OUR LADY OF THE LAKE ASCENSION COMMUNITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: OUR LADY OF THE LAKE ASCENSION COMMUNITY (EIN 72-1470744)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201401359349307950
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T14:55:09-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 Main Street Suite 2150	AddressLine1
City	Baton Rouge	City
State	LA	State
ZIP Code	70801	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	721470744	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	OUR LADY OF THE LAKE ASCENSION	BusinessNameLine1
Business Name Line2	COMMUNITY HOSPITAL	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% JEFF LIMBOCKER	InCareOfName
Name Control	OURL	NameControl
Phone	2256475000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
Address Line2	Suite	AddressLine2
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEFF LIMBOCKER	Name
Title	REGIONAL CFO	Title
Phone	2256475000	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2253444000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT BURGESS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	88370581	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.steh.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	LA	StateLegalDomicile
Activity Or Mission Description	The 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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	949	TotalNbrEmployees
Total Nbr Volunteers	39	TotalNbrVolunteers
Total Gross UBI	1253	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	469500	ContributionsGrantsPriorYear
Contributions Grants Current Year	261396	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	90425776	ProgramServiceRevenuePriorYear
Program Service Revenue CY	87392371	ProgramServiceRevenueCY
Investment Income Prior Year	83981	InvestmentIncomePriorYear
Investment Income Current Year	-189800	InvestmentIncomeCurrentYear
Other Revenue Prior Year	357750	OtherRevenuePriorYear
Other Revenue Current Year	465148	OtherRevenueCurrentYear
Total Revenue Prior Year	91337007	TotalRevenuePriorYear
Total Revenue Current Year	87929115	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	56187	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	87089	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	48617568	SalariesEtcPriorYear
Salaries Etc Current Year	48232311	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	35423451	OtherExpensePriorYear
Other Expenses Current Year	36402452	OtherExpensesCurrentYear
Total Expenses Prior Year	84097206	TotalExpensesPriorYear
Total Expenses Current Year	84721852	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7239801	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3207263	RevenuesLessExpensesCY
Total Assets BOY	95702620	TotalAssetsBOY
Total Assets EOY	100132176	TotalAssetsEOY
Total Liabilities BOY	32744634	TotalLiabilitiesBOY
Total Liabilities EOY	35611550	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	62957986	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	64520626	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH 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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	33516876	Expense
Grants	87089	Grants
Revenue	50842028	Revenue
Description	ST. ELIZABETH HOSPITAL PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. 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 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. THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR 10,288 PATIENT DAYS AND 176,769 PHYSICIAN OFFICE VISITS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	8443263	Expense
Revenue	12399616	Revenue
Description	THE HOSPITAL PROVIDES PATIENTS WITH SURGICAL CARE. 244,626 SURGICAL MINUTES WERE USED DURING THE YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6075408	Expense
Revenue	24150727	Revenue
Description	THE HOSPITAL PROVIDES RADIOLOGY SERVICES TO ITS INPATIENTS AND OUTPATIENTS. DURING THE CURRENT YEAR, THE HOSPITAL PERFORMED 38,269 RADIOLOGY PROCEDURES.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	48035547	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	55	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	949	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JEFF LIMBOCKER	NamePerson
Telephone Number	2256475071	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1125 W HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BILL MARTIN
BOARD MEMBER - CHAIR	2.0	0.0	X	X	0	0	0
ROBERT BURGESS
PRESIDENT AND CEO	50.0	0.0	X	X	0	137089	13967
CHRIS TREVINO MD
BOARD MEMBER	2.0	0.0	X		0	0	0
CARY PAUL AGUILLARD JR MD
BOARD MEMBER	40.0	0.0	X		290857	0	38398
THE HONORABLE JOHN A BERTHELOT
BOARD MEMBER	2.0	0.0	X		0	0	0
GREGORY BRANDAO EDD
BOARD MEMBER	2.0	0.0	X		0	0	0
SR HELEN CAHILL OSF
BOARD MEMBER	1.0	0.0	X		0	0	0
THE HONORABLE TERI CASSO
VICE CHAIR	2.0	0.0	X	X	0	0	0
DEBORAH CAVALIER MD
BOARD MEMBER	2.0	0.0	X		0	0	0
JAMES D'ANTONI MD
CHIEF OF STAFF/BOARD MEMBER	40.0	0.0	X		215719	0	31059
JOHN F FRAICHE MD
BOARD MEMBER	40.0	0.0	X		641046	0	11830
ROGER KEESE
BOARD MEMBER - SECRETARY	2.0	0.0	X	X	0	0	0
ANTHONY NOBILE
BOARD MEMBER	2.0	0.0	X		0	0	0
TESS STROMBERG
BOARD MEMBER	2.0	0.0	X		0	0	0
SCOTT PETRIE MD
BOARD MEMBER	2.0	0.0	X		0	0	0
DONALD SONGY
BOARD MEMBER	2.0	0.0	X		0	0	0
HONORABLE ALVIN TURNER JR
BOARD MEMBER	2.0	0.0	X		0	0	0
DAWN ZITMAN MD
BOARD MEMBER	40.0	0.0	X		164619	0	18501
SUE KNIGHT
CHIEF OPERATING OFFICER	40.0	6.5		X	230810	0	56121
SCOTT RICHARD CPA
VP FINANCE	40.0	0.0		X	191219	0	16859
CRAIG A VITRANO MD
CHIEF MEDICAL OFFICER	40.0	0.0			462846	0	69548	X
LESLIE NORMAN RN C N A
CHIEF NURSING OFFICER	40.0	0.0			211557	0	40649	X
THOMAS EWING MD
STAFF PHYSICIAN	40.0	0.0			476786	0	33451		X
DAWN SHARP MD
STAFF PHYSICIAN	40.0	0.0			366247	0	37739		X
JOHN KNAPP MD
STAFF PHYSICIAN	40.0	0.0			426481	0	33697		X
RAHIL D SHAH MD
STAFF PHYSICIAN	40.0	0.0			408647	0	11332		X
LARRY W WARNER JR MD
STAFF PHYSICIAN	40.0	0.0			390350	0	24841		X
DOLORES N LEJEUNE RN C N A
FORMER CEO/RETIRED JUNE 2012	0.0	0.0			0	370673	59572			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4477184	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	507762	TotalReportableCompFrmRltdOrgs
Total Other Compensation	497564	TotalOtherCompensation
Number Individuals GT100 K	59	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
FMOL HEALTH SYSTEM
4200 ESSEN LANE	BATON ROUGE	LA	70809	MANAGEMENT SERVICES	9084041
OUR LADY OF THE LAKE RMC
5000 HENNESSY BLVD	BATON ROUGE	LA	70809	MANAGEMENT FEES	546978
PATRIOT MEDICAL TECHNOLOGIES OF OHI
7100 COMMERCE WAY SUITE 280	BRENTWOOD	TN	37027	EQUIP. MAINTENANCE	392132
THEREX
PO BOX 2121	MEMPHIS	TN	38159	PT SERVICES	370475
LOTT SHEFFIELD ANESTHESIA
5253 DIJON AVENUE	BATON ROUGE	LA	70809	ANESTHEISA SERVICE	333057

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	25	NumberOfContractorsGT100K
Info In Schedule O Part VIII	X	InfoInScheduleOPartVIII
Fundraising Events	28017	FundraisingEvents
Related Organizations	182000	RelatedOrganizations
Government Grants	24092	GovernmentGrants
All Other Contributions	27287	AllOtherContributions
Noncash Contributions	275	NoncashContributions
Total Contributions	261396	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	900099	86083038	86083038
CAFETERIA	900099	243448	243448
PURCHASE DISCOUNTS	900099	154862	154862
OUTREACH LAB	900099	129882	129882
HEARING AND BALANCE	900099	110959	110959

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	670182	TotalRevenueColumn
Related Or Exempt Function Income	670182	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	87392371	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-91869	TotalRevenueColumn
Unrelated Business Revenue	654	UnrelatedBusinessRevenue
Exclusion	-$92,523	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	684668	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	207170	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	477498	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	477498	TotalRevenueColumn
Related Or Exempt Function Income	477498	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	118428	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	215137	Securities
Other	1222	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-96709	Securities
Other	-1222	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-97931	TotalRevenueColumn
Unrelated Business Revenue	599	UnrelatedBusinessRevenue
Exclusion	-$98,530	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	5587	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	28017	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	17937	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-12350	TotalRevenueColumn
Exclusion	-$12,350	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	87929115	TotalRevenueColumn
Related Or Exempt Function Income	87869869	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1253	UnrelatedBusinessRevenue
Exclusion	-$203,403	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	67942	Total
Program Services	67942	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	16147	Total
Program Services	16147	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	3000	Total
Program Services	3000	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3902433	Total
Program Services	3199995	ProgramServices
Management And General	702438	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	35912312	Total
Program Services	18734718	ProgramServices
Management And General	17177594	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3713391	Total
Program Services	2434619	ProgramServices
Management And General	1278772	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2229003	Total
Program Services	1475482	ProgramServices
Management And General	753521	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2475172	Total
Program Services	1486667	ProgramServices
Management And General	988505	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	623573	Total
Program Services	623573	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	130844	Total
Management And General	130844	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	680402	Total
Management And General	680402	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	11134	Total
Management And General	11134	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11118651	Total
Program Services	2662271	ProgramServices
Management And General	8456380	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	630716	Total
Program Services	4236	ProgramServices
Management And General	626480	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3362326	Total
Program Services	1717965	ProgramServices
Management And General	1644361	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1181596	Total
Program Services	603731	ProgramServices
Management And General	577865	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	961859	Total
Program Services	607556	ProgramServices
Management And General	354303	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	28332	Total
Program Services	10104	ProgramServices
Management And General	18228	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	154043	Total
Program Services	34944	ProgramServices
Management And General	119099	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	896994	Total
Program Services	499735	ProgramServices
Management And General	397259	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4281965	Total
Program Services	2754575	ProgramServices
Management And General	1527390	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1245109	Total
Program Services	945530	ProgramServices
Management And General	299579	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES EXPENSE	9129776	8932598	197178	0
MAINTENANCE & SERVICE CONTRACT	1877389	1220159	657230
SPECIAL EVENTS	79144		79144
OTHER EXPENSE	8599		8599

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	84721852	Total
Program Services	48035547	ProgramServices
Management And General	36686305	ManagementAndGeneral
Fundraising	0	Fundraising

Field	Value	IRS element (for citing)
Info In Schedule O Part X	X	InfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	16417706	BOY
EOY	18806620	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11304258	BOY
EOY	13039515	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1229332	BOY
EOY	1213415	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	738750	BOY
EOY	1187092	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	87823044	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	34273151	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	53929799	BOY
EOY	53549893	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1597626	BOY
EOY	2179749	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2951757	BOY
EOY	2874077	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2985723	BOY
EOY	2755257	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4547669	BOY
EOY	4526558	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	95702620	BOY
EOY	100132176	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	12302036	BOY
EOY	13805074	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11566000	BOY
EOY	11720761	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5155766	BOY
EOY	4358841	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3720832	BOY
EOY	5726874	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	32744634	BOY
EOY	35611550	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	62591533	BOY
EOY	64197282	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	366453	BOY
EOY	323344	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	62957986	BOY
EOY	64520626	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	95702620	BOY
EOY	100132176	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3207263	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	302978	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-1947601	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3747277	OtherCostOrOtherBasis
Book Value	3747277	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	57240111	OtherCostOrOtherBasis
Depreciation	15245472	Depreciation
Book Value	41994641	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	759601	OtherCostOrOtherBasis
Depreciation	523133	Depreciation
Book Value	236468	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25743034	OtherCostOrOtherBasis
Depreciation	18504548	Depreciation
Book Value	7238486	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	333021	OtherCostOrOtherBasis
Book Value	333021	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	53549893	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
SELF-INSURANCE LIABILITY	$2,539,318
DUE TO AFFILIATES	$366,447
PATIENTS PAYABLES	$2,897,799
MINORITY INTEREST OBLIGATION	-$76,690

Field	Value	IRS element (for citing)
Total Of Amounts	5726874	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) FOOTNOTE	Identifier
Explanation	The Medical Center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. No reserves for uncertain tax position have been recorded.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	1018916	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	1018916	SubtotalAmountSpent
Total Amount Spent	1018916	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	33604	GrossReceiptsEvent1
Charitable Contributions Event1	28017	CharitableContributionsEvent1
Gross Revenue Event1	5587	GrossRevenueEvent1
Non Cash Prizes Event1	837	NonCashPrizesEvent1
Rent Facility Costs Event1	6901	RentFacilityCostsEvent1
Other Direct Expenses Event1	10199	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	33604	GrossReceiptsTotal
Charitable Contributions Total	28017	CharitableContributionsTotal
Gross Revenue Total Events	5587	GrossRevenueTotalEvents
Non Cash Prizes Total Events	837	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	6901	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	10199	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	17937	DirectExpenseSummaryEvents
Net Income Summary	-12350	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	951108	TotalCommunityBenefitExpense
Net Community Benefit Expense	951108	NetCommunityBenefitExpense
Percent Of Total Expense	0.01120	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11357636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4704999	DirectOffsettingRevenue
Net Community Benefit Expense	6652637	NetCommunityBenefitExpense
Percent Of Total Expense	0.07850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12308744	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4704999	DirectOffsettingRevenue
Net Community Benefit Expense	7603745	NetCommunityBenefitExpense
Percent Of Total Expense	0.08970	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	102010	TotalCommunityBenefitExpense
Net Community Benefit Expense	102010	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	318377	TotalCommunityBenefitExpense
Net Community Benefit Expense	318377	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	428333	TotalCommunityBenefitExpense
Net Community Benefit Expense	428333	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	108706	TotalCommunityBenefitExpense
Net Community Benefit Expense	108706	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	957426	TotalCommunityBenefitExpense
Net Community Benefit Expense	957426	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13266170	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4704999	DirectOffsettingRevenue
Net Community Benefit Expense	8561171	NetCommunityBenefitExpense
Percent Of Total Expense	0.10110	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	90	TotalCommunityBuildingExpense
Net Community Building Expense	90	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	18154	TotalCommunityBuildingExpense
Net Community Building Expense	18154	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	7820	TotalCommunityBuildingExpense
Net Community Building Expense	7820	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	26064	TotalCommunityBuildingExpense
Net Community Building Expense	26064	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$18,218,642	BadDebtExpenseAmount
Amount Reimbursed By Medicare	9169521	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	12924233	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3754712	MedicareSurplusOrShortfall
Costing Methodology Used		CostingMethodologyUsed
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH IMAGIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	IMAGING SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.12250	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.36750	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1125 HIGHWAY 30	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.FMOLHS.ORG/STEH	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	true	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ST ELIZABETH AFTER HOURS
1702 N BURNSIDE AVENUE	GONZALES	LA	70737	URGENT CARE CENTER
ST ELIZ-MARY BIRD PERKINS CANCER CENTER
4950 ESSEN LANE	BATON ROUGE	LA	70809	CANCER TREATMENT CENTER
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30	GONZALES	LA	70737	IMAGING SERVICES
COMMUNITY HEALTH CLINIC
1125 HIGHWAY 30	GONZALES	LA	70737	LOW INCOME CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 7	THE COST TO CHARGE RATIO, AS CALCULATED USING IRS WORKSHEET 2, IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART 1, LINES 7A-F. THE COST ACCOUNTING SYSTEM OF THE ORGANIZATION WAS USED TO CALCULATE THE COST TO CHARGE RATIO OF THE SUBSIDIZED HEALTH SERVICES INCLUDED ON PART I, LINE 7G.
PART III, LINE 4	THE BAD DEBT FOOTNOTE IS ON PAGE 16 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8	CMS 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 9B	INDIVIDUALS WITH NO MEANS OF PAYMENTS ARE PROVIDED THE FINANCIAL ASSISTANCE INFORMATION AND APPLICATION. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE PATIENT'S INCOME LEVEL AND OTHER CRITERIA AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, ACCOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTION PROCESS.
PART VI, LINE 2	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 500 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. COMMUNITY NEEDS ASSESSMENT: ST. ELIZABETH HOSPITAL PREPARES A COMMUNITY NEEDS ASSESSMENT ON AN AS-NEEDED BASIS. ST. ELIZABETH HOSPITAL IS ADOPTING A SYSTEMATIC PROCESS FOR IDENTIFYING AND EVALUATING THE NEEDS OF THE COMMUNITY BASED ON THE NEWLY PUBLISHED IRS REGULATIONS AND CATHOLIC HEALTH ASSOCIATION GUIDELINES. ST. ELIZABETH HOSPITAL CONDUCTED THE NEWLY DESIGNED COMMUNITY NEEDS ASSESSMENT IN FY2013 AND WILL CONTINUE EVERY THREE YEARS THEREAFTER.	NEEDS ASSESSMENT
PART VI, LINE 3	INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND UNDER THE ORGANIZATION'S CHARITY CARE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH ST. ELIZABETH HOSPITAL: 1. SCHEDULING (OUTPATIENT/SURGERY): DURING THE SCHEDULING OF PROCEDURES, A SCHEDULER INFORMS INDIVIDUALS OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PHONE. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED EITHER BY MAIL OR PICKUP TO COMPLETE AND RETURN TO THE HOSPITAL VIA PRE-PAID POSTAGE ENVELOPE. 2. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. 3. FINANCIAL COUNSELING: DURING FINANCIAL COUNSELING, THE INDIVIDUAL IS INFORMED OF THE VARIOUS TYPES OF FINANCIAL ASSISTANCE VIA PERSON TO PERSON CONVERSATION. IF THE INDIVIDUAL IS INTERESTED, A FORM IS PROVIDED AT THAT TIME FOR THE INDIVIDUAL TO COMPLETE AND RETURN TO THE HOSPITAL. ADDITIONALLY, CASHIERS HAVE POSTED NOTIFICATIONS OF THE FINANCIAL ASSISTANCE OPPORTUNITIES IN THE CASHIER'S OFFICE AND THE EMERGENCY ROOM COLLECTION DESK. 4. WEBSITE NOTIFICATION: ST. ELIZABETH HOSPITAL'S WEBSITE, LOCATED AT WWW.STEH.COM INCLUDES A PAGE CALLED "HELP FOR THE UNINSURED" WHICH PROVIDES INFORMATION CONCERNING ST. ELIZABETH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. A TELEPHONE NUMBER IS ALSO PROVIDED TO THOSE WHO ARE INTERESTED IN CONTACTING OUR FINANCIAL COUNSELORS FOR ADDITIONAL INFORMATION. 5. THE POLICY IS AVAILABLE UPON REQUEST	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 4	ST. ELIZABETH HOSPITAL SERVES ASCENSION PARISH AND PORTIONS OF THE SURROUNDING PARISHES OF ASSUMPTION, IBERVILLE, EAST BATON ROUGE, AND ST. JAMES. THIS AREA HAS SEEN SIGNIFICANT GROWTH IN THE LAST DECADE. SOME OF THIS GROWTH CAN BE ATTRIBUTED TO THE HURRICANES THAT HAVE DEVASTATED THE LOUISIANA COASTLINE IN RECENT YEARS. SPECIFICALLY, THE HISPANIC/LATINO POPULATION HAS MORE THAN DOUBLED IN SOME PORTIONS OF THE SERVICE AREA. THE NORTHERN PARTS OF THE SERVICE AREA TEND TO HAVE A MORE AFFLUENT POPULATION; WHEREAS, THE SOUTHERN TRACTS HAVE CONTINUED BARRIERS TO HEALTHCARE. THE AVERAGE PER CAPITA INCOME FOR THE SERVICE AREA IS $22,535 WITH 17.6% OF FAMILIES LIVING BELOW THE POVERTY LEVEL. HEALTH STATISTICS THAT ARE ROUTINELY COLLECTED INDICATE THAT RESIDENTS OF THE SERVICE AREA EXPERIENCE MANY HEALTH PROBLEMS. SPECIFICALLY, THE POPULATION SUFFERS HIGHER RATES OF STROKE, OBESITY, CANCER, DIABETES AND HYPERTENSION THAN THE NATION AS A WHOLE.	COMMUNITY INFORMATION
PART II	ST. 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 LOCAL 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.
OTHER INFORMATION	SEE THE QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REPORT ON SCHEDULE O.
AFFILIATED HEALTH CARE SYSTEM	ST. ELIZABETH IS PART OF THE FMOLHS HEALTH CARE SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE. ST. ELIZABETH HOSPITAL SERVES THE COMMUNITY IN GONZALES, LA AND SURROUNDING PARISHES. 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 V LINE 13	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 20	THE HOSPITAL FACILITY HAS CALCULATED THE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE AT APPROXIMATELY A 30% DISCOUNT FROM CHARGE MASTER RATES. UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), MULTIPLE LEVELS OF DISCOUNTS ARE PROVIDED FOR. THE MAJORITY OF FAP ELIGIBLE PATIENTS FALL IN THE 50%, 75%, AND 100% DISCOUNT LEVELS. THERE IS HOWEVER A 25% DISCOUNT LEVEL. THE HOSPITAL ALSO OFFERS A 25% SELF-PAY DISCOUNT. SO FOR UNINSURED FAP PATIENTS, MULTIPLE DISCOUNTS MAY APPLY. IT IS POSSIBLE, HOWEVER, THAT AN UNDERINSURED PATIENT WITHIN CERTAIN INCOME LEVELS WOULD BE OFFERED ONLY THE 25% CHARITY DISCOUNT. THE NUMBER OF PATIENTS IN THIS SCENARIO WOULD BE EXTREMELY SMALL, IF ANY, BUT IT IS POSSIBLE THAT THIS CATEGORY OF PATIENT MAY HAVE BEEN CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. IN ADDITION, THERE IS LOW PROBABILITY THAT ANY PATIENT IN THIS 25% CHARITY DISCOUNT CATEGORY ACTUALLY PAID MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. THE HOSPITAL ADOPTED A NEW FAP POLICY AS OF JUNE 2013 THAT WILL ENSURE THAT FAP-ELIGIBLE PATIENTS ARE NOT BILLED MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE.
PART V, LINE 19D	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, MEDICAL INDIGENCY, AND A PATIENT'S QUALIFICATION FOR MEDICARE OR MEDICAID. TOGETHER THESE CRITERIA ARE USED TO SET THE MAXIMUM AMOUNT CHARGED. ALSO, A 25% SELF-PAY DISCOUNT IS GIVEN IN ADDITION TO THE CHARITY DISCOUNTS DESCRIBED ABOVE.
PART III, LINE 2	THE 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. DISCOUNTS PROVIDED ARE NOT INCLUDED IN BAD DEBT EXPENSE. NO ESTIMATE HAS BEEN MADE FOR ANY AMOUNTS INCLUDED IN BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE.
PART V, LINE 3	THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS AND RESEARCH OF CURRENT HEALTH STATISTICS AND TRENDS. ST. ELIZABETH TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY WORKING WITH KENNY MATASSA, DIRECTOR OF THE ASCENSION PARISH HEALTH UNIT. ST. ELIZABETH INTERVIEWED BOTH COMMUNITY MEMBERS AND HEALTHCARE PROVIDERS.
PART V, LINE 7	ST. ELIZABETH DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. ST. ELIZABETH CHOSE NOT TO FOCUS ON THE FOLLOWING: LOW INFANT BIRTH WEIGHT; RESPIRATORY DISEASES INCLUDING ASTHMA; MENTAL HEALTH INCLUDING DRUG AND ALCOHOL ABUSE; PHYSICAL ENVIRONMENT; TRANSPORTATION SERVICES. ST. ELIZABETH CHOSE NOT TO FOCUS ON THESE NEEDS BECAUSE OTHER ORGANIZATIONS IN THE COMMUNITY WERE ALREADY PROVIDING SERVICES TO ADDRESS THESE NEEDS OR ST. ELIZABETH DOES NOT HAVE THE EXPERTISE TO PROVIDE THE SERVICE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
OUR LADY OF THE LAKE FOUNDATION
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721014324	501(C)(3)	6000	general support
MARCH OF DIMES
11960 BRICKSOME AVE	BATON ROUGE	LA	70816	131846366	501(C)(3)	10800	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
4633 NORTH BLVD	BATON ROUGE	IA	70809	640329009	501(C)(3)	10000	general support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	HARDSHIP ASSISTANCE	TypeOfGrant
Number Of Recipients	8	NumberOfRecipients
Amount Of Cash Grant	16147	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PART I, QUESTION 2	Identifier
Explanation	All 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT BURGESS
PRESIDENT AND CEO	0	130652	0	0	0	6437	0	5305	0	8662	0	151056	0	0
CARY PAUL AGUILLARD JR MD
BOARD MEMBER	238687	0	51532	0	638	0	10000	0	28398	0	329255	0	0	0
JAMES D'ANTONI MD
CHIEF OF STAFF/BOARD MEMBER	161790	0	53929	0	0	0	8914	0	22145	0	246778	0	0	0
JOHN F FRAICHE MD
BOARD MEMBER	419766	0	101280	0	120000	0	10000	0	1830	0	652876	0	0	0
DOLORES N LEJEUNE RN C N A
FORMER CEO/RETIRED JUNE 2012	0	257665	0	109900	0	3108	0	53435	0	6137	0	430245	0	0
DAWN ZITMAN MD
BOARD MEMBER	141485	0	23034	0	100	0	6438	0	12063	0	183120	0	0	0
CRAIG A VITRANO MD
CHIEF MEDICAL OFFICER	346012	0	93381	0	23453	0	48366	0	21182	0	532394	0	0	0
SUE KNIGHT
CHIEF OPERATING OFFICER	184672	0	45272	0	866	0	45272	0	10849	0	286931	0	0	0
SCOTT RICHARD CPA
VP FINANCE	145981	0	39572	0	5666	0	14086	0	2773	0	208078	0	0	0
LESLIE NORMAN RN C N A
CHIEF NURSING OFFICER	151266	0	37360	0	22931	0	28089	0	12560	0	252206	0	0	0
THOMAS EWING MD
STAFF PHYSICIAN	422592	0	54194	0	0	0	10000	0	23451	0	510237	0	0	0
DAWN SHARP MD
STAFF PHYSICIAN	360021	0	6226	0	0	0	10000	0	27739	0	403986	0	0	0
JOHN KNAPP MD
STAFF PHYSICIAN	341207	0	85274	0	0	0	10000	0	23697	0	460178	0	0	0
RAHIL D SHAH MD
STAFF PHYSICIAN	390000	0	18647	0	0	0	10000	0	1332	0	419979	0	0	0
LARRY W WARNER JR MD
STAFF PHYSICIAN	206200	0	184050	0	100	0	10000	0	14841	0	415191	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Question 7	THE ORGANIZATION HAS PROVIDED LISTED PERSONS WITH INCENTIVE COMPENSATION WHICH IS BASED ON A FORMULA DERIVED FROM QUALITY, EFFICIENCY, AND OTHER PERFORMANCE MEASURES. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
Part I question 4a	The former CEO was entitled to a severance benefit. The payout of such benefit was remote as it was effective only for a termination of employment without cause. If triggered, the executive would be paid her 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 months depending on the executive and the length of service. 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 for an entitlement period. The entitlement period ranges from 4 weeks to 4 months depending on the length of service and the level of such employee. No payments were made to persons listed on Part VII, Section A under the plan in the current year.
PART I, QUESTION 3	THE CEO AND FORMER CEO 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 THE CEO'S 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 1a	THREE DIRECTORS LISTED IN PART VII RECEIVED REIMBURSEMENT FOR COMPANION TRAVEL. THESE AMOUNTS WERE NOT TREATED AS TAXABLE COMPENSATION TO THE DIRECTORS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	JOHN F FRAICHE MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	SON RECEIVES COMPENSATION	Relationship
Amount Of Transaction	264954	AmountOfTransaction
Description Of Transaction	COMPENSATION AS PHYSICIAN	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART VI, SECTION A, QUESTION 6	Question 8	FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. ELIZABETH HOSPITAL
PART VI, SECTION A, QUESTION 7A		FMOL 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 B	Question 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 B	Question 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 C	Question 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
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 11		AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG, LLP, THE RETURN IS REVIEWED BY ONE OR MORE MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
Part VI, Section A Question 2		DR. CRAIG A. VITRANO AND DR. JOHN FRAICHE - BUSINESS RELATIONSHIP
PROGRAM SERVICE ACCOMPLISHMENTS		SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT 1. ORGANIZATIONAL COMMITMENT TO PROVIDE COMMUNITY BENEFIT ST. ELIZABETH HOSPITAL OPERATES AS A MISSION OF THE FRANCISCAN MISSIONARIES OF OUR LADY, A CATHOLIC HEALTHCARE ORGANIZATION. ST. ELIZABETH HOSPITAL IS PART OF CHA (CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES). ST. ELIZABETH HOSPITAL IS LOCATED IN GONZALES, LOUISIANA IN THE PARISH OF ASCENSION. THE HOSPITAL SERVES THE ENTIRE ASCENSION PARISH COMMUNITY ALONG WITH PARTS OF IBERVILLE AND LIVINGSTON PARISHES. THE HOSPITAL IS LOCATED OFF OF INTERSTATE 10 AT 1125 WEST HIGHWAY 30, GONZALES, LOUISIANA. ST. ELIZABETH ACQUIRED ST. ELIZABETH PHYSICIANS, A WHOLLY OWNED SUBSIDIARY, ON JULY 1, 2007 AS PART OF ITS STRATEGIC PLAN. IN FISCAL YEAR 2010, THE PRACTICE CONTINUED TO RECRUIT SPECIALISTS TO THE UNDERSERVED AREA OF ASCENSION PARISH. ST. ELIZABETH PHYSICIANS MAINTAIN OFFICES IN PRAIRIEVILLE, GONZALES, DUTCHTOWN, AND DONALDSONVILLE, LOUISIANA. ST. ELIZABETH PHYSICIANS ALSO OPERATES TWO AFTER HOURS CLINICS IN GONZALES AND PRAIRIEVILLE. THE HOSPITAL SERVES AS THE ONLY ACUTE CARE ACCESS HOSPITAL IN ASCENSION PARISH WITH EMERGENCY ROOM SERVICES. THE HOSPITAL IS ABLE TO SUPPORT THE NEEDS OF ASCENSION PARISH AS WELL AS OUTLYING PARISHES. THE HOSPITAL'S PHILOSOPHY IS TO SERVE ITS COMMUNITY AND IN PARTICULAR THOSE MOST IN NEED. THE HOSPITAL SERVES THE NEEDS OF THE UNDERSERVED IN ITS COMMUNITY THROUGH ACCESS TO PRIMARY HEALTHCARE VIA ITS EMERGENCY DEPARTMENT AND COMMUNITY CLINIC AS WELL AS THROUGH ITS RELATIONSHIP WITH COMMUNITY PHYSICIANS. THE HOSPITAL'S EFFORTS TO EXPAND SERVICES TO THE COMMUNITY THROUGH OUTREACH INCLUDE THE FOLLOWING: - THE HOSPITAL AND PHYSICIAN PRACTICE PROVIDED FLU VACCINES TO THE EMPLOYEES OF THE FOLLOWING COMMUNITY ORGANIZATIONS IN ORDER TO PROMOTE WELLNESS AND HAVE AN ACTIVE ROLE IN INCREASING THE HEALTH OF THE COMMUNITY: 1. ASCENSION PARISH SCHOOL BOARD 2. ASCENSION PARISH SHERIFF'S OFFICE 3. EAST ASCENSION HIGH SCHOOL 4. ST. AMANT HIGH SCHOOL 5. DONALDSONVILLE HIGH SCHOOL 6. DUTCHTOWN HIGH SCHOOL 7. St. John's Church - THE HOSPITAL AND PHYSICIAN PRACTICE PARTICIPATES IN HEALTHCARE EDUCATION FOR THE PARISH THROUGH THE ST. ELIZABETH HOSPITAL ANNUAL HEALTH FAIR AND IN A COLLABORATIVE EFFORT WITH OTHER NOT FOR PROFIT ORGANIZATIONS: EDUCATIONAL OFFERINGS INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: 1. LOSS AND GRIEF EDUCATION AND SUPPORT 2. THRIVING WITH DIABETES 3. GROWING UP-PRETEEN CLASSES 4. ALZHEIMER'S LNL 5. BODYWORKS 6. HEART FAILURE 7. MEN'S HEALTH 8. BREAST CANCER AWARENESS GROUP 9. WOMEN'S HEALTH LUNCHEON - THE HOSPITAL PROVIDES THE FOLLOWING SCREENINGS FOR THE COMMUNITY: 1. SKIN CANCER 2. PROSTATE CANCER 3. DIABETES 4. COLORECTAL CANCER 5. BLOOD PRESSURE 6. PHYSICALS FOR LOCAL SCHOOL ATHLETIC TEAMS AND SPECIAL OLYMPICS PARTICIPANTS - THE HOSPITAL HAS PARTNERED WITH MARY BIRD PERKINS CANCER CENTER TO PROVIDE CANCER TREATMENT SERVICES TO THE CITIZENS OF ASCENSION PARISH AND SURROUNDING AREAS. MARY BIRD PERKINS CANCER CENTER IS LOCATED ACROSS FROM ST. ELIZABETH HOSPITAL AND BEGAN SERVING PATIENTS IN FEBRUARY 2009. - THE HOSPITAL PARTICIPATES IN LEADERSHIP ASCENSION WHERE LEADERS FROM ST. ELIZABETH HOSPITAL AND ST. ELIZABETH PHYSICIANS LEARN ABOUT ASCENSION PARISH AND HOW TO MAKE A DIFFERENCE IN THE COMMUNITY THROUGH VOLUNTEERISM. - ST. ELIZABETH HOSPITAL SECURED OTHER FUNDING THROUGH FMOL FOR A COMMUNITY CLINIC. THE MISSION OF THIS CLINIC IS TO PROVIDE ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF ASCENSION PARISH. SERVING THIS POPULATION OF ASCENSION PARISH RESIDENTS WILL ALLOW ST. ELIZABETH HOSPITAL TO POSITIVELY AFFECT THE FACE OF HEALTH CARE BY EDUCATING, TREATING AND MAINTAINING THE HEALTH STATUS OF ITS RESIDENTS. THE COMMUNITY CLINIC BEGAIN TREATING PATIENTS IN APRIL 2009 - St. Elizabeth Physicians secured grant funding through FMOL to begin providing diabetic education to individuals with diabetes in Ascension Parish. The Diabetic Clinic began seeing patients in September, 2011. - ST. ELIZABETH PHYSICIANS SECURED GRANT FUNDING THROUGH FMOL TO BEGIN PROVIDING A GERIATRIC SPECIALIST PHYSICIAN IN ASCENSION PARISH. DR. MOHAMMED SAEED BEGAN SEEING PATIENTS IN NOVEMBER 2012. - THE HOSPITAL AND PHYSICIAN PRACTICE PROVIDES FINANCIAL ASSISTANCE TO LOW INCOME PERSONS THROUGH ITS CHARITY CARE PROGRAM. IN ADDITION, THE HOSPITAL PROVIDES PROMPT PAY DISCOUNTS TO UNINSURED PATIENTS. THESE POLICIES ARE COMMUNICATED THROUGH FINANCIAL COUNSELORS EMPLOYED BY THE HOSPITAL. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX THROUGH ITS 501(C)(3) DESIGNATION. TO FULFILL ITS MISSION, THE HOSPITAL: A. OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; B. GRANTS MEDICAL STAFF PRIVILEGES TO THOSE PHYSICIANS QUALIFIED TO PARTICIPATE IN THEIR PARTICULAR SPECIALTY. C. HAS A GOVERNING BODY THAT IS COMPRISED OF MEMBERS OF THE MEDICAL STAFF, COMMUNITY MEMBERS, MEMBERS OF THE HOSPITAL'S SPONSORING ORDER (FMOL), AND HOSPITAL EMPLOYEES. THE MAJORITY OF THE BOARD IS COMPOSED OF INDEPENDENT PEOPLE REPRESENTATIVE OF THE COMMUNITY. D. THE HOSPITAL IS AN EDUCATIONAL SITE FOR SEVERAL DIFFERENT PROFESSIONAL HEALTH CARE STUDENTS. ST. ELIZABETH HOSPITAL CLINICAL AND PROFESSIONAL STAFF PROVIDES OVER 9,078 HOURS OF HEALTH PROFESSIONS EDUCATION TO STUDENT IN SPECIALTIES SUCH AS: " NURSING " PHARMACY " LABORATORY " RADIOLOGY " CARDIOPULMONARY " FOOD AND NUTRITIONAL THERAPY E. ST. ELIZABETH HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS AS APPROPRIATE. 3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS A. ST. ELIZABETH HOSPITAL SPONSORS AN ANNUAL HEALTH FAIR FOR THE CITIZENS OF ASCENSION PARISH AS WELL AS OTHER PARISHES. THE ANNUAL HEALTH FAIR IS COMPRISED OF NUMEROUS BOOTHS PROVIDING HEALTH EDUCATION, SCREENING AND DIAGNOSTIC TESTING. THE FAIR IS STAFFED BY THE TEAM MEMBERS OF ST. ELIZABETH HOSPITAL ALONG WITH OTHER HEALTH CARE PROFESSIONALS AND BUSINESSES FROM ASCENSION PARISH. IN 2012, ST. ELIZABETH PARTNERED WITH ASCENSION PARISH TO PROVIDE THE HEALTH FAIR IN A LARGER ENCLOSED LOCATION. THE OVERALL GOAL OF THE ANNUAL HEALTH FAIR IS TO RAISE AWARENESS AND OFFER HEALTH EDUCATION AND SCREENINGS TO THE CITIZENS OF ASCENSION PARISH. PUBLIC AWARENESS REGARDING THE EVENT IS DELIVERED VIA RADIO, TELEVISION AND NEWSPAPER. THE ST. ELIZABETH HOSPITAL ANNUAL HEALTH FAIR HAS BEEN WELL RECEIVED BY THE COMMUNITY. B. ST. ELIZABETH HOSPITAL TEAM MEMBERS DONATED OVER 2,447 HOURS OF TIME FOR VARIOUS COMMUNITY BENEFIT ACTIVITIES. THESE ACTIVITIES INCLUDE CHARITY INVOLVEMENT IN SUCH NOT FOR PROFIT ORGANIZATIONS AS BETTER BUSINESS BUREAU, ASCENSION CHAMBER OF COMMERCE, ARC OF EAST ASCENSION, ETC. AS AN EXPRESSION OF OUR MISSION AND CORE VALUES, THE TEAM MEMBERS OF ST. ELIZABETH HOSPITAL DONATE TIME TO COMMUNITY ACTIVITIES AS A WAY OF GIVING BACK TO THE COMMUNITY THAT WE SERVE. OUR GOAL IS TO REACH OUT TO THOSE WHO MAY NOT HAVE ACCESS TO THE SERVICES WE PROVIDE. DONATED HOURS ARE A WAY OF PROVIDING THAT ACCESS. SECTION 2 - QUANTIFIABLE COMMUNITY BENEFIT 1)CHARITY CARE - AT COST $ 739,039 2)MEDICAID SPONSORED HEALTHCARE - NET EXPENSE $ 4,543,745 3) COMMUNITY HEALTH SERVICES: COMMUNITY HEALTH EDUCATION $ 64,709 COMMUNITY BASED CLINICAL SERVICES $ 10,747 4) HEALTH PROFESSIONS EDUCATION TRAINING STAFF $ 318,377 5) FINANCIAL AND IN-KIND CONTRIBUTIONS: CASH DONATIONS $ 93,106 IN KIND DONATIONS $ 15,600 6) SUBSIDIZED HEALTH SERVICES COMMUNITY CLINIC LOSS $513,156 COMMUNITY NEEDS ASSESSMENT $23,307 7) COMMUNITY BENEFIT OPERATIONS: DEDICATED STAFF $ 3,247 8) COMMUNITY BUILDING ACTIVITIES: IN KIND DONATIONS $ 26,064 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 6,351,097
Part XI, Question 9		Capital Transfer - $ (1,947,601)
PART IX, LINE 11G		FEES FOR SERVICES - OTHER PROFESSIONAL FEES 5,923,392 PURCHASED SERVICES 4,152,816 CONSULTING SERVICES 635,118 OTHER 282,634 AGENCY CONTRACT LABOR 124,691 ---------- TOTAL 11,118,651

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH PHYSICIANS	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2647 S ST ELIZABETH BLVD	AddressLine1
City	GONZALES	City
State	LA	State
ZIP Code	70737	ZIPCode

Field	Value	IRS element (for citing)
EIN	721439296	EIN
Primary Activities	HEALTHCARE	PrimaryActivities
Legal Domicile State	LA	LegalDomicileState
Total Income	22529359	TotalIncome
EOY Assets	5727683	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	STEH	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ST BERNARD HEALTH FUND
4200 ESSEN LANE	BATON ROUGE	LA	70809	204685614	HEALTHCARE	LA	501(C)(3)	11 TYPE 1	FMOLHS	false
HEALTH PARTNERS NETWORK OF SOUTH LA
4801 AMBASSADOR CAFFERY PARKWAY	LAFAYETTE	LA	70508		HEALTHCARE	LA	501(C)(3)	3	LOURDES RMC	true
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTHCARE	LA	501(C)(3)	7	OLOL	true

Form990 Schedule R Part III Form990ScheduleRPartIII (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount	Percentage OwnershipPercentageOwnership
HEART HOSPITAL OF ACADIANA
1105 KALISTE SALOOM ROAD	LAFAYETTE	LA	70508	300442368	HEALTHCARE	LA	LOURDES	N/A	false	true
PERKINS PLAZA MEDICAL ARTS DEVELOPMENT
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	450516574	REAL ESTATE	LA	OLOL	N/A	false	true
PERKINS PLAZA IMAGING DEVELOPMENT
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	203894521	REAL ESTATE	LA	OLOL	N/A	false	true
NUCLEAR IMAGING LLC
5000 HENNESSY BOULEVARD	BATON ROUGE	LA	70808	721470061	HEALTHCARE	LA	OLOL	N/A	false	true
P&S SURGERY CENTER LLC
312 GRAMMONT STREET	MONROE	LA	71201	721387312	HEALTHCARE	LA	SFMC	N/A	false	true
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PARKWAY	LAFAYETTE	LA	70508	208326287	REAL ESTATE	LA	LOURDES	N/A	false	true
PARK PLACE SURGICAL HOSPITAL
7901 WILSON STREET	LAFAYETTE	LA	70503	721404092	HEALTHCARE	LA	LOURDES	N/A	false	true
BRPT LAKE REHABILITATION CENTERS LLC
530 SHADOWS LANE	BATON ROUGE	LA	70806	721506100	HEALTHCARE	LA	OLOL	N/A	false	true
CONVENIENT CARE LLC
7777 HENNESSY BOULEVARD SUITE 1004	BATON ROUGE	LA	70808	721439481	HEALTHCARE	LA	OLOL	N/A	false	true
PERKINS PLAZA AMBULATORY SURGERY CENTER
54 THE LEGENDS PARKWAY SUITE 159	EUREKA	MO	63025	481264699	HEALTHCARE	LA	OLOL	N/A	false	true
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BOULEVARD	BATON ROUGE	LA	70810	263160962	HEALTHCARE	LA	OLOL	N/A	false	true
ST ELIZABETH-MARY BIRD PERKINS
4950 ESSEN LANE	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	STEH	RELATED	false	true	18780	2921121	$0	0.35000
REGIONAL EYE SURGERY CENTER LLC
7777 HENNESSY BLVD SUITE 400	BATON ROUGE	LA	70808	721484653	HEALTHCARE	LA	OLOL	N/A	false	true
ST MARY'S IMAGING CENTER II LLC
4801 AMBASSADOR CAFFERY PARKWAY	LAFAYETTE	LA	70508		HEALTHCARE	LA	LOURDES IMAGING	N/A	false	true
NORTHEAST LA CANCER INSTITUTE
141 DESIARD STREET SUITE 704	MONROE	LA	71201	721329499	HEALTHCARE	LA	SFMC	N/A	false	true
LHCG-XIII LLC
420 WEST PINHOOK ROAD SUITE A	LAFAYETTE	LA	70503	208068308	HEALTHCARE	LA	LOURDES	N/A	false	true
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202	BATON ROUGE	LA	70808	201367299	HEALTHCARE	LA	LOUDRES	N/A	false	true
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30	GONZALES	LA	70737	721470744	HEALTHCARE	LA	STEH	RELATED	false	true	-137311	-132829	$0	0.51000
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	OLOL PG	N/A	false	true
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	275173212	HEALTHCARE	LA	STEP	N/A	false	true	-118621	252998	$0	0.17000
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	STEH	N/A	false	true	-3	99997		0.20000
OLOL PONTCHARTRAIN SURGERY CENTER
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	461379031	HEALTHCARE	TX	OLOLUSP	N/A	false	true
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	352463092	HEALTHCARE	LA	OLOL	N/A	false	true
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	OLOL	N/A	false	true

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ST FRANCIS INSURANCE AGENCY
309 JACKSON STREET	MONROE	LA	71201	721435136	INSURANCE	LA	ST FRANCIS	C CORP
HOSPITAL ASSISTANCE SERVICES
POBOX 4027-C	LAFAYETTE	LA	70502	721073486	HEALTHCARE	LA	LOURDES	C CORP
LOUISE INSURANCE COMPANY
					INSURANCE		FMOL	C CORP	PO BOX 1051	CJ	KY1-1102	CJ
MONROE HEALTH SERVICES
POBOX 3187	MONROE	LA	71210	721057820	HEALTHCARE	LA	AMBULATORY	C CORP
Charitable Remainder Trust
					INVESTMENT	LA	OLOL FOUNDATION	TRUST
FRANCISCAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANE	BATON ROUGE	LA	70809	455492379	HEALTHCARE	LA	FMOL	C CORP
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANE	BATON ROUGE	LA	70809	454405024	INVESTMENT	LA	FMOL	C CORP
NORTHEAST LA HEALTH NETWORK
309 JACKSON STREET	MONROE	LA	71201	721294587	HEALTHCARE	LA	AMBULATORY	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg