OLLIE STEELE BURDEN MANOR INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
OLLIE STEELE BURDEN MANOR INC (EIN 72-0780429)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349305916
Schema version
2009v1.7
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)
Timestamp2011-05-13T18:13:32-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2253444000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALDREN ANDRENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15000 HENNESSY BOULEVARDAddressLine1
CityBATON ROUGECity
StateLAState
ZIP Code70808ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17062367GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
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 Members9NbrIndependentVotingMembers
Total Nbr Employees596TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4878ContributionsGrantsPriorYear
Contributions Grants Current Year2338ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16912674ProgramServiceRevenuePriorYear
Program Service Revenue CY16662324ProgramServiceRevenueCY
Investment Income Prior Year5144InvestmentIncomePriorYear
Investment Income Current Year19848InvestmentIncomeCurrentYear
Other Revenue Prior Year138418OtherRevenuePriorYear
Other Revenue Current Year239881OtherRevenueCurrentYear
Total Revenue Prior Year17061114TotalRevenuePriorYear
Total Revenue Current Year16924391TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2179GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2679GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13304148SalariesEtcPriorYear
Salaries Etc Current Year13423309SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5247029OtherExpensePriorYear
Other Expenses Current Year4624281OtherExpensesCurrentYear
Total Expenses Prior Year18553356TotalExpensesPriorYear
Total Expenses Current Year18050269TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1492242RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1125878RevenuesLessExpensesCY
Total Assets BOY17886333TotalAssetsBOY
Total Assets EOY17540998TotalAssetsEOY
Total Liabilities BOY5117401TotalLiabilitiesBOY
Total Liabilities EOY5899233TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12768932NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11641765NetAssetsOrFundBalancesEOY
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
Expense13160708Expense
Grants2679Grants
Revenue16662324Revenue
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 109,183 resident days.Description
Total Program Service Expense13160708TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
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
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
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

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALDREN L ANDRE
CHAIRMAN1.0XX000
DAVID THOMPSON
BOARD MEMBER1.0X000
SR MAGDALEN O'DONOVAN
BOARD MEMBER1.0X000
SR LILIAN LYNCH
BOARD MEMBER1.0X000
SR KATHLEEN CAIN
BOARD MEMBER1.0X000
SCOTT WESTER
BOARD MEMBER1.0XX051221744933
ROBERT D RAMSEY
PRESIDENT1.0XX038836851969
SR HELEN CAHILL
BOARD MEMBER1.0X000
DR JAMES W FIRNBERG
BOARD MEMBER1.0X000
LARRY BRAUD
BOARD MEMBER1.0X000
FRANCES MONROE
BOARD MEMBER1.0X000
SUSAN FOLSE
ADMINISTRATOR60.0118072026241X
EDWARD SMITH
ADMINISTRATOR60.0113707013366X
FieldValueIRS element (for citing)
Total Reportable Comp From Org231779TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs900585TotalReportableCompFrmRltdOrgs
Total Other Compensation136509TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OUR LADY OF THE LAKE
5000 HENNESSY BOULEVARDBATON ROUGELA70808BENEFITS1700000
ADVANTAGE NURSING SERVICES
Dept AT 952455ATLANTAGA31192CONTRACT LABOR298665
TRITON HEALTHCARE INC
8128 FLORIDA BLVDDENHAM SPRINGSLA70726PHYSICAL THERAPY502019
PROFESSIONAL STAFFING
16036 HICKORY KNOLLBATON ROUGELA70810CONTRACT LABOR124017
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions2338AllOtherContributions
Total Contributions2338TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE9000991651920916519209
BEAUTY/BARBER SERVICES9000998130381303
FRANCISCIAN SISTER SERVICES9000991510115101
VENDING REVENUE90009974277427
OTHER REVENUE9000993928439284
FieldValueIRS element (for citing)
Total Program Service Revenue16662324TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1913TotalRevenueColumn
Exclusion$1,913ExclusionAmount

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)
Real263580Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real23699Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real239881Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column239881TotalRevenueColumn
Related Or Exempt Function Income239881RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities132212Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities112713Securities
Other1564Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities19499Securities
Other-1564Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17935TotalRevenueColumn
Exclusion$17,935ExclusionAmount

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 Column16924391TotalRevenueColumn
Related Or Exempt Function Income16902205RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$19,848ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2679Total
Program Services2679ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9904788Total
Program Services7607342ProgramServices
Management And General2297446ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total987539Total
Program Services758476ProgramServices
Management And General229063ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1824922Total
Program Services1158026ProgramServices
Management And General666896ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total706060Total
Program Services546561ProgramServices
Management And General159499ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7314Total
Management And General7314ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5349Total
Management And General5349ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20136Total
Management And General20136ManagementAndGeneral

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)
Total930526Total
Program Services738775ProgramServices
Management And General191751ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total266Total
Management And General266ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1933205Total
Program Services1185002ProgramServices
Management And General748203ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14849Total
Program Services323ProgramServices
Management And General14526ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total732609Total
Program Services560027ProgramServices
Management And General172582ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1316Total
Program Services384ProgramServices
Management And General932ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2477Total
Program Services174ProgramServices
Management And General2303ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total761727Total
Program Services601208ProgramServices
Management And General160519ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total183648Total
Management And General183648ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS22430173120699
RECRUITMENT84298429

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18050269Total
Program Services13160708ProgramServices
Management And General4889561ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY191066BOY
EOY291691EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1107437BOY
EOY1151748EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY47757BOY
EOY60021EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY179038BOY
EOY160991EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24389773LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8936388LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15933038BOY
EOY15453385EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY93997BOY
EOY113162EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY334000BOY
EOY310000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17886333BOY
EOY17540998EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1363538BOY
EOY1439983EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3753863BOY
EOY4459250EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5117401BOY
EOY5899233EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12767494BOY
EOY11640086EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1438BOY
EOY1679EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12768932BOY
EOY11641765EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17886333BOY
EOY17540998EOY
FieldValueIRS element (for citing)
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 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 Basis19690588OtherCostOrOtherBasis
Depreciation6206522Depreciation
Book Value13484066BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis399777OtherCostOrOtherBasis
Depreciation339053Depreciation
Book Value60724BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3238887OtherCostOrOtherBasis
Depreciation2361707Depreciation
Book Value877180BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis155353OtherCostOrOtherBasis
Depreciation29106Depreciation
Book Value126247BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15453385TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$2,044,394
DEPOSITS$74,056
DUE TO AFFILIATES$2,340,800
FieldValueIRS element (for citing)
Total Of Amounts4459250TotalOfAmounts

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 (2 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
03367390128182047296017319027614055715000
ROBERT D RAMSEY
0312127060415015826029577022392044033700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART I QUESTION 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.
PART I QUESTION 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 O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, QUESTION 6OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER ( 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 REGIONAL MEDICAL CENTER, 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 7BFMOL HEALTH SYSTEM AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL CAN MAKE THE DECISIONS AS FOLLOWS 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 OUR LADY OF THE LAKE HOSPITAL AS THE SOLE MEMBER OF OLLIE STEELE BURDEN MANOR, INC. RESERVES THE FOLLOWING POWERS: 1.TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD 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 AND KEY EMPLOYEES. 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.

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 (20 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

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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