratio was derived from the June 30, 2013 Medicare Cost Report data. The cost-to-charge ratio from the cost reports was used to calculate the amounts in the table. The cost accounting system does address all patient segments.
PART III, LINE 4THE BAD DEBT FOOTNOTE IS ON PAGE 16 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8The 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 a community benefit.
PART III, LINE 9BIf the patient does not have means to pay, they may apply for financial assistance through St. Francis Medical Center's Charity Care Plan known as The Franciscan Care Plan. Approval will be based on income and medical expenses. Accounts may also be written off to charity based on the information provided by the credit bureaus through the systems and tools utilized as well as the patient's medical expenses.
PART VI, LINE 2St. 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. SFMC 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.NEEDS ASSESSMENT
PART VI, LINE 3Patients are informed through a patient handbook that contains information on the financial policies of SFMC. 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 charity care, financial assistance, or self-pay discounts. 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 charity in determining eligibility.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 4St. Francis Medical Center's community served is a broad 20-parish area in northeastern Louisiana and southern Arkansas, with a population of approximately 510,381. The 2011 estimated average household income for this community is $53,469. Based on estimates for the next five years, the only age group estimated to grow in size in our community is the 65+ group, with an estimated 5.5% increase.COMMUNITY INFORMATION
PART IISFMC 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.COMMUNITY BUILDING ACTIVITIES
Part VI, LINE 5A 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 the continued investment in clinical technology, medical information technology, and continued training of clinical staff.PROMOTION OF COMMUNITY HEALTH
PART VI, LINE 6St. 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
PART V, LINE 11HTHE ORGANIZATIONS USE FAMILY HOUSEHOLD SIZE IN DETERMINING FPG.ST. FRANCIS MEDICAL CENTER & ST. FRANCIS NORTH HOSPITAL:
PART V, LINE 13G & 17EREGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DICUSS QUALIFICATIONS FOR FREE OR DISCOUNTED CARE.ST. FRANCIS MEDICAL CENTER & ST. FRANCIS NORTH HOSPITAL:
PART V, LINE 19DTHE HOSPITAL OFFERS VARIOUS LEVELS OF DISCOUNTS WHICH ARE BASED ON A SLIDING SCALE USING FEDERAL POVERTY GUIDELINE FAMILY INCOME LEVELS AND OTHER FACTORS. SUCH OTHER FACTORS INCLUDE ASSET LEVELS, MEDICAL INDIGENCY AND A PATIENT'S QUALIFICATION FOR MEDICARE OR MEDICAID. TOGETHER THESE CRITERIA ARE USED TO SET THE MAXIMUM AMOUNT CHARGED. IN ADDITION, A 15% SELF PAY DISCOUNT AND A 5% PROMPT PAY DISCOUNT ARE GIVEN IN ADDITION TO THE CHARITY DISCOUNTS DESCRIBED ABOVE. THESE DISCOUNTS WHEN VIEWED TOGETHER ARE SUFFICIENT TO ENSURE THAT FAP-ELIGIBLE INDIVIDUALS ARE NOT CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE. P&S SURGERY CENTER: THE HOSPITAL OFFERS VARIOUS LEVELS OF DISCOUNTS WHICH ARE BASED ON A SLIDING SCALE METHODOLOGY USING FEDERAL POVERTY GUIDELINE FAMILY INCOME LEVELS AND OTHER FACTORS. SUCH OTHER FACTORS INCLUDE MEDICAL INDIGENCY AND A PATIENT'S QUALIFICATION FOR MEDICAID OR MEDICARE. IN ADDITION, THE HOSPITAL OFFERS A SELF-PAY DISCOUNT EQUAL TO THE MEDIAN OF ALL INSURANCE PAYORS. TOGETHER THESE DISCOUNTS ARE USED TO SET THE MAXIMUM AMOUNT CHARGED.ST. FRANCIS MEDICAL CENTER & ST. FRANCIS NORTH HOSPITAL:
PART V, SECTION B, LINE 3ST. FRANCIS MEDICAL CENTER, ST. FRANCIS NORTH HOSPITAL AND P&S SURGICAL HOSPITAL: THE ORGANIZATIONS ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS AND RESEARCH OF CURRENT HEALTH STATISTICS AND TRENDS. SFMC TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING SHELLEY JONES, MD, MPH, REGIONAL MEDICAL DIRECTOR WITH DHH/LOUISIANA OFFICER OF PUBLIC HEALTH.
PART III, SECTION A, LINE 2THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON HISTORICAL COLLECTION HISTORY 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. DISCOUNTS PROVIDED ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION (RECOVERY) OF BAD DEBT EXPENSE. 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 CHARITY CARE POLICY. NO ESTIMATE HAS BEEN MADE FOR ANY AMOUNTS INCLUDED IN BAD DEBT EXPENSE THAT MIGHT QUALIFY FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 4P&S SURGICAL HOSPITAL (P&S): P&S SURGICAL HOSPITAL FORMALLY ADOPTED THE COMMUNITY HEALTH NEEDS ASSESSMENT OF ST. FRANCIS MEDICAL CENTER, AN AFFILIATED ENTITY. ST. FRANCIS MEDICAL CENTER AND P&S SHARE THE SAME DEMOGRAPHIC COMMUNITY SO P&S FELT THAT THE NEEDS IDENTIFIED BY ST. FRANCIS MEDICAL CENTER WERE REPRESENTATIVE OF ITS COMMUNITY'S NEEDS AS WELL. ST. FRANCIS NORTH HOSPITAL (SFN): ST. FRANCIS NORTH HOSPITAL FORMALLY ADOPTED THE COMMUNITY HEALTH NEEDS ASSESSMENT OF ST. FRANCIS MEDICAL CENTER, ITS PARENT ORGANIZATION. ST. FRANCIS MEDICAL CENTER AND SFN SHARE THE SAME DEMOGRAPHIC COMMUNITY SO SFN FELT THAT THE NEEDS IDENTIFIED BY ST. FRANCIS MEDICAL CENTER WERE REPRESENTATIVE OF ITS COMMUNITY'S NEEDS AS WELL.
PART V, SECTION B, LINE 5ST. 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
PART V, SECTION B, LINE 7ST. FRANCIS MEDICAL CENTER (SFMC): SFMC DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. SFMC CHOSE NOT TO FOCUS ON THE FOLLOWING: ISSUES RELATED TO CARE FOR THE AGING; ADOLESCENT HEALTH; IMMUNIZATIONS; PREMATURE BIRTH; DOMESTIC VIOLENCE; MENTAL HEALTH; LACK OF MEDICAL HOME/BARRIER TO CARE. SFMC FELT THAT THE FOUR AREAS IT CHOSE TO FOCUS ON - OBESITY, DIABETES, TOBACCO USE AND ASTHMA - ARE AREAS WHERE THE GREATEST AMOUNT OF WORK STILL NEED TO TAKE PLACE. THEY WERE THE FOUR MOST FREQUENTLY MENTIONED DURING THE CHNA PROCESS AND PROGRAMS TO ADDRESS THESE FOUR ISSUES ARE NOT WELL ESTABLISHED AND/OR NOT AS EFFECTIVE. SFMC FELT IT HAD A CHANCE TO CHANGE THIS. HOWEVER SFMC CURRENTLY CONDUCTS AND WILL CONTINUE TO CONDUCT PROGRAMS AND/OR PROVIDES SERVICES THAT HELP ADDRESS THE NEEDS IT CHOSE NOT TO SPECIFICALLY ADDRESS. P&S SURGICAL HOSPITAL: P&S DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. IT CHOSE NOT TO ADDRESS OBESITY; DIABETES; TOBACCO USE; ASTHMA; ISSUES RELATED TO CARE FOR THE AGING; PREMATURE BIRTH; DOMESTIC VIOLENCE; MENTAL HEALTH; AND LACK OF A MEDICAL HOME/BARRIER TO CARE. P&S FELT THAT THE TWO AREAS IT CHOSE TO FOCUS ON - ADOLESCENT HEALTH AND IMMUNIZATIONS - ARE LACKING IN THE COMMUNITY, ARE NOT WELL ESTABLISHED AND/OR NOT AS EFFECTIVE AS THEY COULD BE AND WILL HAVE A GREAT IMPACT ON THE VULNERABLE POPULATIONS OF THE REGION. P&S WILL WORK ITS PATIENTS AND WILL ASSIST COMMUNITY PARTNERS WITH THEIR ENDEAVORS RELATED TO THESE ISSUES. ST. FRANCIS NORTH HOSPITAL: ST. FRANCIS NORTH HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. SFN CHOSE NOT TO FOCUS ON THE FOLLOWING: OBESITY, DIABETES, TOBACCO USE, ASTHMA, IMMUNIZATIONS, PREMATURE BIRTH, DOMESTIC VIOLENCE, MENTAL , AND LACK OF A MEDICAL HOME/BARRIERS TO CARE. SFN FELT THAT THE TWO AREAS IT CHOSE TO FOCUS ON - ISSUES RELATED TO CARE FOR THE AGING AND ADOLESCENT HEALTH - ARE AREAS THAT CAN HAVE A GREAT IMPACT ON THE VULNERABLE POPULATIONS OF THE REGION. SFNC ALSO FELT THAT A GREAT AMOUNT OF WORK STILL NEEDS TO TAKE PLACE. HOWEVER, SFN WILL ALSO CONTINUE TO WORK WITH SFMC AND ITS COMMUNITY PARTNERS TO ADDRESS THE NEEDS IT CHOSE NOT TO SPECIFICALLY ADDRESS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
AMERICAN HEART ASSOCIATION
PO BOX 159DESTRAHANLA70047135613797501(c)(3)12500FIGHT HEART DISEASE
MARCH OF DIMES
2211 NORTH 7TH STREETWEST MONROELA71291131846366501(c)(3)9000GENERAL SUPPORTSUITE 315
UNITED WAY OF NORTHEAST LA
1201 HUDSON LANEMONROELA71241720498515501(c)(3)15000GENERAL SUPPORT
CHILDRENS COALITION OF NE LA
1201 HUDSON LANEMONROELA71201721502186501(C)(3)9500SUPPORT CHILD CARE
ULM ATHLETIC FOUNDATION
700 UNIVERSITY AVENUEMONROELA71209237399232501(C)(3)23500WARHAWK SPONSORSHIP
ULM FOUNDATION
700 UNIVERSITY AVENUEMONROELA71209726028527501(c)(3)50300NURSING PRGM
North LA Economic Partnership
415 Texas St Suite 320 ShreveportShreveportLA71101720936419501(C)(3)6000GENERAL SUPPORT
LA Delta Community College
7500 Millhaven RdMonroeLA71203721447520GOVT10000RN/Allied Health PRGM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2Identifier
ExplanationST. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSE A BERMUDEZ
PHYSICIAN33419404002504256062500108070395532000
THOMAS J GULLATT
HOSPITALIST MED DIR2923720194309027360291450254680544030000
JOHN D BRUCHHAUS
HOSPITALIST2969790115981023460197500111530446209000
JAMES G SMITH
HOSPITALIST2920260137372023690291450111530472065000
ANTTI G MARAN
PHYSICIAN2768430802504016062500120210307155000
RONALD E HOGAN
Secretary-Treasurer2400710313980559290218760295320378806000
LOUIS BREMER
CEO/DIRECTOR0370799012920001980010000012718052469700
R Keith White MD
DIRECTOR500187032225002736062500254680856891000
Syed A Mehmood
PHYSICIAN33243207502504806250059880419743000
Kevin M Meyer
PHYSICIAN344586028147502129062500192180653658000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART I, QUESTION 3THE 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 4ATHE CEO 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 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. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.
PART I, QUESTION 7DISCRETIONARY 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PS Surgery Center LLC
DIR/OFF OF SFMC ON BOARD313796P&S purchased SFMC servicesfalse
NE LA Cancer Institute
CEO/CFO OF SFMC ON BOARD50434Purchase of support servicesfalse
NE LA Cancer Institute
CEO/CFO OF SFMC ON BOARD366767Lease of space from SFMCfalse
TERRY KING APMC
BOARD MEMBER IS OWNER332378SFMC PAYS FOR MEDICAL SERVICESfalse
PS Surgery Center LLC
DIR/OFF OF SFMC ON BOARD774975LEASE OF SPACE FROM SFMCfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990 PART IIIThe 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 $5,910,403 were provided without charge during the year ended June 30, 2013. Gross charges foregone, based on established rates, totaled approximately $18,374,000 for the year ended June 30, 2013. 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, 2013. June 30, 2013 Charity Care and means-tested programs: CHARGES FOREGONE Medicare: $297,892,582 Medicaid: $130,371,419 Charity: $18,423,000 Other: $2,669,819 Total: $449,356,820 Estimated Unreimbursed Charges: Medicare: $26,741,775 Medicaid: $25,379,937 Charity: $5,910,403 Other: $181,793 Total: $58,213,908 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 $553,052 during the year ended June 30, 2013. 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 $541,217 during the year ended June 30, 2013. 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 $65,354.61 during the year ended June 30, 2013. The Medical Center provides occupancy and utilities to St. Vincent DePaul charitable pharmacy. The costs incurred for these programs totaled approximately $43,095 during the year ended June 30, 2013. 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 $3,900 during the year ended June 30, 2013. 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 $74,914 during the year ended June 30, 2013. 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 deparment, MDA, Wellspring, and handicap children. The costs incurred for these programs totaled approximately $40,688 during the year ended June 30, 2013. 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 $130,416 during the year ended June 30, 2013. 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 $193,814 during the year ended June 30, 2013. 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 $14,052.80 during the year ended June 30, 2013.
Part VI, Section A, Question 2Ron Hogan, Louis Bremer, Mark Napoli, 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 6FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center.
PART VI, SECTION A, QUESTION 7AFMOL 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 7BTHE 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 11AAFTER 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 12CSt. 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 & 15BOur 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 DOCUMENTSPART VI, SECTION C, QUESTION 19The organization makes its governing documents, conflict of interest policy and financial statements available upon request.
PART XI, QUESTION 9CAPITAL TRANSFERS $(5,469,339)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST FRANCIS PEDIATRIC AFTER HOURS
PO BOX 207MONROELA71210061782572HEALTHCARELA46800213683SFMC
ST FRANCIS MEDICAL GROUP
PO BOX 1901MONROELA71210HEALTHCARELA5343825-6169274SFMC

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
St Bernard Health Fund
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(C)(3)11 TYPE 1FMOLHSfalse
HEALTH PARTNERS NETWORK OF SOUTH LA
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508HEALTHCARELA501(C)(3)3LOURDES RMCtrue
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)7OLOLtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmountPercentage OwnershipPercentageOwnership
Heart Hospital of Acadiana
1105 Kaliste Saloom RoadLafayetteLA70508300442368HealthcareLALOURDESN/Afalsetrue
Perkins Plaza Medical Arts Development
5000 Hennessy BoulevardBaton RougeLA70808450516574REAL ESTATELAOLOLN/Afalsetrue
Perkins Plaza Imaging Development
5000 Hennessy BoulevardBaton RougeLA70808203894521REAL ESTATELAOLOLN/Afalsetrue
P&S SURGERY CENTER LLC
312 GRAMMONT STREETMONROELA71201721387870HEALTHCARELASFMCRELATEDfalsetrue173328614521524$00.50000
NUCLEAR IMAGING LLC
5000 HENNESSY BOULEVARDBATON ROUGELA70808721470061HEALTHCARELAOLOLN/Afalsetrue
Lourdes Imaging Development LLC
4801 AMBASSADOR CAFFERY PKWYLafayetteLA70508208326287REAL ESTATELALOURDESN/Afalsetrue
Park Place Surgical Hospital
901 Wilson StreetLafayetteLA70503721404092HealthcareLALOURDESN/Afalsetrue
BRPT Lake Rehabilitation Centers LLC
530 Shadows LaneBaton RougeLA70806721506100HealthcareLAOLOLN/Afalsetrue
Convenient Care LLC
7777 Hennessy Boulevard Suite 1004Baton RougeLA70808721439481HealthcareLAOLOLN/Afalsetrue
Perkins Plaza Ambulatory Surgery Center
54 The Legends Parkway Suite 159EurekaMO63025481264699HealthcareLAOLOLN/Afalsetrue
Surgical Specialty Center of Baton Rouge
8080 Bluebonnet BoulevardBaton RougeLA70810263160962HealthcareLAOLOLN/Afalsetrue
St Elizabeth - Mary Bird Perkins
4950 Essen LaneBATON ROUGELA70809260628752HEALTHCARELASTEHN/Afalsetrue
Regional Eye Surgery Center LLC
7777 Hennessy Blvd Suite 4000BATON ROUGELA70808721484653HEALTHCARELAOLOLN/Afalsetrue
St Mary's Imaging Center II
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508HEALTHCARELALOURDES IMAGINGN/Afalsetrue
NORTHEAST LA CANCER INSTITUTE
141 DESTARD STREET SUITE 704MONROELA71201721329499HEALTHCARELASFMCRELATEDfalsetrue2366902873076$00.50000
LOURDES AFTER HOURS LLC
4801 AMBASSADOR CAFFERY PWKYLAFAYETTELA70508201367299HEALTHCARELALOURDESN/Afalsetrue
LHCG-XIII LLC
420 WEST PINHOOK ROAD SUITE ALAFAYETTELA70503208068308HEALTHCARELALOURDESN/Afalsetrue
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30GONZALESLA70737364701565HEALTHCARELASTEHN/Afalsetrue
CAPITAL AREA SHARED SVC ORGANIZATIONLLC
5000 HENNESSY BOULEVARDBATON ROUGELA70808275173212HEALTHCARELAOLOL PGN/Afalsetrue
CAPITAL AREA SHARED SVC ORGANIZATIONLLC
5000 HENNESSY BLVDBATON ROUGELA70808275173212HEALTHCARELASTEPN/Afalsetrue
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWYBATON ROUGELA70809352463092HEALTHCARELASTEHN/Afalsetrue
OLOL PONTCHARTRAIN SURGERY CTR
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001461379031HEALTHCARELAOLOLUSPN/Afalsetrue
OLOLUSP SURGERY CENTERS LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXOLOLN/Afalsetrue
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWYBATON ROUGELA70809352463092HEALTHCARELAOLOLN/Afalsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
St Francis Insurance Agency
309 Jackson StreetMonroeLA71201721435136InsuranceLASFMCC CORP142157122371.00000true
Hospital Assistance Services
PO Box 4027-CLafayetteLA70502721073486HealthcareLALOURDESC Corp
Louise Insurance Company
INSURANCEFMOLC CorpPO BOX 1051CJKY1-1102CJ
Monroe Health Services
PO Box 3187MonroeLA71210721057820HealthcareLAAMBULATORYC Corp
Northeast LA Health Network
309 Jackson StreetMonroeLA71201721294587HealthcareLAAMBULATORYC Corp
CHARITABLE REMAINDER TRUST
InvestmentLAOLOL FoundationTrust
FRANCISCAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANEBATON ROUGELA70809455492379HEALTHCARELAFMOLC CORP
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANEBATON ROUGELA70809454405024INVESTMENTLAFMOLC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST FRANCIS AMBULATORY SERVICES
K310224FMV
ST FRANCIS INSURANCE AGENCY
A35162FMV
P&S SURGERY CENTER
A774975FMV
P&S SURGERY CENTER
L313796FMV
P&S SURGERY CENTER
S1201037FMV
ST FRANCIS INSURANCE AGENCY
M50625FMV