FURP.ORG / PUBLIC DATA EXPLORER

OUR LADY OF THE LAKE HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OUR LADY OF THE LAKE HOSPITAL INC (EIN 72-0423651)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349307548
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T14:56:45-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1301 Main Street Suite 2150AddressLine1
CityBaton RougeCity
StateLAState
ZIP Code70801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720423651EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF THE LAKE HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFF LIMBOCKERInCareOfName
Name ControlOURLNameControl
Phone2257657709Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BOULEVARDAddressLine1
Address Line2SuiteAddressLine2
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFF LIMBOCKERName
TitleREGIONAL CFOTitle
Phone2257657709Phone
Date Signed2014-05-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone2253444000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF THE LAKE RMCBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonK SCOTT WESTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BOULEVARDAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode
FieldValueIRS element (for citing)
Gross Receipts910188092GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.ololrmc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission Descriptionthe purpose of the hospital is to provide for the care of the ill, injured, or disabled persons, and to provide for research, education, and for the enhancement of health of those in the communityActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees6438TotalNbrEmployees
Total Nbr Volunteers190TotalNbrVolunteers
Total Gross UBI7014471TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5408607ContributionsGrantsPriorYear
Contributions Grants Current Year7712549ContributionsGrantsCurrentYear
Program Service Revenue Prior Year664647747ProgramServiceRevenuePriorYear
Program Service Revenue CY768245581ProgramServiceRevenueCY
Investment Income Prior Year8396637InvestmentIncomePriorYear
Investment Income Current Year19589685InvestmentIncomeCurrentYear
Other Revenue Prior Year-1274499OtherRevenuePriorYear
Other Revenue Current Year45125383OtherRevenueCurrentYear
Total Revenue Prior Year677178492TotalRevenuePriorYear
Total Revenue Current Year840673198TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5152314GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10127484GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year284957317SalariesEtcPriorYear
Salaries Etc Current Year321077522SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year434889017OtherExpensePriorYear
Other Expenses Current Year397136104OtherExpensesCurrentYear
Total Expenses Prior Year724998648TotalExpensesPriorYear
Total Expenses Current Year728341110TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-47820156RevenuesLessExpensesPriorYear
Revenues Less Expenses CY112332088RevenuesLessExpensesCY
Total Assets BOY1250161461TotalAssetsBOY
Total Assets EOY1498370068TotalAssetsEOY
Total Liabilities BOY534231871TotalLiabilitiesBOY
Total Liabilities EOY660438993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY715929590NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY837931075NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense265546500Expense
Revenue366658214Revenue
DescriptionTHE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 163,032 PATIENT DAYS. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES COSTING APPROXIMATELY $12,402,600 WERE PROVIDED WITHOUT CHARGE. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES. SEE SCHEDULE O FOR FURTHER EXPLANATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense105367802Expense
Revenue145488531Revenue
DescriptionTHE MEDICAL CENTER PROVIDES PATIENTS WITH BOTH INPATIENT AND OUTPATIENT SURGICAL CARE. DURING THE YEAR, 19,575 SURGICAL PROCEDURES WERE PERFORMEDDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense40410404Expense
Revenue55797409Revenue
DescriptionTHE MEDICAL CENTER PROVIDES PATIENTS WITH PHARMACEUTICALS IN THE COURSE OF THEIR MEDICAL CARE. IN THE CURRENT YEAR, THE HOSPITAL DISPENSED 13,197,865 UNIT DOSESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp145065190TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt10127484TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev200301428TotalOfOtherProgramServiceRev
Total Program Service Expense556389896TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualstrueMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096331NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6438NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF LIMBOCKERNamePerson
Telephone Number2257656565TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BLVDAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES FREEBURGH
BOARD MEMBER - CHAIR2.04.0XX000
DONALD DAIGLE
BOARD MEMBER - CHAIR2.02.0XX000
DANIEL MONTELARO
BOARD MEMBER - VICE CHAIR2.02.0XX000
TIMOTHY ANDRUS MD
BOARD MEMBER2.00.0X000
WALTER BRINGAZE III MD
BOARD MEMBER2.00.0X000
RENEE FURR
BOARD MEMBER - SECRETARY2.00.0XX000
SR LILLIAN LYNCH OSF
BOARD MEMBER2.00.0X000
VAN MAYHALL JR
BOARD MEMBER2.00.0X000
JOHN MCCLELLAND MD
BOARD MEMBER42.00.0X530130025316
DAVID POPE MD
CHIEF OF STAFF/BOARD MEMBER2.00.0X000
SR EILEEN ROWE OSF
BOARD MEMBER2.00.0X000
ELIZABETH SEITER MD
CHIEF OF STAFF/BOARD MEMBER2.00.0X000
JOEL SILVERBERG MD
BOARD MEMBER2.00.0X000
KAREN WILLIAMS MD
BOARD MEMBER2.00.0X000
KENNETH WESTER
CEO2.058.0XX064741592415
JAMES CRAVEN MD
BOARD MEMBER2.00.0X000
LUTHER KISSAM
BOARD MEMBER2.00.0X000
JOHN SELSER
BOARD MEMBER2.00.0X000
JEFFERY LIMBOCKER
CFO52.08.0X370271057112
DENZIL MORAES
STAFF PHYSICIAN60.00.01160839034261X
STEVEN GREMILLION
STAFF PHYSICIAN60.00.01026372032061X
KENNETH CIVELLO
STAFF PHYSICIAN60.00.0897342034734X
PAUL GARRETT
STAFF PHYSICIAN60.00.0776327032061X
JEFFREY HYDE
STAFF PHYSICIAN40.00.0813497029484X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5574778TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs647415TotalReportableCompFrmRltdOrgs
Total Other Compensation337444TotalOtherCompensation
Number Individuals GT100 K239NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FMOL HEALTH SYSTEM
4200 ESSEN LANEBATON ROUGELA70809MANAGEMENT SERVICES49341456
ANESTHESIOLOGY GROUP
8212 SUMMA AVENUEBATON ROUGELA70809PHYSICIAN SERVICES8227929
CROTHALL HEALTHCARE INC
5000 HENNESSY BLVDBATON ROUGELA70809HEALTHCARE SERVICES7296087
LOUISIANA STATE UNIVERSITY
204 THOMAS BOYD HALLBATON ROUGELA70803MEDICAL SERVICES8281243
CARDIOVASCULAR SYSTEMS LLC
7777 HENNESSY BLVD SUITE 1000BATON ROUGELA70808CONSULTING SERVICES4716149
FieldValueIRS element (for citing)
Number Of Contractors GT100 K152NumberOfContractorsGT100K
Related Organizations5711823RelatedOrganizations
Government Grants837973GovernmentGrants
All Other Contributions1162753AllOtherContributions
Total Contributions7712549TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SVC REVENUE621500720709565720709565
OUTREACH LABORATORY90009923363969187647714599198
INCOME FROM EQUITY INVESTEES90009966829166384153298763
CAFETERIA SALES90009924346552434655
PHARMACY90009923822293857191996510

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column12672247TotalRevenueColumn
Related Or Exempt Function Income12672247RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue768245581TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5877012TotalRevenueColumn
Unrelated Business Revenue62667UnrelatedBusinessRevenue
Exclusion$5,814,345ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column48202TotalRevenueColumn
Exclusion$48,202ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real10516657Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real12396106Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1879449Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1879449TotalRevenueColumn
Related Or Exempt Function Income-1879449RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities70707502Securities
Other75757Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities54628209Securities
Other2490579Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities16079293Securities
Other-2414822Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13664471TotalRevenueColumn
Unrelated Business Revenue57333UnrelatedBusinessRevenue
Exclusion$13,607,138ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINCREASE IN ACCRUED PENSIONDescription
Business Code900099BusinessCode
Total Revenue Column47004832TotalRevenueColumn
Related Or Exempt Function Income47004832RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue47004832TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column840673198TotalRevenueColumn
Related Or Exempt Function Income806476493RelatedOrExemptFunctionIncome
Unrelated Business Revenue7014471UnrelatedBusinessRevenue
Exclusion$19,469,685ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10058596Total
Program Services10058596ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total56888Total
Program Services56888ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total12000Total
Program Services12000ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4582299Total
Program Services1816707ProgramServices
Management And General2765592ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total248680211Total
Program Services212227102ProgramServices
Management And General36453109ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26232820Total
Program Services19970742ProgramServices
Management And General6262078ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25148148Total
Program Services22370512ProgramServices
Management And General2777636ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16434044Total
Program Services13642185ProgramServices
Management And General2791859ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total13037566Total
Program Services6467672ProgramServices
Management And General6569894ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1780761Total
Program Services2077ProgramServices
Management And General1778684ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3855580Total
Program Services15498ProgramServices
Management And General3840082ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1121672Total
Management And General1121672ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19834720Total
Program Services16871088ProgramServices
Management And General2963632ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2962455Total
Program Services502324ProgramServices
Management And General2460131ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29460710Total
Program Services23380839ProgramServices
Management And General6079871ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total863656Total
Program Services350040ProgramServices
Management And General513616ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8716149Total
Program Services7147242ProgramServices
Management And General1568907ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total226116Total
Program Services175121ProgramServices
Management And General50995ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total889689Total
Program Services535923ProgramServices
Management And General353766ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10174037Total
Program Services8342710ProgramServices
Management And General1831327ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29248139Total
Program Services24055073ProgramServices
Management And General5193066ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6731063Total
Program Services3284160ProgramServices
Management And General3446903ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES133027327133027327
PURCHASED SERVICES12048164641380718791009280
EQUIPMENT AND MAINTENANCE14658918106314524027466
OTHER EXPENSE6590065900

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total728341110Total
Program Services556389896ProgramServices
Management And General171951214ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY53927784BOY
EOY51211713EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY81641790BOY
EOY71117095EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY101485562BOY
EOY145949083EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10629346BOY
EOY14389326EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11926438BOY
EOY14659880EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis943769371LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec360812529LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY467132763BOY
EOY582956842EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY158534638BOY
EOY220486055EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY281105013BOY
EOY281775375EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY33611922BOY
EOY42096434EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3498629BOY
EOY11950328EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46667576BOY
EOY61777937EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1250161461BOY
EOY1498370068EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY119870069BOY
EOY166841123EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY202632986BOY
EOY300832430EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY211728816BOY
EOY192765440EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY534231871BOY
EOY660438993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY707726529BOY
EOY825226388EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8203061BOY
EOY12704687EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY715929590BOY
EOY837931075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1250161461BOY
EOY1498370068EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses112332088ReconcilationRevenueExpenses
Reconciliation Unrealized Invest28749785ReconciliationUnrealizedInvest
Reconcilation Other Changes-19080388ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis73035268OtherCostOrOtherBasis
Book Value73035268BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis568208468OtherCostOrOtherBasis
Depreciation163272737Depreciation
Book Value404935731BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3078646OtherCostOrOtherBasis
Depreciation1161023Depreciation
Book Value1917623BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis278420448OtherCostOrOtherBasis
Depreciation186495736Depreciation
Book Value91924712BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis21026541OtherCostOrOtherBasis
Depreciation9883033Depreciation
Book Value11143508BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings582956842TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FIXED INCOME SECURITIES100670535F
ALTERNATIVE INVESTMENTS181104841F
FieldValueIRS element (for citing)
Total Of Book Value Securities281775376TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$36,478,623
ACCRUED PENSION COST$156,286,817
FieldValueIRS element (for citing)
Total Of Amounts192765440TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

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

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures149634650TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent149634650SubtotalAmountSpent
Total Amount Spent149634650TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Purpose Of GrantHAITI MISSIONPurposeOfGrant
Amount Of Cash Grant12000AmountOfCashGrant
Manner Of Cash DisbursementCHECKMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3915961TotalCommunityBenefitExpense
Net Community Benefit Expense3915961NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense106657210TotalCommunityBenefitExpense
Direct Offsetting Revenue65511872DirectOffsettingRevenue
Net Community Benefit Expense41145338NetCommunityBenefitExpense
Percent Of Total Expense0.05650PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense110573171TotalCommunityBenefitExpense
Direct Offsetting Revenue65511872DirectOffsettingRevenue
Net Community Benefit Expense45061299NetCommunityBenefitExpense
Percent Of Total Expense0.06190PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3055349TotalCommunityBenefitExpense
Direct Offsetting Revenue1016624DirectOffsettingRevenue
Net Community Benefit Expense2038726NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense15696368TotalCommunityBenefitExpense
Direct Offsetting Revenue5997924DirectOffsettingRevenue
Net Community Benefit Expense9698443NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense13407161TotalCommunityBenefitExpense
Direct Offsetting Revenue2341312DirectOffsettingRevenue
Net Community Benefit Expense11065850NetCommunityBenefitExpense
Percent Of Total Expense0.01520PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense348215TotalCommunityBenefitExpense
Direct Offsetting Revenue95407DirectOffsettingRevenue
Net Community Benefit Expense252808NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1086520TotalCommunityBenefitExpense
Net Community Benefit Expense1086520NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33593613TotalCommunityBenefitExpense
Direct Offsetting Revenue9451267DirectOffsettingRevenue
Net Community Benefit Expense24142347NetCommunityBenefitExpense
Percent Of Total Expense0.03310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense144166784TotalCommunityBenefitExpense
Direct Offsetting Revenue74963139DirectOffsettingRevenue
Net Community Benefit Expense69203646NetCommunityBenefitExpense
Percent Of Total Expense0.09500PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$100,696,819BadDebtExpenseAmount
Amount Reimbursed By Medicare126673221AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare137973843CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11300622MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
PERKINS PLAZA IMAGIN
REAL ESTATE0.625650.005130.33333
PERKINS PLAZA MAD
REAL ESTATE0.520410.005100.36224
NUCLEAR IMAGING
IMAGING SERVICES0.666700.33330
CONVENIENT CARE
URGENT CARE CLINIC0.500000.50000
SURGICAL SPECIALTY
SURGERY CENTER0.490000.51000
PERKINS PLAZA ASC
AMBULATORY SURGERY CENTER0.460000.27000
REGIONAL EYE SURGERY
IMAGING SERVICES0.127500.87250
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
OUR LADY OF THE LAKE HOSPITAL
15000 HENNESSY BOULEVARDBATON ROUGELA70808WWW.FMOLHS.ORG/OLOLRMCXXXX
SURGICAL SPECIALTY CTR OF BATON ROUGE
28080 BLUEBONNET BLVDBATON ROUGELA70810WWW.SSCBR.COMXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyDevelop Community PlanDevelopCommunityPlanParticipate Community PlanParticipateCommunityPlanInclude Operational PlansIncludeOperationalPlansPrioritize Health NeedsPrioritizeHealthNeedsAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesCommunity Health NeedsCommunityHealthNeeds
OUR LADY OF THE LAKE HOSPITAL
1trueXXXXXXXX12truetruetrueXXXXXXXXfalsefalsetruetrue150.true400.trueXXXXtruetrueXXXXXXtruefalseXXXXtrueXtruefalse
SURGICAL SPECIALTY CTR OF BATON ROUGE
2trueXXXXXXX12truetruetrueXXXXXXfalsefalsetruetrue150.true150.trueXXXXtruetrueXXXXXXtruefalseXXXXtrueXtruefalseX

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
REGIONAL EYE SURGERY CENTER
4950 ESSEN LANEBATON ROUGELA708093739SURGERY CENTER
PERKINS PLAZA AMB SURGERY CENTER
7145 PERKINS ROADBATON ROUGELA708084322SURGERY CENTER
PERKINS PLAZA IMAGING CENTER
5000 HENNESSY BOULEVARDBATON ROUGELA70808IMAGING
NUCLEAR IMAGING
5000 HENNESSY BOULEVARDBATON ROUGELA70808IMAGING
CONVENIENT CARE LLC
7777 HENNESSY BOULEVARDBATON ROUGELA70808URGENT CARE
BRPT-LAKE REHABILITATION CENTERS LLC
530 SHADOWS LANEBATON ROUGELA70806REHABILITATION
OLOL PONCHARTRAIN SURGERY CENTER LLC
15305 DALLAS PKWYSTE 1600 LB 28ADDISONTX75001SURGERY CENTER
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809URGENT CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3C:ELIGIBILITY FOR CHARITY IS BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. DISCOUNTED CARE IS BASED UPON CURRENT FEDERAL POVERTY LEVELS (FPL) WITH THOSE AT 200% OR BELOW ELIGIBLE FOR FREE CARE, AND THOSE ABOVE 200% RECEIVE DISCOUNTED CARE ON A SLIDING SCALE, UP TO BUT NOT MORE THAN 400% OF FPL.
PART I, LINE 7G:OUR LADY OF THE LAKE INCLUDES THE COST OF SEVERAL PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES INCLUDING THOSE THAT PROVIDE SPECIALIZED PEDIATRIC SERVICES, PSYCHIATRIC SERVICES, RURAL HEALTH CLINICS AND HOSPITAL MEDICINE PHYSICIANS THAT HANDLE THE PLAN OF CARE FOR PATIENTS WITHOUT PERSONAL PHYSICIANS AS RELATED TO EMERGENCY ROOM VISITS.
PART I, LINE 7F:FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.
PART I, LINE 7:THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON IRS WORKSHEET 2. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM 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.
PART III, LINE 4:THE BAD DEBT FOOTNOTE IS ON PAGE 16 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES. THE AMOUNT ON PART III, LINE 6 REPRESENTS MEDICARE ALLOWABLE COSTS FROM THE COST REPORT AS ADJUSTED FOR AMOUNTS ALREADY INCLUDED ON SCHEDULE H, LINE 7 RELATED TO SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION.
PART III, LINE 9B:PATIENTS WITH NO MEANS OF PAYMENTS MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE WRITTEN OFF TO CHARITY BASED ON THE INFORMATION PROVIDED BY CREDIT BUREAUS, THROUGH THE SYSTEMS AND TOOLS UTILIZED AS WELL AS THE PATIENT'S MEDICAL EXPENSE. IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE ACCOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.
NEEDS ASSESSMENTRESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. OUR LADY OF THE LAKE HOSPITAL WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, ST. VINCENT de PAUL AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTRATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OUR LADY OF THE LAKE HOSPITAL CONDUCTED A CHNA IN COLLABORATION WITH OTHER ORGANIZATIONS AND AGENCIES IN BATON ROUGE THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE.PART VI, LINE 2:
PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCEINDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S CHARITY CARE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR CHARITY CARE, FINANCIAL ASSISTANCE, AND SELF PAY DISCOUNTS. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR CHARITY CARE.PART VI, LINE 3
COMMUNITY INFORMATIONOUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. OLOL'S PRIMARY SERVICE AREA HAS A POPULATION OF 692,769 AND 263,676 HOUSEHOLDS. THE MEDIAN AGE IS 35 YEARS, THE SENIOR POLULATION COMPRISES ABOUT 11.7% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $49,769, 25.6% HOUSEHOLDS HAVE INCOMES BELOW $25,000, PER CAPITA INCOME IS $24,673 AND UNEMPLOYMENT RATE IS 4.8%. OLOL'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: EAST BATON ROUGE PARISH LIVINGSTON PARISH ASCENSION PARISH OLOL'S SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: ASSUMPTION PARISH EAST FELICIANA PARISH IBERVILLE PARISH POINTE COUPEE PARISH ST. HELENA PARISH ST. JAMES PARISH WEST BATON ROUGE PARISH WEST FELICIANA PARISHPART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHOUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. AFTER HURRICANE KATRINA, OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM. THE STATE CHARITY HOSPITAL WILL CLOSE THE INPATIENT PORTION OF THE STATE FACILITY SHIFTING THOSE HEALTH CARE SERVICES TO OUR LADY OF THE LAKE HOSPITAL. THE OUTPATIENT COMPONENT OF THE STATE CHARITY HOSPITAL WILL BE EXPANDED THROUGH THE OPENING OF A 24/7 URGENT CARE CLINIC IN AN AREA WITH A LARGE UNDER-INSURED/UNINSURED POPULATION. THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENT IN PATIENT CARE AREAS THROUGH THE INVESTMENT IN CLINICAL TECHNOLOGY. MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM ROLESOUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL OUR LADY OF THE LAKE ASSUMPTION HOSPITALPART VI, LINE 6
PART V, LINE 13G:REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE OR DISCOUNTED CARE. THE POLICY IS ALSO POSTED AT THE HOSPITAL BUSINESS OFFICES AND AT URGENT CARE CENTERS.OUR LADY OF THE LAKE HOSPITAL
PART V, LINE 13G:FOR PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR THEIR MEDICAL CARE, FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS QUALIFICATION FOR FREE OR DISCOUNTED CARE.SURGICAL SPECIALTY CENTER OF BATON ROUGE
PART V, QUESTION 20:THE HOSPITAL FACILITY HAS CALCULATED THE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE AT APPROXIMATELY A 30% DISCOUNT FROM CHARGE MASTER RATES. UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), MULTIPLE LEVELS OF DISCOUNTS ARE PROVIDED FOR. THE MAJORITY OF FAP ELIGIBLE PATIENTS FALL IN THE 50%, 75%, AND 100% DISCOUNT LEVELS. THERE IS HOWEVER A 25% DISCOUNT LEVEL. THE HOSPITAL ALSO OFFERS A 25% SELF-PAY DISCOUNT. SO FOR UNINSURED FAP PATIENTS, MULTIPLE DISCOUNTS MAY APPLY. IT IS POSSIBLE, HOWEVER, THAT AN UNDERINSURED PATIENT WITHIN CERTAIN INCOME LEVELS WOULD BE OFFERED ONLY THE 25% CHARITY DISCOUNT. THE NUMBER OF PATIENTS IN THIS SCENARIO WOULD BE EXTREMELY SMALL, IF ANY, BUT IT IS POSSIBLE THAT THIS CATEGORY OF PATIENT MAY HAVE BEEN CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. IN ADDITION, THERE IS LOW PROBABILITY THAT ANY PATIENT IN THIS 25% CHARITY DISCOUNT CATEGORY ACTUALLY PAID MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. THE HOSPITAL ADOPTED A NEW FAP POLICY AS OF JUNE 2013 THAT WILL ENSURE THAT FAP-ELIGIBLE PATIENTS ARE NOT BILLED MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE.OUR LADY OF THE LAKE HOSPITAL
PART V, QUESTION 20:UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), MULTIPLE LEVELS OF DISCOUNTS ARE PROVIDED FOR. THE MAJORITY OF FAP ELIGIBLE PATIENTS FALL IN THE 50%, 75%, AND 100% DISCOUNT LEVELS. THERE IS HOWEVER A 25% DISCOUNT LEVEL. THE HOSPITAL ALSO OFFERS A 25% SELF-PAY DISCOUNT. SO FOR UNINSURED FAP PATIENTS, MULTIPLE DISCOUNTS MAY APPLY. IT IS POSSIBLE, HOWEVER, THAT AN UNDERINSURED PATIENT WITHIN CERTAIN INCOME LEVELS WOULD BE OFFERED ONLY THE 25% CHARITY DISCOUNT. THE NUMBER OF PATIENTS IN THIS SCENARIO WOULD BE EXTREMELY SMALL, IF ANY, BUT IT IS POSSIBLE THAT THIS CATEGORY OF PATIENT MAY HAVE BEEN CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. IN ADDITION, THERE IS LOW PROBABILITY THAT ANY PATIENT IN THIS 25% CHARITY DISCOUNT CATEGORY ACTUALLY PAID MORE THAN AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERING SUCH CARE. THE HOSPITAL FACILITY IS CURRENTLY WORKING TO CORRECT THIS SITUATION FOR THIS SMALL NUMBER OF PATIENTS.SURGICAL SPECIALTY CENTER OF BATON ROUGE
PART V, QUESTION 19D:THE HOSPITAL OFFERS VARIOUS LEVELS OF DISCOUNTS WHICH ARE BASED ON A SLIDING SCALE USING THE FEDERAL POVERTY GUIDELINE FAMILY INCOME LEVELS AND OTHER FACTORS. SUCH OTHER FACTORS INCLUDE ASSET LEVELS, MEDICAL INDIGENCY, AND A PATIENT'S QUALIFICATION FOR MEDICARE OR MEDICAID. TOGETHER THESE CRITERIA ARE USED TO SET THE MAXIMUM AMOUNT CHARGED. ALSO, A 25% SELF-PAY DISCOUNT IS GIVEN IN ADDITION TO THE CHARITY DISCOUNTS DESCRIBED ABOVE.OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER OF BATON ROUGE
PART III, SECTION A, QUESTION 2THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON HISTORICAL COLLECTION HISOTRY ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE.
PART V, SECTION B, QUESTION 3OLOL JOINED THE MAYOR'S HEALTHY CITY INITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHYBR AND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESE THREE GROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS AND SCHOOLS. THE LOCAL HOSPITALS PARTICIPATING WERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL, OCHSNER MEDICAL CENTER, LSU HEALTH SCIENCES, LANE REGIONAL MEDICAL CENTER, AND EARL K. LONG/LSU HEALTH. THE REPRESENTATIVES ALSO INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THESE INDIVIDUALS WERE JIMMY GUIDRY, MD, STATE HEALTH OFFICER OF LOUISIANA AND DHH'S MEDICAL DIRECTOR; PAM ROMERO, RD, LDN, CDE, REGISTERED DIETICIAN AND CERTIFIED DIABETES EDUCATOR; AND MARILYN REYNAUD, MD, MPH, REGIONAL ADMINISTRATOR/MEDICAL DIRECTOR FOR THE DEPARTMENT OF HEALTH AND HOSPITALS, REGION 2 OFFICE OF PUBLIC HEALTH. DEPARTMENT OF HEALTH AND HOSPITALS, REGION 2 OFFICE OF PUBLIC HEALTH.OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER OF BATON ROUGE
PART V, SECTION B, QUESTION 4OUR LADY OF THE LAKE HOSPITAL: THE CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, AND LSU HEALTH/EARL K. LONG MEDICAL CENTER THROUGHTHE MAYOR'S HEALTHY CITY INITIATIVE. SURGICAL SPECIALTY CENTER OF BATON ROUGE: SURGICAL SPECIALTY CENTER OF BATON ROUGE FORMALLY ADOPTED THE COMMUNITY HEALTH NEEDS ASSESSMENT OF OUR LADY OF THE LAKE HOSPITAL , AN AFFILIATED ENTITY. SSC AND OLOL SHARE THE SAME DEMOGRAPHIC COMMUNITY SO SSC FELT THAT THE NEEDS IDENTIFIED BY THE MAYOR'S HEALTHY CITY INITIATIVE WERE REPRESENTATIVE OF ITS COMMUNITY'S NEEDS AS WELL.
PART V, SECTION B, Q5OUR LADY OF THE LAKE HOSPITAL: THE CHNA CAN BE FOUND AT HTTPS://FMOLHS.ORG/OLOLRMC/PAGES/QUALITY/COMMUNITY-HEALTH-ASSESSMENT.ASPX SURGICAL SPECIALTY CENTER OF BATON ROUGE: THE CHNA CAN BE FOUND AT WWW.SSCBR.COM.
PART V, SECTION B, QUESTION 7OUR LADY OF THE LAKE HOSPITAL (OLOL): OLOL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. OLOL (AND THE MAYOR'S HEALTHY CITY INITIATIVE AS A WHOLE) AGREED THAT THE COMMUNITY SHOULD WORK ON THE TOP FOUR IDENTIFIED PRIORITIES SINCE THEY POSE THE HIGHEST RISK TO THE COMMUNITY. AS SUCH, OLOL CHOSE NOT TO FOCUS ON THE FOLLOWING: HEART DISEASE/HIGH BLOOD PRESSURE/STROKE; CANCER; DIABETES; CHILD AND ADOLESCENT HEALTH; LIFESTYLE ISSUES; AND BARRIERS. HOWEVER OLOL CURRENTLY CONDUCTS AND WILL CONTINUE TO CONDUCT PROGRAMS AND/OR PROVIDE SERVICES THAT HELP ADDRESS THESE NEEDS. SURGICAL SPECIALTY CENTER OF BATON ROUGE: SURGICAL SPECIALTY CENTER OF BATON ROUGE (SSC) DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. IT CHOSE NOT TO ADDRESS OBESITY, HIV/AIDS, CHILDREN & ADOLESCENT HEALTH, HEART DISEASE/HIGH BLOOD PRESSURE/STROKE BECAUSE OUR LADY OF THE LAKE HOSPITAL (AN AFFILIATED ENTITY) AND OTHERS HAVE SELECTED THESE ISSUES TO ADDRESS. SSC WILL ASSIST OTHER LOCAL HOSPITALS AND ORGANIZATIONS IN THE COMMUNITY IF REQUESTED AND WHERE APPROPRIATE. SSC ALSO CHOSE NOT TO ADDRESS MENTAL AND BEHAVIORAL HEALTH, HIV/AIDS, AND OVER UTILIZATION OF EMERGENCY DEPARTMENT BECAUSE SSC IS A SPECIALTY HOSPITAL NOT EQUIPT TO ADDRESS SUCH ISSUES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (35 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BATON ROUGE AREA CHAMBER
564 LAUREL STREETBATON ROUGELA70801720126959501(C)(6)76308GENERAL SUPPORT
GENERAL GROWTH PROPERTIES
6401 BLUEBONNET BLVD STE 5050BATON ROUGELA7083630024720488000PLAYGROUND EQUIPMENT
CARDIOVASCULAR RESEARCH
7777 HENNESSY BLVDBATON ROUGELA70808721490943501(C)(3)100000GENERAL SUPPORT
BATON ROUGE SPEECH AND HEARING FOUNDATION
535 W ROOSEVELT STBATON ROUGELA70802720542134501(C)(3)45500GENERAL SUPPORT
LOUISIANA PEDIATRIC CARDIOLOGY FOUNDATION
2137A QUAIL RUN STE BBATON ROUGELA70808721476551501(C)(3)30000GENERAL SUPPORT
ARTHRITIS ASSOCIATION OF LA
4939 JAMESTOWN AVE STE 104-ABATON ROUGELA70809760750333501(C)(3)25000GENERAL SUPPORT
CANCER SERVICES OF BATON ROUGE
550 LOBDELL AVENUEBATON ROUGELA70806720517180501(C)(3)21250GENERAL SUPPORT
VOLUNTEER HEALTH CORPS
4655 SHERWOOD COMMON BLVDBATON ROUGELA70816204852337501(C)(3)20000GENERAL SUPPORT
MARY BIRD PERKINS CANCER
P O BOX 11407 DEPT 1299BIRMINGHAMAL352461299237010520501(C)(3)16250GENERAL SUPPORT community
BATON ROUGE SYMPHONY ORCHESTRA
2354 S ACADIAN THRUWAY STE ABATON ROUGELA70808726001959501(C)(3)10000GENERAL SUPPORT
INTERNATIONAL RETT SYNDROME FOUNDATION
4600 DEVITT DRCINCINNATIOH45246311682518501(C)(3)10000GENERAL SUPPORT
SOUTHERN UNIVERSITY SYSTEM
P O BOX 9270BATON ROUGELA70813237052911501(C)(3)10000GENERAL SUPPORT
BOYS & GIRLS CLUB
8281 GOODWOOD BLVD STE HBATON ROUGELA70806720928014501(C)(3)6000GENERAL SUPPORT
FAMILIES HELPING FAMILIES
2356 DRUSILLA LANEBATON ROUGELA70809721406289501(C)(3)7500GENERAL SUPPORT
ISTROUMA AREA COUNCIL
P O BOX 66676BATON ROUGELA70896720411324501(C)(3)7500GENERAL SUPPORT
SHAQUILLE O'NEAL CHAMPSLIFE SKILLS
107 GYM ARMORYBATON ROUGELA70803721004960501(C)(3)8500GENERAL SUPPORT
PENNINGTON BIOMEDICAL RESEARCH FOUNDATION
6400 PERKINS ROADBATON ROUGELA708084124581767810501(C)(3)6500GENERAL SUPPORT
ALLIANCE SAFETY COUNCIL
10099 NORTH REIGRE ROADBATON ROUGELA70809720702946501(c)(3)30000GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALLASTX752314596135613797501(C)(3)80000GENERAL SUPPORT
BR ECONOMIC & AGRICULTURAL DEVELOPMENT ALLIANCE
PO BOX 3976BATON ROUGELA70821721332566501(C)(3)10000GENERAL SUPPORT
CATHOLIC DIOCESE OF BATON ROUGE
18000 S ACADIAN THRUWAYBATON ROUGELA70806720550127501(C)(3)7500GENERAL SUPPORT
ARTS COUNCIL OF GREATER BATON ROUGE
427 LAUREL STREETBATON ROUGELA70802720735814501(C)(3)6000GENERAL SUPPORT
MCMAINS CHILDREN'S DEVELOPMENTAL CENTER
1805 COLLEGE DRIVEBATON ROUGELA70808720459036501(C)(3)35967GENERAL SUPPORT
JUNIOR ACHIEVEMENT
7809 JEFFERSON HWY STE D-4BATON ROUGELA70809720485727501(C)(3)11000GENERAL SUPPORT
LOUISIANA 4-H FOUNDATION
PO BOX 25100BATON ROUGELA70894721367519501(C)(3)10000GENERAL SUPPORT
LOUISIANA STATE UNIVERSITY- OFFICE OF ACCTG SVCS
204 THOMAS BOYD HALLBATON ROUGELA708032901726000848GOVT2148011GENERAL SUPPORT
LOURDES FOUNDATION
PO BOX 4027LAFAYETTELA70502721494532501(C)(3)10000GENERAL SUPPORT
LSUHSC CLINICS EARL K LONG MEDICAL CENTER
5825 AIRLINE HWYBATON ROUGELA70805721304948501(C)(3)833909GENERAL SUPPORT
LSUHSC-NEW ORLEANS
1901 PERDIDO STREET BOX P3-1NEW ORLEANSLA70112726087770501(C)(3)360433GENERAL SUPPORT
ST ELIZABETH HOSPITAL
1125 WEST HWY 30GONZALESLA70737721470744501(C)(3)10354GENERAL SUPPORT
OUR LADY OF THE LAKE COLLEGE
5000 HENNESSY BLVDBATON ROUGELA70808721173156501(C)(3)2929167GENERAL SUPPORT
CITY YEAR INC
287 COLUMBUS AVENUEBOSTONMA02116222882549501(C)(3)7500GENERAL SUPPORT
NATIONAL INFUSION SERVICES
5344 BRITTANY DRIVEBATON ROUGELA7080872150878218130INFUSION THERAPY
F JEFFERSON LINER JR MD & DOROTHY A LEWIS PTRS
PO BOX 2308HAMMONDLA70404720955002157714SEE PART IV
BATON ROUGE RADIOLOGY GROUP
7887 PICARDY AVENUEBATON ROUGELA708097206927201514302SVCS FOR INDIGENT PATIENTS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants30TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations5TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIP13438
MEDICAL CARE FOR NEEDY INDIVIDUALS653450

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Monitoring grantsFORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT. THE REQUESTS ARE CHECKED FOR ALL APPROPRIATE INFORMATION AND DOCUMENTATION AND ARE PRESENTED TO EXECUTIVE ADMINISTRATION FOR APPROVAL. UPON APPROVAL THE REQUESTS ARE SUBMITTED TO ACCOUNTS PAYABLE FOR PAYMENT.
PART II, PAGE 3, LINE 10THE PURPOSE OF THE GRANT TO F JEFFERSON LINER JR., MD AND DOROTHY A. LEWIS PTRS WAS FOR SURGICAL SERVICES PROVIDED TO CHARITY HOSPITAL.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN MCCLELLAND MD
BOARD MEMBER398468013087007920100000153160555446000
KENNETH WESTER
CEO04815560147200018659078953013462073983000
JEFFERY LIMBOCKER
CFO2981570601250119890289810281310427383000
DENZIL MORAES
STAFF PHYSICIAN770773034537004469601000002426101195100000
STEVEN GREMILLION
STAFF PHYSICIAN664203029005507211401000002206101058433000
KENNETH CIVELLO
STAFF PHYSICIAN57984302795450379540100000247340932076000
PAUL GARRETT
STAFF PHYSICIAN53498702079480333920100000220610808388000
JEFFREY HYDE
STAFF PHYSICIAN52865602501310347100100000194840842981000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART 1, QUESTION 4ATHE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON. 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 IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.
PART 1, QUESTION 4BFMOLHS 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 OCCURRENCE 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.
PART 1, QUESTION 7DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
PART 1, QUESTION 3THE 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SURGICAL MANAGEMENT SERVICES LLC
2 BM ARE OWNERS2003294PROVIDED MANAGEMENT SERVICESfalse
CVT VASCULAR LAB INC
2 BM ARE OWNERS1077917PROVIDED MEDICAL SERVICESfalse
CVT SURGICAL CENTER
2 BM ARE OWNERS208723PROVIDED MEDICAL SERVICESfalse
BONE AND JOINT CLINIC
1 BOARD MEMBER IS OWNER467362PROVIDED MEDICAL SERVICESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNING DOCUMENTSPART VI, SECTION C, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
PART VI, SECTION A, QUESTION 6FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC.
MEMBERSPART VI, SECTION A, QUESTION 7BTHE RESERVED POWERS TO THE MEMBER 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 AND 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION
CONFLICT OF INTERESTPART VI, SECTION B, QUESTION 12COUR LADY OF THE LAKE HOSPITAL, 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 OUR LADY OF THE LAKE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE LAKE HOSPITAL, 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, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
PART VI, SECTION A, QUESTION 11AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
PART VI, SECTION A, QUESTION 7AFMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE LAKE Hospital, Inc.
DETERMINING COMPENSATIONPART VI, SECTION B, QUESTION 15A & 15BOUR BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY OUTSIDE SOURCES. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION FOR THE CEO OF OUR LADY OF THE LAKE HOSPITAL, INC. IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
COMMUNITY BENEFIT STATEMENTFORM 990 PART IIITHE MEDICAL CENTER PARTICIPATES IN GOVERNMENT PROGRAMS, INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. UNDER THESE PROGRAMS, THE MEDICAL CENTER PROVIDES CARE TO PATIENTS AT PAYMENT RATES THAT ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF ACTUAL COST. IN SOME CASES, THESE PROGRAMS PAY THE MEDICAL CENTER AT AMOUNTS THAT ARE LESS THAN ITS COST OF PROVIDING SERVICES. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE (I.E., CONTRACTUAL ALLOWANCES) AND THE ESTIMATED LOSSES INCURRED BY THE MEDICAL CENTER DUE TO INADEQUATE PAYMENTS BY THESE PROGRAMS AND FOR CHARITY FOR THE YEAR END JUNE 30, 2013. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY THE MEDICAL CENTER UNDER MANAGED CARE OR OTHER SUCH ARRANGEMENTS. THE BELOW FIGURES USE A SLIGHTLY DIFFERENT ASSUMPTION FROM SCHEDULE H AND THEREFORE AMOUNTS MAY VARY. CHARITY CARE AND MEANS TESTED PROGRAMS: JUNE 30, 2013 CHARGES FOREGONE NET COMMUNITY BENEFIT EXPENSE CHARITY CARE $12,003,000 $4,354,000 UNREIMBURSED MEDICAID 146,088,000 29,889,000 UNREIMBURSED MEDICARE 296,872,000 23,933,000 TOTAL $454,963,000 $58,176,000 IN ADDITION TO COMMUNITY SERVICES DIRECTLY ASSOCIATED WITH PROVIDING HOSPITAL BASED CARE, THE MEDICAL CENTER SERVES THE COMMUNITY IN NUMEROUS OTHER WAYS. THE METHOD FOR ESTIMATING COSTS OF COMMUNITY SERVICES WAS REVISED FOR FISCAL YEAR 2013 TO REFLECT THE INTERNAL REVENUE SERVICE'S GUIDELINES FOR FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. THE FOLLOWING TABLE FOR THE YEAR ENDED JUNE 30, 2013 SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES: COMMUNITY BENEFIT AT COST: COMMUNITY HEALTH IMPROVEMENT SERVICES: 1,949,000 HEALTH CARE PROFESSIONS EDUCATION: 5,858,000 SUBSIDIZED HEALTH SERVICES: 8,842,000 FINANCIAL CONTRIBUTION: 3,572,000 TOTAL $20,221,000 COMMUNITY HEALTH IMPROVEMENT SERVICES IMMUNOLOGICAL SUPPORT THE MEDICAL CENTER ORGANIZED, OWNS AND OPERATES A HOME WHICH IS DESIGNED TO HELP THE MEMBERS OF OUR COMMUNITY WHO HAVE CONTRACTED ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) TO DEAL WITH THE VERY DEBILITATING PHYSICAL, SOCIAL, AND PSYCHOLOGICAL PROBLEMS ASSOCIATED WITH THE DISEASE. PARISH NURSE PROGRAM TO ASSIST IN EDUCATING THE COMMUNITY REGARDING HEALTH RELATED ISSUES, THE MEDICAL CENTER PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SPONSORS TALKS TO VARIOUS SCHOOLS AND INDUSTRY GROUPS REGARDING SUCH ISSUES AS DRUG ABUSE AND SAFETY IN THE WORKPLACE. LAKELINE DIRECT THE MEDICAL CENTER OPERATES A NURSE CALL CENTER, LAKELINE DIRECT, OFFERING COMPLIMENTARY 24 HOUR NURSE ADVICE, HEALTH INFORMATION AID, AND PHYSICIAN REFERRAL SERVICE TO THE COMMUNITY. ST. MARTHA ACTIVITY CENTER THE MEDICAL CENTER PROVIDES AN ACTIVITY CENTER LOCATED AT THE ELDERLY HOUSING FACILITY FOR THE RESIDENTS OF THE HOUSING FACILITY AS WELL AS OTHER ELDERLY COMMUNITY MEETINGS. ELDERLY SERVICES THE MEDICAL CENTER SPONSORS AND INCURS THE SALARY OF THE DIRECTOR OF THE HUD HOUSING FACILITY, PASTORAL CARE ASSOCIATE AND MEDICAL DIRECTOR OF ELDERLY SERVICES. ELDERLY HOUSING OLLIE STEELE BURDEN MANOR, A SUBSIDIARY OF THE MEDICAL CENTER, OPERATES ST. CLARE MANOR WHICH HAS 216 TOTAL BEDS, OF WHICH 120 ARE MEDICAID LICENSED. HEALTH CARE PROFESSIONAL'S EDUCATION OLOL COLLEGE IN AN EFFORT TO ENSURE THAT AN ADEQUATE SUPPLY OF NURSES ARE AVAILABLE FOR THE BATON ROUGE COMMUNITY, THE MEDICAL CENTER FOUNDED AND ORGANIZED OUR LADY OF THE LAKE COLLEGE, INC. THE MEDICAL CENTER SUBSIDIZES THE OPERATIONS OF THE COLLEGE WITH GRANTS. INTERNS AND RESIDENTS THE MEDICAL CENTER PARTICIPATES IN MEDICARE'S GRADUATE MEDICAL EDUCATION THROUGH AFFILIATION WITH LOUISIANA MEDICAL SCHOOL AND MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS TO CONTINUE TO SUPPORT AVAILABILITY OF PHYSICIANS IN FUTURE YEARS. SUBSIDIZED HEALTH SERVICES FAMILY EDUCATION THE MEDICAL CENTER PROMOTES A HEALTHY ENVIRONMENT FOR THE FAMILY THROUGH ITS PEDIATRIC PROGRAMS, WHICH INCLUDE KID-MED CLINIC, PEDIATRIC ASSESSMENT CENTER AND CHILD LIFE PROGRAMS. OLOL NEIGHBORHOOD CLINIC THE MEDICAL CENTER OPERATES A SCOTLANDVILLE CLINIC TO PROVIDE WALK IN CARE FOR MINOR ILLNESS AND INJURY DURING EVENINGS AND WEEKENDS. COPE THE MEDICAL CENTER PROVIDES CRISIS ORIENTED PSYCHIATRIC EVALUATION (COPE) TO THE COMMUNITY. PALLIATIVE CARE THE MEDICAL CENTER PROVIDES PALLIATIVE CARE SERVICE FOR PATIENTS IN THE FINAL STATE OF LIFE AND THEIR FAMILY MEMBERS. RESEARCH CLINICAL RESEARCH THE MEDICAL CENTER PARTICIPATES IN CLINICAL RESEARCH PROJECTS TO IMPROVE THE HEALTH AND CARE OF PATIENTS AND COMMUNITY MEMBERS. FINANCIAL CONTRIBUTIONS CASH CONTRIBUTIONS THE MEDICAL CENTER ALSO ORGANIZES EMPLOYEE PARTICIPATION IN FUND RAISING FOR ORGANIZATIONS SUCH AS CAPITAL AREA UNITED WAY, MARCH OF DIMES OF AMERICA, JUNIOR ACHIEVEMENT, CYSTIC FIBROSIS AND THE COMMUNITY FUND FOR THE ARTS. THE MEDICAL CENTER ALSO MAKES CORPORATE DONATIONS TO VARIOUS AREA COMMUNITY SERVICE ORGANIZATIONS. COMMUNITY BUILDING ACTIVITIES ELDERLY HOUSING COMPLEX THE MEDICAL CENTER OPERATES FOUR ELDERLY HOUSING PROJECTS: VILLA ST. FRANCIS, INC., ASSISI VILLAGE, INC., CALAIS HOUSE, INC., AND CHATEAU LOUISE, INC. THESE PROJECTS ARE DESIGNED TO PROMOTE THE HEALTH, SECURITY, AND HAPPINESS OF THE ELDERLY AND HANDICAPPED PERSONS OF THE GREATER BATON ROUGE AREA. MARY BIRD PERKINS THE MEDICAL CENTER ALSO SPONSORS THE CHARITABLE ACTIVITIES OF OTHER NOT-FOR-PROFIT ORGANIZATIONS IN BATON ROUGE. THE MEDICAL CENTER PROVIDES LAND ADJOINING THE MEDICAL CENTER TO THE MARY BIRD PERKINS CANCER CENTER FOR ITS OPERATIONS AND FORGOES ALL RENTAL INCOME FOR THE USE OF THIS LAND. COMMUNITY CLINIC THE MEDICAL CENTER PROVIDES A BUILDING THAT SPONSORS A COMMUNITY CLINIC AND FOREGOES ALL RENTAL INCOME RELATED TO THE USE OF THE BUILDING.
Part XI, Line 9Other Changes in net assets or fund balances: Paid in Capital - PPASC 432,874 Capital Transfers FMOL 18,647,514 Total Other Adj. to FB 19,080,388
PART VI, SECTION A QUESTION 2JAMES CRAVEN, M.D. AND WALTER BRINGAZE III, M.D. - BUSINESS RELATIONSHIP

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF THE LAKE PHYSICIANS GROUP LLBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BLVDAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode
FieldValueIRS element (for citing)
EIN274026658EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateLALegalDomicileState
Total Income114910925TotalIncome
EOY Assets37941872EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OLOLBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST BERNARD HEALTH FUND
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(c)(3)11 TYPE 1FMOLfalse
HEALTH PARTNERS NETWORK OF SOUTH LA
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508HEALTHCARELA501(c)(3)3LOURDES RMCtrue
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(c)(3)7OLOLtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmountPercentage OwnershipPercentageOwnership
HEART HOSPITAL OF ACADIANA
1105 KALISTE SALOOM ROADLAFAYETTELA70508300442368HEALTHCARELALOURDESN/Afalsetrue
PERKINS PLAZA MEDICAL ARTS DEVELOPMENT
5000 HENNESSY BOULEVARDBATON ROUGELA70808450516574REAL ESTATELAOLOLRELATEDfalsetrue2598552914222$00.52040
PERKINS PLAZA IMAGING DEVELOPMENT
5000 HENNESSY BOULEVARDBATON ROUGELA70808203894521REAL ESTATELAOLOLRELATEDfalsetrue1490923124782$00.62560
NUCLEAR IMAGING LLC
5000 HENNESSY BOULEVARDBATON ROUGELA70808721470061HEALTHCARELAOLOLRELATEDfalsetrue509321896062$00.66670
P&S SURGERY CENTER LLC
312 GRAMMONT STREETMONROELA71201721387870HEALTHCARELAST FRANCISN/Afalsetrue
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELALOURDESN/Afalsetrue
PARK PLACE SURGICAL CENTER
901 WILSON STREETLAFAYETTELA70503721404092HEALTHCARELALOURDESN/Afalsetrue
BRPT LAKE REHABILITATION CENTER
530 SHADOWS LANEBATON ROUGELA70806721506100HEALTHCARELAOLOLRELATEDfalsetrue110023707884$00.33000
CONVENIENT CARE LLC
7777 HENNESSY BOULEVARDBATON ROUGELA70808721439481HEALTHCARELAOLOLRELATEDfalsetrue6004001618517$00.50000
PERKINS PLAZA AMBULATORY SURGERY CENTER
54 THE LEGENDS PARKWAY SUITE 159EUREKAMO630253803481264699HEALTHCARELAOLOLRELATEDfalsetrue997131496934$00.70000
SURGICAL SPECIALTY CENTER OF BATON ROUGE
8080 BLUEBONNET BOULEVARDBATON ROUGELA70810263160962HEALTHCARELAOLOLRELATEDfalsetrue449241626890151$00.49000
ST ELIZABETH-MARY BIRD PERKINS CANCER
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELASTEHN/Afalsetrue
REGIONAL EYE SURGERY CENTER LLC
7777 HENNESSY BLVD SUITE 400BATON ROUGELA70808721484653HEALTHCARELAOLOLRELATEDfalsetrue298763161775$00.13750
ST MARYS IMAGING CENTER IILLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508HEALTHCARELALOURDES IMAGINGN/Afalsetrue
NORTHEAST LA CANCER INSTITUTE
141 DESIARD STREET SUITE 704MONROELA71201721329499HEALTHCARELAST FRANCISN/Afalsetrue
LHCG-XIII LLC
420 West Pinhook Road Suite ALAFAYETTELA70503208068308HEALTHCARELALOURDESN/Afalsetrue
LOURDES AFTER HOURS LLC
2130 KALISTE SALOOM RDLAFAYETTELA70508201367299HEALTHCARELALOURDESN/Afalsetrue
ST ELIZABETH IMAGING CENTER
1125 WEST HIGHWAY 30GonzalesLA70737721470744HEALTHCARELASTEHN/Afalsetrue
CAPITAL AREA SHARED SERVICES ORGANIZATIO
5000 Hennessy BlvdBaton RougeLA70808275173212HEALTHCARELAOLOL pgRELATEDfalsetrue-334931714345$00.48000
CAPITAL AREA SHARED SERVICES ORGANIZATIO
5000 Hennessy BlvdBaton RougeLA70808275173212HEALTHCARELASTEPN/Afalsetrue
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWYBATON ROUGELA70809352463092HEALTHCARELASTEHN/Afalsetrue
OLOL PONTCHARTRAIN SURGERY CENTER
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001461379031HEALTHCARETXOLOLUSPRELATEDfalsetrue1244560.55000
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARELAOLOLRELATEDfalsetrue80119640.51000
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HWYBATON ROUGELA70809352463092HEALTHCARELAOLOLRELATEDfalsetrue-51499950.30000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST FRANCIS INSURANCE AGENCY
309 JACKSON STREETMONROELA71201721435136INSURANCELAST FRANCISC CORP
HOSPITAL ASSISTANCE SERVICES
PO BOX 4027-CLAFAYETTELA70502721073486HEALTHCARELALOURDESC CORP
LOUISE INSURANCE COMPANY
INSURANCEFMOLC CORPPO BOX 1051CJKY1-1102CJ
MONROE HEALTH SERVICES
PO BOX 3187MONROELA71210721057820HEALTHCARELAAMBULATORYC CORP
NORTHEAST LA HEALTH NETWORK
309 JACKSON STREETMONROELA71201721294587HEALTHCARELAAMBULATORYC CORP
CHARITABLE REMAINDER TRUST
INVESTMENTLAOLOL FOUNDATIONTRUST
FRANCISCAN HEALTH & WELLNESS SERVICES I
4200 ESSEN LANEBATON ROUGELA70809455492379HEALTHCARELAFMOLC CORP
FMOL HEALTH SYSTEM HOLDINGS INC
4200 ESSEN LANEBATON ROUGELA70809454405024INVESTMENTLAFMOLC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Chateau Louise
q36120FMV
Calais House
q45194FMV
Our Lady of the Lake Foundation
B8288470FMV
Our Lady of the Lake Foundation
C1785898FMV
St Bernard Health Center
q2386FMV
Villa St Francis
q85348FMV
ASSISI VILLAGE
q38986FMV
ST ELIZABETH HOSPITAL
l364652FMV
ST CLARE MANOR
q261766FMV
OUR LADY OF THE LAKE ASSUMPTION
l208633FMV
REGIONAL EYE SURGERY CENTER LLC
s206250FMV
NUCLEAR IMAGING LLC
s366685FMV
PERKINS PLAZA MEDICAL ARTS DEVELOPMENT LLC
s169320FMV
PERKINS PLAZA IMAGING DEVELOPMENT LLC
s91078FMV
BRPT- LAKE REHABILITATION CENTERS LLC
s62919FMV
CONVENIENT CARE LLC
s505000FMV
PERKINS PLAZA AMBULATORY SURGERY CENTER LLC
s116000FMV
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
s4249757FMV
FMOL HEALTH SYSTEM
m49341456FMV
OUR LADY OF THE LAKE COLLEGE
B2798108FMV
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
l4791911FMV
CAPITAL AREA SHARED SERVICES
r2220000FMV
OLOLUSP SURGERY CENTERS LLC
b7948491FMV
LAKE URGENT CARE ASCENSION LLC
b150000FMV