2020-07-15T15:26:49-05:00 2019-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2018-07-01 720423651 Our Lady of the Lake Hospital Inc % AMANDA HYMEL OURL 2257656565 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 JEFF LIMBOCKER CFO/EVO 2257656565 2020-07-14 true RYAN HOOKS P00746825 2253444000 2020-07-14 199.206.0.5 72049520201975000016 2020-07-15 P EB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCD 606B868638B351F0DD3B21299E8CEABE66140F96 2018 2021-01-29 14:40:06Z JEFF LIMBOCKER 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 1514347335 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 18 13 7433 230 3493546 13147896 10562029 1167503418 1294472705 65085995 51568981 32063189 16875204 1277800498 1373478919 5292661 5411141 0 0 455533467 485753512 0 0 0 673203674 798336182 1134029802 1289500835 143770696 83978084 1924172030 2169531783 892572014 1036611162 1031600016 1132920621 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 767068320 5411141 1067691057 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 195,523 PATIENT DAYS, 209,648 EMERGENCY ROOM VISITS AND 38,797 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. 173230934 222524688 Our Lady of the Lake Hospital's physician practice provides care to the needy members of its communities. 940299254 true true false true false false false false false false true true false true true true false true false false true true false false false false true true true false true false false false false false false false true false false false false true true true true false false true 280 0 true 7433 true true true false false false false false false false false false false false X 18 13 true false false true 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 DR JAMES CRAVEN Board Member/PHYSICIAN 40.0 0.0 X 202261 0 9758 RONNIE DAIGLE BOARD MEMBER 2.0 0.0 X 0 0 0 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 2.0 X X 0 0 0 K SCOTT WESTER CEO 2.0 55.5 X X 0 1115252 204346 William E Balhoff CHAIRMAN 2.0 2.0 X X 0 0 0 SR HELEN CAHILL BOARD MEMBER 2.0 10.0 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 0.0 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 Louis Barfield MD BOARD MEMBER/PHYSICIAN 40.0 0.0 X 480429 0 35545 John Fraiche MD BOARD MEMBER 0.0 40.0 X 0 506922 13887 Diane Kirby MD BOARD MEMBER/PHYSICIAN 40.0 0.0 X 180387 0 16710 JEFFREY D LIMBOCKER CFO/EVP 2.0 58.0 X 0 696323 138768 TERRIE P STERLING FORMER COO/CURRENT VP 40.0 0.0 X 627455 0 145924 STEVEN T GREMILLION SVP, CHIEF MEDICAL OFFICER 40.0 0.0 X 1034381 0 28053 Nicole S Telhiard SVP Patient Care Services 40.0 0.5 X 374723 0 66577 Laurinda Calongne VP CHIEF ACADEMIC OFFICER 40.0 0.0 X 338076 0 20819 Shaun M Kemmerly VP CHIEF MEDICAL OFFICER 40.0 0.0 X 402322 0 34384 Stephanie Manson SVP, COO 40.0 0.0 X 469495 0 68312 KENENTH C CIVELLO STAFF PHYSICIAN 40.0 0.0 X 1048809 0 34628 DENZIL L MORAES STAFF PHYSICIAN 40.0 0.0 X 1316863 0 33238 Paul M Dampf STAFF PHYSICIAN 40.0 0.0 X 1051444 0 38045 Charles A Smith STAFF PHYSICIAN 40.0 0.0 X 1092616 0 30560 Brian P Higgins STAFF PHYSICIAN 40.0 0.0 X 1049694 0 37245 9668955 2318497 956799 588 false true false FMOL HEALTH SYSTEM 4200 Essen Lane Baton Rouge LA 70809 Management Fees 114204051 LSUHSC CLINICS 58725 AIRLINE HIGHWAY LSU UNIT BATON ROUGE LA 70805 Medical Services 64616436 ANESTHESIOLOGY GROUP ASSOC 11414 LAKE SHERWOOD AVE NORTH Baton Rouge LA 70816 ANESTHESIOLOGY SVC 13605877 MILTON J WOMACK INC 8400 JEFFERSON HWY Baton Rouge LA 70809 Contractor Services 18958142 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING 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TO AN IRC SECTION 501(C)(6) ORGANIZATION THAT IS CONSIDERED LOBBYING 82173518 82173518 886921281 295429610 591491671 6855468 5020373 1835095 360897621 227474038 133423583 21938048 14944564 6993484 815917351 INVESTMENT IN REGIONAL EYE 329672 F INVESTMENT IN CAPITAL RESERVE 798885208 F 799214880 INT IN N/A OF FND 46238750 SELF INSURANCE 15059571 DUE FROM AFFILIATES 68614355 OTHER ASSETS 1560368 131473044 0 CAPITAL LEASE 417592 ACCRUED PENSION COSTS 361998312 OTHER LIABILITIES 5393605 367809509 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. No reserves for uncertain tax positions have been recorded. true Central America and the Caribbean Grantmaking 12000 12000 12000 Central America and the Caribbean GENERAL SUPPORT 12000 CHECK 1 false false false false false false LINE 2 THE HOSPTIAL GIVES GRANTS TO ORGANIZATIONS WITH WHICH IT HAS A HISTORY OF GIVING. 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X 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 X true X false false SURGICAL SPECIALTY CTR OF BATON ROUGE 2 false false true X X X X X X X X X 18 true true false true X PART V, SECTION C X PART V, SECTION C X true 18 false true false true X 138. 0. 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 Lake Surgical Hospital (Slidell) LLC 3 false false true X X X X X X X X 17 true false false true X SSHLA.COM/ADDITIONAL-DOCUMENTS X true 17 false true false true X 250. 0. 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 ORGANIZATION THAT INCLUDED PUBLIC HEALTH EXPERTISE, PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA, AND REPRESENTATIVES OF UNDERSERVED POPULATIONS. ALLYSON VILLARS, ST. TAMMANY PARISH DIRECTOR OF HEALTH AND HUMAN SERVICES, AS WELL AS LEADERS FROM THE CHAMBER OF COMMERCE, COUNCIL ON AGING, COMFORCARE, HOME INSTEAD SENIOR CARE, AND FATHER PAT WATTIGNY 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.sscbr.com/userfiles/2018_CHNA_with_web_version_8-28-18%20(002). pdf PART V, SECTION B, QUESTION 11 OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: IN 2018 THE PARTICIPANTS IN 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 HEALTH. OLOL HAS DONE THE FOLLOWING TO HELP ADDRESS THE IDENTIFIED COMMUNITY NEEDS: HIV/SEXUALLY TRANSMITTED INFECTIONS OLOL CONTINUES TO PROVIDE FREE HIV SCREENINGS IN THE EMERGENCY DEPARTMENTS AND SOME OUTPATIENT SETTINGS - THE HOSPITAL PROVIDED 18,328 SCREENINGS IN FY18 AND 29,085 SCREENINGS IN FY19. THIS PROGRAM CONTRIBUTED TO MOVING EAST BATON ROUGE PARISH FROM 1ST IN 2016 WITH THE MOST NEW AIDS CASES TO 10TH IN 2019. OUR LADY OF THE LAKE IS WORKING TO INCREASE THE NUMBER OF PRIMARY CARE CLINICS THAT PERFORM OPT OUT TESTING FOR HIV AND STI. OLOL EARLY INTERVENTION CLINIC (EIC) TEAM MEMBERS ALSO PARTICIPATE IN THE ENDING THE HIV EPIDEMIC TASK FORCE LED BY THE MAYOR'S OFFICE; ADDITIONALLY THE EIC NOW OFFERS A SUBSTANCE ABUSE THERAPY GROUP FOR PATIENTS; AND THE EIC MEDICAL PROVIDER IS OFFERING PREP AND PEP EDUCATION TO OTHER PROVIDERS IN THE LSUHBR SYSTEM. HEALTHY LIVING OLOL HAS PROVIDED TWO PHYSICIANS FOR THE MAYOR'S WALK WITH THE DOC PROGRAM; LSUHBR CONTINUES TO BE THE MAIN LOCATION/LEADING PARTNER FOR GEAUX GET HEALTHY--OFFERING COMMUNITY GARDENS, MOBILE MARKETS AND COOKING CLASSES. AN ESTIMATED 485 LBS OF FOOD WAS PRODUCED AT THE BATON ROUGE COMMUNITY FARM DURING THE FIRST YEAR OF THE GRANT AND 26 PARTICIPANTS COMPLETED THE SOUTHERN UNIVERSITY'S URBAN AGRICULTURE CERTIFICATION COURSE TAUGHT AT BR ROOTS. THROUGH TOP BOX FOODS CORNER STORES SOLD AN ESTIMATED 3,946 UNITS OF FRESH PRODUCE AND SERVED AN ESTIMATED 1,180 CUSTOMERS. THROUGH GROW BR MOBILE MARKETS SOLD APPROXIMATELY 8,840 UNITS OF PRODUCE; OVER 200 MOBILE CUSTOMERS WERE REPEAT CUSTOMERS AND GROW BR MADE MORE THAN 400 STOPS IN THE 70805 ZIP CODE DURING THE GRANT YEAR. OLOL PHYSICIANS HAVE PILOTED USE OF THE SSDH SURVEY AND HAVE BEEN PLANNING FOR THE NEXT YEAR OF THE GEAUX GET HEALTHY PROGRAM TO INCLUDE A CLINICAL TRIAL ON HOW SOCIAL DETERMINANTS AFFECT HEALTH. OLOL HAS SERVED ON THE COMMITTEE TO REVISE THE 5210+1- CURRICULUM, PARTICIPATED IN HEALTH FAIRS PROMOTING ZERO SUGAR SWEETENED DRINKS, HOSTED THE SECOND ANNUAL WILLIE HAWKINS HEALTH FAIR, AND HAS PLANNED A 2020 SPEAKERS SERIES TO INCLUDE EDUCATION ON HOW ACTIVITY AND NUTRITION AFFECT HEALTH OUTCOMES. OLOL'S SMOKING CESSATION PROGRAM HAS ADDED ADDITIONAL STAFFING RESOURCES (2 FT NCCTP, 2 FT CTTP, 1 PT PA) TO TREAT OVER 1,210 NEW PATIENTS. HEALTH CARE CENTERS IN SCHOOLS ALSO PROVIDED 5,371 HEALTH EDUCATION, NON-PATIENT ENCOUNTERS IN 2018. ACCESS TO CARE TWO OUR LADY OF THE LAKE PHYSICIANS HAVE TAKEN LEAD FOR THE COMMUNITY'S CHIP FOR ACCESS TO CARE BY CONTRIBUTING GUIDANCE AND EXPERTISE FOR A FULL ANALYSIS OF THE EFFECTS OF MEDICAID EXPANSION AND THE OPENING OF THE BR NORTH EMERGENCY DEPARTMENT HAD ON OLOL'S PATIENT POPULATION. THE WORK HAS BEEN POSSIBLE DUE TO A PARTNERSHIP BETWEEN OLOL AND LSU COLLEGE OF ENGINEERING. THIS WORK WAS FUNDED WITH $500,000 FROM THE FMOLHS FRANCISCAN MISSION FUND. ADDITIONALLY THIS PROJECT WILL HELP BUILD OUT THE EPIC TOOL TO ASSIST PROVIDERS IN REFERRING A PATIENT TO A CURRENT/RELIABLE COMMUNITY RESOURCE TO HELP THE PATIENT MEET AN UNMET NEED. OLOL HAS PROCESSED FEWER APPLICATIONS SINCE THE STATE INSTITUTED MEDICAID EXPANSION IN 2017 AT WHICH TIME LOUISIANA SAW A SPIKE IN APPLICATIONS. HOWEVER IN 2019 WHEN MEDICADE BEGAN REVIEWING INCOME ELIGIBILITY OLOL SAW ANOTHER SPIKE. CORRESPONDINGLY THE HOSPITAL'S MEDICAID CONVERSION RATE HAD BEEN LESS THAN 80%; HOWEVER, IN 2019 OLOL BEGAN VERIFYING MEDICAID ELIGIBILITY FOR EVERY PATIENT WITH A SCHEDULED APPOINTMENT AND INCREASED THE RATE TO OVER 90% APPROVAL. ADDITIONALLY, OLOL'S ONSITE MEDICAID ANALYSIS IS WORKING ALONGSIDE THE HOSPITAL TEAM TO INCREASE SERVICE AND REDUCE THE TURNAROUND TIME ON DETERMINATIONS. HEALTH CARE CENTERS IN SCHOOLS ALSO PROVIDED 757 HEALTH EDUCATION FACE-TO-FACE ENCOUNTERS AND 459 NURSING FACE-TO-FACE ENCOUNTERS. BEHAVIORAL HEALTH OLOL TEAM MEMBERS HAVE PARTICIPATED IN BUILDING A SURVEY TO IDENTIFY WHAT CURRENT SERVICES AND GAPS EXIST IN PROVIDING AMBULATORY DETOX AND THE CONTINUUM OF CARE; OLOL HAS ALSO TRAINED PROVIDERS ON THE SABAXON TREATMENT AND ARE WORKING TO BUILD SAFEGUARDS IN EPIC IN ORDER TO PRESCRIPE THIS TREATMENT. 600 PATIENTS HAVE BEEN SERVED SINCE THE INCEPTION OF THE INTEGRATION OF MENTAL HEALTH INTO PRIMARY CARE (COLLABORATIVE CARE), IN FOUR LSUHBR PRIMARY CARE CLINICS. THE AVERAGE PHQ9 IMPROVEMENT WAS 52%, WITH 69.7% GRADUATING FROM THE PROGRAM. THE PROGRAM PSYCHIATRIST IS PAID THROUGH A FMOLHS FRANCISCAN FUND GRANT UNTIL THE PROGRAM CAN SUSTAIN THE SALARY FROM REIMBURSEMENT. OLOL IS WORKING ON PLANS TO ROLL OUT THE SAME MODEL IN LPG CLINICS. ALL HCCS TEAM MEMBERS HAVE BEEN TRAINED ON ADVERSE CHILDHOOD EXPERIENCE IN ORDER TO PROMOTE RESILIENCY THROUGH EVIDENCE-BASED TRAUMA INFORMED PRACTICES. ADDITIONALLY, HCCS TEAM MEMBERS COMPLETED 486 MENTAL HEALTH FACE-TO-FACE ENCOUNTERS IN 2018. SOCIAL DETERMINANTS OF HEALTH OUR LADY OF THE LAKE HOSPITAL HAS BEEN MINDFUL TO CONSIDER THE SOCIAL DETERMINANTS OF HEALTH WHEN DEVELOPING STRATEGIES TO ADDRESS THE FOUR SIGNIFICANT NEEDS NOTED ABOVE. THROUGH INVESTING, LOCAL HIRING, AND LOCAL PURCHASING, OLOL HAS IMPLEMENTED ANCHOR STRATEGIES TO INTENTIONALLY APPLY THE HEALTH SYSTEM'S LONG-TERM, PLACE-BASED ECONOMIC POWER AND HUMAN CAPITAL IN PARTNERSHIP WITH COMMUNITY TO MUTUALLY BENEFIT THE LONG-TERM WELL-BEING OF BOTH. EXAMPLES ARE THE PROPEL PROGRAM, WHICH CREATES WORK READY PROGRAMMING; PARTNERSHIP WITH HOPE MINISTRIES TO SERVE OLOL TEAM MEMBERS; AND EXECUTION OF CONTRACTS WITH VENDORS IN SEVEN ZIP CODES WITH A CNI GREATER THAN 4.2. SURGICAL SPECIALTY CENTER OF BATON ROUGE SURGICAL SPECIALTY CENTER WILL ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH OUR LADY OF THE LAKE HOSPITAL. SSC PROVIDES SERVICES TO THOSE WITH MEDICAID COVERAGE AND PROVIDES CHARITY CARE. THE EAR, NOSE & THROAT DOCTORS AT SSC ARE THE ONLY ENT DOCTORS IN EAST BATON ROUGE PARISH WHO ACCEPT MEDICAID. THEY ARE SENT REFERRALS FROM AREAS OUTSIDE OF EAST BATON ROUGE PARISH AS WELL. LAKE SURGICAL HOSPITAL (SLIDELL), LLC (DBA SOUTHERN SURGICAL HOSPITAL) SOUTHERN SURGICAL HOSPITAL ADDRESSED THE FOLLOWING THREE IDENTIFIED HEALTH NEEDS: OBESITY, ACCESS TO HEALTH SERVICES, AND INJURY PREVENTION. OBESITY SOUTHERN SURGICAL HOSPITAL PROVIDES NUTRITIONAL INFORMATION TO OLDER ADULTS AND SENIOR CITIZENS THROUGH QUARTERLY PRESENTATIONS BY HOSPITAL DIETITIANS. THE DIETITIONS TRAVEL TO COUNCIL ON AGING ST. TAMMANY (COAST) FACILITIES FOR PRESENTATIONS. IN DOING SO, THE PROGRAM AFFORDS CONVENIENCE TO THE COMMUNITY'S OLDER CITIZENS AND OFFERS NUTRITIONAL LEARNING IN THE COMFORT OF FAMILIAR SURROUNDINGS. ADDITIONAL NUTRITIONAL SUPPORT RESOURCES ARE AVAILABLE ONLINE THROUGH THE HOSPITAL WEBSITE, AND PRINTED MATERIALS ARE PROVIDED THROUGH DIETITIAN SUPPORT MEETINGS AND DIRECTLY TO PATIENTS AS NECESSARY. TIMES ARE ALLOTTED TO OFFER FREE CONSULTATIONS MONTHLY WITH A DIETITIAN AS REQUESTED. DIETETIC/NUTRITIONAL VISTS ARE SCHEDULED DAILY TO CONTINUE TO OFFER NUTRITION EDUCATION TO OVERWEIGHT AND OBESE ADULTS. GOALS ARE ESTABLISHED AND EVALUATED AS PART OF A HEALTH WEIGHT MANAGEMENT PROGRAM. SSH 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. PATIENTS ARE ALSO PROVIDED INFORMATION AND ENCOURAGED TO FOLLOW UP WITH THE PHYSICIAN'S OFFICE WHEN POST-OP NUTRITIONAL SUPPORT IS OFFERED AS WELL. THE DIETITIAN, AS WELL AS THE PHYSICIAN AND THE BARIATRIC COORDINATOR, CONTINUE TO DEVELOP A NURTURING RELATIONSHIP WITH THE PATIENT, AND FOLLOW-UP NUTRITIONAL ASSESSMENTS ARE AVAILABLE AS REQUESTED BY THE INDIVIDUAL. OTHER HEALTH ALTERNATIVES ARE ALSO DISCUSSED AS PART OF THE COMMMUNITY COMMITMENT. SOUTHERN SURGICAN HOSPITAL PROVIDES MONTHLY BARIATRIC MEETINGS TO OFFER SUPPORT TO OBESE INDIVIDUALS IN THE COMMUNITY. THIS EQUATES TO APPROXIMATELY 12 MEETINGS OVER THE COURSE OF A FISCAL YEAR. THESE MEETINGS REACH APPROXIMATELY 3 INDIVIDUALS PER MONTH AND ARE AVAILABLE FOR ALL THOSE WHO NEED THIS SERVICE. NUTRITIONAL SUPPORT IS ALSO OFFERED TO THESE INDIVIDUALS VIA AN ONLINE RESOURCE, BARIATRIC SUPPORT CENTER INTERNATIONAL, WHICH MAY BETTER MEET THEIR NEEDS. SOUTHERN SURGICAL MAINTAINS A FULL ACCREDITATION WITH METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), BCBC BLUE DISTINCTION, AND OPTUM COE. ACCESS TO HEALTH SERVICES SOUTHERN SURGICAL HOSPITAL PROVIDES PRINT ADVERTISEMENT DISCUSSING AVAILABLE HEALTHCARE SERVICES PROVIDED AT THE FACILITY. THERE WERE 12 ADS PLACED PROVIDING INFORMATION TO THE COMMUNIT 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://sshla.com/additional-documents 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. PART V, SECTION B, QUESTION 16I OUR LADY OF THE LAKE HOSPITAL, LAKE SURGICAL HOSPITAL AND SURGICAL SPECIALTY CENTER'S WEBSITES HAVE NEEDED TRANSLATIONS OF ITS FINANCIAL ASSISTANCE DOCUMENTS AND ARE ROUTINELY MONITORED TO ENSURE THE NEEDED TRANSLATION DOCUMENTS REMAIN AVAILABLE TO THE PUBLIC. 5 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 PART I, LINE 7: 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. 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. Groundbreaking on Children's Hospital in 2016 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. LDH 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 19 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. 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 FRANCIS MEDICAL CENTERST OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL PART III, SECTION A, QUESTION 2 PART III, SECTION A, QUESTION 2 REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF THE LAKE HOSPITAL THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. 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 BATON ROUGE SOCCER ASSOCIATION 142 Lobdell Ave Baton Rouge LA 70806 720805656 501(C)(3) 390000 General Support General Support Livingston Parish Chamber of Commerce 248 Veterans Blvd Denham Springs LA 70726 720632651 501(C)(6) 5985 SEE PART IV BREADA P O Box 3975 Baton Rouge LA 70821 721332566 501(C)(3) 20000 General Support General Support City Year Inc 287 Columbia Avenue Boston MA 021165114 222882549 501(C)(3) 10000 SEE PART IV General Support Baton Rouge Area Chamber 546 Laurel St Baton Rouge LA 70801 720126959 501(C)(6) 128500 SEE PART IV BREC 6201 Florida Blvd Baton Rouge LA 70806 726015451 501(C)(3) 6382 GENERAL SUPPORT General Support Louisiana Men's Health Organization P O Box 2087 Baton Rouge LA 70821 460505767 501(C)(3) 10000 GENERAL SUPPORT General Support Mayors Healthy City Initiative 222 St Louis Street Baton Rouge LA 70802 272515190 501(c)(3) 10000 General Support McCains Childrens Development Center 1805 College Drive Baton Rouge LA 70808 720459036 501(C)(3) 10000 General Support Livingston Economic Development Council P O BOX 809 Livingston LA 70754 720966247 501(C)(6) 15000 SEE PART IV Our Lady of the Lake Foundation 5000 Hennessy Blvd Baton Rouge LA 70808 721014324 501(c)(3) 40000 General Support Southern University System Foundation JS Clark Administration Building 4 Baton Rouge LA 70813 237052911 501(c)(3) 20000 General Support LSUMC Foundation University Med Ctr 450A S Claiborn New Orleans LA 70112 721115391 501(c)(3) 25000 General Support LOUISIANA NURSES FOUNDATION 5713 Superor Drive STE A-6 Baton Rouge LA 70816 581697506 501(C)(3) 10000 General Support The Emerge Center 7784 INNOVATION PARK DR Baton Rouge LA 70820 455434705 501(C)(3) 10000 General Support American Heart Association 7272 Greenville Avenue Dallas TX 752314596 135613797 501(C)(3) 50000 General Support Baton Rouge Health District 5246 Brittany Dr Baton Rouge LA 70808 472593574 501(c)(3) 150000 General Support HEALTH CARE CENTERS IN SCHOOLS 4336 NORTH BOULEVARD BATON ROUGE LA 70806 721443935 501(C)(3) 2900000 GENERAL SUPPORT FRANCISCAN UNIVERSITY 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721173156 501(C)(3) 1500000 GENERAL SUPPORT 16 3 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, LEADERSHIP LIVINGSTON PARTICIPANT, GALA BATON ROUGE AREA CHAMBER: "THINK BIGGER" PLEDGE, 2018 CANVAS LUNCH SPONSOR LIVINGSTON ECONOMIC DEVELOPMENT COUNCIL: LEDC LIVINGSTON TOMORROW INVESTMENT false true false false false false false false false DR JAMES CRAVEN Board Member/PHYSICIAN 190008 12073 180 8083 1675 212019 KENENTH C CIVELLO STAFF PHYSICIAN 644895 403734 180 11000 23628 1083437 STEVEN T GREMILLION SVP, CHIEF MEDICAL OFFICER 342797 691068 516 11000 17053 1062434 JEFFREY D LIMBOCKER CFO/EVP 535092 160416 815 114181 24587 835091 DENZIL L MORAES STAFF PHYSICIAN 815924 500663 276 11000 22238 1350101 K SCOTT WESTER CEO 741977 372460 815 175987 28359 1319598 Nicole S Telhiard SVP Patient Care Services 307709 66709 305 42296 24281 441300 Paul M Dampf STAFF PHYSICIAN 405372 645964 108 11000 27045 1089489 Charles A Smith STAFF PHYSICIAN 723026 369410 180 11000 19560 1123176 Louis Barfield MD BOARD MEMBER/PHYSICIAN 479257 992 180 11000 24545 515974 Laurinda Calongne VP CHIEF ACADEMIC OFFICER 277109 60566 401 11000 9819 358895 John Fraiche MD BOARD MEMBER 496406 9800 716 11000 2887 520809 Brian P Higgins STAFF PHYSICIAN 944335 105083 276 11000 26245 1086939 Shaun M Kemmerly VP CHIEF MEDICAL OFFICER 351806 50000 516 11000 23384 436706 Diane Kirby MD BOARD MEMBER/PHYSICIAN 179740 131 516 7217 9493 197097 Stephanie Manson SVP, COO 399671 69249 575 41046 27266 537807 TERRIE P STERLING FORMER COO/CURRENT VP 473671 153143 641 127322 18602 773379 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. NO ONE LISTED ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR. 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. PEDIATRIC INTENSIVISTS 35% OWNED ENTITY OF DIRECTOR 2312324 PROVIDED MEDICAL SERVICES false PEDIATRIC HOSPITALISTS 35% OWNED ENTITY OF DIRECTOR 1612803 PROVIDED MEDICAL SERVICES false PEDIATRIC CARDIOLOGY ASSOCIATES 35% OWNED ENTITY OF DIRECTOR 184040 PROVIDED MEDICAL SERVICES false 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 FMOL 34,683,023 INCREASE DUE TO MERGER OF RELATED ENTITY 5,845,500 BOOK/TAX DIFFERENCES 350,000 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, 2019. 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, 2019. 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). PART VI, SECTION A, QUESTION 5 IN AUGUST OF 2018, THE OUR LADY OF THE LAKE FOUNDATION COMMENCED AN INTERNAL AUDIT TO REVIEW CERTAIN DISBURSEMENTS OF FOUNDATION AND OUR LADY OF THE LAKE HOSPITAL FUNDS AFTER CONCERNS WERE RAISED BY FOUNDATION EMPLOYEES. THE ORGANIZATIONS SUBSEQUENTLY ENGAGED TWO INDEPENDENT FORENSIC ACCOUNTING FIRMS TO CONDUCT A FULL INVESTIGATION. IT WAS DETERMINED THROUGH THESE INTERNAL INVESTIGATIONS THAT BEGINNING IN OR ABOUT 2012 AND CONTINUING THROUGH SEPTEMBER OF 2018, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE FOUNDATION KNOWINGLY EXECUTED A SCHEME TO DEFRAUD THE FOUNDATION AND TO OBTAIN MONEY FROM THE FOUNDATION AND THE HOSPITAL BY MEANS OF MATERIAL FALSE AND FRAUDULENT REPRESENTATIONS. THE DIVERSION OF ASSETS WAS REPORTED TO LAW ENFORCEMENT OFFICIALS, WHEREUPON FEDERAL AND STATE GOVERNMENTS CONDUCTED A CRIMINAL INVESTIGATION. THE TOTAL LOSS TO THE FOUNDATION AND THE HOSPITAL WAS DETERMINED BY THE GOVERNMENT TO BE $796,309. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WAS TERMINATED FROM EMPLOYMENT AND SUBSEQUENTLY PLED GUILTY TO THE FEDERAL OFFENSES OF WIRE FRAUD AND MONEY LAUNDERING. AS PART OF THE PLEA AGREEMENT, FULL REIMBURSEMENT OF THE DIVERTED FUNDS WAS ACHIEVED AND ALL DONOR FUNDS WERE REPLENISHED AS OF THE DATE OF THE FILING OF THIS TAX RETURN. THE FORMER OFFICIAL HAS BEEN SENTENCED TO INCARCERATION IN FEDERAL PRISON. 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