LOURDES FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LOURDES FOUNDATION INC (EIN 72-1494532)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201431359349304463
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T10:56:11-05:00 | 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 | 721494532 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOURDES FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RON HOGAN | InCareOfName |
| Name Control | LOUR | NameControl |
| Phone | 3374702000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4801 AMBASSADOR CAFFERY PARKWAY | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 70508 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RON HOGAN | Name |
| Title | REGIONAL CFO | Title |
| Phone | 3374702000 | Phone |
| Date Signed | 2014-05-15 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | William F Barrow | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4801 AMBASSADOR CAFFERY PKWY | AddressLine1 |
| City | Lafayette | City |
| State | LA | State |
| ZIP Code | 70508 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 857401 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | We seek and facilitate gifts to provide charitable healthcare programs and services that support the mission of Our Lady of Lourdes Regional Medical Center, Inc. and are not funded by traditional resources. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 26 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 100 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 432067 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 721268 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5175 | InvestmentIncomePriorYear |
| Investment Income Current Year | 44410 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -68815 | OtherRevenuePriorYear |
| Other Revenue Current Year | -44253 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 368427 | TotalRevenuePriorYear |
| Total Revenue Current Year | 721425 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 535076 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 147878 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 204526 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 115401 | OtherExpensePriorYear |
| Other Expenses Current Year | 259043 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 650477 | TotalExpensesPriorYear |
| Total Expenses Current Year | 406921 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -282050 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 314504 | RevenuesLessExpensesCY |
| Total Assets BOY | 2035145 | TotalAssetsBOY |
| Total Assets EOY | 2599886 | TotalAssetsEOY |
| Total Liabilities BOY | 75537 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 206919 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1959608 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2392967 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE SEEK AND FACILITATE GIFTS TO PROVIDE CHARITABLE HEALTHCARE PROGRAMS AND SERVICES THAT SUPPORT THE MISSION OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. AND ARE NOT FUNDED BY TRADITIONAL RESOURCES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 160313 | Expense |
| Grants | 147878 | Grants |
| Description | Grants are made to or on behalf of Our Lady of the Lourdes Regional Medical Center to promote the welfare of the hospital and increase its usefulness to the citizens of Lafayette Parish, Louisiana and the USA. | Description |
| Total Program Service Expense | 160313 | 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 | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | 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 | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | 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 | false | 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 | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 26 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | 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 | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RON HOGAN | NamePerson |
| Telephone Number | 3372892000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4801 AMBASSADOR CAFFERY PKWY | AddressLine1 |
| City | LAFAYETTE | City |
| State | LA | State |
| ZIP Code | 70508 | ZIPCode |
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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| BRYAN HANKS | ||||||||
| CHAIRMAN | 0.5 | 0.0 | X | X | 0 | 0 | 0 | |
| WILLIAM F BARROW | ||||||||
| CEO | 0.5 | 50.5 | X | X | 0 | 505704 | 106415 | |
| CLAY PLAISANCE | ||||||||
| BOARD MEMBER | 0.5 | 2.0 | X | 0 | 0 | 0 | ||
| EJ KRAMPE | ||||||||
| SECRETARY | 0.5 | 0.0 | X | X | 0 | 0 | 0 | |
| HUNTER TRAHAN | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| IAN MACDONALD | ||||||||
| IMMEDIATE PAST CHAIRMAN | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JAKE CRATER | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JEFF ELMORE | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JIM PRINCE | ||||||||
| BOARD MEMBER | 0.5 | 1.0 | X | 0 | 0 | 0 | ||
| JIMMY MALLIA | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JOE GIGLIO | ||||||||
| VICE CHAIRMAN | 0.5 | 0.0 | X | X | 0 | 0 | 0 | |
| JOHN MENDELL | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JOHN RONGEY | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| JULIE DRONET | ||||||||
| COMMUNITY & MISSION CHAIR | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| KELLY GAUTHREAUX | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| LENNY LEMOINE | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| LINUS CORTEZ | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| MIKE MICHOT | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| MIKE HAMNER | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| MIKE MONCLA | ||||||||
| TREASURER | 0.5 | 0.0 | X | X | 0 | 0 | 0 | |
| MSR KEITH DEROUEN | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| PAUL BREAUX MD | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| ROB EDDY | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| SR BETTY LYONS | ||||||||
| BOARD MEMBER | 0.5 | 2.5 | X | 0 | 0 | 0 | ||
| TIGER PHARR | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 0 | 0 | ||
| TRACEY PARK | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | X | 0 | 56550 | 19285 | ||
| RONALD HOGAN | ||||||||
| CFO | 0.5 | 52.0 | X | 0 | 327398 | 51408 | ||
| KIM HEBERT | ||||||||
| FORMER CFO | 0.5 | 0.0 | 0 | 213887 | 13017 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1103539 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 190125 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Fundraising Events | 121428 | FundraisingEvents |
| Related Organizations | 124098 | RelatedOrganizations |
| All Other Contributions | 475742 | AllOtherContributions |
| Total Contributions | 721268 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21329 | TotalRevenueColumn |
| Unrelated Business Revenue | 52 | UnrelatedBusinessRevenue |
| Exclusion | $21,277 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 68454 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45373 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23081 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23081 | TotalRevenueColumn |
| Unrelated Business Revenue | 48 | UnrelatedBusinessRevenue |
| Exclusion | $23,033 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 46350 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 121428 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 90603 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -44253 | TotalRevenueColumn |
| Exclusion | -$44,253 | 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 | 721425 | TotalRevenueColumn |
| Unrelated Business Revenue | 100 | UnrelatedBusinessRevenue |
| Exclusion | $57 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146878 | Total |
| Program Services | 146878 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
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 | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4608 | Total |
| Management And General | 4608 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112 | Total |
| Management And General | 112 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19080 | Total |
| Management And General | 19080 | 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 | 8209 | Total |
| Fundraising | 8209 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124347 | Total |
| Program Services | 12435 | ProgramServices |
| Management And General | 12435 | ManagementAndGeneral |
| Fundraising | 99477 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73811 | Total |
| Fundraising | 73811 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14921 | Total |
| Management And General | 1275 | ManagementAndGeneral |
| Fundraising | 13646 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6361 | Total |
| Fundraising | 6361 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113 | Total |
| Fundraising | 113 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2909 | Total |
| Fundraising | 2909 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER EXPENSE | Description |
| Total | 4572 | Total |
| Management And General | 4572 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406921 | Total |
| Program Services | 160313 | ProgramServices |
| Management And General | 42082 | ManagementAndGeneral |
| Fundraising | 204526 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 374966 | BOY |
| EOY | 929860 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53132 | BOY |
| EOY | 57893 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267321 | BOY |
| EOY | 118898 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13140 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13140 | LandBldgEquipmentAccumDeprec |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1091932 | BOY |
| EOY | 891842 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247794 | BOY |
| EOY | 601393 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2035145 | BOY |
| EOY | 2599886 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12621 | BOY |
| EOY | 5645 | 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 | 0 | BOY |
| EOY | 0 | 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 | 0 | BOY |
| EOY | 0 | 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 | 62916 | BOY |
| EOY | 201274 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75537 | BOY |
| EOY | 206919 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1749772 | BOY |
| EOY | 1814133 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209836 | BOY |
| EOY | 578834 | 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 | 1959608 | BOY |
| EOY | 2392967 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2035145 | BOY |
| EOY | 2599886 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 314504 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 118855 | ReconciliationUnrealizedInvest |
| 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720423635 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $160,313 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 160313 | SumOfAmounts |
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 CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 326646 | Contributions |
| End Of Year Balance | 326646 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13140 | OtherCostOrOtherBasis |
| Depreciation | 13140 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ALTERNATIVE INVESTMENTS | 254193 | F |
| FIXED INCOME SECURITIES | 347200 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 601393 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO/FROM LOURDES | $231,123 |
| DUE TO/FROM LOURDES IMAGING DE | -$29,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 201274 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ASC 740 (FIN 48) FOOTNOTE | SCHEDULE D, PART X | "FMOLHS 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." |
| SCHEDULE D, PART V | ENDOWMENT FUNDS | THE ENDOWMENT FUND WAS CREATED FOR THE BENEFIT OF ST. BERNADETTE COMMUNITY CLINIC. |
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 | 80860 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 80860 | SubtotalAmountSpent |
| Total Amount Spent | 80860 | 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 | 167778 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 121428 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 46350 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 90603 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 167778 | GrossReceiptsTotal |
| Charitable Contributions Total | 121428 | CharitableContributionsTotal |
| Gross Revenue Total Events | 46350 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 90603 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 90603 | DirectExpenseSummaryEvents |
| Net Income Summary | -44253 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 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 LOURDES RMC | |||||||
| 4801 AMBASSADOR CAFFERY PARKWAY | LAFAYETTE | LA | 70508 | 720423635 | 501(c)(3) | 98443 | GENERAL SUPPORT |
| LAFAYETTE COMMUNITY HEALTH CARE CLINIC | |||||||
| 1317 JEFFERSON STREET | LAFAYETTE | LA | 70501 | 721221982 | 501(C)(3) | 10000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING USE OF GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | LOURDES FOUNDATION MONITORS THE USE OF GRANT FUNDS BY RECEIVING A SUBMITTED COMPLIANCE REPORT BY THE ORGANIZATION RECEIVING THE GRANT AT THE END OF THE GRANT PERIOD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM F BARROW | ||||||||||||||
| CEO | 0 | 389012 | 0 | 112500 | 0 | 4192 | 0 | 96486 | 0 | 9929 | 0 | 612119 | 0 | 0 |
| KIM HEBERT | ||||||||||||||
| FORMER CFO | 103239 | 0 | 40538 | 0 | 70110 | 0 | 0 | 0 | 13017 | 0 | 226904 | 0 | 0 | |
| RONALD HOGAN | ||||||||||||||
| CFO | 0 | 240071 | 0 | 31398 | 0 | 55929 | 0 | 21876 | 0 | 29532 | 0 | 378806 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, QUESTION 3 | THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE. |
| PART I QUESTION 4A | THE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/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. THE FORMER CFO WAS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT WAS REMOTE AS IT WAS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT DUE TO REORGANIZATION OF HOSPITAL DEPARTMENTS, HOSPITAL FUNCTIONS OR DOWNSIZING ACTIVITY. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HER BASE SALARY AND MEDICAL/DENTAL BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGED FROM 6 TO 12 MONTHS DEPENDING ON THE LENGTH OF SERVICE OF SUCH EXECUTIVE. KIM HEBERT, FORMER CFO, RECEIVED A SEVERANCE PAYMENT OF $62,961 FROM OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, A RELATED TAX EXEMPT ORGANIZATION. |
| PART I QUESTION 4B | FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION, MAINTAINS AN UNFUNDED DEFERRED COMPENSATION PLAN WHICH MEETS THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURERENCE 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 ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLAN IN THE CURRENT YEAR. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART VI, SECTION A, QUESTION 6 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF LOURDES FOUNDATION, INC. |
| PART VI, SECTION A, QUESTION 7A | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF LOURDES FOUNDATION, INC. |
| PART VI, SECTION A, QUESTION 7B | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, RESERVES THE FOLLOWING POWERS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION 2. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION 3. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 4. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION 5. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION 6. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION 7. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 8. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION 9. 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 10. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 11. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION 12. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. |
| PART VI, SECTION A, QUESTION 11 | AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE ORGANIZATION'S TAX ADVISORS, THE FORM 990 IS REVIEWED BY ONE OR MORE MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE RETURN IS THEN PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. |
| PART VI, SECTION B, QUESTION 12C | LOURDES FOUNDATION, INC. 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 LOURDES FOUNDATION, INC. 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, LOURDES FOUNDATION, INC. 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. |
| PART VI, SECTION B, QUESTIONS 15A & 15B | OTHER RELATED ORGANIZATIONS SET THE COMPENSATION AND PAY THE EXECUTIVES. THE CEO OF LOURDES FOUNDATION IS ALSO THE PRESIDENT AND CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. HE 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 IS REVIEWED ANNUALLY BY THE CEO AND THE EXECUTIVE COMMITTEE OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. THE CEO AND EXECUTIVE COMMITTEE ARE PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO AND EXECUTIVE COMMITTEE THEN USE THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND DOCUMENTS THE HUMAN RESOURCE FILES. |
| PART VI, SECTION C, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| PART IX, LINE 11G | COMPENSATION PAID BY RELATED ORGANIZATIONS: $124,347 |
| PART VI, SECTION A, QUESTION 2 | William Barrow and Paul Breaux have a business relationship solely because they both serve on the board of Park Place Surgical Hospital. |
Schedule R IRS990ScheduleR
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 PKWY | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| CAPITAL AREA SHARED SERVICES ORGANIZATIO | ||||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 275173212 | HEALTHCARE | LA | OLOL PG | 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 | 721387870 | Healthcare | LA | ST FRANCIS | N/A | false | true |
| ST ELIZABETH-MARY BIRD PERKINS CANCER | ||||||||||
| 4950 ESSEN LANE | BATON ROUGE | LA | 70809 | 260628752 | HEALTHCARE | LA | STEH | N/A | false | true |
| Lourdes Imaging Development LLC | ||||||||||
| 4801 AMBASSADOR CAFFERY PKWY | Lafayette | LA | 70506 | 208326287 | REAL ESTATE | LA | LOURDES | N/A | false | true |
| Park Place Surgical Hospital | ||||||||||
| 901 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 | 233160962 | Healthcare | LA | OLOL | N/A | false | true |
| ST ELIZABETH IMAING CENTER | ||||||||||
| 1125 HIGHWAY 30 | GONZALES | LA | 70737 | 721470744 | HEALTHCARE | LA | STEH | N/A | false | true |
| REGIONAL EYE SURGERY CENTER LLC | ||||||||||
| 7777 HENNESSY BLVD SUITE 4000 | BATON ROUGE | LA | 70808 | 721484653 | HEALTHCARE | LA | OLOL | N/A | false | true |
| ST MARY'S IMAGING CENTER II LLC | ||||||||||
| 411 ST LANDRY STREET | LAFAYETTE | LA | 70506 | HEALTHCARE | LA | LOURDES IMAGING | N/A | false | true | |
| NORTHEAST LA CANCER INSTITUTE | ||||||||||
| 141 DESIARD STREET SUITE 704 | MONROE | LA | 71201 | 721329499 | HEALTHCARE | LA | ST FRANCIS | N/A | false | true |
| LHCG-XIIILLC | ||||||||||
| 420 WEST PINHOOK ROAD SUITE A | LAFAYETTE | LA | 70503 | 208068308 | HEALTHCARE | LA | LOURDES | N/A | false | true |
| LOURDES AFTER HOURS LLC | ||||||||||
| 2130 KALISTE SALOOM ROAD | LAFAYETTE | LA | 70508 | 201367299 | HEALTHCARE | LA | LOURDES | N/A | false | true |
| CAPITAL AREA SHARED SERVICES ORGANIZATIO | ||||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 275173212 | HEALTHCARE | LA | STEP | N/A | false | true |
| LAKE URGENT CARE ASCENSION LLC | ||||||||||
| 10319 Jefferson Highway | Baton Rouge | LA | 70809 | 352463092 | HEALTHCARE | LA | OLOL | N/A | false | true |
| OLOL Pontchartrain Surgery Center LLC | ||||||||||
| 15305 Dallas Pkwy Ste 1600 LB 28 | Addison | TX | 75001 | 461379031 | HEALTHCARE | TX | OLOLUSP | N/A | false | true |
| OLOLUSP Surgery Centers LLC | ||||||||||
| 15305 Dallas Pkwy Ste 1600 LB 28 | Addison | TX | 75001 | 352457810 | HEALTHCARE | LA | OLOL | N/A | false | true |
| Lake Urgent Care Ascension LLC | ||||||||||
| 10319 Jefferson Highway | Baton Rouge | LA | 70809 | 352463092 | HEALTHCARE | LA | STEH | 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 | ||||||||||||
| PO Box 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 | ||||||
| Northeast LA Health Network | ||||||||||||
| 309 Jackson Street | Monroe | LA | 71201 | 721294587 | Healthcare | LA | SF AMBULATORY | C Corp | ||||
| Charitable Remainder Trust | ||||||||||||
| INVESTMENT | LA | OLOL FOUNDATION | TRUST | |||||||||
| Monroe Health Services | ||||||||||||
| PO BOX 3187 | Monroe | LA | 72101 | 721057820 | HEALTHCARE | LA | SF AMBULATORY | C CORP | ||||
| FRANCISCAN HEALTH & WELLNESS SERVICES | ||||||||||||
| 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 | ||||
| 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | 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 | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |