2015-05-15T14:26:55-05:00 2014-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2013-07-01 720423635 OUR LADY OF LOURDES REGIONAL MEDICAL Center Inc % RONALD E HOGAN OURL 3374702000 4801 ambassador caffery parkway Suite Lafayette LA 70508 RONALD HOGAN REGIONAL CFO 3374702000 2015-05-15 true KPMG LLP P00746825 3374702000 2013 2016-02-25 16:41:14Z WILLIAM BARROW 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 216045951 false 0928 X www.fmolhs.org/lourdesrmc 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. 19 14 1887 149 1065607 196908 222530 1254380 192805348 209017522 1386598 4510536 10455515 227580 204869991 215010018 196953 266396 0 0 83187314 82929136 0 0 0 119403900 123500996 202788167 206696528 2081824 8313490 364206151 363608000 242434240 235748834 121771911 127859166 X INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION 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 155860165 266396 208244159 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES QUALITY 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 49,865 PATIENT DAYS, 124,076 OUTPATIENT VISITS, AND 36,081 EMERGENCY ROOM VISITS IN THE YEAR ENDED JUNE 30, 2014. SEE SCHEDULE O FOR FURTHER EXPLANATION. 155860165 true true false false false false false false false false true false true false true true false true false false true true false false false false true true true false true false false false false false false false true false false false false true true true true false false true 208 0 true 1887 true true true false false false false false false false false false X 19 14 false false false false true true true true true false false true true true true false true true false true false X RONALD E HOGAN 3374702000 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 X WF BUD BARROW PRESIDENT & CEO 0.5 50.5 X X 0 469552 113693 GERALD R BOUDREAUX BOARD MEMBER 0.5 1.0 X 0 0 0 D WAYNE ELMORE BOARD MEMBER - VICE CHAIR 0.5 0.0 X X 0 0 0 CHARLES T GOODSON BOARD MEMBER 0.5 0.0 X 0 0 0 JOHN L INDEST BOARD MEMBER - CHAIR 0.5 0.0 X X HENRY J KAUFMAN MD BOARD MEMBER 0.5 0.0 X 0 0 0 SR VERNOLA LYONS BOARD MEMBER 0.5 0.0 X 0 0 0 SR BETTY LYONS BOARD MEMBER 0.5 0.5 X 0 0 0 KEVIN MOODY BOARD MEMBER 0.5 0.0 X 0 0 0 KENNETH L ODINET MD BOARD MEMBER 2.5 0.0 X 31000 0 0 JERRY REAUX BOARD MEMBER 0.5 0.0 X 0 0 0 GAIL ROMERO BOARD MEMBER 0.5 0.0 X 0 0 0 MICHAEL H VANDERLICK MD BOARD MEMBER 40.0 0.0 X 253066 0 25264 KENNETH L HIX BOARD MEMBER - SECRETARY 0.5 0.0 X X 0 0 0 ROBERT A MAHTOOK JR BOARD MEMBER 0.5 0.0 X 0 0 0 CLINTON YOUNG MD BOARD MEMBER 0.5 0.0 X 0 0 0 FR CHESTER ARCENEAUX BOARD MEMBER 0.5 0.0 X 0 0 0 RICHARD K BROUSSARD MD BOARD MEMBER 0.5 0.0 X 0 0 0 IAN MACDONALD BOARD MEMBER 0.5 0.5 X 0 0 0 DR CHANCELLOR DONALD BOARD MEMBER 0.5 0.0 X 0 0 0 DR THOMAS MONTGOMERY BOARD MEMBER 0.5 0.0 X 0 0 0 RONALD HOGAN REGIONAL CFO 2.0 60.0 X 0 331613 47960 DANNA M CRAIN CNO 40.0 0.0 X 194809 0 53555 MONTE A WILSON COO 40.0 0.0 X 225879 0 25908 CHRISTINA HOCKADAY VP HEART SERVICE 40.0 0.0 X 179928 0 23664 KELLY T CAHILL JR STAFF PHYSICIAN 40.0 0.0 X 306225 0 30685 WARTELLE J CASTILLE STAFF PHYSICIAN 40.0 0.0 X 287427 0 34915 RICHARD FEI STAFF PHYSICAN 40.0 0.0 X 604408 0 31736 DIANA FERNANDEZ- SCHMIDT STAFF PHYSICIAN 40.0 0.0 X 296743 0 13537 ANTHONY BLALOCK VP MEDICAL AFFAIRS 50.0 0.0 X 359811 0 14030 2739296 801165 414947 58 false true false FMOL HEALTH SYSTEM INC 4200 ESSEN LANE BATON ROUGHE LA 70809 MANAGEMENT SERVICES 18950204 SODEXO INC AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT SERVICES 2180549 GE HEALTHCARE INFORMATION TECHNOLOG BIN 265 MILWAUKEE WI 532880256 LEASE OF EQUIPMENT 1460795 LOURDES IMAGING DEVELOPMENT 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 LEASE OF EQUIPMENT 1160803 PROFESSIONAL ANESTHESIA SERVICES PO BOX 77263 BATON ROUGE LA 708797263 ANESTHESIA SERVICES 1102256 80 1156658 67560 30162 1254380 PATIENT SERVICE REVENUE 900099 198541776 198541776 OUTREACH LAB REVENUE 900099 4416226 3404910 1011316 INCOME FROM EQUITY INVESTEES 900099 1835202 1792876 42326 HEART HOSPITAL MANAGEMENT FEES 900099 1586449 1586449 FOOD SERVICE REVENUE 900099 967541 967541 1670328 1670328 209017522 3905527 4982 3900545 0 0 227580 227580 0 227580 280279 -52699 1640942 955900 80033 685042 -80033 605009 6983 598026 0 0 0 0 215010018 208244159 1065607 4445872 260396 260396 0 6000 6000 0 763149 327111 436038 0 65035082 48490703 16544379 0 12624208 11728346 895862 4506697 4186885 319812 22705904 19965533 2740371 294238 294238 142538 824 141714 0 0 36604 36604 19617092 6817102 12799990 1509735 86900 1422835 8766931 4389169 4377762 0 0 6727805 4689063 2038742 163338 41737 121601 0 260527 85878 174649 6710597 3422404 3288193 0 13474387 10105790 3368597 1809449 303313 1506136 MEDICAL SUPPLIES EXPENSE 40926337 40597572 328765 DECREASE IN PENSION BENEFIT 321164 321164 MISCELLANEOUS 34350 34275 75 206696528 155860165 50836363 0 6178845 20542241 6278575 5564789 0 0 27928699 28643282 0 0 0 0 5006599 5148744 4046067 3885504 2434504 1103951 324033040 86044332 248794171 237988708 6613459 5513709 8720085 7258924 26781998 26528751 20572163 20572163 850986 857234 364206151 363608000 37408600 31179596 0 0 0 0 148543617 145943452 0 0 0 0 0 0 0 0 56482023 58625786 242434240 235748834 X 121771911 127859166 0 0 0 0 121771911 127859166 364206151 363608000 X 8313490 1283024 -3509259 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26745661 26745661 228603998 43874141 184729857 3364254 786643 2577611 62416063 38266288 24149775 2903064 3117260 -214196 237988708 INVESTMENT IN PARK PLACE 6066294 F INVESTMENT IN LHC GROUP 374333 F INVEST IN LOURDES AFTER HOURS 312398 F INVESTMENT IN HHL 19663882 F INVESTMENT IN LID 111844 F 26528751 0 ACCRUED PENSION COST 58449657 BOND DISCOUNT 176129 58625786 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 3590985 3590985 3590985 Central America and the Caribbean HAITI MISSION 6000 CHECK 1 true false true true true false true true X true X true X true true true false true true 4637828 4637828 0.02000 15553643 7147190 8406453 0.03630 20191471 7147190 13044281 0.05630 523732 188745 334987 0.00140 109669 109669 0.00050 1015043 492086 522957 0.00230 848111 45537 802574 0.00350 2496555 726368 1770187 0.00770 22688026 7873558 14814468 0.06400 true 12041992 67235219 79499751 -12264532 X true true LOURDES IMAGING DEV LEASOR OF IMAGING PROP & EQUI 0.24163 0.02133 0.73704 HEART HOSP OF LAFAYE SPECIALTY HOSPITAL 0.60000 0.33240 PARK PLACE SURGICAL AMBULATORY SURGICAL CENTER 0.45000 0.05730 0.37630 3 1 OUR LADY OF LOURDES RMC 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 www.fmolhs.org/lourdesrmc 697, State License X X X 2 HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 www.hearthospitallaf.net 631, State License X X X 3 PARK PLACE SURGERY CENTER LLC 901 WILSON STREET LAFAYETTE LA 70503 www.parkplacesurgery.com 505, State License X SURGERY CENTER OUR LADY OF LOURDES RMC 1 true X X X X X X X X X 12 true false true X SEE PART V, SECTION C X X X X X X X false false true true 200. true 300. true X X X X true true X X X X true false X X X X true X false false HEART HOSPITAL OF ACADIANA LLC 2 true X X X X X X X X X 12 true true true X SEE PART V, SECTION C X X X X X X X false false true true 200. true 300. true X X X X true true X X X X true false X X X X true X false false PARK PLACE SURGERY CENTER LLC 3 true X X X X X X X X X 12 true true true X SEE PART V, SECTION C X X X X X X X false false true true 200. true 300. true X X X X true true X X X X true false X X X X true X false false PART V, LINE 14G 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 20D OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, & PARK PLACE SURGERY: THE HOSPITAL OFFERS VARIOUS LEVELS OF DISCOUNTS WHICH ARE BASED ON A SLIDING SCALE USING THE FEDERAL POVERTY GUIDELINE FAMILY INCOME LEVELS AND OTHER FACTORS. SUCH OTHER FACTORS INCLUDE ASSET LEVELS, INCOME LEVELS, MEDICAL INDIGENCY, AND A PATIENT'S QUALIFICATION FOR MEDICARE OR MEDICAID. TOGETHER THESE CRITERIA ARE USED TO SET THE MAXIMUM AMOUNT CHARGED. THE SLIDING SCALE IS DESIGNED SO THAT THE DISCOUNTS APPLIED BRING PATIENT CHARGES TO "BELOW THE AMOUNT" GENERALLY BILLED TO INDIVIDUALS WHO HAD INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES. PART V, LINE 3 OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, & PARK PLACE SURGERY: Interviews were conducted with representatives of the community, including church leaders, Lourdes employees, civic leaders, local government officials, physicians, state and local health departments, and volunteers. 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; Iris Malone, Nurse Practitioner in the school-based health center; Shanon McLaughlin, Supervisor of the school-based health center; Chris Martin, Executive Director of Boys & Girls Clib of Acadiana; Jan Swift, Executive Director of Upper Lafayette; and Chief Jim Craft, Lafayette Police Department. PART V, LINE 7 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER: ALTHOUGH THE OUR LADY OF LOURDES CHNA IDENTIFIED 6 HEALTH NEEDS OF THE COMMUNITY, THE IMPLEMENTATION STRATEGY FOCUSED ON THE 4 HIGHEST NEED AREAS SINCE THEY POSED THE HIGHEST RISK TO THE COMMUNITY. THE IDENTIFIED NEEDS NOT CHOSEN AS AN AREA OF FOCUS INCLUDED MENTAL HEALTH AND ALCOHOLISM/DRUG ADDICTION. THE HOSPITAL DECIDED THOSE NEEDS WERE OUTSIDE OF THE SCOPE OF ITS PRACTICE AND THERE WERE OTHER COMMUNITY AGENCIES, SUCH AS THE EXTRA MILE, LAFAYETTE COMMUNITY HEALTHCARE CLINIC AND UNIVERSITY MEDICAL CENTER, THAT WERE BETTER SUITED TO PROVIDE THE SERVICES. HEART HOSPITAL OF ACADIANA: ALTHOUGH THE HEART HOSPITAL OF ACADIANA CHNA IDENTIFIED 6 HEALTH NEEDS OF THE COMMUNITY, THE IMPLEMENTATION STRATEGY FOCUSED ON THE 3 HIGHEST NEED AREAS SINCE THEY POSED THE HIGHEST RISK TO THE COMMUNITY. THE IDENTIFIED NEEDS NOT CHOSEN AS AN AREA OF FOCUS INCLUDED MENTAL HEALTH, ALCOHOLISM/DRUG ADDICTION AND CANCER. THE HOSPITAL DECIDED THOSE NEEDS WERE OUTSIDE OF 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. PARK PLACE SURGERY: ALTHOUGH THE PARK PLACE SURGERY CHNA IDENTIFIED 6 HEALTH NEEDS OF THE COMMUNITY, THE IMPLEMENTATION STRATEGY FOCUSED ON THE 4 HIGHEST NEED AREAS SINCE THEY POSED THE HIGHEST RISK TO THE COMMUNITY. THE IDENTIFIED NEEDS NOT CHOSEN AS AN AREA OF FOCUS INCLUDED MENTAL HEALTH AND ALCOHOLISM/DRUG ADDICTION SINCE THAT IS OUTSIDE 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. AS A SURGICAL HOSPITAL, PARK PLACE COMMITTED TO FUNDING ANOTHER NURSE PRACTITIONER THAT WILL FOCUS ON THE REMAINING IDENTIFIED COMMUNITY NEEDS AS HE TREATS THE PATIENTS IN EACH OF OUR LADY OF LOURDES' OUTREACH CLINICS. PART V, LINE 4 HEART HOSPITAL OF ACADIANA AND PARK PLACE SURGERY CENTER FORMALLY ADOPTED THE COMMUNITY HEALTH NEEDS ASSESSMENT OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AN AFFILIATED ENTITY. HEART HOSPITAL OF ACADIANA, PARK PLACE SURGERY CENTER, AND OUR LADY OF LOURDES SHARE THE SAME DEMOGRAPHIC COMMUNITY SO HEART HOSPIAL OF ACADIANA AND PARK PLACE SURGERY CENTER FELT THAT THE NEEDS IDENTIFIED BY OUR LADY OF LOURDES WERE REPRESENTATIVE OF ITS COMMUNITY'S NEEDS AS WELL. PART V, LINE 5 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER: THE CHNA CAN BE FOUND AT https://fmolhs.org/lourdesrmc/Pages/Community-Health-Needs-Assessment.aspx HEART HOSPITAL OF LAFAYETTE: THE CHNA CAN BE FOUND AT http://www.hearthospitaloflafayette.com/community/outreach.html PARK PLACE SURGICAL HOSPITAL: THE CHNA CAN BE FOUND AT http://www.parkplacesurgery.com/docs/Community_Health_Needs_Assessment_Par k_Place_Surgical_HL.pdf 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 and is available 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. THESE PROGRAMS SUCH AS SCOTT FAMILY CLINIC, WHICH SERVES THE UNDERINSURED OR UNINSURED, AND ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION, ARE INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. SCOTT CLINIC $99,433 ST. BERNADETTE CLINIC $202,412 ST. CLARE CLINIC $221,112 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, 2014 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 SCOTT FAMILY CLINIC 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 221,578 AND 13.7% 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. ALSO, SEE THE QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REPORT ON SCHEDULE O. 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 SOUTHWEST LA EDUCATION & REFERRAL CENTER PO BOX 52763 LAFAYETTE LA 70505 720628109 501 (C) (3) 20000 DENTURE PROGRAM MILES PERRET CANCER SERVICES PO DRAWER 3408 LAFAYETTE LA 70502 721394708 501 (C) (3) 26000 FURTHER CHARITABLE PURPOSE OF THE RECIPIENT GENERAL SUPPORT UNITED WAY OF ACADIANA 215 EAST PINHOOK LAFAYETTE LA 70501 720513639 501 (C) (3) 25000 FURTHER CHARITABLE PURPOSE OF THE RECIPIENT COMMUNITY PROGRAM SUPPORT SOUTH LA COMMUNITY COLLEGE 320 DEVALCOURT STREET LAFAYETTE LA 70506 721425264 501 (C) (3) 75000 RN PROGRAM LAFAYETTE CATHOLIC SERVICES CENTER INC PO BOX 3177 LAFAYETTE LA 70502 720977497 501 (C) (3) 10000 FURTHER CHARITABLE PURPOSE OF THE RECIPIENT GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501 (C) (3) 22500 GENERAL SUPPORT GENERAL SUPPORT LOURDES FOUNDATION 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 721494532 501(C)(3) 15000 GOLF TOURNAMENT 7 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 & CEO 0 374612 0 70625 0 24315 0 91105 0 22588 0 583245 0 0 MICHAEL H VANDERLICK MD BOARD MEMBER 220094 0 32972 0 0 0 10200 0 15064 0 278330 0 0 0 RONALD HOGAN REGIONAL CFO 0 250394 0 64081 0 17138 0 21715 0 26245 0 379573 0 0 KELLY T CAHILL JR STAFF PHYSICIAN 207064 0 99061 0 100 0 10200 0 20485 0 336910 0 0 0 WARTELLE J CASTILLE STAFF PHYSICIAN 151573 0 95754 0 40100 0 10200 0 24715 0 322342 0 0 0 DANNA M CRAIN CNO 168056 0 19878 0 6875 0 29073 0 24482 0 248364 0 0 0 RICHARD FEI STAFF PHYSICAN 384609 0 188594 0 31205 0 10200 0 21536 0 636144 0 0 0 MONTE A WILSON COO 194708 0 0 0 31171 0 8155 0 17753 0 251787 0 0 0 DIANA FERNANDEZ- SCHMIDT STAFF PHYSICIAN 296480 0 263 0 0 0 10200 0 3337 0 310280 0 0 0 ANTHONY BLALOCK VP MEDICAL AFFAIRS 316772 0 42478 0 561 0 10200 0 3830 0 373841 0 0 0 CHRISTINA HOCKADAY VP HEART SERVICE 167399 0 7505 0 5024 0 7191 0 16473 0 203592 0 0 0 SCHEDULE J, PART I, LINE 4B FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION, MAINTAINS AN UNFUNDED DEFERRED COMPENSATION PLAN WHICH MEETS THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN PROVIDES 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 PLAN IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO ONE LISTED 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. 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. OTHER PERSONS LISTED ON PART VII, SECTION A ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT DUE TO REORGANIZATION OF HOSPITAL DEPARTMENTS, HOSPITAL FUNCTIONS OR DOWNSIZING ACTIVITY. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS OR HER BASE SALARY AND MEDICAL/DENTAL BENEFITS FOR THE ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGES FROM 3 WEEKS TO 12 MONTHS DEPENDING ON THE LENGTH OF SERVICE AND THE LEVEL OF SUCH EMPLOYEE. 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. LHC GROUP BD MEMBER IS A BD MEMBER 126414 OWNERSHIP OF JOINT VENTURE false LOUISIANA PHYSICIAN CORPORATION BD MEMBER IS A PART OWNER 229940 MEDICAL BILLING SERVICES false PART VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW BY KPMG LLP, THE FORM 990 IS REVIEWED BY ONE OR MORE MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS, AND COMMENTS ARE SOLICITED. A COPY OF THE FORM 990 IS ALSO PROVIDED TO THE MEDICAL CENTER'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. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990 PART III OUR LADY OF LOURDES REGIONAL MEDICAL CENTER SERVICE TO THE COMMUNITY - JUNE 30, 2014 THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTH NEEDS OF THE PEOPLE OF GOD, THE BOARD OF DIRECTORS HAS ESTABLISHED A POLICY UNDER WHICH THE MEDICAL CENTER PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER ALSO PARTICIPATES IN GOVERNMENT PROGRAMS INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. UNDER THESE PROGRAMS, THE MEDICAL CENTER PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF ACTUAL COST. IN SOME CASES, THESE PROGRAMS PAY THE MEDICAL CENTER AT AMOUNTS WHICH ARE LESS THAN ITS COST OF PROVIDING SERVICES. THE FOLLOWING TABLE SUMMARIZES THE CHARITY CARE AND MEANS-TESTED PROGRAMS FOR THE YEAR ENDED JUNE 30, 2014. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY THE MEDICAL CENTER UNDER MANAGED CARE AND OTHER SUCH AGREEMENTS. THE BELOW FIGURES USE SLIGHTLY DIFFERENT ASSUMPTIONS FROM SCHEDULE H AND THEREFORE AMOUNTS MAY VARY. 2014 CHARGES FOREGONE MEDICARE $230,931,000 MEDICAID 46,243,000 CHARITY 16,081,000 OTHER 3,140,000 TOTAL 296,395,000 ESTIMATED UNREIMBURSED COSTS MEDICARE $11,229,000 MEDICAID 11,008,000 CHARITY 5,302,000 OTHER 1,048,000 TOTAL 28,587,000 IN ADDITION TO COMMUNITY SERVICES DIRECTLY ASSOCIATED WITH PROVIDING HOSPITAL-BASED CARE, THE MEDICAL CENTER SERVES THE COMMUNITY IN NUMEROUS OTHER WAYS. FOR EXAMPLE: THE MEDICAL CENTER SPONSORS THE ST. BERNADETTE'S CLINIC. ST. BERNADETTE'S PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION IN THE ACADIANA AREA. LOURDES PROVIDES THE SERVICES OF A NURSE PRACTITIONER AND REGISTERED NURSE. THE COST ASSOCIATED WITH THE CLINIC APPROXIMATED $406,218 FOR THE YEAR ENDED JUNE 30, 2014. DURING 1996, THE MEDICAL CENTER BEGAN OPERATING THE NORTHSIDE HIGH SCHOOL HEALTH CENTER. THE CENTER IS COMMITTED TO PROVIDING EXEMPLARY COMPREHENSIVE HEALTH CARE TO THE STUDENTS AT NORTHSIDE HIGH SCHOOL. PHYSICAL AND PSYCHOSOCIAL SERVICES ARE PROVIDED BY A DEDICATED STAFF IN AN INFORMAL AND CONFIDENTIAL ATMOSPHERE THAT IS EASILY ACCESSIBLE TO ALL STUDENTS. EMPHASIS IS PLACED ON WELLNESS, AVOIDING HIGH RISK BEHAVIORS, AND MEETING THE INDIVIDUAL MEDICAL, EMOTIONAL AND SOCIAL NEEDS OF ADOLESCENTS AT NO COST TO THE STUDENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE HEALTH CENTER APPROXIMATED $174,398 FOR THE YEAR ENDED JUNE 30, 2014. CONGREGATIONAL HEALTH SERVICES BEGAN MARCH 2001 AT IMMACULATE HEART OF MARY CHURCH AND THEN EXPANDED TO PROGRESSIVE BAPTIST CHURCH, WHICH ARE CHURCHES IN THE LAFAYETTE AREA. CURRENTLY, THERE ARE TWO PART-TIME NURSES AND ONE NURSE PRACTITIONER WHO COORDINATE THE PROGRAM. THE NURSES HAVE SPECIALIZED TRAINING AS HEALTH EDUCATORS, REFERRAL SOURCES, HEALTH COUNSELORS, HEALTH ADVOCATES AND VOLUNTEER COORDINATORS. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $110,527 FOR THE YEAR ENDED JUNE 30, 2014. THE MEDICAL CENTER HAS PURCHASED THE "CAMP BLUEBIRD" FRANCHISE, A CAMP FOR ADULT CANCER PATIENTS, PROVIDING SUCH PATIENTS A SECURE AND MEDICALLY SUPERVISED ENVIRONMENT, AND OFFERING THERAPEUTIC SHARING OPPORTUNITIES AS WELL AS INFORMATION REGARDING THE EDUCATIONAL, MEDICAL AND PSYCHOLOGICAL CONCERNS OF THE CAMPERS. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $55,598 FOR THE YEAR ENDED JUNE 30, 2014. THE MEDICAL CENTER SPONSORS THE SCOTT FAMILY CENTER (THE CENTER), WHICH BEGAN IN 1998 AS A PEDIATRIC CLINIC AND KIDMED (A STATE-SPONSORED HEALTH PROGRAM) AND HAS NOW EVOLVED INTO A FAMILY CLINIC WITH KIDMED SERVICES. A PEDIATRIC NURSE PRACTITIONER, FAMILY NURSE PRACTITIONER AND CLERICAL STAFF OPERATE THE FACILITY. THE CENTER SERVES UNDERINSURED, UNINSURED, AND LACHIP (A STATE-SPONSORED HEALTH PROGRAM) ENROLLMENT. THE FACILITY IS A MAJOR PROVIDER OF IMMUNIZATIONS AS AN ALTERNATE SOURCE TO THE LAFAYETTE PARISH HEALTH UNIT. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $236,038 FOR THE YEAR ENDED JUNE 30, 2014. THE MEDICAL CENTER DONATES THE SERVICES OF ONE FULL-TIME REGISTERED NURSE TO THE LAFAYETTE COMMUNITY HEALTH CARE CLINIC (THE CLINIC). THE CLINIC TARGETS INDIVIDUALS AND FAMILIES WHO ARE EMPLOYED OR TEMPORARILY UNEMPLOYED AND UNINSURED. PHYSICIANS, DENTISTS, NURSES, AND PHARMACISTS ARE ON HAND TO TREAT PATIENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE CLINIC APPROXIMATED $20,534 FOR THE YEAR ENDED JUNE 30, 2014. THE MEDICAL CENTER ALSO HAD ESTIMATED COSTS OF $13,015 ASSOCIATED WITH EMERGENCY PREPAREDNESS AND $109,669 ASSOCIATED WITH HEALTH PROFESSIONS EDUCATION FOR THE YEAR ENDED JUNE 30, 2014. THE FOLLOWING TABLE SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES NOTED ABOVE FOR THE YEAR ENDED JUNE 30, 2014: 2014 ST. BERNADETTE'S $406,218 NORTHSIDE HIGH SCHOOL HEALTH CENTER 174,398 CONGREGATIONAL HEALTH SERVICES 110,527 SCOTT FAMILY CENTER 236,038 LAFAYETTE COMMUNITY HEALTH CARE CLINIC 20,534 HEALTH PROFESSIONS EDUCATION 109,669 EMERGENCY PREPAREDNESS 13,015 ------------- TOTAL $1,070,399 ALTHOUGH THE MEDICAL CENTER HAS ESTIMATED THE COST OF THESE EFFORTS TO SERVE THE ACADIANA COMMUNITY, MANAGEMENT AND THE BOARD OF DIRECTORS BELIEVE THAT SUCH COSTS REPRESENT ONLY ONE FACET OF THE MANY WAYS THAT THE MEDICAL CENTER AND ITS RELATED ORGANIZATIONS SERVE THE ACADIANA AREA. 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 (3,509,259) 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, 2014. THE ORGANIZATION INTENDS TO HAVE THE POLICIES APPROVED BY OUR LADY OF LOURDES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS OR COMMITTEE THEREOF. LOURDES PHYSICIAN GROUP LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 HEALTHCARE LA 7468436 -4715959 LOURDES ST BERNARD HEALTH FUND 4200 ESSEN LANE BATON ROUGE LA 70809 204685614 HEALTHCARE LA 501(C)(3) 11 TYPE 1 FMOL false HEALTH CARE CENTERS IN SCHOOLS 5000 HENNESSY BLVD BATON ROUGE LA 70808 721443935 HEALTCHARE LA 501(C)(3) 7 OLOL true HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 300442368 HEALTHCARE LA LOURDES RELATED 1625756 21186847 false 0 true 0.60000 PERKINS PLAZA MEDICAL ARTS DEVELOPMENT 5000 HENNESSY BLVD SUITE 110 BATON ROUGE LA 70808 450516574 REAL ESTATE LA OLOL N/A PERKINS PLAZA IMAGING DEVELOPMENT LLC 5000 HENNESSY BOULEVARD PLAZA 2 S BATON ROUGE LA 70808 203894521 REAL ESTATE LA OLOL N/A NUCLEAR IMAGING LLC 5000 HENNESSY BLVD SUITE 110 BATON ROUGE LA 708084398 721470061 HEALTHCARE LA OLOL N/A P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 721387870 HEALTHCARE LA ST FRANCIS N/A LOURDES IMAGING DEVELOPMENT LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 208326287 REAL ESTATE LA LOURDES RELATED 28275 -435204 false 0 true 0.22690 PARK PLACE SURGICAL CENTER LLC 901 WILSON STREET LAFAYETTE LA 70503 721404092 HEALTHCARE LA LOURDES RELATED 4010393 14758446 false 0 true 0.65190 BRPT LAKE REHABILITATION CENTER LLC 530 SHADOWS LANE BATON ROUGE LA 70806 721404092 HEALTHCARE LA OLOL N/A CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 721439481 HEALTHCARE LA OLOL N/A PERKINS PLAZA AMBULATORY SURGERY CENTER 1400 N PORTLAND AVENUE SUITE 200 OKLAHOMA CITY LA 73134 481264699 HEALTHCARE LA OLOL N/A SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 233160962 HEALTHCARE LA OLOL N/A ST ELIZABETH-MARY BIRD PERKINS CANCER C 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 HEALTHCARE LA STEH N/A REGIONAL EYE SURGERY CENTER LLC 7777 HENNESSY BLVD SUITE 4000 BATON ROUGE LA 70808 721484653 HEALTHCARE LA OLOL N/A ST MARYS IMAGING CENTER II LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 HEALTHCARE LA LOURDES IMAGING N/A NORTHEAST LA CANCER INSTITUTE LLC 411 CALYPSO STREET MONROE LA 71201 721329499 HEALTHCARE LA ST FRANCIS N/A LHCG-XIII LLC 420 WEST PINHOOK ROAD SUITE A LAFAYETTE LA 70503 208068308 HEALTHCARE LA LOURDES UNRELATED 42337 137488 false 0 true 0.33330 LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE LA 70809 201367299 HEALTHCARE LA LOURDES RELATED 126243 505008 false 0 true 0.50000 ST ELIZABETH IMAGING CENTER LLC 8080 BLUEBONNET BLVD STE 1000 BATON ROUGE LA 70810 271470744 HEALTHCARE LA STEH N/A CAPITAL AREA SHARED SERVICES ORGANIZATIO 4200 ESSEN LANE BATON ROUGE LA 70809 275173212 HEALTHCARE LA STEP N/A CAPITAL AREA SHARED SERVICES ORG LLC 4200 ESSEN LANE BATON ROUGE LA 70809 275173212 HEALTHCARE LA OLOLPG N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA OLOL N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA STEH N/A OLOL PONTCHARTRAIN SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 461379031 HEALTHCARE LA OLOLUSP N/A OLOLUSP SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 352457810 HEALTHCARE TX OLOL N/A ST FRANCIS INSURANCE AGENCY 309 JACKSON STREET MONROE LA 71201 721435136 INSURANCE LA SFMC C CORP true HOSPITAL ASSISTANCE SERVICES PO BOX 4027-C LAFAYETTE LA 70502 721073486 HEALTHCARE LA LOURDES C CORP 0 0 1.00000 true LOUISE INSURANCE COMPANY PO Box 1051 CJ KY1-1102 INSURANCE CJ FMOL C CORP true MONROE HEALTH SERVICES PO BOX 3187 MONROE LA 71210 721057820 HEALTHCARE LA AMBULATORY C CORP true NORTHEAST LA HEALTH NETWORK 309 JACKSON STREET MONROE LA 71201 721294587 HEALTHCARE LA AMBULATORY C CORP true CHARITABLE REMAINDER TRUST INVESTMENT LA OLOL FOUNDATION TRUST FRANCISICAN HEALTH & WELLNESS SERVICES I 4200 ESSEN LANE ROUGE LA 70809 455492379 HEALTHCARE LA FMOL C CORP true FMOL HEALTH SYSTEM HOLDINGS INC 4200 ESSEN LANE ROUGE LA 70809 454405024 INVESTMENT LA FMOL C CORP true false true true false false false false false false true true true true false true false false true true HEART HOSPITAL OF LAFAYETTE LLC s 1974000 FMV HEART HOSPITAL OF LAFAYETTE LLC l 1449600 FMV HEART HOSPITAL OF LAFAYETTE LLC m 136849 FMV HEART HOSPITAL OF LAFAYETTE LLC o 279873 FMV PARK PLACE SURGERY CENTER LLC s 2970000 FMV LOURDES FOUNDATION INC s 332980 FMV OUR LADY OF THE LAKE HOSPITAL l 4416226 FMV