2021-06-10T11:50:20-05:00 2020-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2019-07-01 720423651 Our Lady of the Lake Hospital Inc % AMANDA HYMEL OURL 2257656565 4200 Essen Lane Baton Rouge LA 70809 LOWELL STANTON CFO 2257656565 2021-06-09 true RYAN HOOKS P00746825 2253444000 2021-06-07 2019 2022-09-23 18:48:47Z X K SCOTT WESTER 4200 Essen Lane Baton Rouge LA 70809 1577907798 false 0928 X www.ololrmc.com X 1956 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS, AND TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY 17 14 9263 181 2506572 0 10562029 102311787 1294472705 1385296930 51568981 28337843 16875204 16652275 1373478919 1532598835 5411141 6257620 0 0 485753512 562134971 0 0 0 798336182 915723726 1289500835 1484116317 83978084 48482518 2169531783 2441820013 1036611162 1305615323 1132920621 1136204690 X 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. false false 908890841 6257620 1150495662 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 194,964 PATIENT DAYS, 195,943 EMERGENCY ROOM VISITS AND 36,656 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. 205259434 235128792 OUR LADY OF THE LAKE HOSPITAL'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 1114150275 true true false false false false false false false false true true false false true true false true false false true true false false false false true true true false true false false false false false false false false false false false false true true true true false false true 78 0 true 9263 true true true false false false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true false true false true true true X AMANDA HYMEL 2259232701 5959 S SHERWOOD BLVD BATON ROUGE LA 70809 X K SCOTT WESTER CEO 5.5 50.0 X X 0 1218510 238581 DENZIL L MORAES STAFF PHYSICIAN 40.0 0.0 X 1268335 0 34680 Paul M Dampf STAFF PHYSICIAN 40.0 0.0 X 1209442 0 39250 Charles A Smith STAFF PHYSICIAN 40.0 0.0 X 1084427 0 38456 JEFF LIMBOCKER CFO/EVP 1.0 59.5 X 0 898795 161397 Paul D Garrett STAFF PHYSICIAN 40.0 0.0 X 1001104 0 39379 NORMAN J DEUMITE STAFF PHYSICIAN 40.0 0.0 X 979845 0 27295 STEVEN T GREMILLION SVP, Chief Medical Officer 40.0 0.0 X 953738 0 31816 Terrie P Sterling Former COO 0.0 0.0 X 666848 0 79152 Stephanie Manson SVP, Chief Operating Officer 40.0 2.0 X 517230 0 75493 John Fraiche MD BOARD MEMBER 40.0 0.0 X 501884 0 14791 Alston Dunbar President of Children's Hospit 40.0 0.0 X 451974 0 33303 Nicole S Telhiard SVP Patient Care Services 40.0 0.5 X 371640 0 76111 Shaun M Kemmerly VP CHIEF MEDICAL OFFICER 40.0 0.0 X 405020 0 35786 DR JAMES CRAVEN BOARD MEMBER/PHYSICIAN 40.0 0.0 X 387926 0 17076 Laurinda Calongne VP CHIEF ACADEMIC OFFICER 40.0 0.0 X 340382 0 21671 Diane Kirby MD BOARD MEMBER/PHYSICIAN 40.0 0.0 X 70096 0 4515 YOLANDA DIXON Secretary 2.0 2.0 X X 0 0 0 JULIO MELARA BOARD MEMBER 2.0 0.5 X 0 0 0 DR BEN OUBRE BOARD MEMBER 2.0 0.0 X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.0 2.5 X 0 0 0 JOHN SELSER Chair 2.0 1.0 X X 0 0 0 William E Balhoff Chairman 2.0 2.0 X X 0 0 0 SR HELEN CAHILL BOARD MEMBER 2.0 9.0 X 0 0 0 HENRY EISERLOCH MD BOARD MEMBER 2.0 0.0 X 0 0 0 Scott N Hensgens BOARD MEMBER 2.0 0.0 X 0 0 0 Harry J Phillips Jr Vice-Chair 2.0 2.0 X X 0 0 0 Michael Crapanzano BOARD MEMBER 2.0 0.0 X 0 0 0 John Engquist BOARD MEMBER 2.0 0.0 X 0 0 0 Greg Bowser Board Member 2.0 0.0 X 0 0 0 Ronnie Daigle Board Member 2.0 0.0 X 0 0 0 Robert Landry MD Board Member 2.0 0.0 X 0 0 0 Stephen M Toups Board Member 2.0 0.0 X 0 0 0 Lowell Stanton Regional CFO 30.0 15.5 X 0 0 0 10209891 2117305 968752 687 true true false FMOL HEALTH SYSTEM 4200 Essen Lane Baton Rouge LA 70809 Management Fees 129606635 LSUHSC Clinics 58725 Airline Hwy LSU Unit Baton Rouge LA 70805 Medical Services 50475977 ANESTHESIOLOGY GROUP ASSOC 11414 Lake Sherwood Ave North Baton Rouge LA 70816 Ansethesiology Servi 15512089 MILTON J WOMACK INC 8400 JEFFERSON HWY Baton Rouge LA 70809 Contractor Services 16794950 CROTHALL HEALTHCARE INC 13028 Collection Center Drive Chicago IL 60693 Housekeeping Service 14148238 174 40889560 54249944 7172283 102311787 PATIENT SERVICE REVENUE 622110 1327113513 1327113513 PHARMACY 446110 20033680 19470697 562983 ALL OTHER PROGRAM SERVICE REVENUE 900099 18664798 18664798 INCOME FROM EQUITY INVESTEES 523000 12620074 13800263 -1180189 OUTREACH LAB 621500 6229964 3347748 2882216 634901 634901 1385296930 8967390 241562 8725828 2760561 2760561 0 17535615 883340 16652275 0 16652275 16652275 60446804 588711 43802178 623445 16644626 -34734 16609892 16609892 0 0 0 0 0 0 0 0 0 0 1532598835 1399684195 2506572 28096281 6245620 6245620 0 12000 12000 0 3161351 2921440 239911 0 457807880 423065396 34742484 33123437 30301814 2821623 38891961 35594572 3297389 29150342 26667167 2483175 217524827 117330498 100194329 1328827 1030482 298345 -27104 -21019 -6085 0 0 2057553 2057553 98127608 49281481 48846127 1368312 500409 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true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 83159133 83159133 926253296 323030344 603222952 3517907 1535838 1982069 402705216 241199073 161506143 22313490 15897923 6415567 856285864 INVESTMENT IN CAPITAL RESERVE 833432904 F INVESTMENT IN REGIONAL EYE 225928 F 833658832 0 CAPITAL LEASE 232088 ACCRUED PENSION COSTS 427309513 OTHER LIABILITIES 89325042 516866643 X FIN 48 (ASC 740 FOOTNOTE) Schedule D 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. 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X X X X true true X X X true 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 true X false X X X true X false false PART V, SECTION B, QUESTION 13H OUR LADY OF THE LAKE HOSPITAL: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. PATIENTS' CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5. PATIENT ELIGIBLE FOR FOOD STAMPS; 6. MEDICAID ELIGIBLE PATIENT; 7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY 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 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 7 OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: THE JOINT CHNA CAN BE FOUND AT THE FOLLOWING WEBSITES: HTTPS://OLOLRMC.COM/PAGES/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX http://www.healthybr.com/be-smart/community-health-needs-assessment HTTP://WWW.SSCBR.COM/ PART V, SECTION B, QUESTION 11 Our Lady of the Lake, Surgical Specialty Center and Our Lady of the Lake Surgical Hospital: In 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 the following to address these needs during the FYE 2020: Mental and Behavioral Health: OLOL worked to increase the percentage of compliance with depression screenings performed by LPG on individuals over 12 years of age and during this time period averaged a 43% completion rate. OLOL partnered with the Ascension Counseling Center referring patients for counseling - ACC served 4566 patients during this time frame. We planned for the opportunity to provide medical assistance detox (MAT) at the Family Center at O'Donovan, completed MD and nursing education and the compliance for the EPIC build - this went live in FYE 21. Continued to offer four clinic sites providing collaborative care, a $300K investment from OLOL. Continued to run a psychology intern program at the set up cost of $498K; as well as a psychiatry residency program with an investment of $175K. Worked towards increasing awareness and safe practice around prescribing, dispensing, and disposing of controlled substances. The DA funded 4 positions in OLOL Emergency Room for the implementation of the healthcare antiviolence intervention program. OLOL presented the Gabby Bessix antiviolence lecture series three times. HCCS provided 4674 encounters offering risk assessments, depression screenings, individual counseling and group counseling. HIV/Sexually Transmitted Infections: HCCS provided 2,712 STD Screenings along with prevention education to students. Provided HIV testing in OLOL Emergency Rooms and LSUHBR Clinics: In 2019 we had tested 29,828 with a 22% testing rate across all five sites; from January to June 2020 we tested 12,339 patients with a testing rate of 23% and Added two certified testing counselors in clinic settings. We linked 83% of newly diagnosed patients to care and Added a substance abuse therapy program for our patients. We hosted seven community events between Jan 2019 and June 2020 completing 252 tests. We began planning for Opt out Hep C testing to begin in FYE 2021. We were Active participants in the Mayor's Ending the HIV Epidemic Campaign. Healthy Living: We began planning for the Geaux Get Healthy program in conjunction with other community partners -community participants will be screened for food insecurity and then referred into a nutrition class, cooking classes, and a grocery store tour. OLOL Physicians began using the SSDH survey and made referrals into the GGH program. We continue to offer a Smoking Cessation program with one full time NCCTP and one CTTP and one part time PA. We have treated 840 new patients and have a current patient caseload of 201 active patients. We provide services in Baton Rouge, Gonzales, Lake Livingston, and New Roads. We sponsored BREADA for $20K to ensure healthy foods were accessible in targeted zip codes. Although limited by COVID, community education continued on 5210+10 (a childhood obesity prevention message). We also sponsored community education regarding chronic disease prevention and management and the introduction of COVID prevention education. Additional Outreach included: Partnership with Mary Bird Perkins to offer cancer screenings in both EBR and Ascension Parishes, health education on Obesity, Diabetes and Arthritis (although severely redistricted by COVID). 219 women were provided biometric screening by OLOL at Pennington's Women's Wellness Day sponsored by OLOL. 24 patients completed OLOL's Diabetes management Program.* 180 OLOL Ascension team members engaged in health coaching afforded to them for free by our OLOL's Healthy Lives Program (40 completed coaching program during this time frame). *Diabetes Management Program suspended between April and June Access to Care: OLOL continued to work toward increasing Medicaid enrollments assisted by OLOL staff - averaging an 85% conversation rate of applied to enrolled. This factors in increases due to loss of employment and changes in Medicaid guidelines; and decreases attributed to covid's effect on employment rates, missed appointments and access to patients. HCCS provided services to seven EBR Parish Schools, nine Charter Schools - at total of 45,241 students. Care included 4440 well checks, 3344 nursing encounters for injections, immunizations and labs and 3838 encounters for chronic disease care. OLOL invested $150K to expand the Faith Fund into communities of need; this fund provides low interest loans as an alternative to Pay Day lenders. OLOL North Clinic began surveying patients for Social Determinants of Health (SDOH) and when a patient is found to have food insecurity they are referred to the Geaux Get Healthy Program (see Healthy Living). OLOL's physicians have continued to lend expertise to projects related to access to care and have actively begun participating in collaborations with other community based organizations. The work during this time period has been focused on building out the tools that will be used by providers to address SDOH. Additionally they have begun to work on changing the culture to one that will consider SDOH in patient treatment. Surgical Specialty Center: 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 provides charity care. The Ear, Nose and Throat doctors at SSC are the only ENT Doctors in East Baton Rouge Parish who accept Medicaid. They are sent referrals for areas outside of the East Baton Rouge Parish as well. Our Lady of the Lake Surgical Hospital: Our Lady of the Lake Surgical Hospital addressed the following three identified health needs: Obesity, Access to health services, and specific orthopedic service line access. OBESITY Our Lady of the Lake Surgical Hospital provides nutritional information to older adults and senior citizens through quarterly presentations by hospital dietitians. Prior to COVID-19 restrictions, the dietitians travelled to Council on Aging St. Tammany (COAST) facilities for presentations. Times are allotted to offer free consultations monthly with a dietitian at the facility as requested. Our Lady of the Lake Surgical Hospital provides dietetic resources through 2 FTEs who provide consultation to nearly 700 patients annually. The dietitians provide services to approximately 15 patients per week. Of the approximately 700 patients seen annually, approximately 100 take advantage of follow-up nutritional support. Our Lady of the Lake Surgical Hospital provides online support for obese individuals in the community during the pandemic. Nutritional support is also offered to these individuals via an online resource, Bariatric Support Center International, which may better meet their needs. ACCESS TO HEALTH SERVICES Our Lady of the Lake Surgical Hospital provides print advertisement discussing available healthcare services provided at the facility. There were 12 ads placed providing information to the community along with 2 radio advertisements. OLOL also provides a directory of physicians and services available at the facility and within the community. This information is available through printed brochures, newspaper, and website distribution. SPECIFIC ORTHOPEDIC SERVICES LINE ACCESS The hospital provides services to the community in both an inpatient and outpatient capacity. The hospital provides 1 FTE to ensure adequate support and the ability to provide information regarding services available in the hospital or to the community in general. Our Lady of the Lake Surgical Hospital supports a case management, social services, and discharge planning program. Social Services has access to community services such as AA, multiple drug education programs, and other resources available through St. Tammany Parish. The facility offers education regarding smoking cessation, nutrition, and surgical and healthcare services, and continues to maintain a website and resources committed to offering support to the community. 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: HTTP://WWW.SSCBR.COM/PAGE.PHP?PID=21 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 PERKINS PLAZA AMB SURGERY CENTER 7145 PERKINS ROAD BATON ROUGE LA 708084322 SURGERY CENTER CONVENIENT CARE LLC 7777 HENNESSY BOULEVARD BATON ROUGE LA 70808 URGENT CARE BRPT-LAKE REHABILITATION CENTERS LLC 530 SHADOWS LANE BATON ROUGE LA 70806 REHABILITATION LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 URGENT CARE OLOL PONTCHARTRAIN SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 SURGERY CENTER PINNACLE CARE HOLDINGS LLC 5627 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 HOME HEALTH PART I, LINE 7: As part of its mission to improve the lives and health of community members, OLOL has a cooperative endeavor agreement (CEA) with the State of Louisiana Department of Health, formerly known as DHH, and Louisiana State University Health Sciences (LSU) that trains future physicians for our area and provides healthcare access to uninsured and under-insured residents. This public-private partnership has enabled positive healthcare transformation in Baton Rouge. Despite the closing of state-run hospitals and clinics, including Earl K. Long Medical Center in April 2013, and added challenges to the healthcare system created by the Baton Rouge General's closure of its Mid-City Emergency Room (ER) in March 2015, recent data shows that this new model of care in Baton Rouge is working well. The benefits of the CEA to the community are visible in the following ways: Patient Care A. Uninsured and Medicaid patients have access to more than 20 specialty services, many of which were not available to prior to the CEA. Local services now provided oncology, mental health/psych, mental health integration into primary care with the availability of a psychiatrist as a consultant, treatment of Hepatitis C with the help of a Hepatologist as a consultant, diabetes care, dermatology, cardiology and more, along with pharmacy, imaging and diagnostic services. With the 2016 Medicaid expansion in Louisiana, we have seen an increase across the board in clinic visits, up from 160,439 in 2017 to 161,541 in 2018. Those outpatient visits have more than doubled from 2012 due to expanded insurance coverage and more opportunity to access care. Increased access to care also included access to pharmacy and urgent care services. Patients filled 116,508 prescriptions that helped treat both acute and chronic conditions such as hypertension, asthma, diabetes and HIV. B. In coordination with LSU Health, OLOL operates two urgent care clinics to cost-effectively treat a wide range of injuries and conditions including infections, flus and fevers, broken bones and minor burns. Patients with these conditions would typically seek treatment in EDs which carry increased costs. Uninsured and an increasing number of patients with Medicaid, now have access to a more abundant right place, right level of care for these healthcare needs through LSU Health Urgent Care Centers and Lake After Hours. LSU Health has encountered 56,099 patients via its two Urgent Care locations. C. Increasing capacity for Emergency care has also been a priority for OLOL, especially in light of being the only Emergency Department in a 20 mile radius of North Baton Rouge and Mid City. Through the CEA with support from the state of Louisiana, OLOL made the decision to expand access and open a stand-alone Emergency Department on the campus of LSU Health North Baton Rouge clinic and urgent care site. By being in such close proximity to the Urgent Care vs the ED, this care coordination allows for opportunities to educate patients on the appropriate use of the emergency department as well as allows those who truly are in need of emergent care to receive treatment in a timely manner. D. Our Lady of the Lake is the only designated trauma center in region 2, which cared for 3,427 patients in 2018. 9.1% of all trauma patients were uninsured in 2018 and 36.3% had Medicaid as their payment source. The trend of half of all trauma patients treated each year being uninsured or having Medicaid has been consistent since 2012. Graduate Medical Education A. Through the CEA, OLOL is training future generations of physicians in nearly all medical specialties and subspecialties as these clinicians commit to improve patient care in Baton Rouge. Equally important, academic medical centers such as OLOL are attracting the top physicians in the country, which helps advance medicine and deliver more comprehensive services in Baton Rouge, the surrounding parishes and the state. B. OLOL serves as a clinical teaching site for 26 residency and fellowship programs, including 19 through Louisiana State University Health Sciences Center, OLOL (2), Baton Rouge General (3), and a joint program between OLOL and LSU (1).In addition to these improvements in the quality of care for uninsured and Medicaid patients in the area, OLOL has made capital investments that have benefitted families in the community and the region, including: 1. Building of Children's Hospital starting in 2016 and opening in Fall 2019 2. Opening of new North BR Emergency Room. Through this innovative partnership, OLOL has increased its efforts and reaffirmed its focus to bring better, more accessible care to the residents of Baton Rouge, and the organization remains devoted to serving the health needs of this community well into the future. Louisiana Department of Health provides payments under a reimbursement structure which are intended to compensate the hospital for incremental costs associated with higher Medicaid and uninsured patient volumes. Because of these reimbursements, which are considered direct offsetting revenue, the hospital's vital impact to the community in this effort is not directly reflected in the net community benefit percentage found at line 7k, column (f). The significant benefit to the community is better expressed as a percentage of total community benefit expense. 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 III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGE 18 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, 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 HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART VI, LINE 2: NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE 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. FOR MORE INFORMATION ON THE PROMOTION OF COMMUNITY HEALTH, PLEASE REFER TO THE PART VI SUPPLEMENTAL INFORMATION DESCRIPTION FOR PART 1 QUESTION 7. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL RELATED HOSPITAL IN MISSISSIPPI: ST. DOMINIC JACKSON MEMORIAL HOSPITAL 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 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. true BREADA P O Box 3975 Baton Rouge LA 70821 721332566 501(C)(3) 20000 General Support City Year Inc 287 Columbia Avenue Boston MA 021165114 222882549 501(C)(3) 20000 General Support Fore Kids Foundation 11005 Lapalco Blvd Avondale LA 70094 581940111 501(C)(3) 45000 General Support McCains Childrens Development Center 1805 College Drive Baton Rouge LA 70808 720459036 501(C)(3) 10000 General Support The Emerge Center 7784 Innovation Park Dr Baton Rouge LA 70820 455434705 501(C)(3) 13500 General Support American Heart Association 7272 Greenville Avenue Dallas TX 752314596 135613797 501(C)(3) 65500 General Support Livingston Economic Development Council P O Box 809 Livingston LA 70754 720966247 501(C)(6) 15000 See Part IV Livingston Parish Chamber of Commerce 248 Veterans Blvd Denham Springs LA 70726 720632651 501(C)(6) 6645 See Part IV HEALTH CARE CENTERS IN SCHOOLS 4336 North Boulevard Baton Rouge LA 70806 721443935 501(C)(3) 2900000 General Support FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY 5000 Hennessy Boulevard Baton Rouge LA 70808 721173156 501(C)(3) 1250004 General Support OLOL FOUNDATION 5000 Hennessy Boulevard Baton Rouge LA 70808 721014324 501(C)(3) 1200000 General Support Ascension Chamber of Commerce PO Box 1204 Gonzales LA 70707 720701121 501(C)(6) 11200 See Part IV Baton Rouge Area Foundation 100 North Street Ste 900 Baton Rouge LA 70802 726030391 501(C)(3) 15000 GENERAL SUPPORT BROC Foundation Inc 8080 Bluebonnet Blvd Ste1000 Baton Rouge LA 70810 461941501 501(C)(3) 59549 GENERAL SUPPORT City of Walker PO Box 217 Walker LA 70785 726013067 GOVT 12000 See Part IV The JL Foundation 21223 Water Front East Dr Maurepas LA 70449 752976320 501(C)(3) 10000 GENERAL SUPPORT The Walls Project 458 America St Baton Rouge LA 70802 455485171 501(C)(3) 10000 GENERAL SUPPORT Volunteer Ascension PO Box 1564 LSU Unit Gonzales LA 707071564 731376404 501(C)(3) 9175 General Support Baton Rouge Area Chamber 564 Laurel St Baton Rouge LA 70801 720126959 501(C)(6) 12500 See Part IV Baton Rouge Health District 5246 Brittany Dr Baton Rouge LA 70808 472593574 501(C)(3) 150000 General support FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 721028323 501(C)(3) 12000 INDIVIDUAL DISASTER ASSISTANCE 15 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. PART II, COLUMN (H) - PURPOSE OF GRANTS OR ASSISTANCE LIVINGSTON PARISH CHAMBER OF COMMERCE: EDUCATION INITIATIVES SPONSOR, LIVE 2 LEAD PROGRAM TICKET, BUSINESS EXPO SPONSOR, MEETINGS, GALA BATON ROUGE AREA CHAMBER: "THINK BIGGER" PLEDGE, 2018 CANVAS LUNCH SPONSOR LIVINGSTON ECONOMIC DEVELOPMENT COUNCIL: LEDC LIVINGSTON TOMORROW INVESTMENT ASCENSION CHAMBER OF COMMERCE: SPONSOR FOR EVENTS, LEADERSHIP HEALTHCARE SESSION, BUSINESS EXPO CITY OF WALKER: DONATION FOR OUTDOOR EXERCISE AT SIDNEY HUTCHINSON PARK - COOPERATIVE ENDEAVOR false true false false false false false false false DR JAMES CRAVEN BOARD MEMBER/PHYSICIAN 341169 25163 21594 11200 5876 405002 STEVEN T GREMILLION SVP, Chief Medical Officer 326652 624684 2402 11200 20616 985554 DENZIL L MORAES STAFF PHYSICIAN 807442 459675 1218 11200 23480 1303015 K SCOTT WESTER CEO 680881 397346 140283 208896 29685 1457091 119260 NORMAN J DEUMITE STAFF PHYSICIAN 594032 379461 6352 11200 16095 1007140 Nicole S Telhiard SVP Patient Care Services 299003 71826 811 50669 25442 447751 Paul M Dampf STAFF PHYSICIAN 421150 787815 477 11200 28050 1248692 Paul D Garrett STAFF PHYSICIAN 565048 435262 794 11200 28179 1040483 Charles A Smith STAFF PHYSICIAN 775201 308432 794 11200 27256 1122883 Laurinda Calongne VP CHIEF ACADEMIC OFFICER 273849 65357 1176 11200 10471 362053 John Fraiche MD BOARD MEMBER 499396 679 1809 11200 3591 516675 Shaun M Kemmerly VP CHIEF MEDICAL OFFICER 342200 60418 2402 11200 24586 440806 Stephanie Manson SVP, Chief Operating Officer 380528 135885 817 48926 26567 592723 Alston Dunbar President of Children's Hospit 367957 79984 4033 11200 22103 485277 Terrie P Sterling Former COO 217878 120154 328816 60178 18974 746000 308767 JEFF LIMBOCKER CFO/EVP 550613 293047 55135 135652 25745 1060192 45920 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 $137,584; TERRIE STERLING $326,775 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 CFO 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. GOVERNING DOCUMENTS PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART VI, SECTION A, QUESTION 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. MEMBERS PART VI, SECTION A, QUESTION 7B 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 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. PART VI, SECTION A, QUESTION 11 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. PART VI, SECTION A, QUESTION 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. DETERMINING COMPENSATION PART VI, SECTION B, QUESTION 15A & 15B 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. Part XI, Line 9 Other Changes in net assets or fund balances: Capital Transfers ($26,746,844) 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, 2020. 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, 2020. 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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