2012-05-15T11:42:23-05:00 2011-06-30 KPMG LLP 450 Laurel Street Suite 1700 Baton Rouge LA 70801 990 2010-07-01 720408970 ST FRANCIS MEDICAL CENTER STFR 3189664112 PO Box 1901 Monroe LA 71210 RONALD HOGAN 3183277369 2012-05-14 true 2253444000 2010 2016-02-24 21:20:13Z LOUIS BREMER PO BOX 1901 MONROE LA 71210 289696040 false 0928 X www.stfran.com X 1913 LA 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 NORTHEAST LOUISIANA. 16 11 2592 135 2031530 -36248 403860 597867 240480474 242215706 3614078 7904856 3573192 15179388 248071604 265897817 61440 138257 0 0 114104633 114364422 0 0 0 140818338 131600846 254984411 246103525 -6912807 19794292 334149175 365327372 219025839 212940263 115123336 152387109 X 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. false false 182234764 138257 240251871 St. Francis Medical Center provides quality hospital and medical services primarily to residents of Northeast Louisiana. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the healthcare needs of the people of God, the Medical Center has established a policy under which it provides care to needy members of its communities. Following that policy, health care services costing approximately, $4,394,000 were provided without charge. The Medical Center provided 545 licensed beds and 91,980 inpatient days in the year ended June 30, 2011. See Schedule O for further explanation. 182234764 true true false true false false false false false true true false true true true false true false false true true false false false false true true true false true false false false false false false false true false false false false false true true true false false true 224 0 true 2592 true true true false false false false false false false false false X 16 11 true false false false true true true true true false false true true true true false false true true false X MR RONALD E HOGAN 3189664112 309 JACKSON ST MONROE LA 71201 X JOHN L LUFFY JR ESQ 1.0 X X 0 0 0 J STEWART GENTRY 1.0 X X 0 0 0 JUDY BELL 1.0 X X 0 0 0 ARTHUR LILES MD 1.0 X 0 0 0 ROBERT L SEEGERS MD 1.0 X 0 0 0 WILSON T BARHAM MD 1.0 X 0 0 0 SR HELEN CAHILL OSF 1.0 X 0 0 0 KAREN A PUCKETT 1.0 X 0 0 0 SR MARY ANN SEPULVADO OSF 1.0 X 0 0 0 FRANK B SARTOR MD 1.0 X 91400 0 0 MALCOLM E MADDOX 1.0 X 0 0 0 TERRY KING MD 1.0 X 0 0 0 CHARLES MORGAN MD 1.0 X 15386 0 0 REV LARRY STAFFORD 1.0 X 0 0 0 BISHOP MICHAEL G DUCA 1.0 X 0 0 0 RICHARD O'DONOVAN MD 1.0 X 2340 0 0 SR RITA LANIE OSF 1.0 X 0 0 0 SR ANN CATHERINE NGUYEN OSF 1.0 X 0 0 0 LOUIS BREMER 40.0 X X 0 433973 33684 RONALD E HOGAN 40.0 X 270287 0 48151 ROBERT K WHITE 40.0 X 885315 0 38132 THOMAS J GULLATT 40.0 X 450805 0 51859 R LOUIS GAVIOLI 36.0 X 288423 0 52827 ANTTI G MARAN 40.0 X 238916 0 17633 PATRICIA D SMITH 40.0 X 217975 0 24333 SABRINA H RAMSEY 40.0 X 184485 0 19601 LISA C BRADLEY 40.0 X 164788 0 13987 FRED DTOLBERT 40.0 X 157525 0 40397 CYNTHIA J ROGERS 40.0 X 108483 82489 23701 BLAINE M BORDERS 40.0 X 895812 0 37200 JOSE A BERMUDEZ 40.0 X 388196 0 19843 JOHN D BRUCHHAUS 40.0 X 387405 0 28715 JAMES G SMITH 40.0 X 390621 0 36852 RICHARD W FINCHER 40.0 X 362130 0 33415 5500292 516462 520330 55 false true false FMOL Health System 4200 Essen Lane BATON ROUGE LA 70809 Management Services 16545438 Parish Anesthesia of Monroe 3510 North Causey Blvd METAIRIE LA 70002 Anesthesia Services 3478223 MONROE CARDIAC ANESTHESIA 130 NORTH 2ND STREET MONROE LA 71201 PHYSICIAN/ANESTHESIA 949998 DELTA PATHOLOGY GROUP LLC 3000 KNIGHT ST BLDG 5 STE 220 SHREVEPORT LA 71105 PATHOLOGY SERVICES 778506 NORTH MONROE ER PHYSICIANS INC 6061 Oak Ridge Road OAK RIDGE LA 71261 EMERGENCY ROOM SVCS 529428 23 597867 597867 PATIENT SVC REVENUE 621500 235579150 233617315 1961835 INCOME FROM EQUITY INVESTEES 900099 2806100 2806100 CAFETERIA SALES 900099 1915109 1915109 HEALTH CLINIC 900099 307031 307031 INTER-CO MGMNT 900099 104153 104153 1504163 1502163 2000 242215706 826294 58051 768243 0 0 1671739 1793390 -121651 -121651 -131160 9509 28952340 131055 21941263 63570 7011077 67485 7078562 67485 9644 7001433 0 0 0 PENSION RELATED CHANGES 900099 10001666 10001666 SPECIALTY HOSPITAL 900099 4299751 4299751 CANCER INSTITUTE 900099 572921 572921 426701 426701 15301039 265897817 240188196 2031530 23080224 131757 131757 0 6500 6500 0 3135786 2131686 1004100 0 87729121 70972981 16756140 6302930 5071826 1231104 0 17196585 13837704 3358881 0 1687359 1110567 576792 366405 241156 125249 219761 144640 75121 19488 19488 0 452136 452136 22044590 14302260 7742330 557541 366956 190585 67604988 44495490 23109498 0 0 6070967 1151462 4919505 613373 403703 209670 0 0 6623977 6623977 0 13511456 11997286 1514170 3122379 734810 2387569 BAD DEBT 8409170 8409170 MISCELLANEOUS EXPENSE 297256 100833 196423 246103525 182234764 63868761 0 16722073 27191147 24791494 17380831 30591457 30752271 3253213 604676 6107267 6132067 3949205 4180051 309583597 202232395 108469696 107351202 29629322 33931292 84797753 111664635 4574021 4774242 3743789 3743788 17519885 17621170 334149175 365327372 24436680 29550622 148699654 144550285 45889505 38839356 219025839 212940263 X 114080000 151325000 1043336 1062109 115123336 152387109 334149175 365327372 X 19794292 17469481 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 19488 false false false 19488 false false 11218787 11218787 160707941 103051045 57656896 2460278 2460278 126348738 98464639 27884099 8847854 716712 8131142 107351202 212368 C COMMINGLED FUNDS 28532069 F FIXED INCOME SECURITIES 23031674 F ALTERNATIVE INVESTMENTS 59888524 F 111664635 UNAMORTIZED BOND ISSUANCE COST 1643186 OTHER ASSETS 574583 UNAMORTIZED START UP COSTS 2323382 DUE FROM RELATED PARTIES 13080019 17621170 0 DUE TO RELATED PARTIES 6199488 SELF-INSURANCE LIABILITY 1257439 OTHER LIABILITIES 2298360 ACCRUED PENSION COST 29084069 38839356 FIN 48 FOOTNOTE SCHEDULE D, PART XIV "The Medical Center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs." There was no impact on the financial statements as a result of FIN 48. Central America and the Caribbean Investments 43350080 43350080 43350080 Cent. 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PO BOX 1901 MONROE LA 71210

X X X 2 P&S SURGERY CENTER LLC

312 GRAMMONT STREET MONROE LA 71201

X X 3 ST FRANCIS NORTH HOSPITAL

PO BOX 1901 MONROE LA 71201

X X X ST FRANCIS MEDICAL CENTER 1 P&S SURGERY CENTER LLC 2 ST FRANCIS NORTH HOSPITAL 3 6 NORTHEAST LA CANCER INSTITUTE

411 CALYPSO STREET MONROE LA 71201

CANCER TREATMENT AND IMAGING CENTER ST FRANCIS PEDIATRIC AFTER HOURS

PO BOX 207 MONROE LA 71201

PRIMARY CARE CLINIC FOR CHILDREN OPEN MRI CENTER OF MONROE LLC

309 JACKSON STREET MONROE LA 71210

MRI SERVICES ST FRANCIS PET IMAGING OF MONROE LLC

PO BOX 1851 MONROE LA 71210

MRI SERVICES Monroe MRI Center LLC

501 Catalpa Street Monroe LA 71201

GENERAL MEDICAL AND SURGICAL Community Health Center

920 Oliver Road Monroe LA 71201

Various Outpatient Services PART I, LINE 3C St. Francis Medical Center uses information obtained related to income levels, etc. to determine eligibility for discounted care. A range of charity care is provided to those who do not meet the 200% of FPG. All uninsured patients are provided a 15% self-pay discount. PART I, LINE 6A The organization prepares its own community benefit report. PART I, LINE 7G No costs attributable to a physician clinic were included as subsidized health services. PART I, LINE 7, COLUMN (F) $8,409,170 of bad debt expense is included on Form 990, Part IX, Line 25, Column A. A total of $8,860,630 (which includes $451,460 of bad debt expense from a joint venture) is subtracted from total expenses for purposes of calculating the percentage in Column F. PART I, LINE 7 The cost to charge ratio is utilized as the costing methodology to calculate the amounts reported in Part I line 7g, subsidized health services. The cost to charge ratio was derived from the June 30, 2011 Medicare Cost Report data. The cost-to-charge ratio from the cost reports was used to calculate the amounts in the table. The cost accounting system does address all patient segments. PART III, LINE 4 The cost to charge ratio was utilized in determining the cost of bad debt expense as reported in Part III line 2. Discounts provided are not included in bad debt expense. Payments received on accounts subsequent to being considered bad debt are recorded as a recovery(reduction) of bad debt expense. 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. No estimate has been made for any amounts included in bad debt expense that might qualify for financial assistance. The audited financial statements do not include a footnote discussing bad debts. 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 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 organization currently does not believe that any shortfall should be treated as a community benefit. PART III, LINE 9B If the patient does not have means to pay, they may apply for financial assistance through St. Francis Medical Center's Charity Care Plan known as The Franciscan Care Plan. Approval will be based on income and medical expenses. Accounts may also be written off to charity based on the information provided by the credit bureaus through the systems and tools utilized as well as the patient's medical expenses. PART VI, LINE 2 NEEDS ASSESSMENT St. Francis Medical Center, Inc. works to conduct health care needs assessments. They work closely with Families helping Families, The Wellsprings, The Children's Coalition, YMCA and many other organizations to define community needs and to consolidate efforts to meet those community needs. For example, a school-based health center and a diabetes and nutrition center was initiated after a health care assessment identified the need. SFMC conducted a formal community based needs assessment in 2011 and will continue to use community based data to support decisions for outreach in the community. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Patients are informed through a patient handbook that contains information on the financial policies of SFMC. Additionally, signs are posted in the Admissions areas that Financial Counseling is available upon request. Systems and tools are utilized to conduct high level financial screening to assist in identifying patients eligible for charity care, financial assistance, or self-pay discounts. Financial counselors work closely with patients to assist with enrollment for those who are eligible for Medicaid as well as assist those who are eligible for charity in determining eligibility. PART VI, LINE 4 COMMUNITY INFORMATION St. Francis Medical Center's community served is a broad 20-parish area in northeastern Louisiana and southern Arkansas, with a population of approximately 510,381. The 2011 estimated average household income for this community is $53,469. Based on estimates for the next five years, the only age group estimated to grow in size in our community is the 65+ group, with an estimated 5.5% increase. PART II COMMUNITY BUILDING ACTIVITIES SFMC provides occupancy and utilities free of charge to St. Vincent DePaul charitable pharmacy so that the poorest individuals in the community have access to prescription drugs. SFMC also provides occupancy free of charge to a primary health care clinic located in one of the poorest areas of Monroe. These activities allow the recipient organizations to spend their available funds on activities that have more direct impact on those in need. SFMC provides management oversight of community programs and activities, including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. SMFC proudly serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. SFMC provides leadership development and training for Roman Catholic Priests to serve in the SFMC Community. SFMC improves access to public health through its financial support of an adult day health care facility and a school based health center. SFMC has many programs designed to promote leadership development and provide exposure to various careers in heatlh care. Such programs include health information management, sports medicine program, AHEC (area health education center) program, Carroll High School Housekeeping Program and the Jr. Volunteer Program. Part VI, LINE 5 PROMOTION OF COMMUNITY HEALTH A majority of the governing body of SFMC 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. SFMC extends medical staff privileges to all qualified physicians in the community for some or all of the departments, as needed. SFMC applies surplus funds to improvements in patient care through the continued investment in clinical technology, medical information technology, and continued training of clinical staff. PART VI, LINE 6 St. Francis Medical Center is a not-for-progit hospital, non-stock member corporation of which Franciscan Missionaries of Our Lady Health System, Inc. (FMOL Health System) is the sole member. St. Francis Medical Center is part of the FMOL Health System which includes several hospitals and tax-exempt affiliates throughout the state of Louisiana. St. Francis Medical Center serves the community in Northeastern Louisiana and Southern Arkansas. Other related hospitals in Louisiana include: Our Lady of Lourdes Regional Medical Center Our Lady of the Lake Hospital St. Elizabeth Hospital Our Lady of the Lake Assumption Hospital true AMERICAN HEART ASSOCIATION PO BOX 159 DESTRAHAN LA 70047 135613797 501(c)(3) 26000 FIGHT HEART DISEASE CHILDRENS COALITION OF NE LA 1201 HUDSON LANE MONROE LA 71201 721502186 501(C)(3) 12000 SUPPORT CHILD CARE ULM FOUNDATION 700 UNIVERSITY AVENUE MONROE LA 71209 726028527 501(c)(3) 50000 NURSING PROGRAM 3 PART I, LINE 2 ST. FRANCIS MEDICAL CENTER REQUESTS AN ACKNOWLEDGEMENT LETTER FROM EACH ORGANIZATION TO WHICH WE GIVE $5,000 OR MORE IN A CALENDAR YEAR. ORGANIZATIONS ARE REQUESTED TO IDENTIFY WHEN THE FUNDS WERE RECEIVED, HOW MUCH WAS RECEIVED, HOW THE FUNDS WERE USED AND WHAT THE OUTCOMES WERE OF THE PROJECT OR PROGRAM FOR WHICH THE FUNDS WERE REQUESTED. X X X X false false false false false false false true false BLAINE M BORDERS 524125 0 368844 0 2843 0 6125 0 31075 0 933012 0 0 0 ROBERT K WHITE 588581 0 294075 0 2659 0 6125 0 32007 0 923447 0 0 0 JOSE A BERMUDEZ 317835 0 39687 0 30674 0 6125 0 13718 0 408039 0 0 0 THOMAS J GULLATT 336163 0 88986 0 25656 0 24569 0 27290 0 502664 0 0 0 JOHN D BRUCHHAUS 263109 0 100498 0 23798 0 16491 0 12224 0 416120 0 0 0 JAMES G SMITH 265832 0 100176 0 24613 0 24569 0 12283 0 427473 0 0 0 RICHARD W FINCHER 243441 0 94149 0 24540 0 6125 0 27290 0 395545 0 0 0 R LOUIS GAVIOLI 261097 0 25459 0 1867 0 31943 0 20884 0 341250 0 0 0 ANTTI G MARAN 217985 0 10900 0 10031 0 5942 0 11691 0 256549 0 0 0 RONALD E HOGAN 226620 0 23791 0 19876 0 18091 0 30060 0 318438 0 0 0 PATRICIA D SMITH 188867 0 19184 0 9924 0 5513 0 18820 0 242308 0 0 0 SABRINA H RAMSEY 167238 0 16797 0 450 0 14978 0 4623 0 204086 0 0 0 LISA C BRADLEY 149598 0 14892 0 298 0 11168 0 2819 0 178775 0 0 0 FRED DTOLBERT 134152 0 14045 0 9328 0 15044 0 25353 0 197922 0 0 0 CYNTHIA J ROGERS 79446 79446 20184 350 8853 2693 0 0 11927 11774 120410 94263 0 0 LOUIS BREMER 0 278078 0 58121 0 97774 0 9800 0 23884 0 467657 0 0 Part I, 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. PS Surgery Center LLC CEO/CFO OF SFMC ON BOARD 309665 P&S purchased SFMC services false NE LA Cancer Institute CEO/CFO OF SFMC ON BOARD 62241 Purchase of support services false NE LA Cancer Institute CEO/CFO OF SFMC ON BOARD 510680 Lease of space from SFMC false Century Link BOARD MEMBER IS OFFICER 237161 Voice and data services false TERRY KING APMC BOARD MEMBER IS OWNER 294172 SFMC PAYS FOR MEDICAL SERVICES false PS Surgery Center LLC CEO/CFO OF SFMC ON BOARD 556270 LEASE OF SPACE FROM SFMC false STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990 PART III St. Francis Medical Center service to the community for fiscal year ended June 30, 2011. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the health needs of the people of God, the Board of Directors has established a policy under which the Medical Center provides care to needy members of its communities. Following that policy, health care services costing approximately $4,394,000 were provided without charge during the year ended June 30, 2011. Gross charges foregone, based on established rates, totaled approximately $12,711,000 for the year ended June 30, 2011. The Medical Center also participates in government programs including Medicare, Medicaid and TriCare programs. 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 which 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 ended June 30, 2011. This table does not include discounts offered by the Medical Center under managed care or other such arrangements. June 30, 2011 CHARGES FORGONE Charity Care and means-tested programs: Medicare: $264,344,000 Medicaid: $101,822,000 Charity: $12,711,000 Other: $2,860,000 Total: $381,737,000 Estimated Unreimbursed Charges: Medicare: $22,119,000 Medicaid: $13,323,000 Charity: $4,394,000 Other: $79,000 Total: $39,915,000 In addition to community services directly associated with providing hospital-based care, the Medical Center serves the community in numerous other ways. For example: The Medical Center provides Health Professionals Education in a clinical setting for undergraduate, vocational training, internships, clerkships, and residencies. This program includes registered nurse recruitment activities and collaboration with local colleges for supervision and clinical training in pharmacy, respiratory therapy, health information management and medical technology. The costs incurred for these programs totaled approximately $858,000 during the year ended June 30, 2011. The Medical Center provides subsidized health services which provide a discount, at cost, to all patients that have no form of insurance coverage. The costs incurred for these programs totaled approximately $525,000 during the year ended June 30, 2011. The Medical Center provides cash and in-kind contributions to community groups which include donations to Families Helping Families, Children's Coalition, Wellspring, Haiti Project, Prevent Child Abuse, Alzheimer's Foundation, YMCA, and Komen Foundation. This program also includes employee costs associated with board and community involvement of rural hospitals. The costs incurred for these programs totaled approximately $81,000 during the year ended June 30, 2011. The Medical Center provides occupancy and utilities to St. Vincent DePaul charitable pharmacy. The costs incurred for these programs totaled approximately $40,000 during the year ended June 30, 2011. The Medical Center provides community health education classes on breast feeding, childbirth basics, sibling class and abc's of childcare. This also includes sponsorship of Think First, a national injury prevention organization. The Medical Center provides free depression and anxiety screenings to the community. The costs incurred for these programs totaled approximately $7,000 during the year ended June 30, 2011. The Medical Center provides community support which includes staff costs of management oversight of community benefit programs and activities, including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. The costs incurred for these programs totaled approximately $235,000 during the year ended June 30, 2011. The Medical Center provides community based clinical services including community based health screenings including behavior health, discounted services provided to Louisiana Baptist Children's home, Veteran's Administration, rural hospitals, ULM athletic deparment, MDA, Wellspring, and handicap children. The costs incurred for these programs totaled approximately $227,000 during the year ended June 30, 2011. The Medical Center provides leadership development and training for community members. St. Francis serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. The costs incurred for these programs totaled approximately $33,000 during the year ended June 30, 2011. The Medical Center provides community health improvement and advocacy which includes the unreimbursed costs of the Adult Day Health Care Facility and the school based health center. The costs incurred for these programs totaled approximately $153,000 during the year ended June 30, 2011. The Medical Center provides workforce development designed to promote leadership development and provided exposure to various careers in health care including: sports medicine program, AHEC (Area Health Education Center Program), Carroll High School housekeeping program and junior volunteer program. The costs incurred for these programs totaled approximately $7,000 during the year ended June 30, 2011. Part VI, Section A, Question 2 Sabrina Ramsey & Ronald E. Hogan - Family Relationship Ron Hogan, Lisa Bradley, Louis Bremer, J. Steward Gentry and Louis Gavioli have a business relationship with each other soley because they all serve as directors of other organizations which are related to St. Francis Medical Center. Part VI, Section A, Question 6 FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center. PART VI, SECTION A, QUESTION 7A FMOL HEALTH SYSTEM, INC. AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. FRANCIS MEDICAL CENTER. PART VI, SECTION A, QUESTION 7B THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: i. To change philosophy, objectives and purposes of corporation. ii. To appoint or remove the Members of the Board of Trustees and Officers of the corporation. iii. To amend, alter, modify or repeal the Articles of Incorporation and Bylaws of the corporation. iv. To authorize merger, consolidation, or affiliation, or participate in joint ventures. v. To dissolve and to distribute assets of the corporation. vi. To appoint and/or terminate with or without cause the Chief Executive Officer of the corporation. vii. To acquire, purchase, sell, lease, transfer, or encumber any immovable property on behalf of the corporation. viii. To add to or incur long-term debt in excess of $5 million by the Corporation. ix. To appoint the fiscal auditor for the corporation. x. 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. xi. To approve the annual operating and capital budgets of the corporation. xii. To approve a strategic business plan of the corporation. Part VI, Section A, Question 11A After preparation and review of Form 990 by KPMG LLP, the Form 990 is reviewed by management. A copy of the Form 990 is provided to the Medical Center's governing body before it is filed with the IRS. PART VI, SECTION B, QUESTION 12C St. Francis Medical Center has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or his designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest exists or creates the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that she/he (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that St. Francis Medical Center is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Francis Medical Center provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken. PART VI, SECTION B, QUESTION 15A & 15B Our Board of Directors designates an executive committee made up of independent board members to review and set the compensation annually of our officers and key employees. The executive committee obtains and relies upon comparable data including industry-wide compensation information provided by an outside consulting firm. The executive committee reviews compensation packages and appropriate compensation is determined and approved. The basis for determination is then documented by the executive committee. The compensation for the CEO of St. Francis Medical Center 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. 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 XI, QUESTION 5 CAPITAL TRANSFERS $(2,646,518) UNREALIZED GAIN/LOSS $20,115,997 TOTAL OTHER CHANGE IN NET ASSETS $17,469,479 Part VI, Section B, Q14 and 16a Part VI, Section B, Questions 14 and 16a THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A DOCUMENT RETENTION POLICY AND A JOINT VENTURE POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE JUNE 30, 2011. THE ORGANIZATION INTENDS TO HAVE THE POLICIES APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS OR COMMITTEE THEREOF. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SR. RITA LANIE, O.S.F. TITLE:DIRECTOR HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOUIS BREMER TITLE:CEO/DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RONALD E. HOGAN TITLE:SR. VP - CFO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CYNTHIA J. ROGERS TITLE:VP ADMIN SFN HOURS:1 St Bernard Health Fund 4200 ESSEN LANE BATON ROUGE LA 70809 204685614 HEALTHCARE LA 501(C)(3) 11 TYPE 1 FMOLHS HEALTH PARTNERS NETWORK OF SOUTH LA 611 ST LANDRY STREET LAFAYETTE LA 70506 HEALTHCARE LA 501(C)(3) 3 LOURDES RMC Lourdes Imaging Center LLC 611 St Landry Street Lafayette LA 70506 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 N\A false true Perkins Plaza Imaging Center 5000 Hennessy Boulevard Baton Rouge LA 70808 203697665 HEALTHCARE LA OLOL N\A false true Perkins Plaza Imaging Development 5000 Hennessy Boulevard Baton Rouge LA 70808 203894521 REAL ESTATE LA OLOL N\A false true P&S SURGERY CENTER LLC 312 GRAMMONT STREET MONROE LA 71201 721387870 HEALTHCARE LA NA RELATED 2274075 10723199 false 0 true 0.50000 NUCLEAR IMAGING LLC 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721470061 HEALTHCARE LA OLOL N\A false true St Francis Pediatric After Hours LLC Post Office 207 Monroe LA 71210 061782572 Healthcare LA NA RELATED -733 122657 false 0 true 0.50000 Lourdes Imaging Development LLC 611 St Landry Street Lafayette LA 70506 208326287 REAL ESTATE LA LOURDES N\A false true Park Place Surgical Hospital 901 Wilson Street Lafayette LA 70503 721404092 Healthcare LA LOURDES N\A false true BRPT Lake Rehabilitation Centers LLC 530 Shadows Lane Baton Rouge LA 70806 721506100 Healthcare LA OLOL N\A false true Convenient Care LLC 7777 Hennessy Boulevard Suite 1004 Baton Rouge LA 70808 721439481 Healthcare LA OLOL N\A false true Perkins Plaza Ambulatory Surgery Center 54 The Legends Parkway Suite 159 Eureka MO 63025 481264699 Healthcare LA OLOL N\A false true Surgical Specialty Center of Baton Rouge 8080 Bluebonnet Boulevard Baton Rouge LA 70810 263160962 Healthcare LA OLOL N\A false true St Elizabeth - Mary Bird Perkins 4950 Essen Lane BATON ROUGE LA 70809 260628752 HEALTHCARE LA STEH N\A false true Regional Eye Surgery Center LLC 7777 Hennessy Blvd Suite 4000 BATON ROUGE LA 70808 721484653 HEALTHCARE LA OLOL N\A false true St Mary's Imaging Center II LLC 611 ST LANDRY STREET LAFAYETTE LA 70506 HEALTHCARE LA LOURDES IMAGING N/A false true NORTHEAST LA CANCER INSTITUTE 141 DESTARD STREET SUITE 704 MONROE LA 71201 721329499 HEALTHCARE LA NA RELATED 638741 3486411 false 0 true 0.50000 LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE LA 70808 201367299 HEALTHCARE LA LOURDES N\A false true LHCG-XIII LLC 420 WEST PINHOOK ROAD SUITE A LAFAYETTE LA 70503 208068308 HEALTHCARE LA LOURDES N\A false true ST ELIZABETH IMAGING CENTER 1125 HIGHWAY 30 GONZALES LA 70737 364701565 HEALTHCARE LA STEH N\A false true CAPITAL AREA SHARED SVC ORGANIZATIONLLC 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 275173212 HEALTHCARE LA OLOL N\A false true CAPITAL AREA SHARED SVC ORGANIZATIONLLC 5000 HENNESSY BLVD BATON ROUGE LA 70808 275173212 HEALTHCARE LA STEH N\A false true St Francis Insurance Agency 309 Jackson Street Monroe LA 71201 721435136 Insurance LA NA C CORP 125511 64208 1.00000 Hospital Assistance Services PO Box 4027-C Lafayette LA 70502 721073486 Healthcare LA LOURDES C Corp Louise Insurance Company PO BOX 1051 CJ KY1-1102 INSURANCE CJ FMOL C Corp 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 Bernard Brian Allain Memorial CRT 5000 Hennessy Boulevard Baton Rouge LA 70808 207114528 Investment LA OLOL Foundation Trust true false true true false false false false true true true true false false true false true true St Francis Ambulatory Services A 50245 ST FRANCIS AMBULATORY SERVICES J 310224 ST FRANCIS INSURANCE AGENCY A 33586 P&S SURGERY CENTER A 556270 P&S SURGERY CENTER K 309665 P&S SURGERY CENTER R 1560750