FURP.ORG / PUBLIC DATA EXPLORER

OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC (EIN 72-0423635)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349308067
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T19:04:29-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1450 Laurel Street Suite 1700AddressLine1
CityBaton RougeCity
StateLAState
ZIP Code70801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720423635EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Our Lady of Lourdes Regional MedicalBusinessNameLine1
Business Name Line2Center IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlOURLNameControl
Phone3374702000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14801 ambassador caffery parkwayAddressLine1
CityLafayetteCity
StateLAState
ZIP Code70508ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIM HEBERTName
TitleCFOTitle
Phone3374702000Phone
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2253444000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonWILLIAM BARROWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14801 AMBASSADOR CAFFERY PKWYAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70508ZIPCode
FieldValueIRS element (for citing)
Gross Receipts221619921GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LOURDES.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionThe purpose of the hospital is to provide for the care of the ill, injured, or disabled persons and to provide for research, education, and for the enhancement of health of those in the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1563TotalNbrEmployees
Total Nbr Volunteers71TotalNbrVolunteers
Total Gross UBI1988848TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year401832ContributionsGrantsPriorYear
Contributions Grants Current Year675869ContributionsGrantsCurrentYear
Program Service Revenue Prior Year160573650ProgramServiceRevenuePriorYear
Program Service Revenue CY147104911ProgramServiceRevenueCY
Investment Income Prior Year119196InvestmentIncomePriorYear
Investment Income Current Year12203330InvestmentIncomeCurrentYear
Other Revenue Prior Year1756957OtherRevenuePriorYear
Other Revenue Current Year20860796OtherRevenueCurrentYear
Total Revenue Prior Year162851635TotalRevenuePriorYear
Total Revenue Current Year180844906TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year313863GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY261905GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year67607968SalariesEtcPriorYear
Salaries Etc Current Year68439070SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year104104270OtherExpensePriorYear
Other Expenses Current Year93680400OtherExpensesCurrentYear
Total Expenses Prior Year172026101TotalExpensesPriorYear
Total Expenses Current Year162381375TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9174466RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18463531RevenuesLessExpensesCY
Total Assets BOY340534210TotalAssetsBOY
Total Assets EOY371525480TotalAssetsEOY
Total Liabilities BOY241094578TotalLiabilitiesBOY
Total Liabilities EOY254541033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY99439632NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY116984447NetAssetsOrFundBalancesEOY
Mission DescriptionINSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. EXTENDS THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. CALLS 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense130514499Expense
Grants269184Grants
Revenue145129609Revenue
DescriptionOUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTH 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. THE MEDICAL CENTER PROVIDED SERVICES FOR 41,760 PATIENT DAYS IN THE YEAR ENDED JUNE 30, 2011. SEE SCHEDULE O FOR FURTHER EXPLANATION.Description
Total Program Service Expense130514499TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096215NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1563NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIM HEBERTNamePerson
Telephone Number3374702000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14801 AMBASSADOR CAFFERY PARKWAYAddressLine1
CityLAFAYETTECity
StateLAState
ZIP Code70508ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WF BUD BARROW
CEO0.5XX044211362142
DAVID G BAKER
BOARD MEMBER0.5X000
GAIL ROMERO
BOARD MEMBER0.5X000
GERALD BOUDREAUX
SECRETARY0.5XX000
HENRY J KAUFMAN MD
BOARD MEMBER0.5X2287500
HENRY PERRET JR
BOARD CHAIR0.5XX000
JERRY REAUX
BOARD MEMBER0.5X000
JOHN SCHUTTE MD
BOARD MEMBER0.5X1050000
KEMP COREIL MD
BOARD MEMBER0.5X1519000
KENNETH L ODINET MD
BOARD MEMBER0.5X6120000
KEVIN MOODY
BOARD MEMBER0.5X000
RICHARD K BROUSSARD MD
BOARD MEMBER0.5X000
RONALD BRUMLEY
VICE CHAIRMAN0.5XX000
STEVE LANDRY PhD
BOARD MEMBER0.5X000
WAYNE ELMORE
BOARD MEMBER0.5X000
WILLIAM W RUCKS IV
BOARD MEMBER0.5X000
CHARLES T GOODSON
BOARD MEMBER0.5X000
SR BETTY LYONS
BOARD MEMBER0.5X000
JOHN L INDEST
BOARD MEMBER0.5X000
BRIAN LEBEAN
BOARD MEMBER0.5X000
SR VERNOLA LYONS
BOARD MEMBER0.5X000
MICHAEL H VANDERLICK
BOARD MEMBER0.5X22384300
KAREN O WYBLE
VP CARDIOVASCULAR SERVICES60.0X235812031267
KIM HEBERT
CFO, VP OF FINANCE50.0X201884043046
BARBARA FESKE
VP MANAGEMENT & SUPPORT SVCS60.0X181138054384
MONTE A WILSON
COO40.0X000
DANNA M CRAIN
CNO40.0X165471047015
KEVIN J DOMINGUE
VP TALENT MANAGEMENT60.0X150510034142
ANDRE E MOREAU
FORMER VP CORP DEVELOPMENT60.0X163829037300
ROBERT DAVIS
FORMER COO40.0X18768008035
KELLY CAHILL JR
STAFF PHYSICIAN40.0256969017016X
STEVEN J SNATIC
STAFF NEUROLOGIST40.0269852028142X
KAREN MANNING
STAFF PHYSICIAN40.0190162037476X
WARTELLE CASTILLE
STAFF PHYSICIAN40.0164828030049X
BRADLEY BLAPPERT
STAFF PHYSICIAN40.0152283029319X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2654026TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs442113TotalReportableCompFrmRltdOrgs
Total Other Compensation459333TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FMOL HEALTH SYSTEM INC
4200 ESSEN LANEBATON ROUGELA70809ADMINISTRATIVE SERV8407049
DAVID MCMANUS MD
600 E BAYOU PKWYLAFAYETTELA70503EMERGENCY ROOM DRS1206613
HOSPITALIST MEDICINE PHY
611 ST LANDRY STLAFAYETTELA70506PHYSICIAN1082625
SOUTHERN LITHOTRIPSY LLC
PO BOX 52014LAFAYETTELA70505CONSULTING3174841
ACADIANA ACUTE CARE ASSOCIATES
4906 AMBASSADOR CAFFERY 350LAFAYETTELA70508EMERGENCY ROOM SVCS1171042
FieldValueIRS element (for citing)
Number Of Contractors GT100 K129NumberOfContractorsGT100K
Related Organizations219258RelatedOrganizations
Government Grants129957GovernmentGrants
All Other Contributions326654AllOtherContributions
Total Contributions675869TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE900099139698486139698486
OUTREACH LAB REVENUE900099510134332811841820159
FOOD SERVICE REVENUE900099662321662321
PERSONAL FITNESS REVENUE900099523124523124
MISCELLANEOUS REVENUE9000991119637964494155143
FieldValueIRS element (for citing)
Total Program Service Revenue147104911TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13238523TotalRevenueColumn
Unrelated Business Revenue11616UnrelatedBusinessRevenue
Exclusion$13,226,907ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1504525Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real314217Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1190308Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1190308TotalRevenueColumn
Related Or Exempt Function Income-131345RelatedOrExemptFunctionIncome
Exclusion$1,321,653ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities39425605Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities40460798Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1035193Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1035193TotalRevenueColumn
Unrelated Business Revenue1930UnrelatedBusinessRevenue
Exclusion-$1,037,123ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ACCRUED PENSION90009918553394$18,553,394
HEART HOSPITAL MANAGEMENT FEE9000991117094$1,117,094
FieldValueIRS element (for citing)
Total Other Revenue19670488TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column180844906TotalRevenueColumn
Related Or Exempt Function Income144998264RelatedOrExemptFunctionIncome
Unrelated Business Revenue1988848UnrelatedBusinessRevenue
Exclusion$33,181,925ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total249905Total
Program Services249905ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total12000Total
Program Services12000ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4536272Total
Program Services3674380ProgramServices
Management And General861892ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total47360508Total
Program Services38362011ProgramServices
Management And General8998497ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7168948Total
Program Services5663469ProgramServices
Management And General1505479ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5686683Total
Program Services4606213ProgramServices
Management And General1080470ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3686659Total
Program Services2986194ProgramServices
Management And General700465ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total199750Total
Management And General199750ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total272393Total
Management And General272393ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37834193Total
Program Services31282273ProgramServices
Management And General6551920ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1084675Total
Management And General1084675ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37470988Total
Program Services34472234ProgramServices
Management And General2998754ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5158973Total
Program Services2734256ProgramServices
Management And General2424717ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total69553Total
Management And General69553ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total208625Total
Program Services75105ProgramServices
Management And General133520ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2796791Total
Program Services1426363ProgramServices
Management And General1370428ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7252619Total
Program Services3916414ProgramServices
Management And General3336205ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1324561Total
Program Services1046403ProgramServices
Management And General278158ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER EXPENSEDescription
Total7279Total
Program Services7279ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total162381375Total
Program Services130514499ProgramServices
Management And General31866876ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4387316BOY
EOY26832749EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13556188BOY
EOY4423714EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22430543BOY
EOY25606651EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1730568BOY
EOY1796675EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3385971BOY
EOY3901208EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1662844BOY
EOY1631890EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis435725542LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec161466524LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY182459739BOY
EOY274259018EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY36593404BOY
EOY4841166EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY55338355BOY
EOY7541163EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4186751BOY
EOY4882542EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12022577BOY
EOY12022577EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2779954BOY
EOY3786127EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY340534210BOY
EOY371525480EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29090674BOY
EOY62657350EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY153728323BOY
EOY151381883EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58275581BOY
EOY40501800EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY241094578BOY
EOY254541033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY99439632BOY
EOY116984447EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99439632BOY
EOY116984447EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY340534210BOY
EOY371525480EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18463531ReconcilationRevenueExpenses
Reconcilation Other Changes-918716ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$68,851GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB68851TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis26757746OtherCostOrOtherBasis
Book Value26757746BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis190283836OtherCostOrOtherBasis
Depreciation1298876Depreciation
Book Value188984960BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3980719OtherCostOrOtherBasis
Depreciation2129427Depreciation
Book Value1851292BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis103885090OtherCostOrOtherBasis
Depreciation65131706Depreciation
Book Value38753384BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis110818151OtherCostOrOtherBasis
Depreciation92906515Depreciation
Book Value17911636BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings274259018TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PROF. & GENERAL LIABILITY$812,102
ACCRUED PENSION COST$39,469,537
BOND DISCOUNT$220,161
FieldValueIRS element (for citing)
Total Of Amounts40501800TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XIVReturnReference
Explanation"THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS." THERE WAS NO IMPACT ON THE FINANCIAL STATEMENTS AS A RESULT OF FIN 48.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures8674607TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent8674607SubtotalAmountSpent
Total Amount Spent8674607TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCent. America/CaribbeanRegion
Purpose Of GrantHAITI MISSION DONATIONSPurposeOfGrant
Amount Of Cash Grant12000AmountOfCashGrant
Manner Of Cash DisbursementCASHMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense844773TotalCommunityBenefitExpense
Net Community Benefit Expense844773NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14222097TotalCommunityBenefitExpense
Direct Offsetting Revenue9640585DirectOffsettingRevenue
Net Community Benefit Expense4581512NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1825528TotalCommunityBenefitExpense
Direct Offsetting Revenue1301936DirectOffsettingRevenue
Net Community Benefit Expense523592NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16892398TotalCommunityBenefitExpense
Direct Offsetting Revenue10942521DirectOffsettingRevenue
Net Community Benefit Expense5949877NetCommunityBenefitExpense
Percent Of Total Expense0.03160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense543517TotalCommunityBenefitExpense
Direct Offsetting Revenue157842DirectOffsettingRevenue
Net Community Benefit Expense385675NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense128740TotalCommunityBenefitExpense
Net Community Benefit Expense128740NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1213483TotalCommunityBenefitExpense
Direct Offsetting Revenue229317DirectOffsettingRevenue
Net Community Benefit Expense984166NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense355838TotalCommunityBenefitExpense
Direct Offsetting Revenue108072DirectOffsettingRevenue
Net Community Benefit Expense247766NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2241578TotalCommunityBenefitExpense
Direct Offsetting Revenue495231DirectOffsettingRevenue
Net Community Benefit Expense1746347NetCommunityBenefitExpense
Percent Of Total Expense0.00920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19133976TotalCommunityBenefitExpense
Direct Offsetting Revenue11437752DirectOffsettingRevenue
Net Community Benefit Expense7696224NetCommunityBenefitExpense
Percent Of Total Expense0.04080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,049,557BadDebtExpenseAmount
Amount Reimbursed By Medicare52016163AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare56839953CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4823790MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
LOURDES IMAGING DEV
LEASOR OF IMAGING PROP & EQUI0.226910.032550.74055
HEART HOSP OF LAFFAY
SPECIALTY HOSPITAL0.600000.000000.20360
PARK PLAZA SURGICAL
AMBULATORY SURGICAL CENTER0.450000.049100.38990
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
OUR LADY OF LOURDES RMC
14801 AMBASSADOR CAFFERY PARKWAYLAFAYETTELA70508XXX
HEART HOSPITAL OF ACADIANA LLC
21105 KALISTE SALOOM ROADLAFAYETTELA70508XXX
PARK PLACE SURGERY CENTER LLC
3901 WILSON STREETLAFAYETTELA70503XSURGERY CENTER

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
OUR LADY OF LOURDES RMC
1
HEART HOSPITAL OF ACADIANA LLC
2
PARK PLACE SURGERY CENTER LLC
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LOURDES IMAGING NETWORK LLC
411 ST LANDRY STREETLAFAYETTELA70506IMAGING CENTER
LOURDES AFTER HOURS LLC
2130 KALISTE SALOOM ROADLAFAYETTELA70508HEALTHCARE CLINIC
LHCG-XIII LLC
601 WEST ST MARY BLVD SUITE 309LAFAYETTELA70506HOME HEALTH AGENCY

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I LINE 3COUR LADY OF THE LOURDES REGIONAL MEDICAL CENTER USES INFORMATION OBTAINED RELATED TO INCOME LEVELS, ETC. TO DETERMINE ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. ALL SELF PAY ACCOUNTS GET AN AUTOMATIC 25% DISCOUNT.
PART I LINE 7GTHE MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH SERVICES. THE DISCOUNT PROVIDED BRINGS CHARGES DOWN TO COST FOR ALL PATIENTS WHO HAVE NO FORM OF INSURANCE COVERAGE. PROGRAMS SUCH AS SCOTT FAMILY CLINIC, WHICH SERVES THE UNDERINSURED OR UNINSURED AND ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION ARE ALSO INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE.
PART I LINE 7THE 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, 7G, AND 7I, IRS WORKSHEETS 4-8 WERE USED. DIRECT COSTS WERE CAPTURED FROM THE THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G THE FOLLOWING METHODOLOGY WAS USED DUE TO THE FACT THAT MANY OF THE DEPARTMENTS INCLUDED IN SUBSIDIZED HEALTH SERVICES HAVE NO CHARGES. THEREFORE, THE COST TO CHARGE RATIO COULD NOT BE UTILIZED. COST FIGURES FOR THESE WERE CALCULATED FROM DIRECT DEPARTMENTAL COSTS PLUS AN OVERHEAD ALLOCATION (AS REFLECTED ON THE MEDICARE COST REPORT) LESS DIRECT OFFSETTING REVENUE.
PART III LINE 4THE MEDICAL CENTER'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE FOR BAD DEBT EXPENSE. HOWEVER, BAD DEBTS ARE BASED ON THE AGING OF THE ACCOUNTS AND ALSO THE HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE DIFFERENT AGING CATEGORIES I.E. 0-30, 30-60, ETC. FURTHER ANALYSES ARE DONE PERIODICALLY TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING THE BAD DEBT EXPENSE. COST TO CHARGE RATIO WAS USED TO DETERMINE THE COST OF BAD DEBT EXPENSE REPORTED IN PART III LINE 2. BAD DEBT EXPENSE DOES NOT INCLUDE DISCOUNTS THAT ARE PROVIDED, NOR ARE AMOUNTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE INCLUDED. ANY AMOUNTS (PAYMENTS) RECEIVED ON ACCOUNTS AFTER THEY HAVE BEEN DEEMED TO BE UNCOLLECTIBLE (BAD DEBT) ARE RECORDED AS A RECOVERY (REDUCTION) OF BAD DEBT EXPENSE.
PART III LINE 8THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENT AND GUIDELINES. THE MEDICARE COST REPORT (MCR) IS AN ANNUAL REPORT REQUIRED OF ALL INSTITUTIONS PARTICIPATING IN THE MEDICARE PROGRAM. THE MCR RECORDS EACH INSTITUTION'S TOTAL COSTS AND CHARGES ASSOCIATED WITH PROVIDING SERVICES TO ALL PATIENTS, THE PORTION OF THOSE COSTS AND CHARGES ALLOCATED TO MEDICARE PATIENTS, AND THE MEDICARE PAYMENTS RECEIVED.
PART III LINE 9BOUR LADY OF LOURDES RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTHCARE TO THOSE WHO ARE UNABLE TO PAY. THE HOSPITAL ALSO RECOGNIZES THAT IT HAS AN OBLIGATION TO MAINTAIN LONG-TERM FINANCIAL STABILITY AND VIABILITY. BASED ON OUR VALUES, THE HOSPITAL IS COMMITTED TO PROVIDING SERVICES AT NO CHARGE OR AT REDUCED RATES TO THOSE PATIENTS WHO MEET PRE-DETERMINED FINANCIAL AND MEDICAL QUALIFICATIONS. PATIENTS WHO QUALIFY FOR CHARITY CARE SHOULD BE IDENTIFIED PRIOR TO, OR AT TIME OF ADMISSION. THE HOSPITAL MAY ALSO REVIEW A PATIENTS' ABILITY TO PAY AFTER DISCHARGE AS APPROPRIATE. WHEN IT IS DETERMINED THAT A PATIENT HAS NO MEANS TO PAY, THEY ARE PROVIDED THE FINANCIAL ASSISTANCE (FA) INFORMATION AND THE FA APPLICATION. FINANCIAL ASSISTANCE IS BASED ON THE PATIENT'S INCOME LEVEL AS DICTATED IN THE FINANCIAL ASSISTANCE POLICY. THE PATIENT'S ACCOUNT MAY BE WRITTEN OFF TO CHARITY WHEN IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. THE ACCOUNT IS ALSO REMOVED FROM THE COLLECTION PROCESS AT THAT TIME. ALL REQUESTS FOR ASSISTANCE WILL REMAIN CONFIDENTIAL, AND THE HOSPITAL WILL NOT DISCRIMINATE IN THE APPLICATION OF ITS CHARITY POLICY BASED UPON RACE, CREED, COLOR, SEX OR NATIONAL ORIGIN.
PART VI LINE 2THE COMMUNITY SERVICES DEPARTMENT AT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER WAS FORMED NEARLY 10 YEARS AGO TO ASSESS THE COMMUNITY NEEDS. IT HAS GROWN INTO 5 DISTINCT SERVICE AREAS WHICH PROVIDES HEALTHCARE TO NEEDY RESIDENTS IN THE ACADIANA AREA. IN TAKING "HEALTHCARE TO THE HIGHEST POWER", THE DEPARTMENT REACHES OUT TO THOSE MOST IN NEED, SPECIFICALLY, THE UNINSURED AND UNDERINSURED. IN PURSUING THE MISSION TO IMPROVE THE HEALTH STATUS OF ACADIANA'S POOREST RESIDENTS, THE DEPARTMENT HAS STRATEGICALLY PLACED ACCESSIBLE SERVICES THROUGHOUT THE COMMUNITY. COMMUNITY SERVICES' CATHOLIC IDENTITY IS MADE TANGIBLE IN THE COMMUNITY THROUGH THESE UNIQUE SERVICES. THE DEPARTMENT STEWARDS ITS RESOURCES BY ENGAGING COMMUNITY MEMBERS, FORMING PARTNERSHIPS, AND ESTABLISHING COLLABORATIVE RELATIONSHIPS. THESE UNIQUE SERVICES CLEARLY DISTINGUISH OUR LADY OF LOURDES FROM OTHER HEALTHCARE FACILITIES IN ACADIANA. THE MEDICAL CENTER DOES EXTENSIVE RESEARCH REGARDING COMMUNITY ISSUES AND NEEDS WITHIN ITS SERVICE AREAS. THE RESEARCH IS CONDUCTED IN AN EFFORT TO DETERMINE IF ITS COMMUNITY BENEFIT PROGRAMS ARE STILL APPROPRIATE AND TO DETERMINE IF OTHER PROGRAMS ARE NEEDED. THE SENIOR EXECUTIVE TEAM DETERMINES THE FOCUS GROUPS TO BETTER UNDERSTAND WHAT THE PEOPLE WITHIN THE REGION CONSIDER TO BE THE MAJOR COMMUNITY NEEDS. THE FOCUS GROUP INCLUDES COMMUNITY LEADERS, RELIGIOUS LEADERS, COMMUNITY SERVICE EMPLOYEES, LOW WAGE EMPLOYEES AND CLIENTS FROM CLINICS. SOME OF THE RESULTS OF THE MEDICAL CENTER'S NEEDS ASSESSMENT INCLUDE: ST. CLARE'S CLINIC ST. BERNADETTE'S COMMUNITY CLINIC NORTHSIDE HIGH SCHOOL BASED HEALTH CENTER SCOTT FAMILY CLINIC CONGREGATIONAL HEALTH SERVICESNEEDS ASSESSMENT
PART VI LINE 3PATIENTS ARE GIVEN THE MEDICAL CENTER'S PATIENT HANDBOOK WHERE THEY ARE REFERRED TO THE SECTION ENTITLED "FINANCIAL INFORMATION - WHAT TO EXPECT". FINANCIAL COUNSELORS ALSO MEET WITH THE PATIENTS AND EDUCATE THEM ABOUT THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS AND ALSO THE ORGANIZATION'S FINANCIAL ASSISTANCE (CHARITY) PROGRAM. FOR THE CONVENIENCE OF THE PATIENTS, THE MEDICAL CENTER ALSO OPERATES A MEDICAID ENROLLMENT CENTER TO ASSIST PATIENTS INTERESTED IN APPLYING FOR MEDICAID BENEFITS. THIS OFFICE IS OPEN MONDAY - FRIDAY FROM 8:00 A.M. - 4:00 P.M. A TELEPHONE NUMBER IS ALSO PROVIDED IN THE HANDBOOK.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI LINE 4THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTH NEEDS OF THE PEOPLE OF GOD, THE BOARD OF DIRECTORS HAVE ESTABLISHED A POLICY UNDER WHICH THE MEDICAL CENTER PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER SERVES LAFAYETTE PARISH AND ITS SURROUNDING AREAS. APPROXIMATELY 205,000 PEOPLE LIVE IN LAFAYETTE PARISH AND 650,000+ IN THE TOTAL SERVICE AREA WITH EXPECTED GROWTH IN THE NEXT FEW YEARS.COMMUNITY INFORMATION
PART VI, LINE 5SEE THE QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REPORT ON SCHEDULE O.PROMOTION OF COMMUNITY HEALTH
PART VI LINE 6OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONAIRIES OF OUR LADY HEALTH SYSTEM, INC. IS THE SOLE MEMBER. FRANCSCAN MISSIONAIRIES OF OUR LADY HEALTH SYSTEM, INC. ALSO INCLUDES SEVERAL OTHER HOSPITALS IN LOUISIANA: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITALAFFILIATED HEALTH CARE SYSTEM

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LOURDES FOUNDATION
4801 AMBASSADOR CAFFERYLAFAYETTELA70508720513639501(c)(3)94000GENERAL SUPPORT
LAF COMMUNITY HEALTHCARE CLINIC
1317 JEFFERSON STLAFAYETTELA70501721221982501(C)(3)108390GENERAL SUPPORT
ST BERNADETTE FOUNDATION GRANT
4801 AMBASSADOR CAFFERYLAFAYETTELA70508720423635501(C)(3)7279GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Line 2Identifier
ExplanationA compliance report is submitted by the organization receiving the grant at the end of the grant period.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KELLY CAHILL JR
173419083287026309800072160273985000
STEVEN J SNATIC
26977208000098000183420297994000
KAREN MANNING
18941604330313029687077890227638000
WARTELLE CASTILLE
1519610123600507069140231350194877000
BRADLEY BLAPPERT
15220308000064030229160181602000
KAREN O WYBLE
182358038887014567093620219050267079000
KIM HEBERT
1614210258960145670194250236210244930000
BARBARA FESKE
1518500161980130900332300211540235522000
DANNA M CRAIN
136694022086066910214110256040212486000
KEVIN J DOMINGUE
135895010380042350126350215070184652000
ANDRE E MOREAU
1304700184220149370155960217040201129000
WF BUD BARROW
0368003055009019101042364019778050425500
MICHAEL H VANDERLICK
223843000000000223843000
ROBERT DAVIS
1487930289000998700080350195715000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, PART I, LINE 4BFMOL HEALTH SYSTEM, INC. (A RELATED TAX-EXEMPT ORGANIZATION) MAINTAINS FOUR SEPARATE, UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID AT THE EARLIEST OF ONE'S DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO THE APPROVAL OF FMOL HEALTH SYSTEM, INC. BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO PERSONS LISTED IN FORM 990, PART VII, SECTION A RECEIVED PAYMENTS FROM THESE DEFERRED COMPENSATION PLANS DURING THE CURRENT YEAR.
SCHEDULE J, PART I, LINE 7DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO.
SCHEDULE J, PART I, LINE 4ATHE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGES FROM 18 MONTHS TO 36 MONTHS DEPENDING ON THE LENGTH OF SERVICE OF SUCH EXECUTIVE. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. OTHER PERSONS LISTED ON PART VII, SECTION A ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT DUE TO REORGANIZATION OF HOSPITAL DEPARTMENTS, HOSPITAL FUNCTIONS OR DOWNSIZING ACTIVITY. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS OR HER BASE SALARY AND MEDICAL/DENTAL BENEFITS FOR THE ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGES FROM 3 WEEKS TO 12 MONTHS DEPENDING ON THE LENGTH OF SERVICE AND THE LEVEL OF SUCH EMPLOYEE. NO PAYMENTS TO INDIVIDUALS LISTED IN PART VII, SECTION A WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LOUISIANA PHYSICIAN CORPORATION
BD MEMBER IS PART OWNER204115MED BILLING SVCS TO LOURDES RMfalse
LHC GROUP
BD MEMBER IS A BD MEMBER130293JOINT VENTUREfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART VI, SECTION A, QUESTION 11AFTER PREPARATION AND REVIEW 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 12COUR LADY OF LOURDES REGIONAL MEDICAL CENTER HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS OF POSSIBLE CONFLICTS OF INTERESTS ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN.
PART VI, SECTION C, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VI, SECTION A, QUESTION 7aFMOL HEALTH SYSTEM INC., AS THE SOLE MEMBER OF THE MEDICAL CENTER, RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER.
PART VI, SECTION B, QUESTION 15A & 15BTHE PRESIDENT AND CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS AN EMPLOYEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) WHOSE SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION. SUCH PAY PRACTICES INCLUDE THE USE OF AN INDEPENDENT BOARD COMMITTEE WHICH REVIEWS COMPENSATION ANNUALLY AFTER OBTAINING AND RELYING UPON INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE CEO. THE CEO IS PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO THEN USES THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND DOCUMENTS THE HUMAN RESOURCE FILES.
PROGRAM SERVICE ACCOMPLISHMENTSOUR LADY OF LOURDES REGIONAL MEDICAL CENTER SERVICE TO THE COMMUNITY - 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. THE MEDICAL CENTER ALSO PARTICIPATES IN GOVERNMENT PROGRAMS INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. UNDER THESE PROGRAMS, THE MEDICAL CENTER PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH ARE DETERMINED BY THE FEDERAL AND STATE GOVERNMENTS, REGARDLESS OF ACTUAL COST. IN SOME CASES, THESE PROGRAMS PAY THE MEDICAL CENTER AT AMOUNTS WHICH ARE LESS THAN ITS COST OF PROVIDING SERVICES. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE (I.E., CONTRACTUAL ADJUSTMENTS) 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 AND OTHER SUCH AGREEMENTS. THE BELOW FIGURES USE SLIGHTLY DIFFERENT ASSUMPTIONS FROM SCHEDULE H AND THEREFORE AMOUNTS MAY VARY. 2011 CHARGES FORGONE MEDICARE $127,549,941 MEDICAID 27,676,793 TRICARE 2,055,148 CHARITY 2,197,239 TOTAL 159,479,121 ESTIMATED UNREIMBURSED COSTS MEDICARE $25,272,469 MEDICAID 7,897,996 TRICARE 934,545 CHARITY 999,159 TOTAL 35,104,169 IN ADDITION TO COMMUNITY SERVICES DIRECTLY ASSOCIATED WITH PROVIDING HOSPITAL-BASED CARE, THE MEDICAL CENTER SERVES THE COMMUNITY IN NUMEROUS OTHER WAYS. FOR EXAMPLE: THE MEDICAL CENTER SPONSORS THE ST. BERNADETTE'S CLINIC. ST. BERNADETTE'S PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION IN THE ACADIANA AREA. LOURDES PROVIDES THE SERVICES OF A NURSE PRACTITIONER AND REGISTERED NURSE. THE COST ASSOCIATED WITH THE CLINIC APPROXIMATED $604,336 FOR THE YEAR ENDED JUNE 30, 2011. DURING 1996, THE MEDICAL CENTER BEGAN OPERATING THE NORTHSIDE HIGH SCHOOL HEALTH CENTER. THE CENTER IS COMMITTED TO PROVIDING EXEMPLARY COMPREHENSIVE HEALTH CARE TO THE STUDENTS AT NORTHSIDE HIGH SCHOOL. PHYSICAL AND PSYCHOSOCIAL SERVICES ARE PROVIDED BY A DEDICATED STAFF IN AN INFORMAL AND CONFIDENTIAL ATMOSPHERE THAT IS EASILY ACCESSIBLE TO ALL STUDENTS. EMPHASIS IS PLACED ON WELLNESS, AVOIDING HIGH RISK BEHAVIORS, AND MEETING THE INDIVIDUAL MEDICAL, EMOTIONAL AND SOCIAL NEEDS OF ADOLESCENTS AT NO COST TO THE STUDENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE HEALTH CENTER APPROXIMATED $348,721 FOR THE YEAR ENDED JUNE 30, 2011. CONGREGATIONAL HEALTH SERVICES BEGAN MARCH 2001 AT IMMACULATE HEART OF MARY CHURCH AND THEN EXPANDED TO PROGRESSIVE BAPTIST CHURCH, WHICH ARE CHURCHES IN THE LAFAYETTE AREA. CURRENTLY, THERE ARE TWO PART-TIME NURSES AND ONE NURSE PRACTITIONER WHO COORDINATE THE PROGRAM. THE NURSES HAVE SPECIALIZED TRAINING AS HEALTH EDUCATORS, REFERRAL SOURCES, HEALTH COUNSELORS, HEALTH ADVOCATES AND VOLUNTEER COORDINATORS. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $102,199 FOR THE YEAR ENDED JUNE 30, 2011. THE MEDICAL CENTER HAS PURCHASED THE "CAMP BLUEBIRD" FRANCHISE, A CAMP FOR ADULT CANCER PATIENTS, PROVIDING SUCH PATIENTS A SECURE AND MEDICALLY SUPERVISED ENVIRONMENT, AND OFFERING THERAPEUTIC SHARING OPPORTUNITIES AS WELL AS INFORMATION REGARDING THE EDUCATIONAL, MEDICAL AND PSYCHOLOGICAL CONCERNS OF THE CAMPERS. THE MEDICAL CENTER SPONSORS THE SCOTT FAMILY CENTER (THE CENTER), WHICH BEGAN IN 1998 AS A PEDIATRIC CLINIC AND KIDMED (A STATE-SPONSORED HEALTH PROGRAM) AND HAS NOW EVOLVED INTO A FAMILY CLINIC WITH KIDMED SERVICES. A PEDIATRIC NURSE PRACTITIONER, FAMILY NURSE PRACTITIONER AND CLERICAL STAFF OPERATE THE FACILITY. THE CENTER SERVES UNDERINSURED, UNINSURED, AND LACHIP (A STATE-SPONSORED HEALTH PROGRAM) ENROLLMENT. THE FACILITY IS A MAJOR PROVIDER OF IMMUNIZATIONS AS AN ALTERNATE SOURCE TO THE LAFAYETTE PARISH HEALTH UNIT. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $552,882 FOR THE YEAR ENDED JUNE 30, 2011. THE MEDICAL CENTER DONATES THE SERVICES OF ONE FULL-TIME REGISTERED NURSE TO THE LAFAYETTE COMMUNITY HEALTH CARE CLINIC (THE CLINIC). THE CLINIC TARGETS INDIVIDUALS AND FAMILIES WHO ARE EMPLOYED OR TEMPORARILY UNEMPLOYED AND UNINSURED. PHYSICIANS, DENTISTS, NURSES, AND PHARMACISTS ARE ON HAND TO TREAT PATIENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE CLINIC APPROXIMATED $19,534 FOR THE YEAR ENDED JUNE 30, 2011. THE MEDICAL CENTER ALSO HAD ESTIMATED COSTS OF $32,671 ASSOCIATED WITH EMERGENCY PREPAREDNESS AND $128,740 ASSOCIATED WITH HEALTH PROFESSIONS EDUCATION FOR THE YEAR ENDED JUNE 30, 2011. THE FOLLOWING TABLE SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES NOTED ABOVE FOR THE YEAR ENDED JUNE 30, 2011: 2011 ST. BERNADETTE'S $604,336 NORTHSIDE HIGH SCHOOL HEALTH CENTER 348,721 CONGREGATIONAL HEALTH SERVICES 102,199 SCOTT FAMILY CENTER 552,882 LAFAYETTE COMMUNITY HEALTH CARE CLINIC 19,534 HEALTH PROFESSIONS EDUCATION 128,740 EMERGENCY PREPAREDNESS 32,671 ------------- TOTAL $1,789,083 ALTHOUGH THE MEDICAL CENTER HAS ESTIMATED THE COST OF THESE EFFORTS TO SERVE THE ACADIANA COMMUNITY, MANAGEMENT AND THE BOARD OF DIRECTORS BELIEVE THAT SUCH COSTS REPRESENT ONLY ONE FACET OF THE MANY WAYS THAT THE MEDICAL CENTER AND ITS RELATED ORGANIZATIONS SERVE THE ACADIANA AREA.FORM 990 PART III
PART VI, SECTION A, QUESTION 7BTHE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION; 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION; 3. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES; 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION; 6. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 7. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION; 8. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION; 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION; 10. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHARGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION; 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
PART VI, SECTION A, QUESTION 6FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER.
PART VI, SECTION A, QUESTION 2HENRY PERRET, JR. & KEVIN MOODY - BUSINESS RELATIONSHIP HENRY PERRET, JR. & WILLIAM W. RUCKS, IV - BUSINESS RELATIONSHIP KEVIN MOODY & WILLIAM W. RUCKS, IV - BUSINESS RELATIONSHIP CHARLES GOODSON & WILLIAM W. RUCKS, IV- BUSINESS RELATIONSHIP
PART XI, LINE 5UNREALIZED LOSS (2,773,129) UNREALIZED GAIN ON INVESTMENTS 71,335 CAPITAL TRANSFER (4,991,022) EQUITY CONTRIBUTIONS 6,774,100 TOTAL CHANGES TO FUND BALANCE (918,716)
PART VI, SECTION B, QUESTION 14THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A DOCUMENT RETENTION POLICY IN PLACE ALTHOUGH IT WAS NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE JUNE 30, 2011. THE ORGANIZATION INTENDS TO HAVE THIS POLICY APPROVED BY OUR LADY OF LOURDES REGIONAL MEDICAL CENTERR'S BOARD OF DIRECTORS OR COMMITTEE THEREOF.
PART VI, SECTION B, QUESTION 16A & 16BTHROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A JOINT VENTURE POLICY IN PLACE ALTHOUGH IT WAS NOT APPROVED BY THE ORGANIZATON'S BOARD OF DIRECTORS BEFORE JUNE 30, 2011. THE ORGANIZAITON INTENDS TO HAVE THE POLICIES APPROVED BY OUR LADY OF LOURDES REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS OR COMMITTEE THEREOF.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:W.F. "BUD" BARROW TITLE:CEO HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:KIM HEBERT TITLE:CFO, VP OF FINANCE HOURS:FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St Bernard Health Fund
4200 Essen LaneBaton RougeLA70809204685614HealthcareLA501(C)(3)11 Type 1FMOLHS
Health Partners Network of South LA
611 St Landry StreetLafayetteLA70506HealthcareLA501(c)(3)3LOURDES RMC

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Lourdes Imaging Center LLC
611 St Landry StreetLafayetteLA70503208326214HealthcareLANArelated500637010371545false$0true0.98900
Heart Hospital of Acadiana
1105 Kaliste Saloom RoadLafayetteLA70508300442368HealthcareLANARELATED116573723858359false$0true0.60000
Perkins Plaza Medical Arts Development
5000 Hennessy BoulevardBaton RougeLA70808450516574Real EstateLAOLOLN/Afalsetrue
Perkins Plaza Imaging Center
5000 Hennessy BoulevardBaton RougeLA70808203697665HealthcareLAOLOLN/Afalsetrue
Perkins Plaza Imaging Development
5000 Hennessy BoulevardBaton RougeLA70808203894521Real EstateLAOLOLN/Afalsetrue
Nuclear Imaging LLC
5000 Hennessy BoulevardBaton RougeLA70808721470061HealthcareLAOLOLN/Afalsetrue
P&S Surgery Center LLC
312 Grammont StreetMonroeLA71201721387870HealthcareLASt FrancisN/Afalsetrue
St Francis Pediatric After Hours LLC
Post Office 207MonroeLA71210061782572HealthcareLASt FrancisN/Afalsetrue
Lourdes Imaging Development LLC
611 St Landry StreetLafayetteLA70503208326287Real EstateLANARELATED96952342907false$0true0.29900
Park Place Surgical Hospital
901 Wilson StreetLafayetteLA70503721404092HealthcareLANARELATED258335515874774false$0true0.75300
BRPT Lake Rehabilitation Centers LLC
530 Shadows LaneBaton RougeLA70806721506100HealthcareLAOLOLN/Afalsetrue
Convenient Care LLC
7777 Hennessy Boulevard Suite 1004Baton RougeLA70808721439481HealthcareLAOLOLN/Afalsetrue
Perkins Plaza Ambulatory Surgery Center
54 The Legends Parkway Suite 159EurekaMO63025481264699HealthcareLAOLOLN/Afalsetrue
Surgical Specialty Center of Baton Rouge
8080 Bluebonnet BoulevardBaton RougeLA70810233160962HEALTHCARELAOLOLN/Afalsetrue
St Elizabeth - Mary Bird Perkins
4950 Essen LaneBaton RougeLA70809260628752HealthcareLASTEHN/Afalsetrue
Regional Eye Surgery Center LLC
7777 Hennessy Blvd Suite 4000BATON ROUGELA70808721484653HealthcareLAOLOLN/Afalsetrue
St Mary's Imaging Center II LLC
611 St Landry StreetLafayetteLA70506HealthcareLALourdes ImagingN/Afalsetrue
Northeast LA Cancer Institute
141 Destard Street Suite 704MonroeLA71201721329499HealthcareLASt FrancisN/Afalsetrue
Lourdes After Hours LLC
611 ST LANDRY STREETLAFAYETTELA70506201367299HealthcareLANARELATED268319182false$0true0.50000
LHCG-XIII LLC
420 West Pinhook Road Suite ALafayetteLA70503208068308HealthcareLANARELATED88087147886false$0true0.33330
ST ELIZABETH IMAGING CENTER
1125 HIGHWAY 30GONZALESLA70737364701565HEALTHCARELASTEHN/Afalsetrue
CAPITAL AREA SHARED SERVICES ORGANIZATIO
5000 HENNESSY BOULEVARDBATON ROUGELA70808275173212HEALTHCARELASTEHN/Afalsetrue
CAPITAL AREA SHARED SERVICES ORGANIZATIO
5000 HENNESSY BOULEVARDBATON ROUGELA70808275173212HEALTHCARELAOLOLN/Afalsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
St Francis Insurance Agency
309 Jackson StreetMonroeLA71201721435136InsuranceLASt FrancisC Corp
Hospital Assistance Services
PO Box 4027-CLafayetteLA70502721073486HealthcareLANAC Corp001.00000
Louise Insurance Company
InsuranceFMOLC CorpPO Box 1051CJKY1-1102CJ
Monroe Health Services
PO Box 3187MonroeLA71210721057820HealthcareLAAmbulatoryC Corp
Northeast LA Health Network
309 Jackson StreetMonroeLA71201721294587HealthcareLAAmbulatoryC Corp
Bernard Brian Allain Memorial CRT
5000 HENNESSY BOULEVARDBATON ROUGELA70808207114528InvestmentLAOLOL FoundationTrust
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LOURDES IMAGING CENTER LLC
R4324000
PARK PLACE SURGERY CENTER LLC
R2931545
LOURDES IMAGING CENTER LLC
A129928
LOURDES IMAGING DEVELOPMENT LLC
R170000
HEART HOSPITAL OF LAFAYETTE LLC
R2280000
HEART HOSPITAL OF LAFAYETTE LLC
K1117094
LOURDES FOUNDATION
B94000
LOURDES IMAGING CENTER LLC
K43200
LOURDES IMAGING CENTER LLC
L1119934