2017-05-15T15:42:01-05:00 2016-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2015-07-01 720423635 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC % AMANDA HYMEL OURL 3374702000 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 RONALD HOGAN CFO 2017-05-15 true BRITTANY ELLISER P01284954 2253444000 2015 2021-01-29 14:40:06Z WILLIAM BARROW 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 260541863 false 0928 X WWW.LOURDES. NET X 1957 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR RESEARCH, EDUCATION, AND THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY. 17 14 1882 110 822735 -28901 1091343 827958 221972643 253202237 -22239140 3676224 1362914 1741336 202187760 259447755 358025 242360 0 0 86841563 92345510 0 0 0 144081130 181252711 231280718 273840581 -29092958 -14392826 374165009 364852286 279771737 295753611 94393272 69098675 X OF THE ROMAN CATHOLIC CHURCH, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. EXTENDS THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. CALLS 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. false false 210780570 242360 253202237 HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTH LOUISIANA. THE 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 NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER PROVIDED SERVICES FOR 47,142 PATIENT DAYS, 129,886 OUTPATIENT VISITS, AND 36,140 EMERGENCY ROOM VISITS IN THE YEAR ENDED JUNE 30, 2016. SEE SCHEDULE O FOR FURTHER EXPLANATION. 210780570 true true false false false false false false false false true false true false true true false true false false true true true false false false true true true false true false false false false false false false false false false false false true true true true false false true 292 0 true 1882 true true true false false false false false false false false false X 17 14 false false false false true true true true true false false true true true true false true true false true false X AMANDA HYMEL 2257658496 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 X WF BUD BARROW PRESIDENT AND CEO 2.0 58.0 X X 0 561773 79082 WAYNE D ELMORE VICE CHAIR 0.5 0.0 X X 0 0 0 FR CHESTER ARCENEAUX BOARD MEMBER 0.5 0.0 X 0 0 0 PAUL BREAUX III MD BOARD MEMBER 3.0 0.0 X 26100 0 0 DR RICHARD BROUSSARD BOARD MEMBER 0.5 0.0 X 0 0 0 DR CHANCELLOR DONALD BOARD MEMBER 4.0 0.0 X 41400 0 0 CHARLES T GOODSON BOARD MEMBER 0.5 0.0 X 0 0 0 KENNETH L HIX SECRETARY 0.5 0.0 X X 0 0 0 SR VERNOLA LYONS BOARD MEMBER 0.5 2.0 X 0 0 0 SR BETTY LYONS BOARD MEMBER 0.5 0.5 X X 0 0 0 IAN MACDONALD BOARD MEMBER 0.5 0.5 X 0 0 0 ROBERT MAHTOOK JR BOARD MEMBER 0.5 0.0 X 0 0 0 DR THOMAS MONTGOMERY BOARD MEMBER 1.0 0.0 X 7800 0 0 JAMES MWATIBO MD BOARD MEMBER/ CHIEF OF STAFF 40.0 0.0 X 230124 0 32591 GAIL ROMERO BOARD MEMBER 0.5 0.0 X 0 0 0 KELLY T CAHILL JR MD BOARD MEMBER 40.0 0.0 X 349049 0 31645 JOHN L INDEST CHAIR 0.5 0.0 X X 0 0 0 SR MARGARIDA VASQUES BOARD MEMBER 0.5 4.5 X 0 0 0 SR ANN CATHERINE NGUYEN BOARD MEMBER 0.5 1.0 X 0 0 0 RON HOGAN REGIONAL CFO 2.0 58.0 X 0 398259 65551 DONNA LANDRY COO 40.0 0.0 X 326840 0 29119 DANNA M CRAIN HHL COO 40.0 0.0 X 252555 0 68347 Carllene MacMillian CNO 40.0 0.0 X 163616 0 16085 RICHARD FEI STAFF PHYSICIAN 40.0 0.0 X 522848 0 33720 ANTHONY P BLALOCK STAFF PHYSICIAN 40.0 1.0 X 418944 0 12979 FRANK W COURMIER STAFF PHYSICIAN 40.0 0.0 X 387996 0 34260 JON C LIPRIE STAFF PHYSICIAN 40.0 0.0 X 323763 0 33905 Edmund Nagem STAFF PHYSICIAN 40.0 0.0 X 1159951 0 13187 4210986 960032 450471 172 false true false FMOL HEALTH SYSTEM INC 4200 ESSEN LANE BATON ROUGHE LA 70809 MANAGEMENT SERVICES 23713015 SODEXO INC AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT SERVICES 2987158 TRIMEDX INC 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 EQUIPMENT MAINTENANC 5573819 LA ONCOLOGY ASSOCIATES 4809 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 PHYSICIAN FEES 2567480 OUR LADY OF THE LAKE HOSPITAL 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 LAB SERVICES 1532504 160 317123 131300 379535 827958 PATIENT SERVICE REVENUE 900099 241199878 241199878 OUTREACH LAB 900099 3953299 3151570 801729 FOOD SERVICE REVENUE 900099 1308395 1308395 OTHER REVENUE 900099 3544803 3544803 INCOME FROM EQUITY INVESTEES 900099 1709236 1690901 18335 1486626 1486626 253202237 3271553 -648 3272201 0 0 1741336 1741336 0 1741336 1741336 773779 725000 279082 815026 494697 -90026 404671 3319 401352 0 0 0 0 259447755 252382173 822735 5414889 230360 230360 0 12000 12000 0 2876850 1237045 1639805 0 70619984 52654853 17965131 7118612 4698284 2420328 6789524 4481086 2308438 4940540 3260756 1679784 33808208 22313417 11494791 318098 209945 108153 5005 3303 1702 0 0 48903 32276 16627 5313250 3506745 1806505 552282 364506 187776 24452522 12242169 12210353 4102 2707 1395 0 10585434 6986386 3599048 361052 238294 122758 0 0 6072651 4007950 2064701 0 12194361 8048278 4146083 2224618 1468248 756370 MEDICAL SUPPLIES EXPENSE 66009847 65479584 530263 PENSION RELATED CHANGES 19287026 19287026 OTHER 15352 15352 273840581 210780570 63060011 0 22458815 21132655 5213631 5603149 0 0 28561379 32708515 0 0 0 0 1328184 1196350 3909525 5176867 1684127 1722636 331062135 106678767 234917117 224383368 7656630 7678160 10031779 10603900 26211531 24612214 20572162 20572162 11620129 9462310 374165009 364852286 31763367 29001807 0 0 0 0 173431889 170816678 0 0 0 0 0 0 0 0 74576481 95935126 279771737 295753611 X 94273272 69098675 120000 0 0 0 94393272 69098675 374165009 364852286 X -14392826 -904565 -9997206 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25892802 25892802 199321792 27783448 171538344 4865381 1390327 3475054 62616481 47617221 14999260 38365679 29887771 8477908 224383368 INVESTMENT IN PARK PLACE 4706828 F INVESTMENT IN LHC GROUP 412762 F INVEST IN LOURDES AFTER HOURS 261346 F INVESTMENT IN HHL 18389883 F INVESTMENT IN LID 841395 F 24612214 0 ACCRUED PENSION COST 95935126 95935126 X FIN 48 FOOTNOTE (ASC 740) SCHEDULE D, PART XIV THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. true Central America and the Caribbean Investments 5365485 5365485 5365485 Central America and the Caribbean GENERAL SUPPORT 12000 CHECK 1 true false true true true false true true X true X true X true true true false true true 11514132 11514132 0.03760 15317475 6864499 8452976 0.02760 26831607 6864499 19967108 0.06520 770693 413582 357111 0.00120 124911 124911 0.00040 1173584 300462 873122 0.00280 246769 246769 0.00080 2315957 714044 1601913 0.00520 29147564 7578543 21569021 0.07040 5023 5023 0.00010 5023 5023 0.00010 true 11170269 75557671 83915231 -8357560 X true true LOURDES IMAGING DEV LEASOR OF IMAGING PROP & EQUI 0.24723 0.0139 0.73887 HEART HOSP OF LAFAYE SPECIALTY HOSPITAL 0.6 0.3054 PARK PLACE SURGICAL AMBULATORY SURGICAL CENTER 0.45 0.0687 0.3735 3 1 OUR LADY OF LOURDES RMC 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 www.fmolhs.org/lourdesrmc X X X 2 HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 www.hearthospitallaf.net X X X 3 PARK PLACE SURGERY CENTER LLC 901 WILSON STREET LAFAYETTE LA 70503 www.parkplacesurgery.com X SURGERY CENTER OUR LADY OF LOURDES RMC 1 false false true X X X X X X X X X 15 true true false true X SEE SUPPLEMENTAL INFORMATION X true 15 false true false true X 200. 300. X X X true true X X X true X X X X X X true X false X X X X true X false false HEART HOSPITAL OF ACADIANA LLC 2 false false true X X X X X X X X X 15 true true false true X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X true 15 false true false true X 200. 300. X X X true true X X X true X X X X true X false X X X X true X false false PARK PLACE SURGERY CENTER LLC 3 false false true X X X X X X X X X 15 true true false true X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X true 15 false true false true X 200. 300. X X X true true X X X true X X X X true X false X X X X true X false false PART V, LINE 5 OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, & PARK PLACE SURGERY: A FIVE QUESTION SURVEY WAS GIVEN TO REPRESENTATIVES OF 15 DIFFERENT ORGANIZATIONS THROUGHOUT THE COMMUNITY. INTERVIEWS WERE ALSO CONDUCTED WITH REPRESENTATIVES OF THE COMMUNITY, INCLUDING CHURCH LEADERS, LOURDES EMPLOYEES, AND STATE AND LOCAL HEALTH DEPARTMENTS. THEIR INPUT AND EXPERTISE WAS HEAVILY RELIED UPON FOR INTERPRETATION OF DATA AND TRENDS IN HEALTHCARE IN LOUISIANA AND LAFAYETTE PARISH. THE HOSPITAL CONSULTED WITH DR. TINA STEFANSKI, REGION IV MEDICAL DIRECTOR FOR THE LOUISIANA DEPARTMENT OF HEALTH & HOSPITALS; THE DIRECTOR AND NURSE PRACTITIONER FOR ST. BERNADETTE COMMUNITY CLINIC; AND A MEMBER OF GOOD HOPE BAPTIST CHURCH. PART V, LINE 6 LOURDES REGIONAL MEDICAL CENTER ADOPTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH HEART HOSPITAL OF LAFAYETTE AND PARK PLACE SURGICAL HOSPITAL. PART V, LINE 7 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER: THE CHNA CAN BE FOUND AT HTTPS://LOURDESRMC.COM/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX HEART HOSPITAL OF ACADIANA: THE CHNA CAN BE FOUND AT HTTP://WWW.HEARTHOSPITALOFLAFAYETTE.COM/COMMUNITY/OUTREACH.HTML AND AT HTTPS://LOURDESRMC.COM/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PARK PLACE SURGICAL HOSPITAL: THE CHNA CAN BE FOUND AT HTTP://WWW.PARKPLACESURGERY.COM/COMMUNITY.HTML AND AT HTTPS://LOURDESRMC.COM/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX PART V, LINE 11 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER: IN 2015, OUR LADY OF LOURDES IDENTIFIED SEVEN HEALTH NEEDS IN OUR COMMUNITY. AS PART OF THE IMPLEMENTATION PLAN PHASE OF THE AFFORDABLE CARE ACT, WE CHOSE TO FOCUS ON OBESITY, CANCER, MENTAL HEALTH AND HEART DISEASE. BY FOCUSING OUR EFFORTS ON THESE NEEDS IN THE ZIP CODE AREAS OF 70501 AND 70507, WE ARE SIMULTANEOUSLY ADDRESSING THE NEED FOR ACCESS TO CARE. THE IDENTIFIED NEED NOT CHOSEN AS AN AREA OF FOCUS WAS ALCOHOLISM/DRUG ADDICTION BECAUSE IT WAS OUTSIDE OF THE SCOPE OF OUR PRACTICE AND WAS BEING ADDRESSED BY OTHER COMMUNITY AGENCIES. SUCH OTHER AGENCIES INCLUDE THE EXTRA MILE, LAFAYETTE COMMUNITY HEALTHCARE CLINIC, AND UNIVERSITY MEDICAL WHO ARE BETTER SUITED TO PROVIDE THE SERVICE. DIABETES WAS ALSO A FOCUS AREA ADDRESSED BY OUR LADY OF LOURDES DURING THIS TAX YEAR BECAUSE IT WAS CHOSEN AS A FOCUS AREA IN OUR PRIOR IMPLEMENTATION PLAN. Obesity: In our Congregational Health Services, we partner with over 20 churches of different denominations. At several of the churches we have implemented weekly exercise programs in the evenings where we monitor weights and BMIs. In these exercise programs, we have individual and composite weight loss challenge goals for all participants. Since the last CHNA we have expanded another exercise program in a neighboring parish outside of Lafayette. Also, at our Northside School Based Health Center we have identified students with abnormal BMI's and implemented a process for these students to meet with our Community Services dietician to help these students work toward getting into a normal range for BMIs. Mental Health: Since the last CHNA, we began a partnership with several community partners (including the University of Louisiana at Lafayette Master's MSW students, Law Enforcement, 232-Help Telephonic counseling, etc.) to help with the mental health crisis in our community. The partnership is called the Crisis Connection Center (CCC). We identified Mental Health in the last CHNA but was not in a position to develop a strategy to address it at the time. However, the opportunity to collaborate with others in the community became available this past year and we took advantage to help a growing population of mental health patients in our community. Diabetes: Through our Congregational Health Services, we conducted several glucose screenings at health fairs held at our various church partners throughout the year donating glucose monitoring systems to diabetics and pre-diabetics. At St. Bernadette's Clinic for the homeless and uninsured, we partner with St. Joseph's Diner (soup kitchen) where we provided over 100,000 healthy meals during 2015-2016 to help many of the diabetic clients control their diabetes and maintain normal glucose levels. Northside School Based Health Center provides healthy snacks to students that are diabetic or pre-diabetics and they also partnered with the Community Services dietician to counsel these students on healthy eating habits. Cancer: At our St. Bernadette's Clinic, where we serve a patient population that is homeless and uninsured, we continue to provide free breast cancer screenings and mammograms which are provided at our St. Agnes Breast Center. We also implemented a program at St. Bernadette's where we screen 100% of our patients for tobacco use and make referrals to a smoking cessation program with one of our community partners. Through Congregation Health Services, we've provided various educational INFORMATION ON CANCER AND ALSO PARTICIPATED IN THE ANNUAL "SUSAN G. KOMEN" RACE FOR THE CURE ACTIVITIES. Heart Disease: The goal was to improve cardiovascular health and provide early detection of individuals at risk for heart disease. Congregational Health Services increased access to heart medication for the poor and increased access to expert heart healthy knowledge and education. Heart Hospital partnered with St. Bernadette to conduct Carotid screening for their patients. HEART HOSPITAL OF LAFAYETTE: IN 2015, HEART HOSPITAL OF LAFAYETTE (HHL) IDENTIFIED SEVEN HEALTH NEEDS IN OUR COMMUNITY. AS PART OF THE IMPLEMENTATION PLAN PHASE OF THE AFFORDABLE CARE ACT, WE CHOSE TO FOCUS ON OBESITY, DIABETES, AND HEART DISEASE. BY FOCUSING OUR EFFORTS ON THESE NEEDS IN UNDERSERVED AREAS OF OUR COMMUNITIES, WE ARE SIMULTANEOUSLY ADDRESSING THE NEED FOR ACCESS TO CARE. THE IDENTIFIED NEEDS NOT CHOSEN AS AN AREA OF FOCUS INCLUDE MENTAL HEALTH, ALCOHOLISM/DRUG ADDICTION, AND CANCER. HEART HOSPITAL OF LAFAYETTE DECIDED THOSE NEEDS WERE OUTSIDE THE SCOPE OF ITS PRACTICE AND THERE WERE SUFFICIENT PROGRAMS AND SERVICES PROVIDED BY OUR LADY OF LOURDES REGIONAL MEDICAL CENTER AND OTHER COMMUNITY OUTREACH CLINICS AND AGENCIES IN THOSE AREAS. HHL partnered with the Northside High School (NSHS) Clinic to offer EKGs and ECHOs to athletes participating in football. We are continuing to work with the clinic and the School Board to expand these screenings to athletes in other sports at NSHS and across Lafayette Parish. HHL also partnered with AAAneurysm Outreach to offer free blood pressure and ultrasound screenings for high risk individuals and individuals at high risk for having or developing an aortic aneurysm. HHL partnered with Acadiana Radiology Group and St. Bernadette's clinic to offer Carotid screenings for over 24 individuals that reside within the Shelter or utilize the clinic's services. Two of those screened were sent for immediate intervention and six are scheduled for a return visit in six months. PARK PLACE SURGERY: Park Place Surgery, as a partner with Our Lady of Lourdes Medical Center, participates in the Implementation Plan Phase of the Affordable Care Act. As a Tier 2 Hospital that specializes in surgical services, Park Place's administration works closely with the Our Lady of the Lourdes team to help identify ways to most effectively impact the system's overall mission and plan. Park Place's objective is to support those system needs in fulfilling their goals. Park Place's administration, with the direction of Our Lady of Lourdes, has done the following to help address the identified community needs: Park Place Surgery funds a full time Nurse Practitioner at St Bernadette's Clinic servicing the indigent of the community. This program provides access to care for a population of people who otherwise would be unserved and will help impact obesity in the community. Park Place Surgery provides support both financially and through volunteer time to the Miles Perret Cancer Center. The center is focused on the support of cancer patients in several phases of cancer care. Many patients serviced by this organization were Park Place patients. These support services include counseling services for family and patients, nutritional services, treatment items and supplies, and patient health system navigation and support. Park Place Surgery contributes to the Lafayette Community Healthcare Clinic. This organization aids the underserved in the community who are not eligible for Medicare or Medicaid, but do not have the economic resources for traditional health insurance. Park Place Surgery provides access to care for the patients of Acadiana and beyond through its physician partners and the cases these physicians refer to the facility. Of those served at Park Place, 10% of all services are provided to patients in the two zip codes which are identified by the Community Health Needs Assessment as underserved. The identified needs not chosen by Park Place Surgery as an area of focus included mental health and alcoholism/drug addiction since that is outside of Park Place Surgery's scope of practice. However, mental health issues and addictions are diagnosed and referred by their community outreach clinics to other community agencies such as the Extra Mile, Lafayette Community Health Clinic, and University Medical Center. Diabetes and heart disease were also not selected by Park Place Surgery as focus areas because there are other community service providers addressing these needs. PART V, LINE 16I OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, & PARK PLACE SURGERY: REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE OR DISCOUNTED CARE. PART V, LINE 13H OUR LADY OF LOURDES RMC, HEART HOSPITAL OF LAFAYETTE & PARK PLACE SURGERY: FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE 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. 3 LOURDES IMAGING NETWORK LLC 4809 AMBASSADOR CAFFERY SUITE 350 LAFAYETTE LA 70506 IMAGING CENTER LOURDES AFTER HOURS LLC 2130 KALISTE SALOOM ROAD LAFAYETTE LA 70508 HEALTHCARE CLINIC LHCG-XIII LLC 601 WEST ST MARY BLVD SUITE 309 LAFAYETTE LA 70506 HOME HEALTH AGENCY 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. Full and partial discounted care is available if income and assets meet certain federal poverty guideline levels. Discounted care is also available for those patients with catastrophic medical bills if medical bills exceed a certain percentage of income and assets. Fully discounted care is also available where the patient or other sources can provide sufficient evidence of presumptive eligibility. Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1) patient receiving free care from a community clinic and is referred to the 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 I LINE 7G OUR LADY OF LOURDES PROVIDES SUBSIDIZED HEALTH SERVICES INCLUDING HEALTH CARE CLINICS. ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION, IS INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. ST. BERNADETTE CLINIC $468,503 ST. CLARE CLINIC $149,068 PART I LINE 7 THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE JUNE 30, 2016 MEDICARE COST REPORT DATA. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE. PART III, SECTION A, LINE 2 THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. PART III LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENT AND GUIDELINES. THE MEDICARE COST REPORT (MCR) is an annual report required of all institutions participating in the Medicare program. The MCR records each institution's total costs and charges associated with providing services to all patients, the portion of those costs and charges allocated to Medicare patients, and the Medicare payments received. PART III LINE 9B PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOPSITAL'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 2 NEEDS ASSESSMENT THE COMMUNITY SERVICES DEPARTMENT AT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER WAS FORMED NEARLY 10 YEARS AGO TO ASSESS THE COMMUNITY NEEDS. IT HAS GROWN INTO 5 DISTINCT SERVICE AREAS WHICH PROVIDES HEALTHCARE TO NEEDY RESIDENTS IN THE ACADIANA AREA. IN TAKING "HEALTHCARE TO THE HIGHEST POWER", THE DEPARTMENT REACHES OUT TO THOSE MOST IN NEED, SPECIFICALLY, THE UNINSURED AND UNDERINSURED. IN PURSUING THE MISSION TO IMPROVE THE HEALTH STATUS OF ACADIANA'S POOREST RESIDENTS, THE DEPARTMENT HAS STRATEGICALLY PLACED ACCESSIBLE SERVICES THROUGHOUT THE COMMUNITY. COMMUNITY SERVICES' CATHOLIC IDENTITY IS MADE TANGIBLE IN THE COMMUNITY THROUGH THESE UNIQUE SERVICES. THE DEPARTMENT STEWARDS ITS RESOURCES BY ENGAGING COMMUNITY MEMBERS, FORMING PARTNERSHIPS, AND ESTABLISHING COLLABORATIVE RELATIONSHIPS. THESE UNIQUE SERVICES CLEARLY DISTINGUISH OUR LADY OF LOURDES FROM OTHER HEALTHCARE FACILITIES IN ACADIANA. THE MEDICAL CENTER DOES EXTENSIVE RESEARCH REGARDING COMMUNITY ISSUES AND NEEDS WITHIN ITS SERVICE AREAS. THE RESEARCH IS CONDUCTED IN AN EFFORT TO DETERMINE IF ITS COMMUNITY BENEFIT PROGRAMS ARE STILL APPROPRIATE AND TO DETERMINE IF OTHER PROGRAMS ARE NEEDED. THE SENIOR EXECUTIVE TEAM DETERMINES THE FOCUS GROUPS TO BETTER UNDERSTAND WHAT THE PEOPLE WITHIN THE REGION CONSIDER TO BE THE MAJOR COMMUNITY NEEDS. THE FOCUS GROUP INCLUDES COMMUNITY LEADERS, RELIGIOUS LEADERS, COMMUNITY SERVICE EMPLOYEES, LOW WAGE EMPLOYEES AND CLIENTS FROM CLINICS. SOME OF THE RESULTS OF THE MEDICAL CENTER'S NEEDS ASSESSMENT INCLUDE: ST. CLARE'S CLINIC ST. BERNADETTE'S COMMUNITY CLINIC NORTHSIDE HIGH SCHOOL BASED HEALTH CENTER CONGREGATIONAL HEALTH SERVICES PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE GIVEN THE MEDICAL CENTER'S PATIENT HANDBOOK WHERE THEY ARE REFERRED TO THE SECTION ENTITLED "FINANCIAL INFORMATION - WHAT TO EXPECT". FINANCIAL COUNSELORS ALSO MEET WITH THE PATIENTS AND EDUCATE THEM ABOUT THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND ALSO THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. FOR THE CONVENIENCE OF THE PATIENTS, THE MEDICAL CENTER ALSO OPERATES A MEDICAID ENROLLMENT CENTER TO ASSIST PATIENTS INTERESTED IN APPLYING FOR MEDICAID BENEFITS. THIS OFFICE IS OPEN MONDAY - FRIDAY FROM 8:00 A.M. - 4:00 P.M. A TELEPHONE NUMBER IS ALSO PROVIDED IN THE HANDBOOK. PART VI LINE 4 COMMUNITY INFORMATION OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN LAFAYETTE, LOUISIANA THAT SERVES LAFAYETTE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, OUR LADY OF LOURDES' PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 235,851 AND 12.7% OF ITS POPULATION IS LIVING IN POVERTY. OUR LADY OF LOURDES' PRIMARY SERVICE AREA INCLUDES THE FOLLOWING PARISH: LAFAYETTE PARISH OUR LADY OF LOURDES' SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: ACADIA PARISH EVANGELINE PARISH IBERIA PARISH JEFFERSON DAVIS PARISH ST. LANDRY PARISH ST. MARTIN PARISH ST. MARY PARISH VERMILION PARISH PART VI LINE 5 PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS COMPRISED OF INDIVIDUALS WITH A BROAD CROSS-SECTION OF HEALTH CARE AND BUSINESS EXPERIENCE. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO 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 LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEATLH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF LOURDES IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF LOURDES RMC SERVES THE COMMUNITY IN LAFAYETTE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL PART III, LINE 4 THE BAD DEBT FOOTNOTE IS ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. 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. true AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 752314596 135613797 501 (C) (3) 12700 GENERAL SUPPORT UL LAFAYETTE ATHLETICS FOUNDATION 201 REINHARDT DRIVE LAFAYETTE LA 70506 726000820 501 (C) (3) 100000 GENERAL SUPPORT LOURDES FOUNDATION 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 721494532 501 (C) (3) 15000 GENERAL SUPPORT LOUISIANA OPEN 124 HEYMANN BLVD SUITE 105 LAFAYETTE LA 70503 721043611 501 (C) (3) 6000 GENERAL SUPPORT BOY SCOUTS OF AMERICA EVANGELINE AREA COUNCIL PO BOX 80115 LAFAYETTE LA 70598 720423617 501 (C) (3) 7500 GENERAL SUPPORT 5 Schedule I, Part I, Line 2 ACCORDING TO THE LEVELS OF AUTHORIZATION'S POLICIES AND PROCEDURES, ALL CHARITABLE CONTRIBUTIONS ARE APPROVED BY THE CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. false true false false false false false true false WF BUD BARROW PRESIDENT AND CEO 0 405681 0 127694 0 28398 0 56245 0 22837 0 640855 0 0 JAMES MWATIBO MD BOARD MEMBER/ CHIEF OF STAFF 205157 0 24912 0 55 0 9500 0 23091 0 262715 0 0 0 RON HOGAN REGIONAL CFO 0 297952 0 83127 0 17180 0 46704 0 18847 0 463810 0 0 DONNA LANDRY COO 263089 0 53863 0 9888 0 13507 0 15612 0 355959 0 0 0 DANNA M CRAIN HHL COO 202935 0 49620 0 0 0 42945 0 25402 0 320902 0 0 0 RICHARD FEI STAFF PHYSICIAN 522173 0 675 0 0 0 10600 0 23120 0 556568 0 0 0 ANTHONY P BLALOCK STAFF PHYSICIAN 348978 0 69199 0 767 0 10600 0 2379 0 431923 0 0 0 KELLY T CAHILL JR MD BOARD MEMBER 244810 0 104239 0 0 0 10600 0 21045 0 380694 0 0 0 FRANK W COURMIER STAFF PHYSICIAN 339012 0 48984 0 0 0 10600 0 23660 0 422256 0 0 0 JON C LIPRIE STAFF PHYSICIAN 256585 0 67178 0 0 0 10600 0 23305 0 357668 0 0 0 Edmund Nagem STAFF PHYSICIAN 1088492 0 71459 0 0 0 10600 0 2587 0 1173138 0 0 0 Chad A Vincent STAFF PHYSICIAN 236654 0 72566 0 0 0 10600 0 23346 0 343166 0 0 0 Norris P Guidry STAFF PHYSICIAN 240360 0 65703 0 0 0 10600 0 15557 0 332220 0 0 0 Carllene MacMillian CNO 135556 0 26144 0 1916 0 6587 0 9498 0 179701 0 0 0 SCHEDULE J, PART I, LINE 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 OCCURANCE 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 IN PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR. SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO. SCHEDULE J, PART I, LINE 4A THE 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 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 RANGES FROM 18 TO 36 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. SCHEDULE J, PART I, LINE 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 VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. PART VI, SECTION B, QUESTION 12C OUR LADY OF LOURDES REGIONAL MEDICAL CENTER 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 LOURDES REGIONAL MEDICAL CENTER 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, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER 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 INTERESTS ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION A, QUESTION 7a FMOL HEALTH SYSTEM INC., AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. PART VI, SECTION B, QUESTION 15A & 15B THE PRESIDENT AND CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS AN EMPLOYEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) WHOSE SALARY IS 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 AN OUTSIDE CONSULTING FIRM. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE CEO AND AN EXECUTIVE COMMITTEE. THE CEO AND EXECUTIVE COMMITTEE IS PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO AND EXECUTIVE COMMITTEE THEN USES THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND DOCUMENTS THE HUMAN RESOURCE FILES. PART VI, SECTION A, QUESTION 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 CHARGE 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 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. PART XI, LINE 9 CAPITAL TRANSFERS (9,997,206) PART VI, SECTION B, QUESTION 16A & 16B THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A JOINT VENTURE POLICY IN PLACE ALTHOUGH IT WAS NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE JUNE 30, 2016. Section 1.263(a)-1(f) - De Minimis Safe Harbor Election OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, 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 LOURDES REGIONAL MEDICAL CENTER, 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, 2016. 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