2020-07-15T12:59:00-05:00 2019-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2018-07-01 463123178 OUR LADY OF THE ANGELS HOSPITAL INC % AMANDA HYMEL OURL 9857306700 5000 Hennessy Boulevard Baton Rouge LA 70808 JEFF LIMBOCKER CFO/EVP 2257656565 2020-07-09 true RYAN HOOKS P00746825 2253444000 2020-07-08 199.206.0.5 72049520201975000011 2020-07-15 P EB850E1BCF32CA73DDA849DEBA9ACC48FFFF1BCD 606B868638B351F0DD3B21299E8CEABE66140F96 2018 2021-01-29 14:40:06Z RENE RAGAS 433 PLAZA STREET BOGALUSA LA 70427 74688449 false 0928 X N/A X 2013 LA THE HOSPITAL'S PURPOSE IS TO PROVIDE CARE FOR THE ILL, INJURED, OR DISABLED PERSONS & TO PROVIDE FOR RE- SEARCH, EDUCATION, & THE ENHANCEMENT OF HEALTH OF THOSE IN S.E. LA. 10 8 538 24 0 0 223253 204084 66504131 74484365 0 0 0 0 66727384 74688449 16105 9400 0 0 28887398 30398684 0 0 0 34568738 35214788 63472241 65622872 3255143 9065577 17316570 29894512 8748766 12730714 8567804 17163798 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 65622872 9400 74484365 OUR LADY OF THE ANGELS HOSPITAL, INC. PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTHEAST LOUISIANA. THE HOSPITAL IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE HOSPITAL HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE HOSPITAL PROVIDED 92 LICENSED BEDS AND 9,384 INPATIENT DAYS IN THE YEAR ENDED JUNE 30, 2019. 65622872 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 11 0 true 538 true true true false false false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true false false false false false X AMANDA HYMEL 9857306700 5959 S SHERWOOD FOREST BLVD BATON ROUGE LA 70809 ROBERT BURGESS BOARD MEMBER 2.0 50.0 X 0 458325 62209 SR UYEN VU BOARD MEMBER 2.0 0.5 X 0 0 0 RENE J RAGAS PRESIDENT & CEO 2.0 50.0 X X 0 464599 61698 REV BOB ADAMS BOARD MEMBER 2.0 0.0 X 0 0 0 BERNIE CHASCIN BOARD MEMBER 2.0 0.0 X 0 0 0 SR EILEEN ROWE BOARD MEMBER 2.0 2.5 X 0 0 0 JUDITH WAMSLEY SECRETARY 2.0 0.0 X 0 0 0 CRAIG ROBICHAUX CHAIR 2.0 0.0 X X 0 0 0 CHRIS TREVINO MD BOARD MEMBER 2.0 0.0 X 0 0 0 ROGER KEESE SECRETARY 2.0 2.0 X X 0 0 0 LEO MICKENHEIM VICE CHAIR 2.0 0.0 X X 0 0 0 JEFFREY D LIMBOCKER CFO/EVP 2.0 58.0 X 0 696323 138768 RALPH SERPAS CNO 40.0 0.0 X 200503 0 32606 HAMID HUSSAIN PHYSICIAN 40.0 0.0 X 666262 0 33690 MARIA CHRIST BEUNAFLOR PHYSICIAN 40.0 0.0 X 303639 0 19261 GARLAND E ANDERSON PHYSICIAN 40.0 0.0 X 266665 0 33283 GOLAM D NOAZ PHYSICIAN 40.0 0.0 X 341188 0 19261 RONAK SHAH PHYSICIAN 40.0 0.0 X 280551 0 18993 2058808 1619247 419769 29 false true false Beckman Coulter 250 S Kramer Brea CA 92822 Chemistry Services 364826 Mercy Specialized Billing 655 Maryville Centre SUITE 200 St Louis MO 63141 Billing Services 673749 WESTPORT LINEN SERVICE KORNMEYERS PLZ BATON ROUGE LA 70806 LINEN SERVICE 181607 Louisiana Patients PO Box 3718 Baton Rouge LA 70821 Comp Services 272961 TRIMEDX INC 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 BIOMEDICAL SERVICES 507862 10 161680 42404 204084 PATIENT SERVICE REVENUE 622110 73185219 73185219 PHARMACY SALES 622110 727964 727964 Other Income 622110 299658 299658 Cafeteria Sales 622110 169296 169296 PURCHASE DISCOUNTS 622110 85070 85070 17158 17158 74484365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74688449 74484365 X 9400 9400 0 0 0 187271 131898 55373 0 25364086 17864213 7499873 713684 502656 211028 2432365 1713143 719222 1701278 1198229 503049 9877291 6956687 2920604 81667 57519 24148 0 0 0 0 7319724 7319724 48072 33857 14215 6739651 4746812 1992839 47362 33357 14005 0 6469213 5895461 573752 113734 80105 33629 0 0 0 0 272514 191934 80580 888372 625691 262681 Medical Supplies Expense 3357188 2364505 992683 65622872 49725191 15897681 0 X 7015568 19178370 0 0 0 0 -549864 46044 0 0 0 0 0 0 670979 604438 6079579 5722111 5064306 736164 4088500 4328142 0 0 0 0 0 0 0 0 11808 15407 17316570 29894512 7055094 11826348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1693672 904366 8748766 12730714 X 8558686 17156009 9118 7789 0 0 8567804 17163798 17316570 29894512 X 9065577 -469583 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 125000 125000 3479867 381342 3098525 1130879 354822 776057 328560 328560 4328142 0 DUE TO AFFILIATES 17843 DEFINED CONTRIBUTION PAYABLE 346606 OTHER LIABILITIES 539917 904366 X FIN 48 (ASC 740) FOOTNOTE FORM 990 SCH D PART X LINE 2 FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. true true true X 250. false true true true false true true 1474225 1474225 0.00000 22450823 22450823 23925048 23925048 0.00000 6350732 53957 6296775 0.09600 6350732 53957 6296775 0.09600 30275780 23979005 6296775 0.09600 false 7336380 13344973 13087246 257727 X true true 1 1 OUR LADY OF THE ANGELS HOSPITAL INC 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 WWW.OLOAH.ORG X X X X OUR LADY OF THE ANGELS HOSPITAL INC 1 false false true X X X X X X X X X 18 true false false true X SEE PART V, SECTION C X true 18 false true false true X 250. 0. 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 Part V, SECTION B, Line 5 THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM THE COMMUNITY BY CONDUCTING TWO FOCUS GROUP SESSIONS WITH INDIVIDUALS REPRESENTING COMMUNITY AND FAITH BASED ORGANIZATIONS ACTIVE IN THE COMMUNITY. THE HOSPITAL ALSO ADMINISTERED A SURVEY THAT HAS 115 COMMUNITY MEMBER RESPONSES. THE HOSPITAL CONDUCTED ONE-ON-ONE INTERVIEWS WHICH INCLUDED DR. GINA LAGRADE, REGIONAL MEDICAL DIRECTOR, OFFICE OF PUBLIC HEALTH, REGION IX, DEPARTMENT OF HEALTH & HOSPITALS, WHO HAS A SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. PART V, SECTION B, LINE 11 THE 2016 CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS: OVERCOMING BARRIERS TO GOOD HEALTH; HEART DISEASE AND STROKE; OLDER ADULTS AND AGING (SENIOR SERVICES); OTHER CHRONIC DISEASES; AND MENTAL HEALTH AND MENTAL DISORDERS. IN FISCAL YEAR 2019, OLOLAH CONTINUED TO ADDRESS TWO OF THE IDENTIFIED SIGNIFICANT NEEDS: OVERCOMING BARRIERS TO GOOD HEALTH AND SENIOR SERVICES. CONCERNING BARRIERS TO GOOD HEALTH, OLOAH HAS CONTINUED A SUCCESSFUL "WALK WITH A DOC" PROGRAM TO ENCOURAGE PHYSICAL ACTIVITY AND INCREASE ACCESS TO PHYSICIANS AND HEALTH EDUCATION. WE OFFERED MULTIPLE COMMUNITY EDUCATIONS AND HEALTH SCREENINGS AT LOCAL HEALTH FAIRS, SCHOOLS AND COMMUNITY ORGANIZATIONS SUCH AS THE ROTARY CLUB OF BOGALUSA, THE UNITED WAY AND NUMEROUS AREA CHURCHES. OLOAH HELD ITS ANNUAL HEALTH FAIR, FAMILY FEST, INVITING THE ENTIRE BOGALUSA AND WASHINGTON PARISH COMMUNITIES WHERE COMMUNITY PARTNERS SHARE THEIR RESOURCES AND OLOAH HOLDS HEALTH SCREENINGS, INCLUDING, BUT NOT LIMITED TO, BLOOD PRESSURE, CHOLESTEROL, AND BIOMETRICS. WE HAVE CONTINUED OUR LEADERSHIP ROLE IN BOGALUSA STRONG, IN PARTNERSHIP WITH LSU AGRICULTURAL CENTER, THE LOUISIANA DEPARTMENT OF HEALTH, AND THE MAYOR OF BOGALUSA. THIS MULTI-SECTORAL HEALTHY COMMUNITY COALITION IS A GROWING COLLABORATIVE OF MORE THAN 85 COMMUNITY PARTNER ORGANIZATIONS WORKING TOGETHER TO IMPROVE OUR QUALITY OF LIFE BY PROMOTING PHYSICAL, SOCIAL AND ENVIRONMENTAL HEALTH. IN OUR ROLE WITH BOGALUSA STRONG, OLOAH ESTABLISHED REGULAR MONTHLY MEETINGS IN CONJUNCTION WITH THE ROTARY CLUB OF BOGALUSA. WE ACTIVELY PARTICIPATED IN COMMUNITY PROJECTS INSPIRED BY THE WELLNESS COUNCIL INCLUDING THE ANNUAL MAYOR'S WALK, EXPANDED STENCIL PROJECTS, COMMUNITY GARDENS, THE ESTABLISHMENT OF A BREAST CANCER SUPPORT GROUP, LOCAL PARK REFURBISHMENT PROJECTS, AND THE ESTABLISHMENT OF A PASTORAL ALLIANCE. THE BOGALUSA STRONG CONTINUES TO ADOPT NEW PROJECTS THROUGH OUR FOUR ESTABLISHED COMMITTEES: BREAKING BARRIERS TO GOOD HEALTH/HEALTHY PLACES; HEALTHY EATING, GET MOVING, GET HEALTHY; AND EMOTIONAL AND BEHAVIORAL HEALTH. OLOAH HAS CONTINUED SERVICES AND HEALTH EDUCATION FOR SENIORS WITH MONTHLY EDUCATION PROGRAMS AND HEALTH SCREENINGS AT THE COUNCIL ON AGING AND WESTMINSTER WOODS APARTMENTS. OLOAH MADE HOME VISITS WITH BOTH NURSE PRACTITIONERS AND PHYSICIANS' RESIDENTS FROM THE RURAL FAMILY MEDICINE PROGRAM. STAFF CONTINUES TO PROVIDE END OF LIFE EDUCATION/ADVANCE CARE PLANNING IN COMMUNITY AND CLINIC SETTINGS. OLOAH DID NOT ADDRESS THREE OF THE FIVE SIGNIFICANT NEEDS: HEART DISEASE AND STROKE, OTHER CHRONIC DISEASES, AND MENTAL HEALTH AND MENTAL DISORDERS. OLOAH ACKNOWLEDGES THE SIGNIFICANCE OF ALL HEALTH-RELATED ISSUES IDENTIFIED FROM THE DATA ANALYSIS AND ESPECIALLY THAT OF THE FIVE SIGNIFICANT HEALTH NEEDS NAMED IN THE 2016 CHNA. SINCE THE OVERALL HEALTH PICTURE FOR WASHINGTON PARISH WAS SO POOR, WE BELIEVED THAT IT WOULD HAVE BEEN TOO NARROW TO FOCUS ON THOSE THREE SIGNIFICANT HEALTH NEEDS AS MAIN PRIORITIES. HOWEVER, THESE THREE NEEDS WERE ADDRESSED AS SUBCATEGORIES UNDER "OVERCOMING BARRIERS TO GOOD HEALTH"OLDER ADULTS & AGING." AS WE IMPLEMENTED STRATEGIES IN THE TWO OLOAH PRIORITY AREAS, WE EXPECTED TO ENCOUNTER LINKAGES AMONG THE VARIOUS AREAS. FOR EXAMPLE, WHILE WE DID NOT DIRECTLY ADDRESS HEART DISEASE AND STROKE AS A PRIORITY AREA, WE DID ADDRESS HEALTH BARRIERS THROUGH EDUCATION, SCREENINGS AND HEALTHY LIVING PROGRAMS. ADDITIONALLY, ALTHOUGH WE DID NOT DIRECTLY ADDRESS COPD, OUR WORK IN THE PRIORITY AREA OF SENIOR CARE IDENTIFIED GAPS IN THE AVAILABILITY OF DME (DURABLE MEDICAL EQUIPMENT), SUCH AS OXYGEN TANKS. WE ALSO HOSTED AN ONGOING TOBACCO CESSATION PROGRAM. ALSO, ALTHOUGH MENTAL HEALTH AND MENTAL DISORDERS WAS NOT A SELECTED IDENTIFIED NEED IN THE CHNA, OLOAH DID COLLABORATE WITH LOCAL, STATE AND COMMUNITY PARTNERS IN ORDER TO STUDY AND RESPOND TO THE OPIOID EPIDEMIC AND SUBSTANCE ABUSE ISSUES IN WASHINGTON PARISH. SOCIAL SERVICES ALSO PARTICIPATED IN SEVERAL COMMUNITY EDUCATIONS CONCERNING BEHAVIORAL AND SUBSTANCE USE. THESE EDUCATIONS FOCUSED ON LOCAL RESOURCES AND APPROPRIATE PLACES OF CARE IN PART TO LIMIT EMERGENCY DEPARTMENT VISITS. PART V, SECTION B, LINE 7A THE CHNA CAN BE LOCATED AT HTTPS://OLOAH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16J REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, 16A, B, & C THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP WERE ALL AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/ PART V, SECTION B, LINE 13H PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. 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 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 where medical bills exceed a certain percentage of income and assets. PART I, LINE 7F: FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. PART I, LINE 7: THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7A-7D AND WAS OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT. PART III, SECTION A, QUESTION 2 PART III, SECTION A, QUESTION 2 AMOUNT REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF THE ANGELS HOSPITAL THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. 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, RESIDENCY, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. 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 DISCOUNTED CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED 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 ANGELS HOSPITAL WORKS CLOSELY WITH CHARITABLE ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. OUR LADY OF THE ANGELS ADOPTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT BY JUNE 30, 2019 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. 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 ANGELS HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. 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 ANGELS HOSPITAL IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BOGALUSA, LOUISIANA, THAT SERVES WASHINGTON PARISH AND PORTIONS OF THE SURROUNDING PARISHES. THE HOSPITAL'S PRIMARY SERVICE AREA IS WASHINGTON PARISH. BASED ON THE MOST RECENT CHNA, WASHINGTON PARISH HAS A POPULATION OF APPROXIMATELY 46,371, AND THE SENIOR POPULATION COMPRISES ABOUT 17% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $30,705, WHICH IS SIGNIFICANTLY LOWER THAN BOTH THE STATE AND NATIONAL AVERAGE. THE PERCENTAGE OF INDIVIDUALS RECEIVING SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM (SNAP) BENEFITS IS 29% WHICH IS NEARLY DOUBLE THE STATE (16%) AND NATIONAL (13%) AVERAGES. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE ANGELS 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 ANGELS ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT MAY BE FOREGONE OR POSTPONED RESULTING IN MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE ANGELS PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE ANGELS HOSPITAL 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. OUR LADY OF THE ANGELS HOSPITAL 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. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE ANGELS 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 ANGELS 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 ANGELS HOSPITAL SERVES THE COMMUNITY IN WASHINGTON PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE HOSPITAL OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL false true false false false false false false false ROBERT BURGESS BOARD MEMBER 337510 118480 2335 52029 10180 520534 RENE J RAGAS PRESIDENT & CEO 353515 110659 425 36939 24759 526297 HAMID HUSSAIN PHYSICIAN 558392 107870 11000 22690 699952 RALPH SERPAS CNO 160245 39953 305 8326 24280 233109 MARIA CHRIST BEUNAFLOR PHYSICIAN 297234 6405 11000 8261 322900 JEFFREY D LIMBOCKER CFO/EVP 535092 160416 815 114181 24587 835091 GARLAND E ANDERSON PHYSICIAN 211794 54871 10995 22288 299948 GOLAM D NOAZ PHYSICIAN 201793 139395 11000 8261 360449 RONAK SHAH PHYSICIAN 280551 11000 7993 299544 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 CFO and a Board Member are entitled to a severance benefit. The payout of such benefit is remote as it is effective only for termination of employment without cause for good reason and for a change of control. If triggered, the executive would be paid his 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. The President/CEO is entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause, for good reason, or due to change of control. If triggered, the employee would be paid his/her base salary and provided retirement and welfare benefits for an entitlement period. The entitlement period is generally 12 months. No payments were made under the plan in the current year. 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 plans provide for compensation to be deferred and paid upon the occurrence of certain events such as termination without cause, disability, death or attainment of a specific payment date. Participation in the plans is limited to certain executives and is subject to the 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 plans in the current year. Form 990 Part VI Line 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC. Form 990 Part VI Line 7a FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE ANGELS HOSPITAL, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE ANGELS HOSPITAL, INC. Form 990 Part VI Line 7b THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. 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 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION. Form 990 Part VI Line 11b AFTER PREPARATION AND REVIEW BY KPMG, LLP, MANAGEMENT WILL REVIEW THE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. Form 990 Part VI Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PART VI, SECTION B, QUESTION 12 OUR LADY OF THE ANGELS 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 ANGELS HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE ANGELS 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 B, QUESTIONS 13 & 14 THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A DOCUMENT RETENTION POLICY AND A WHISTLEBLOWER POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS OR A COMMITTEE THEREOF BEFORE JUNE 30, 2019. PART VI, SECTION B, QUESTION 15A & 15B THE PRESIDENT & CEO, AND CFO OF THIS ORGANIZATION ARE EMPLOYEES OF FMOL HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHOSE SALARIES ARE DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION. SUCH PAY PRACTICES INCLUDE THE USE OF AN INDEPENDENT BOARD COMMITTEE WHICH REVIEWS COMPENSATION ANNUALLY AFTER OBTAINING AND RELYING UPON INDUSTRY WIDE COMPENSATION INFORMATION FROM OUTSIDE SOURCES. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION OUR LADY OF THE ANGELS HOSPITAL INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DE MINIMIS SAFE HARBOR 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)(II). SECTION 1.263(A)-3(N) ELECTION- BOOK CONFORMITY ELECTION OUR LADY OF THE ANGELS HOSPITAL INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2019. FORM 990 PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE: CAPITAL TRANSFER - $(469,583) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4820 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:861668 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:894110 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:5474971 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:84155 ST BERNARD HEALTH FUND 4200 ESSEN LANE BATON ROUGE LA 70809 204685614 HEALTHCARE LA 501(C)(3) 11 TYPE 1 FMOL false HEALTH CARE CENTERS IN SCHOOLS 5000 HENNESSY BLVD BATON ROUGE LA 70808 721443935 HEALTHCARE LA 501(C)(3) 7 OLOL false HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 300442368 HEALTHCARE LA LOURDES N/A PERKINS PLAZA IMAGING DEVELOPMENT LLC 5000 HENNESSY BOULEVARD PLAZA 2 S BATON ROUGE LA 70808 203894521 REAL ESTATE LA OLOL N/A P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 721387870 HEALTHCARE LA SFMC N/A LOURDES IMAGING DEVELOPMENT LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 208326287 REAL ESTATE LA LOURDES N/A PARK PLACE SURGICAL CENTER LLC 4811 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 721404092 HEALTHCARE LA LOURDES N/A BRPT LAKE REHABILITATION CENTER LLC 5222 BRITTANY DRIVE BATON ROUGE LA 70808 721404092 HEALTHCARE LA OLOL N/A CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 721439481 HEALTHCARE LA OLOL N/A SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 233160962 HEALTHCARE LA OLOL N/A ST ELIZABETH-MARY BIRD PERKINS CANCER C 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 HEALTHCARE LA OLOL N/A NORTHEAST LA CANCER INSTITUTE LLC 411 CALYPSO STREET MONROE LA 71201 721329499 HEALTHCARE LA SFMC N/A LHCG-XIII LLC 901 S HUGH WALLIS RD LAFAYETTE LA 70508 208068308 HEALTHCARE LA LOURDES N/A LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE LA 70809 201367299 HEALTHCARE LA LOURDES N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA OLOL N/A OLOLUSP SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 352457810 HEALTHCARE TX OLOL N/A ST FRANCIS URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 474013731 HEALTHCARE LA SFMC N/A PINNACLE CARE HOLDINGS LLC 5627 SHERWOOD FOREST BLVD BATON ROUGE LA 70816 821637627 HEALTHCARE LA LOURDES N/A LAFAYETTE SURGERY CENTER LTD PARTNERSHIP C/O C T CORP SYSTEM 3867 PLAZA TOW BATON ROUGE LA 70816 472665226 HEALTHCARE LA LOURDES N/A PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 472665226 HEALTHCARE LA OLOL N/A LHCG LXVII LLC 901 S HUGH W ALLIS ROAD LAFAYETTE LA 70508 474283509 HEALTHCARE LA LOURDES N/A GAMMA KNIFE OF LOUISIANA LLC 4950 ESSEN LANE BATON ROUGE LA 70809 811827194 HEALTHCARE LA OLOL N/A HOSPITAL ASSISTANCE SERVICES PO BOX 4027-C LAFAYETTE LA 70502 721073486 HEALTHCARE LA LOURDES C CORP LOUISE INSURANCE COMPANY PO BOX 1051 KY1-1102 CAYMAN ISLANDS CAYMAN ISLANDS CJ INVESTMENT CJ FMOL C CORP FRANCISICAN HEALTH & WELLNESS SERVICES I 4200 ESSEN LANE BATON ROUGE LA 70809 455492379 HEALTHCARE LA FMOL C CORP FMOL HEALTH SYSTEM HOLDINGS INC 4200 ESSEN LANE BATON ROUGE LA 70809 454405024 INVESTMENT LA FMOL C CORP false false false false false false false false false false false true false true true true true true