ST FRANCIS MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ST FRANCIS MEDICAL CENTER INC (EIN 72-0408970)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-15
IRS object ID: 202631359349303368
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-15T08:47:44+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 Main Street Suite 2150	AddressLine1Txt
City	Baton Rouge	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720408970	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STFR	BusinessNameControlTxt
Phone	2259232701	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4200 Essen Lane	AddressLine1Txt
City	Baton Rouge	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70809	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW LEBLANC	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2026-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Ryan Hooks	PreparerPersonNm
PTIN	P00746825	PTIN
Phone	2253444000	PhoneNum
Preparation	2026-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	FMOL Health St Francis	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS J GULLATT MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4200 Essen Lane	AddressLine1Txt
City	Baton Rouge	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70809	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$537,560,253	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STFRAN.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR THE RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2146	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$329,154	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$268,998	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,715,648	PYContributionsGrantsAmt
CY Contributions Grants	$2,895,859	CYContributionsGrantsAmt
PY Program Service Revenue	$422,840,637	PYProgramServiceRevenueAmt
CY Program Service Revenue	$498,775,732	CYProgramServiceRevenueAmt
PY Investment Income	$2,214,233	PYInvestmentIncomeAmt
CY Investment Income	$12,086,840	CYInvestmentIncomeAmt
PY Other Revenue	$2,441,768	PYOtherRevenueAmt
CY Other Revenue	$5,693,420	CYOtherRevenueAmt
PY Total Revenue	$433,212,286	PYTotalRevenueAmt
CY Total Revenue	$519,451,851	CYTotalRevenueAmt
PY Grants And Similar Paid	$97,945	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$34,232	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$174,166,264	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$207,840,412	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$242,188,828	PYOtherExpensesAmt
CY Other Expenses	$280,877,633	CYOtherExpensesAmt
PY Total Expenses	$416,453,037	PYTotalExpensesAmt
CY Total Expenses	$488,752,277	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,759,249	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,699,574	CYRevenuesLessExpensesAmt
Total Assets BOY	$317,525,370	TotalAssetsBOYAmt
Total Assets EOY	$394,383,428	TotalAssetsEOYAmt
Total Liabilities BOY	$226,203,064	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$260,927,624	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$91,322,306	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$133,455,804	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$383,373,756	ExpenseAmt
Grant	$34,232	GrantAmt
Revenue	$502,266,055	RevenueAmt
Desc	ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF NORTHEAST LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER PROVIDED 325 LICENSED BEDS, 92,371 INPATIENT DAYS, 15,934 INPATIENT DISCHARGES, AND 61,209 ER VISITS IN THE YEAR ENDED JUNE 30, 2025.	Desc
Total Program Service Expenses	$383,373,756	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2146	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMANDA HYMEL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2257658496	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5959 S SHERWOOD FOREST BLVD	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70809	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Carrie Baker-Royer
Vice-Chairman	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
John Jones
Chairman	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Rev Brian Mercer
Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Rev Ike Byrd
Secretary	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Thomas J Gullatt MD
President/CEO	1.0	41.0	Yes (X)	Yes (X)	$0	$705,525	$134,448
Ashanti Jones
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Billy Haddad
Board Member	1.0	0	Yes (X)		$0	$0	$0
Bishop Francis Malone
Board Member	1.0	0	Yes (X)		$0	$0	$0
Janet Durden
Board Member	1.0	0	Yes (X)		$0	$0	$0
Laura Marchelos
Board Member	1.0	0	Yes (X)		$0	$0	$0
Richard Smith MD
Board Member/Physician	40.0	0	Yes (X)		$339,787	$0	$27,670
Rolf Morstead MD
Board Member/Chief of Staff	40.0	1.0	Yes (X)		$746,617	$0	$45,850
Sister Catherine Luu
Board Member	1.0	0	Yes (X)		$0	$0	$0
Sister Helen Cahill
Board Member	1.0	2.5	Yes (X)		$0	$0	$0
William Bart Liles MD
Board Member/Physician	1.0	40.0	Yes (X)		$0	$130,169	$0
William Smart
Board member	1.0	0	Yes (X)		$0	$0	$0
Andrew LeBlanc
VP - Finance, CFO	1.0	41.0		Yes (X)	$0	$140,597	$4,535
Michael Gleason
FMOLHS CFO	1.0	43.0		Yes (X)	$0	$1,612,949	$148,344
John Bruchhaus MD
VP, CMO	40.0	0			$589,848	$0	$62,700	Yes (X)
Kayla Johnson
VP, Patient Care Services	40.0	0			$370,228	$0	$61,906	Yes (X)
Coy Gammage MD
Physician	40.0	0			$969,675	$0	$45,850		Yes (X)
Lance Albin MD
Physician	40.0	0			$942,960	$0	$46,755		Yes (X)
Nauman Khalid MD
Physician	40.0	0			$1,504,316	$0	$27,910		Yes (X)
Rezaul Islam MD
Physician	40.0	0			$850,645	$0	$44,739		Yes (X)
Sarah Ahmad MD
Physician	40.0	0			$1,237,291	$0	$36,234		Yes (X)
Jeremy Rogers
Former VP, COO/Lourdes CFO	0.0	43.0			$0	$510,818	$48,230			Yes (X)
Kristin Wolkart
Former President/FMOLHS CNO	0.0	40.0			$0	$1,063,272	$146,654			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,551,367	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,163,330	TotReportableCompRltdOrgAmt
Total Other Compensation	$881,825	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	420	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FMOL HEALTH SYSTEM
4200 Essen Lane	Baton Rouge	LA	70809	Management Services	$36,230,288
SPECIALTY MGMT SER OF OUACHITA
101 Catalpa St	Monroe	LA	71201	Contract Labor Services	$17,718,244
LINCOLN BUILDERS OF RUSTON INC
PO Box 78280	Baton Rouge	LA	70837	Construction Services	$12,788,790
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	Food Services	$8,411,828
NE LA CARDIOVASCULAR CONSULTING SERVICES LLC
PO BOX 15582	Monroe	LA	71207	Consulting Services	$6,331,233

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	75	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,042,278	RelatedOrganizationsAmt
Government Grants	$1,002,856	GovernmentGrantsAmt
All Other Contributions	$850,725	AllOtherContributionsAmt
Total Contributions	$2,895,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621400	$482,565,520	$482,565,520
ALL OTHER PROGRAM SERVICE REVENUE	900099	$14,576,060	$13,556,317	$1,019,743
INCOME FROM EQUITY INVESTEES	523000	$517,480	$188,326		$329,154
OUTREACH LAB	621500	$262,472	$262,472
CAFETERIA	456110	$854,200		$854,200

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$498,775,732	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,856,875	TotalRevenueColumnAmt
Exclusion	$3,856,875	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,968,586	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$122,645	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,845,941	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,845,941	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,845,941	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$26,215,722	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$17,553,969	SecuritiesAmt
Other	$431,788	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,661,753	SecuritiesAmt
Other	-$431,788	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,229,965	TotalRevenueColumnAmt
Exclusion	$8,229,965	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Pension related changes	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,847,479	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,847,479	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,847,479	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$519,451,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$502,266,055	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$329,154	UnrelatedBusinessRevenueAmt
Exclusion	$13,960,783	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$34,232	TotalAmt
Program Services	$34,232	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,139,358	TotalAmt
Program Services	$1,952,378	ProgramServicesAmt
Management And General	$186,980	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$170,968,308	TotalAmt
Program Services	$156,025,678	ProgramServicesAmt
Management And General	$14,942,630	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,813,517	TotalAmt
Program Services	$5,222,282	ProgramServicesAmt
Management And General	$591,235	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,162,092	TotalAmt
Program Services	$15,416,707	ProgramServicesAmt
Management And General	$1,745,385	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,757,137	TotalAmt
Program Services	$10,561,436	ProgramServicesAmt
Management And General	$1,195,701	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$66,620,295	TotalAmt
Program Services	$38,392,402	ProgramServicesAmt
Management And General	$28,227,893	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$453,565	TotalAmt
Program Services	$361,083	ProgramServicesAmt
Management And General	$92,482	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$208,167	TotalAmt
Program Services	$165,722	ProgramServicesAmt
Management And General	$42,445	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,268,556	TotalAmt
Program Services	$6,873,222	ProgramServicesAmt
Management And General	$18,395,334	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,925,570	TotalAmt
Program Services	$522,792	ProgramServicesAmt
Management And General	$1,402,778	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,323,232	TotalAmt
Program Services	$10,062,172	ProgramServicesAmt
Management And General	$14,261,060	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,561,782	TotalAmt
Program Services	$424,024	ProgramServicesAmt
Management And General	$1,137,758	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,531,416	TotalAmt
Program Services	$7,148,824	ProgramServicesAmt
Management And General	$1,382,592	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$479,006	TotalAmt
Program Services	$130,050	ProgramServicesAmt
Management And General	$348,956	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$48,316	TotalAmt
Program Services	$13,118	ProgramServicesAmt
Management And General	$35,198	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,383,187	TotalAmt
Management And General	$3,383,187	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,200,777	TotalAmt
Program Services	$10,522,647	ProgramServicesAmt
Management And General	$1,678,130	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,110,540	TotalAmt
Program Services	$1,297,296	ProgramServicesAmt
Management And General	$3,813,244	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies Expense	$114,601,209	$112,783,773	$1,817,436
Purchased Services	$14,651,724	$3,977,943	$10,673,781
Repairs & Maintenance	$1,510,291	$1,485,975	$24,316

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$488,752,277	TotalAmt
Program Services	$383,373,756	ProgramServicesAmt
Management And General	$105,378,521	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,502,497	BOYAmt
EOY	$5,147,005	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,903,778	BOYAmt
EOY	$33,545,135	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,462,024	BOYAmt
EOY	$54,084,421	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$227,968	BOYAmt
EOY	$266,180	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,855,422	BOYAmt
EOY	$9,295,043	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,920,886	BOYAmt
EOY	$4,164,477	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$447,906,805	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$302,328,373	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$117,392,051	BOYAmt
EOY	$145,578,432	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$118,502,415	BOYAmt
EOY	$128,588,955	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,498,205	BOYAmt
EOY	$1,431,081	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,260,124	BOYAmt
EOY	$12,282,699	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$317,525,370	BOYAmt
EOY	$394,383,428	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,426,623	BOYAmt
EOY	$40,164,091	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,032,102	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,643,649	BOYAmt
EOY	$110,170,280	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,100,690	BOYAmt
EOY	$110,593,253	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,203,064	BOYAmt
EOY	$260,927,624	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$86,774,263	BOYAmt
EOY	$128,241,276	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,548,043	BOYAmt
EOY	$5,214,528	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$91,322,306	BOYAmt
EOY	$133,455,804	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$317,525,370	BOYAmt
EOY	$394,383,428	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,699,574	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,242,299	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,191,625	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,588,688	OtherCostOrOtherBasisAmt
Book Value	$10,588,688	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,323,923	OtherCostOrOtherBasisAmt
Depreciation	$158,854,122	DepreciationAmt
Book Value	$80,469,801	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,931,561	OtherCostOrOtherBasisAmt
Book Value	$2,931,561	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,260,987	OtherCostOrOtherBasisAmt
Depreciation	$142,416,897	DepreciationAmt
Book Value	$39,844,090	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,801,646	OtherCostOrOtherBasisAmt
Depreciation	$1,057,354	DepreciationAmt
Book Value	$11,744,292	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$145,578,432	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (10 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
INVESTMENTS HELD AT FMOLHS
INVESTMENT IN SF URGENT CARE
INVESTMENT IN PHO
INVESTMENT IN NELA CANCER INSTITUTE
INVESTMENT IN LHC
INVESTMENTS HELD AT FMOLHS	$128,105,239	F
INVESTMENT IN LHC	$339,709	F
INVESTMENT IN PHO	$144,007	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$128,588,955	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Federal Income Taxes
NET DUE TO/FROM AFFILIATES	$49,506,479
RETIREMENT PAYABLE LONG TERM	$14,685,438
SELF INSURANCE LIABILITY	$7,788,099
OPERATING LEASE PAYABLE	$3,421,494
INVESTMENTS HELD AT FMOLHS	$31,027,430
OTHER LIABILITIES	$4,164,313

Field	Value	IRS element (for citing)
Total Liability	$110,593,253	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	FIN 48 (ASC 740) FOOTNOTE: FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,686,654	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,427,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,258,745	NetCommunityBenefitExpnsAmt
Total Expense	0.00667	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,405,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,043,439	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,362,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00483	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$90,092,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,471,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,620,902	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$673,064	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$673,064	NetCommunityBenefitExpnsAmt
Total Expense	0.00138	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,357,073	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,063,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$293,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,780	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,349	NetCommunityBenefitExpnsAmt
Total Expense	0.00032	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,208,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,086,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,121,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$96,300,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,557,776	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,742,740	NetCommunityBenefitExpnsAmt
Total Expense	0.01380	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,459	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,638	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,638	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,106,991	BadDebtExpenseAmt
Reimbursed By Medicare	$97,364,565	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$103,059,494	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,694,929	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.FMOLHS.ORG/STFRAN	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.fmolhs.org/about-us/community-impact	OwnWebsiteURLTxt
Other Website URL	https://www.fmolhs.org/about-us/community-impact	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. FRANCIS MEDICAL CENTER:. Input from persons who represent the broad interests of the community served was taken into account throughout the Community Health Needs Assessment (CHNA) conducted by St. Francis Health. Community input was obtained through paper surveys and SurveyMonkey questionnaires, as well as personal interviews with internal and external stakeholders, including community partners and healthcare providers with knowledge of the needs of medically underserved, lowincome, and minority populations in Ouachita Parish and Region 8. As part of this process, St. Francis Health interviewed Robert Hines, MSPH, CQIA, Deputy Director of Planning and Performance for the Bureau of Planning and Performance at the Louisiana Office of Public Health, whose expertise represents both the broader community and vulnerable populations. St. Francis Health also solicited input from leaders representing organizations serving underserved populations, including Stalanda Butcher, MPH, M.Ed., Chief Advocacy Officer with The Center for Children & Families, and Janie Milby, Director of the St.Francis Foundation. Feedback from these representatives reflected communityidentified concerns related to access to care, behavioral health, chronic disease, health literacy, and social determinants of health. This qualitative input was evaluated alongside quantitative demographic and health data and was incorporated into the identification and prioritization of significant health needs reflected in the CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. FRANCIS MEDICAL CENTER:. DURING THE CURRENT YEAR, St. francis HEALTH CONTINUED TO ADDRESS THE FOLLOWING PRIORITY AREAS IDENTIFIED DURING THE PRIOR CHNA: CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, AND OBESITY/SEDENTARY LIFESTYLES. THE HOSPITAL ALSO CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIED THE FOLLOWING PRIORITY AREAS: ACCESS TO HEALTHY LIVING, HEART DISEASE AND STROKE, AND CARE FOR THE ELDERLY. DURING THE CURRENT YEAR, TO ADDRESS THE PRIORITY AREAS OF CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, AND OBESITY/SEDENTARY LIFESTYLES, THE HOSPITAL DID THE FOLLOWING: SFH IMPACTED A TOTAL OF 95,624 LIVES IN REGION 8, WITH OUTREACH EFFORTS SUCH AS WORKFORCE DEVELOPMENT/JOB CREATION AND TRAINING PROGRAMS (WHICH TOUCHED 45 LIVES), COMMUNITY EDUCATION (WHICH TOUCHED 81,090 LIVES), AND HEALTH FAIRS (WHICH TOUCHED 2,850 LIVES). SFH PROVIDED SPACE FREE OF CHARGE TO HELP OFFSET EXPENSES FOR THE LOUISIANA CANCER FOUNDATION AND ST. VINCENT DEPAUL PHARMACY, WHICH TOUCHED A TOTAL OF APPROXIMATELY 1,500 LIVES BETWEEN THE TWO ORGANIZATIONS. SFH PROVIDED 9,348 MEALS FOR MEALS ON WHEELS IN PARTNERSHIP WITH THE OUACHITA COUNCIL ON AGING AND VOLUNTEERED AT THE FOOD BANK OF NORTHEAST LOUISIANA TO HELP WITH SENIOR FOOD DISTRUTIONS DAY AND HELP PACKING FOOD BOXES. CLINICAL EDUCATION WAS PROVIDED TO LABORATORY STUDENTS (14), RADIOLOGY STUDENTS (50), cERTIFIED NURSING ASSISTANT STUDENTS (3), AND NURSING STUDENTS (39). ADDITIONALLY, SFH OFFERED GRADUATE MEDICAL EDUCATION IN PARTNERSHIP WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE LOCATED AT THE UNIVERSITY OF LOUISIANA AT MONROE. A SFH DIETITIAN PROVIDED WEEKLY SPOTS ON KNOE TV ABOUT HEALTHY LIVING AND EATING. sfh also BEGAN CONSTRUCTION ON BRINGING the ronald mcdonald house into the hospital for families who need to be close to their loved ones during times of medical crisis. THE RONALD MCDONALD HOUSE WITHIN THE HOSPITAL IS SCHEDULED TO OPEN IN APRIL 2026. IN THE AREA OF Workforce Development/Job Creation and Training Programs, SFH REACHED A TOTAL OF 185 LIVES THROUGH PROGRAMS SUCH AS la wORKFORCE COMMISSION COMMUNITY RESOURCE FAIR, NEW OPPORTUNITIES VISION ACHIEVEMENT (nova) MEET & gREET, TWO GRAMBLING STATE UNIVERSITY ENGAGEMENT EVENTS, A BACK-TO-SCHOOL RESOURCE FAIR, AND A WORKFORCE BOARD CAREER FAIR. IN THE AREA OF Workforce Development/Primary and Secondary Workforce Exposure, SFH TOUCHED A TOTAL 552 LIVES THROUGH PROGRAMS SUCH AS AHEC OF A SUMMER PROGRAM, JOB SHADOWING DAYS, CHAMBER CAREER fairs, "get Into the guts" event hosted by louisiana tech university, a youth career expo, and a neville high school hospital tour. Through thoughtful partnerships and expansion of educational opportunities, sfh is leading the future for careers in healthcare. fmol health has dedicated funds for development of programs for high schoolers to adulthood that supports both the broader community and those living in poverty as they pursue educational goals. Key relationships with high schools in local parishes provide entry pathways to careers in bedside care and ancillary roles. The commitment to workforce development solutions continues in partnership with the area's higher education institutions.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - ST. FRANCIS MEDICAL CENTER:. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5. PATIENT ELIGIBLE FOR FOOD STAMPS; 6. MEDICAID ELIGIBLE PATIENT; 7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - ST. FRANCIS MEDICAL CENTER:. REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATIONS FOR FULLY DISCOUNTED CARE.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
COMMUNITY HEALTH CENTER
2600 TOWER DRIVE	MONROE	LA	71201	VARIOUS OUTPATIENT SERVICES
NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREET	MONROE	LA	71210	CANCER TREATMENT AND IMAGING CENTER
MONROE MRI CENTER
501 CATALPA STREET	MONROE	LA	71201	MRI SERVICES
ST FRANCIS PET IMAGING OF MONROE
PO BOX 1851	MONROE	LA	71201	PET IMAGING SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULL AND PARTIAL DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS AND IS AVAILABLE IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH IMPLEMENTED A NEW MEDICAID PAYMENT PROGRAM WHICH MATERIALLY INCREASED HOSPITAL MEDICAID FUNDING. THE PAYMENT MODEL IS DESIGNED TO PAY HOSPITALS ABOVE COST BY PAYING AMOUNTS ROUGHLY EQUIVALENT TO RATES PAID BY COMMERCIAL INSURANCE COMPANIES. ACCORDINGLY, EVEN THOUGH SERVICES TO MEDICAID PATIENTS REMAINED CONSISTENT WITH PAST YEARS, LESS COMMUNITY BENEFIT IS BEING DERIVED ON PART I, LINE 7 FROM THE SERVICES PROVIDED TO MEDICAID PATIENTS PRIOR TO THIS CHANGE. THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE.
Schedule H, Part II Community Building Activities	ST. FRANCIS PROVIDES SIGNIFICANT SUPPORT TO ITS COMMUNITY THROUGH A VARIETY OF WAYS INCLUDING HELPING THE MONROE CHAMBER OF COMMERCE AND WITH RONALD MCDONALD HOUSE PLANNING.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE BAD DEBT FOOTNOTE IS ON PAGES 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. FRANCIS MEDICAL CENTER: Line 16a URL: https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. FRANCIS MEDICAL CENTER: Line 16b URL: https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. FRANCIS MEDICAL CENTER: Line 16c URL: https://www.fmolhs.org/patients-guests/patients-resources/financial-assistance-policy;
Schedule H, Part VI, Line 2 Needs assessment	NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. St.Francis Health assesses the health care needs of the community it serves through a comprehensive Community Health Needs Assessment (CHNA) process that combines community input with analysis of quantitative health data. In conducting the 2024 CHNA, St.Francis Health collected input from community stakeholders, including community partners and healthcare providers with knowledge of the needs of medically underserved, lowincome, and minority populations, through paper surveys, SurveyMonkey questionnaires, and personal interviews conducted during summer 2024. This qualitative input was evaluated alongside statistical and demographic data obtained from recognized public health sources to identify health disparities, social determinants of health, service gaps, and emerging trends affecting residents of Ouachita Parish and Region8. The resulting data was analyzed and deemed sufficient with no identified information gaps, and was used to identify significant community health needs and priority areas that guide St.Francis Health's community benefit planning and development of implementation strategies.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF ST. FRANCIS MEDICAL CENTER. ADDITIONALLY, SIGNS ARE POSTED IN THE ADMISSIONS AREAS THAT FINANCIAL COUNSELING IS AVAILABLE UPON REQUEST. SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR THOSE WHO ARE ELIGIBLE FOR MEDICAID AS WELL AS ASSIST THOSE WHO ARE ELIGIBLE FOR HOSPITAL FINANCIAL ASSISTANCE IN DETERMINING ELIGIBILITY.
Schedule H, Part VI, Line 4 Community information	COMMUNITY INFORMATION: St.Francis Health serves a community defined primarily as Ouachita Parish, Louisiana, which is supported by patient origin, demographic, and survey data and is part of Region8 in Northeast Louisiana, where St.Francis Health functions as the tertiary care center. Ouachita Parish has an estimated population of approximately 157,568 residents and includes urban, suburban, and rural areas. The community served includes diverse demographic groups, with approximately 58.8% of residents identifying as White and 38% identifying as Black or African American, along with Hispanic or Latino residents and other minority populations. The population includes children, workingage adults, and older adults, with approximately 16.3% of residents age 65 and older. Socioeconomic conditions within the community include a median household income of approximately $49,261, and an estimated 23.5% of families living below the federal poverty line, contributing to significant health disparities and unmet needs. St.Francis Health does not define its community to exclude medically underserved, lowincome, or minority populations and considers all residents of Ouachita Parish and the surrounding Region8 service area, regardless of ability to pay, as part of the community it serves.
Schedule H, Part VI, Line 5 Promotion of community health	PROMOTION OF COMMUNITY HEALTH: ST. FRANCIS MEDICAL CENTER (SFMC) PARTICIPATES IN COMMUNITY INVOLVEMENT ACTIVITIES BECAUSE IMPROVEMENTS TO A COMMUNITY DIRECT IMPACT THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: PROVISION OF A MEDICAID CLINIC DEDICATED TO WOMEN'S AND CHILDREN'S HEALTH, CASH AND IN-KIND DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND/OR SUPPORTING THE PRIORITY AREAS IDENTIFIED IN THE SFMC CHNA; PROGRAMS AND EDUCATIONAL OUTREACH THAT ADDRESS FOOD INSECURITY, DIVERSITY, EQUITY, AND INCLUSION, PREVENTABLE HOSPITAL STAYS, CARE FOR THE ELDERLY, OBESITY, AND TOBACCO CESSATION; ONGOING SPONSORSHIP OF BLOOD DRIVES TO SUPPORT THE LOCAL SUPPLY AVAILABLE TO PATIENTS. SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL PHARMACY SO THAT UNINSURED, UNDERINSURED AND WORKING POOR MEDICALLY DISENFRANCHISED INDIVIDUALS AND FAMILIES HAVE ACCESS TO PRESCRIPTION MEDICATIONS. THIS ALLOWS THE PHARMACY TO SPEND ITS FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON PEOPLE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS AND COMMUNITY BENEFIT SALARY DOLLARS, AND 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 AND HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM FOR STUDENTS PREPARING TO GRADUATE FROM HIGH SCHOOL, RADIOLOGY, LABORATORY, AND RESPIRATORY PROGRAMS, AS WELL AS PARTNERSHIPS WITH SEVERAL NURSING SCHOOLS AND A DEVELOPING RELATIONSHIP WITH THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE LOCATED AT THE UNIVERSITY OF LOUISIANA AT MONROE. THE ROLE OF SFMC'S COMMUNITY IMPACT MANAGER EXPANDED IN THE CURRENT FISCAL YEAR TO ASSIST ORGANIZATIONS THROUGHOUT THE MINISTRY WITH PROGRAMMING AND ACCOUNTABILITY, AS WELL AS THE CHNA AND IMPLEMENTATION PLANNING PROCESS, AND ALSO EXPANDED WITHIN SFMC TO INCLUDE EXPANSION OF COMMUNITY EDUCATION AND OUTREACH. SFMC ALSO IMPROVES THE HEALTH OF THE COMMUNITIES IT IS PRIVILEGED TO SERVE IN MANY WAYS THAT EXTEND FAR BEYOND THE HEALING MINISTRY OF BEDSIDE CARE. THROUGH APPROACHES SUCH AS OPEN MEDICAL STAFF POLICIES, UNIQUE TECHNOLOGY INNOVATIONS FOR BETTER OUTCOMES, AND DIVERSITY, EQUITY, AND INCLUSION STRATEGIES FOCUSED ON EVERY ASPECT OF HEALTH CARE FROM THE BEDSIDE TO THE PURCHASING DOCK TO EACH PATIENT WHO WALKS THROUGH OUR DOORS, SFMC CONTINUOUSLY EXPANDS ITS DEFINITION OF WHAT IT MEANS TO HAVE A "COMMUNITY IMPACT." SFH's LEvel II, six-bed pediatric intensive care unit (PICU) offers extensive pediatric services provided by highly trained medical experts. SFH's Level III, 35-bed Neonatal intensive care unit (NICU) team consists of nurses, neonatal nurse practitioners, neonatologists, respiratory therapists, case managers and lactation consultants, along with physical and occupational therapists. the neonatologists specialize in caring for babies with the most complex healthcare needs, including those born prematurely. They coordinate care and monitor babies in the most high-risk situations. SFH is a recipient of the Guided Infant Feeding Techniques (Gift) certification from the Louisiana Department of Health and Hospitals.The Maternal-Fetal Medicine Clinic at SFH addresses the unique challenges of high-risk births. sfh's maternal-fetal experts are highly trained OB/GYNs with additional formal education and clinical experience. SFH achieved reaccreditation from Surgical Review Corporation (SRC) as a Center of Excellence in Robotic Surgery. This reaccreditation recognizes SFH's ongoing commitment and high standard of delivery of quality patient care and safety in the field of robotic surgery. Status as a reaccredited Center of Excellence in Robotic Surgery means sfh has demonstrated continued adherence to nationally and internationally recognized standards in this specialized area. Healthcare facilities and surgeons seeking an SRC reaccreditation undergo an extensive assessment and inspection process to ensure the applicant meets SRC's proven standards and requirements. These requirements include surgical volumes, facility equipment, clinical pathways and standardized operating procedures, an emphasis on patient education, and continuous quality assessment. Inspectors educate staff in the accredited departments on best practices to help the organization improve its care and services. SFH OFFERS A DESIGNATED LEVEL III TRAUMA CENTER, A GRADUATE MEDICAL PROGRAM, ACCREDITED CHEST PAIN CENTER, ACCREDITED PRIMARY STROKE CENTER, AND CEnTERS OF EXCELLENCE IN BARIATRIC SURGERY, MINIMIALLY INVASIVE SURGERY, ROBOTIC SURGERY, MINIMALLY INVASIVE GYNECOLOGY, BREAST HEALTH AND SPECIALIZED ANESTHESIA. SFH LEADS THE REGION IN HEART AND VASCUlar SERVICES, CRITICAL CARE, AND COMPLEX AND MINIMALLY INVASIVE SURGICAL PROCEDURES. additionally, sfh provides a critical access point for emergency care through its helipad located immediately above its emergency department. Conveniently located in the heart of Monroe, the St. Francis Community Health Center offers an array of outpatient services. Some of these services include cardiac and pulmonary rehabilitation, occupational medicine, imaging, lab and adult rehabilitation services, as well as the Kitty DeGree Breast Health Center and pharmacy, along with conveniently located primary and specialty care clinics. in SEptember 2024, sfh announced a major advancement in healthcare with the implementation of the IntelliSep test in its emergency department. This revolutionary diagnostic tool transforms the detection and treatment of sepsis, addressing a critical need in hospitals, where sepsis is a leading cause of mortality often obscured by misdiagnosis. sfh is currently the only hospital offering IntelliSep in North Louisiana. Sepsis, a condition triggered by the body's response to infection, can rapidly lead to organ failure if not promptly identified and treated. The IntelliSep test uses a standard blood sample to analyze white blood cell responses with unprecedented speed and accuracy, delivering results in under 10 minutes. This early detection enables healthcare providers to intervene sooner, reducing inpatient stays by an average of 1.28 days and ICU stays by 2.24 days, while also saving approximately $1,429 per patient and resulting in a 20% reduction in mortality of septic patients. in november 2024, sfh became a leader in the field of robotic guidance and navigation through the purchase of ExcelsiusGPS. This platform technology is designed to improve safety and accuracy within the operating room. ExcelsiusGPS provides improved visualization of patient anatomy through the procedure to help optimize patient treatment. The system is designed to streamline the surgical workflow and reduce radiation exposure to surgeons and staff. This revolutionary robotic navigation platform is the world's first technology to combine a rigid robotic arm and full navigation capabilities into one adaptable platform for accurate trajectory alignment in spine surgery. ExcelsiusGPS is Globus Medical's advanced technology solution designed to enhance safety and improve efficiency for patients, staff and surgeons in the operating room. In May 2005, SFH DEDICATED the Evelyn & Jeff Johnson Obstetric Emergency Department (OB-ED), the first specialized obstetrical emergency department in the region, providing immediate and expert care for expectant mothers and those up to six weeks postpartum. The OB-ED ensures that mothers experiencing emergency situations - from pregnancy complications to urgent postpartum concerns - receive timely, specialized care without the need to travel elsewhere. With advanced medical technology and a highly trained team of specialists, sfh is equipped to respond swiftly and effectively to any obstetric emergency. PROGRAMS OF ACCOMPLISHMENt: - Tertiary referral center - Healthcare providers rely on St. Francis Medical Center to transfer their patients for advanced care. - Largest ER with specialists in the region, featuring a Level III Trauma Center - Largest hospitalist program in the region - accreditation council for graduate medical education (ACGME) accredited for internal medicine residency program - Joint Commission-approved Primary Stroke Center - Chest Pain Center accreditation with PCI from the Society of Cardiovascular Patient Care - Centers of Excellence in the areas of obstetrics, bariatric surgery, robotic surgery, minimally invasive gynecology and breast health - Recognized as a Louisiana Birth-Ready Designated birthing facility by the Louisiana Department of Heal
Schedule H, Part VI, Line 6 Affiliated health care system	ST. FRANCIS MEDICAL CENTER IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. ST. FRANCIS MEDICAL CENTER IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. ST. FRANCIS MEDICAL CENTER SERVES THE COMMUNITY IN NORTHEASTERN LOUISIANA AND SOUTHERN ARKANSAS. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER - OUR LADY OF THE LAKE HOSPITAL - ST. ELIZABETH HOSPITAL - OUR LADY OF THE LAKE ASSUMPTION HOSPITAL - OUR LADY OF THE ANGELS HOSPITAL RELATED HOSPITAL IN MISSISSIPPI: - ST. DOMINIC JACKSON MEMORIAL HOSPITAL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONROE CHAMBER OF COMMERCE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1811 AUBURN AVENUE	AddressLine1Txt
City	MONROE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71201	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	720263750	RecipientEIN
IRC Section	501(C)(6)	IRCSectionDesc
Cash Grant	$7,100	CashGrantAmt
Purpose Of Grant	BUSINESS WORKFORCE INITIATIVES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	ST. FRANCIS MEDICAL CENTER REQUESTS AN ACKNOWLEDGEMENT LETTER FROM EACH ORGANIZATION TO WHICH WE GIVE $5,000 OR MORE IN A CALENDAR YEAR. ORGANIZATIONS ARE REQUESTED TO IDENTIFY WHEN THE FUNDS WERE RECEIVED, HOW MUCH WAS RECEIVED, HOW THE FUNDS WERE USED AND WHAT THE OUTCOMES WERE OF THE PROJECT OR PROGRAM FOR WHICH THE FUNDS WERE REQUESTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas J Gullatt MD
President/CEO	$0	$447,166	$0	$243,324	$0	$15,035	$0	$111,393	$0	$23,055	$0	$839,973	$0	$0
Rolf Morstead MD
Board Member/Chief of Staff	$744,206	$0	$0	$0	$2,411	$0	$17,250	$0	$28,600	$0	$792,467	$0	$0	$0
Richard Smith MD
Board Member/Physician	$295,108	$0	$33,127	$0	$11,552	$0	$16,586	$0	$11,084	$0	$367,457	$0	$0	$0
Jeremy Rogers
Former VP, COO/Lourdes CFO	$0	$357,271	$0	$150,624	$0	$2,923	$0	$17,250	$0	$30,980	$0	$559,048	$0	$0
Kristin Wolkart
Former President/FMOLHS CNO	$0	$540,315	$0	$517,539	$0	$5,418	$0	$123,599	$0	$23,055	$0	$1,209,926	$0	$0
Michael Gleason
FMOLHS CFO	$0	$832,772	$0	$775,086	$0	$5,091	$0	$125,289	$0	$23,055	$0	$1,761,293	$0	$0
John Bruchhaus MD
VP, CMO	$499,692	$0	$71,041	$0	$19,115	$0	$31,050	$0	$31,650	$0	$652,548	$0	$0	$0
Kayla Johnson
VP, Patient Care Services	$269,010	$0	$93,155	$0	$8,063	$0	$31,050	$0	$30,856	$0	$432,134	$0	$0	$0
Sarah Ahmad MD
Physician	$1,180,609	$0	$56,177	$0	$505	$0	$17,250	$0	$18,984	$0	$1,273,525	$0	$0	$0
Lance Albin MD
Physician	$694,693	$0	$243,997	$0	$4,270	$0	$17,250	$0	$29,505	$0	$989,715	$0	$0	$0
Coy Gammage MD
Physician	$967,264	$0	$0	$0	$2,411	$0	$17,250	$0	$28,600	$0	$1,015,525	$0	$0	$0
Rezaul Islam MD
Physician	$813,800	$0	$33,286	$0	$3,559	$0	$17,250	$0	$27,489	$0	$895,384	$0	$0	$0
Nauman Khalid MD
Physician	$1,431,508	$0	$72,247	$0	$561	$0	$17,250	$0	$10,660	$0	$1,532,226	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FMOLHS MAINTAINS TWO UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO PAYMENTS WERE MADE IN THE CURRENT YEAR.
Schedule J, Part I, Line 4a	TWO OFFICERS AND A FORMER OFFICER, STILL EMPLOYED BY A RELATED ORGANIZATION, ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 DESCRIPTION OF ORGANIZATION MISSION:	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.
Form 990, Part VI, Line 6 Classes of members or stockholders	FMOL HEALTH SYSTEM, INC. (AN IRS SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF THE MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body	AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. ST. FRANCIS MEDICAL CENTER'S GOVERNING BODY IS PROVIDED A COPY OF THE RETURN ELECTRONICALLY PRIOR TO THE FILING DATE AND IS GIVEN AN OPPORTUNITY TO REVIEW AND PROVIDE COMMENTS TO MANAGEMENT.
Form 990, Part VI, Line 12c Conflict of interest policy	ST. FRANCIS MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT SHE/HE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT ST. FRANCIS MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, ST. FRANCIS MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST, ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. FRANCIS MEDICAL CENTER IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Capital transfers - 8191625; Total - 8191625;
SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTION:	ST. FRANCIS MEDICAL CENTER IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2025.
SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTION:	ST. FRANCIS MEDICAL CENTER HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDING JUNE 30, 2025. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST FRANCIS MEDICAL GROUP
PO BOX 1901	MONROE	LA	71210	364709524	HEALTHCARE	LA	$80,653,654	$6,877,079	SFMC
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREET	MONROE	LA	71201	721329499	HEALTHCARE	LA	$0	$7,784,825	SFMC
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HWY	BATON ROUGE	LA	70809	474013731	HEALTHCARE	LA	$0	$3,716,397	SFMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTHCARE	LA	501(c)(3)	10	OLOL	false
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVE	JACKSON	MS	39216	640884870	HEALTH PROGRAM	MS	501(c)(3)	10	SDJMH	false
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
969 LAKELAND DRIVE	JACKSON	MS	39216	640303091	HOSPITAL	MS	501(c)(3)	3	FMOLHS	false
ST DOMINIC HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVE	JACKSON	MS	39216	431992975	FUNDRAISING	MS	501(c)(3)	7	SDJMH	false
ST CATHERINE'S VILLAGE INC
969 LAKELAND DRIVE	JACKSON	MS	39216	640714997	CONTINUED CARE RETIREMENT COMMUNITY - CCRC	MS	501(c)(3)	10	SDJMH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line2USAddress/AddressLine2Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
Cardiovascular and Arrythmia Center LLC (CVAC)
PO Box 82063	BATON ROUGE	LA	70884	861438331	HEALTHCARE	LA	NA	false	false
Cardiovascular and Arrythmia Management LLC (CVAM)
PO Box 82063	BATON ROUGE	LA	70884		HEALTHCARE	LA	NA	false	false
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	HEALTHCARE	LA	NA	false	false
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD	METAIRIE	LA	70002	843084552	HEALTHCARE	LA	NA	false	false	STE 600
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	811827194	HEALTHCARE	LA	NA	false	false
Jackson Heart & Vascular Center LLC
969 LAKELAND DRIVE	JACKSON	MS	39216	870947298	HEALTHCARE	MS	NA	false	false
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	943419282	HEALTHCARE	LA	NA	false	false
Lake Surgical Hospital (Slidell) LLC
1700 LINDBERG DR	SLIDELL	LA	70458	474228147	HEALTHCARE	LA	NA	false	false
LAKE URGENT CARE ASCENSION LLC (LUCA)
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	NA	false	false
LHCG-XIII LLC dba Lourdes Home Health
901 S HUGH WALLIS ROAD	LAFAYETTE	LA	70508	208068308	HEALTHCARE	LA	NA	false	false
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD	BATON ROUGE	LA	70809	201367299	HEALTHCARE	LA	NA	false	false	SUITE 1004-202
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	208326287	REAL ESTATE	LA	NA	false	false
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREET	MONROE	LA	71201	721329499	HEALTHCARE	LA	SFMC	false	Yes (true)		Related	$848,053	$5,188,001
OLOL Pontchartrain Surgery Center LLC
4200 ESSEN LANE	BATON ROUGE	LA	70809	461379031	HEALTHCARE	LA	NA	false	false
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	721404092	HEALTHCARE	LA	NA	false	false
PERKINS PLAZA AMBULATORY SURGERY CENTER LLC
7145 PERKINS ROAD	BATON ROUGE	LA	70808	481264699	HEALTHCARE	LA	NA	false	false
Perkins Plaza Development LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	882998457	REAL ESTATE	LA	NA	false	false
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVD	BATON ROUGE	LA	70816	821637627	HEALTHCARE	LA	NA	false	false
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	HEALTHCARE	LA	NA	false	false
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	NA	false	false
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	474013731	HEALTHCARE	LA	SFMC	false	Yes (true)		Related	-$164,598	$622,816
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVD	BATON ROUGE	LA	70810	263120962	HEALTHCARE	LA	NA	false	false
Traction Sports Management LLC
9222 Burbank Drive	BATON ROUGE	LA	70820	822247999	HEALTHCARE	LA	NA	false	false
Highland Medical Arts
PO Box 55769	Jackson	MS	39296	743073171	HEALTHCARE	MS	NA	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Address Line2USAddress/AddressLine2Txt
LOUISE INSURANCE COMPANY
PO BOX 1051	CJ	KY11102	INSURANCE	CJ	C Corporation	$0	$0	false
FRANCISICAN HEALTH & WELLNESS SERVICES I
			HEALTHCARE		C Corporation	$0	$0	false	4200 ESSEN LANE	BATON ROUGE	LA	70809	455492379	LA
FMOL HEALTH SYSTEM HOLDINGS INC
			INVESTMENT		C Corporation	$0	$0	false	4200 ESSEN LANE	BATON ROUGE	LA	70809	454405024	LA
ST DOMINIC MADISON HEALTH SERVICES INC
			HEALTHCARE		C Corporation	$0	$0	false	969 LAKELAND DRIVE	JACKSON	MS	39216	202870254	MS
ST DOMINIC INTEGRATED SERVICES INC
			INVESTMENTS		C Corporation	$0	$0	false	969 LAKELAND DRIVE	JACKSON	MS	39216	271493623	MS
LAFAYETTE SURGICARE INC
			HEALTHCARE		C Corporation	$0	$0	false	C/O C T CORPORATION SYSTEM	BATON ROUGE	LA	70816	943419282	LA	3867 PLAZA TOWER DR
NMC OPERATING COMPANY LLC DBA SPINE HOSPITAL OF LA
			HEALTHCARE		S Corporation	$0	$0	false	10105 PARK ROWE CIRCLE	BATON ROUGE	LA	70810	270059959	LA	STE 250

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHEAST LA CANCER INSTITUTE LLC
S	$100,000	FMV
ST FRANCIS MEDICAL CENTER FOUNDATION
C	$1,042,278	FMV
ST FRANCIS URGENT CARE
B	$437,500	FMV