2022-05-16T16:14:38-05:00 2021-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2020-07-01 720423651 OUR LADY OF THE LAKE HOSPITAL INC OURL 2257656565 4200 ESSEN LANE BATON ROUGE LA 70809 LOWELL STANTON REGIONAL CFO 2257656565 2022-05-16 1 LOWELL STANTON 999009999 RYAN HOOKS P00746825 2253444000 2022-05-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z LOWELL STANTON 4200 ESSEN LANE BATON ROUGE LA 70809 1913734501 0 0928 X WWW.OLOLRMC.COM X 1956 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS, AND (SEE SCHEDULE O) 18 14 8560 148 881232 0 102311787 65990811 1385296930 1516154022 28337843 44933939 16652275 118324291 1532598835 1745403063 6257620 6283637 0 0 562134971 598162218 0 0 0 915723726 839787997 1484116317 1444233852 48482518 301169211 2441820013 2884038878 1305615323 1248290226 1136204690 1635748652 X SEE SCHEDULE O 0 0 906953403 6283637 1456455236 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 206204 PATIENT DAYS, 179,561 EMERGENCY ROOM VISITS AND 36,188 INPATIENT DISCHARGES. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES. 238597488 177141845 OUR LADY OF THE LAKE HOSPITAL'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 1145550891 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 73 0 1 8560 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 1 1 X AMANDA HYMEL 2259232701 5959 S SHERWOOD BLVD BATON ROUGE LA 70809 WILLIAM E BALHOFF CHAIR 2.00 2.00 X X 0 0 0 GREG BOWSER BOARD MEMBER 2.00 0.00 X 0 0 0 SR HELEN CAHILL BOARD MEMBER 2.00 3.00 X 0 0 0 MICHAEL CRAPANZANO BOARD MEMBER 2.00 0.00 X 0 0 0 DR JAMES CRAVEN BOARD MEMBER/PHYSICIAN 40.00 0.00 X 844319 0 34223 RONNIE DAIGLE BOARD MEMBER 2.00 0.00 X 0 0 0 YOLANDA DIXON SECRETARY 2.00 2.00 X X 0 0 0 HENRY EISERLOH MD BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN FRAICHE MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 506624 0 32378 JOHN ENGQUIST BOARD MEMBER 2.00 0.00 X 0 0 0 CRAIG GREENE MD BOARD MEMBER 2.00 0.00 X 0 0 0 SCOTT N HENSGENS BOARD MEMBER 2.00 0.00 X 0 0 0 JEFF LIMBOCKER BOARD MEMBER 1.00 59.50 X 0 971153 196661 DR BEN OUBRE BOARD MEMBER 2.00 0.00 X 0 0 0 HARRY J PHILLIPS JR VICE-CHAIR 2.00 2.00 X X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.00 2.50 X 0 0 0 STEPHEN M TOUPS BOARD MEMBER 2.00 0.00 X 0 0 0 KENNETH SCOTT WESTER CEO 5.50 50.00 X X 0 1046740 258135 LOWELL E STANTON REGIONAL CFO 15.50 40.00 X 0 561274 24388 ALSTON E DUNBAR PRESIDENT -CHILDREN'S HOSPITAL 40.00 0.00 X 476669 0 37586 STEPHANIE G MANSON SVP, CHIEF OPERATING OFFICER 40.00 2.00 X 502460 0 387112 NICOLE S TELHIARD SVP PATIENT CARE SERVICES 40.00 0.50 X 394520 0 88805 SHAUN M KEMMERLY VP, CHIEF MEDICAL OFFICER 40.00 0.00 X 407148 0 36948 KENNETH C CIVELLO STAFF PHYSICIAN 40.00 0.00 X 994268 0 40863 DENZIL L MORAES STAFF PHYSICIAN 40.00 0.00 X 1252079 0 36751 PAUL M DAMPF STAFF PHYSICIAN 40.00 0.00 X 1031292 0 39710 CARL RIGBY STAFF PHYSICIAN 40.00 0.00 X 1003451 0 40994 CHARLES A SMITH STAFF PHYSICIAN 40.00 0.00 X 1052936 0 39567 STEVEN T GREMILLION FORMER CHIEF MEDICAL OFFICER 5.00 40.00 X 170219 666462 32835 8635985 3245629 1326956 869 1 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT FEES 136840819 LSUHSC CLINICS 58725 AIRLINE HWY LSU UNIT BATON ROUGE LA 70805 MEDICAL SVCS 60833973 MILTON J WOMACK INC 8400 JEFFERSON HWY BATON ROUGE LA 70809 CONTRACTOR SVCS 17876260 ANESTHESIOLOGY GROUP ASSOC 11414 LAKE SHERWOOD AVE NORTH BATON ROUGE LA 70816 ANSETHESIOLOGY SVCS 17017282 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SVCS 16486043 111 918801 59990727 5081283 65990811 PATIENT SERVICE REVENUE 622110 1446045306 1446045306 ALL OTHER PROGRAM SERVICE REVENUE 900099 27204827 27204827 PHARMACY 446110 22977562 21916936 1060626 INCOME FROM EQUITY INVESTEES 523000 16623253 17014230 -390977 OUTREACH LAB 621500 2921432 2709849 211583 381642 381642 1516154022 9877015 9877015 -4966 -4966 19652476 874869 18777607 18777607 18777607 202037858 480601 167456569 0 34581289 480601 35061890 35061890 PENSION RELATED CHANGES 900099 99546684 99546684 99546684 1745403063 1633597081 881232 44933939 6271637 6271637 12000 12000 9252870 8530391 722479 498353612 459441371 38912241 8018317 7297207 721110 50028681 45550923 4477758 32508738 29585137 2923601 221101989 118664397 102437592 938418 687004 251414 -34104 -24967 -9137 2261673 2261673 104378901 53580189 50798712 1608302 579737 1028565 51468628 15239655 36228973 1818648 655563 1163085 30800122 26149566 4650556 549924 198230 351694 552639 199209 353430 19632098 1207817 18424281 58854351 51127154 7727197 14043159 5957799 8085360 MEDICAL SUPPLIES EXPENS 307996089 307996089 EQUIPMENT & MAINTENANCE 16511811 16511811 LOSS ON DISCONTINUED OP 6644783 6644783 PURCHASED SERVICES 657184 657184 3382 3382 1444233852 1145550891 298682961 0 347201457 483739705 29285193 25946448 902072 0 206176864 265893410 0 0 1086957 1106911 23243196 24092466 8686277 7435939 1503350305 642538481 856285864 860811824 1789737 0 833658832 1089683029 48386446 48025587 31696686 31096686 53420432 46206873 2441820013 2884038878 190341304 233634081 0 97932649 83883431 500474727 502758719 0 0 0 0 516866643 428013995 1305615323 1248290226 X 1127188435 1623998534 9016255 11750118 1136204690 1635748652 2441820013 2884038878 X 301169211 215556109 -17181358 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 93227315 93227315 920140106 353078797 567061309 25659189 18487262 7171927 416099550 266286208 149813342 48224145 4686214 43537931 860811824 INVESTMENT IN CAPITAL RESERVE 1089683029 F 1089683029 CAPITAL LEASE 7356939 ACCRUED PENSION COSTS 315953694 DUE TO AFFILIATES 33023851 OTHER NOTES PAYABLE 39008312 OTHER LIABILITIES 32671199 428013995 X PART X, LINE 2: FIN 48 (ASC 740 FOOTNOTE) THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING GENERAL SUPPORT 12000 0 0 0 0 0 0 12000 0 12000 CENTRAL AMERICA/CARRIBBEAN GENERAL SUPPORT 12000 CHECK 1 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 21104004 18558097 2545907 0.00180 390292203 284175804 106116399 0.07350 411396207 302733901 108662306 0.07530 105713 34457 71256 0.00000 48471251 22618359 25852892 0.01790 3488475 209312 3279163 0.00230 3522964 2585243 937721 0.00060 752940 752940 0.00050 56341343 25447371 30893972 0.02130 467737550 328181272 139556278 0.09660 118284 58 118226 0.00010 118284 58 118226 0.00010 0 158435275 167543227 176831223 -9287996 X 1 1 1 SURGICAL SPECIALTY SURGERY CENTER 0.49000 0.51000 2 REGIONAL EYE SURGERY IMAGING SERVICES 0.10750 0.89250 3 1 OUR LADY OF THE LAKE HOSPITAL 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 WWW.OLOLRMC.COM X X X X 2 SURGICAL SPECIALTY CTR OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 WWW.SSCBR.COM X X 3 LAKE SURGICAL HOSPITAL (SLIDELL) LLC 1700 LINDBERG DR SLIDELL LA 70458 WWW.SSHLA.COM X X OUR LADY OF THE LAKE HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X PART V, SECTION C X PART V, SECTION C X 1 18 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 SURGICAL SPECIALTY CTR OF BATON ROUGE 2 0 0 1 X X X X X X X X X 18 1 1 0 1 X PART V, SECTION C X PART V, SECTION C X 1 18 0 1 0 1 X 138.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X 1 X 0 0 LAKE SURGICAL HOSPITAL (SLIDELL) LLC 3 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTP://OLOLSH.COM/FOR-PATIENTS/ X 1 20 0 1 0 1 X 250.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X SEE SUPPLEMENT AT PART V X X X X X X X 1 X 0 X X X 1 X 0 0 OUR LADY OF THE LAKE HOSPITAL PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE HOSPITALIN 2018 THE PARTICIPANTS OF THE JOINT CHNA IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. OLOL FOCUSES ON ALL FOUR SIGNIFICANT NEEDS IDENTIFIED: HIV/SEXUALLY TRANSMITTED INFECTIONS, HEALTHY LIVING, ACCESS TO CARE, AND BEHAVIORAL AND MENTAL HEALTH. OLOL HAS CONTRIBUTED TO THE FOLLOWING TO ADDRESS THESE NEEDS DURING THE FYE 2021. HIV/SEXUALLY TRANSMITTED INFECTIONSOLOL'S HEALTH CARE CENTERS IN SCHOOLS (HCCS) PROGRAM ALSO OFFERS STI TESTING TO HIGH SCHOOL STUDENTS CONSENTED TO USE THE CLINIC. ADDITIONALLY, THEY HOST "GET YOURSELF TALKING, GET YOURSELF TESTED" DURING NATIONAL STI AWARENESS MONTH, TO PROVIDE EDUCATION ON SEXUAL BEHAVIOR. STUDENTS ARE GIVEN SURVEYS ABOUT STIS AND EDUCATION IS CONDUCTED BY BOTH THE NURSING AND LICENSED MENTAL HEALTH PROVIDER.IN RESPONSE TO 2006 CDC GUIDELINES AND ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA, LAUNCHED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES IN 2020, OUR LADY OF THE LAKE HOSPITAL (OLOL), GILEAD SCIENCES AND THE LOUISIANA OFFICE OF PUBLIC HEALTH ARE IN PARTNERSHIP TO PROVIDE OPT-OUT HIV TESTING AND EARLY LINKAGE TO CARE SERVICES TO PATIENTS AGES 13-64, THROUGH THE OLOL EMERGENCY DEPARTMENTS AND URGENT CARE FACILITIES. OLOL'S EARLY INTERVENTION CENTER (EIC) IS THE LARGEST PROVIDER OF COMPREHENSIVE HIV PRIMARY MEDICAL CARE SERVICES IN THE BATON ROUGE AREA AND THE STATE OF LOUISIANA. IN 2020, ACROSS THE TOTAL PATIENT POPULATION OF THE CLINIC, A VIRAL SUPPRESSION RATE OF 85.5% WAS ACHIEVED. THE EIC IS COMMITTED TO STAYING ON THE FOREFRONT OF TREATMENT ADVANCES, INNOVATIVE INTERVENTIONS, AND SERVICE ENHANCEMENTS TO ENSURE DELIVERY OF QUALITY HEALTHCARE TO PATIENTS LIVING WITH HIV. IN CONJUNCTION WITH LDH/OPH-STD/HIV/HCV PROGRAM, THE EARLY INTERVENTION CLINIC HAS HIRED TWO CONTRACT HIV TESTING COUNSELORS TO SCREEN PATIENTS FOR HIV IN THE OLOL LSU HEALTH CLINICS IN BATON ROUGE. THIS PILOT PROGRAM OF THE EARLY INTERVENTION CLINIC STARTED IN AUGUST 2019. THE COUNSELORS PROVIDE 82 INSTI HIV-1/HIV-2 TESTING AND HIV PREVENTION EDUCATION IN MULTIPLE CLINICS ACROSS THE 4 LOCATIONS OF OLOL LSU HEALTH BATON ROUGE. HEALTHY LIVING IN 2020-2021 OLOL TURNED ITS FOCUS TO COVID 19 TESTING AND VACCINE ADMINISTRATION. IN ADDITION TO THE COLLABORATIVE COMMUNITY AND LGP COVID TESTING SITES OLOL PROVIDED TO THE COMMUNITY SINCE THE ONSET OF THE PANDEMIC, OLOL ALSO PROVIDED VACCINES ONCE THEY BECAME AVAILABLE, RUNNING TESTING SITES AND VACCINE SITES SIMULTANEOUSLY PAST PUBLICATION OF THIS REPORT. OBSERVING HOW UNDER-REPRESENTED MINORITIES WERE IN THE RECEIPT OF THE COVID-19 VACCINE IN OUR COMMUNITIES AND IN OUR FACILITIES, OLOL BEGAN OFFERING AN OUTREACH MINISTRY PROGRAM FOR COVID 19 VACCINATIONS, WORKING IN PARTNERSHIP WITH LOCAL CHURCHES AND COMMUNITY CENTERS. OLOL CONNECTED WITH PREDOMINANTLY BROWN/BLACK CONGREGATIONS TO OFFER THE COVID-19 VACCINE TO CONGREGANTS. IN THE EARLY WEEKS OF VACCINE ADMINISTRATION WE PROVIDED UP TO 200 VACCINE APPOINTMENTS PER WEEK FOR THOSE 65 YEARS AND UP THROUGH THIS OUTREACH PROGRAM. THROUGH OLOL'S CLINICS, COMMUNITY POPUPS, PHARMACIES, HOSPITALS, AND A LARGE VACCINE SITE ESTABLISHED AT PENNINGTON BIOMEDICAL RESEARCH CENTER, OLOL PROVIDED OVER 133,400 COVID VACCINES THROUGH NOVEMBER 2021.OLOL'S CANCER INSTITUTE PROVIDED THE FOLLOWING CARE:OVER 3,000 PATIENTS ASSISTED BY THE NAVIGATION TEAM, PROVIDING RESOURCES SUCH AS TRANSPORTATION, PHYSICAL/EMOTION NEEDS & HOUSING, AND FINANCIAL SUPPORT. 127 PATIENT ENROLLED IN ONCOLOGY CLINICAL TRIALS 925 CANCER SCREENINGS PROVIDED AT 54 EVENTS THROUGHOUT THE COMMUNITY 914 SCREENINGS FOR LUNG CANCER PROVIDED; DIAGNOSING 23 PATIENTS.DURING THIS SAME PERIOD OF TIME ANOTHER 83 PATIENTS COMPLETED OLOL'S COMPREHENSIVE DIABETES PROGRAM CONSISTING OF INDIVIDUAL APPOINTMENTS AND CLASSES WITH A FOLLOW UP. THE AVERAGE REDUCTION OF HEMOGLOBIN A1C WAS 1.1%. THE COMMUNITY ADVOCACY DEPARTMENT WAS ALSO ABLE TO PROVIDE CAR SEAT CHECKS, CLASSES FOR PRE-TEENS AND SOME BIOMETRIC SCREENINGS SERVING AN ADDITIONAL 1110 COMMUNITY MEMBERS. AND THE GEAUX GET HEALTHY PROGRAM AT OLOL NORTH CONTINUED TO PROVIDE ITS WELLNESS PROGRAM THAT INCLUDED COOKING CLASSES, FRESH FOOD TOURS AND CLASSES WITH A NUTRITIONIST: SCREENED FOR FOOD INSECURITY- 468 (PATIENTS AND COMMUNITY MEMBERS) ENROLLED IN THE GGH PROGRAM- 294 IMPROVEMENTS IN FOOD INSECURITY BY 1 LEVEL (USDA)- 90 IMPROVEMENTS IN A METABOLIC METRIC (BP, WEIGHT, WAIST CIRCUMFERENCE, CHOLESTEROL OR BLOOD SUGAR)- 30 IMPROVEMENTS IN DEPRESSION SCORES (PHQ-9)- 20 ACCESS TO CAREOLOL CHILDREN'S HEALTH INTRODUCED A NEW RESOURCE FOR PARENTS, PARENTING U, DESIGNED TO HELP PARENTS AND CAREGIVERS NAVIGATE THE AMAZING JOURNEY OF PARENTHOOD WITH CONFIDENCE. THE PLATFORM INCLUDES ARTICLES, PODCASTS AND VIDEOS WITH SPECIAL GUESTS, INCLUDING PEDIATRICIANS AND HEALTH EXPERTS, DISCUSSING IMPORTANT TOPICS THAT ALL PARENTS FACE. IN 2021 65,793 EMAILS WERE READ, 3979 PODCASTS WERE DOWNLOADED, AND THE PARENTING U BLOG WAS VIEWED BY 7,658 PEOPLE.OLOLPG CONTINUED TO INCREASE ACCESS TO CARE BY EMPLOYING 130 ADULT PRIMARY CARE PROVIDERS AND 60 PEDIATRIC PRIMARY CARE PROVIDERS IN THE MARKET. OLOL ALSO HAD A PRESENCE IN HIGH NEED ZIP CODES - 70805 WITH AN URGENT CARE CLINIC, ADULT AND PEDIATRIC PRIMARY CARE CLINICS AND IN 70806 BY PROVIDING BOTH ADULT AND PEDIATRIC PRIMARY CARE CLINICS.ADDITIONALLY OLOL PROVIDED CARE TO PATIENTS IN 5 EMERGENCY ROOMS:MAIN: 80,792LIVINGSTON: 23,543ASCENSION: 31,339CHILDREN'S: 30,803NBR: 13,585OUR LADY OF THE LAKE HOSPITAL SUPPORTS HEALTH CENTERS IN SCHOOLS WHICH SERVES 7 SCHOOL-BASED HEALTH CENTERS AND SERVES OVER 90 SCHOOLS THROUGH THE SCHOOL NURSE PROGRAM. HEALTH CENTERS IN SCHOOLS MOBILE UNITS, CLINICS, AND SCHOOL NURSING CURRENTLY PROVIDE ACCESS TO QUALITY HEALTHCARE, MENTAL HEALTH SERVICES, AND HEALTH EDUCATION TO OVER 41,000 STUDENTS IN EAST BATON ROUGE AND CHARTER SCHOOLS THAT MAY HAVE TRANSPORTATION AND INSURANCE BARRIERS TO HEALTHCARE SERVICES.MENTAL AND BEHAVIORAL HEALTHIN 2021, THE TAU CENTER UNIT INCREASED INPATIENT ADOLESCENT BED CAPACITY BY 36% FROM 14 TO 19 BEDS. ALSO IN 2021 THE OLOL PSYCHOLOGY INTERNSHIP PROGRAM GRADUATED THEIR FIRST CLASS. THIS PROGRAM IS A ONE YEAR INTERNSHIP REQUIRED BY PSYCHOLOGY PHD AND PSYD DOCTORATE DEGREE CANDIDATES. OLOL'S PROGRAM HOSTS 2 INTERNS PER YEAR.OLOL'S FOUR LSU HEALTH OUTPATIENT CLINICS IN BATON ROUGE HAVE A COLLABORATIVE CARE PROGRAM INTEGRATING MENTAL AND BEHAVIORAL HEALTH CARE INTO THE PRIMARY CARE SETTING WHICH INVOLVED SHORT TERM/PROBLEM FOCUSED TREATMENT OF THE DEPRESSION AND ANXIETY. TO DATE 921 PATIENTS HAVE PARTICIPATED IN THE COLLABORATIVE CARE PROGRAM SINCE IT BEGAN IN 2018.IN 2021, THE FAMILY CENTER O'DONOVAN CLINIC PURCHASED A TRANSCRANIAL MAGNETIC STIMULATION MACHINE, WHICH IS A NON-INVASIVE ELECTRIC BRAIN STIMULATION TO TREAT PATIENTS WHOSE CONDITIONS HAVE NOT IMPROVED THROUGH CONVENTIONAL APPROACHES SUCH AS MEDICATION AND THERAPY. OLOL EXPANDED THE COLLABORATIVE ASSESSMENT AND MANAGEMENT OF SUICIDALITY PROGRAM ACROSS ADULT BEHAVIORAL HEALTH, EMERGENCY DEPARTMENT AND ACUTE CARE SETTINGS IN 2020. THE COMPREHENSIVE SUICIDE PROGRAM PUTS OLOL IN COMPLIANCE WITH NATIONAL STANDARDS. 814 CAMS CONSULTS PROVIDED OVER THE LAST THREE YEARS 34 PSYCHIATRY RESIDENTS, 7 PSYCHIATRY SUPERVISORS, 8 LCSWS, 7 PHD STUDENTS IN CLINICAL PSYCHOLOGY AND ALL ST. ANN'S STAFF TRAINED IN CAMPS AT OLOL TRAINED ENTIRE COPE TEAM IN CRISIS PREVENTION PLANNING IN 2020.OLOL CONTINUES TO FUND THE OPERATIONS OF 7 SCHOOL BASED HEALTH CLINICS WHERE SOCIAL WORKERS PROVIDE CASE MANAGEMENT, CRISIS INTERVENTION AND INDIVIDUAL, FAMILY AND GROUP COUNSELING THROUGH IN PERSON, TELEHEALTH VISITS AND COMMUNITY PARTNERSHIPS. 9009 COPE CONSULTS WERE PROVIDED DURING THIS TIME FRAME. COPE CONSULTS ARE MENTAL HEALTH ASSESSMENTS THAT RESULT IN ADMISSION TO A HOSPITAL OR REFERRAL TO AN OUTPATIENT RESOURCE.ADDITIONALLY, 21,081 PATIENTS WERE PROVIDED PSYCHIATRIC MEDICATION MANAGEMENT, MAT THERAPY FOR OPIOID ADDICTIONS AND INDIVIDUAL AND GROUP THERAPY IN OLOL'S AMBULATORY CLINICS. SURGICAL SPECIALTY CTR OF BATON ROUGE PART V, SECTION B, LINE 11: SURGICAL SPECIALTY CENTER ADDRESSED THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH OLOL. SSC PROVIDES SERVICES TO THOSE WITH MEDICAID COVERAGE AND PROVIDED CHARITY CARE. THE EAR, NOSE AND THROAT DOCTORS AT SSC ARE THE ONLY ENT DOCTORS IN EAST BATON ROUGE (EBR) PARISH WHO ACCEPT MEDICAID. THEY ARE SENT REFERRALS FOR PATIENTS LIVING OUTSIDE OF EBR AS WELL. DURING THIS TIME PERIOD, AFTER THE SPIKE OF COVID, SSCBR WAS AVAILABLE TO THE COMMUNITY TO PROVIDE SURGICAL CARE TO THOSE PATIENTS WITH "TIME SENSITIVE" SURGICAL NEEDS AS THE LARGER COMMUNITY HOSPITALS WERE LIMITING SURGICAL SERVICES DUE TO THE INFLUX OF COVID-19 CASES. ADDITIONALLY, SSCBR HAS EXPERIENCED GROWTH IN ITS TOTAL JOINT PROGRAM AS MORE ELECTIVE CASES MOVED FROM LARGER HOSPITALS TO SSCBR. LAKE SURGICAL HOSPITAL (SLIDELL), LLC PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE SURGICAL HOSPITAL ADDRESSED THE FOLLOWING THREE IDENTIFIED HEALTH NEEDS: OBESITY, ACCESS TO HEALTH SERVICES, AND SPECIFIC ORTHOPEDIC LINE ACCESS. OBESITYOUR LADY OF THE LAKE SURGICAL HOSPITAL PROVIDES NUTRITIONAL INFORMATION TO OLDER ADULTS AND SENIOR CITIZENS THROUGH OUTREACH SEMINARS AND VIRTUAL AND FACE TO FACE MEETING WITH DIETITIANS. THE HOSPITAL CONTINUES TO PROVIDE NUTRITIONAL VISITS WITH THE ASSISTANCE OF 2 FULL TIME EMPLOYEES WHO SCHEDULE NUTRITIONAL VISITS ON A DAILY BASIS. PRIOR TO COVID-19 RESTRICTIONS, THE DIETITIANS TRAVELED TO THE COUNCIL ON AGING ST. TAMMANY (COAST) FACILITIES FOR PRESENTATIONS TO GROUPS OF SENIORS AS SET UP BY COAST. AS COVID RESTRICTIONS BEGIN TO EASE WE WILL CONTINUE TO OFFER THIS BENEFIT TO SENIORS IN A GROUP SETTING AS PERMITTED, AND TO INDIVIDUALS WHO WISH TO SCHEDULE AT THE FACILITY. SCHEDULED TIMES AT COAST ARE ALLOTTED TO OFFER FREE CONSULTATIONS ON A MONTHLY OR QUARTERLY BASIS AS REQUESTED BY SENIORS AND OTHERS IN NEED, OR WHO COULD BENEFIT FROM SUCH EDUCATION. OUR LADY OF THE LAKE SURGICAL HOSPITAL PROVIDES DIETETIC RESOURCES THROUGH DIETITIANS WHO PROVIDE CONSULTATIONS TO NEARLY 800 PATIENTS ANNUALLY. THE DIETITIANS PROVIDE SERVICES TO APPROXIMATELY 20 PATIENTS PER WEEK AND WE CONTINUE TO GROW THAT NUMBER AS THE NEED IN OUR COMMUNITY INCREASES. MANY OF THESE PATIENTS TAKE ADVANTAGE OF FOLLOW UP VISITS AS PROVIDED BY OLOLSH. OUR LADY OF THE LAKE SURGICAL HOSPITAL ALSO PROVIDES ONLINE SUPPORT FOR OBESE INDIVIDUALS IN THE COMMUNITY AND SURROUNDING AREAS, NOT ONLY DURING THE PANDEMIC BUT AS A METHOD OF CONTINUING TO REACH OUR COMMUNITY WHILE MAINTAINING OUR SUPPORT FOR COVID RESTRICTIONS. NUTRITIONAL SUPPORT IS ALSO OFFERED TO THESE INDIVIDUALS VIA AN ONLINE SOURCE, OTHER RESOURCES INCLUDE BARIATRIC SUPPORT CENTER INTERNATIONAL, SUPPORT GROUPS, ALL OF WHICH MAY BETTER MEET THE NEEDS OF OUR COMMUNITY. ACCESS TO HEALTH SERVICES OUR LADY OF THE LAKE SURGICAL HOSPITAL PROVIDES PRINT ADVERTISING AND OTHER METHODS WHICH PROVIDE INFORMATION TO OUR COMMUNITY WITH REGARDS TO THE SERVICES PROVIDED. OLOLSH CONTINUES TO NOT ONLY PROVIDE INFORMATION WITHIN OUR COMMUNITY DIRECTLY BUT ALSO AREAS OF ST. TAMMANY WHICH ARE CURRENTLY UNDERSERVED FROM A HEALTHCARE PERSPECTIVE. THERE WERE MULTIPLE ADS PLACED PROVIDING INFORMATION TO THE COMMUNITY ABOUT SERVICES AVAILABLE AT THE FACILITY AND THROUGH OLOLSH'S COMMUNITY NETWORK. THE FACILITY PROVIDED INFORMATION THROUGH RADIO CONTACT WITH THE COMMUNITY, BILLBOARD VISIBILITY DIRECTLY THROUGH THE FACILITIES MARQUEE, TV MEDIA THROUGH A FULL ADVERTISEMENT IN WASHINGTON PARISH ALONG WITH THE DEVELOPMENT OF A SOCIAL MEDIA CAMPAIGN TO EMPHASIZE OUR WILLINGNESS TO SERVE OUR COMMUNITY'S NEEDS.SPECIFIC ORTHOPEDIC SERVICE LINE ACCESSOUR LADY OF THE LAKE SURGICAL HOSPITAL PROVIDES SERVICE TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT CAPACITY. THE HOSPITAL TREATED 747 PATIENTS DURING THIS TIME FRAME. THE HOSPITAL CONTINUES TO PROVIDE FTE SUPPORT TO ENSURE ADEQUATE ABILITY TO PROVIDE INFORMATION REGARDING SERVICES AVAILABLE IN THE HOSPITAL AND TO THE COMMUNITY IN GENERAL. THE FACILITY WORKS DIRECTLY WITH LAKE PHYSICIAN GROUP TO PROVIDE SERVICES FOR PATIENTS WHO COME FROM NORTHERN ST. TAMMANY AND WASHINGTON PARISHES'. THOSE AREAS ARE BOTH LOWER SOCIOECONOMIC AND UNDER SERVED FROM AN ORTHOPEDIC STANDPOINT. OLOLSH OFFERS THE SAME QUALITY CARE TO THOSE OF LESS MEANS TO ENSURE WE MEET OUR MISSION OF CARING FOR THE LESS FORTUNATE. OUR LADY OF THE LAKE SURGICAL HOSPITAL OFFERS CASE MANAGEMENT, SOCIAL SERVICES AND A DISCHARGE PLANNING PROGRAM TO SUPPORT OUR ORTHOPEDIC PATIENTS WHILE IN THE FACILITY AND AFTER DISCHARGE. OLOLSH SOCIAL SERVICES HAS ACCESS TO THE COMMUNITY SERVICES SUCH AS AA, MULTIPLE DRUG EDUCATION PROGRAMS AND MANY OTHER RESOURCES WHICH OFFER SUPPORT TO OUR PATIENTS AFTER DISCHARGE. MANY OF THESE SERVICES OFFER SUPPORT THROUGH ST TAMMANY, BUT THE FACILITY ALSO HAS CONTINUED RELATIONSHIPS IN WASHINGTON PARISH THROUGH A PARTNERSHIP WITH OUR LADY OF THE ANGEL'S HOSPITAL AND THOSE SERVICES NECESSARY TO HELP THAT AREA AS WELL. THE FACILITY OFFERS EDUCATION REGARDING SMOKING CESSATION, NUTRITION, SURGICAL AND HEALTHCARE SERVICES AND CONTINUES TO MAINTAIN A WEBSITE AND RESOURCES COMMITTED TO OFFERING SUPPORT TO THE COMMUNITY. MANY OF THESE SERVICES INCLUDING SOCIAL MEDIA AND PRINT RESOURCES WHICH OFFER INFORMATION SUPPORTING A HEALTHIER LIFESTYLE AND BETTER RECOVERY FOR OUR PATIENTS AND OUR COMMUNITY. PART V, SECTION B, QUESTION 6 OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE. PART V, SECTION B, QUESTION 5 OUR LADY OF THE LAKE HOSPITAL (OLOL) AND SURGICAL SPECIALTY CENTER (SSC) OF BATON ROUGE: OLOL & SSC JOINED THE MAYOR'S HEALTHY CITY INITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHY BR AND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESE GROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS INCLUDING THE OFFICE OF PUBLIC HEALTH, NONPROFIT ORGANIZATIONS AND SCHOOLS.THE LOCAL HOSPITALS PARTICIPATING WERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTER BATON ROUGE. LAKE SURGICAL HOSPITAL: LAKE SURGICAL HOSPITAL (SLIDELL) GATHERED INFORMATION FOR ITS CHNA USING SURVEYS, INTERVIEWS, AND PUBLISHED MATERIALS. THE HOSPITAL INTERVIEWED LEADERS FROM ORGANIZATIONS THAT INCLUDED PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA, AND REPRESENTATIVES OF UNDERSERVED POPULATIONS INCLUDING ADMINISTRATIVE LEADERSHIP IN LOW INCOME AND UNDERSERVED AREAS. LEADERS FROM THE COUNCIL ON AGING, THE CENTERS OF DISEASE AND CONTROL, CENTERS FOR MEDICARE AND MEDICAID SERVICES, AND THE PARISH HEALTH AUTHORITIES PROVIDED INPUT AND GUIDANCE ON THE CHNA. PART V, SECTION B, QUESTION 7 OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: THE JOINT CHNA CAN BE FOUND AT THE FOLLOWING WEBSITES: HTTPS://OLOLRMC.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTP://WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://WWW.SSCBR.COM/ABOUT-US/ PART V, SECTION B, QUESTION 13H OUR LADY OF THE LAKE HOSPITALPRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. PATIENTS' CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5. PATIENT ELIGIBLE FOR FOOD STAMPS; 6. MEDICAID ELIGIBLE PATIENT; 7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY PART V, SECTION B, QUESTION 16A, B, & C OUR LADY OF THE LAKE HOSPITAL: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/SURGICAL SPECIALTY CENTER OF BATON ROUGE: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://WWW.SSCBR.COM/FINANCIAL-ASSISTANCE/LAKE SURGICAL HOSPITAL (SLIDELL): THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTP://OLOLSH.COM/FOR-PATIENTS/ PART V, SECTION B, QUESTION 16J OUR LADY OF THE LAKE HOSPITAL, SURGICAL SPECIALTY CENTER OF BATON ROUGE, LAKE SURGICAL HOSPITAL (SLIDELL): REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. 6 1 - PERKINS PLAZA AMB SURGERY CENTER 7145 PERKINS ROAD BATON ROUGE LA 708084322 SURGERY CENTER 2 - CONVENIENT CARE LLC 7777 HENNESSY BOULEVARD BATON ROUGE LA 70808 URGENT CARE 3 - BRPT-LAKE REHABILITATION CENTERS LLC 530 SHADOWS LANE BATON ROUGE LA 70806 REHABILITATION 4 - LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 URGENT CARE 5 - OLOL PONTCHARTRAIN SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 SURGERY CENTER 6 - PINNACLE CARE HOLDINGS LLC 5627 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 HOME HEALTH PART I, LINE 7: 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, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS 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 3C FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS 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 HOPSITAL;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 III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGE 18 OF THE ATTACHED AUDITED FINANCIALSTATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, 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 IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART III, SECTION A, QUESTION 2 THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. PART VI, LINE 2 NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE LAKE HOSPITAL JOINED THE MAYOR'S HEALTHY CITY INITIATIVE IN 2007. STILL TODAY, OLOL SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS JUST ONE OF MANY JOINT EFFORTS THAT OLOL HAS PARTICIPATED IN ALONGSIDE OTHER HOSPITALS AND ORGANIZATIONS.IN MAY OF 2008, BATON ROUGE MAYOR-PRESIDENT MELVIN L. "KIP" HOLDEN COMMISSIONED THE MAYOR'S HEALTHY CITY INITIATIVE TO ENCOURAGE BATON ROUGE RESIDENTS TO ADOPT A HEALTHIER AND MORE ACTIVE LIFESTYLE. IN 2017 THERE WAS A CHANGE IN ADMINISTRATION, AND THE NEW MAYOR; SHARON WESTON BROOM COMMITTED TO AND CONTINUES THE WORK OF THE MAYOR'S HEALTHY CITY INITIATIVE. BOTH MAYORS ENVISION A PROGRAM THAT WOULD PROMOTE AND IDENTIFY RESOURCES AVAILABLE IN THE COMMUNITY FOR RESIDENTS TO LIVE HEALTHIER LIVES FREE OF CHRONIC DISEASE.IN LOUISIANA, ALMOST HALF OF OUR CHILDREN ARE CONSIDERED OVERWEIGHT OR OBESE, PUTTING THEM AT A MUCH GREATER RISK OF OBESITY-RELATED HEALTH PROBLEMS LIKE DIABETES, HEART DISEASE, STROKE, CANCER AND ASTHMA. NATIONWIDE THE NUMBER OF CHILDREN WHO ARE CONSIDERED OVERWEIGHT OR OBESE HAS NEARLY TRIPLED OVER THE PAST 30 YEARS. TO TACKLE THIS PROBLEM, THE MAYOR SUBDIVIDED THE INITIATIVE INTO 2 SEPARATE BUT COMPATIBLE PARTS: HEALTHY BR - A FOCUS ON HEALTHIER EATING AND A MORE ACTIVE LIFESTYLE MEDBR - A FOCUS ON ACCESS TO CARE AND HEALTH OUTCOMES EACH SUBGROUP ENGAGES A VARIETY OF PARTNER ORGANIZATIONS IN A COOPERATIVE EFFORT BETWEEN LOCAL AND STATE GOVERNMENTS, AREA HOSPITALS, PUBLIC HEALTH, AND LOCAL HEALTH ORGANIZATIONS AND NONPROFITS.OLOL IS A MAJOR SUPPORTER AND CONTRIBUTOR OF THE MAYOR'S HEALTHY CITY INITIATIVE. THE MAYOR'S HEALTHY CITY INITIATIVE SERVED AS A COMMON PLATFORM, ALLOWING FOR IN-DEPTH ROUNDTABLE DISCUSSIONS AMONG LOCAL AREA HOSPITALS. THE OLOL COMMUNITY ADVOCACY TEAM FACILITATED THOSE DISCUSSIONS AND PROCESSES FOR COMPLETING THE CHNA REPORT.OLOL ALSO WORKS SEPARATELY WITH COMMUNITY ORGANIZATIONS (ON THE CHNA IMPLEMENTATION PLAN) SUCH AS UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, BREC, BRAC, AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OLOL HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT ADDRESS THE 4 SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION: OUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, EAST BATON ROUGE HAS A POPULATION OF APPROXIMATELY 445,227 RESIDENTS. THE POPULATION IS RELATIVELY YOUNG, A MEDIAN AGE OF 33. THE SENIOR POPULATION COMPRISES ABOUT 12% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $49,942. 19.5% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 3.6%. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES.OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM.THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE 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.OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED.SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752314596 135613797 501C3 101225 GENERAL SUPPORT BATON ROUGE AREA CHAMBER 564 LAUREL ST BATON ROUGE LA 70801 720126959 501C6 125000 "THINK BIGGER" REGIONAL STRATEGIC PLAN P BATON ROUGE HEALTH DISTRICT 5246 BRITTANY DR BATON ROUGE LA 70808 472593574 501C3 150000 GENERAL SUPPORT BREADA PO BOX 3975 BATON ROUGE LA 70821 721332566 501C3 20000 GENERAL SUPPORT CITY YEAR INC 287 COLUMBIA AVENUE BOSTON ME 021165114 222882549 501C3 6000 GENERAL SUPPORT LIVINGSTON ECONOMIC DEVELOPMENT COUNCIL P O BOX 809 LIVINGSTON LA 70754 720966247 501C6 10000 LEDC LIVINGSTON TOMORROW INVESTMENT LIVINGSTON PARISH CHAMBER OF COMMERCE 248 VETERANS BLVD DENHAM SPRINGS LA 70726 720632651 501C6 6095 MEMBERSHIP DUES, WOMENS LEADERSHIP EVENT MCCAINS CHILDRENS DEVELOPMENT CENTER 1805 COLLEGE DRIVE BATON ROUGE LA 70808 720459036 501C3 10000 GENERAL SUPPORT PENNINGTON BIOMEDICAL RESEARCH FOUNDATION 6400 PERKINS RD BATON ROUGE LA 70808 581767810 501C3 5000 GENERAL SUPPORT HEALTH CARE CENTERS IN SCHOOLS 4336 NORTH BOULEVARD BATON ROUGE LA 70806 721443935 501C3 2900000 GENERAL SUPPORT FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721173156 501C3 1250004 GENERAL SUPPORT OUR LADY OF THE LAKE FOUNDATION 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721014324 501C3 1200000 GENERAL SUPPORT ASCENSION CHAMBER OF COMMERCE PO BOX 1204 GONZALES LA 70707 720701121 501C6 10500 GENERAL SUPPORT BATON ROUGE CHILDRENS ADVOCACY CENTER PO BOX 64740 BATON ROUGE LA 70896 260028918 501C3 5000 BRAC EVENT PREVENTION OF CHILD ABUSE SPO BROC FOUNDATION INC 8080 BLUEBONNET BLVD STE1000 BATON ROUGE LA 70810 461941501 501C3 135521 ATHLETIC TRAINING (ATC) OUTREACH FUND CITY OF WALKER PO BOX 217 WALKER LA 70785 726013067 GOVT 6000 DONATION FOR OUTDOOR EXERCISE EQUIP AT SIDNEY FORE KIDS FOUNDATION 11005 LAPALCO BLVD AVONDALE LA 70094 581940111 501C3 45000 ZURICHCLASSIC SPONSORSHIP HOPE MINISTRIES OF BATON ROUGE 4643 WINBOURNE AVE BATON ROUGE LA 70805 721245521 501C3 5000 PREVENT HOMELESSNESS, PROMOTE SELF SUFFICIENCY KNOCK KNOCK CHILDRENS 1900 DARYLMPLE DR BATON ROUGE LA 70808 731701786 501C3 60000 DIGITAL E LEARNING WITH KNOCK KNOCK CHILDREN'S MUSEUM LEADERSHIP ASCENSION FND PO BOX 1204 GONZALES LA 70707 463520621 501C3 7500 PARK BUILDING, ALL ABILITIES BASEBALL/SO LOUISIANA AAP PO BOX 64629 BATON ROUGE LA 70896 721002968 501C6 15000 CHILDREN ADVOCATES LOUISIANA PEDIATRIC CARDIOLOGY FDN 2137-A QUAIL RUN DR STE A BATON ROUGE LA 708084127 721476551 501C3 5000 GENERAL SUPPORT MAYORS HEALTHY CITY INITIATIVE 222 SAINT LOUSE ST STE 301 BATON ROUGE LA 70802 272515190 501C3 5000 HIV SUMMIT SOUTHERN UNIVERSITY SYSTEM PO BOX 9942 BATON ROUGE LA 70813 726000817 GOVT 10000 SPONSORSHIP ST JOHN PAUL II FOUNDATION 7730 WESTVIEW DR HOUSTON TX 77055 461840643 501C3 5000 GENERAL SUPPORT THE EMERGE FOUNDATION 7784 INNOVATION PARK DR BATON ROUGE LA 708207006 455434705 501C3 10000 GENERAL SUPPORT THE SAFETY PLACE 10245 SIEGAN LN STE B BATON ROUGE LA 70810 274504881 501C3 5000 GENERAL SUPPORT VETERAN OF FOREIGN WARS OF THE PO BOX 382 GONZALES LA 70737 726033381 501C3 5000 GENERAL SUPPORT 23 5 MONITORING GRANTS FORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT, ARE CHECKED FOR ALL APPROPRIATE INFORMATION, AND ARE PRESENTED TO EXECUTIVE ADMINISTRATION FOR APPROVAL. THE HOSPITAL GIVES GRANTS TO ORGANIZATIONS WELL-KNOWN IN THE COMMUNITY, OR WHICH IT HAS A HISTORY OF GIVING TO. THE HOSPITAL FOLLOWS UP WITH GRANT RECIPIENTS IF THERE IS AN INDICATION OF POTENTIAL THAT THE FUNDS ARE NOT BEING USED FOR CHARITABLE PURPOSES. 0 1 0 0 0 0 0 0 0 KENNETH SCOTT WESTER CEO 0 663937 0 210990 0 171813 0 228388 0 29747 0 1304875 0 124160 DENZIL L MORAES STAFF PHYSICIAN 822335 0 428502 0 1242 0 11400 0 25351 0 1288830 0 0 0 JEFF LIMBOCKER BOARD MEMBER 0 594289 0 299775 0 77089 0 170677 0 25984 0 1167814 0 54592 CHARLES A SMITH STAFF PHYSICIAN 753257 0 298869 0 810 0 11400 0 28167 0 1092503 0 0 0 PAUL M DAMPF STAFF PHYSICIAN 418808 0 611998 0 486 0 11400 0 28310 0 1071002 0 0 0 CARL RIGBY STAFF PHYSICIAN 898966 0 97986 0 6499 0 11400 0 29594 0 1044445 0 0 0 KENNETH C CIVELLO STAFF PHYSICIAN 625828 0 367630 0 810 0 11400 0 29463 0 1035131 0 0 0 STEPHANIE G MANSON SVP, CHIEF OPERATING OFFICER 380045 0 120580 0 1835 0 361009 0 26103 0 889572 0 0 0 DR JAMES CRAVEN BOARD MEMBER/PHYSICIAN 739810 0 84309 0 20200 0 11400 0 22823 0 878542 0 0 0 STEVEN T GREMILLION FORMER CHIEF MEDICAL OFFICER 63764 445860 105770 213976 685 6626 0 11400 4049 17386 174268 695248 0 0 LOWELL E STANTON REGIONAL CFO 0 410291 0 136397 0 14586 0 0 0 24388 0 585662 0 0 JOHN FRAICHE MD BOARD MEMBER/PHYSICIAN 422811 0 81338 0 2475 0 11400 0 20978 0 539002 0 0 0 ALSTON E DUNBAR PRESIDENT -CHILDREN'S HOSPITAL 391522 0 82400 0 2747 0 11400 0 26186 0 514255 0 0 0 NICOLE S TELHIARD SVP PATIENT CARE SERVICES 297387 0 95298 0 1835 0 62876 0 25929 0 483325 0 0 0 SHAUN M KEMMERLY VP, CHIEF MEDICAL OFFICER 334826 0 70000 0 2322 0 11400 0 25548 0 444096 0 0 0 PART 1, QUESTION 4B FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN 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 PLAN IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. DURING THE CURRENT YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLANS - K. SCOTT WESTER $169,066, JEFF LIMBOCKER $74,342 PART 1, QUESTION 3 THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE. PART 1, QUESTION 4A THE CEO AND A BOARD MEMBER ARE 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. TWO KEY EMPLOYEES ARE 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 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. AN OFFICER AND A KEY EMPLOYEE ARE 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 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. FORM 990, PART I, LINE 1 TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY FORM 990, PART III, LINE 1 INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP,A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. FORM 990, PART VI, SECTION A, LINE 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE LAKE HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS THE RESERVED POWERS TO THE MEMBER ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION FORM 990, PART VI, SECTION B, LINE 11B AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. 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 CONFLICT OF INTEREST OUR LADY OF THE LAKE HOSPITAL, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT OUR LADY OF THE LAKE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE LAKE HOSPITAL, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. FORM 990, PART VI, SECTION B, LINE 15 DETERMINING COMPENSATION OUR BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY OUTSIDE SOURCES. 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 COMPENSATION FOR THE CEO OF OUR LADY OF THE LAKE HOSPITAL, INC. 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS -17,181,358. FORM 990, PART XI, LINE 10 SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION OUR LADY OF THE LAKE HOSPITAL, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THE 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 OUR LADY OF THE LAKE HOSPITAL, 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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