2023-05-15T17:36:18-05:00 2022-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2021-07-01 721494532 LOURDES FOUNDATION INC LOUR 3374704610 4200 ESSEN LANE BATON ROUGE LA 70809 LOWELL STANTON CEO 3374704610 2023-05-15 1 LOWELL STANTON 999009999 MAXWELL BARLOW P01959439 2253444000 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z STEPHANIE MANSON 4200 ESSEN LANE BATON ROUGE LA 70509 1815971 0 X N/A X 2001 LA WE SEEK AND FACILITATE GIFTS TO PROVIDE CHARITABLE HEALTHCARE PROGRAMS AND SERVICES THAT SUPPORT THE MISSION OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. 20 18 0 50 0 0 659389 571047 0 0 138850 331107 153164 107050 951403 1009204 4451655 8031 0 0 0 5391 0 0 95682 239879 144864 4691534 158286 -3740131 850918 11873468 11692127 354508 45096 11518960 11647031 WE SEEK AND FACILITATE GIFTS TO PROVIDE CHARITABLE HEALTHCARE PROGRAMS AND SERVICES THAT SUPPORT THE MISSION OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. AND ARE NOT FUNDED BY TRADITIONAL RESOURCES. 0 0 10386 8031 0 GRANTS ARE MADE TO OR ON BEHALF OF OUR LADY OF THE LOURDES REGIONAL MEDICAL CENTER TO PROMOTE THE WELFARE OF THE HOSPITAL AND INCREASE ITS USEFULNESS TO THE CITIZENS OF LAFAYETTE PARISH, LOUISIANA AND THE USA. 10386 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 0 0 0 X AMANDA HYMEL 2259232701 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 JIMMY MALLIA BOARD TREASURER 0.50 0.00 X X 0 0 0 ROBERT FOARD IMMEDIATE PAST CHAIR 0.50 0.00 X X 0 0 0 HUNTER TRAHAN BOARD MEMBER 0.50 0.00 X 0 0 0 JEFF ELMORE BOARD MEMBER 0.50 0.00 X 0 0 0 JOANIE HILL BOARD MEMBER 0.50 0.00 X 0 0 0 JOHN MENDELL BOARD MEMBER 0.50 0.00 X 0 0 0 KELLY GAUTHREAUX BOARD SECRETARY 0.50 0.00 X X 0 0 0 KIM BISHOP BOARD CHAIR 0.50 0.00 X X 0 0 0 MIKE HAMNER BOARD MEMBER 0.50 0.00 X 0 0 0 NANCY PRINCE BOARD MEMBER 0.50 0.00 X 0 0 0 TIGER PHARR BOARD MEMBER 0.50 0.00 X 0 0 0 DR CLAY CHANDLER BOARD MEMBER 0.50 0.00 X 0 0 0 DR KATHRYN STROTHER BOARD MEMBER 0.00 40.00 X 0 278195 14494 CHARLIE BABINEAUX BOARD MEMBER 0.50 0.00 X 0 0 0 ROBIN FERGUSON BOARD MEMBER 0.50 0.00 X 0 0 0 DR PERRI PRELLOP BOARD MEMBER 0.50 0.00 X 0 0 0 DR JAMES WHITE BOARD MEMBER 0.50 0.00 X 0 0 0 KATHLEEN HEALY-COLLIER PRESIDENT/CEO 0.50 40.00 X X 0 452878 31672 DR PAUL BREAUX BOARD MEMBER 0.50 0.00 X 0 0 0 DR DEE GARRETT BOARD MEMBER 0.50 0.00 X 0 0 0 JEFFREY D LIMBOCKER EVP FOUNDATION/CFO FMOLHS 0.50 60.00 X 0 991087 185197 JENNIFER J CLOWERS VP, FINANCE/CFO LOU 0.00 40.00 X 0 473033 41117 0 2195193 272480 0 0 1 0 0 85913 126733 358401 2200 571047 196088 196088 814029 679010 135019 135019 135019 5507 85913 26385 -20878 -20878 229300 101372 127928 127928 1009204 0 0 438157 X 8031 8031 5391 817 4574 5514 5514 53931 8398 45533 782 660 122 83756 33607 50149 861 861 OTHER EXPENSE 20 17 3 158286 10386 52218 95682 6967897 7223245 91483 52048 0 0 2837784 2579705 1976304 1837129 11873468 11692127 354508 1356 0 43740 354508 45096 X 6612733 5503396 4906227 6143635 11518960 11647031 11873468 11692127 850918 -722847 0 X 0 1 X 1 0 X X 1 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC 720423635 3 1 10386 0 1 10386 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1056508 1056508 1056458 50 1056508 1054758 1700 1056458 1054658 100 1054758 1054078 580 1054658 1.00000 0 0 0 INVESTMENTS HELD BY FMOLHS 2579705 F 2579705 INVESTMENTS IN COMMUNITY FOUNDATION 1837129 1837129 DUE TO AFFILIATES 43740 43740 X PART V, LINE 4: THE ENDOWMENT FUND WAS CREATED FOR THE BENEFIT OF ST. BERNADETTE COMMUNITY CLINIC. PART X, LINE 2: ASC (FIN 48) 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 JUDGMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. SPIRITUAL SONGFEST 18520 16780 1740 0 1000 1351 2000 2801 GOLF TOURNAMENT 72900 69133 3767 950 1015 4694 12574 91420 85913 5507 950 2015 6045 2000 15375 26385 -20878 229300 101372 1 1.00000 229300 101372 101372 127928 1 0 1 0 1.00000 FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM ACCOUNTING 4200 ESSEN LANE BATON ROUGE LA 70809 0 0 1 PART I, LINE 2: LOURDES FOUNDATION MONITORS THE USE OF GRANT FUNDS BY RECEIVING A SUBMITTED COMPLIANCE REPORT BY THE ORGANIZATION RECEIVING THE GRANT AT THE END OF THE GRANT PERIOD. 0 1 0 0 0 0 0 0 0 JEFFREY D LIMBOCKER EVP FOUNDATION/CFO FMOLHS 0 670983 0 234110 0 85994 0 160910 0 24287 0 1176284 0 60058 JENNIFER J CLOWERS VP, FINANCE/CFO LOU 0 328207 0 142991 0 1835 0 14500 0 26617 0 514150 0 0 KATHLEEN HEALY-COLLIER PRESIDENT/CEO 0 361508 0 75968 0 15402 0 14500 0 17172 0 484550 0 0 DR KATHRYN STROTHER BOARD MEMBER 0 219395 0 58332 0 468 0 12465 0 2029 0 292689 0 0 PART I, LINE 3 THE PRESIDENT/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 MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE. PART I, QUESTION 4A: THE EVP FOUNDATION/ CFO OF FMOLHS IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WILL BE PAID HIS BASE SALARY AND AN ANNUAL INCENTIVE PAYMENT AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. THE VP OF FINANCE/CFO OF LOU IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON AND FOR A 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 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. THE PRESIDENT/CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON AND FOR A 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. PART I, QUESTION 4B: FMOL HEALTH SYSTEM MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. JEFF LIMBOCKER RECEIVED A PAYMENT OF $83,247 FROM THE PLAN DURING THE CURRENT YEAR. FORM 990, PART VI, SECTION A, LINE 6 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF LOURDES FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF LOURDES FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7B OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, RESERVES THE FOLLOWING POWERS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 3. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 4. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 5. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICERS OF THE CORPORATION 6. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 7. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 8. TO APPOINT THE FISCAL AUDITOR OF THE CORPORATION 9. 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 10. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 11. TO APPROVE THE STRATEGIC BUSINESS PLAN OF THE CORPORATION 12. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE ORGANIZATION'S TAX ADVISORS, THE FORM 990 IS REVIEWED BY ONE OR MORE MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE RETURN IS THEN PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C LOURDES FOUNDATION, INC. 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 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 LOURDES FOUNDATION, INC. IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, LOURDES FOUNDATION, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEBSITE 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. FORM 990, PART VI, SECTION B, LINE 15 OTHER RELATED ORGANIZATIONS SET THE COMPENSATION AND PAY THE EXECUTIVES. THE CFO OF LOURDES FOUNDATION IS ALSO THE CFO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. THEY ARE EMPLOYEES OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) WHOSE SALARIES ARE DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION. SUCH PAY PRACTICES INCLUDE THE USE OF AN INDEPENDENT BOARD COMMITTEE WHICH REVIEWS COMPENSATION ANNUALLY AFTER OBTAINING AND RELYING UPON INDUSTRY WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION LOURDES FOUNDATION, INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DE MINIMIS SAFE HARBOR 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)(II). SECTION 1.263(A)-3(N) ELECTION - BOOK CONFORMITY ELECTION LOURDES FOUNDATION, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2022. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,587. FUNDRAISING EXPENSES 24,871. TOTAL EXPENSES 29,458. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,366. FUNDRAISING EXPENSES 12,827. TOTAL EXPENSES 15,193. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,445. FUNDRAISING EXPENSES 7,835. TOTAL EXPENSES 9,280. 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