2012-05-15T16:13:54-04:00 2011-06-30 KPMG LLP 450 Laurel Street Suite 1700 Baton Rouge LA 70801 990 2010-07-01 721494532 LOURDES FOUNDATION INC LOUR 3374702000 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 KIM HEBERT 3374702000 2012-05-15 true 2253444000 2010 2016-02-24 21:20:13Z X William F Barrow 4801 AMBASSADOR CAFFERY PKWY Lafayette LA 70508 1085016 false 0928 X N/A X 2001 LA We seek and facilitate gifts to provide charitable healthcare programs and services that support the mission of Our Lady of Lourdes Regional Medical Center, Inc. and are not funded by traditional resources. 23 22 0 50 167 0 776739 968994 0 0 95087 47803 -47377 -32469 824449 984328 226795 578236 0 0 36221 35997 0 0 62890 66622 41011 329638 655244 494811 329084 1718038 2247033 876 996 1717162 2246037 WE SEEK AND FACILITATE GIFTS TO PROVIDE CHARITABLE HEALTHCARE PROGRAMS AND SERVICES THAT SUPPORT THE MISSION OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. AND ARE NOT FUNDED BY TRADITIONAL RESOURCES. false false 581836 578236 Grants are made to or on behalf of Our Lady of the Lourdes Regional Medical Center to promote the welfare of the hospital and increase its usefulness to the citizens of Lafayette Parish, Louisiana and the USA. 581836 true true false false false false false false false true true false false false true false true false false true false false true true false false true false true false false false false false false false false true false false false false true false false false false true 0 0 0 true true false false false false true true false false false false false X 23 22 false false false false true true true true true false false true false false false false false false X KIM L HEBERT 3374702000 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 Bryan Hanks 0.3 X X 0 0 0 EJ Krampe 0.3 X 0 0 0 Frank Stagno 0.3 X X 0 0 0 Harriett Daly 0.3 X 0 0 0 Hunter Trahan 0.3 X 0 0 0 Ian Macdonald 0.3 X X 0 0 0 Jim Prince 0.3 X X 0 0 0 John Mendell 0.3 X 0 0 0 Lenny Lemoine 0.3 X 0 0 0 Mike Michot 0.3 X 0 0 0 Rob Eddy 0.3 X 0 0 0 Robert Mahtook Jr 0.3 X 0 0 0 Sr Betty Lyons 0.3 X 0 0 0 Taylor Davis 0.3 X 0 0 0 JOE GIGLIO 0.3 X 0 0 0 William F Barrow 0.3 X X 0 442113 62142 JULIE DRONET 0.3 X 0 0 0 Mike Hamner 0.3 X 0 0 0 Jake Crater 0.3 X 0 0 0 Craig Perks 0.3 X 0 0 0 MIKE MONCLA 0.3 X 0 0 0 MSR KEITH DEROUEN 0.3 X 0 0 0 PAUL BREAUX MD 0.3 X 0 0 0 KIM HEBERT 0.3 X 0 201884 43046 0 643997 105188 0 false true false 0 124644 135664 708686 92257 968994 0 21561 143 21418 0 0 54155 27913 26242 26242 24 26218 40306 124644 72775 -32469 -32469 0 0 0 984328 167 15167 578236 578236 0 0 0 0 0 35997 3600 3600 28797 0 0 0 0 0 4116 4116 0 0 10312 10312 0 12068 12068 6348 2014 4334 2369 2369 0 0 873 218 655 0 0 0 0 0 0 FUNDRAISING EXPENSE 4355 4355 DUES AND SUBSCRIPTIONS 570 570 655244 581836 10518 62890 80125 166951 157866 116793 411430 663411 13140 13140 407430 502723 616204 783100 44983 14055 1718038 2247033 876 996 876 996 X 1511693 2030168 205469 215869 1717162 2246037 1718038 2247033 X 329084 199791 X false true true X false X X X false false false OUR LADY OF LOURDES REGIONAL MEDICAL CENTER 720423635 03 true true true 578236 1 578236 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13140 13140 ALTERNATIVE INVESTMENTS 530405 F COMMINGLED FUNDS 252695 F 783100 0 0 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 106988 106988 106988 true false true true true false GOLF TOURNAMENT 164950 124644 40306 72775 0 164950 124644 40306 72775 72775 -32469 true Lafayette Community Health Care Clinic 1317 JEFFERSON STREET LAFAYETTE LA 70501 721221982 501(c)(3) 20000 general support COMMUNITY FDN OF ACADIANA 1035 CAMELLIA BLVD LAFAYETTE LA 70508 721493023 501(C)(3) 10000 GENERAL SUPPORT OPUS CHRISTIAN MAGNUM PO BOX 3177 LAFAYETTE LA 70502 720977497 501(C)(3) 10000 GENERAL SUPPORT NATIONAL KIDNEY FOUNDATION 2804 AMBASSADOR CAFFEREY LAFAYETTE LA 70508 720649707 501(C)(3) 6500 KIDNEY DISEASE CLINIC AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 5500 GENERAL SUPPORT OUR LADY OF LOURDES RMC 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 720423635 501(C)(3) 385427 general support LOURDES IMAGING CENTER 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTY LA 70508 208326214 42348 IMAGING PROCEDURES 6 1 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 LOURDES FOUNDATION MONITORS THE USE OF GRANT FUNDS BY RECEIVING A SUBMITTED COMPLIANCE REPORT BY THE ORGANIZATION RECEIVING THE GRANT AT THE END OF THE GRANT PERIOD. LOURDES IMAGING CENTER TO PROVIDE IMAGING PROCEDURES FOR INDIGENT PATIENTS. X X X X false true false false false false false false false William F Barrow 0 368003 0 55009 0 19101 0 42364 0 19778 0 504255 0 0 KIM HEBERT 0 161421 0 25896 0 14567 0 19425 0 23621 0 244930 0 0 part I question 4a The CEO is entitled to a severance benefit. The payout of such benefit is remote as it is effective only for a termination of employment without cause. If triggered, the executive would be paid his/her base salary and an annual incentive at target and provided retirement and welfare benefits for an entitlement period. The entitlement period ranges from 18 to 36 months months depending on the executive and the length of service. No payments were made under the plan in the current year. The CFO is 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 executive would be paid her base salary and medical/dental benefits for an entitlement period. The entitlement period ranges from 6 to 12 months depending on the length of service of such executive. No payments to individuals listed in part VII, Section A were made under the plan in the current year. Part I question 4b FMOLHS 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 approval of FMOLHS board of directors or a designated committee of such board. No one listed on Part VII, Section A received a payment from the plans in the current year. X 1 92257 FMV 0 false false false PART VI, SECTION A, QUESTION 6 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF LOURDES FOUNDATION, INC. PART VI, SECTION A, QUESTION 7A OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF LOURDES FOUNDATION, INC. PART VI, SECTION A, QUESTION 7B OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, AS THE SOLE MEMBER OF LOURDES FOUNDATION, RESERVES THE FOLLOWING POWERS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION; 2. TO AMEND, ALTER, MODIFY OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; 3. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES; 4. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION; 5. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 6. TO ACQUIRE, PURCHASE, SELL, LEASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION; 7. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION; 8. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION; 9. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHARGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION; 10. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; 11. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION; AND 12. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. PART VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. PART VI, SECTION B, QUESTION 12C LOURDES FOUNDATION, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT LOURDES FOUNDATION, INC. IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, LOURDES FOUNDATION, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION, AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS OF POSSIBLE CONFLICTS OF INTEREST, ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. PART VI, SECTION B, QUESTIONS 15A & 15B OTHER RELATED ORGANIZATIONS SET THE COMPENSATION AND PAY THE EXECUTIVES. THE 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 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 DOCUMENTS THE HUMAN RESOURCE FILES. PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART XI, QUESTION 5 GAIN(LOSS) ON INVESTMENT - $199,791 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 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 Nuclear Imaging LLC 5000 Hennessy Boulevard Baton Rouge LA 70808 721470061 Healthcare LA OLOL N/A false true P&S Surgery Center LLC 312 Grammont Street Monroe LA 71201 721387870 Healthcare LA ST FRANCIS N/A false true St Francis Pediatric After Hours LLC Post Office 207 Monroe LA 71210 061782572 healthcare LA ST FRANCIS N/A false true Lourdes Imaging Development LLC 611 St Landry Street Lafayette LA 70503 208326287 REAL ESTATE LA LOURDES N/A false true Park Place Surgical Hospital 901 Wilson Street Lafayette LA 70503 721404092 healthcare LA LOURDES N/A false true BRPT Lake Rehabilitation Centers LLC 530 Shadows Lane Baton Rouge LA 70806 721506100 healthcare LA OLOL N/A false true Convenient Care LLC 7777 Hennessy Boulevard Suite 1004 Baton Rouge LA 70808 721439481 healthcare LA OLOL N/A false true Perkins Plaza Ambulatory Surgery Center 54 The Legends Parkway Suite 159 Eureka MO 63025 481264699 healthcare LA OLOL N/A false true Surgical Specialty Center of Baton Rouge 8080 Bluebonnet Boulevard Baton Rouge LA 70810 233160962 Healthcare LA OLOL N/A false true ST ELIZABETH-MARY BIRD PERKINS CANCER 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 HEALTHCARE LA STEH N/A false true REGIONAL EYE SURGERY CENTER LLC 7777 HENNESSY BLVD SUITE 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 DESIARD STREET SUITE 704 MONROE LA 71201 721329499 HEALTHCARE LA ST FRANCIS N/A false true LHCG-XIIILLC 611 ST LANDRY STREET LAFAYETTE LA 70503 208068308 HEALTHCARE LA LOURDES N/A false true LOURDES AFTER HOURS LLC 611 ST LANDRY STREET LAFAYETTE LA 70503 201367299 HEALTHCARE LA LOURDES N/A false true LOURDES IMAGING CENTER LLC 611 st landry street lafayette LA 70503 201367299 HEALTHCARE LA LOURDES N/A false true ST ELIZABETH IMAING CENTER 1125 HIGHWAY 30 GONZALES LA 70737 364701565 HEALTHCARE LA STEH N/A false true CAPITAL AREA SHARED SERVICES ORGANIZATIO 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 275173212 HEALTHCARE LA STEH N/A false true CAPITAL AREA SHARED SERVICES ORGANIZATIO 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 275173212 HEALTHCARE LA OLOL N/A false true St Francis Insurance Agency 309 Jackson Street Monroe LA 71201 721435136 Insurance LA ST FRANCIS C Corp Hospital Assistance Services PO Box 4027-C Lafayette LA 70502 721073486 Healthcare LA LOURDES C Corp Louise Insurance Company PO BOX 1051 CJ KY1-1102 Insurance CJ FMOL 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 Monroe Health Services PO BOX 3187 Monroe LA 72101 721057820 HEALTHCARE LA AMBULATORY C CORP false true true false false false false false false false true false true true true true false false