FURP.ORG / PUBLIC DATA EXPLORER

ST FRANCIS MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS MEDICAL CENTER INC (EIN 72-0408970)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349313637
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T16:17:16-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN STREET SUITE 2150AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720408970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTFRBusinessNameControlTxt
Phone2259232701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 ESSEN LANEAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRI HICKSPersonNm
Person TitleVP, FINANCE - CFO STFPersonTitleTxt
Phone2259232701PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRIPersonFirstNm
Person LastHICKSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAXWELL BARLOWPreparerPersonNm
PTINP01959439PTIN
Phone2253444000PhoneNum
Preparation2022-05-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRI HICKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 ESSEN LANEAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$399,701,264GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STFRAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1913FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1935TotalEmployeeCnt
Total Volunteers57TotalVolunteersCnt
Total Gross UBI$235,708TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$137,359NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,956,246PYContributionsGrantsAmt
CY Contributions Grants$32,043,454CYContributionsGrantsAmt
PY Program Service Revenue$313,754,505PYProgramServiceRevenueAmt
CY Program Service Revenue$321,306,759CYProgramServiceRevenueAmt
PY Investment Income$2,347,315PYInvestmentIncomeAmt
CY Investment Income$3,943,753CYInvestmentIncomeAmt
PY Other Revenue$3,664,493PYOtherRevenueAmt
CY Other Revenue$25,191,405CYOtherRevenueAmt
PY Total Revenue$324,722,559PYTotalRevenueAmt
CY Total Revenue$382,485,371CYTotalRevenueAmt
PY Grants And Similar Paid$24,590PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$33,850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$119,634,516PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$127,144,136CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$209,877,300PYOtherExpensesAmt
CY Other Expenses$190,895,514CYOtherExpensesAmt
PY Total Expenses$329,536,406PYTotalExpensesAmt
CY Total Expenses$318,073,500CYTotalExpensesAmt
PY Revenues Less Expenses-$4,813,847PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,411,871CYRevenuesLessExpensesAmt
Total Assets BOY$301,207,678TotalAssetsBOYAmt
Total Assets EOY$337,131,087TotalAssetsEOYAmt
Total Liabilities BOY$292,628,917TotalLiabilitiesBOYAmt
Total Liabilities EOY$253,102,955TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,578,761NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,028,132NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$213,059,543ExpenseAmt
Grant$33,850GrantAmt
Revenue$314,886,561RevenueAmt
DescST. 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. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING APPROXIMATELY, $3,393,405 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED 276 LICENSED BEDS, 74,066 INPATIENT DAYS, 11,755 INPATIENT DISCHARGES, AND 43,034 ER VISITS IN THE YEAR ENDED JUNE 30, 2021.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$27,660,808ExpenseAmt
Revenue$31,375,895RevenueAmt
DescST. FRANCIS MEDICAL CENTER'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$240,720,351TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1935EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMANDA HYMELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2257658496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15959 S SHERWOOD FOREST BLVDAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BISHOP FRANCIS MALONE
BOARD MEMBER1.000.00Yes (X)$0$0$0
CARRIE BAKER
BOARD MEMBER1.000.00Yes (X)$0$0$0
DR RON BERRY
BOARD MEMBER1.000.00Yes (X)$0$0$0
HILL HINKLE MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
JL HOLLAND
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
JANET DURDEN
VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
JOHN JONES
BOARD MEMBER1.000.00Yes (X)$0$0$0
JOHN REA
BOARD MEMBER1.000.00Yes (X)$0$0$0
KRISTIN S WOLKART
EX-OFFICIO, PRES/CEO SFMC1.0051.00Yes (X)$0$523,284$88,957Yes (X)
REV BRIAN MERCER
BOARD MEMBER1.000.00Yes (X)$0$0$0
REV EVERETT SLACK
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROLF MORSTEAD MD
EX-OFFICIO:CHIEF OF STAFF1.000.00Yes (X)$0$30,012$0
SHERITA WILLIAMS
BOARD MEMBER1.000.00Yes (X)$0$0$0
SR HELEN CAHILL
BOARD MEMBER1.004.00Yes (X)$0$0$0
SR MARY SEPULVADO OSF
BOARD MEMBER1.001.00Yes (X)$0$0$0
TARA HANEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
THOMAS J GULLATT MD
DIRECTOR/PHYSICIAN40.000.00Yes (X)$613,083$0$73,220
WILLIAM CHEEK
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIAM SMART
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
JEREMY ROGERS
VP, CHIEF OPERATING OFFICER1.0041.00$0$289,831$37,173Yes (X)
JEFFREY LIMBOCKER
EVP, CHIEF FINANCIAL OFFICER1.0059.50$0$971,153$196,661Yes (X)
KAYLA B JOHNSON
VP, PATIENT CARE SVCS40.000.00$269,525$0$81,436Yes (X)
JOHN KAHL
VP, OPS AND PHYSICIAN SVCS40.000.00$212,003$0$24,730Yes (X)
DARSHAN PATEL
STAFF PHYSICIAN40.000.00$593,558$0$32,696Yes (X)
JAMES G SMITH
HOSPITALIST40.000.00$645,610$0$76,287Yes (X)
JOHN D BRUCHHAUS
HOSPITALIST40.000.00$616,977$0$72,467Yes (X)
RICHARD KAMM
HOSPITALIST40.000.00$554,983$0$17,621Yes (X)
SARAH AHMAD
STAFF PHYSICIAN40.000.00$744,424$0$27,909Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,250,163TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,814,280TotReportableCompRltdOrgAmt
Total Other Compensation$729,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K151IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FMOL HEALTH SYSTEM
4200 ESSEN LANEBATON ROUGELA70809MANAGEMENT SERVICES$37,418,320
SPECIALTY MGMT SER OF OUACHITA
101 CATALPA STMONROELA71201CONTRACT LABOR SVCS$15,924,717
MORRISON MGMT SPECIALISTS
5801 PEACHTREE DUNWOODY RDATLANTAGA303421503DIETARY SERVICES$5,145,786
TRIMEDX INC
5451 LAKEVIEW PARKWAY S DRINDIANAPOLISIN46268MAINTENANCE SERVICES$4,583,968
CROTHALL HEALTHCARE INC
C/O OLOL 5000 HENNESSY BLVDBATON ROUGELA70808HOUSEKEEPING SERVICE$3,679,647
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Related Organizations$580,205RelatedOrganizationsAmt
Government Grants$31,023,148GovernmentGrantsAmt
All Other Contributions$440,101AllOtherContributionsAmt
Total Contributions$32,043,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621500$304,079,056$304,079,056
OTHER900099$14,828,346$14,828,346
CAFETERIA722514$1,401,380$1,401,380
INCOME FROM EQUITY INVESTEES523000$500,299$275,557$224,742
OUTREACH LAB621500$497,678$486,712$10,966
FieldValueIRS element (for citing)
Total Program Service Revenue$321,306,759TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$731,613TotalRevenueColumnAmt
Exclusion$731,613ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,579TotalRevenueColumnAmt
Exclusion-$1,579ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,989,746RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,989,746RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,989,746TotalRevenueColumnAmt
Related Or Exempt Func Income$3,989,746RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,458,414SecuritiesAmt
Other$1,971,198OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,274,021SecuritiesAmt
Other$1,941,872OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,184,393SecuritiesAmt
Other$29,326OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,213,719TotalRevenueColumnAmt
Exclusion$3,213,719ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINCREASE IN ACCRUED PENSIONDesc
Total Revenue Column$21,201,659TotalRevenueColumnAmt
Related Or Exempt Func Income$21,201,659RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$21,201,659OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,485,371TotalRevenueColumnAmt
Related Or Exempt Func Income$346,262,456RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$235,708UnrelatedBusinessRevenueAmt
Exclusion$3,943,753ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$33,850TotalAmt
Program Services$33,850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,082,471TotalAmt
Program Services$989,014ProgramServicesAmt
Management And General$93,457ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$105,361,877TotalAmt
Program Services$96,265,238ProgramServicesAmt
Management And General$9,096,639ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,161,862TotalAmt
Program Services$1,049,755ProgramServicesAmt
Management And General$112,107ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,967,464TotalAmt
Program Services$10,818,226ProgramServicesAmt
Management And General$1,149,238ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,570,462TotalAmt
Program Services$6,839,992ProgramServicesAmt
Management And General$730,470ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$53,129,673TotalAmt
Program Services$26,590,580ProgramServicesAmt
Management And General$26,539,093ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$132,165TotalAmt
Program Services$121,455ProgramServicesAmt
Management And General$10,710ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,590TotalAmt
Program Services$2,380ProgramServicesAmt
Management And General$210ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$202,796TotalAmt
Management And General$202,796ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,068,281TotalAmt
Program Services$17,911,342ProgramServicesAmt
Management And General$8,156,939ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$283,708TotalAmt
Program Services$92,793ProgramServicesAmt
Management And General$190,915ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,735,760TotalAmt
Program Services$4,595,007ProgramServicesAmt
Management And General$11,140,753ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$299,064TotalAmt
Program Services$97,816ProgramServicesAmt
Management And General$201,248ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,340,944TotalAmt
Program Services$5,362,513ProgramServicesAmt
Management And General$1,978,431ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$280,421TotalAmt
Program Services$91,718ProgramServicesAmt
Management And General$188,703ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,837TotalAmt
Program Services$9,432ProgramServicesAmt
Management And General$19,405ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,303,195TotalAmt
Program Services$79,723ProgramServicesAmt
Management And General$4,223,472ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,513,146TotalAmt
Program Services$10,025,719ProgramServicesAmt
Management And General$1,487,427ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,550,022TotalAmt
Program Services$821,034ProgramServicesAmt
Management And General$2,728,988ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXPENS$64,648,265$55,997,933$8,650,332
REPAIRS$3,187,776$2,761,232$426,544
OTHER EXPENSES$182,087$157,723$24,364
MISCELLANEOUS$6,784$5,876$908

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$318,073,500TotalAmt
Program Services$240,720,351ProgramServicesAmt
Management And General$77,353,149ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$63,700,732BOYAmt
EOY$88,054,581EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,482,187BOYAmt
EOY$34,890,565EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,197EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,973,006BOYAmt
EOY$6,427,342EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,433,362BOYAmt
EOY$2,941,403EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$360,927,937LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$261,197,474LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$102,908,383BOYAmt
EOY$99,730,463EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$76,143,400BOYAmt
EOY$99,554,709EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,736,701BOYAmt
EOY$1,316,350EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,829,907BOYAmt
EOY$4,205,477EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$301,207,678BOYAmt
EOY$337,131,087EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,864,554BOYAmt
EOY$39,705,855EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,347,049BOYAmt
EOY$31,408,546EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,714,677BOYAmt
EOY$115,601,574EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,702,637BOYAmt
EOY$66,386,980EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$292,628,917BOYAmt
EOY$253,102,955EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,301,999BOYAmt
EOY$83,597,302EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$276,762BOYAmt
EOY$430,830EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,578,761BOYAmt
EOY$84,028,132EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,207,678BOYAmt
EOY$337,131,087EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$64,411,871ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,720,236NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,682,736OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,008,246OtherCostOrOtherBasisAmt
Book Value$9,008,246BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,923,886OtherCostOrOtherBasisAmt
Depreciation$131,374,745DepreciationAmt
Book Value$53,549,141BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,099,344OtherCostOrOtherBasisAmt
Depreciation$2,833,004DepreciationAmt
Book Value$7,266,340BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,848,507OtherCostOrOtherBasisAmt
Depreciation$125,531,771DepreciationAmt
Book Value$29,316,736BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,047,954OtherCostOrOtherBasisAmt
Depreciation$1,457,954DepreciationAmt
Book Value$590,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$99,730,463TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD AT FMOLHSDesc
Book Value$99,554,709BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$99,554,709TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
OTHER LIABILITIES$4,920,094
DUE TO/FROM RELATED PARTIES-$4,142,642
ACCRUED PENSION COST$65,609,528
FieldValueIRS element (for citing)
Total Liability$66,386,980TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFIN 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$884,651TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$884,651DirectOffsettingRevenueAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,709,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,136,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,573,090NetCommunityBenefitExpnsAmt
Total Expense0.02700TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,594,427TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,021,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,573,090NetCommunityBenefitExpnsAmt
Total Expense0.02700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$666DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,001NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$614,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$460,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$153,664NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,880,511TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,880,511NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,515TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$700DirectOffsettingRevenueAmt
Net Community Benefit Expns$134,815NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,636,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$462,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,173,991NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,230,780TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,483,699DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,747,081NetCommunityBenefitExpnsAmt
Total Expense0.03380TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,122NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,122NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$251,916BadDebtExpenseAmt
Reimbursed By Medicare$74,565,774ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,036,781CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,471,007MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1901AddressLine1Txt
CityMONROECityNm
State AbbreviationLAStateAbbreviationCd
ZIP71210ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FMOLHS.ORG/STFRANWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 5: ST. FRANCIS MEDICAL CENTER (SFMC)THE ORGANIZATIONS ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. SFMC TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING SHEILA HUTSON, WHO IS AN RN AT THE OFFICE OF PUBLIC HEALTH. ADDITIONALLY, SFMC ALSOTOOK INTO ACCOUNT INPUT FROM THOSE WHO REPRESENT A BROAD INTEREST IN THE COMMUNITY BY CONDUCTING AN ONLINE SURVEY. THE PARTICIPANTS WERE ASKED TO SELECT FOUR HEALTH ISSUES.
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 11: SFMC'S PREVIOUS CHNA IDENTIFIED FIVE PRIORITY AREAS: CHRONIC DISEASE MANAGEMENT, OBESITY/SEDENTARY LIFESTYLES, SUBSTANCE ABUSE, ACCESS TO CARE, AND CARE FOR THE ELDERLY. WHILE SFMC HAS BEEN ACTIVELY WORKING TO FIGHT COVID-19 FOR THE MAJORITY OF THE PREVIOUS CHNA MEASUREMENT PERIOD, IT HAS REMAINED AS ACTIVE AS POSSIBLE IN THE COMMUNITY/SERVICE AREA WHILE PROTECTING THE SAFETY OF THE RESIDENTS AND SFMC TEAM MEMBERS. MANY STORIES EMERGE FROM SFMC DAILY THE "GOOD CATCHES" OUR TEAM MEMBERS MAKE AS THEY GO ABOUT THEIR DAILY WORK. FOR EVERY DELAYED STRATEGY THAT RESULTED FROM THE COVID-19 PANDEMIC, THERE ARE MORE THAT TAKE THEIR PLACES TO HELP PATIENTS RESTORE HEALTH, HELP BABIES COME INTO THE WORLD, HELP PATIENTS CONNECT WITH LIFE-SUSTAINING RESOURCES, HELP FAMILIES UNDERSTAND HOW TO HELP LOVED ONES, AND SO MUCH MORE. CARING, COMPASSION, OUTREACH, AND CONSTANT SEARCH FOR IMPROVEMENT ARE AT THE FOUNDATION OF THE CHNA PROCESS, AND THEY ARE AT THE CENTER OF WHAT SFMC TRIES TO DO EACH DAY AS WE CARE FOR THOSE MOST IN NEED. SFMC CONTINUED TO DEVELOP AND PROMOTE ITS PALLIATIVE CARE PROGRAM TO DECREASE PREVENTABLE HOSPITALIZATIONS AND ASSIST FAMILIES SEEKING CARE NAVIGATION. PATIENTS RECEIVED PRESCRIPTION ASSISTANCE CARDS THROUGH CASE MANAGEMENT, THE TOBACCO CESSATION PROGRAM, WOMEN'S & CHILDREN'S SERVICES, AND THE ST. FRANCIS MEDICAL GROUP TO ASSIST NOT ONLY WITH CHRONIC DISEASE MANAGEMENT BUT WITH ACCESS TO CARE. PATIENTS WERE ALSO REFERRED TO UNITED WAY 2-1-1 FOR INFORMATION ON ACCESSING HEALTHCARE AND RELATED SERVICES AFTER DISCHARGE. SFMC PARTNERED WITH THE UNITED WAY IN EARLY 2021 TO UPDATE THE 2-1-1 DATABASE WITH EVIDENCE-BASED INFORMATION FOR NEW PARENTS AND TO INITIATE A STATEWIDE PROJECT TO HELP PARENTS HAVE 24-HOUR ACCESS TO PARENTING-SPECIFIC ASSISTANCE (PROJECT ONGOING). SFMC COLLABORATED WITH FAITH GROUPS TO SET UP COVID-19 VACCINATION CLINICS AND TO PROVIDE SAFETY INFORMATION ABOUT PROTECTING CONGREGANTS FROM CONTRACTING OR SPREADING THE VIRUS (E.G., MASK WEARING, HANDWASHING, ETC.). SFMC ALSO PROVIDED COVID-19 DRIVE-THROUGH TESTING SITES AT VARIOUS LOCATIONS IN THE AREA. DURING THE PANDEMIC, TEAM MEMBERS HELD FOOD DRIVES TO SUPPORT THE FOOD BANK OF NORTHEAST LOUISIANA AND INDIVIDUAL EFFORTS BY DEPARTMENTS TO SUPPORT NEEDS IN THE COMMUNITY. ADDITIONALLY, THE NUMBER OF LIFESHARE BLOOD DRIVES WAS INCREASED TO HELP FILL A CRITICAL NEED FOR BLOOD IN THE COMMUNITY. BETWEEN SEPTEMBER 2020 AND JUNE 2021 ALONE, 289 PINTS OF BLOOD WERE DONATED WITH A CONSERVATIVE ESTIMATE OF IN-KIND COMMUNITY BENEFIT OF $7,424 DONATED FACTORING IN TEAM MEMBER TIME SPENT COORDINATING THE EVENT AND DONATING DURING WORK HOURS. DURING THE PREVIOUS CHNA MEASUREMENT PERIOD, THE ST. FRANCIS MEDICAL GROUP ADDRESSED OBESITY/SEDENTARY LIFESTYLES BY INTRODUCING IDEAL PROTEIN, A MODIFIED KETO DIET COMBINED WITH PROFESSIONAL SUPPORT AND HEALTHY EATING EDUCATION THAT OFFERS A SCIENTIFIC APPROACH TO WEIGHT LOSS THROUGH A THREE-PHASE PROTOCOL AND PERSONALIZED, ONGOING SUPPORT FOR PARTICIPANTS. SFMC TEAM MEMBERS WERE CHALLENGED TO PARTICIPATE AT A REDUCED COST, AND OUTCOMES WERE POSITIVE FOR ALL PARTICIPANTS. THE PROGRAM WAS THEN PROMOTED TO THE PUBLIC THROUGH SFMG PHYSICIANS AND SOCIAL MEDIA OUTLETS AS A HEALTHY ALTERNATIVE FOR WEIGHT LOSS. SFMC ALSO CONTINUED ITS WORK WITH NEW MOTHERS TO COMBAT OBESITY FROM THE BEGINNING OF LIFE BY ONLY PASSING OUT BREASTFEEDING INFORMATION TO NEW MOTHERS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE BREASTFEEDING AND BABY CARE CLASSES TRANSITIONED TO AN ONLINE FORMAT SO THE EDUCATION COULD CONTINUE TO BE PROVIDED, AND PARTICIPATION HAS BEEN CONSISTENT. NEW MOTHERS ARE CONTINUING TO REPORT INITIATION OF BREASTFEEDING, AND BREASTFEEDING IS THE ONLY METHOD DISCUSSED UNLESS THE MOTHER REQUESTS ALTERNATE EDUCATION/INFORMATION. A TOTAL OF 702 FAMILY MEMBERS WERE SERVED WITH EDUCATION CLASSES BOTH IN-PERSON AND ONLINE DURING THE CHNA MEASUREMENT PERIOD AS OF THE PUBLISHING OF THIS CHNA. IN THE PREVIOUS CHNA MEASUREMENT PERIOD, SFMC BEGAN THE PLANNING OF A PRESCRIPTION TAKEBACK DAY IN COLLABORATION WITH THE UNIVERSITY OF LOUISIANA AT MONROE COLLEGE OF PHARMACY. HOWEVER, DUE TO THE COVID-19 PANDEMIC, THE EVENT WAS PLACED ON HOLD. THE PLAN WILL BE REINITIATED DURING THE 2021 CHNA MEASUREMENT PERIOD, AND RESOURCES HAVE BEEN ALLOCATED. SFMC ALSO PLANS TO PARTNER WITH THE COUNCIL ON AGING AND THE WEST OUACHITA SENIOR CENTER TO CONDUCT SIMILAR EVENTS. SFMC PARTICIPATED IN THE PLANNING AND EXECUTION OF THE OUACHITA YOUTH LEADERSHIP SUMMIT IN PARTNERSHIP WITH THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA TO EDUCATE AUDIENCES ABOUT THE DANGERS OF VAPING IN YOUNG PEOPLE. IN TOTAL, 528 ADOLESCENTS AND ADULTS ATTENDED THE EVENT. ADDITIONALLY, IN THE PRIORITY AREA OF SUBSTANCE ABUSE, SFMC MET WITH NORTHEAST DELTA HUMAN SERVICES AUTHORITY TO DISCUSS PLANS TO WORK TOGETHER TO TREAT PATIENTS WHO NEED MENTAL HEALTH SERVICES AS WELL AS TOBACCO CESSATION; DISCUSSIONS ARE ONGOING. SFMC IMPLEMENTED A VIDEO VISIT PROGRAM IN FALL 2019 TO ADDRESS ACCESS TO CARE AND SUBSTANCE ABUSE FOR TOBACCO CESSATION PATIENTS BUT WAS UNABLE TO EXPAND THE VIDEO VISITS TO ADDITIONAL POPULATIONS (E.G., PRISON POPULATION, HOME HEALTH PATIENTS, ASSISTED LIVING CENTERS) AS MENTIONED IN THE IMPLEMENTATION STRATEGY DUE TO OTHER PROJECTS THAT TOOK PRIORITY AFTER THE COVID-19 PANDEMIC BEGAN. AT THE TIME OF THE PUBLISHING OF THIS CHNA, 2,244 TOBACCO CESSATION PATIENTS HAD COMPLETED A TELEHEALTH VISIT. THE SFMC TOBACCO CESSATION PROGRAM ALSO REDUCED ITS NO-SHOW RATE FROM 27% TO 11% BY INTRODUCING A TELEHEALTH PROGRAM, THEREBY KEEPING PATIENTS ON TRACK WITH THEIR APPOINTMENTS AND IMPROVING ACCESS TO CARE. BY PROMOTING THE AVAILABILITY OF TELEHEALTH, REFERRALS FROM HEALTHCARE PROVIDERS ALSO WENT UP FROM AN AVERAGE OF 33 PER MONTH TO 52 PER MONTH DURING THE CHNA MEASUREMENT PERIOD, WHICH HELPED MORE PATIENTS RECEIVE SERVICES. THE SFMC TOBACCO CESSATION PROGRAM WORKED CLOSELY WITH THE SFMG AND HOSPITALISTS TO INCREASE REFERRALS AND FOCUS ON OPERATIONAL ISSUES, SUCH AS HOW PROVIDERS PREFER TO SEND REFERRALS, MONTHLY REPORTS OF HOW MANY REFERRALS HAVE BEEN RECEIVED FROM EACH PROVIDER, FOLLOW-UP REPORTS ON PATIENTS, ETC., TO FOSTER RELATIONSHIPS AND BUILD THE PROVIDERS AS COMMUNITY ADVOCATES FOR THE PROGRAM. DISCUSSIONS BEGAN IN THE PREVIOUS CHNA PERIOD WITH AMERICORPS REGARDING THE DEPLOYMENT OF VOLUNTEERS TO THE SFMC EMERGENCY DEPARTMENT TO WORK AS NAVIGATORS FOR PATIENTS WITH SUBSTANCE USE DISORDERS. THIS PLAN WILL BE REINITIATED IN THE 2021 CHNA SINCE COVID-19 CASES ARE DECREASING. FMOLHS FOUNDED A DIVERSITY, EQUITY, & INCLUSION COUNCIL AT EACH OF ITS FACILITIES IN THE PREVIOUS CHNA MEASUREMENT PERIOD, AND SFMC WILL BE PILOTING COLLECTION OF COMMUNITY BENEFIT DATA RELATED TO THE DE&I COUNCIL WORK. THE SFMC COUNCIL HELD A MEET-AND-GREET IN THE HOSPITAL CAFETERIA SEPTEMBER 30, 2021, TO INTRODUCE THREE PROJECTS UNDERWAY (OVERCOMING IMPLICIT BIAS IN MATERNAL CARE, TUITION REIMBURSEMENT PROGRAM, AND CNA TO LPN PROGRAM). SFMC HOSTED THE UNITED WAY 2-1-1 TEAM ON-SITE IN FEBRUARY 2020 TO INTRODUCE TEAM MEMBERS TO THE SERVICE. INITIALLY, THE TEAM WAS SCHEDULED TO BE ON-SITE MONTHLY; HOWEVER, THE COVID-19 PANDEMIC PREVENTED THEIR RETURNING AFTER THE FIRST EVENT. INFORMATION HAS BEEN SHARED THROUGH OTHER METHODS, AND THE PLAN WILL BE REINITIATED WHEN APPROPRIATE. SFMC PROVIDED AN AVERAGE OF 548 MEALS PER MONTH AT A COST OF $4/MEAL TO MEALS ON WHEELS IN PARTNERSHIP WITH THE OUACHITA COUNCIL ON AGING DURING THE PREVIOUS CHNA MEASUREMENT PERIOD. DURING MANY MONTHS, THE NUMBER OF MEALS DELIVERED WAS HIGHER; HOWEVER, DUE TO THE LOWER NUMBER OF MEALS THAT WERE PROVIDED DUE TO DELIVERY RESTRICTIONS AND AVAILABLE DELIVERY STAFF DURING THE COVID-19 PANDEMIC, THE NUMBER OF MEALS PER MONTH DROPPED DRAMATICALLY IN SPRING 2020. PRIOR TO THE PANDEMIC, SFMC PARTNERED WITH A FARM-TO-WORK INITIATIVE AND PROMOTED THE AVAILABILITY OF FRESH FRUITS AND VEGETABLES TO BOTH ITS OWN TEAM MEMBERS AND BUSINESSES AND ORGANIZATIONS IN THE DOWNTOWN MONROE AREA AS WELL. THE SETUP WAS MADE AVAILABLE WHERE PASSERSBY AND HOSPITAL VISITORS COULD ACCESS THE PRODUCE. SFMC ATTEMPTS ON AN ONGOING BASIS TO MONITOR ACTIVITIES TO DETERMINE IF WHAT IS DONE IN THE COMMUNITY HELPS THE PEOPLE WE SERVE AND PROVIDES DIRECT COMMUNITY BENEFIT. MANY OF THESE ACTIVITIES FALL OUTSIDE THE PRIORITY AREAS CHOSEN FOR THE CHNAS AND ARE NOT CAPTURED ON A SCORECARD SUCH AS:- FREE FLU SHOTS FOR AUXILIARY MEMBERS, STUDENT INTERNS, OUTSIDE LICENSED INDEPENDENT PRACTITIONERS, AND CONTRACT/AGENCY PERSONNEL- FREE MAMMOGRAPHY SCREENINGS FOR ST. FRANCIS AUXILIARY MEMBERS WHO DO NOT HAVE INSURANCE TO COVER THE TOTAL COST(SEE SCHEDULE O)
ST. FRANCIS MEDICAL CENTERPART 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. 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
ST. FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATIONS FOR FULLY DISCOUNTED CARE.
PART V, SECTION B, LINE 7AST. FRANCIS MEDICAL CENTER:THE CHNA CAN BE FOUND AT HTTPS://STFRAN.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 16PART V, SECTION B, LINE 16A, 16B 16CST. FRANCIS MEDICAL CENTER:THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - COMMUNITY HEALTH CENTER
2600 TOWER DRIVEMONROELA71201VARIOUS OUTPATIENT SERVICES
2 - NORTHEAST LA CANCER INSTITUTE
411 CALYPSO STREETMONROELA71210CANCER TREATMENT AND IMAGING CENTER
3 - MONROE MRI CENTER
501 CATALPA STREETMONROELA71201MRI SERVICES
4 - ST FRANCIS PET IMAGING OF MONROE
PO BOX 1851MONROELA71201PET IMAGING SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. 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.
PART I, LINE 7:THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION. FOR PART I LINES 7E, 7F, 7G, 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.
PART I, LINE 7G:ST. FRANCIS MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES, INCLUDING SERVICES THAT PROVIDE PEDIATRIC NEUROLOGY, PEDIATRIC NEUROSURGERY, AND ADULT NEUROLOGY. THESE SPECIALIZED SERVICES ARE SUBSIDIZED BY ST. FRANCIS MEDICAL CENTER SINCE THESE ARE UNDER-SERVED SPECIALTY AREAS.
PART I, LN 7 COL(F):FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.
PART III, LINE 4:THE BAD DEBT FOOTNOTE IS ON PAGES 17 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. THE ORGANIZATION CURRENTLY DOES NOT BELIEVE THAT ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B: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 HELPIDENTIFY (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 ISDETERMINED 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.
PART III, SECTION A, LINE 2AMOUNTS REPRESENT THE ACTUAL CUSTOMER AMOUNTS DUE TO ST. FRANCIS MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.
PART VI, LINE 2NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, ST. FRANCIS MEDICAL CENTER, INC. WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH FAMILIES HELPING FAMILIES, THE WELLSPRING, THE CHILDREN'S COALITION, YMCA AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, A SCHOOL-BASED HEALTH CENTER AND A DIABETES AND NUTRITION CENTER WAS INITIATED AFTER A HEALTH CARE ASSESSMENT IDENTIFIED THE NEED. THE HOSPITAL CONDUCTED AN UPDATED COMMUNITY BASED NEEDS ASSESSMENT IN TAX YEAR 2018 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY.
PART VI, LINE 3PATIENT 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.
PART VI, LINE 4COMMUNITY INFORMATION:ST. FRANCIS MEDICAL CENTER (SFMC) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN MONROE, LOUISIANA THAT SERVES OUACHITA PARISH AND PORTIONS OF THE SURROUNDING PARISHES. FOR THE PURPOSE OF THE CHNA, SFMC DEFINES ITS PRIMARY SERVICE AREA AS LINCOLN AND OUACHITA PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, SFMC'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 205,383 AND THE SENIOR POPULATION COMPRISES ABOUT 13.48% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $40,167 IN OUACHITA PARISH AND $37,842 IN LINCOLN PARISH. APPROXIMATELY 19% OF THE PARISH'S RESIDENTS LIVE BELOW THE POVERTY LEVEL.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH:ST. FRANCIS MEDICAL CENTER 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: SFMC PROVIDES OCCUPANCY AND UTILITIES FREE OF CHARGE TO ST. VINCENT DEPAUL CHARITABLE PHARMACY SO THAT THE POOREST INDIVIDUALS IN THE COMMUNITY HAVE ACCESS TO PRESCRIPTION DRUGS. SFMC ALSO PROVIDES OCCUPANCY FREE OF CHARGE TO A PRIMARY HEALTH CARE CLINIC LOCATED IN ONE OF THE POOREST AREAS OF MONROE. THESE ACTIVITIES ALLOW THE RECIPIENT ORGANIZATIONS TO SPEND THEIR AVAILABLE FUNDS ON ACTIVITIES THAT HAVE MORE DIRECT IMPACT ON THOSE IN NEED. SFMC PROVIDES MANAGEMENT OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES, INCLUDING MEALS ON WHEELS, TAXI AND MEDICATION PROVIDED TO THE NEEDY, AND COMMUNITY BENEFIT SALARY DOLLARS. SMFC 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. SFMC IMPROVES ACCESS TO PUBLIC HEALTH THROUGH ITS FINANCIAL SUPPORT OF AN ADULT DAY HEALTH CARE FACILITY AND A SCHOOL BASED HEALTH CENTER. SFMC HAS MANY PROGRAMS DESIGNED TO PROMOTE LEADERSHIP DEVELOPMENT AND PROVIDE EXPOSURE TO VARIOUS CAREERS IN HEALTH CARE. SUCH PROGRAMS INCLUDE HEALTH INFORMATION MANAGEMENT, SPORTS MEDICINE PROGRAM, AHEC (AREA HEALTH EDUCATION CENTER) PROGRAM, CARROLL HIGH SCHOOL HOUSEKEEPING PROGRAM AND THE JR. VOLUNTEER PROGRAM. A MAJORITY OF THE GOVERNING BODY OF SFMC 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. SFMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE DEPARTMENTS, AS NEEDED. SFMC APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.
PART VI, LINE 6ST. 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 CENTEROUR LADY OF THE LAKE HOSPITALST. ELIZABETH HOSPITALOUR LADY OF THE LAKE ASSUMPTION HOSPITALOUR LADY OF THE ANGELS HOSPITALRELATED HOSPITAL IN MISSISSIPPI:ST. DOMINIC JACKSON MEMORIAL HOSPITAL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY LIMBOCKER
EVP, CHIEF FINANCIAL OFFICER$0$594,289$0$299,775$0$77,089$0$170,677$0$25,984$0$1,167,814$0$54,592
SARAH AHMAD
STAFF PHYSICIAN$729,884$0$11,738$0$2,802$0$7,125$0$20,784$0$772,333$0$0$0
JAMES G SMITH
HOSPITALIST$617,831$0$21,899$0$5,880$0$53,716$0$22,571$0$721,897$0$0$0
JOHN D BRUCHHAUS
HOSPITALIST$596,505$0$16,914$0$3,558$0$44,157$0$28,310$0$689,444$0$0$0
THOMAS J GULLATT MD
DIRECTOR/PHYSICIAN$504,001$0$103,202$0$5,880$0$53,716$0$19,504$0$686,303$0$0$0
DARSHAN PATEL
STAFF PHYSICIAN$525,081$0$65,675$0$2,802$0$7,125$0$25,571$0$626,254$0$0$0
KRISTIN S WOLKART
EX-OFFICIO, PRES/CEO SFMC$0$395,349$0$125,188$0$2,747$0$68,410$0$20,547$0$612,241$0$0
RICHARD KAMM
HOSPITALIST$534,586$0$17,271$0$3,126$0$7,125$0$10,496$0$572,604$0$0$0
KAYLA B JOHNSON
VP, PATIENT CARE SVCS$218,313$0$46,185$0$5,027$0$54,752$0$26,684$0$350,961$0$0$0
JEREMY ROGERS
VP, CHIEF OPERATING OFFICER$0$238,051$0$49,945$0$1,835$0$11,400$0$25,773$0$327,004$0$0
JOHN KAHL
VP, OPS AND PHYSICIAN SVCS$182,125$0$28,746$0$1,132$0$5,446$0$19,284$0$236,733$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER TRAVEL WAS USED BY THREE BOARD MEMBERS, ONE KEY EMPLOYEE AND TWO HIGHEST COMPENSATED EMPLOYEES WHEN IT WAS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL BETWEEN RELATED AND SUBSIDIARY HOSPITALS THROUGHOUT THE STATE OF LOUISIANA. THESE AMOUNTS WERE NOT INCLUDED IN EMPLOYEE COMPENSATION BECAUSE THE FLIGHTS WERE STRICTLY FOR BUSINESS PURPOSES.
PART I, LINE 4BFMOLHS MAINTAINS THREE 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. IN THE CURRENT YEAR, JEFFREY LIMBOCKER RECEIVED A PAYMENT OF $74,342.
PART I, QUESTION 3THE 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.
PART I, QUESTION 4ATHE CFO 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 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. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. A BOARD MEMBER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OUACHITA REHAB ASSOCIATES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionENTITY MORE THAN 35% OWNED BY ROLF MORSTEAD, BOARD MEMBERRelationshipDescriptionTxt
Transaction$203,079TransactionAmt
TransactionPERFORMANCE OF SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1: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.
FORM 990, PART III, LINE 1INSPIRED 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 6FMOL HEALTH SYSTEM, INC. (AN IRS SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF THE MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AFMOL 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, SECTION A, LINE 7BTHE 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, SECTION B, LINE 11BAFTER 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, SECTION B, LINE 12CST. 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, SECTION B, LINE 15BOUR 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, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CAPITAL TRANSFERS -8,682,736.
SECTION 1.263(A)-3(N) ELECTION-BOOK CONFORMITY ELECTIONST. 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, 2021.
SECTION 1.263 (A)-1(F)- ELECTION- DE MINIMIS SAFE HARBOR ELECTIONST. 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, 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).
SCHEDULE H, PART V, SECTION B. QUESTION 11- SUBSIDIZED HEALTH SERVICES FOR GROUPS SUCH AS LOUISIANA BAPTIST CHILDREN'S HOME, OBSTETRICS PATIENTS WHO DO NOT HAVE INSURANCE, PATIENTS ADMITTED THROUGH RURAL HOSPITALS WHEN THE PATIENT NEEDS A SERVICE THE RURAL HOSPITAL CANNOT PROVIDE, VETERAN'S ADMINISTRATION PATIENTS, PATIENTS APPLYING FOR DISABILITY, AND UNIVERSITY OF LOUISIANA AT MONROE ATHLETES - VOLUNTEER HOURS LOGGED ON BEHALF OF HEALTH-RELATED ORGANIZATIONS, SUCH AS AMERICAN HEART ASSOCIATION, AREA HEALTH EDUCATION CENTER (AHEC), THE CHILDREN'S COALITION FOR NORTHEAST LOUISIANA, SUSAN G. KOMEN FOR THE CURE, THE UNITED WAY OF NORTHEAST LOUISIANA, AND MORE - SUPPORT FOR ORGANIZATIONS FURTHERING HEALTH-RELATED PROGRAMS IN THE COMMUNITY IN THE FORM OF DONATIONS AND TIME SPENT HELPING WITH EVENTS, PROJECT ASSISTANCE, AND CONSULTING - ADMINISTRATIVE SUPPORT ON THE BOARDS OF COMMUNITY-BASED ORGANIZATIONS PROMOTING POSITIVE OUTCOMES FOR PEOPLE OF ALL AGES AND SOCIOECONOMIC BACKGROUNDS - MENTORING PROGRAMS WHICH PROVIDE HUNDREDS OF HOURS OF HANDS-ON CLINICAL INSTRUCTION FOR NURSING, RADIOLOGY, RESPIRATORY, HEALTH INFORMATION MANAGEMENT, AND LABORATORY STUDENTS - MEDICATIONS PROVIDED TO PATIENTS WHO CANNOT AFFORD TO PURCHASE THEM - TAXI EXPENSES FOR PATIENTS WHO DO NOT HAVE A SAFE MEANS OF TRAVEL TO REACH THEIR HOME WHEN THEY ARE DISCHARGED FROM SFMC - BACKPACKS AND SCHOOL SUPPLIES DONATED BY TEAM MEMBERS TO HELP CHILDREN WHOSE FAMILIES CANNOT AFFORD BACK-TO-SCHOOL COSTS - BREASTFEEDING AND BABY CARE CLASSES OFFERED ONLINE SO FAMILIES FROM THROUGHOUT THE REGION CAN ACCESS THE EDUCATION FROM THE CONVENIENCE OF THEIR HOMES REGARDLESS OF WHAT BARRIERS TO TRANSPORTATION THEY ARE EXPERIENCING - SUPPORT FOR A UNITED WAY-BASED LITERACY PROGRAM (READ. LEARN. SUCCEED) DESIGNED TO HELP SECOND AND THIRD GRADERS READ ON GRADE-LEVEL AND IMPROVE TEST SCORES

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS MEDICAL GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1901AddressLine1Txt
CityMONROECityNm
State AbbreviationLAStateAbbreviationCd
ZIP71210ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Total Income$32,236,599TotalIncomeAmt
End Of Year Assets$4,736,361EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SFMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST BERNARD HEALTH FUND
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(C)(3)LINE 12A, IFMOL0
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)LINE 10OLOL0
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216640714999HOLDING COMS501(C)(3)LINE 12C, III-FIFMOLHS0
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVEJACKSONMS39216640884870HEALTH PROGRAMMS501(C)(3)LINE 10SDHS0
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
969 LAKELAND DRIVEJACKSONMS39216640303091HOSPITALMS501(C)(3)LINE 3SDHS0
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVEJACKSONMS39216431992975FUNDRAISINGMS501(C)(3)LINE 7SDHS0
ST CATHERINE'S VILLAGE INC
969 LAKELAND DRIVEJACKSONMS39216640714997RET HOMEMS501(C)(3)LINE 10SDHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELAN/AN/A00
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELAN/AN/A00
BRPT LAKE REHABILITATION CENTERS LLC
175 S ENGLISH STATION RD STE 218LOUISVILLEKY40245721506100HEALTHCARELAN/AN/A00
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAN/AN/A00
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVDBATON ROUGELA70810263120962HEALTHCARELAN/AN/A00
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELAN/AN/A00
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELARELATED0Yes (1)SFMC$318,399$5,496,0820.50000
LHCG-XIII LLC DBA LOURDES HOME HEALTH
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELAN/AN/A00
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELAN/AN/A00
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELAN/AN/A00
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXN/AN/A00
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELARELATED0Yes (1)SFMC$218,381$251,1820.50000
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAN/AN/A00
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508474283509HEALTHCARELAN/AN/A00
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAN/AN/A00
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816821637627HEALTHCARELAN/AN/A00
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
C/O C T CORPORATION SYSTEM 3867 PLABATON ROUGELA70816943419282HEALTHCARELAN/AN/A00
HIGHLAND MEDICAL ARTS LLC
PO BOX 55769JACKSONMS39296743073171MED BUILDINGMSN/AN/A00
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6METAIRIELA70002843084552HEALTHCARELAN/AN/A00
FREMAUX MOB LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6METAIRIELA70002MED BLDGLAN/AN/A00
SHP MANAGING MEMBER LLC
7015 HIGHWAY 190 E SERVICE ROAD STECOVINGTONLA70433832168844HEALTHCARELAN/AN/A00
OLOL PONTCHARTRAIN SURGERY CENTER LLC
4200 ESSEN LANEBATON ROUGELA70809461379031HEALTHCARELAN/AN/A00
LAKE SURGICAL HOSPITAL (SLIDELL) LLC
1700 LINDBERG DRSLIDELLLA70458474228147HEALTHCARELAN/AN/A00
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
LOUISE INSURANCE COMPANY
PO BOX 1051 KY1-1102 CAYMAN ISLANDSCAYMAN ISLANDSCJINSURANCECJC0
FRANCISICAN HEALTH & WELLNESS SERVICES INC
HEALTHCAREC04200 ESSEN LANEBATON ROUGELA70809455492379LA
FMOL HEALTH SYSTEM HOLDINGS INC
INVESTMENTC04200 ESSEN LANEBATON ROUGELA70809454405024LA
ST DOMINIC MADISON HEALTH SERVICES INC
HEALTHCAREC0969 LAKELAND DRIVEJACKSONMS39216202870254MS
ST DOMINIC INTEGRATED SERVICES INC
INVESTMENTSC0969 LAKELAND DRIVEJACKSONMS39216271493623MS
LAFAYETTE SURGICARE INC
HEALTHCAREC0C/O C T CORPORATION SYSTEM 3867 PLABATON ROUGELA70816943419282LA
FIRST INTERMED CORPORATION
MEDICAL SERVICESC0308 CORPORATE DRIVERIDGELANDMS39157640824796MS
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd