2022-05-16T21:49:52-05:00 2021-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2020-07-01 721028323 FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC FRAN 2259232701 4200 ESSEN LANE BATON ROUGE LA 70809 JEFF LIMBOCKER CFO/EVP 2259232701 2022-05-16 1 JEFF LIMBOCKER XXX-XX-XXXX KRISTEN ALMERICO P01664680 2253444000 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICHARD R VATH 4200 ESSEN LANE BATON ROUGE LA 70809 409638381 0 0928 X WWW.FMOLHS.ORG X 1984 LA MANAGES AN INTEGRATED HEALTH SYSTEM TO MAKE A DIFFERENCE IN OUR COMMUNITIES (SEE SCH O) 14 13 1454 13 -293572 0 369400072 18302437 272557710 302101612 -24611503 16000510 -25997563 -32570049 591348716 303834510 82769 209984 0 0 113719647 123598975 0 0 0 186904098 202453900 300706514 326262859 290642202 -22428349 2251713236 2901002958 1790740149 2415417865 460973087 485585093 X SEE SCHEDULE O 0 0 48538752 0 269622023 SEE SCHEDULE O 209984 209984 0 GRANTS ARE MADE TO CHARITABLE ORGANIZATIONS IN ORDER TO SUPPORT THE CHARITABLE MISSION OF FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. 48748736 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1321 0 1 1454 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 1 1 X AMANDA HYMEL 2259232701 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 SR BARBARA ARCENEAUX BOARD MEMBER 1.00 0.00 X 0 0 0 GERALD BOUDREAUX BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM BROWN BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLES P FREEBURGH BOARD MEMBER 1.00 0.00 X 0 0 0 SR REBECCA ANN GEMMA BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN HOFFMAN BOARD MEMBER 1.00 0.00 X 0 0 0 SR LILIAN LYNCH BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM W RUCKS BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN SELSER BOARD MEMBER 1.00 2.00 X 0 0 0 SR DOROTHEA SONDGEROTH BOARD MEMBER 1.00 0.00 X 0 0 0 SR LAURA WOLF BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT YARBOROUGH CHAIR 1.00 0.00 X X 0 0 0 REDFIELD BRYAN BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD R VATH PRESIDENT/CEO 50.00 1.50 X X 1777477 0 20751 T RICHARD LIEUX JR BOARD MEMBER/PHYSICIAN 40.00 0.00 X 138163 0 0 JOHN LORE BOARD MEMBER 1.00 0.00 X 0 0 0 JOLEE BOLLINGER EVP/GENERAL COUNSEL 50.00 1.00 X 725521 0 173697 JEFFREY D LIMBOCKER CFO/EVP 50.00 10.50 X 971153 0 196661 KEVIN COOK EVP/COO 50.00 0.00 X 517311 0 9254 STEVEN T GREMILLION EVP/CMO 50.00 0.00 X 666462 170219 32835 KENNETH WESTER PRESIDENT/CEO OF OLOL 50.00 8.00 X 1046740 0 258135 KRISTIN WOLKART PRESIDENT/CEO ST. FRANCIS 50.00 2.00 X 523284 0 88957 W BRYAN LEE PRESIDENT LOURDES & ACADIANA MARKET 50.00 0.00 X 595667 0 105281 AVERY CLOUD SVP/CIO 50.00 0.00 X 560751 0 32405 JOHN FINAN EXECUTIVE EMIRATUS 40.00 0.00 X 734617 0 31632 CRAIG VITRANO SVP/PHYSICIAN EXECUTIVE 50.00 0.00 X 647922 0 20098 HUNTER RICHARDSON SVP/CHIEF HRO 50.00 0.00 X 498366 0 120141 RENEE RAGAS PRESIDENT/SVP AMBULATORY 50.00 3.00 X 474302 0 133776 ROBERT RAMSEY FORMER CFO 0.00 0.00 X 670201 0 0 MICHAEL MCBRIDE FORMER PRESIDENT/CEO 0.00 0.00 X 1002843 0 0 11550780 170219 1223623 175 1 1 0 THE BANK OF NEW YORK MELLON 500 GRANT STREET ROOM 3012 PITTSBURGH PA 152192502 BANKING SVCS 20235653 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONIA WI 53593 SOFTWARE SVCS 13688555 BEECHER CARLSON 21800 OXNARD STREET STE 1080 WOODLAND HILLS CA 91367 INSURANCE SVCS 10422517 REGIONS BANK 290 DAVIDSON AVE SOMERSET NJ 08873 IS DATA PROJECT SVCS 9228477 MICROSOFT CORPORATION PRODUCT SUPPORT SERVICES ONE MICRO REDMOND WA 98052 SOFTWARE SVCS 9153617 144 18302437 18302437 MANAGEMENT FEES 622110 227609559 227609559 MEDICAL SUPPLY SALES 622110 36281743 36281743 CLINICAL INTEGRATION NETWORK 622110 25106876 25106876 MISCELLANEOUS REVENUE 622110 10843736 10843736 PURCHASE DISCOUNTS 622110 2237504 2237504 22194 22194 302101612 16031956 -203112 16235068 31446 -31446 -31446 -31446 73202376 105772425 -32570049 -32479589 -90460 303834510 269622023 -293572 16203622 X 209984 209984 11864581 2081210 9783371 87379122 15327492 72051630 4587635 761975 3825660 13260956 2204317 11056639 6506681 1080715 5425966 821999 34168 787831 1995812 5745 1990067 2040973 5875 2035098 56755769 6538361 50217408 7239082 383660 6855422 68175398 5230881 62944517 2832713 150129 2682584 6013591 1240503 4773088 345860 18330 327530 618054 32756 585298 964451 890114 74337 39056717 1617264 37439453 4946266 288042 4658224 MEDICAL SUPPLIES EXPENS 10647215 10647215 326262859 48748736 277514123 0 537240389 802552366 29719772 113467383 0 0 19417839 12741843 0 0 0 0 13542 2083 20217034 17788321 15251448 19210173 337957927 223446343 112963042 114511584 309490341 427988404 791888968 969715548 397306584 397306584 1642738 1642738 16561539 24075931 2251713236 2901002958 132291224 132444047 0 0 1768010 2956338 170000 17322163 0 0 0 0 0 0 0 0 1656510915 2262695317 1790740149 2415417865 X 460973087 485585093 0 0 460973087 485585093 2251713236 2901002958 X -22428349 47040355 X 0 1 X 1 1 1 X X 5 OUR LADY OF THE LAKE HOSPITAL INC 720423651 3 0 0 133844098 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER 720423635 3 0 0 46700456 ST FRANCIS MEDICAL CENTER INC 720408970 3 0 0 32561082 OUR LADY OF ANGELS HOSPITAL 463123178 3 0 0 4672503 FRANCISCAN PACE INC 260297860 7 0 0 1181713 5 0 218959852 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCH A, PART IV, SECTION A, LINE 1 FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC ("FMOLHS") SUPPORTS THE FOLLOWING ENTITIES: OUR LADY OF THE LAKE HOSPITAL (OLOL) OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (LOURDES) ST. FRANCIS MEDICAL CENTER (SFMC) OUR LADY OF ANGELS (ANGELS) FRANCISCAN PACE (PACE) FMOLHS HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH EACH OF THE ABOVE ENTITIES (COLLECTIVELY AFFILIATES) WHICH SPANS MANY DECADES. FMOLHS IS THE PARENT COMPANY OF THE AFFILIATES AND WORKS WITH EACH ON A DAILY BASIS TO PROVIDE CRITICAL HEALTHCARE, HEALTH EDUCATION AND OTHER COMMUNITY BENEFITS FOR THE SURROUNDING COMMUNITY. FMOLHS WAS FORMED IN 1984 FOR THE PURPOSE OF SUPPOERTING ITS AFFILIATED HOSPITALS AND OTHER ENTITIES. FMOLHS AND AFFILIATES ALSO HAVE SEVERAL OF THE SAME BOARD MEMBERS AND OFFICERS WHICH SERVE TO ENSURE A CLOSE AND CONTINUING RELATIONSHIP. DURING THIS FISCAL YEAR, AN FMOLHS OFFICER AND KEY EMPLOYEE SERVED AS BOARD MEMBERS OF OLOL AND SFMC, AN FMOLHS OFFICER SERVED AS AN OFFICER OF LOURDES AND TWO FMOLHS OFFICERS SERVED AS OFFICERS OF PACE. AN OLOL OFFICER AND A DIRECTOR SERVED AS AN OFFICER AND DIRECTOR OF ANGELS AND SFMC, AND AN OLOL OFFICER SERVED AS AN OFFICER OF LOURDES AND PACE. A LOURDES OFFICER SERVED AS AN OFFICER OF SFMC AND PACE. THE ENTITIES' INTERWOVEN HISTORY ALONG WITH ITS OVERLAPPING DIRECTORS/OFFICERS AND DAY-TO-DAY COLLABORATION SUPPORT A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN FMOLHS AND THE ABOVE-LISTED AFFILIATES. SCH A, PART IV, SECTION D, QUESTION 3 THE SUPPORTED ORGANIZATIONS (LAKE, LOURDES, SFMC, ANGELS AND PACE) ALL HAD A SIGNIFICANT VOICE IN THE FMOLHS'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE FMOLHS'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR SINCE THEY HAD MANY OF THE SAME OFFICERS AND BOARD MEMBERS AS FMOLHS. THROUGH THIS INTERDEPENDENCY AND DAY-TO-DAY COLLABORATION, A CLOSE AND CONTINUOUS WORKING RELATIONSHIP IS MAINTAINED. FMOLHS PROVIDES STRATEGIC PLANNING, LEADERSHIP SERVICES, AND BUSINESS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. THESE SERVICES ARE INFLUENCED BY AND RESULT FROM THE EXPRESSED NEEDS OF THE SUPPORTED ORGANIZATIONS. SCH A, PART IV, SECTION E, QUESTION 3A WITH REGARDS TO EACH OF THE SUPPORTED ENTITIES, FMOLHS HAS THE POWER TO APPROVE THE ELECTION OF ALL OFFICERS AND BOARD MEMBERS INCLUDING THE CHAIR OF THE BOARD AND THE VICE-CHAIR OF THE BOARD. SCH A. PART IV, SECTION E, QUESTION 3B FMOLHS PROVIDES MANAGEMENT AND OTHER SUPPORT SERVICES TO EACH OF ITS SUPPORTED ORGANIZATIONS ON A DAILY BASIS. SUCH SERVICES INCLUDE STRATEGIC PLANNING, LEADERSHIP SERVICES, PROJECT PLANNING, AND BUSINESS SUPPORT FUNCTIONS INCLUDING FINANCE LEADERSHIP, LEGAL, MISSION INTEGRATION, AND HUMAN RESOURCES LEADERSHIP. THE NATURE OF THESE SERVICES PROVIDED TO THE SUPPORTED ORGANIZATIONS NECESSITATE THE REQUISITE DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATIONS WOULD NOT BE ABLE TO ACCOMPLISH THE CRITICAL HEALTHCARE AND COMMUNITY SERVICES THEY PROVIDE WITHOUT THE GUIDANCE AND DIRECTION GAINED FROM FMOLHS. 0 1 0 0 0 1 157677 1 219585 0 1 175000 552262 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO VARIOUS MEMBERSHIP ORGANIZATIONS IS CONSIDERED LOBBYING AND IS REPORTED ON LINE 1F. THE ORGANIZATION PAYS AN EMPLOYEE TO MONITOR LEGISLATIVE ACTIVITIES. HIS SALARY AND REIMBURSED EXPENSES RELATED TO LOBBYING ARE REPORTED ON LINE 1G. THE ORGANIZATION PAYS AN UNRELATED ORGANIZATION FOR LOBBYING SERVICES. THOSE PAYMENTS ARE REPORTED ON LINE 1I. 4595500 4595500 21947092 3547665 18399427 1992816 1156404 836412 132851245 91943230 40908015 176571274 126799044 49772230 114511584 INVESTMENT IN FWHS 4957197 F INVESTMENT IN INNOVATION INSTITUTE 12998995 F INVESTMENT IN PREMIER HEALTH HOLDINGS 14618524 F INVESTMENT IN ROI 1221318 F CAPITAL RESERVE INVESTMENTS 935919514 F 969715548 INVESTMENT -ST DOMINICS 397306584 F 397306584 CAPITAL RESERVE INV HELD FOR OTHERS 2165361148 INTEREST RATE SWAP 2009923 SELF INSURANCE LIABILITY 8389422 CAPITAL LEASES 895359 DUE TO AFFILIATES 86039465 2262695317 X PART X, LINE 2: ASC 740 FIN 48 STATEMENT: 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 151806071 NORTH AMERICA INVESTMENTS 43485080 EUROPE (INCLUDING ICELAND AND GREENLAND) INVESTMENTS 23667593 SOUTH ASIA INVESTMENTS 18507960 0 0 0 0 0 0 237466704 0 237466704 1 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 TAKING AIM AT CANCER IN LOUISIANA INC PO BOX 10185 NEW ORLEANS LA 70181 834430802 501(C)(3) 30000 GENERAL SUPPORT LOUISIANA PUBLIC BROADCASTING 7733 PERKINS ROAD BATON ROUGE LA 70810 721233347 501(C)(3) 25000 CHILDRENS HEALTH TIPS & DOCUMENTARY SOUTHERN UNIVERSITY SYSTEM FOUNDATION/ATHLETICS PO BOX 9942 BATON ROUGE LA 70813 726000817 501(C)(3) 10000 ALTHLETICS TOTAL SPONSORSHIP SOUTH SIDE YOUTH SOCCER 221 SOUTHPARK RD C2 LAFAYETTE LA 70508 383810503 501(C)(3) 15000 SOCCER JERSEY SPONSORSHIP CATHOLIC HIGH SCHOOL 855 HEARTHSTONE DR BATON ROUGE LA 70806 720488665 501(C)(3) 10450 GENERAL SUPPORT 5 PART I, LINE 2: THE HEALTH SYSTEM CONSIDERS REQUESTS FOR FUNDS FROM NON-PROFIT, GOVERNMENTAL ENTITIES, AND OTHER TYPES OF NON-PROFIT ORGANIZATIONS FOR PROGRAMS OR ACTIVITIES THAT SUPPORT THE HEALTH SYSTEM'S MISSION. THE HEALTH SYSTEM UTILIZES SEVERAL RESOURCES TO VERIFY THE INTEGRITY AND AUTHENTICITY OF THE ORGANIZATION PRIOR TO FUNDING. THE HEALTH SYSTEM ANTICIPATES THAT THESE ORGANIZATIONS WILL MONITOR THE USE OF FUNDS IN ACCORDANCE WITH NON-PROFIT OR GOVERNMENTAL REQUIREMENTS. X 1 1 X X X 1 1 0 0 0 0 0 0 0 RICHARD R VATH PRESIDENT/CEO 1080681 0 687527 0 9269 0 274 0 20477 0 1798228 0 0 0 KENNETH WESTER PRESIDENT/CEO OF OLOL 663937 0 210990 0 171813 0 228388 0 29747 0 1304875 0 124160 0 JEFFREY D LIMBOCKER CFO/EVP 594289 0 299775 0 77089 0 170677 0 25984 0 1167814 0 54592 0 MICHAEL MCBRIDE FORMER PRESIDENT/CEO 0 0 0 0 1002843 0 0 0 0 0 1002843 0 0 0 JOLEE BOLLINGER EVP/GENERAL COUNSEL 487905 0 153325 0 84291 0 153347 0 20350 0 899218 0 56688 0 STEVEN T GREMILLION EVP/CMO 445860 63764 213976 105770 6626 685 11400 0 17386 4049 695248 174268 0 0 JOHN FINAN EXECUTIVE EMIRATUS 671014 0 27634 0 35969 0 0 0 31632 0 766249 0 0 0 W BRYAN LEE PRESIDENT LOURDES & ACADIANA MARKET 447500 0 146902 0 1265 0 80105 0 25176 0 700948 0 0 0 ROBERT RAMSEY FORMER CFO 0 0 0 0 670201 0 0 0 0 0 670201 0 0 0 CRAIG VITRANO SVP/PHYSICIAN EXECUTIVE 485943 0 152710 0 9269 0 421 0 19677 0 668020 0 0 0 HUNTER RICHARDSON SVP/CHIEF HRO 384115 0 112416 0 1835 0 108669 0 11472 0 618507 0 0 0 KRISTIN WOLKART PRESIDENT/CEO ST. FRANCIS 395349 0 125188 0 2747 0 68410 0 20547 0 612241 0 0 0 RENEE RAGAS PRESIDENT/SVP AMBULATORY 352813 0 119654 0 1835 0 107590 0 26186 0 608078 0 0 0 AVERY CLOUD SVP/CIO 419602 0 131880 0 9269 0 11400 0 21005 0 593156 0 0 0 KEVIN COOK EVP/COO 347534 0 150000 0 19777 0 0 0 9254 0 526565 0 0 0 PART I, LINE 1A CHARTER TRAVEL WAS USED BY ONE OFFICER AND ONE KEY EMPLOYEE WHEN IT WAS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL BETWEEN SUBSIDIARY HOSPITALS LOCATED THROUGHOUT THE STATE OF LOUISIANA. THESE AMOUNTS WERE NOT INCLUDED IN EMPLOYEE COMPENSATION BECAUSE THE FLIGHTS WERE STRICTLY FOR BUSINESS PURPOSES. SCHEDULE J, PART I, LINE 4A THREE OFFICERS, TWO FORMER OFFICERS, ONE HIGHEST COMPENSATED INDIVIDUAL AND TWO KEY EMPLOYEES 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, AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. MICHAEL MCBRIDE RECEIVED A PAYMENT UNDER THE PLAN IN THE AMOUNT OF $1,002,843. ROBERT RAMSEY RECEIVED A PAYMENT UNDER THE PLAN IN THE AMOUNT OF $670,201. TWO KEY EMPLOYEES AND THREE HIGHEST COMPENSATED EMPLOYEES 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. PART I, LINES 4A-B FMOLHS 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS DURING THE CURRENT YEAR - KENNETH WESTER $169,066, JOLEE BOLLINGER $81,544, JEFFREY LIMBOCKER $74,342. A LA PUBLIC FACILITIES AUTHORITY 2017A 720895871 956395L28 2017-06-29 163912079 FINANCE CHILDREN HOSPITAL 0 0 0 B LA PUBLIC FACILITIES AUTHORITY 2012A 720895871 2012-10-03 56530000 REFUND 2005C BONDS 0 0 0 C LA PUBLIC FACILITIES AUTHORITY 2015A 720895871 546395L28 2015-03-24 202788360 REFUND 2005A & 2009A 1 0 0 A 163912079 2079681 23491253 138341144 0 0 1 1 B 135000 56530000 445107 56084893 2012 0 1 1 1 C 1150000 1301135 202788360 2308799 200479561 2015 0 1 1 1 A 0 0 0 0 0 0 1 B 0 1 1 1 0 0.00090 0.00080 0.00170 0 0 1 C 0 1 1 1 0 0.00010 0.00140 0.00150 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: LA PUBLIC FACILITIES AUTHORITY 2017A DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2021 ISSUER NAME: LA PUBLIC FACILITIES AUTHORITY 2015A DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 PART I LINE 1 THROUGH CATHOLIC HEALTH SERVICES BY CALLING FORTH ALL WHO SERVE IN THE HEALTHCARE MINISTRY. FORM 990, PART III, LINE 1 INSPIRED BY THE VISION OF ST. FRANCIS 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. PART III, LINE 4A FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. SERVES AS THE SOLE-MEMBER TO THE FOLLOWING HOSPITALS ACROSS LOUISIANA: ST. FRANCIS MEDICAL CENTER IN MONROE, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER IN BATON ROUGE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IN LAFAYETTE, ST. ELIZABETH HOSPITAL IN GONZALES AND OUR LADY OF THE ANGELS HOSPITAL IN BOGALUSA. THESE HOSPITALS OFFER A FULL ARRAY OF ACUTE CARE AND TERTIARY SERVICES. FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. PROVIDES FOR ALL ITS SUBSIDIARIES STRATEGIC PLANNING, LEADERSHIP SERVICES, AND BUSINESS SUPPORT FUNCTIONS. THESE SERVICES INCLUDE PLANNING, FINANCE, LEGAL, RISK MANAGEMENT, MATERIALS, AND COMPLIANCE. ADDITIONALLY, THE FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. PROVIDES TECHNOLOGY SUPPORT THAT MAKES IT EASIER FOR DOCTORS TO MAKE THE RIGHT DIAGNOSIS, MAKES HEALTHCARE SAFER AND IMPROVES THE QUALITY OF CARE. FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. ALSO PROVIDES GUIDANCE AND RESOURCES THAT SUPPORT THE ENTIRE SYSTEM'S EFFORTS IN MARKEDLY CHANGING HOW THE HEALTHCARE SYSTEM CARES FOR THE ELDERLY POPULATION. FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. COORDINATES AND SUPPORTS ITS SYSTEM-WIDE MISSION OF REACHING THOSE PEOPLE WHO ARE MOST IN NEED OF HEALTH CARE IN EACH OF THE COMMUNITES SERVED BY ITS HOSPITALS. FORM 990, PART VI, SECTION A, LINE 6 THE ENTITY IS ORGANIZED AS A NON-PROFIT CORPORATION WITH MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS RETAIN THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF FMOL HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE RESERVED POWERS TO THE MEMBERS ARE AS FOLLOWS: 1. CHANGE PHILOSOPHY, OBJECTIVES, PURPOSES OF CORPORATION AND ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS. 2. APPOINT AND REMOVE BOARD OF TRUSTEES AND OFFICERS OF FMOL HEALTH SYSTEM 3. ALTER ARTICLES OF INCORPORATION AND BYLAWS OF FMOL HEALTH SYSTEM AND ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 4. AUTHORIZE MERGER, CONSOLIDATION OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. DISSOLVE AND DISTRIBUTE ASSETS OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 6. APPOINT AND TERMINATE CEO OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 7. ACQUIRE, LEASE, ENCUMBER REAL ESTATE ON BEHALF OF FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 8. ADD TO OR INCUR LONG TERM DEBT IN EXCESS OF $5 MILLION BY FMOL HEALTH SYSTEM OR ANY CORPORATION IN WHICH FMOL HEALTH SYSTEM RETAINS VOTING RIGHTS 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 FMOL HEALTH SYSTEM 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 RESULTS IN CREATING 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 OR 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 FMOL HEALTH SYSTEM 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, FMOL HEALTH SYSTEM 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 OUR BOARD OF DIRECTORS DESIGNATES THE HUMAN RESOURCES AND COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR EXECUTIVES AND KEY EMPLOYEES. THE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,538,361. MANAGEMENT AND GENERAL EXPENSES 50,217,408. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,755,769. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS 47,259,351. OTHER CAPITAL TRANSFERS -218,994. ROUNDING -2. PART XI, LINE 9 SECTION 1.263(A)-3(N) ELECTION - BOOK CONFORMITY ELECTION FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, 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, 2021. SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. 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, 2021. 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). 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