OUR LADY OF THE LAKE ASCENSION COMMUNITY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: OUR LADY OF THE LAKE ASCENSION COMMUNITY (EIN 72-1470744)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201221369349303567
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T11:41:43-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	450 Laurel Street Suite 1700	AddressLine1
City	Baton Rouge	City
State	LA	State
ZIP Code	70801	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	721470744	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	OUR LADY OF THE LAKE ASCENSION	BusinessNameLine1
Business Name Line2	COMMUNITY HOSPITAL	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	OURL	NameControl
Phone	2256475000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT RICHARD	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2256475000	Phone
Date Signed	2012-05-10	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2253444000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DOLORES LEJEUNE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	84442220	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.steh.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	LA	StateLegalDomicile
Activity Or Mission Description	The purpose of the hospital is to provide for the care of the ill, injured, or disabled persons and to enhance the health of those in the community through research and education.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	876	TotalNbrEmployees
Total Nbr Volunteers	44	TotalNbrVolunteers
Total Gross UBI	133	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	447106	ContributionsGrantsPriorYear
Contributions Grants Current Year	85561	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	84839401	ProgramServiceRevenuePriorYear
Program Service Revenue CY	83522419	ProgramServiceRevenueCY
Investment Income Prior Year	-299	InvestmentIncomePriorYear
Investment Income Current Year	101424	InvestmentIncomeCurrentYear
Other Revenue Prior Year	97367	OtherRevenuePriorYear
Other Revenue Current Year	391043	OtherRevenueCurrentYear
Total Revenue Prior Year	85383575	TotalRevenuePriorYear
Total Revenue Current Year	84100447	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	64363	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	93998	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	44913766	SalariesEtcPriorYear
Salaries Etc Current Year	46594643	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	32821148	OtherExpensePriorYear
Other Expenses Current Year	32754961	OtherExpensesCurrentYear
Total Expenses Prior Year	77799277	TotalExpensesPriorYear
Total Expenses Current Year	79443602	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7584298	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4656845	RevenuesLessExpensesCY
Total Assets BOY	84902366	TotalAssetsBOY
Total Assets EOY	88530644	TotalAssetsEOY
Total Liabilities BOY	28849331	TotalLiabilitiesBOY
Total Liabilities EOY	28983663	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	56053035	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	59546981	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH THOSE WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING-WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	22851845	Expense
Revenue	30871630	Revenue
Description	ST. ELIZABETH HOSPITAL PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES WERE PROVIDED WITHOUT CHARGE OR AT RATES WHICH ARE LESS THAN THE COST OF PROVIDING SUCH SERVICES. THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR 10,700 PATIENT DAYS AND 174,928 PHYSICIAN OFFICE VISITS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6705498	Expense
Revenue	10286405	Revenue
Description	THE HOSPITAL PROVIDES PATIENTS WITH SURGICAL CARE. 699,825 SURGICAL MINUTES WERE USED DURING THE YEAR AND 6,491 SURGICAL PROCEDURES WERE PERFORMED.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	5066915	Expense
Revenue	18430350	Revenue
Description	THE HOSPITAL PROVIDES RADIOLOGY SERVICES TO ITS INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL PERFORMED 39,133 RADIOLOGY PROCEDURES.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	12157085	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	93998	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	23934034	TotalOfOtherProgramServiceRev
Total Program Service Expense	46781343	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	true	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	53	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	876	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SCOTT RICHARD	NamePerson
Telephone Number	2256475071	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1125 W HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
KE MATHEW MD
BOARD MEMBER	40.0	X	212510	0	59079
DAWN ZITMAN MD
BOARD MEMBER	40.0	X	185840	0	18645
DOLORES N LEJEUNE RN C N A
PRESIDENT/CEO	1.0	X	0	546027	69039	X
GREGORY BRANDAO EDD
BOARD MEMBER	1.0	X	0	0	0
TERRI CASSO
BOARD MEMBER	1.0	X	0	0	0
BILL MARTIN
BOARD CHAIR	1.0	X	0	0	0	X
SR MARTHA ANN ABSHIRE OSF
BOARD MEMBER	1.0	X	0	0	0
JOHN BERTHELOT
BOARD MEMBER	1.0	X	0	0	0
ROBERT BURGESS
BOARD VICE CHAIR	1.0	X	0	0	0	X
DEBORAH CAVALIER
BOARD MEMBER	1.0	X	0	0	0
ROGER KEESE
BOARD MEMBER	1.0	X	0	0	0
ANTHONY NOBILE
BOARD MEMBER	1.0	X	0	0	0
DONALD SONGY
BOARD MEMBER	1.0	X	0	0	0
CHRIS TREVINO MD
BOARD SECRETARY	1.0	X	0	0	0	X
JOHN F FRAICHE MD
BOARD MEMBER	40.0	X	591615	0	10027
SR HELEN CAHILL OSF
BOARD MEMBER	1.0	X	0	0	0
SCOTT PETRIE MD
BOARD MEMBER	1.0	X	0	0	0
HONORABLE ALVIN TURNER JR
BOARD MEMBER	1.0	X	0	0	0
CRAIG A VITRANO MD
CHIEF MEDICAL OFFICER	40.0		423035	0	60917	X
SUSAN J KNIGHT CPA
CHIEF OPERATING OFFICER	40.0		213035	0	44944	X
LESLIE NORMAN RN C N A
CHIEF NURSING OFFICER	40.0		176851	0	34199	X
SCOTT RICHARD CPA
CHIEF FINANCIAL OFFICER	40.0		167864	0	12328	X
RAO NARRA MD
STAFF PHYSICIAN	40.0		346312	0	10072		X
THOMAS EWING MD
STAFF PHYSICIAN	40.0		568111	0	30950		X
PAUL C AGUILLARD MD
STAFF PHYSICIAN	40.0		306239	0	37224		X
CHERRON PHILIPPE MD
STAFF PHYSICIAN	40.0		276036	0	9800		X
THOMAS PERKINS MD
STAFF PHYSICIAN	40.0		307128	0	35114		X
JOHN D KNAPP MD
STAFF PHYSICIAN	40.0		370109	0	32686			X
GLENN SCHEXNAYDER MD
STAFF PHYSICIAN	40.0		351939	0	21680			X
HAYTHAM KAWJI MD
STAFF PHYSICIAN	40.0		310835	0	32963			X
BUNNIE HILL
STAFF PHYSICIAN	40.0		311539	0	27478			X
BEN-HWA HU
STAFF PHYSICIAN	40.0		289260	0	22755			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5408258	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	546027	TotalReportableCompFrmRltdOrgs
Total Other Compensation	569900	TotalOtherCompensation
Number Individuals GT100 K	48	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LOTT SHEFFIELD ANESTHESIA
5253 Dijon Avenue	BATON ROUGE	LA	70809	Anesthesia services	414412
THEREX
Dept at 952740	ATLANTA	GA	311922740	PT SERVICES	314770
SODEXO INC AND AFFILIATES
PO BOX 536922	ATLANTA	LA	303536922	MANAGEMENT SERVICES	466490
OUR LADY OF THE LAKE HOSPITAL INC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	MANAGEMENT SERVICES	496125
FMOL HEALTH SYSTEM
4200 ESSEN LANE	BATON ROUGE	LA	70809	MANAGEMENT SERVICES	5849796

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Fundraising Events	35718	FundraisingEvents
All Other Contributions	49843	AllOtherContributions
Noncash Contributions	1006	NoncashContributions
Total Contributions	85561	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	900099	82614227	82614227
CAFETERIA	900099	330653	330653
REIMBURSEMENTS	900099	148786	148786
MEDICAL JOINT VENTURES	900099	101297	101297
OUTREACH LAB REVENUE	900099	63815	63815

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	263641	TotalRevenueColumn
Related Or Exempt Function Income	263641	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	83522419	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	35564	TotalRevenueColumn
Unrelated Business Revenue	13	UnrelatedBusinessRevenue
Exclusion	$35,551	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	650750	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	252188	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	398562	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	398562	TotalRevenueColumn
Related Or Exempt Function Income	398562	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	123903	Securities
Other	14926	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	47022	Securities
Other	25947	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	76881	Securities
Other	-11021	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	65860	TotalRevenueColumn
Unrelated Business Revenue	120	UnrelatedBusinessRevenue
Exclusion	$65,740	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	9097	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	35718	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	16616	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-7519	TotalRevenueColumn
Exclusion	-$7,519	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	84100447	TotalRevenueColumn
Related Or Exempt Function Income	83920981	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	133	UnrelatedBusinessRevenue
Exclusion	$93,772	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	81622	Total
Program Services	81622	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	12376	Total
Program Services	12376	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5412993	Total
Program Services	4427322	ProgramServices
Management And General	985671	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	32581976	Total
Program Services	17603125	ProgramServices
Management And General	14978851	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2999331	Total
Program Services	1739088	ProgramServices
Management And General	1260243	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3259716	Total
Program Services	2564077	ProgramServices
Management And General	695639	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2340627	Total
Program Services	1531144	ProgramServices
Management And General	809483	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6801869	Total
Program Services	461138	ProgramServices
Management And General	6340731	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	93078	Total
Management And General	93078	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	590882	Total
Management And General	590882	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	6302	Total
Management And General	6302	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4355739	Total
Program Services	2660504	ProgramServices
Management And General	1695235	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	601459	Total
Management And General	601459	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12120972	Total
Program Services	10880776	ProgramServices
Management And General	1240196	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1112790	Total
Program Services	690681	ProgramServices
Management And General	422109	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	22266	Total
Program Services	10833	ProgramServices
Management And General	11433	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	167256	Total
Program Services	35853	ProgramServices
Management And General	131403	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	805696	Total
Management And General	805696	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4585438	Total
Program Services	3296764	ProgramServices
Management And General	1288674	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1085401	Total
Program Services	607066	ProgramServices
Management And General	478335	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES AND SUBSCRIPTIONS	145574	82652	62922
RECRUITMENT	107083	22932	84151
TAXES AND LICENSES	68440	67145	1295
SPECIAL EVENTS	66172	40	66132
MISCELLANEOUS	18544	6205	12339

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	79443602	Total
Program Services	46781343	ProgramServices
Management And General	32662259	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12569607	BOY
EOY	14067585	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11370010	BOY
EOY	9640206	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	64681	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1018187	BOY
EOY	1128289	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1238367	BOY
EOY	821988	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	80684933	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	25681856	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	54445089	BOY
EOY	55003077	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	711059	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	362041	BOY
EOY	2711952	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3115012	BOY
EOY	3321208	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	719372	BOY
EOY	1125279	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	84902366	BOY
EOY	88530644	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	15017049	BOY
EOY	10781527	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11566000	BOY
EOY	11566000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1734857	BOY
EOY	6193293	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	531425	BOY
EOY	442843	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	28849331	BOY
EOY	28983663	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	55480593	BOY
EOY	59297118	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	572442	BOY
EOY	249863	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	56053035	BOY
EOY	59546981	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	84902366	BOY
EOY	88530644	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4656845	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1162899	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$6,302	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	6302	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3382277	OtherCostOrOtherBasis
Book Value	3382277	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	51867819	OtherCostOrOtherBasis
Depreciation	11440652	Depreciation
Book Value	40427167	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	460065	OtherCostOrOtherBasis
Depreciation	156013	Depreciation
Book Value	304052	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19236895	OtherCostOrOtherBasis
Depreciation	12516956	Depreciation
Book Value	6719939	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5737877	OtherCostOrOtherBasis
Depreciation	1568235	Depreciation
Book Value	4169642	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	55003077	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO AFFILIATES	Description
Amount	$442,843	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	442843	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 FOOTNOTE	Identifier
Explanation	"The medical center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs." There was no impact on the financial statements as a result of FIN 48.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	538281	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	538281	SubtotalAmountSpent
Total Amount Spent	538281	TotalAmountSpent
No Recipient Over5 K	X	NoRecipientOver5K
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	40225	GrossReceiptsEvent1
Charitable Contributions Event1	31128	CharitableContributionsEvent1
Gross Revenue Event1	9097	GrossRevenueEvent1
Non Cash Prizes Event1	798	NonCashPrizesEvent1
Rent Facility Costs Event1	7956	RentFacilityCostsEvent1
Food And Beverage Event1	1491	FoodAndBeverageEvent1
Other Direct Expenses Event1	6371	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	40225	GrossReceiptsTotal
Charitable Contributions Total	31128	CharitableContributionsTotal
Gross Revenue Total Events	9097	GrossRevenueTotalEvents
Non Cash Prizes Total Events	798	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	7956	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1491	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	6371	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16616	DirectExpenseSummaryEvents
Net Income Summary	-7519	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1106075	TotalCommunityBenefitExpense
Net Community Benefit Expense	1106075	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11064170	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7536345	DirectOffsettingRevenue
Net Community Benefit Expense	3527825	NetCommunityBenefitExpense
Percent Of Total Expense	0.04440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12170245	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7536345	DirectOffsettingRevenue
Net Community Benefit Expense	4633900	NetCommunityBenefitExpense
Percent Of Total Expense	0.05830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	147526	TotalCommunityBenefitExpense
Net Community Benefit Expense	147526	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	283447	TotalCommunityBenefitExpense
Net Community Benefit Expense	283447	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	375569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14569	DirectOffsettingRevenue
Net Community Benefit Expense	361000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	113740	TotalCommunityBenefitExpense
Net Community Benefit Expense	113740	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	920282	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14569	DirectOffsettingRevenue
Net Community Benefit Expense	905713	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13090527	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7550914	DirectOffsettingRevenue
Net Community Benefit Expense	5539613	NetCommunityBenefitExpense
Percent Of Total Expense	0.06970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	589	TotalCommunityBuildingExpense
Net Community Building Expense	589	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	21955	TotalCommunityBuildingExpense
Net Community Building Expense	21955	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	19657	TotalCommunityBuildingExpense
Net Community Building Expense	19657	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	537	TotalCommunityBuildingExpense
Net Community Building Expense	537	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	42738	TotalCommunityBuildingExpense
Net Community Building Expense	42738	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$5,804,847	BadDebtExpenseAmount
Amount Reimbursed By Medicare	10763690	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9473896	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1289794	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH IMAGIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	IMAGING SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.12250	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.36750	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ST ELIZABETH AFTER HOURS
1702 N BURNSIDE AVENUE	GONZALES	LA	70737	URGENT CARE CENTER
ST ELIZ-MARY BIRD PERKINS CANCER CENTER
4950 ESSEN LANE	BATON ROUGE	LA	70809	CANCER TREATMENT CENTER
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30	GONZALES	LA	70737	IMAGING SERVICES
COMMUNITY HEALTH CLINIC
1125 HIGHWAY 30	GONZALES	LA	70737	LOW INCOME CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 7	THE COST TO CHARGE RATIO, AS CALCULATED USING IRS WORKSHEET 2, IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART 1, LINES 7A-F. THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION WAS USED TO CALCULATE THE COST TO CHARGE RATIO OF THE SUBSIDIZED HEALTH SERVICES INCLUDED ON PART I, LINE 7G.
PART III, LINE 4	THE COST TO CHARGE RATIO WAS UTILIZED IN DETERMINING THE COST OF BAD DEBT EXPENSE AS REPORTED IN PART III, LINE 2. DISCOUNTS PROVIDED ARE NOT INCLUDED IN BAD DEBT EXPENSE. NO ESTIMATE HAS BEEN MADE FOR ANY AMOUNTS INCLUDED IN BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF ACCOUNTS AND HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW OF THE COLLECTIONS TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING BAD DEBT EXPENSE. THE AUDITED FINANCIAL STATEMENTS FOR THE CURRENT YEAR DID NOT INCLUDE A BAD DEBT FOOTNOTE.
PART III, LINE 8	CMS REGULATIONS/GUIDELINES ARE USED IN COMPLETING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS THE TOOL USED IN DETERMINING MEDICARE ALLOWABLE COSTS.
PART III, LINE 9B	INDIVIDUALS WITH NO MEANS OF PAYMENTS ARE PROVIDED THE FINANCIAL ASSISTANCE INFORMATION AND APPLICATION. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE PATIENT'S INCOME LEVEL AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, ACCOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTION PROCESS.
PART VI, LINE 2	RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED IS PRIMARY TO THE MISSION OF ST. ELIZABETH HOSPITAL. ST. ELIZABETH HOSPITAL IDENTIFIES THE COMMUNITY'S HEALTH NEEDS BY UTILIZING THE FOLLOWING INFORMATION GATHERING TECHNIQUES: COMMUNITY SURVEY: ON AN ANNUAL BASIS, ST. ELIZABETH HOSPITAL, ALONG WITH THE HELP OF STRATEGIC MARKETING AND RESEARCH, LLC, PERFORM A COMMUNITY SURVEY AIMED AT IDENTIFYING THE HEALTH CARE NEEDS AND PREFERENCES OF LOCAL RESIDENTS. THE SURVEY IS CONDUCTED VIA PHONE WHILE USING A RANDOM SAMPLE OF 500 RESPONDENTS. THE FINDINGS FROM THIS RESEARCH SERVE AS A FOUNDATION FOR THE DEVELOPMENT OF FUTURE PROGRAMS FOR OFFERING HEALTHCARE IN ASCENSION PARISH. THE SURVEY ALSO IDENTIFIES THOSE SERVICES THAT ARE SOUGHT OUTSIDE OF ASCENSION PARISH, DUE TO SERVICES NOT BEING OFFERED OR NOT KNOWN TO BE OFFERED (PUBLIC AWARENESS). SUCH DATA HELPS ST. ELIZABETH HOSPITAL ASSESS WHETHER SPECIFIC MEDICAL NEEDS ARE UNDERSERVED. COMMUNITY EDUCATION SURVEY: EVERY TWO YEARS, THE COMMUNITY EDUCATION DEPARTMENT PREPARES A COMMUNITY EDUCATION SURVEY THAT IS GIVEN TO ASCENSION PARISH RESIDENTS WHO ATTEND LOCAL HEALTH SCREENINGS OR OTHER EDUCATIONAL EVENTS. THIS SURVEY IS DESIGNED TO IDENTIFY THE HEALTH EDUCATION NEEDS OF THE AREA RESIDENTS. COMMUNITY NEEDS ASSESSMENT: ST. ELIZABETH HOSPITAL PREPARES A COMMUNITY NEEDS ASSESSMENT ON AN AS-NEEDED BASIS. ST. ELIZABETH HOSPITAL IS ADOPTING A SYSTEMATIC PROCESS FOR IDENTIFYING AND EVALUATING THE NEEDS OF THE COMMUNITY BASED ON THE NEWLY PUBLISHED IRS REGULATIONS AND CATHOLIC HEALTH ASSOCIATION GUIDELINES. ST. ELIZABETH HOSPITAL CONDUCTED THE NEWLY DESIGNED COMMUNITY NEEDS ASSESSMENT IN FY2012 AND WILL CONTINUE EVERY THREE YEARS THEREAFTER.	NEEDS ASSESSMENT
PART VI, LINE 3	INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE ORGANIZATION'S CHARITY CARE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH ST. ELIZABETH HOSPITAL: 1. SCHEDULING (OUTPATIENT/SURGERY): DURING THE SCHEDULING OF PROCEDURES, A SCHEDULER INFORMS INDIVIDUALS OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PHONE. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED EITHER BY MAIL OR PICKUP TO COMPLETE AND RETURN TO THE HOSPITAL VIA PRE-PAID POSTAGE ENVELOPE. 2. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. 3. FINANCIAL COUNSELING: DURING FINANCIAL COUNSELING, THE INDIVIDUAL IS INFORMED OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PERSON TO PERSON CONVERSATION. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED AT THAT TIME FOR THE INDIVIDUAL TO COMPLETE AND RETURN TO THE HOSPITAL. ADDITIONALLY, CASHIERS HAVE POSTED NOTIFICATIONS OF THE FINANCIAL ASSISTANCE OPPORTUNITIES IN THE CASHIER'S OFFICE AND THE EMERGENCY ROOM COLLECTION DESK. 4. WEBSITE NOTIFICATION: ST. ELIZABETH HOSPITAL'S WEBSITE, LOCATED AT WWW.STEH.COM INCLUDES A PAGE CALLED "HELP FOR THE UNINSURED" WHICH PROVIDES INFORMATION CONCERNING ST. ELIZABETH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. A TELEPHONE NUMBER IS ALSO PROVIDED TO THOSE WHO ARE INTERESTED IN CONTACTING OUR FINANCIAL COUNSELORS FOR ADDITIONAL INFORMATION. 5. THE POLICY IS AVAILABLE UPON REQUEST	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 4	ST. ELIZABETH HOSPITAL SERVES ASCENSION PARISH AND PORTIONS OF THE SURROUNDING PARISHES OF ASSUMPTION, IBERVILLE, EAST BATON ROUGE, AND ST. JAMES. THIS AREA HAS SEEN SIGNIFICANT GROWTH IN THE LAST DECADE. SOME OF THIS GROWTH CAN BE ATTRIBUTED TO THE HURRICANES THAT HAVE DEVASTATED THE LOUISIANA COASTLINE IN RECENT YEARS. SPECIFICALLY, THE HISPANIC/LATINO POPULATION HAS MORE THAN DOUBLED IN SOME PORTIONS OF THE SERVICE AREA. THE NORTHERN PARTS OF THE SERVICE AREA TEND TO HAVE A MORE AFFLUENT POPULATION; WHEREAS, THE SOUTHERN TRACTS HAVE CONTINUED BARRIERS TO HEALTHCARE. THE AVERAGE PER CAPITA INCOME FOR THE SERVICE AREA IS $22,535 WITH 17.6% OF FAMILIES LIVING BELOW THE POVERTY LEVEL. HEALTH STATISTICS THAT ARE ROUTINELY COLLECTED INDICATE THAT RESIDENTS OF THE SERVICE AREA EXPERIENCE MANY HEALTH PROBLEMS. SPECIFICALLY, THE POPULATION SUFFERS HIGHER RATES OF STROKE, OBESITY, CANCER, DIABETES AND HYPERTENSION THAN THE NATION AS A WHOLE.	COMMUNITY INFORMATION
PART II	ST. ELIZABETH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE DEVOTING TIME TO NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECTS, PARTICIPATING IN ECONOMIC DEVELOPMENT COUNCILS/CHAMBERS OF COMMERCE AND PARTICIPATING IN SCHOOL MENTORING PROGRAMS. ALL OF THESE PROGRAMS HELP DEVELOP THE GENERAL WELL-BEING OF THE COMMUNITY WHICH, IN TURN, PROMOTES THE HEALTH OF THE COMMUNITY ST. ELIZABETH SERVES. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE TIME DEVOTED TO FORMING COLLABORATIVE PARTNERSHIPS WITH VARIOUS ORGANIZATIONS SUCH AS THE DEPARTMENT OF HEALTH & HUMAN SERVICES, LOCAL SCHOOL BOARDS, AND OTHER LOCAL HOSPITALS TO IMPROVE THE GENERAL COMMUNITY HEALTH. ADDITIONALLY, ST. ELIZABETH PARTNERS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES. IT ALSO PARTICIPATES IN SCHOOL-BASED PROGRAMS RELATED TO HEALTH CARE CAREERS.
OTHER INFORMATION	SEE THE QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REPORT ON SCHEDULE O.
AFFILIATED HEALTH CARE SYSTEM	ST. ELIZABETH IS PART OF THE FMOLHS HEALTH CARE SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE. ST. ELIZABETH HOSPITAL SERVES THE COMMUNITY IN GONZALES, LA AND SURROUNDING PARISHES. ST. ELIZABETH HOSPITAL WORKS CLOSELY WITH OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (A TAX-EXEMPT HOSPITAL AFFILIATE) TO PROVIDE COMPREHENSIVE MEDICAL SERVICES AS PART OF THE OVERALL HEALTHCARE PROVIDED TO THE COMMUNITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Volunteer Ascension
PO Box 1564	Gonzales	LA	70737	721376404	501(C)(3)	6265	GENERAL SUPPORT
Ascension Chamber of Commerce
1006 W Highway 30	Gonzales	LA	70737	720701121	501(C)(6)	5200	General Support
American Heart Association
7272 Greenville Ave	Dallas	TX	75231	135613797	501(C)(3)	8890	General Support
Project Kidz Kove
2129 Twin Circle Dr	Gonzales	LA	70737	273095254	501(C)(3)	17054	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	HARDSHIP ASSISTANCE	TypeOfGrant
Number Of Recipients	9	NumberOfRecipients
Amount Of Cash Grant	12376	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAO NARRA MD
278348	0	67124	0	840	0	9800	0	272	0	356384	0	0	0
CRAIG A VITRANO MD
343231	0	79804	0	0	0	41389	0	19528	0	483952	0	0	0
JOHN D KNAPP MD
313618	0	47686	0	8805	0	9800	0	22886	0	402795	0	0	0
GLENN SCHEXNAYDER MD
240511	0	77006	0	34422	0	9800	0	11880	0	373619	0	0	0
THOMAS EWING MD
424627	0	109528	0	33956	0	9800	0	21150	0	599061	0	0	0
PAUL C AGUILLARD MD
219535	0	68117	0	18587	0	9800	0	27424	0	343463	0	0	0
HAYTHAM KAWJI MD
309863	0	0	0	972	0	9800	0	23163	0	343798	0	0	0
KE MATHEW MD
111049	0	61989	0	39472	0	51148	0	7931	0	271589	0	0	0
DAWN ZITMAN MD
139093	0	28052	0	18695	0	9800	0	8845	0	204485	0	0	0
SUSAN J KNIGHT CPA
136402	0	39415	0	37218	0	35002	0	9942	0	257979	0	0	0
LESLIE NORMAN RN C N A
133678	0	33380	0	9793	0	21620	0	12579	0	211050	0	0	0
DOLORES N LEJEUNE RN C N A
0	275383	0	100295	0	170349	0	49908	0	19131	0	615066	0	0
JOHN F FRAICHE MD
458175	0	89286	0	44154	0	9800	0	227	0	601642	0	0	0
CHERRON PHILIPPE MD
202045	0	58591	0	15400	0	9800	0	0	0	285836	0	0	0
THOMAS PERKINS MD
232172	0	39986	0	34970	0	9800	0	25314	0	342242	0	0	0
BUNNIE HILL
208561	0	68878	0	34100	0	9800	0	17678	0	339017	0	0	0
BEN-HWA HU
226253	0	62167	0	840	0	9800	0	12955	0	312015	0	0	0
SCOTT RICHARD CPA
126374	0	30609	0	10881	0	9923	0	2405	0	180192	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Question 7	THE ORGANIZATION HAS PROVIDED LISTED PERSONS WITH INCENTIVE COMPENSATION WHICH IS BASED ON A FORMULA DERIVED FROM QUALITY, EFFICIENCY, AND OTHER PERFORMANCE MEASURES. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
Part I question 4a	The 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. 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 months depending on the executive and the length of service. No payments were made under the plan in the current year. Other persons listed on part VII, Section A are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment due to reorganization of hospital departments, hospital functions or downsizing activity. If triggered, the employee would be paid his or her base salary for an entitlement period. The entitlement period ranges from 4 weeks to 4 months depending on the length of service and the level of such employee. No payments were made to persons listed on Part VII, Section A under the plan in the current year.
Part 1 Question 4b	FMOLHS maintains four separate, 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 at the earliest of one's disability, death or attainment of a specific payment date. Participation in the plans is limited to certain executives and is subject to the approval of FMOLHS board of directors or a designated committee of such board. Dolores LeJeune received a payment from one of the plans in the current year in the amount of $151,444.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART VI, SECTION A, QUESTION 6	Question 8	FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL
PART VI, SECTION A, QUESTION 7A		FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. ELIZABETH HOSPITAL
Page 6, Part VI, Section B	Question 12c	St. Elizabeth Hospital has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or a designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest EXISTS OR CREATES the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that he OR SHE (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that St. Elizabeth Hospital is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Elizabeth Hospital provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports of possible conflicts of interest are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken.
Page 6, Part VI, Section B	Question 15	THE BOARD OF DIRECTORS DESIGNATES THE EXECUTIVE COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR EXECUTIVES AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE PRESIDENT AND CEO OF ST. ELIZABETH HOSPITAL IS AN EMPLOYEE OF FMOL HEALTH SYSTEM, AND HER SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION WHICH RESEMBLE THE ABOVE.
Page 6, Part VI, Section C	Question 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
PART VI, SECTION A, QUESTION 7B		THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION; 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION; 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES; 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION; 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION; 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION; 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION; 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHARGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION; 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; AND 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
PART VI, SECTION A, QUESTION 11		AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG, LLP, THE BOARD OF DIRECTORS DESIGNATES A COMMITTEE TO REVIEW THE FORM 990 OF ST. ELIZABETH HOSPITAL. THE FORM 990 IS ALSO REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
Part VI, Section A Question 2		Dr. Rao Narra and Dr. Craig A. Vitrano - Business Relationship DR. RAO NARRA AND DR. JOHN FRAICHE - BUSINESS RELATIONSHIP DR. CRAIG A. VITRANO AND DR. JOHN FRAICHE - BUSINESS RELATIONSHIP
PROGRAM SERVICE ACCOMPLISHMENTS		SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT 1. ORGANIZATIONAL COMMITMENT TO PROVIDE COMMUNITY BENEFIT ST. ELIZABETH HOSPITAL OPERATES AS A MISSION OF THE FRANCISCAN MISSIONARIES OF OUR LADY, A CATHOLIC HEALTHCARE ORGANIZATION. ST. ELIZABETH HOSPITAL IS PART OF CHA (CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES). ST. ELIZABETH HOSPITAL IS LOCATED IN GONZALES, LOUISIANA IN THE PARISH OF ASCENSION. THE HOSPITAL SERVES THE ENTIRE ASCENSION PARISH COMMUNITY ALONG WITH PARTS OF IBERVILLE AND LIVINGSTON PARISHES. THE HOSPITAL IS LOCATED OFF OF INTERSTATE 10 AT 1125 WEST HIGHWAY 30, GONZALES, LOUISIANA. ST. ELIZABETH ACQUIRED ST. ELIZABETH PHYSICIANS, A WHOLLY OWNED SUBSIDIARY, ON JULY 1, 2007 AS PART OF ITS STRATEGIC PLAN. IN FISCAL YEAR 2010, THE PRACTICE CONTINUED TO RECRUIT SPECIALISTS TO THE UNDERSERVED AREA OF ASCENSION PARISH. ST. ELIZABETH PHYSICIANS MAINTAIN OFFICES IN PRAIRIEVILLE, GONZALES, DUTCHTOWN, AND DONALDSONVILLE, LOUISIANA. ST. ELIZABETH PHYSICIANS ALSO OPERATES TWO AFTER HOURS CLINICS IN GONZALES AND PRAIRIEVILLE. THE HOSPITAL SERVES AS THE ONLY ACUTE CARE ACCESS HOSPITAL IN ASCENSION PARISH WITH EMERGENCY ROOM SERVICES. THE HOSPITAL IS ABLE TO SUPPORT THE NEEDS OF ASCENSION PARISH AS WELL AS OUTLYING PARISHES. THE HOSPITAL'S PHILOSOPHY IS TO SERVE ITS COMMUNITY AND IN PARTICULAR THOSE MOST IN NEED. THE HOSPITAL SERVES THE NEEDS OF THE UNDERSERVED IN ITS COMMUNITY THROUGH ACCESS TO PRIMARY HEALTHCARE VIA ITS EMERGENCY DEPARTMENT AND THROUGH ITS RELATIONSHIP WITH COMMUNITY PHYSICIANS. THE HOSPITAL'S EFFORTS TO EXPAND SERVICES TO THE COMMUNITY THROUGH OUTREACH INCLUDE THE FOLLOWING: - THE HOSPITAL PROVIDED FLU VACCINES TO THE EMPLOYEES OF THE FOLLOWING COMMUNITY ORGANIZATIONS IN ORDER TO PROMOTE WELLNESS AND HAVE AN ACTIVE ROLE IN INCREASING THE HEALTH OF THE COMMUNITY: 1. ASCENSION PARISH SCHOOL BOARD 2. ASCENSION PARISH SHERIFF'S OFFICE 3. EAST ASCENSION HIGH SCHOOL 4. ST. AMANT HIGH SCHOOL 5. DONALDSONVILLE HIGH SCHOOL 6. DUTCHTOWN HIGH SCHOOL 7. HOUSE HOLD OF FAITH 8. United Community Bank 9. America Styrenics 10. Clerk of Court 11. Baker Donelson Bearman Attorneys 12. Rubicon 13. St. John's Church - THE HOSPITAL AND PHYSICIAN PRACTICE PARTICIPATES IN HEALTHCARE EDUCATION FOR THE PARISH THROUGH THE ST. ELIZABETH HOSPITAL ANNUAL HEALTH FAIR AND IN A COLLABORATIVE EFFORT: EDUCATIONAL OFFERINGS INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: 1. LOSS AND GRIEF EDUCATION AND SUPPORT 2. THRIVING WITH DIABETES 3. GROWING UP-PRETEEN CLASSES 4. ALZHEIMER'S LNL 5. BODYWORKS 6. ARC BABYSITTER COURSE 7. LOOK GOOD, FEEL BETTER (CANCER) 8. COPING WITH DIABETES 9. COPD 10. WELLNESS DAY FOR WOMEN - THE HOSPITAL PROVIDES THE FOLLOWING SCREENINGS FOR THE COMMUNITY: - SKIN CANCER - SCOLIOSIS - VISION - PROSTATE CANCER - DIABETES - COLORECTAL CANCER - BLOOD PRESSURE - THE HOSPITAL HAS PARTNERED WITH MARY BIRD PERKINS CANCER CENTER TO PROVIDE CANCER TREATMENT SERVICES TO THE CITIZENS OF ASCENSION PARISH AND SURROUNDING AREAS. MARY BIRD PERKINS CANCER CENTER IS LOCATED ACROSS FROM ST. ELIZABETH HOSPITAL AND BEGAN SERVING PATIENTS IN FEBRUARY 2009. - THE HOSPITAL PARTICIPATES IN LEADERSHIP ASCENSION WHERE LEADERS FROM ST. ELIZABETH HOSPITAL AND ST. ELIZABETH PHYSICIANS LEARN ABOUT ASCENSION PARISH AND HOW TO MAKE A DIFFERENCE IN THE COMMUNITY THROUGH VOLUNTEERISM. - ST. ELIZABETH HOSPITAL SECURED OTHER FUNDING THROUGH FMOL FOR A COMMUNITY CLINIC. THE MISSION OF THIS CLINIC IS TO PROVIDE ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF ASCENSION PARISH. SERVING THIS POPULATION OF ASCENSION PARISH RESIDENTS WILL ALLOW ST. ELIZABETH HOSPITAL TO POSITIVELY AFFECT THE FACE OF HEALTH CARE BY EDUCATING, TREATING AND MAINTAINING THE HEALTH STATUS OF ITS RESIDENTS. FROM JULY 2009 TO JUNE 2011, THE COMMUNITY CLINIC HAS HAD MORE THAN 9,000 VISITS. - St. Elizabeth Hospital secured grant funding through HRSA for a feasibility study to be conducted in evaluating the need for a Federally Qualified Health Center in Ascension Parish. The feasibility study is underway. - St. Elizabeth Physicians secured grant funding through FMOL to begin providing diabetic education to individuals with diabetes in Ascension Parish. The Diabetic Clinic began seeing patients in September, 2011. - THE HOSPITAL AND PHYSICIAN PRACTICE PROVIDES FINANCIAL ASSISTANCE TO LOW INCOME PERSONS THROUGH ITS CHARITY CARE PROGRAM. IN ADDITION, THE HOSPITAL PROVIDES PROMPT PAY DISCOUNTS TO UNINSURED PATIENTS. THESE POLICIES ARE COMMUNICATED THROUGH FINANCIAL COUNSELORS EMPLOYED BY THE HOSPITAL. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX THROUGH ITS 501(C)(3) DESIGNATION. TO FULFILL ITS MISSION, THE HOSPITAL: A. OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; B. GRANTS MEDICAL STAFF PRIVILEGES TO THOSE PHYSICIANS QUALIFIED TO PARTICIPATE IN THEIR PARTICULAR SPECIALTY. C. HAS A GOVERNING BODY THAT IS COMPRISED OF MEMBERS OF THE MEDICAL STAFF, COMMUNITY MEMBERS, MEMBERS OF THE HOSPITAL'S SPONSORING ORDER (FMOL), AND HOSPITAL EMPLOYEES. THE MAJORITY OF THE BOARD IS COMPOSED OF INDEPENDENT PEOPLE REPRESENTATIVE OF THE COMMUNITY. D. THE HOSPITAL IS AN EDUCATIONAL SITE FOR SEVERAL DIFFERENT PROFESSIONAL HEALTH CARE STUDENTS. ST. ELIZABETH HOSPITAL CLINICAL AND PROFESSIONAL STAFF PROVIDES OVER 7,667 HOURS OF HEALTH PROFESSIONS EDUCATION TO STUDENT IN SPECIALTIES SUCH AS: " NURSING " PHARMACY " LABORATORY " RADIOLOGY " CARDIOPULMONARY " FOOD AND NUTRITIONAL THERAPY E. ST. ELIZABETH HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS AS APPROPRIATE. 3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS A. ST. ELIZABETH HOSPITAL SPONSORS AN ANNUAL HEALTH FAIR FOR THE CITIZENS OF ASCENSION PARISH AS WELL AS OTHER PARISHES. THE ANNUAL HEALTH FAIR IS COMPRISED OF NUMEROUS BOOTHS PROVIDING HEALTH EDUCATION, SCREENING AND DIAGNOSTIC TESTING. THE FAIR IS STAFFED BY THE TEAM MEMBERS OF ST. ELIZABETH HOSPITAL ALONG WITH OTHER HEALTH CARE PROFESSIONALS AND BUSINESSES FROM ASCENSION PARISH. IN 2010, ST. ELIZABETH PARTNERED WITH ASCENSION PARISH TO PROVIDE THE HEALTH FAIR IN A LARGER ENCLOSED LOCATION. THE OVERALL GOAL OF THE ANNUAL HEALTH FAIR IS TO RAISE AWARENESS AND OFFER HEALTH EDUCATION AND SCREENINGS TO THE CITIZENS OF ASCENSION PARISH. PUBLIC AWARENESS REGARDING THE EVENT IS DELIVERED VIA RADIO, TELEVISION AND NEWSPAPER. THE ST. ELIZABETH HOSPITAL ANNUAL HEALTH FAIR HAS BEEN WELL RECEIVED BY THE COMMUNITY. B. ST. ELIZABETH HOSPITAL TEAM MEMBERS DONATED OVER 8,180 HOURS OF TIME FOR VARIOUS COMMUNITY BENEFIT ACTIVITIES. THESE ACTIVITIES INCLUDE CHARITY INVOLVEMENT IN SUCH NOT FOR PROFIT ORGANIZATIONS AS BETTER BUSINESS BUREAU, ASCENSION CHAMBER OF COMMERCE, ARC OF EAST ASCENSION, ETC. AS AN EXPRESSION OF OUR MISSION AND CORE VALUES, THE TEAM MEMBERS OF ST. ELIZABETH HOSPITAL DONATE TIME TO COMMUNITY ACTIVITIES AS A WAY OF GIVING BACK TO THE COMMUNITY THAT WE SERVE. OUR GOAL IS TO REACH OUT TO THOSE WHO MAY NOT HAVE ACCESS TO THE SERVICES WE PROVIDE. DONATED HOURS ARE A WAY OF PROVIDING THAT ACCESS. SECTION 2 - QUANTIFIABLE COMMUNITY BENEFIT 1)CHARITY CARE - AT COST $ 950,532 2)MEDICAID SPONSORED HEALTHCARE - NET EXPENSE $ 3,657,940 3) COMMUNITY HEALTH SERVICES: COMMUNITY HEALTH EDUCATION $ 56,329 COMMUNITY BASED CLINICAL SERVICES $ 34,694 HEALTH CARE SUPPORT SERVICES $ 425 4) HEALTH PROFESSIONS EDUCATION TRAINING STAFF $ 283,447 5) FINANCIAL AND IN-KIND CONTRIBUTIONS: CASH DONATIONS $ 94,549 IN KIND DONATIONS $ 19,191 6) SUBSIDIZED HEALTH SERVICES $ 357,289 SENIOR CARE LOSS COMMUNITY CLINIC LOSS 7) COMMUNITY BENEFIT OPERATIONS: DEDICATED STAFF $ 56,078 8) COMMUNITY BUILDING ACTIVITIES: IN KIND DONATIONS $ 42,738 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 5,553,212
Part XI, Question 5		Capital Transfer - $ (1,331,956) Unrealized Gain - $ 169,057
PART VI, SECTION B QUESTIONS 12-14		Throughout the tax year, the organization had a conflict of interest policy, whistleblower policy and document retention policy in place although they were not approved by the organization's board of directors before June 30, 2011. The organization intends to have the policies approved by St. Elizabeth Hospital's board of directors or committee thereof.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DOLORES N LEJEUNE RN C N A TITLE:PRESIDENT/CEO HOURS:41
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SUSAN J KNIGHT CPA TITLE:CHIEF OPERATING OFFICER HOURS:2

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH PHYSICIANS	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2647 S ST ELIZABETH BLVD	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
EIN	721439296	EIN
Primary Activities	HEALTHCARE	PrimaryActivities
Legal Domicile State	LA	LegalDomicileState
Total Income	25502660	TotalIncome
EOY Assets	3742513	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST BERNARD HEALTH FUND
4200 ESSEN LANE	BATON ROUGE	LA	70809	204685614	HEALTHCARE	LA	501(c)(3)	11 TYPE 1	FMOLHS
HEALTH PARTNERS NETWORK OF SOUTH LA
611 ST LANDRY STREET	LAFAYETTE	LA	70506		HEALTHCARE	LA	501(c)(3)	3	LOURDES RMC

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount	Percentage OwnershipPercentageOwnership
LOURDES IMAGING CENTER LLC
611 ST LANDRY STREET	LAFAYETTE	LA	70506	208326214	HEALTHCARE	LA	LOURDES	N/A	false	true
HEART HOSPITAL OF ACADIANA
1105 KALISTE SALOOM ROAD	LAFAYETTE	LA	70508	300442368	HEALTHCARE	LA	LOURDES	N/A	false	true
PERKINS PLAZA MEDICAL ARTS DEVELOPMENT
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	450516574	REAL ESTATE	LA	OLOL	N/A	false	true
PERKINS PLAZA IMAGING CENTER
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	203697665	HEALTHCARE	LA	OLOL	N/A	false	true
PERKINS PLAZA IMAGING DEVELOPMENT
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	203894521	REAL ESTATE	LA	OLOL	N/A	false	true
NUCLEAR IMAGING LLC
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	721470061	HEALTHCARE	LA	OLOL	N/A	false	true
P&S SURGERY CENTER LLC
312 GRAMMONT STREET	MONROE	LA	71201	721387312	HEALTHCARE	LA	ST FRANCIS	N/A	false	true
ST FRANCIS PEDIATRIC AFTER HOURS LLC
POST OFFICE 207	MONROE	LA	71210	061782572	HEALTHCARE	LA	ST FRANCIS	N/A	false	true
LOURDES IMAGING DEVELOPMENT LLC
611 ST LANDRY STREET	LAFAYETTE	LA	70506	208326287	REAL ESTATE	LA	LOURDES	N/A	false	true
PARK PLACE SURGICAL HOSPITAL
7901 WILSON STREET	LAFAYETTE	LA	70503	721404092	HEALTHCARE	LA	LOURDES	N/A	false	true
BRPT LAKE REHABILITATION CENTERS LLC
530 SHADOWS LANE	BATON ROUGE	LA	70806	721506100	HEALTHCARE	LA	OLOL	N/A	false	true
CONVENIENT CARE LLC
7777 HENNESSY BOULEVARD SUITE 1004	BATON ROUGE	LA	70808	721439481	HEALTHCARE	LA	OLOL	N/A	false	true
PERKINS PLAZA AMBULATORY SURGERY CENTER
54 THE LEGENDS PARKWAY SUITE 159	EUREKA	MO	63025	481264699	HEALTHCARE	LA	OLOL	N/A	false	true
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BOULEVARD	BATON ROUGE	LA	70810	263160962	HEALTHCARE	LA	OLOL	N/A	false	true
ST ELIZABETH-MARY BIRD PERKINS
4950 ESSEN LANE	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	STEH	RELATED	false	true	46960	3018562	$0	0.35000
REGIONAL EYE SURGERY CENTER LLC
7777 HENNESSY BLVD SUITE 400	BATON ROUGE	LA	70808	721484653	HEALTHCARE	LA	OLOL	N/A	false	true
ST MARY'S IMAGING CENTER II LLC
611 ST LANDRY STREET	LAFAYETTE	LA	70506		HEALTHCARE	LA	LOURDES IMAGING	N/A	false	true
NORTHEAST LA CANCER INSTITUTE
141 DESIARD STREET SUITE 704	MONROE	LA	71201	721329499	HEALTHCARE	LA	ST FRANCIS	N/A	false	true
LHCG-XIII LLC
420 WEST PINHOOK ROAD SUITE A	LAFAYETTE	LA	70503	208068308	HEALTHCARE	LA	LOURDES	N/A	false	true
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202	BATON ROUGE	LA	70808	201367299	HEALTHCARE	LA	LOUDRES	N/A	false	true
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30	GONZALES	LA	70737	364701565	HEALTHCARE	LA	STEH	RELATED	false	true	0	0	$0	0.51000
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	OLOL	N/A	false	true
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	STEH	RELATED	false	true	0	0	$0	0.65000

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ST FRANCIS INSURANCE AGENCY
309 JACKSON STREET	MONROE	LA	71201	721435136	INSURANCE	LA	ST FRANCIS	C CORP
HOSPITAL ASSISTANCE SERVICES
POBOX 4027-C	LAFAYETTE	LA	70502	721073486	HEALTHCARE	LA	LOURDES	C CORP
LOUISE INSURANCE COMPANY
					INSURANCE		FMOL	C CORP	PO BOX 1051	CJ	KY1-1102	CJ
MONROE HEALTH SERVICES
POBOX 3187	MONROE	LA	71210	721057820	HEALTHCARE	LA	AMBULATORY	C CORP
NORTHEAST LA HEALTH NETWORK
309 JACKSON STREET	MONROE	LA	71201	721294587	HEALTHCARE	LA	AMBULATORY	C CORP
THE BERNARD BRIAN ALLAIN MEMORIAL CRT
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	207114528	INVESTMENT	LA	OLOL FOUNDATION	TRUST

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL AREA SHARED SERVICES ORGANIZATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionType
Amount Involved	297500	AmountInvolved