2025-05-15T14:42:44-05:00 2024-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2023-07-01 463123178 OUR LADY OF THE ANGELS HOSPITAL INC OURL 9857306700 4200 ESSEN LANE BATON ROUGE LA 70809 JENNIFER CLOWERS REGIONAL CFO 9857306700 2025-05-14 1 0 RYAN HOOKS P00746825 2253444000 2025-05-13 2023 2025-03-06 01:10:19Z PAOLO ZAMBITO 4200 ESSEN LANE BATON ROUGE LA 70809 67739807 0 0928 X WWW.OLOAH.ORG X 2013 LA THE HOSPITAL'S PURPOSE IS TO PROVIDE CARE FOR THE ILL, INJURED, OR DISABLED (SEE SCHEUDLE O) PERSONS & TO PROVIDE FOR RESEARCH, EDUCATION, & THE ENHANCEMENT OF HEALTH OF THOSE IN SOUTHEAST LOUISIANA. 8 6 557 6 0 0 385836 738096 74501590 63934438 480615 510890 0 159795 75368041 65343219 11991 21238 0 0 37362383 37602139 0 0 0 42559401 41712483 79933775 79335860 -4565734 -13992641 51979947 103742089 15428332 61225020 36551615 42517069 X SEE SCHEDULE O 0 0 57064465 21238 63934438 OUR LADY OF THE ANGELS HOSPITAL, INC. PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTHEAST LOUISIANA. THE HOSPITAL 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 HOSPITAL HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE HOSPITAL PROVIDED 56 LICENSED BEDS, 8,441 INPATIENT DAYS AND 19,497 ER VISITS IN THE YEAR ENDED JUNE 30, 2024. 57064465 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 557 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X AMANDA HYMEL 9857306700 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 PETER GUARISCO BOARD MEMBER/HS SVP MISSION INTEGRATION 2.00 40.00 X 0 474493 88336 HENRY HARRISON BOARD MEMBER 2.00 0.00 X 0 0 0 LEO MICKENHEIM VICE-CHAIR 2.00 0.00 X X 0 0 0 CRAIG ROBICHAUX CHAIR 2.00 0.00 X X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.00 2.00 X 0 0 0 CHARLES L SPICER JR PRESIDENT OLOL & BR MARKET 2.00 42.00 X X 0 926102 129969 WILLIAM WAINWRIGHT PHD BOARD MEMBER 2.00 0.00 X 0 0 0 JUDITH WAMSLEY SECRETARY 2.00 0.00 X X 0 0 0 PAOLO ZAMBITO MARKET PRESIDENT 2.00 40.00 X X 0 439457 62686 JENNIFER CLOWERS REGIONAL CFO 2.00 45.50 X 0 632613 82941 RALPH SERPAS VP CHIEF OPERATING OFFICER 40.00 0.00 X 261135 0 40185 ELIZABETH GARBO VP, CHIEF NURSING OFFICER/COO 40.00 0.00 X 213140 0 28920 HAMID HUSSAIN PHYSICIAN 40.00 0.00 X 569514 0 47911 GARLAND ANDERSON PHYSICIAN 40.00 0.00 X 519509 0 44834 GOLAM NOAZ PHYSICIAN 40.00 0.00 X 510330 0 26745 STEVEN OGDEN PHYSICIAN 40.00 0.00 X 483559 0 16851 RICHARD COLON-ORTIZ PHYSICIAN 40.00 0.00 X 412105 0 21141 LOWELL STANTON FMR REG CFO/CURRENT LOURDES CFO 0.00 40.50 X 0 600074 42876 BRYAN MILLER FORMER-INTERIM MKT PRES/FMOLHS CTO 0.00 40.75 X 0 563689 45944 DEBBIE WILLIAMS FORMER VP OF OPERATIONS 0.00 0.00 X 106387 0 3991 3075679 3636428 683330 51 1 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT SERVICES 8035582 LSUHSC-NEW ORLEANS 433 BOLIVAR ST NEW ORLEANS LA 70112 PROFESSIONAL MEDICAL SERVICES 3120495 WASHINGTON PARISH EMERG PHYS GRP 5000 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 EMERGENCY MEDICAL SERVICES 2217156 REGIONAL RADIOLOGY LLC 655 MARYVILLE CENTRE ST LOUIS MO 63141 PROFESSIONAL MEDICAL SERVICES 1298917 TRIMEDX INC PO BOX 636129 CINCINNATI OH 45263 BIOMED SERVICES 1035748 19 299856 438240 738096 PATIENT SERVICE REVENU 622110 61016000 61016000 PHARMACY 622110 2579850 2579850 OTHER REVENUE 900099 218519 218519 CAFETERIA SALES 622110 83120 83120 LAB 622110 36949 36949 63934438 571486 571486 159795 0 159795 159795 159795 2335992 2394926 1662 -58934 -1662 -60596 -60596 65343219 63934438 0 670685 21238 21238 493630 437634 55996 31009761 27492070 3517691 1351252 1197969 153283 2620730 2323439 297291 2126766 1885509 241257 14739634 10140973 4598661 48290 27013 21277 56584 56584 4203592 1955545 2248047 164734 76065 88669 6983349 3531954 3451395 86808 40083 46725 6410117 988372 5421745 53166 24550 28616 4054 1872 2182 1292082 1098270 193812 1055695 93857 961838 MEDICAL SUPPLIES EXPENS 5813390 5034395 778995 MEDICAL PURCHASED SERVI 720172 623669 96503 REPAIRS AND MAINTENANCE 80816 69988 10828 79335860 57064465 22271395 0 160681 224445 70317 22770977 100431 -2921171 479144 450173 2195857 374446 37555062 5261936 11021726 32293126 24737450 28232283 0 231907 13214340 22085903 51979947 103742089 11814079 13387330 365 363 3613888 47837327 15428332 61225020 X 36551615 42517069 36551615 42517069 51979947 103742089 X -13992641 3307378 16650717 X 0 1 X 1 1 1 X 243762 243762 5402055 1892896 3509159 24509869 276633 24233236 7399376 3092407 4306969 32293126 FMOL PORTFOLIO 28232283 F 28232283 DUE FROM AFFILIATES 22085903 22085903 INVESTMENTS HELD AT FMOLHS 22770978 LEASES 24847184 OTHER LIABILITIES 219165 47837327 X PART X, LINE 2: 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. 1 1 1 X 250.000000000000 0 1 1 1 0 0 1189058 785698 403360 0.00510 27681703 26886589 795114 0.01000 28870761 27672287 1198474 0.01510 8600897 389370 8211527 0.10350 8600897 389370 8211527 0.10350 37471658 28061657 9410001 0.11860 0 2212202 6409101 7477018 -1067917 X 1 1 1 1 OUR LADY OF THE ANGELS HOSPITAL INC 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 WWW.OLOAH.ORG 2203781960 X X X X OUR LADY OF THE ANGELS HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V SECTION B X 1 21 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 OUR LADY OF THE ANGELS HOSPITAL, INC. PART V, SECTION B, LINE 5: THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS, A REGIONAL FOCUS GROUP, AND SURVEYS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNING PROCESS. OUR LADY OF ANGELS HOSPITAL (OLOAH) CONSIDERED INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING GINA LAGARDE, MD, MBA, REGIONAL MEDICAL DIRECTOR/ADMINISTRATOR, REGION 9, LOUISIANA OFFICE OF PUBLIC HEALTH, IN THE PROCESS OF CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, OLOAH CONSIDERED INPUT FROM THOSE WHO REPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OF POPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLY UNDERSERVED, AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIAL DETERMINANTS OF HEALTH. OUR LADY OF THE ANGELS HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS A JOINT CHNA CONDUCTED WITH OUR LADY OF THE LAKE SURGICAL HOSPITAL IN SLIDELL. OUR LADY OF THE ANGELS HOSPITAL, INC. PART V, SECTION B, LINE 11: OUR LADY OF ANGELS HOSPITAL (OLOAH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESMENT IN 2021. THE SIGNIFIGANT HEALTH NEEDS/PRIORITY AREAS IDENTIFIED DURING THE 2021 CHNA PROCESS WERE: 1. ADDRESSING BARRIERS TO CARE2. IMPROVING HEALTH LITERACYOUR LADY OF ANGELS HOSPITAL: DURING THE CURRENT YEAR, TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF ELIMINATING BARRIERS TO CARE AND IMPROVING HEALTH LITERACY, THE HOSPITAL DID THE FOLLOWING:OLOAH PARTNERED WITH LOCAL COUNCILS ON AGING TO INCREASE HEALTH LITERACTY AND PRESENT INFORMATION THAT WOULD HELP ELIMINATE BARRIERS TO CARE IN THE COMMUNITY. TOPICS INCLUDE DEYHDRATION, CANCER, HEAT EXHAUSTION AND HEAT STROKE, ADVANCED CARE PLANNING, DIABETES, AND HEART DISEASE, TO NAME A FEW. OLOAH ALSO WORKED CLOSELY WITH LOCAL SCHOOLS TO RECRUIT FUTURE CLINICAL PROFESSIONALS THROUGH CAREER FAIRS AND TO BRING HEALTH AND WELLNESS MESSAGES TO YOUNG PEOPLE WHO ARE BEING RAISED IN HOMES WITH MANY HEALTH DISPARITIES. OLOAH ALSO WENT INTO THE COMMUNITY WITH MOBILE HEALTH FAIRS TO TAKE CARE TO THE PEOPLE WHERE THEY ARE IN ORDER TO ADDRESS TRANSPORTATION DISPARITIES AND PARTICIPATED IN A FARMERS' MARKET FAIR TO ENCOURAGE NOT ONLY HEALTH AND WELLNESS BUT HEALTHY EATING. TOGETHER WITH THE LSU RURAL FAMILY MEDICINE RESIDENCY PROGRAM, OLOAH PERFORMED PRO BONO STUDENT-ATHLETE SPORTS PHYSICALS AND HOSTED SEVERAL COMMUNITY HEALTH FAIRS THROUGHOUT THE FISCAL YEAR. OLOAH ALSO PARTICIPATED IN A PARTNERSHIP WITH THE BOGALUSA SCHOOL SYSTEM TO OFFEREDUCATIONAL OPPORTUNITIES FOR THEIR STUDENTS REGARDING PATHWAYS FOR ENTERING THE HEALTHCARE FIELD. THIS WAS DONE AS A MEANS TO INFORM THE YOUNG POPULATION ON MEANS OF ADVANCING THEMSELVES.RECOGNIZING THAT TRANSPORTATION IS A BARRIER TO CARE, OLOAH MADE SIGNIFICANT EFFORTS TO ADDRESS SUCH A NEED THROUGH SUBSIDIZED TRANSPORTATION SERVICES FROM ITS SITE.OLOAH ALSO CONTINUE TO HOST AN ONGOING TOBACCO CESSATION PROGRAM. OLOAH SOCIAL SERVICES TEAM PARTICIPATES IN SEVERAL COMMUNITY EDUCATION OFFERINGS CONCERNING BEHAVIORAL HEALTH AND SUBSTANCE USE. DURING THE FISCAL YEAR, OLOAH SOCIAL SERVICES DEPARTMENT HAD CONTACTS WITHCOMMUNITY MEMBERS, IN SETTING RANGING FROM LOCAL HEALTH FAIRS, COMMUNITY ORGANIZATION MEETINGS, TO COURT ORDERED SUBSTANCE ABUSE GROUPS.OLOAH FUNDED CONTRIBUTIONS THAT FURTHERED THE WORK OF ITS CHNA GOALS AND OBJECTIVES BY VETTING EACH REQUEST FOR DONATION TO DETERMINE IF THE DONATION MET THE NEEDS OF THE COMMUNITY AS DEFINED BY THE CHNA.OLOAH ALSO HELPED ESTABLISH A HEALTHY COMMUNITIES COALITION IN 2017. BORN OUT OF ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THIS MULTI-SECTOR COLLABORATIVE PARTNERSHIP HAS LAUNCHED A LIST OF INITIATIVES AIMED AT IMPROVING HEALTH OUTCOMES, HEALTH ACCESS AWARENESS, HEALTHCARE CONFIDENCE AND THE OVERALL STANDARD OF LIVING FOR THE PEOPLE OF WASHINGTONPARISH.OLOAH HAS CONTINUED ITS LEADERSHIP ROLE IN BOGALUSA STRONG AND FOCUS FRANKLINTON, IN PARTNERSHIP WITH LSU AGRICULTURAL CENTER, THE TOWN OF FRANKLINTON, THE CITY OF BOGALUSA, AND THE MAYOR OF BOGALUSA. THIS MULTI-SECTOR HEALTHY COMMUNITY COALITION IS A GROWING COLLABORATIVE OF MORE THAN 200 COMMUNITY PARTNERS AND ORGANIZATIONS WORKING TOGETHER TO IMPROVE QUALITY OF LIFE FOR WASHINGTON PARISH RESIDENTS BY PROMOTING PHYSICAL, SOCIAL AND ENVIRONMENTAL HEALTH. OLOAH MAINTAINED REGULAR MONTHLY COALITION MEETINGS IN CONJUNCTION WITH THE ROTARY CLUB OFBOGALUSA, AND DONATED THE USE OF ITS BOARD ROOM AND ITS A/V CAPACITIES AND TECHNOLOGY AS THE NEW MEETING SPACE FOR THE COALITION. OLOAH ACTIVELY PARTICIPATED IN COMMUNITY PROJECTS INSPIRED BY THE WELLNESS COUNCIL INCLUDING THE BOGALUSA UNITY INITIATIVE, COMMUNITY GARDENS, THE BREAST CANCER SUPPORT GROUP, THE TEAM CAPABLE SUPPORT GROUP FOR PARENTS OF CHILDREN WITH SPECIAL NEEDS.OLOAH ALSO INTEGRATED ITS COALITION EFFORTS BY PARTICIPATING IN THE REGIONAL HEALTHIER NORTHSHORE COALITION. IN NOVEMBER OF 2023, OLOAH LEAD THE ORGANIZATION AND EXECUTION OF A HEALTHIERNORTHSHORE HEALTH FAIR, AND INCORPORATED ITS TEAM MEMBERS INTO VARIED COALITION COMMITTEES.OLOAH IS NOT ADDRESSING THE FOLLOWING NEEDS IDENTIFIED IN ITS CHNA:ECONOMY, EDUCATION, JOBS, MENTAL HEALTH, OBESITY, POVERTY, RACISM, SPECIALTY CARE, SUBSTANCE ABUSE AND TRANSPORTATION. EACH OF THESE NEEDS IS OUTSIDE OF THE SCOPE OF THE HOSPITAL OR IS BEING INDIRECTLY ADDRESSED AS OLOAH ADDRESSES ELIMINATING BARRIERS TO CARE AND IMPROVING HEALTHLITERACY OR THROUGH COLLABORATION WITH OTHER GROUPS. OUR LADY OF THE ANGELS HOSPITAL, INC. PART V, SECTION B, LINE 13H: 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. PATIENTS' 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 OUR LADY OF THE ANGELS HOSPITAL, INC. PART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, 16A, 16B & 16C: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL AVAILABLE AT:HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ PART V, SECTION B, LINE 7A: THE CHNA CAN BE LOCATED AT:HTTPS://WWW.FMOLHS.ORG/ABOUT-US/COMMUNITY-IMPACT PART I, LINE 3C: 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. FULLY DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY DISCOUNT CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS WHERE MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. PART I, LINE 7: A 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, LINE 7F, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT WHERE APPLICABLE. PART III, LINE 2: AMOUNT REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF THE ANGELS HOSPITAL THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, RESIDENCY, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. 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 DISCOUNTED CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART VI, LINE 2: NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE ANGELS HOSPITAL WORKS CLOSELY WITH CHARITABLE ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. OUR LADY OF THE ANGELS ADOPTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT BY JUNE 30, 2022 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. PART VI, LINE 3: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE ANGELS HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 4: OUR LADY OF THE ANGELS HOSPITAL IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BOGALUSA, LOUISIANA, THAT SERVES WASHINGTON PARISH AND PORTIONS OF THE SURROUNDING PARISHES. THE HOSPITAL'S PRIMARY SERVICE AREA IS WASHINGTON AND ST. TAMMANY PARISHES. BASED ON THE MOST RECENT CHNA, WASHINGTON PARISH HAS A POPULATION OF APPROXIMATELY 46,194, AND THE SENIOR POPULATION COMPRISES ABOUT 18.5% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $37,570, WHICH IS SIGNIFICANTLY LOWER THAN THE STATE AVERAGE. ST. TAMMANY PARISH HAS A POPULATION OF APPROXIMATELY 260,419 AND THE SENIOR POPULATION COMPRISES ABOUT 17.5% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $68,905 WHICH IS HIGHER THAN THE STATE AVERAGE. PART VI, LINE 5: OLOAH PROVIDES ACUTE CARE INPATIENT SERVICES TO THE PEOPLE OF WASHINGTON PARISH, LOUISIANA, IN THE SMALL TOWN OF BOGALUSA. WITHOUT THIS ACCESS POINT, THE PEOPLE - MANY OF WHOM HAVE PROBLEMS WITH TRANSPORTATION - WOULD HAVE TO TRAVEL MANY MILES OUT OF THEIR WAY TO RECEIVE CARE. OLOAH IS AN ESPECIALLY IMPORTANT ACCESS POINT FOR THE PEOPLE OF WASHINGTON PARISH FOR EMERGENCY SERVICES FOR THIS REASON. OLOAH IS THE MAIN PROVIDER OF PRIMARY CARE IN THE AREA AS WELL AND ALSO OFFERS OBSTETRICS AND GYNECOLOGY/LABOR AND DELIVERY, INTENSIVE CARE, ORTHOPEDICS, INFECTIOUS DISEASE CARE, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES, AND PAIN MANAGEMENT.OUR LADY OF THE ANGELS HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE ANGELS ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT MAY BE FOREGONE OR POSTPONED RESULTING IN MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE ANGELS PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE ANGELS HOSPITAL IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. OUR LADY OF THE ANGELS HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 6: OUR LADY OF THE ANGELS HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE ANGELS HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA AND ONE IN MISSISSIPPI. OUR LADY OF THE ANGELS HOSPITAL SERVES THE COMMUNITY IN WASHINGTON PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: - OUR LADY OF THE LAKE HOSPITAL- OUR LADY OF LOURDES REGIONAL MEDICAL CENTER- ST. FRANCIS MEDICAL CENTER- OUR LADY OF THE LAKE ASSUMPTION HOSPITAL RELATED HOSPITAL IN MISSISSIPPI:ST. DOMINIC JACKSON MEMORIAL HOSPITAL 1 JAMES SAMARITAN 427 N THEARD STREET BOX 170 COVINGTON LA 70433 815362721 501(C)(3) 10000 0 GENERAL SUPPORT 1 0 0 1 0 0 0 0 0 0 0 CHARLES L SPICER JR PRESIDENT OLOL & BR MARKET 0 716043 0 163924 0 46135 0 104500 0 25469 0 1056071 0 0 JENNIFER CLOWERS REGIONAL CFO 0 410422 0 220415 0 1776 0 55765 0 27176 0 715554 0 0 LOWELL STANTON FMR REG CFO/CURRENT LOURDES CFO 0 470903 0 123980 0 5191 0 16500 0 26376 0 642950 0 0 HAMID HUSSAIN PHYSICIAN 547141 0 13416 0 8957 0 16500 0 31411 0 617425 0 0 0 BRYAN MILLER FORMER-INTERIM MKT PRES/FMOLHS CTO 0 467839 0 90659 0 5191 0 16500 0 29444 0 609633 0 0 GARLAND ANDERSON PHYSICIAN 418454 0 42338 0 58717 0 16500 0 28334 0 564343 0 0 0 PETER GUARISCO BOARD MEMBER/HS SVP MISSION INTEGRAT 0 317628 0 151774 0 5091 0 67895 0 20441 0 562829 0 0 GOLAM NOAZ PHYSICIAN 407256 0 27183 0 75891 0 16500 0 10245 0 537075 0 0 0 PAOLO ZAMBITO MARKET PRESIDENT 0 335130 0 98016 0 6311 0 46100 0 16586 0 502143 0 0 STEVEN OGDEN PHYSICIAN 383147 0 36368 0 64044 0 14900 0 1951 0 500410 0 0 0 RICHARD COLON-ORTIZ PHYSICIAN 409400 0 0 0 2705 0 13448 0 7693 0 433246 0 0 0 RALPH SERPAS VP CHIEF OPERATING OFFICER 203033 0 54979 0 3123 0 13419 0 26766 0 301320 0 0 0 ELIZABETH GARBO VP, CHIEF NURSING OFFICER/COO 170150 0 40267 0 2723 0 9586 0 19334 0 242060 0 0 0 DEBBIE WILLIAMS FORMER VP OF OPERATIONS 0 0 0 0 106387 0 3991 0 0 0 110378 0 0 0 PART I, QUESTION 3: THE MARKET PRESIDENT 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 1, QUESTION 4A: ONE FORMER OFFICER, TWO CURRENT OFFICERS AND ONE DIRECTOR 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 12 OR 18 MONTHS. DEBBIE WILLIAMS, A FORMER KEY EMPLOYEE, RECEIVED A SEVERANCE PAYMENT DURING THE YEAR OF $106,387. PART 1, QUESTION 4B: FMOLHS MAINTAINS TWO UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDED 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 THE APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. 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, SECTION A, LINE 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE ANGELS HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHARGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW BY KPMG, LLP, MANAGEMENT WILL REVIEW THE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OUR LADY OF THE ANGELS HOSPITAL, 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 OUR LADY OF THE ANGELS HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE ANGELS HOSPITAL, INC. 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, SECTION B, LINE 15 THE PRESIDENT & CEO, AND REGIONAL CFO OF THIS ORGANIZATION 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 OUTSIDE SOURCES. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PART VI, SECTION B, QUESTIONS 13 & 14: THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A DOCUMENT RETENTION POLICY AND A WHISTLEBLOWER POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS OR A COMMITTEE THEREOF BEFORE YEAR END. FORM 990, PART XI, LINE 9: CAPITAL TRANSFER 16,650,717. SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION OUR LADY OF THE ANGELS HOSPITAL INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DEMINIMIS 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 OUR LADY OF THE ANGELS HOSPITAL 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, 2024. 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