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      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land>
        <OtherCostOrOtherBasis>26757745</OtherCostOrOtherBasis>
        <BookValue>26757745</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>226777532</OtherCostOrOtherBasis>
        <Depreciation>36549346</Depreciation>
        <BookValue>190228186</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>5141475</OtherCostOrOtherBasis>
        <Depreciation>1838450</Depreciation>
        <BookValue>3303025</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>66836157</OtherCostOrOtherBasis>
        <Depreciation>37959151</Depreciation>
        <BookValue>28877006</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2562550</OtherCostOrOtherBasis>
        <Depreciation>2934341</Depreciation>
        <BookValue>-371791</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>248794171</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN PARK PLACE</Description>
        <BookValue>5509015</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN LHC GROUP</Description>
        <BookValue>336617</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVEST IN LOURDES AFTER HOURS</Description>
        <BookValue>424592</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN HHL</Description>
        <BookValue>20256294</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN LID</Description>
        <BookValue>255480</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>26781998</TotalOfBookValueProgramRelated>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ACCRUED PENSION COST</Description>
        <Amount>56291217</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>BOND DISCOUNT</Description>
        <Amount>190806</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>56482023</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 FOOTNOTE (ASC 740)</Identifier>
        <ReturnReference>SCHEDULE D, PART XIV</ReturnReference>
        <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 JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintained>true</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>2366207</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalAmountSpent>2366207</SubtotalAmountSpent>
      <TotalAmountSpent>2366207</TotalAmountSpent>
      <GrantsToOrgsOutsideUS>
        <Region>Central America and the Caribbean</Region>
        <PurposeOfGrant>HAITI MISSION DONATIONS</PurposeOfGrant>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <MannerOfCashDisbursement>check</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>1</TotalNumberOf501c3Orgs>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2024168</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2024168</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00880</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>13057104</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7722063</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5335041</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02320</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>15081272</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7722063</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7359209</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03200</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>652973</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>177131</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>475842</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00210</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>120652</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>120652</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1536587</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>304141</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1232446</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00540</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>629769</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>45537</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>584232</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00250</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2939981</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>526809</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2413172</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01050</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>8248872</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9772381</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04250</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>21832779</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>66349823</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>78378055</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-12028232</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>LOURDES IMAGING DEV</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>LEASOR OF IMAGING PROP &amp; EQUI</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.22691</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.05391</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.71918</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>HEART HOSP OF LAFAYE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SPECIALTY HOSPITAL</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.60000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.33240</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>PARK PLACE SURGICAL</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>AMBULATORY SURGICAL CENTER</DescriptionEntPrimaryActivity>
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        <OfficersEtcProfitOrOwnership>0.03590</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.39880</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>OUR LADY OF LOURDES RMC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4801 AMBASSADOR CAFFERY PARKWAY</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70508</ZIPCode>
        </Address>
        <WebsiteAddress>www.fmolhs.org/lourdesrmc</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>HEART HOSPITAL OF ACADIANA LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1105 KALISTE SALOOM ROAD</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70508</ZIPCode>
        </Address>
        <WebsiteAddress>www.hearthospitallaf.net</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>PARK PLACE SURGERY CENTER LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>901 WILSON STREET</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70503</ZIPCode>
        </Address>
        <WebsiteAddress>www.parkplacesurgery.com</WebsiteAddress>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Other>SURGERY CENTER</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>OUR LADY OF LOURDES RMC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>361.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HEART HOSPITAL OF ACADIANA LLC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>185.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>361.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PARK PLACE SURGERY CENTER LLC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>264.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>3</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LOURDES IMAGING NETWORK LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4809 AMBASSADOR CAFFERY SUITE 350</AddressLine1>
            <City>LAFAYETTE</City>
            <State>LA</State>
            <ZIPCode>70506</ZIPCode>
          </Address>
          <FacilityType>IMAGING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LOURDES AFTER HOURS LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2130 KALISTE SALOOM ROAD</AddressLine1>
            <City>LAFAYETTE</City>
            <State>LA</State>
            <ZIPCode>70508</ZIPCode>
          </Address>
          <FacilityType>HEALTHCARE CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LHCG-XIII LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>601 WEST ST MARY BLVD SUITE 309</AddressLine1>
            <City>LAFAYETTE</City>
            <State>LA</State>
            <ZIPCode>70506</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH AGENCY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART I LINE 3C</Identifier>
        <Explanation>OUR LADY OF THE LOURDES REGIONAL MEDICAL CENTER USES INFORMATION OBTAINED RELATED TO INCOME LEVELS, ETC. TO DETERMINE ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. ALL SELF PAY ACCOUNTS GET AN AUTOMATIC 25% DISCOUNT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I LINE 7G</Identifier>
        <Explanation>THE MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES. THE DISCOUNT PROVIDED BRINGS CHARGES DOWN TO COST FOR ALL PATIENTS WHO HAVE NO FORM OF INSURANCE COVERAGE. 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 ALSO INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. SCOTT CLINIC $302,088 ST. BERNADETTE CLINIC $433,196 ST. CLARE CLINIC $497,446</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART I LINE 7</Identifier>
        <Explanation>THE COST-TO-CHARGE RATIO FROM THE HOSPITAL'S MEDICARE COST REPORT IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D. FOR PART I LINES 7E, 7F, 7G, AND 7I, IRS WORKSHEETS 4-8 WERE USED. DIRECT COSTS WERE CAPTURED FROM THE THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G THE FOLLOWING METHODOLOGY WAS USED DUE TO THE FACT THAT MANY OF THE DEPARTMENTS INCLUDED IN SUBSIDIZED HEALTH SERVICES HAVE NO CHARGES. THEREFORE, THE COST TO CHARGE RATIO COULD NOT BE UTILIZED. COST FIGURES FOR THESE WERE CALCULATED FROM DIRECT DEPARTMENTAL COSTS PLUS AN OVERHEAD ALLOCATION (AS REFLECTED ON THE MEDICARE COST REPORT) LESS DIRECT OFFSETTING REVENUE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III LINE 2</Identifier>
        <Explanation>BAD DEBTS ARE BASED ON THE AGING OF THE ACCOUNTS AND ALSO THE HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE DIFFERENT AGING CATEGORIES I.E. 0-30, 30-60, ETC. FURTHER ANALYSES ARE DONE PERIODICALLY TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING THE BAD DEBT EXPENSE. BAD DEBT EXPENSE DOES NOT INCLUDE DISCOUNTS THAT ARE PROVIDED, NOR ARE AMOUNTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE INCLUDED. ANY AMOUNTS (PAYMENTS) RECEIVED ON ACCOUNTS AFTER THEY HAVE BEEN DEEMED TO BE UNCOLLECTIBLE (BAD DEBT) ARE RECORDED AS A RECOVERY (REDUCTION) OF BAD DEBT EXPENSE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III LINE 8</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III LINE 9B</Identifier>
        <Explanation>OUR LADY OF LOURDES RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTHCARE TO THOSE WHO ARE UNABLE TO PAY. THE HOSPITAL ALSO RECOGNIZES THAT IT HAS AN OBLIGATION TO MAINTAIN LONG-TERM FINANCIAL STABILITY AND VIABILITY. BASED ON OUR VALUES, THE HOSPITAL IS COMMITTED TO PROVIDING SERVICES AT NO CHARGE OR AT REDUCED RATES TO THOSE PATIENTS WHO MEET PRE-DETERMINED FINANCIAL AND MEDICAL QUALIFICATIONS. PATIENTS WHO QUALIFY FOR CHARITY CARE SHOULD BE IDENTIFIED PRIOR TO, OR AT TIME OF ADMISSION. THE HOSPITAL WILL CONTINUE TO REVIEW A PATIENTS' ABILITY TO PAY AFTER DISCHARGE AS APPROPRIATE. FINANCIAL ASSISTANCE IS BASED ON THE PATIENT'S INCOME LEVEL AS DICTATED IN THE FINANCIAL ASSISTANCE POLICY. THE PATIENT'S ACCOUNT IS WRITTEN OFF TO CHARITY WHEN IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. THE ACCOUNT IS ALSO REMOVED FROM THE COLLECTION PROCESS AT THAT TIME. ALL REQUESTS FOR ASSISTANCE WILL REMAIN CONFIDENTIAL, AND THE HOSPITAL WILL NOT DISCRIMINATE IN THE APPLICATION OF ITS CHARITY POLICY BASED UPON RACE, CREED, COLOR, SEX OR NATIONAL ORIGIN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI LINE 2</Identifier>
        <ReturnReference>NEEDS ASSESSMENT</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI LINE 3</Identifier>
        <ReturnReference>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</ReturnReference>
        <Explanation>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 (CHARITY) 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI LINE 4</Identifier>
        <ReturnReference>COMMUNITY INFORMATION</ReturnReference>
        <Explanation>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 HAVE ESTABLISHED A POLICY UNDER WHICH THE MEDICAL CENTER PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER SERVES LAFAYETTE PARISH AND ITS SURROUNDING AREAS. APPROXIMATELY 222,000 PEOPLE LIVE IN LAFAYETTE PARISH AND 445,0000+ IN THE TOTAL SERVICE AREA WITH EXPECTED GROWTH IN THE NEXT FEW YEARS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI LINE 5</Identifier>
        <ReturnReference>PROMOTION OF COMMUNITY HEALTH</ReturnReference>
        <Explanation>SEE THE QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REPORT ON SCHEDULE O.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART VI LINE 6</Identifier>
        <ReturnReference>AFFILIATED HEALTH CARE SYSTEM</ReturnReference>
        <Explanation>OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONAIRIES OF OUR LADY HEALTH SYSTEM, INC. IS THE SOLE MEMBER. FRANCISCAN MISSIONAIRIES OF OUR LADY HEALTH SYSTEM, INC. ALSO INCLUDES SEVERAL OTHER HOSPITALS IN LOUISIANA: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V LINE 14</Identifier>
        <ReturnReference>OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, &amp; PARK PLACE SURGERY:</ReturnReference>
        <Explanation>Registration personnel refer patients that may have difficulty paying for their medical care to financial counselors to discuss qualification for free or discounted care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V LINE 20</Identifier>
        <ReturnReference>OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, &amp; PARK PLACE SURGERY:</ReturnReference>
        <Explanation>The hospital offers various levels of discounts which are based on a sliding scale using 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V LINE 3</Identifier>
        <ReturnReference>OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, &amp; PARK PLACE SURGERY:</ReturnReference>
        <Explanation>Interviews were conducted with representatives of the community with special knowledge or expertise in public health. Their input and expertise was heavily relied upon for interpretation of data and trend in healthcare in Louisiana and Lafayette Parish. The hospital consulted with Dr. Tina Stefanski, Region IV Medical Director for the Louisiana Department of Health &amp; Hospitals; Iris Maline, Nurse Practitioner in the school-based health center; Shanon McLaughlin, Supervisor of the school-based health center; Chris Martin, Executive Director of Boys &amp; Girls Clib of Acadiana; Jan Swift, Executive Director of Upper Lafayette; and Chief Jim Craft, Lafayette Police Department.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V LINE 7</Identifier>
        <ReturnReference>OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, &amp; PARK PLACE SURGERY:</ReturnReference>
        <Explanation>OUR LADY OF LOURDES RMC: The hospital did not address two needs identified in the CHNA - 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: The hospital did not address three needs identified in the CHNA - Mental Health Issues, Alcoholism/Drug Addiction and Cancer. The hospital decided those needs were outside of the scope of its practice and that 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 CENTER LLC: The hospital did not address two needs identified in the CHNA - Mental Health and Alcoholism/Drug Addiction. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4</Identifier>
        <Explanation>Patient Receivables are reduced by an allowance for uncollectible accounts. The allowance for uncollectible accounts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, major payor sources, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make modifications to the provision for uncollectible accounts to establish an appropriate allowance for uncollectible receivables. After satisfaction of amounts due from insurance, FMOLHS Affiliates follow established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by FMOLHS Affiliates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V LINE 4</Identifier>
        <ReturnReference>HEART HOSPITAL OF ACADIANA, LLC &amp; PARK PLACE SURGERY CENTER LLC:</ReturnReference>
        <Explanation>OUR LADY OF LOURDES REGIONAL MEDICAL CENTER</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART V, LINE 5</Identifier>
        <ReturnReference>OUR LADY OF LOURDES RMC, HEART HOSPITAL OF ACADIANA, &amp; PARK PLACE SURGERY</ReturnReference>
        <Explanation>WWW.FMOLHS.ORG/LOURDESRMC WWW.HEARTHOSPITALLAF.NET WWW.PARKPLACESURGERY.COM</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF ACADIANA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>215 E PINHOOK ROAD</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>720513639</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Community Program Supp</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SOUTHWEST LA EDUCATION &amp; REFERRAL CENTER INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1005 JEFFERSON ST LAFAYETTE LA 7</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70505</ZIPCode>
        </AddressUS>
        <EINOfRecipient>720628109</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MILES PERRET CANCER SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO DRAWER 3408</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721394708</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LAFAYETTE CATHOLIC SERVICE CENTER INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 3177</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>720977497</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>4</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Schedule I, Part I, Line 2</Identifier>
        <Explanation>A compliance report is submitted by the organization receiving the grant at the end of the grant period.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM R GUILLORY</NamePerson>
        <Title>STAFF PHYSICIAN</Title>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>DANIEL C DUNLAP</NamePerson>
        <Title>STAFF NEUROLOGIST</Title>
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        <NamePerson>JOHN C DUGAL</NamePerson>
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        <NamePerson>KIM L HEBERT</NamePerson>
        <Title>CFO, VP OF FINANCE</Title>
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        <NamePerson>BARBARA FESKE</NamePerson>
        <Title>VP MANAGEMENT &amp; SUPPORT SVCS</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>MONTE A WILSON</NamePerson>
        <Title>COO</Title>
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        <NamePerson>DANNA M CRAIN</NamePerson>
        <Title>CNO/ VP PCS</Title>
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        <NamePerson>KEVIN J DOMINGUE</NamePerson>
        <Title>VP TALENT MANAGEMENT</Title>
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        <NamePerson>DONNA F LANDRY</NamePerson>
        <Title>VP CORP DEVELOPMENT</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WF BUD BARROW</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>389012</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>112500</BonusRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY P BLALOCK</NamePerson>
        <Title>Chief Medical Officer</Title>
        <BaseCompensationFilingOrg>262417</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>29344</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KELLY T CAHILL JR</NamePerson>
        <Title>STAFF PHYSICIAN</Title>
        <BaseCompensationFilingOrg>207482</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>144579</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD FEI</NamePerson>
        <Title>Staff Physician</Title>
        <BaseCompensationFilingOrg>374979</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>40170</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD HOGAN</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>240071</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>31398</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>55929</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>29532</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>378806</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 4B</Identifier>
        <Explanation>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 FORM THE PLAN IN THE CURRENT YEAR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 7</Identifier>
        <Explanation>DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 4A</Identifier>
        <Explanation>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 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 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. KIM HEBERT, FORMER CFO, RECEIVED A SEVERANCE PAYMENT OF $62,961.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 3</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LOUISIANA PHYSICIAN CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BD MEMBER IS PART OWNER</Relationship>
        <AmountOfTransaction>553700</AmountOfTransaction>
        <DescriptionOfTransaction>MED BILLING SVCS TO LOURDES RM</DescriptionOfTransaction>
        <SharingOfRevenues>true</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LHC GROUP</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BD MEMBER IS A BD MEMBER</Relationship>
        <AmountOfTransaction>106615</AmountOfTransaction>
        <DescriptionOfTransaction>JOINT VENTURE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MICHAEL H VANDERLICK APMC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BD MEMBER IS OWNER</Relationship>
        <AmountOfTransaction>84725</AmountOfTransaction>
        <DescriptionOfTransaction>PHYSICIAN SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, QUESTION 11</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, QUESTION 12C</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION C, QUESTION 19</Identifier>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, QUESTION 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, QUESTION 15A &amp; 15B</Identifier>
        <Explanation>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. ALL DELIBERATIONS AND DECISIONS WILL BE PROPERLY DOCUMENTED IN THE FUTURE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990 PART III</ReturnReference>
        <Explanation>OUR LADY OF LOURDES REGIONAL MEDICAL CENTER SERVICE TO THE COMMUNITY - JUNE 30, 2013 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, 2013. 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. 2013 CHARGES FOREGONE MEDICARE $172,349,098 MEDICAID 31,925,955 TRICARE 5,422,455 CHARITY 4,132,062 TOTAL 213,829,571 ESTIMATED UNREIMBURSED COSTS MEDICARE $20,966,432 MEDICAID 9,100,964 TRICARE 2,088,489 CHARITY 1,591,487 TOTAL 33,747,373 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 $521,361 FOR THE YEAR ENDED JUNE 30, 2013. 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 $274,403 FOR THE YEAR ENDED JUNE 30, 2013. 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 $116,304 FOR THE YEAR ENDED JUNE 30, 2013. 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 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 $447,286 FOR THE YEAR ENDED JUNE 30, 2013. 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, 2013. THE MEDICAL CENTER ALSO HAD ESTIMATED COSTS OF $15,955 ASSOCIATED WITH EMERGENCY PREPAREDNESS AND $120,652 ASSOCIATED WITH HEALTH PROFESSIONS EDUCATION FOR THE YEAR ENDED JUNE 30, 2013. THE FOLLOWING TABLE SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES NOTED ABOVE FOR THE YEAR ENDED JUNE 30, 2013: 2013 ST. BERNADETTE'S $521,361 NORTHSIDE HIGH SCHOOL HEALTH CENTER 274,403 CONGREGATIONAL HEALTH SERVICES 116,304 SCOTT FAMILY CENTER 447,286 LAFAYETTE COMMUNITY HEALTH CARE CLINIC 20,534 HEALTH PROFESSIONS EDUCATION 120,652 EMERGENCY PREPAREDNESS 15,955 ------------- TOTAL $1,516,495 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, QUESTION 7B</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, QUESTION 6</Identifier>
        <Explanation>FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION A, QUESTION 2</Identifier>
        <Explanation>JOHN L. INDEST &amp; W.F. "BUD" BARROW - BUSINESS RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART XI, LINE 9</Identifier>
        <Explanation>CAPITAL TRANSFERS (2,706,144)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B, QUESTION 16A &amp; 16B</Identifier>
        <Explanation>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, 2013. THE ORGANIZATION INTENDS TO HAVE THE POLICIES APPROVED BY OUR LADY OF LOURDES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS OR COMMITTEE THEREOF.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART IX, LINE 11G</Identifier>
        <Explanation>FEES FOR SERVICES - OTHER CONTRACT LABOR: 888,467 PROFESSIONAL FEES: 18,101,638 PURCHASED SERVICES: 1,314,023 CONSULTING SERVICES: 1,082,690 SERVICE CONTRACTS: 10,743,781 BLOOD &amp; BLOOD REPLACEMENT: 1,877,213 MACHINE FEE: 976,000 OTHER: 472,829 TOTAL: 35,456,641</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LOURDES PHYSICIAN GROUP LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4801 AMBASSADOR CAFFERY PKWY</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70508</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <TotalIncome>159568</TotalIncome>
        <EOYAssets>-287531</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>LOURDES</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Bernard Health Fund</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4200 Essen Lane</AddressLine1>
          <City>Baton Rouge</City>
          <State>LA</State>
          <ZIPCode>70809</ZIPCode>
        </AddressUS>
        <EIN>204685614</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FMOLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <State>LA</State>
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          <State>LA</State>
          <ZIPCode>71201</ZIPCode>
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        <LegalDomicileState>LA</LegalDomicileState>
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          <City>Lafayette</City>
          <State>LA</State>
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          <City>Baton Rouge</City>
          <State>LA</State>
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          <State>LA</State>
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          <State>LA</State>
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          <State>LA</State>
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        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO Box 1051</AddressLine1>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
        </AddressForeign>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>FMOL</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Monroe Health Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 3187</AddressLine1>
          <City>Monroe</City>
          <State>LA</State>
          <ZIPCode>71210</ZIPCode>
        </AddressUS>
        <EIN>721057820</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ambulatory</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Northeast LA Health Network</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>309 Jackson Street</AddressLine1>
          <City>Monroe</City>
          <State>LA</State>
          <ZIPCode>71201</ZIPCode>
        </AddressUS>
        <EIN>721294587</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ambulatory</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHARITABLE REMAINDER TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>OLOL Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCISCAN HEALTH &amp; WELLNESS SERVICES I</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4200 ESSEN LANE</AddressLine1>
          <City>BATON ROUGE</City>
          <State>LA</State>
          <ZIPCode>70809</ZIPCode>
        </AddressUS>
        <EIN>455492379</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FMOL</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FMOL HEALTH SYSTEM HOLDINGS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4200 ESSEN LANE</AddressLine1>
          <City>BATON ROUGE</City>
          <State>LA</State>
          <ZIPCode>70809</ZIPCode>
        </AddressUS>
        <EIN>454405024</EIN>
        <PrimaryActivity>INVESTMENT</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FMOL</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PARK PLACE SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>2590409</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEART HOSPITAL OF LAFAYETTE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>312134</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEART HOSPITAL OF LAFAYETTE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1455669</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEART HOSPITAL OF LAFAYETTE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>125688</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEART HOSPITAL OF LAFAYETTE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>1326000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOURDES AFTER HOURS LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>55815</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FMOL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>18727553</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OUR LADY OF THE LAKE HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>4554106</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOURDES IMAGING DEVELOPMENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1989949</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOURDES IMAGING DEVELOPMENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>283895</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>