2011-05-12T07:03:50-04:00 2010-06-30 KPMG LLP 450 Laurel Street Suite 1700 Baton Rouge LA 70801 990 2009-07-01 720408970 ST FRANCIS MEDICAL CENTER STFR 3183274112 PO Box 1901 Monroe LA 71210 RONALD HOGAN 3183277369 2011-04-29 true 2253444000 2009 2016-02-24 21:20:13Z LOUIS BREMER PO BOX 1901 MONROE LA 71210 283780736 false 0928 X www.stfran.com X 1913 LA THE PURPOSE OF THE HOSPITAL IS TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN NORTHEAST LOUISIANA. 17 12 2644 211 1992856 -21810 560346 403860 255980939 240480474 1652685 3614078 4502075 3573192 262696045 248071604 71689 61440 0 0 117255422 114104633 0 0 0 182059451 140818338 299386562 254984411 -36690517 -6912807 332218532 334149175 219920633 219025839 112297899 115123336 INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. false false 193035414 61440 238460006 St. Francis Medical Center provides quality hospital and medical services primarily to residents of Northeast Louisiana. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the healthcare needs of the people of God, the Medical Center has established a policy under which it provides care to needy members of its communities. Following that policy, health care services costing approximately, $4,160,086 were provided without charge. The Medical Center provided 551 licensed beds and 93,973 inpatient days in the year ended June 30, 2010. See Schedule O for further explanation. 193035414 true true false true false false false false false true false true false false true false false false false false true true false true false false false false false false false true false false false false true true true false false true 267 0 true 2644 true true true false false false false false false false false 17 12 true false false false true true true true true false false true true true true true false true true true true X MR RONALD E HOGAN 3183274112 309 JACKSON ST MONROE LA 71201 WILSON BARHAM MD 1.0 X 0 0 0 JAMES COFER SR EDD 1.0 X 0 0 0 EDWARD SEYMOUR JR 1.0 X 0 0 0 KITTY DEGREE 1.0 X 0 0 0 MALCOLM MADDOX 1.0 X 0 0 0 KAREN PUCKETT 1.0 X 0 0 0 JUDY BELL 1.0 X X 0 0 0 SR MARY ANN SEPULVADO OSF 1.0 X 0 0 0 JOHN L LUFFY JR ESQ 1.0 X X 0 0 0 LOUIS H BREMER 1.0 X X 0 361625 35631 J STEWART GENTRY 1.0 X 0 0 0 SR ANN CATHERINE NGUGEN OSF 1.0 X 0 0 0 ROBERT L SEEGERS MD 1.0 X X 0 0 0 FRANK B SARTOR MD 1.0 X 72257 0 0 SR RITA LANIE 1.0 X 0 0 0 TERRY KING MD 1.0 X 0 0 0 CHARLES MORGAN MD 1.0 X 22575 0 0 REV LARRY STAFFORD 1.0 X 0 0 0 RICHARD O'DONOVAN 1.0 X 0 0 0 RONALD E HOGAN 40.0 X 245725 0 41799 THOMAS GULLATT 40.0 X 537302 0 42525 LOUIS GAVIOLI 36.0 X 287819 0 42892 PATRICIA SMITH 40.0 X 193892 0 22934 SABRINA RAMSEY 40.0 X 171290 0 14160 LISA BRADLEY 40.0 X 152462 0 10198 ANTTI MARAN 40.0 X 249946 0 17257 BLAINE BORDERS 40.0 X 896826 0 35755 ROBERT WHITE 40.0 X 895024 0 36789 JOHN BRUCHHAUS 40.0 X 446728 0 21900 JAMES SMITH 40.0 X 365095 0 28555 WILLIAM MATTHEWS 40.0 X 395539 0 29516 4932480 361625 379911 56 false true false FMOL Health System 4200 Essen Lane BATON ROUGE LA 70809 Management Services 15387171 Parish Anesthesia of Monroe 3510 North Causey Blvd METAIRIE LA 70002 Anesthesia Services 3510058 MONROE MRI CENTER 501 CATALPA STREET MONROE LA 71207 MRI SERVICES 748071 MONROE CARDIAC ANESTHESIA 130 NORTH 2ND STREET MONROE LA 71201 PHYSICIAN/ANESTHESIA 940383 DELTA PATHOLOGY GROUP LLC 3000 KNIGHT ST BLDG 5 STE 220 SHREVEPORT LA 71105 PATHOLOGY SERVICES 715718 25 403860 403860 PATIENT SVC REVENUE 621500 223941728 221930300 2011428 INCOME FROM EQUITY INVESTEES 900099 2294989 2294989 CAFETERIA SALES 900099 1913616 1913616 INTER-CO MGMNT 900099 793796 793796 HEALTH CLINIC 900099 395635 395635 11140710 11131670 9040 240480474 2465172 -31298 2496470 0 0 1687036 1674993 12043 12043 4124 7919 35183045 34034139 1148906 1148906 3686 1145220 0 0 0 CANCER INSTITUTE 900099 665870 665870 SPECIALTY HOSPITAL 900099 2570369 2570369 JP HOSPITAL FEE 900099 322910 322910 2000 2000 3561149 248071604 238464130 1992856 7210758 61440 61440 0 0 0 2158559 1572554 586005 0 0 85316079 69471549 15844530 5771101 4704024 1067077 20858894 17002266 3856628 0 5055402 2388369 2667033 110427 75773 34654 279972 192112 87860 16485 16485 0 502864 502864 18856026 15169160 3686866 521845 352319 169526 69175208 46768869 22406339 0 0 6216761 1423712 4793049 590041 400349 189692 0 0 6708131 6438930 269201 0 15224015 13562083 1661932 3539331 680834 2858497 PENSION RELATED CHANGES 6005468 4895057 1110411 MISCELLANEOUS EXPENSE 335945 195597 140348 PROVISION FOR UNCOLLECTIBLE 7680417 7680417 ACCOUNTS 254984411 193035414 61948997 0 105000 16722073 18916085 24791494 34441985 30591457 4880453 3253213 7806963 6107267 3349381 3949205 315441774 206972078 115261692 108469696 33581873 29629322 72165761 84797753 19800134 4574021 4120422 3743789 17788783 17519885 332218532 334149175 28090019 24436680 152642736 148699654 14958 0 39172920 45889505 219920633 219025839 X 111243000 114080000 1054899 1043336 112297899 115123336 332218532 334149175 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16485 false false 16485 false false 11218787 11218787 162889539 99651200 63238339 2357040 2357040 133462404 104398213 29064191 5514004 2922665 2591339 108469696 249605 C FIXED INCOME SECURITIES 15915876 F ALTERNATIVE INVESTMENTS 68632272 F 84797753 UNAMORTIZED BOND ISSUANCE COST 1639169 OTHER ASSETS 667131 DUE FROM THIRD PARTY PAYORS 78011 UNAMORTIZED START UP COSTS 2482294 DUE FROM RELATED PARTIES 12624485 DUE FROM AFFILIATE 28795 17519885 0 DUE TO RELATED PARTIES 5903451 SELF-INSURANCE LIABILITY 1455012 OTHER LIABILITIES 1983381 ACCRUED PENSION COST 36547661 45889505 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. 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PO BOX 1901 MONROE LA 71210

X X X P&S SURGERY CENTER LLC

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PO BOX 1901 MONROE LA 71210

X X X NORTHEAST LA CANCER INSTITUTE

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CANCER TREATMENT AND IMAGING CENTER ST FRANCIS PEDIATRIC AFTER HOURS LLC

PO BOX 207 MONROE LA 71210

PRIMARY CARE CLINIC FOR CHILDREN MONROE MRI CENTER LLC

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VARIOUS OUTPATIENT SERVICES OPEN MRI CENTER OF MONROE LLC

309 JACKSON STREET MONROE LA 71210

MRI SERVICES ST FRANCIS PET IMAGING OF MONROE LLC

PO BOX 1851 MONROE LA 71210

MRI SERVICES St. Francis Medical Center uses information obtained related to income levels, etc. to determine eligibility for discounted care. A range of charity care is provided to those who do not meet the 150% of FPG. All uninsured patients are provided a 15% self-pay discount. The organization prepares its own community benefit report. The cost to charge ratio is utilized as the costing methodology to calculate the amounts reported in Part I line 7g, subsidized health services. The cost to charge ratio was derived from the June 30, 2010 Medicare Cost Report data. The cost-to-charge ratio from the cost reports was used to calculate the amounts in the table. The cost accounting system does address all patient segments. No costs attributable to a physician clinic were included as subsidized health services. $7,680,417 of bad debt expense is included on Form 990, Part IX, Line 25, Column A. It is subtracted from total expenses for purposes of calculating the percentage in Column F. The cost to charge ratio was utilized in determining the cost of bad debt expense as reported in Part III line 2. Discounts provided are not included in bad debt expense. Payments received on accounts subsequent to being considered bad debt are recorded as a recovery(reduction) of bad debt expense. To the extent appropriate and permitted by law, financial counseling and screenings are conducted at the time of encounter to assist in identifying patients who would likely qualify for financial assistance under the hospital's charity care policy. No estimate has been made for any amounts included in bad debt expense that might qualify for financial assistance. The audited financial statements do not include a footnote discussing bad debts. However, the organization accounts for bad debts based on the aging of the accounts and based on historical collection history associated with the various aging categories. On periodic basis, the organization conducts a retrospective review to determine the appropriateness of the collection percentages utilized in estimated bad debt expense. The costing methodology used to determine the Medicare allowable costs reported in the Medicare Cost Report is based on regulatory requirements and guidelines. If the patient does not have means to pay, they may apply for financial assistance through St. Francis Medical Center's Charity Care Plan known as The Franciscan Care Plan. Approval will be based on income and medical expenses. Accounts may also be written off to charity based on the information provided by the credit bureaus through the systems and tools utilized as well as the patient's medical expenses. The organization currently does not believe that any shortfall should be treated as a community benefit. Part VI, line 2: St. Francis Medical Center, Inc. works to conduct health care needs assessments. They work closely with United Way, Public Health, The Wellsprings, The Children's Coalition, and many other organizations to define community needs and to consolidate efforts to meet those community needs. For example, a school-based health center and a diabetes and nutrition center was initiated after a health care assessment identified the need. SFMC plans to conduct a formal community based needs assessment again in 2011 and will continue to use community based data to support decisions for outreach in the community. Part VI, line 3: Patients are informed through a patient handbook that contains information on the financial policies of SFMC. Additionally, signs are posted in the Admissions areas that Financial Counseling is available upon request. Systems and tools are utilized to conduct high level financial screening to assist in identifying patients eligible for charity care, financial assistance, or self-pay discounts. Financial counselors work closely with patients to assist with enrollment for those who are eligible for Medicaid as well as assist those who are eligible for charity in determining eligibility. St. Francis Medical Center's community served is a broad 20-parish area in northeastern Louisiana and southern Arkansas, with a population of approximately 510,381. The 2010 estimated average household income for this community is $47,163. Based on estimates for the next five years, the only age group estimated to grow in size in our community is the 65+ group, with an estimated 5.5% increase. SFMC provides occupancy and utilities free of charge to St. Vincent DePaul charitable pharmacy so that the poorest individuals in the community have access to prescription drugs. SFMC also provides occupancy free of charge to a primary health care clinic located in one of the poorest areas of Monroe. These activities allow the recipient organizations to spend their available funds on activities that have more direct impact on those in need. SFMC provides management oversight of community programs and activities, including taxi and medication provided to the needy, and community benefit salary dollars. SMFC proudly serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. SFMC provides leadership development and training for Roman Catholic Priests to serve in the SFMC Community. SFMC improves access to public health through its financial support of an adult day health care facility and a school based health center. SFMC has many programs designed to promote leadership development and provide exposure to various careers in heatlh care. Such programs include health information management, sports medicine program, AHEC (area health education center) program, Carroll High School Housekeeping Program and the Jr. Volunteer Program. A majority of the governing body of SFMC is comprised of individuals from a broad cross-section of the community who reside in the primary service area and who are neither employees nor contractors of the organization. SFMC extends medical staff privileges to all qualified physicians in the community for some or all of the departments, as needed. SFMC applies surplus funds to improvements in patient care through the continued investment in clinical technology, medical information technology, and continued training of clinical staff. true HAITI PROJECT 4200 ESSEN LANE BATON ROUGE LA 70809 721232440 501(c)(3) 12000 MEDICAL SUPPORT CHILDRENS COALITION OF NE LA 1201 HUDSON LANE MONROE LA 71201 721502186 501(c)(3) 6500 SUPPORT CHILD CARE 2 PART I, LINE 2 ST. FRANCIS MEDICAL CENTER REQUESTS AN ACKNOWLEDGEMENT LETTER FROM EACH ORGANIZATION TO WHICH WE GIVE $5,000 OR MORE IN A CALENDAR YEAR. ORGANIZATIONS ARE REQUESTED TO IDENTIFY WHEN THE FUNDS WERE RECEIVED, HOW MUCH WAS RECEIVED, HOW THE FUNDS WERE USED AND WHAT THE OUTCOMES WERE OF THE PROJECT OR PROGRAM FOR WHICH THE FUNDS WERE REQUESTED. X X X X false false false false false false false true false RONALD E HOGAN 222716 0 9271 0 13738 0 11741 0 30058 0 287524 0 0 0 LOUIS H BREMER 0 225195 0 73206 0 63224 0 9800 0 25831 0 397256 0 0 BLAINE BORDERS 525201 0 369707 0 1918 0 6125 0 29630 0 932581 0 0 0 ROBERT WHITE 594300 0 298565 0 2159 0 6125 0 30664 0 931813 0 0 0 THOMAS GULLATT 310952 0 205259 0 21091 0 17147 0 25378 0 579827 0 0 0 JOHN BRUCHHAUS 226563 0 198526 0 21639 0 10263 0 11637 0 468628 0 0 0 JAMES SMITH 228286 0 116430 0 20379 0 16871 0 11684 0 393650 0 0 0 LOUIS GAVIOLI 272897 0 11232 0 3690 0 25119 0 17773 0 330711 0 0 0 PATRICIA SMITH 177359 0 7523 0 9010 0 4918 0 18016 0 216826 0 0 0 SABRINA RAMSEY 164253 0 6587 0 450 0 10284 0 3876 0 185450 0 0 0 LISA BRADLEY 145208 0 5840 0 1414 0 7440 0 2758 0 162660 0 0 0 WILLIAM MATTHEWS 225547 0 163740 0 6252 0 6125 0 23391 0 425055 0 0 0 ANTTI MARAN 198337 0 34338 0 17271 0 6125 0 11132 0 267203 0 0 0 Part I, Question 7 Executives received merit bonuses based on employee performance. PS Surgical Center LLC CEO/CFO OF SFMC ON BOARD 549000 Lease of space from SFMC false PS Surgical Center LLC CEO/CFO OF SFMC ON BOARD 385488 P&S purchased SFMC services false NE LA Cancer Institute CEO/CFO OF SFMC ON BOARD 65132 Purchase of support services false NE LA Cancer Institute CEO/CFO OF SFMC ON BOARD 600738 Lease of space from SFMC false Century Link BOARD MEMBER IS OFFICER 315600 Voice and data services false TERRY KING APMC BOARD MEMBER IS OWNER 298794 SFMC PAYS FOR MEDICAL SERVICES false STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990 PART III St. Francis Medical Center service to the community for fiscal year ended June 30, 2010. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the health needs of the people of God, the Board of Directors has established a policy under which the Medical Center provides care to needy members of its communities. Following that policy, health care services costing approximately $4,174,786 were provided without charge during the year ended June 30, 2010. Charges foregone, based on established rates, totaled approximately $11,197,369 for the year ended June 30, 2010. The Medical Center also participates in government programs including Medicare, Medicaid and TriCare programs. Under these programs, the Medical Center provides care to patients at payment rates that are determined by the federal and state governments, regardless of actual cost. In some cases, these programs pay the Medical Center at amounts which are less than its cost of providing services. The following table summarizes the amounts of charges foregone (i.e., contractual allowances) and the estimated losses incurred by the Medical Center due to inadequate payments by these programs and for charity for the year ended June 30, 2010. June 30, 2010 Charges Forgone: Medicare: $242,415,931 Medicaid: $101,721,699 Tricare: $2,546,431 Charity: $11,197,369 Total: $357,881,430 Estimated unreimbursed charges: Medicare: $27,555,005 Medicaid: $17,751,225 Tricare: $54,044 Charity: $4,174,786 Total: $49,535,060 In addition to community services directly associated with providing hospital-based care, the Medical Center serves the community in numerous other ways. For example: The Medical Center provides Health Professionals Education in a clinical setting for undergraduate, vocational training, internships, clerkships, and residencies. This program includes registered nurse recruitment activities and collaboration with local colleges for supervision and clinical training in pharmacy, radiology, respiratory therapy, health information management and medical technology. The costs incurred for these programs totaled approximately $1,023,000 during the year ended June 30, 2010. The Medical Center provides subsidized health services which provide a discount, at cost, to all patients that have no form of insurance coverage. The costs incurred for these programs totaled approximately $499,000 during the year ended June 30, 2010. The Medical Center provides cash and in-kind contributions to community groups which include donations to Families Helping Families, Children's Coalition, YMCA, Wellspring, Haiti Project, and Komen Foundation. This program also includes employee costs associated with board and community involvement of rural hospitals. The costs incurred for these programs totaled approximately $54,000 during the year ended June 30, 2010. The Medical Center provides occupancy and utilities to St. Vincent DePaul charitable pharmacy and occupancy to a primary health care clinic located in one of the poorest areas of Monroe. The costs incurred for these programs totaled approximately $94,000 during the year ended June 30, 2010. The Medical Center provides community health education classes on breast feeding, childbirth basics, sibling class and abc's of childcare. This also includes sponsorship of Think First, a national injury prevention organization. The Medical Center provides free depression and anxiety screenings to the community. The costs incurred for these programs totaled approximately $17,000 during the year ended June 30, 2010. The Medical Center provides community support which includes staff costs of management oversight of community benefit programs and activities, including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. The costs incurred for these programs totaled approximately $217,000 during the year ended June 30, 2010. The Medical Center provides community based clinical services including community based health screenings including behavior health, discounted services provided to Louisiana Baptist Children's home, Veteran's Administration, rural hospitals, ULM athletic department, MDA, YMCA and handicap children. The costs incurred for these programs totaled approximately $349,000 during the year ended June 30, 2010. The Medical Center provides leadership development and training for community members. St. Francis serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. The costs incurred for these programs totaled approximately $33,000 during the year ended June 30, 2010. The Medical Center provides community health improvement advocacy which includes the unreimbursed costs of the Adult Day Health Care Facility and the school based health center. The costs incurred for these programs totaled approximately $158,000 during the year ended June 30, 2010. The Medical Center provides workforce development designed to promote leadership development and provides exposure to various careers in health care including: sports medicine program, AHEC (Area Health Education Center) Program, Carroll High School housekeeping program and junior volunteer program. The costs incurred for these programs totaled approximately $24,000 during the year ended June 30, 2010. The following table summarizes estimated costs to the community services noted above for the years ended June 30, 2010: Health Professions Education $1,022,196 Subsidized Health Services 746,684 Cash and in-kind contribution 92,430 to community groups Physical Improvements and Housing 94,320 Community Support 208,177 Leadership Development and Training 1,126 Community Health Improvement 457,811 Workforce Development 25,091 Total $2,909,225 PART VI, SECTION B, QUESTION 12C St. Francis Medical Center has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or his designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest exists or creates the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that she/he (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that St. Francis Medical Center is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Francis Medical Center provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken. PART VI, SECTION B, QUESTION 15A & 15B Our Board of Directors designates an executive committee made up of independent board members to review and set the compensation annually of our officers and key employees. The executive committee obtains and relies upon comparable data including industry-wide compensation information provided by an outside consulting firm. The executive committee reviews compensation packages and appropriate compensation is determined and approved. The basis for determination is then documented by the executive committee. The compensation for the CEO of St. Francis Medical Center is set by the compensation committee of FMOL Health System (a related tax-exempt organization) according to their pay practices which are similar to those described above. GOVERNING DOCUMENTS PART VI, SECTION C, QUESTION 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request. Part VI, Section A, Question 7a FMOL Health System, Inc., as the sole member of the Medical Center, retains the power to appoint and remove the Members of the Board of Trustees and Officers of St. Francis Medical Center. Part VI, Section A, Question 7b The reserved powers to FMOL Health System, Inc. are as follows: 1. To change philosophy, objectives and purposes of corporation; 2. To appoint or remove the Members of the Board of Trustees and Officers of the corporation; 3. To amend, alter, modify or repeal the Articles of Incorporation and Bylaws of the corporation; 4. To authorize merger, consolidation, or affiliation, or participate in joint ventures; 5. To dissolve and to distribute assets of the corporation; 6. To appoint and/or terminate with or without cause the Chief Executive Officer of the corporation; 7. To acquire, purchase, sell, lease, transfer, or encumber any immovable property on behalf of the corporation; 8. To add to or incur long-term debt in excess of $5 million by the corporation; 9. To appoint the fiscal auditor for the corporation; 10. To approve any increment or addition to the capital debt or efforts to renegotiate, modify or charge the existing capital debt obligations of the corporation; 11. To approve the annual operating and capital budgets of the corporation; and 12. To approve a strategic business plan of the corporation. Part VI, Section A, Question 6 FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center. Part VI, Section A, Question 2 Sabrina Ramsey & Ronald E. Hogan - Family Relationship Ron Hogan, Lisa Bradley, Louis Bremer and Louis Gavioli have a business relationship with each other soley because they all serve as directors of other organizations which are related to St. Francis Medical Center. Part VI, Section A, Question 11A After preparation and review of Form 990 by KPMG LLP, the board of directors designates a committee to review the Form 990 of the Medical Center. The Form 990 is also 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 XI, QUESTION 2C St. Francis Medical Center has representation on the FMOL Health System audit committee for oversight of the audit and selection of independent accountant. 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