OUR LADY OF THE LAKE HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OUR LADY OF THE LAKE HOSPITAL INC (EIN 72-0423651)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201321359349309657
- Schema version
- 2011v1.5
- 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 H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T19:10:44-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | 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 | 450 Laurel Street Suite 1700 | 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 | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720423651 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF THE LAKE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JEFF LIMBOCKER | InCareOfName |
| Name Control | OURL | NameControl |
| Phone | 2257657709 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 HENNESSY BOULEVARD | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70808 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF LIMBOCKER | Name |
| Title | REGIONAL CFO | Title |
| Date Signed | 2013-05-15 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF THE LAKE RMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | K SCOTT WESTER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 HENNESSY BOULEVARD | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70808 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 703715088 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.ololrmc.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | the purpose of the hospital is to provide for the care of the ill, injured, or disabled persons, and to provide for research, education, and for the enhancement of health of those in the community | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5395 | TotalNbrEmployees |
| Total Nbr Volunteers | 190 | TotalNbrVolunteers |
| Total Gross UBI | 6307417 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -875879 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3075046 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5408607 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 759630518 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 664647747 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 24575085 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8396637 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 39247817 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1274499 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 826528466 | TotalRevenuePriorYear |
| Total Revenue Current Year | 677178492 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 24737140 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5152314 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 273887684 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 284957317 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 313079036 | OtherExpensePriorYear |
| Other Expenses Current Year | 434889017 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 611703860 | TotalExpensesPriorYear |
| Total Expenses Current Year | 724998648 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 214824606 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -47820156 | RevenuesLessExpensesCY |
| Total Assets BOY | 1223499033 | TotalAssetsBOY |
| Total Assets EOY | 1250161461 | TotalAssetsEOY |
| Total Liabilities BOY | 446403922 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 534231871 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 777095111 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 715929590 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 268069956 | Expense |
| Revenue | 317214393 | Revenue |
| Description | THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 161,909 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 $11,429,000 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 106369100 | Expense |
| Revenue | 125869418 | Revenue |
| Description | THE MEDICAL CENTER PROVIDES PATIENTS WITH BOTH INPATIENT AND OUTPATIENT SURGICAL CARE. DURING THE YEAR, 19,561 SURGICAL PROCEDURES WERE PERFORMED | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 40794419 | Expense |
| Revenue | 48273134 | Revenue |
| Description | THE MEDICAL CENTER PROVIDES PATIENTS WITH PHARMACEUTICALS IN THE COURSE OF THEIR MEDICAL CARE. IN THE CURRENT YEAR, THE HOSPITAL DISPENSED 11,357,730 UNIT DOSES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 146443727 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 5152314 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 173290802 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 561677202 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | 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 | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 236 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 5395 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | 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 | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFF LIMBOCKER | NamePerson |
| Telephone Number | 2257656565 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 HENNESSY BLVD | AddressLine1 |
| City | BATON ROUGE | City |
| State | LA | State |
| ZIP Code | 70808 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHARLES FREEBURGH | ||||||||
| BOARD MEMBER CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| DONALD DAIGLE | ||||||||
| BOARD MEMBER - VICE CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| DANIEL MONTELARO | ||||||||
| BOARD MEMBER - SECRETARY | 2.0 | X | X | 0 | 0 | 0 | ||
| TIMOTHY ANDRUS MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| WALTER BRINGAZE III MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| RENEE FURR | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| SR LILLIAN LYNCH OSF | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| VAN MAYHALL JR | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| JOHN MCCLELLAND MD | ||||||||
| BOARD MEMBER | 2.0 | X | 497229 | 0 | 27919 | |||
| DAVID POPE MD | ||||||||
| CHIEF OF STAFF/BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| SR EILEEN ROWE OSF | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| ELIZABETH SEITER MD | ||||||||
| CHIEF OF STAFF/BOARD MEMBER | 2.0 | X | 993 | 0 | 0 | |||
| JOEL SILVERBERG MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| KAREN WILLIAMS MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| KENNETH WESTER | ||||||||
| CEO | 2.0 | X | X | 0 | 604515 | 92564 | ||
| KEITH RHYNES MD | ||||||||
| BOARD MEMBER CHIEF OF STAFF | 50.0 | X | 576223 | 0 | 58278 | |||
| SR BRENDAN MARY RONAYNE OSF | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| DARIAN CHUSTZ | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| JEFFERY LIMBOCKER | ||||||||
| CFO | 60.0 | X | 366920 | 0 | 50142 | |||
| TERRI STERLING | ||||||||
| COO | 60.0 | 414212 | 0 | 42652 | X | |||
| DENZIL MORAES | ||||||||
| STAFF PHYSICIAN | 60.0 | 1082640 | 0 | 33531 | X | |||
| STEVEN GREMILLION | ||||||||
| STAFF PHYSICIAN | 60.0 | 947270 | 0 | 33887 | X | |||
| KENNETH CIVELLO | ||||||||
| STAFF PHYSICIAN | 60.0 | 873236 | 0 | 36515 | X | |||
| ANDREW SMITH | ||||||||
| STAFF PHYSICIAN | 60.0 | 839729 | 0 | 28616 | X | |||
| PAUL GARRETT | ||||||||
| STAFF PHYSICIAN | 2.0 | 736346 | 0 | 33887 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6334798 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 604515 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 437991 | TotalOtherCompensation |
| Number Individuals GT100 K | 273 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FMOL HEALTH SYSTEM | |||||
| 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | MANAGEMENT SERVICES | 45025748 |
| ANESTHESIOLOGY GROUP | |||||
| 8212 SUMMA AVENUE | BATON ROUGE | LA | 70809 | PHYSICIAN SERVICES | 7619008 |
| CARDIOVASCULAR SYSTEMS | |||||
| 7777 HENNESSY BLVD STE 1000 | BATON ROUGE | LA | 70808 | PHYSICIAN SERVICES | 4714956 |
| OUR LADY OF LOURDES REGIONAL MEDICA | |||||
| 4801 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | OUTREACH LAB SVCS | 4609664 |
| CROTHALL HEALTHCARE INC | |||||
| 5000 HENNESSY BLVD | BATON ROUGE | LA | 70809 | HEALTHCARE SERVICES | 4333523 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 63 | NumberOfContractorsGT100K |
| Related Organizations | 2860276 | RelatedOrganizations |
| Government Grants | 530653 | GovernmentGrants |
| All Other Contributions | 2017678 | AllOtherContributions |
| Total Contributions | 5408607 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SVC REVENUE | 621500 | 619886271 | 619886271 | |
| OUTREACH | 900099 | 25918683 | 21569692 | 4348991 |
| INCOME FROM EQUITY INVESTEES | 900099 | 6450278 | 6450278 | |
| CAFETERIA SALES | 900099 | 2350049 | 2350049 | |
| PHARMACY | 900099 | 2043695 | 50902 | 1992793 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7998771 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7998771 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 664647747 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5152896 | TotalRevenueColumn |
| Unrelated Business Revenue | -67191 | UnrelatedBusinessRevenue |
| Exclusion | $5,220,087 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11529 | TotalRevenueColumn |
| Exclusion | $11,529 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11086670 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12361169 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -1274499 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1274499 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1274499 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16893305 | Securities |
| Other | 514334 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13430701 | Securities |
| Other | 744726 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3462604 | Securities |
| Other | -230392 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3232212 | TotalRevenueColumn |
| Unrelated Business Revenue | 32824 | UnrelatedBusinessRevenue |
| Exclusion | $3,199,388 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | 677178492 | TotalRevenueColumn |
| Related Or Exempt Function Income | 657031464 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6307417 | UnrelatedBusinessRevenue |
| Exclusion | $8,431,004 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5126814 | Total |
| Program Services | 5126814 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25500 | Total |
| Program Services | 25500 | 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 | 793121 | Total |
| Management And General | 793121 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234549058 | Total |
| Program Services | 194362061 | ProgramServices |
| Management And General | 40186997 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15796637 | Total |
| Program Services | 13045970 | ProgramServices |
| Management And General | 2750667 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18742790 | Total |
| Program Services | 15479109 | ProgramServices |
| Management And General | 3263681 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15075711 | Total |
| Program Services | 12312560 | ProgramServices |
| Management And General | 2763151 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106050 | Total |
| Program Services | 215 | ProgramServices |
| Management And General | 1105835 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6524393 | Total |
| Program Services | 57677 | ProgramServices |
| Management And General | 6466716 | 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 | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20358487 | Total |
| Program Services | 17867262 | ProgramServices |
| Management And General | 2491225 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1991638 | Total |
| Program Services | 397532 | ProgramServices |
| Management And General | 1594106 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21180122 | Total |
| Program Services | 15853156 | ProgramServices |
| Management And General | 5326966 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6284591 | Total |
| Program Services | 5146840 | ProgramServices |
| Management And General | 1137751 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204034 | Total |
| Program Services | 157043 | ProgramServices |
| Management And General | 46991 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1050279 | Total |
| Program Services | 601172 | ProgramServices |
| Management And General | 449107 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9886012 | Total |
| Program Services | 8096267 | ProgramServices |
| Management And General | 1789745 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26069813 | Total |
| Program Services | 21350182 | ProgramServices |
| Management And General | 4719631 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5591485 | Total |
| Program Services | 4579213 | ProgramServices |
| Management And General | 1012272 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 126424849 | 126424849 | |
| PURCHASED SERVICES | 102518945 | 35333025 | 67185920 |
| PENSION RELATED CHARGES | 78824922 | 65099144 | 13725778 |
| EQUIPMENT AND MAINTENANCE | 15244930 | 10893100 | 4351830 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11628467 | Total |
| Program Services | 9468511 | ProgramServices |
| Management And General | 2159956 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 724998648 | Total |
| Program Services | 561677202 | ProgramServices |
| Management And General | 163321446 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135869657 | BOY |
| EOY | 53927784 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64756713 | BOY |
| EOY | 81641790 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103565916 | BOY |
| EOY | 101485562 | 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 | 70362 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10703761 | BOY |
| EOY | 10629346 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11843364 | BOY |
| EOY | 11926438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 793973436 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 326840673 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 409693057 | BOY |
| EOY | 467132763 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97989408 | BOY |
| EOY | 158534638 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324373863 | BOY |
| EOY | 281105013 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32754164 | BOY |
| EOY | 33611922 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3498629 | BOY |
| EOY | 3498629 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28380139 | BOY |
| EOY | 46667576 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1223499033 | BOY |
| EOY | 1250161461 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105339499 | BOY |
| EOY | 119870069 | 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 | 211535424 | BOY |
| EOY | 202632986 | 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 | 129528999 | BOY |
| EOY | 211728816 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446403922 | BOY |
| EOY | 534231871 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 770335555 | BOY |
| EOY | 707726529 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6759556 | BOY |
| EOY | 8203061 | 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 | 777095111 | BOY |
| EOY | 715929590 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1223499033 | BOY |
| EOY | 1250161461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -47820156 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -13345365 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 73179848 | OtherCostOrOtherBasis |
| Book Value | 73179848 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 373879081 | OtherCostOrOtherBasis |
| Depreciation | 146347135 | Depreciation |
| Book Value | 227531946 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1320071 | OtherCostOrOtherBasis |
| Depreciation | 951362 | Depreciation |
| Book Value | 368709 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 244259604 | OtherCostOrOtherBasis |
| Depreciation | 167287881 | Depreciation |
| Book Value | 76971723 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 101334832 | OtherCostOrOtherBasis |
| Depreciation | 12254295 | Depreciation |
| Book Value | 89080537 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 467132763 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| FIXED INCOME SECURITIES | 102385323 | F |
| ALTERNATIVE INVESTMENTS | 178719690 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 281105013 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LIABILITIES | $27,897,219 |
| ACCRUED PENSION COSTS | $183,831,597 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 211728816 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740 FOOTNOTE) | Identifier |
| Return Reference | Schedule D | ReturnReference |
| Explanation | The Medical Center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. No reserves for uncertain tax positions have been recorded. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 130124701 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 130124701 | SubtotalAmountSpent |
| Total Amount Spent | 130124701 | 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4129209 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4129209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85468918 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41169752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 44299166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 89598127 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41169752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48428375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06680 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1917636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 413072 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1504564 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18165562 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6465353 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11700209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01610 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17534958 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4530953 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13004004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01790 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 720757 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 647602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 774348 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 774348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39113261 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11482533 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27630727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03810 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 128711388 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52652285 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 76059102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $29,111,175 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 121926225 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 128154041 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6227816 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| PERKINS PLAZA IMAGIN | |||
| REAL ESTATE | 0.62565 | 0.00513 | 0.33333 |
| PERKINS PLAZA MAD | |||
| REAL ESTATE | 0.52041 | 0.00510 | 0.36051 |
| NUCLEAR IMAGING | |||
| IMAGING SERVICES | 0.66670 | 0.00000 | 0.33330 |
| CONVENIENT CARE | |||
| URGENT CARE CLINIC | 0.50000 | 0.50000 | |
| SURGICAL SPECIALTY | |||
| SURGERY CENTER | 0.49000 | 0.51000 | |
| PERKINS PLAZA ASC | |||
| AMBULATORY SURGERY CENTER | 0.46000 | 0.27000 | |
| REGIONAL EYE SURGERY | |||
| IMAGING SERVICES | 0.13750 | 0.86250 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE HOSPITAL | ||||||||
| 1 | 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | X | X | X | X |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE | ||||||||
| 2 | 8080 BLUEBONNET BLVD | BATON ROUGE | LA | 70810 | X | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE HOSPITAL | ||||||||||||||||||||||||||||
| 1 | true | true | 200. | true | 400. | true | X | X | X | X | true | true | X | X | X | X | X | X | true | false | X | X | X | X | true | X | true | false |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE | ||||||||||||||||||||||||||||
| 2 | true | true | 150. | true | 150. | true | X | X | X | X | true | true | X | X | X | X | X | X | true | false | X | X | X | X | true | X | true | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| REGIONAL EYE SURGERY CENTER | ||||
| 4950 ESSEN LANE | BATON ROUGE | LA | 708093739 | SURGERY CENTER |
| PERKINS PLAZA AMB SURGERY CENTER | ||||
| 7145 PERKINS ROAD | BATON ROUGE | LA | 708084322 | SURGERY CENTER |
| PERKINS PLAZA IMAGING CENTER | ||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | IMAGING |
| NUCLEAR IMAGING | ||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | IMAGING |
| CONVENIENT CARE LLC | ||||
| 7777 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | URGENT CARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| IdentifierIdentifier | ExplanationExplanation | Return 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: | IN PART III, LINE 2, THE COST OF BAD DEBT WAS DETERMINED USING THE COST TO CHARGE RATIO BASED ON TOTAL OPERATING COST/TOTAL PATIENT REVENUE AS CALCULATED IN IRS WORKSHEET 2. 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. NO ESTIMATE HAS BEEN MADE FOR ANY AMOUNTS INCLUDED IN BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT. HOWEVER, THE ORGANIZATION ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON HISTORICAL COLLECTION HISTORY 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. | |
| 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 ASSESSMENT | RESPONDING 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 PLANS TO CONDUCT A FORMAL COMMUNITY BASED NEEDS ASSESSMENT IN 2012 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. | PART VI, LINE 2: |
| PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE | INDIVIDUALS 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 INFORMATION | OUR 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 668,416 AND 353,458 HOUSEHOLDS. THE MEDIAN AGE IS 35 YEARS, THE SENIOR POLULATION COMPRISES ABOUT 12.3% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $42,012, 27.1% HOUSEHOLDS HAVE INCOMES BELOW $25,000, PER CAPITA INCOME IS $21,532 AND UNEMPLOYMENT RATE IS 7.7% 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 PARISH | PART VI, LINE 4 |
| PROMOTION OF COMMUNITY HEALTH | OUR 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 ROLES | OUR 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 HOSPITAL | PART 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 FACILITY IS CURRENTLY WORKING TO CORRECT THIS SITUATION FOR THIS SMALL NUMBER OF PATIENTS. | 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (27 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE FOUNDATION | |||||||
| 5000 HENNESSY BLVD | BATON ROUGE | LA | 70808 | 721014324 | 501(C)(3) | 1385978 | GENERAL SUPPORT |
| ST FRANCIS MEDICAL CENTER FOUNDATION | |||||||
| 3421 MEDICAL PARK DR | MONROE | LA | 71201 | 454595226 | 501(C)(3) | 125000 | GENERAL SUPPORT |
| BATON ROUGE AREA CHAMBER | |||||||
| 564 LAUREL STREET | BATON ROUGE | LA | 70801 | 720126959 | 501(C)(6) | 103500 | GENERAL SUPPORT |
| GENERAL GROWTH PROPERTIES | |||||||
| 6401 BLUEBONNET BLVD STE 5050 | BATON ROUGE | LA | 70836 | 300247204 | 101000 | PLAYGROUND EQUIPMENT | |
| CARDIOVASCULAR RESEARCH | |||||||
| 7777 HENNESSY BLVD | BATON ROUGE | LA | 70808 | 721490943 | 501(C)(3) | 50000 | GENERAL SUPPORT |
| BATON ROUGE SPEECH AND HEARING FOUNDATION | |||||||
| 535 W ROOSEVELT ST | BATON ROUGE | LA | 70802 | 720542134 | 501(C)(3) | 45000 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 752314596 | 135613797 | 501(C)(3) | 35000 | GENERAL SUPPORT |
| LOUISIANA PEDIATRIC CARDIOLOGY FOUNDATION | |||||||
| 2137A QUAIL RUN STE B | BATON ROUGE | LA | 70808 | 721476551 | 501(C)(3) | 30000 | GENERAL SUPPORT |
| RESPIRE | |||||||
| 215 KAREN DRIVE | LAFAYETTE | LA | 70503 | 274059300 | 501(C)(3) | 30000 | GENERAL SUPPORT |
| ARTHRITIS ASSOCIATION OF LA | |||||||
| 4939 JAMESTOWN AVE STE 104-A | BATON ROUGE | LA | 70809 | 760750333 | 501(C)(3) | 29400 | GENERAL SUPPORT |
| ALLIANCE SAFETY COUNCIL | |||||||
| 10099 NORTH REIGER ROAD | BATON ROUGE | LA | 70809 | 720702946 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| PROJECT KIDZ KOVE | |||||||
| P O BOX 179 | BRITTANY | LA | 70718 | 273095254 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| CANCER SERVICES OF BATON ROUGE | |||||||
| 550 LOBDELL AVENUE | BATON ROUGE | LA | 70806 | 720517180 | 501(C)(3) | 23750 | GENERAL SUPPORT |
| COMMUNITY INITIATIVES FOUNDATION | |||||||
| 304 LAUREL ST | BATON ROUGE | LA | 70801 | 205592914 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| VOLUNTEER HEALTH CORPS | |||||||
| 4655 SHERWOOD COMMON BLVD | BATON ROUGE | LA | 70816 | 204852337 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| BATON ROUGE KOMEN RACE FOR THE CURE | |||||||
| P O BOXX 14615 | BATON ROUGE | LA | 70898 | 752854972 | 501(C)(3) | 18750 | GENERAL SUPPORT |
| LIVINGSTON TOMORROW | |||||||
| P O BOX 809 | LIVINGSTON | LA | 70754 | 720966247 | 501(C)(6) | 15000 | GENERAL SUPPORT |
| MARY BIRD PERKINS CANCER | |||||||
| P O BOX 11407 DEPT 1299 | BIRMINGHAM | AL | 352461299 | 237010520 | 501(C)(3) | 15000 | GENERAL SUPPORT community |
| BATON ROUGE SYMPHONY | |||||||
| 2354 S ACADIAN THRUWAY STE A | BATON ROUGE | LA | 70808 | 726001959 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| INTERNATIONAL RETT SYNDROME FOUNDATION | |||||||
| 4600 DEVITT DR | CINCINNATI | OH | 45246 | 311682518 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| PATS COATS FOR KIDSBSA | |||||||
| P O BOX 2906 | BATON ROUGE | LA | 70821 | 208511422 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SOUTHERN UNIVERSITY SYSTEM | |||||||
| P O BOX 9270 | BATON ROUGE | LA | 70813 | 237052911 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SOUTHERN UNIVERSITY SYSTEM | |||||||
| P O BOX 9942 | BATON ROUGE | LA | 70813 | 726000817 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| BOYS & GIRLS CLUB | |||||||
| 8281 GOODWOOD BLVD STE H | BATON ROUGE | LA | 70806 | 720928014 | 501(C)(3) | 8000 | GENERAL SUPPORT |
| FAMILIES HELPING FAMILIES | |||||||
| 2356 DRUSILLA LANE | BATON ROUGE | LA | 70809 | 721406289 | 501(C)(3) | 7500 | GENERAL SUPPORT |
| ISTROUMA AREA COUNCIL | |||||||
| P O BOX 66676 | BATON ROUGE | LA | 70896 | 720411324 | 501(C)(3) | 7500 | GENERAL SUPPORT |
| SHAQUILLE O'NEAL CHAMPSLIFE SKILLS | |||||||
| 107 GYM ARMORY | BATON ROUGE | LA | 70803 | 721004960 | 501(C)(3) | 7000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 24 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | MEDICAL CARE FOR NEEDY INDIVIDUALS | TypeOfGrant |
| Number Of Recipients | 3 | NumberOfRecipients |
| Amount Of Cash Grant | 25500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Monitoring grants | Identifier |
| Explanation | FORMAL 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MCCLELLAND MD | |||||||||||||
| 394574 | 0 | 101768 | 0 | 887 | 0 | 9800 | 0 | 18119 | 0 | 525148 | 0 | 0 | 0 |
| KENNETH WESTER | |||||||||||||
| 0 | 424810 | 0 | 142134 | 0 | 37571 | 0 | 62240 | 0 | 30324 | 0 | 697079 | 0 | 0 |
| JEFFERY LIMBOCKER | |||||||||||||
| 285899 | 0 | 70000 | 0 | 11021 | 0 | 20052 | 0 | 30090 | 0 | 417062 | 0 | 0 | 0 |
| TERRI STERLING | |||||||||||||
| 333376 | 0 | 70000 | 0 | 10836 | 0 | 30582 | 0 | 12070 | 0 | 456864 | 0 | 0 | 0 |
| DENZIL MORAES | |||||||||||||
| 819135 | 0 | 263207 | 0 | 298 | 0 | 9800 | 0 | 23731 | 0 | 1116171 | 0 | 0 | 0 |
| STEVEN GREMILLION | |||||||||||||
| 728441 | 0 | 218460 | 0 | 369 | 0 | 9800 | 0 | 24087 | 0 | 981157 | 0 | 0 | 0 |
| KENNETH CIVELLO | |||||||||||||
| 615298 | 0 | 257709 | 0 | 229 | 0 | 9800 | 0 | 26715 | 0 | 909751 | 0 | 0 | 0 |
| ANDREW SMITH | |||||||||||||
| 708621 | 0 | 130867 | 0 | 241 | 0 | 9800 | 0 | 18816 | 0 | 868345 | 0 | 0 | 0 |
| PAUL GARRETT | |||||||||||||
| 514488 | 0 | 221627 | 0 | 231 | 0 | 9800 | 0 | 24087 | 0 | 770233 | 0 | 0 | 0 |
| KEITH RHYNES MD | |||||||||||||
| 575918 | 0 | 0 | 0 | 305 | 0 | 23570 | 0 | 34708 | 0 | 634501 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART 1, 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 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 4B | FMOLHS 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 7 | DISCRETIONARY 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 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. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| SURGICAL MANAGEMENT SERVICES LLC | |||
| BOARD MEMBER IS OWNER | 1919824 | PROVIDED MANAGEMENT SERVICES | false |
| CVT VASCULAR LAB INC | |||
| BOARD MEMBER IS OWNER | 824780 | PROVIDED MEDICAL SERVICES | false |
| CVT SURGICAL CENTER | |||
| BOARD MEMBER IS OWNER | 245922 | PROVIDED MEDICAL SERVICES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GOVERNING DOCUMENTS | PART VI, SECTION C, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| PART VI, SECTION A, QUESTION 6 | FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. | |
| MEMBERS | PART VI, SECTION A, QUESTION 7B | THE 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 INTEREST | PART VI, SECTION B, QUESTION 12C | OUR 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 11 | AFTER 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 7A | FMOL 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 COMPENSATION | PART VI, SECTION B, QUESTION 15A & 15B | OUR 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 STATEMENT | FORM 990 PART III | THE 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, 2012. 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, 2012 CHARGES FOREGONE NET COMMUNITY BENEFIT EXPENSE CHARITY CARE $11,429,000 $4,468,000 UNREIMBURSED MEDICAID 153,554,000 28,174,000 UNREIMBURSED MEDICARE 292,829,000 20,680,000 TOTAL $457,812,000 $53,322,000 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 2012 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, 2012 SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES: COMMUNITY BENEFIT AT COST: COMMUNITY HEALTH IMPROVEMENT SERVICES: IMMUNOLOGICAL SUPPORT 826,000 PARISH NURSING 129,000 LAKELINE DIRECT 1,103,000 ST. MARTHA ACTIVITY CENTER 160,000 ELDERLY SERVICES 279,000 HEALTH CARE PROFESSIONS EDUCATION: OLOL COLLEGE 3,175,000 INTERNS AND RESIDENTS 3,499,000 SUBSIDIZED HEALTH SERVICES: ASSUMPTION COMMUNITY HOSPITAL 37,000 ELDERLY HOUSING ST. CLARE 2,439,000 FAMILY EDUCATION AND CHILDREN SPECIALTY SERVICES 4,985,000 OLOL NEIGHBORHOOD CLINIC 48,000 COPE AND MENTAL HEALTH SERVICES 10,635,000 PALLIATIVE CARE 569,000 ST. FRANCIS HOUSE 24,000 OTHER SPECIALTY SERVICES 4,079,000 MEDICAL HOME 1,086,000 TRAUMA SERVICES 1,367,000 RESEARCH: CLINICAL RESEARCH 561,000 FINANCIAL CONTRIBUTION: CASH CONTRIBUTION 774,000 COMMUNITY BUILDING ACTIVITIES: ELDERLY HOUSING COMPLEX 502,000 MARY BIRD PERKINS 100,000 COMMUNITY CLINIC 29,000 TOTAL $36,406,000 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 5 | Other Changes in net assets or fund balances: Unrealized Gain/Loss (11,587,623) Capital Transfers (1,757,742) Total Other Change in Net Assets: (13,345,365) | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES FREEBURGH TITLE:BOARD MEMBER CHAIR HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SR. LILLIAN LYNCH, O.S.F. TITLE:BOARD MEMBER HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KENNETH WESTER TITLE:CEO HOURS:58 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SR. BRENDAN MARY RONAYNE, OSF TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFERY LIMBOCKER TITLE:CFO HOURS:8 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE PHYSICIANS GROUP LL | |||||||||
| 5000 HENNESSY BLVD | BATON ROUGE | LA | 70808 | 274026658 | HEALTHCARE | LA | 26850989 | 10322977 | OLOL |
| PERKINS PLAZA IMAGING CENTER | |||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70809 | 203697665 | HEALTHCARE | LA | 0 | 0 | OLOL |
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 (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Code VCodeVAmount | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOURDES IMAGING CENTER LLC | ||||||||||||||
| 4801 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | 208326214 | HEALTHCARE | LA | LOURDES | N/A | false | true | ||||
| 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 | RELATED | false | true | 243385 | 2947702 | $0 | 0.51000 |
| PERKINS PLAZA IMAGING CENTER | ||||||||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 203697665 | HEALTHCARE | LA | OLOL | RELATED | false | true | 870941 | 0 | $0 | 0.00000 |
| PERKINS PLAZA IMAGING DEVELOPMENT | ||||||||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 203894521 | REAL ESTATE | LA | OLOL | RELATED | false | true | 123242 | 3117550 | $0 | 0.61310 |
| NUCLEAR IMAGING LLC | ||||||||||||||
| 5000 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 721470061 | HEALTHCARE | LA | OLOL | RELATED | false | true | 318927 | 705609 | $0 | 0.66670 |
| P&S SURGERY CENTER LLC | ||||||||||||||
| 312 GRAMMONT STREET | MONROE | LA | 71201 | 721387870 | HEALTHCARE | LA | ST FRANCIS | N/A | false | true | ||||
| ST FRANCIS PEDIATRIC AFTER HOURS | ||||||||||||||
| POST OFFICE 207 | MONROE | LA | 71210 | 061782572 | HEALTHCARE | LA | STEH | N/A | false | true | ||||
| LOURDES IMAGING DEVELOPMENT LLC | ||||||||||||||
| 4801 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | 208326287 | REAL ESTATE | LA | LOURDES | N/A | false | true | ||||
| PARK PLACE SURGICAL CENTER | ||||||||||||||
| 901 WILSON STREET | LAFAYETTE | LA | 70503 | 721404092 | HEALTHCARE | LA | LOURDES | N/A | false | true | ||||
| BRPT LAKE REHABILITATION CENTER | ||||||||||||||
| 530 SHADOWS LANE | BATON ROUGE | LA | 70806 | 721506100 | HEALTHCARE | LA | OLOL | RELATED | false | true | 300415 | 735653 | $0 | 0.33000 |
| CONVENIENT CARE LLC | ||||||||||||||
| 7777 HENNESSY BOULEVARD | BATON ROUGE | LA | 70808 | 721439481 | HEALTHCARE | LA | OLOL | RELATED | false | true | 533601 | 1564484 | $0 | 0.50000 |
| PERKINS PLAZA AMBULATORY SURGERY CENTER | ||||||||||||||
| 54 THE LEGENDS PARKWAY SUITE 159 | EUREKA | MO | 630253803 | 481264699 | HEALTHCARE | LA | OLOL | RELATED | false | true | 71035 | 1011748 | $0 | 0.46000 |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE | ||||||||||||||
| 8080 BLUEBONNET BOULEVARD | BATON ROUGE | LA | 70810 | 263160962 | HEALTHCARE | LA | OLOL | RELATED | false | true | 3837479 | 26645367 | $0 | 0.49000 |
| ST ELIZABETH-MARY BIRD PERKINS CANCER | ||||||||||||||
| 4950 ESSEN LANE | BATON ROUGE | LA | 70809 | 260628752 | HEALTHCARE | LA | STEH | N/A | false | true | ||||
| REGIONAL EYE SURGERY CENTER LLC | ||||||||||||||
| 7777 HENNESSY BLVD SUITE 400 | BATON ROUGE | LA | 70808 | 721484653 | HEALTHCARE | LA | OLOL | RELATED | false | true | 74030 | 128068 | $0 | 0.13750 |
| ST MARYS IMAGING CENTER IILLC | ||||||||||||||
| 4801 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | HEALTHCARE | LA | LOURDES IMAGING | N/A | false | true | |||||
| NORTHEAST LA CANCER INSTITUTE | ||||||||||||||
| 141 DESIARD STREET SUITE 704 | MONROE | LA | 71201 | 721329499 | HEALTHCARE | LA | ST FRANCIS | N/A | false | true | ||||
| LHCG-XIII LLC | ||||||||||||||
| 420 West Pinhook Road Suite A | LAFAYETTE | LA | 70503 | 208068308 | HEALTHCARE | LA | LOURDES | N/A | false | true | ||||
| LOURDES AFTER HOURS LLC | ||||||||||||||
| 2130 KALISTE SALOOM RD | LAFAYETTE | LA | 70508 | 201367299 | HEALTHCARE | LA | LOURDES | N/A | false | true | ||||
| ST ELIZABETH IMAGING CENTER | ||||||||||||||
| 1125 WEST HIGHWAY 30 | Gonzales | LA | 70737 | 364701565 | HEALTHCARE | LA | STEH | N/A | false | true | ||||
| CAPITAL AREA SHARED SERVICES ORGANIZATIO | ||||||||||||||
| 5000 Hennessy Blvd | Baton Rouge | LA | 70808 | 275173212 | HEALTHCARE | LA | OLOL PG | RELATED | false | true | -56039 | 423235 | $0 | 0.48000 |
| CAPITAL AREA SHARED SERVICES ORGANIZATIO | ||||||||||||||
| 5000 Hennessy Blvd | Baton Rouge | LA | 70808 | 275173212 | HEALTHCARE | LA | STEP | 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 | ||||||
| MONROE HEALTH SERVICES | ||||||||||||
| PO BOX 3187 | MONROE | LA | 71210 | 721057820 | HEALTHCARE | LA | AMBULATORY | C CORP | ||||
| NORTHEAST LA HEALTH NETWORK | ||||||||||||
| 309 JACKSON STREET | MONROE | LA | 71201 | 721294587 | HEALTHCARE | LA | AMBULATORY | C CORP | ||||
| CHARITABLE REMAINDER TRUST | ||||||||||||
| INVESTMENT | LA | OLOL FOUNDATION | TRUST | |||||||||
| FRANCISCAN HEALTH & WELLNESS SERVICES I | ||||||||||||
| 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | 455492379 | HEALTHCARE | LA | FMOL | C CORP | ||||
| FMOL HEALTH SYSTEM HOLDINGS INC | ||||||||||||
| 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | 454405024 | INVESTMENT | LA | FMOL | C CORP | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | 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 |
| 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 | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Chateau Louise | ||
| p | 56553 | FMV |
| Calais House | ||
| P | 61721 | FMV |
| Our Lady of the Lake Foundation | ||
| B | 1385978 | FMV |
| Our Lady of the Lake Foundation | ||
| C | 2860276 | FMV |
| St Bernard Health Center | ||
| P | 147676 | FMV |
| Villa St Francis | ||
| P | 61794 | FMV |
| ASSISI VILLAGE | ||
| P | 63624 | FMV |
| ST ELIZABETH HOSPITAL | ||
| K | 520931 | FMV |
| ST CLARE MANOR | ||
| P | 181976 | FMV |
| OUR LADY OF THE LAKE ASSUMPTION | ||
| K | 227600 | FMV |
| REGIONAL EYE SURGERY CENTER LLC | ||
| R | 275000 | FMV |
| NUCLEAR IMAGING LLC | ||
| R | 523060 | FMV |
| PERKINS PLAZA MEDICAL ARTS DEVELOPMENT LLC | ||
| R | 165750 | FMV |
| PERKINS PLAZA IMAGING DEVELOPMENT LLC | ||
| R | 103700 | FMV |
| BRPT- LAKE REHABILITATION CENTERS LLC | ||
| R | 158925 | FMV |
| CONVENIENT CARE LLC | ||
| R | 626480 | FMV |
| PERKINS PLAZA AMBULATORY SURGERY CENTER LLC | ||
| R | 230000 | FMV |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC | ||
| R | 3923402 | FMV |
| FMOL HEALTH SYSTEM | ||
| L | 45025748 | FMV |
| OUR LADY OF THE LAKE COLLEGE | ||
| B | 2910916 | FMV |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER | ||
| K | 4473599 | FMV |
| CAPITAL AREA SHARED SERVICES | ||
| Q | 2220000 | FMV |