OLLIE STEELE BURDEN MANOR INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OLLIE STEELE BURDEN MANOR INC (EIN 72-0780429)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201241359349304929
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)
Timestamp2012-05-14T20:00:03-05:00Timestamp
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)
EIN720780429EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLLIE STEELE BURDEN MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOLLINameControl
Phone2257657709Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14250 ESSEN LANEAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70809ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJeff LimbockerName
TitleCFOTitle
Phone2257657709Phone
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)
Name Of Principal Officer PersonKAREN ALLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BOULEVARDAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17683455GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THE HOSPITAL IS TO PROVIDE FOR THE CARE OF THE ill INJURED OR DISABLED PERSONS, especially the elderly, and FOR THE ENHANCEMENT OF HEALTH OF the elderly in the COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees596TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2338ContributionsGrantsPriorYear
Contributions Grants Current Year2597ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16662324ProgramServiceRevenuePriorYear
Program Service Revenue CY17624754ProgramServiceRevenueCY
Investment Income Prior Year19848InvestmentIncomePriorYear
Investment Income Current Year3388InvestmentIncomeCurrentYear
Other Revenue Prior Year239881OtherRevenuePriorYear
Other Revenue Current Year27753OtherRevenueCurrentYear
Total Revenue Prior Year16924391TotalRevenuePriorYear
Total Revenue Current Year17658492TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2679GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1389GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13423309SalariesEtcPriorYear
Salaries Etc Current Year13524992SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4624281OtherExpensePriorYear
Other Expenses Current Year5204559OtherExpensesCurrentYear
Total Expenses Prior Year18050269TotalExpensesPriorYear
Total Expenses Current Year18730940TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1125878RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1072448RevenuesLessExpensesCY
Total Assets BOY17540998TotalAssetsBOY
Total Assets EOY22134106TotalAssetsEOY
Total Liabilities BOY5899233TotalLiabilitiesBOY
Total Liabilities EOY11550227TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11641765NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10583879NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13077783Expense
Grants1389Grants
Revenue17624754Revenue
DescriptionOllie Steele Burden Manor operates two nursing home facilities specially designed to provide the highest level of care for those suffering with complex physical health issues including Alzheimer's disease and dementia. The nursing homes provides 24 hour nursing care in a rehabilitative setting that ministers to the needs of the whole person. The nursing home provided care and housing for 104,917 resident days.Description
Total Program Service Expense13077783TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees596NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF LIMBOCKERNamePerson
Telephone Number2257656565TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
ALDEN L ANDRE
CHAIRMAN2.0XX000
DAVID THOMPSON
BOARD MEMBER2.0X000
SCOTT WESTER
BOARD MEMBER2.0XX057705751392
DR JAMES W FIRNBERG
BOARD MEMBER2.0X000
LAWRENCE BRAUD MD
BOARD MEMBER2.0X000
FRANCES MONROE
BOARD MEMBER2.0X000
MARY TAUZIN
BOARD MEMBER2.0X000
SR MARTHA ANN ABSHIRE
BOARD MEMBER2.0X000
KEVIN CURRY
BOARD MEMBER2.0X000
SR LILLIAN LYNCH
BOARD MEMBER2.0X000
SR HELEN CAHILL
BOARD MEMBER2.0X000
KAREN ALLEN
PRESIDENT OF SSD15.0X014985536599
JEFF LIMBOCKER
CFO2.0X033424051544
SUSAN FOLSE
ADMINISTRATOR50.0115533039787X
FieldValueIRS element (for citing)
Total Reportable Comp From Org115533TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1061152TotalReportableCompFrmRltdOrgs
Total Other Compensation179322TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonTRITON HEALTHCARE INCNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18128 FLORIDA BLVDAddressLine1
CityDENHAM SPRINGSCity
StateLAState
ZIP Code70726ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPHYSICAL THERAPYDescriptionOfServices
Compensation475916Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions2597AllOtherContributions
Total Contributions2597TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE9000991752022817520228
BEAUTY/BARBER SERVICES9000996055260552
OTHER REVENUE9000992588825888
FRANCISCIAN SISTER SERVICES9000991130011300
VENDING REVENUE90009967866786
FieldValueIRS element (for citing)
Total Program Service Revenue17624754TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1999TotalRevenueColumn
Exclusion$1,999ExclusionAmount

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)
Real52716Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real24963Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real27753Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column27753TotalRevenueColumn
Related Or Exempt Function Income27753RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1389Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1389Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1389TotalRevenueColumn
Exclusion$1,389ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17658492TotalRevenueColumn
Related Or Exempt Function Income17652507RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,388ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1389Total
Program Services1389ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total120720Total
Management And General120720ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9644281Total
Program Services7531064ProgramServices
Management And General2113217ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1175461Total
Program Services906551ProgramServices
Management And General268910ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1890555Total
Program Services1179636ProgramServices
Management And General710919ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total693975Total
Program Services538269ProgramServices
Management And General155706ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5714Total
Management And General5714ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6234Total
Management And General6234ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18777Total
Management And General18777ManagementAndGeneral

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)
Total713623Total
Program Services577855ProgramServices
Management And General135768ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total952Total
Management And General952ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1779118Total
Program Services1116198ProgramServices
Management And General662920ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39890Total
Management And General39890ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total753347Total
Program Services575880ProgramServices
Management And General177467ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1207Total
Program Services508ProgramServices
Management And General699ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2523Total
Program Services1827ProgramServices
Management And General696ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total820076Total
Program Services647261ProgramServices
Management And General172815ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total175056Total
Management And General175056ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraisingProgram ServicesProgramServices
PROVIDER FEES8374008374000
MISC42753414081345
RECRUITMENT78897889

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18730940Total
Program Services13077783ProgramServices
Management And General5653157ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY291691BOY
EOY1085842EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1151748BOY
EOY1515250EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY60021BOY
EOY66946EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY160991BOY
EOY142701EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28652316LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9745673LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15453385BOY
EOY18906643EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY113162BOY
EOY130724EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY310000BOY
EOY286000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17540998BOY
EOY22134106EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1439983BOY
EOY1837023EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4459250BOY
EOY9713204EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5899233BOY
EOY11550227EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11640086BOY
EOY10581357EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1679BOY
EOY2522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11641765BOY
EOY10583879EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17540998BOY
EOY22134106EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1072448ReconcilationRevenueExpenses
Reconcilation Other Changes14562ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 Basis905168OtherCostOrOtherBasis
Book Value905168BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19706196OtherCostOrOtherBasis
Depreciation6753173Depreciation
Book Value12953023BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis399777OtherCostOrOtherBasis
Depreciation354580Depreciation
Book Value45197BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4765600OtherCostOrOtherBasis
Depreciation2615610Depreciation
Book Value2149990BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2875575OtherCostOrOtherBasis
Depreciation22310Depreciation
Book Value2853265BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18906643TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$2,575,125
DEPOSITS$71,301
DUE TO AFFILIATES$7,066,778
FieldValueIRS element (for citing)
Total Of Amounts9713204TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE DReturnReference
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 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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 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
SCOTT WESTER
04226430139916014498025685025707062844900
SUSAN FOLSE
1153580001750237570160300155320000
KAREN ALLEN
01365040545012806012437024162018645400
JEFF LIMBOCKER
0253106070000011134023591027953038578400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART I QUESTION 4AA BOARD MEMBER LISTED IN PART VII, WHO IS ALSO THE CEO OF A RELATED ORGANIZATION, 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.
PART I QUESTION 4BFMOLHS 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, QUESTION 6OUR LADY OF THE LAKE HOSPITAL, INC.( AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC.
FORM 990, PART VI, QUESTION 7AOUR LADY OF THE LAKE HOSPITAL INC., AS THE SOLE MEMBER OF OLLIE STEEL BURDEN MANOR, INC., RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OLLIE STEELE BURDEN MANOR, INC.
FORM 990, PART VI, QUESTION 7BOUR LADY OF THE LAKE HOSPITAL, AS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC. RESERVES THE FOLLOWING POWERS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES, PURPOSES OF CORPORATION 2. TO AMEND , ALTER, MODIFY OR REPEAL ARTICLES OF INCORPORATION AND BYLAWS OF CORPORATION 3. TO AUTHORIZE MERGER, CONSOLIDATION OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. 4. TO DISSOLVE AND 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 IMMOVABLE PROPERTY ON BEHALF OF CORPORATION 7. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION 8. TO APPOINT FISCAL AUDITOR OF 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 12. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION
FORM 990, PART VI, QUESTION 12COLLIE STEELE BURDEN MANOR 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 OLLIE STEELE BURDEN MANOR 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, OLLIE STEELE BURDEN MANOR 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.
FORM 990, PART VI, SECTION C, QUESTION 19OLLIE STEELE BURDEN MANOR, INC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990 PART VI, SECTION B QUESTION 15A & 15BOTHER RELATED TAX EXEMPT ORGANIZATIONS SET THE COMPENSATION AND PAY THE EXECUTIVES. THAT BOARD OF DIRECTORS DESIGNATES THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE COMPENSATION ANNUALLY OF EXECUTIVES. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY OUTSIDE SOURCES. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION A, QUESTION 11AFTER PREPARATION OF THE FORM 990 BY KPMG LLP, MANAGEMENT REVIEWED THE FORM 990. A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS.
FORM 990, PART VI, QUESTIONS 12-14THROUGHOUT THE TAX YEAR, THE ORGANIZATION HAD A CONFLICT OF INTEREST POLICY, DOCUMENT RETENTION POLICY, AND A WHISTLEBLOWER POLICY IN PLACE ALTHOUGH THEY WERE NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE JUNE 30, 2011. THE CONFLICT OF INTEREST POLICY AND THE DOCUMENT RETENTION POLICY HAVE, HOWEVER, BEEN APPROVED BY THE BOARD OF DIRECTORS OF OUR LADY OF THE LAKE HOSPITAL, INC. (THE ORGANIZATION'S SOLE-MEMBER). THE ORGANIZATION INTENDS TO HAVE THE POLICIES APPROVED BY THE FILING ORGANIZATION'S BOARD OF DIRECTORS OR COMMITTEE THEREOF.
FORM 990, PART XI, LINE 5UNREALIZED GAIN $14,562ADJUSTMENT TO FUND BALANCE
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SCOTT WESTER TITLE:BOARD MEMBER HOURS:58FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:KAREN ALLEN TITLE:PRESIDENT OF SSD HOURS:35FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JEFF LIMBOCKER TITLE:CFO HOURS:58FORM 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 1FMOL
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 TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Lourdes Imaging Center LLC
611 St Landry StreetLafayetteLA70506208326214HealthcareLALOURDESN/Afalsetrue
Heart Hospital of Acadiana
1105 Kaliste Saloom RoadLafayetteLA70508300442368HealthcareLALOURDESN/Afalsetrue
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
Post office 207MONROELA71210061782572HealthcareLAST FRANCISN/Afalsetrue
LOURDES IMAGING DEVELOPMENT LLC
611 ST LANDRY STREETLAFAYETTELA70506208326287REAL ESTATELALOURDESN/Afalsetrue
PARK PLACE SURGICAL HOSPITAL
901 WILSON STREETLAFAYETTELA70503721404092HEALTHCARELALOURDESN/Afalsetrue
BRPT LAKE REHABILITATION CENTER
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 CANCER
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELASTEHN/Afalsetrue
REGIONAL EYE SURGERY CENTER LLC
7777 HENNESSY BLVD SUITE 400BATON ROUGELA70808721484653HEALTHCARELAOLOLN/Afalsetrue
ST MARY'S IMAGING CENTER IILLC
611 ST LANDRY STREETLAFAYETTELA70506HEALTHCARELALOURDES IMAGINGN/Afalsetrue
NORTHEAST LA CANCER INSTITUTE
141 DESIARD STREET SUITE 704MONROELA71201721329499HEALTHCARELAST FRANCISN/Afalsetrue
LHCG-XIII LLC
611 ST LANDRY STREETLAFAYETTELA70506208068308HEALTHCARELALOURDESN/Afalsetrue
LOURDES AFTER HOURS LLC
611 ST LANDRY STREETLAFAYETTELA70506201367299HEALTHCARELALOURDESN/Afalsetrue
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BOULEVARDBATON ROUELA70808275173212HEALTHCARELASTEHN/Afalsetrue
CAPITAL AREA SHARED SERVICES ORG LLC
5000 HENNESSY BOULEVARDBATON ROUGELA70808275173212HEALTHCARELAOLOLN/Afalsetrue
ST ELIZABETH IMAGING CENTER
1125 W HIGHWAY 30GONZALESLA70737364701565HEALTHCARELASTEHN/Afalsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
St Francis Insurance Agency
309 Jackson StreetMonroeLA71201721435136InsuranceLAST FRANCISC Corp
Hospital Assistance Services
PO Box 4027-CLafayetteLA70502721073486HealthcareLALOURDESC Corp
Louise Insurance Company
InsuranceFMOLC CorpPO BOX 1051CJKY1-1102CJ
Monroe Health Services
PO Box 3187MonroeLA71210721057820HealthcareLAAMBULATORYC Corp
Northeast LA Health Network
309 Jackson StreetMonroeLA71201721294587HealthcareLAAMBULATORYC Corp
The Bernard Brian Allain Memorial CRT
5000 HENNESSY BOULEVARDBATON ROUGELA70808207114528InvestmentLAOLOL FOUNDATIONTrust
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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