FURP.ORG / PUBLIC DATA EXPLORER

OUR LADY OF THE LAKE ASCENSION COMMUNITY: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
OUR LADY OF THE LAKE ASCENSION COMMUNITY (EIN 72-1470744)
Tax period
2018-07-01 to 2019-03-31
Filed
2020-02-14
IRS object ID
202040459349302154
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-02-14T16:34:40-06:00ReturnTs
Tax Period End2019-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 Main Street Suite 2150AddressLine1Txt
CityBaton RougeCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN721470744EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF THE LAKE ASCENSION COMMUNITYBusinessNameLine1Txt
Business Name Line2HOSPITAL D/B/A ST ELIZABETH HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% AMANDA HYMELInCareOfNm
Business Name ControlOURLBusinessNameControlTxt
Phone2256475000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11125 HIGHWAY 30AddressLine1Txt
CityGONZALESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70737ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF LIMBOCKERPersonNm
Person TitleCFOPersonTitleTxt
Phone2256475071PhoneNum
Signature2020-02-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTANY ELLISERPreparerPersonNm
PTINP01284594PTIN
Phone2253444000PhoneNum
Preparation2020-02-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id72049520200455000000FederalOriginalSubmissionId
Federal Original Submission Id2020-02-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3FBBB7E7EC329C7019600C70871F9DD8601FD1A9AtSubmissionCreationDeviceId
At Submission Filing Device Id606B868638B351F0DD3B21299E8CEABE66140F96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1St Elizabeth HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJEFF D LIMBOCKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11125 HIGHWAY 30AddressLine1Txt
CityGONZALESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70737ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$79,348,898GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STEH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE HOSPITAL IS TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO ENHANCE THE HEALTH OF THOSE IN THE COMMUNITY THROUGH RESEARCH AND EDUCATION.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee914TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,917PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$113,708,168PYProgramServiceRevenueAmt
CY Program Service Revenue$77,373,342CYProgramServiceRevenueAmt
PY Investment Income$627,142PYInvestmentIncomeAmt
CY Investment Income$354,741CYInvestmentIncomeAmt
PY Other Revenue$534,381PYOtherRevenueAmt
CY Other Revenue$311,184CYOtherRevenueAmt
PY Total Revenue$114,881,608PYTotalRevenueAmt
CY Total Revenue$78,039,267CYTotalRevenueAmt
PY Grants And Similar Paid$76,076PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,650CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,822,021PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,292,871CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$45,295,236PYOtherExpensesAmt
CY Other Expenses$31,898,637CYOtherExpensesAmt
PY Total Expenses$106,193,333PYTotalExpensesAmt
CY Total Expenses$73,208,158CYTotalExpensesAmt
PY Revenues Less Expenses$8,688,275PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,831,109CYRevenuesLessExpensesAmt
Total Assets BOY$95,673,135TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$29,578,688TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,094,447NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINSPIRED 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 THOSE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$30,891,857ExpenseAmt
Grant$16,650GrantAmt
Revenue$54,049,872RevenueAmt
DescTHE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES WERE PROVIDED WITHOUT CHARGE OR AT RATES WHICH ARE LESS THAN THE COST OF PROVIDING SUCH SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,025,104ExpenseAmt
Revenue$23,323,470RevenueAmt
DescOUR LADY OF THE LAKE ASCENSION'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$50,916,961TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee914EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMANDA HYMELPersonNm
Phone2259232701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15959 S SHERWOOD FOREST BLVDAddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70809ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SR MARTHA ANN ABSHIRE
BOARD MEMBER2.02.0Yes (X)$0$0$0
ROBERT BURGESS
PRESIDENT AND CEO2.050.0Yes (X)$0$458,325$62,209Yes (X)
PAUL C AGUILLARD MD
BOARD MEMBER40.00.0Yes (X)$472,864$0$35,333
DALE HYMEL
BOARD MEMBER2.00.0Yes (X)$0$0$0
JOHN F FRAICHE MD
PRES STEPG AND BOARD MEMBER40.00.0Yes (X)$506,922$0$13,887
MARK K DEARMAN
BOARD MEMBER2.00.0Yes (X)$0$0$0
THE HONORABLE TESS STROMBERG
BOARD MEMBER2.00.0Yes (X)$0$0$0
RJ DAIGLE
BOARD MEMBER2.00.0Yes (X)$0$0$0
ROGER KEESE
SECRETARY2.02.0Yes (X)$0$0$0Yes (X)
THE HONORABLE ALVIN TURNER JR
BOARD MEMBER2.00.0Yes (X)$0$0$0
KENNETH CAMPBELL
BOARD MEMBER2.00.0Yes (X)$0$0$0
THE HONORABLE TERI CASSO
CHAIR2.00.0Yes (X)$0$0$0Yes (X)
STACEY CHAISSON
BOARD MEMBER2.00.0Yes (X)$0$0$0
DENZIL MORAES MD
BOARD MEMBER/ PHYSICIAN0.040.0Yes (X)$0$1,316,863$33,238
SR VERNOLA LYONS
BOARD MEMBER2.00.0Yes (X)$0$0$0
DAWN B SHARP MD
CHIEF OF STAFF40.00.0Yes (X)$510,600$0$35,545
DAVID ALEXANDER
BOARD MEMBER2.00.0Yes (X)$0$0$0
SUE KNIGHT
COO40.00.0$334,609$0$83,460Yes (X)
JEFFREY LIMBOCKER
REGIONAL CFO0.060.0$0$696,323$138,768Yes (X)
YVONNE PELLERIN
CNO40.00.0$235,856$0$17,006Yes (X)
RAHIL D SHAH
Staff Physician40.00.0$589,262$0$13,521Yes (X)
MICHAEL A GOODIER
Staff Physician40.00.0$481,470$0$35,545Yes (X)
MICHAEL BODIN
Staff Physician40.00.0$480,180$0$38,951Yes (X)
ELIZABETH K BOLLINGER
Staff Physician40.00.0$724,965$0$13,521Yes (X)
John D Knapp
Staff Physician40.00.0$463,360$0$35,545Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,800,088TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,471,511TotReportableCompRltdOrgAmt
Total Other Compensation$556,529TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K95IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FMOL Health System
4200 Essen LaneBaton RougeLA70809Management Fees$9,855,040
Stuart Company
4320 S Jeffrey DriveBaton RougeLA70816Construction$424,801
Crothall Healthcare Inc
13028 Collection Center DriveCHICAGOIL60693Housekeeping Service$1,027,617
Pinnacle Anesthesia LLC
11414 Lake Sherwood Avenue NorthBATON ROUGELA70816Medical Services$373,741
OATIS JANITORIAL SERVICE
PO BOX 1712DONALDSONVILLELA70346JANITORIAL SERVICES$356,889
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$75,925,122$75,925,122
Other900099$725,968$725,968
Cafeteria722514$74,504$74,504
outreach lab621500$647,748$647,748
FieldValueIRS element (for citing)
Total Program Service Revenue$77,373,342TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,241TotalRevenueColumnAmt
Exclusion$48,241ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$311,184RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$311,184RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$311,184TotalRevenueColumnAmt
Related Or Exempt Func Income$311,184RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,602,630SecuritiesAmt
Other$13,501OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,275,176SecuritiesAmt
Other$34,455OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$327,454SecuritiesAmt
Other-$20,954OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,500TotalRevenueColumnAmt
Exclusion$306,500ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,039,267TotalRevenueColumnAmt
Related Or Exempt Func Income$77,684,526RelatedOrExemptFuncIncomeAmt
Exclusion$354,741ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$16,650TotalAmt
Program Services$16,650ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,618,526TotalAmt
Program Services$1,984,319ProgramServicesAmt
Management And General$634,207ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,345,953TotalAmt
Program Services$23,753,963ProgramServicesAmt
Management And General$7,591,990ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,153,012TotalAmt
Program Services$1,631,552ProgramServicesAmt
Management And General$521,460ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,206,222TotalAmt
Program Services$2,429,675ProgramServicesAmt
Management And General$776,547ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,969,158TotalAmt
Program Services$1,492,228ProgramServicesAmt
Management And General$476,930ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,528,340TotalAmt
Management And General$8,528,340ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$68,463TotalAmt
Program Services$51,881ProgramServicesAmt
Management And General$16,582ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,448TotalAmt
Program Services$2,613ProgramServicesAmt
Management And General$835ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,886TotalAmt
Program Services$7,492ProgramServicesAmt
Management And General$2,394ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,899,680TotalAmt
Program Services$4,470,778ProgramServicesAmt
Management And General$1,428,902ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,972TotalAmt
Program Services$3,010ProgramServicesAmt
Management And General$962ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,176,784TotalAmt
Program Services$1,649,567ProgramServicesAmt
Management And General$527,217ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$537,182TotalAmt
Program Services$407,077ProgramServicesAmt
Management And General$130,105ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,109,039TotalAmt
Program Services$840,430ProgramServicesAmt
Management And General$268,609ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$81,596TotalAmt
Program Services$61,833ProgramServicesAmt
Management And General$19,763ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,798TotalAmt
Program Services$10,456ProgramServicesAmt
Management And General$3,342ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$377,390TotalAmt
Program Services$285,986ProgramServicesAmt
Management And General$91,404ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,630,269TotalAmt
Program Services$1,993,218ProgramServicesAmt
Management And General$637,051ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$994,266TotalAmt
Program Services$753,455ProgramServicesAmt
Management And General$240,811ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repairs & Maintenance$1,576,088$1,194,359$381,729
Medical Supplies Expense$7,838,820$7,838,820
SPECIAL EVENTS$49,616$37,599$12,017

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$73,208,158TotalAmt
Program Services$50,916,961ProgramServicesAmt
Management And General$22,291,197ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
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Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
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Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
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Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
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Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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FieldValueIRS element (for citing)
BOY$768,428BOYAmt
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Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$50,218,712BOYAmt
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Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
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Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
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Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,501,792BOYAmt
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Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
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FieldValueIRS element (for citing)
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Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,673,135BOYAmt
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Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,936,739BOYAmt
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Grants Payable GrantsPayableGrp

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Deferred Revenue DeferredRevenueGrp

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Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
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Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
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Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
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Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
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Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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FieldValueIRS element (for citing)
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Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,578,688BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,873,484BOYAmt
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Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
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Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
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Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,094,447BOYAmt
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Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,673,135BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,831,109ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$623,933NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$70,301,623OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 (ASC 740) FOOTNOTEFormAndLineReferenceDesc
ExplanationThe 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 position have been recorded.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$627,495TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$627,495NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,232,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,930,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,302,278NetCommunityBenefitExpnsAmt
Total Expense0.08610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,859,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,930,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,929,773NetCommunityBenefitExpnsAmt
Total Expense0.09470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,875TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,875NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105,480NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$280,272TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$280,272NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,163TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,163NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$404,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$404,790NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,264,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,930,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,334,563NetCommunityBenefitExpnsAmt
Total Expense0.10020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,828TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,828NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,828TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,828NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$5,129,215BadDebtExpenseAmt
Reimbursed By Medicare$7,076,842ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,164,254CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$87,412MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11125 HIGHWAY 30AddressLine1Txt
CityGONZALESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70737ZIPCd
FieldValueIRS element (for citing)
Website AddressN/AWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENT AT PART VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENT AT PART VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENT AT PART VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 16IREGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE CARE. THE POLICY IS ALSO POSTED AT THE HOSPITAL ADMISSION AREAS.
PART V, SECTION B, LINE 5THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. ST. ELIZABETH HOSPITAL TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY WORKING WITH ASCENSION COUNCIL ON AGING, ASCENSION COUNSELING CENTER, ASCENSION PARISH HEALTH UNIT, CAPITAL AREA AGENCY ON AGING, AND OFFICE OF THE PARISH PRESIDENT. ST. ELIZABETH HOSPITAL ALSO INTERVIEWED COMMUNITY STAKEHOLDERS, FAITH-BASED ORGANIZATIONS, AND ELECTED LEADERS.
PART V, SECTION B, LINE 11ST. ELIZABETH HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR TAX YEAR 2018. THE CHNA IDENTIFIED THREE SIGNIFICANT COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND WEIGHT MANAGEMENT. THE ORGANIZATION IS ADDRESSING ALL THREE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA IN THE FOLLOWING MANNER: BEHAVIORAL HEALTH IN AN EFFORT TO DECREASE THE NUMBER OF SELF-REPORTED POOR MENTAL HEALTH DAYS BY 5% OVER 3 YEARS ST. ELIZABETH HOSPITAL PARTNERED WITH THE ASCENSION COUNSELING CENTER. IN THE TIME FRAME BETWEEN 7/1/2018 AND 2/28/2019 ST. ELIZABETH TRACKED THE NUMBER OF APPOINTMENTS KEPT PER QUARTER BY THE ASCENSION COUNSELING CENTER; ST. ELIZABETH EXCEEDED THE GOAL OF 1,300 VISITS PER QUARTER, COMPLETING 4,623 KEPT APPOINTMENTS. ST. ELIZABETH ALSO COMPLETED 9,538 SCREENINGS FOR DEPRESSION USING THE PHQ-2 TOOL; AND CAME VERY CLOSE TO MEETING THE GOAL OF 682 BEHAVIORAL HEALTH ENCOUNTERS PROVIDED BY STEP WITH 1,924 DURING THIS TIME PERIOD. HEALTH EDUCATION AND PREVENTION ST. ELIZABETH HOSPITAL'S GOAL WAS TO DECREASE THE YEARS OF POTENTIAL LIFE LOST TO PREMATURE DEATH BY 5% OVER 3 YEARS. THE ACTIONS TAKEN DURING THE PERIOD FROM 7/1/2018 TO 2/28/2019 INCLUDED PROVIDING EDUCATIONAL OFFERINGS ON OBESITY, DIABETES, AND ARTHRITIS. ST. ELIZABETH OFFERED A TOTAL OF 113 OPPORTUNITIES FOR LEARNING. ST. ELIZABETH ALSO WORKED TOWARD INCREASING MEDICAID ENROLLMENTS ASSISTED BY ST. ELIZABETH STAFF; THE HOSPITAL RECEIVED 507 APPLICATIONS AND COMPLETED 388 ENROLLMENTS. ST. ELIZABETH HOSPITAL SUPPORTED MARY BIRD PERKINS FREE CANCER SCREENINGS IN THE COMMUNITY TO OFFER 69 BREAST, 41 COLORECTAL, 44 SKIN AND 22 PROSTATE SCREENINGS. THE ORGANIZATION ALSO PROVIDED 13,870 PRIMARY CARE VISITS IN DONALDSONVILLE. WEIGHT MANAGEMENT ST. ELIZABETH HOSPITAL'S GOAL WAS TO DECREASE THE NUMBER OF ADULTS WITH AN OBESE BMI BY 1% OVER THREE YEARS, INCLUDING TARGETING CHRONIC COMORBIDITIES LIKE DIABETES AND HYPERTENSION. ST. ELIZABETH TOOK TWO ACTION STEPS: FIRST, TO INCREASE THE NUMBER OF SUCCESSFUL COMPLETIONS OF THE DIABETES MANAGEMENT PROGRAM; 35 INDIVIDUALS COMPLETED THE PROGRAM. SECOND, ST. ELIZABETH SET OUT TO INCREASE THE NUMBER OF ST. ELIZABETH EMPLOYEES BEING ACTIVELY HEALTH COACHED BY THE HEALTHY LIVES PROGRAM. 97 EMPLOYEES WERE ACTIVELY ENGAGED IN COACHING AND 49 SUCCESSFULLY COMPLETED THE COACHING PROGRAM.
PART V, SECTION B, LINE 7The CHNA can be found at https://ololrmc.com/assets/documents/2019-st-elizabeth-chna.pdf
PART V, SECTION B, QUESTION 13HPRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART V, SECTION B, LINE 16A, B, CTHE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION, AND PLAIN-LANGUAGE SUMMARY OF THE FAP WERE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST ELIZ-MARY BIRD PERKINS CANCER CENTER
4950 ESSEN LANEBATON ROUGELA70809CANCER TREATMENT CENTER
COMMUNITY HEALTH CLINIC
1125 HIGHWAY 30GONZALESLA70737LOW INCOME CLINIC
LAKE URGENT CARE ASCENSION LLC
10313 JEFFERSON HIGHWAYBATON ROUGELA70809URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7THE COST-TO-CHARGE RATIO, AS CALCULATED USING IRS WORKSHEET 2, IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE AMOUNTS REPORTED IN PART 1, LINES 7A-G. 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.
PART III, LINE 4THE BAD DEBT FOOTNOTE IS ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8CMS REGULATIONS/GUIDELINES ARE USED IN COMPLETING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS THE TOOL USED IN DETERMINING MEDICARE ALLOWABLE COSTS.
PART III, LINE 9BPATIENTS 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 DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.
PART VI, LINE 2NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED IS PRIMARY TO THE MISSION OF ST. ELIZABETH HOSPITAL. ST. ELIZABETH HOSPITAL IDENTIFIES THE COMMUNITY'S HEALTH NEEDS BY UTILIZING THE FOLLOWING INFORMATION GATHERING TECHNIQUES: COMMUNITY SURVEY: ON AN ANNUAL BASIS, ST. ELIZABETH HOSPITAL, ALONG WITH THE HELP OF STRATEGIC MARKETING AND RESEARCH, LLC, PERFORM A COMMUNITY SURVEY AIMED AT IDENTIFYING THE HEALTH CARE NEEDS AND PREFERENCES OF LOCAL RESIDENTS. THE SURVEY IS CONDUCTED VIA PHONE WHILE USING A RANDOM SAMPLE OF RESPONDENTS. THE FINDINGS FROM THIS RESEARCH SERVE AS A FOUNDATION FOR THE DEVELOPMENT OF FUTURE PROGRAMS FOR OFFERING HEALTHCARE IN ASCENSION PARISH. THE SURVEY ALSO IDENTIFIES THOSE SERVICES THAT ARE SOUGHT OUTSIDE OF ASCENSION PARISH, DUE TO SERVICES NOT BEING OFFERED OR NOT KNOWN TO BE OFFERED (PUBLIC AWARENESS). SUCH DATA HELPS ST. ELIZABETH HOSPITAL ASSESS WHETHER SPECIFIC MEDICAL NEEDS ARE UNDERSERVED. COMMUNITY EDUCATION SURVEY: EVERY TWO YEARS, THE COMMUNITY EDUCATION DEPARTMENT PREPARES A COMMUNITY EDUCATION SURVEY THAT IS GIVEN TO ASCENSION PARISH RESIDENTS WHO ATTEND LOCAL HEALTH SCREENINGS OR OTHER EDUCATIONAL EVENTS. THIS SURVEY IS DESIGNED TO IDENTIFY THE HEALTH EDUCATION NEEDS OF THE AREA RESIDENTS.
PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INIDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH ST. ELIZABETH HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIALS 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 4COMMUNITY INFORMATION: ST. ELIZABETH'S PRIMARY SERVICE AREA INCLUDES ASCENSION PARISH, LOUISIANA. PURSUANT TO THE HOSPITAL'S LAST CHNA, ST. ELIZABETH'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 119,455. THE MEDIAN HOUSEHOLD INCOME IS $70,551, WHICH IS HIGHER THAN BOTH THE NATIONAL AND STATE AVERAGE. HOWEVER, THE UNEMPLOYMENT RATE SITS AT 5.3%. THE SHARE OF INDIVIDUALS RECEIVING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS IS LOWER THAN BOTH THE STATE AND NATIONAL AVERAGES. DESPITE NUMEROUS GROCERY STORES IN THE PARISH, 44.8% OF RESIDENTS ARE CATEGORIZED AS HAVING LOW FOOD ACCESS. COMPARED TO THE NATION AS A WHOLE, MORE ASCENSION PARISH ADULTS HAVE NO REGULAR PHYSICAL ACTIVITY AND FAIL TO CONSUME THE RECOMMENDED AMOUNT OF FRUITS AND VEGETABLES. RATES OF OBESITY (34.8%) AND DIABETES (10.9%) ARE HIGHER IN ASCENSION PARISH THAN THE NATIONAL AVERAGE. THE WEST BANK AREA EXPERIENCES CONSIDERABLY WORSE HEALTH CONDITIONS THAN THE REST OF THE SERVICE AREA, INCLUDING CANCER AND DIABETES. TRANSPORTATION TO HEALTHCARE SERVICES IS A SIGNIFICANT BARRIER FOR WEST BANK RESIDENTS, WHO ALSO HAVE LITTLE LOCAL ACCESS TO SPECIALISTS AND PRIMARY CARE PROVIDERS. HEALTH INSURANCE HAS BECOME MORE ACCESSIBLE WITH THE STATE EXPANSION OF MEDICAID. OVERALL, ASCENSION PARISH ACHIEVES BETTER ECONOMIC SUCCESS AND HEALTH OUTCOMES THAN MUCH OF THE REST OF LOUISIANA, BUT STILL FALLS BELOW NATIONAL TRENDS IN MOST HEALTH MEASURES AND SEVERAL ECONOMIC DATA POINTS.
PART IIST. ELIZABETH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE DEVOTING TIME TO NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECTS, PARTICIPATING IN ECONOMIC DEVELOPMENT COUNCILS/CHAMBERS OF COMMERCE AND PARTICIPATING IN SCHOOL MENTORING PROGRAMS. ALL OF THESE PROGRAMS HELP DEVELOP THE GENERAL WELL-BEING OF THE COMMUNITY WHICH, IN TURN, PROMOTES THE HEALTH OF THE COMMUNITY ST. ELIZABETH SERVES. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE TIME DEVOTED TO FORMING COLLABORATIVE PARTNERSHIPS WITH VARIOUS ORGANIZATIONS SUCH AS THE DEPARTMENT OF HEALTH & HUMAN SERVICES, LOCAL SCHOOL BOARDS, AND OTHER HOSPITALS TO IMPROVE THE GENERAL COMMUNITY HEALTH. ADDITIONALLY, ST. ELIZABETH PARTNERS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES. IT ALSO PARTICIPATES IN SCHOOL-BASED PROGRAMS RELATED TO HEALTH CARE CAREERS.
PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: ST. ELIZABETH HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE-MEMBER. ST. ELIZABETH IS PART OF THE FMOLHS HEALTH CARE SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. ST. ELIZABETH HOSPITAL SERVES THE COMMUNITY IN GONZALES, LA AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL ST. ELIZABETH HOSPITAL WORKS CLOSELY WITH OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (A TAX-EXEMPT HOSPITAL AFFILIATE) TO PROVIDE COMPREHENSIVE MEDICAL SERVICES AS PART OF THE OVERALL HEALTHCARE PROVIDED TO THE COMMUNITY.
PART III, LINE 2THE ORGANIZATION ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF ACCOUNTS AND HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW OF THE COLLECTIONS TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF THE GOVERNING BODY OF ST. ELIZABETH HOSPITAL IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. ST. ELIZABETH 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF LAKE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 Hennessy BlvdAddressLine1Txt
CityBaton RougeCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70808ZIPCd
FieldValueIRS element (for citing)
Recipient EIN721014324RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$11,000CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantGENERAL SUPPORT GENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, QUESTION 2FormAndLineReferenceDesc
ExplanationALL CHARITABLE DONATIONS ARE MADE TO WELL-KNOWN CHARITABLE ORGANIZATIONS OR THROUGH REFERRAL FROM EITHER A BOARD OR TEAM MEMBER ASSOCIATED WITH THE LOCAL/NATIONAL CHARITY. ST. ELIZABETH HOSPITAL UTILIZES SEVERAL RESOURCES TO VERIFY THE INTEGRITY AND AUTHENTICITY OF THE CHARITABLE ORGANIZATION INCLUDING, BUT NOT LIMITED TO, 1) OFFICE OF INSPECTOR GENERAL SANCTION LIST 2) GENERAL SERVICES ADMINISTRATION SANCTIONS LIST 3) U.S. TREASURY SANCTIONS LIST 4) INTERNAL REVENUE SERVICE'S LIST OF TAX DEDUCTIBLE CHARITABLE ORGANIZATIONS OR 5) BETTER BUSINESS BUREAU RESOURCE LIBRARY. CHARITABLE RECIPIENTS ARE ASKED TO PROVIDE A DONATION LETTER EXPLAINING THE INTENT FOR WHICH THE DONATION WILL BE USED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT BURGESS
PRESIDENT AND CEO$0$337,510$0$118,480$0$2,335$0$52,029$0$10,180$0$520,534$0$0
PAUL C AGUILLARD MD
BOARD MEMBER$394,491$0$78,103$0$270$0$11,000$0$24,333$0$508,197$0$0$0
JOHN F FRAICHE MD
PRES STEPG AND BOARD MEMBER$496,406$0$9,800$0$716$0$11,000$0$2,887$0$520,809$0$0$0
DENZIL MORAES MD
BOARD MEMBER/ PHYSICIAN$0$815,924$0$500,663$0$276$0$11,000$0$22,238$0$1,350,101$0$0
RAHIL D SHAH
Staff Physician$589,086$0$0$0$176$0$11,000$0$2,521$0$602,783$0$0$0
DAWN B SHARP MD
CHIEF OF STAFF$510,483$0$0$0$117$0$11,000$0$24,545$0$546,145$0$0$0
MICHAEL A GOODIER
Staff Physician$478,853$0$2,500$0$117$0$11,000$0$24,545$0$517,015$0$0$0
SUE KNIGHT
COO$271,743$0$61,949$0$917$0$73,835$0$9,625$0$418,069$0$0$0
JEFFREY LIMBOCKER
REGIONAL CFO$0$535,092$0$160,416$0$815$0$114,181$0$24,587$0$835,091$0$0
YVONNE PELLERIN
CNO$187,568$0$43,693$0$4,595$0$9,260$0$7,746$0$252,862$0$0$0
MICHAEL BODIN
Staff Physician$406,306$0$73,757$0$117$0$11,000$0$27,951$0$519,131$0$0$0
ELIZABETH K BOLLINGER
Staff Physician$724,859$0$0$0$106$0$11,000$0$2,521$0$738,486$0$0$0
John D Knapp
Staff Physician$379,367$0$83,723$0$270$0$11,000$0$24,545$0$498,905$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I question 4aThe 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 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. The regional CFO 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 12 months. No payments were made under the plan in the current year.
PART I, QUESTION 3THE CEO AND CFO WERE 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 COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINED AND RELIED UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWED COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION WAS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION WAS DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I, QUESTION 4BFMOLHS 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 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.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (5 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
OUR LADY OF THE LAKE HOSPITAL
VIA MERGER - CASH2020-03-01$14,718,252BOOK VALUE7204236515000 HENNESSY BOULEVARDBATON ROUGELA70808501c3
OUR LADY OF THE LAKE HOSPITAL
VIA MERGER-RECEIVABLES,INVENTORY,OTHER2020-03-01$34,468,711BOOK VALUE7204236515000 HENNESSY BOULEVARDBATON ROUGELA70808501C3
OUR LADY OF THE LAKE HOSPITAL
VIA MERGER - EQUIPMENT2020-03-01$9,603,263BOOK VALUE7204236515000 HENNESSY BOULEVARDBATON ROUGELA70808501C3
OUR LADY OF THE LAKE HOSPITAL
VIA MERGER - REAL ESTATE2020-03-01$39,321,164BOOK VALUE7204236515000 HENNESSY BOULEVARDBATON ROUGELA70808501C3
OUR LADY OF THE LAKE HOSPITAL
VIA MERGER - LIABILITIES2020-03-01-$28,992,537BOOK VALUE7204236515000 HENNESSY BOULEVARDBATON ROUGELA70808501C3
FieldValueIRS element (for citing)
Director Of SuccessorYes (true)DirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I LINE 2A AND 2BFormAndLineReferenceDesc
ExplanationOUR LADY OF THE LAKE ASCENSION, DBA ST. ELIZABETH HOSPITAL INC. MERGED INTO OUR LADY OF THE LAKE HOSPITAL (A RELATED TAX-EXEMPT HOSPITAL). BOTH HOSPITALS ARE PART OF THE FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM. BOARD RESOLUTIONS RELATED TO THE MERGER ARE ATTACHED TO THIS RETURN. SOME ST. ELIZABETH HOSPITAL DIRECTORS AND EMPLOYEES CONTINUED TO SERVE IN LEADERSHIP ROLES OF THE MERGED ORGANIZATION AS DETAILED BELOW. LINE 2A JOHN F. FRAICHE, MD SERVED AS A BOARD MEMBER OF ST. ELIZABETH HOSPITAL PRIOR TO THE MERGER AND WAS ELECTED AS A BOARD MEMBER OF OUR LADY OF THE LAKE HOSPITAL IN JANUARY 2019; HE WILL CONTINUE TO SERVE AS A BOARD MEMBER OF OUR LADY OF THE LAKE HOSPITAL. R.J. DAIGLE SERVED AS A BOARD MEMBER OF ST. ELIZABETH PRIOR TO THE MERGER AND WAS ELECTED AS A BOARD MEMBER OF OUR LADY OF THE LAKE IN JANUARY 2019; HE WILL CONTINUE TO SERVE AS A BOARD MEMBER OF OUR LADY OF THE LAKE HOSPITAL. LINE 2B SUE KNIGHT SERVED AS COO OF ST. ELIZABETH PRIOR TO THE MERGER AND CONTINUED WITH OUR LADY OF THE LAKE IN A TRANSITIONAL POSITION AFTER THE MERGER; SHE HAS SINCE RETIRED. PRIOR TO THE MERGER, SCOTT WESTER SERVED AS REGIONAL PRESIDENT OVER BOTH ST. ELIZABETH HOSPITAL AND OUR LADY OF THE LAKE HOSPITAL. AFTER THE MERGER, HE CONTINUED TO SERVE AS PRESIDENT OF OUR LADY OF THE LAKE HOSPITAL. PRIOR TO THE MERGER, JEFF LIMBOCKER SERVED AS REGIONAL CFO OVER BOTH ST. ELIZABETH HOSPITAL AND OUR LADY OF THE LAKE HOSPITAL. AFTER THE MERGER, HE CONTINUED TO SERVE AS CFO OF OUR LADY OF THE LAKE HOSPITAL. YVONNE PELLERIN SERVED AS CNO OF ST. ELIZABETH PRIOR TO THE MERGER AND TRANSITIONED TO A POSITION WITHIN OUR LADY OF THE LAKE HOSPITAL AFTER THE MERGER. SHE NOW SERVES AS THE SENIOR DIRECTOR OF NURSING OF OUR LADY OF THE LAKE HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, QUESTION 6FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL
PART VI, SECTION A, QUESTION 7AFMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. ELIZABETH HOSPITAL
PAGE 6, PART VI, SECTION BQUESTION 12C ST. ELIZABETH HOSPITAL 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 A 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 ST. ELIZABETH HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, ST. ELIZABETH HOSPITAL 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 OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
PAGE 6, PART VI, SECTION BQUESTION 15 THE BOARD OF DIRECTORS DESIGNATES THE EXECUTIVE COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR EXECUTIVES AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE PRESIDENT AND CEO OF ST. ELIZABETH HOSPITAL IS AN EMPLOYEE OF FMOL HEALTH SYSTEM, AND HIS SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION WHICH RESEMBLE THE ABOVE.
PAGE 6, PART VI, SECTION CQUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
PART VI, SECTION A, QUESTION 7BTHE 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
PART VI, SECTION A, QUESTION 11AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG, LLP, THE RETURN WILL BE PROVIDED TO AND REVIEWED BY THE GOVERNING BODY OF OUR LADY OF THE LAKE HOSPITAL BEFORE IT IS FILED WITH THE IRS.
PART XI, QUESTION 9CAPITAL TRANSFERS - $ (70,311,084) BOOK-TAX DIFFERENCE - $ (4,910) REVERSAL OF GRANT EXPENSE - $ 14,371
SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTIONST. ELIZABETH HOSPITAL 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 MARCH 1, 2019.
SECTION 1.263 (A)-1(F) - DE MINIMIS SAFE HARBOR ELECTIONST. ELIZABETH HOSPITAL 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 MARCH 1, 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 III, LINE 3AS OF MARCH 01, 2019, ST. ELIZABETH HOSPITAL MERGED WITH OUR LADY OF THE LAKE HOSPITAL, WITH OUR LADY OF THE LAKE HOSPITAL BEING THE SURVIVING ENTITY. THE OPERATING ACTIVITIES OF ST. ELIZABETH HOSPITAL WILL CONTINUE AS PART OF THE OPERATIONS OF OUR LADY OF THE LAKE HOSPITAL.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH PHYSICIANSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12647 S ST ELIZABETH BLVDAddressLine1Txt
CityGONZALESCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70737ZIPCd
FieldValueIRS element (for citing)
EIN721439296EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Total Income-$4,227,904TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1STEHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)7OLOLYes (true)
ST BERNARD HEALTH FUND
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(C)(3)11 TYPE 1FMOLfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HEART HOSPITAL OF ACADIANA LLC
1105 KALISTE SALOOM ROADLAFAYETTELA70508300442368HEALTHCARELALOURDESN/A
PERKINS PLAZA IMAGING DEVELOPMENT LLC
5000 HENNESSY BLVD PLAZA 2 SUITEBATON ROUGELA70808203894521REAL ESTATELAOLOLN/A
P&S SURGERY CENTER LLC
312 GRAMMONT STREETMONROELA71201721387870HEALTHCARELASFMCN/A
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELALOURDESN/A
BRPT LAKE REHABILITATION CENTERS LLC
5222 BRITTANY DRIVEBATON ROUGELA70808721506100HEALTHCARELAOLOLN/A
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAOLOLN/A
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BLVDBATON ROUGELA70810263160962HEALTHCARELAOLOLN/A
ST ELIZABETH-MARY BIRD PERKINS CANCER C
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELASTEHRelated$147,340$3,262,578falseYes (true)0.35000
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELASFMCN/A
LHCG-XIII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELALOURDESN/A
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELALOURDESN/A
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELASTEHRelated$251,029$436,510falseYes (true)0.67000
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELAOLOLN/A
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXOLOLN/A
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELASFMCN/A
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAOLOLN/A
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508720423635HEALTHCARELALOURDESN/A
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAOLOLN/A
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816720423651HEALTHCARELALOURDESN/A
LAFAYETTE SURGERY CENTER LTD PARTNERSHIP
C/O C T CORP SYSTEM 3867 PLAZA TOWBATON ROUGELA70816472665226HEALTHCARELALOURDESN/A
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELALOURDESN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
LOUISE INSURANCE COMPANY
PO BOX 1051 KY1-1102CAYMAN ISLANDSCJINVESTMENTCJFMOLC CORP
FRANCISICAN HEALTH & WELLNESS SERVICES I
HEALTHCAREFMOLC CORP4200 ESSEN LANEBATON ROUGELA70809455492379LA
FMOL HEALTH SYSTEM HOLDINGS INC
INVESTMENTFMOLC CORP4200 ESSEN LANEBATON ROUGELA70809454405024LA
HOSPITAL ASSISTANCE SERVICES
HEALTHCARELOURDESC CORPPO BOX 4027-CLAFAYETTELA70502721073486LA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd