2011-05-16T13:15:32-05:00 2010-06-30 KPMG LLP 450 Laurel Street Suite 1700 Baton Rouge LA 70801 990 2009-07-01 720423651 OUR LADY OF THE LAKE HOSPITAL INC OURL 2257657709 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 JEFF LIMBOCKER 2011-05-13 true 2253444000 2009 2016-02-24 21:20:13Z Our Lady of the Lake RMC K SCOTT WESTER 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 718199993 false 0928 X www.ololrmc.com X 1956 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 the community 15 11 5001 261 5464494 -1569264 2285797 3898002 545440074 604087068 401949 7662979 -1870192 -1637089 546257628 614010960 5986832 4711467 0 0 237809840 254333395 0 0 0 357891583 342567299 601688255 601612161 -55430627 12398799 897801319 979129225 429283203 467004599 468518116 512124626 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 185472444 153458752 THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 172,605 PATIENT DAYS. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, 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 $13,814,000 WERE PROVIDED WITHOUT CHARGE. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES. SEE SCHEDULE O FOR FURTHER EXPLANATION. 85092955 131561569 THE MEDICAL CENTER PROVIDES PATIENTS WITH BOTH INPATIENT AND OUTPATIENT SURGICAL CARE. DURING THE YEAR, 18,993 SURGICAL PROCEDURES WERE PERFORMED 33505009 75292899 THE MEDICAL CENTER PROVIDES PATIENTS WITH PHARMACEUTICALS IN THE COURSE OF THEIR MEDICAL CARE. IN THE CURRENT YEAR, THE HOSPITAL DISPENSED 6,135,123 UNIT DOSES 158384882 4711467 238231297 462455290 true true false true false false false false false true false true false false true false false false false false true true true true false false false false false false false true false false false false false true true false false true 229 0 true 5001 true true true false false false false false false false false 15 11 false false false false true true true true true false false true true true true true true true true true true X JEFF LIMBOCKER 2257656565 5000 HENNESSY BLVD BATON ROUGE LA 70808 EUGENE OWEN 2.0 X X 0 0 0 CHARLES FREEBURGH 2.0 X X 0 0 0 JOHN MCCLELLAND MD 2.0 X X 0 0 0 TIMOTHY ANDRUS MD 2.0 X 0 0 0 WALTER BRINGAZE III MD 2.0 X 2250 0 0 DONALD DAIGLE 2.0 X 0 0 0 RENEE FURR 2.0 X 0 0 0 MITCHELL HEBERT MD 2.0 X X 0 0 0 SR BETTY LYONS OSF 2.0 X 0 0 0 VAN MAYHALL JR 2.0 X 0 0 0 DANIEL MONTELARO 2.0 X 0 0 0 SR PENNY PROFIT OSF 2.0 X 0 0 0 JOEL SILVERBERG MD 2.0 X 0 0 0 KAREN WILLIAMS MD 2.0 X 0 0 0 KENNETH WESTER 60.0 X X 0 512217 44933 DANIEL BUTLER MD 2.0 X 0 0 0 ROBERT RAMSEY JR 60.0 X 175500 212868 51969 JEFFERY LIMBOCKER 60.0 X 252310 0 23838 TERRI STERLING 60.0 X 374886 0 27662 MICHAEL A FRIERSON 60.0 X 644598 0 16788 MOHAMMAD PIRZADAH MD 60.0 X 545510 0 16620 TOMAS H JACOME 60.0 X 465018 0 18159 BRAD VINCENT MD 60.0 X 451597 0 16108 WARREN E TRASK 60.0 X 449024 0 44566 3360693 725085 260643 185 false true false FMOL HEALTH SYSTEM INC 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT SERVICES 37292901 MILTON J WOMACK 8400 JEFFERSON HWY BATON ROUGE LA 70809 CONTRACTOR 27124696 CROTHALL HEALTHCARE INC CO OLOL 5000 HENNESSY BLVD BATON ROUGE LA 70808 HOUSEKEEPING 6308845 LSUHSC-NEW ORLEANS 4333 BOLIVER STREET NEW ORLEANS LA 70112 EDUCATION 6092126 CARDIOVASCULAR SYSTEMS LLC 7777 hennessy boulevard BATON ROUGE LA 70808 med director/staff 4443243 285 1912330 1576072 409600 3898002 PATIENT SVC REVENUE 621500 560375838 554833287 5542551 OUTREACH 900099 25712972 25712972 INCOME FROM EQUITY INVESTEES 900099 6720472 6720472 CAFETERIA SALES 900099 2249338 2249338 PHARMACY 900099 1159615 1159615 7868833 7868833 604087068 4530150 -88476 4618626 1142 1142 0 9264016 10901105 -1637089 -1637089 -1637089 96323762 95853 92981308 306620 3342454 -210767 3131687 10419 3121268 0 0 0 0 614010960 596907428 5464494 7741036 4703467 4703467 8000 8000 0 0 802696 802696 0 195469059 159607999 35861060 0 19736375 16115509 3620866 25033735 20441007 4592728 13291530 10791748 2499782 0 2848968 2848968 5053087 5053087 0 0 0 14494542 12408468 2086074 2272775 2272775 140770292 134615612 6154680 0 0 5992975 4794380 1198595 155945 115861 40084 0 654913 331649 323264 10367435 7404226 2963209 0 21116552 17337999 3778553 5432764 2264654 3168110 PURCHASED SERVICES 81648746 31329742 50319004 RECRUITMENT 880570 705503 175067 EQUIPMENT AND MAINTENANCE 9726195 6060716 3665479 PENSION RELATED CHANGES 40698894 32966104 7732790 EXTRA LOSS EARLY EXTINGUISHME 452646 452646 601612161 462455290 139156871 0 4053751 11388963 28773000 63500704 89453802 96912811 379844 186090 10455282 10565176 9490357 10411866 657407863 267667542 355001174 389740321 108808000 83224934 215778197 259863102 35140325 32994291 40467587 20340967 897801319 979129225 118992268 96410696 203173639 220023584 107117296 150570319 429283203 467004599 X 462828422 505545502 5689694 6579124 468518116 512124626 897801319 979129225 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 24475 false false false 24475 false false 74705801 74705801 328583536 115742655 212840881 10799329 8059363 2739966 195583230 140371317 55211913 47735966 3494206 44241760 389740321 FIXED INCOME SECURITIES 65427160 F RESTRICTED GRANT 306601 F ACCRUED INTEREST RECEIVABLE 270916 F ALTERNATIVE INVESTMENTS 193858425 F 259863102 0 ACCRUED PENSION COST 144430132 OTHER LIABILITIES 6140187 150570319 FIN 48 Schedule D "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 judgment occurs." There was no impact of the financial statements as a result of FIN 48. Central America and the Caribbean Investments Europe (Including Iceland and Greenland) Investments true true X true X true X true true true false true true 2924217 2924217 0.00490 74782335 45583567 29198769 0.04850 77706552 45583567 32122986 0.05340 3254976 780279 2474697 0.00410 12182860 2731945 9450916 0.01570 23666651 11169198 12497453 0.02080 1151414 504499 646915 0.00110 1362072 1362072 0.00230 41617973 15185921 26432053 0.04400 119324525 60769488 58555039 0.09740 false 28239078 118831102 120672967 -1841865 X PERKINS PLAZA IMAGIN REAL ESTATE 0.61306 0.00503 0.36684 PERKINS PLAZA MAD REAL ESTATE 0.51000 0.00500 0.28000 PERKINS PLAZA IMAGIN IMAGING SERVICES 0.60000 0.40000 NUCLEAR IMAGING IMAGING SERVICES 0.66670 0.33333 CONVENIENT CARE URGENT CARE CLINIC 0.50000 0.25000 SURGICAL SPECIALTY SURGERY CENTER 0.49000 0.48960 PERKINS PLAZA ASC AMBULATORY SURGERY CENTER 0.47960 0.27540 REGIONAL EYE SURGERY IMAGING SERVICES 0.13750 0.86248 OUR LADY OF THE LAKE HOSPITAL

5000 HENNESSY BOULEVARD BATON ROUGE LA 70808

X X X X REGIONAL EYE SURGERY CENTER

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SURGERY CENTER PERKINS PLAZA AMB SURGERY CENTER

7145 PERKINS ROAD BATON ROUGE LA 708084322

SURGERY CENTER SURGICAL SPECIALTY CENTER OF BATON ROUGE

8080 BLUEBONNET BLVD BATON ROUGE LA 70810

X X OUR LADY OF THE LAKE HOSPITAL USES INFORMATION OBTAINED RELATED TO INCOME LEVELS, ETC. TO DETERMINE ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. CHARITY CARE IS ALSO PROVIDED ON A SLIDING SCALE (BASED ON FPG/INCOME LEVELS) TO THOSE WHO DO NOT MEET THE 150%. THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON IRS WORKSHEET 2. FOR PART I LINES 7E, 7F, 7H, AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENT AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G THE FOLLOWING METHODOLOGY WAS USED DUE TO THE FACT THAT MANY OF THE DEPARTMENTS INCLUDED IN SUBSIDIZED HEALTH SERVICES HAVE NO CHARGES. THEREFORE, THE COST TO CHARGE RATIO COULD NOT BE UTILIZED. COST FIGURES FOR THESE WERE CALCULATED FROM DIRECT DEPARTMENTAL COSTS PLUS AN OVERHEAD ALLOCATION (AS REFLECTED ON THE MEDICARE COST REPORT) LESS DIRECT OFFSETTING REVENUE. OUR LADY OF THE LAKE INCLUDES THE COST OF SEVERAL PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES INCLUDING THOSE THAT PROVIDE SPECIALIZED PEDIATRIC SERVICES, PSYCHIATRIC SERVICES, RURAL HEALTH CLINICS AND HOSPITAL MEDICINE PHYSICIANS THAT HANDLE THE PLAN OF CARE FOR PATIENTS WITHOUT PERSONAL PHYSICIANS AS RELATED TO EMERGENCY ROOM VISITS. FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE. IN PART III, LINE 2, THE COST OF BAD DEBT WAS DETERMINED USING THE COST TO CHARGE RATIO BASED ON TOTAL OPERATING COST/TOTAL PATIENT REVENUE AS CALCULATED IN IRS WORKSHEET 2. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. NO ESTIMATE HAS BEEN MADE FOR ANY AMOUNTS INCLUDED IN BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DISCUSSING BAD DEBT. 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 A 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. THE AMOUNT ON PART III, LINE 6 REPRESENTS MEDICARE ALLOWABLE COSTS FROM THE COST REPORT AS ADJUSTED FOR AMOUNTS ALREADY INCLUDED ON SCHEDULE H, LINE 7 RELATED TO SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION. PATIENTS WITH NO MEANS OF PAYMENTS MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE WRITTEN OFF TO CHARITY BASED ON THE INFORMATION PROVIDED BY CREDIT BUREAUS, THROUGH THE SYSTEMS AND TOOLS UTILIZED AS WELL AS THE PATIENT'S MEDICAL EXPENSE. IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE ACCOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. 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. PART VI, LINE 2: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. OUR LADY OF THE LAKE HOSPITAL WORKS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS. THEY WORK CLOSELY WITH UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, ST. VINCENT de PAUL AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTRATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OUR LADY OF THE LAKE HOSPITAL PLANS TO CONDUCT A FORMAL COMMUNITY BASED NEEDS ASSESSMENT IN 2012 AND WILL CONTINUE TO USE COMMUNITY BASED DATA TO SUPPORT DECISIONS FOR OUTREACH IN THE COMMUNITY. PART VI, LINE 3 INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S CHARITY CARE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR CHARITY CARE, FINANCIAL ASSISTANCE, AND SELF PAY DISCOUNTS. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR CHARITY CARE. PART VI, LINE 4 OUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. OLOL'S PRIMARY SERVICE AREA HAS A POPULATION OF 664,304 AND 252,483 HOUSEHOLDS. THE MEDIAN AGE IS 33.7 YEARS, THE SENIOR POLULATION COMPRISES ABOUT 10.2% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $44,005, 28.3% HOUSEHOLDS HAVE INCOMES BELOW $25,000, PER CAPITA INCOME IS $21,532 AND UNEMPLOYMENT RATE IS 6.8% OLOL'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: EAST BATON ROUGE PARISH LIVINGSTON PARISH ASCENSION PARISH OLOL'S SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES: ASSUMPTION PARISH EAST FELICIANA PARISH IBERVILLE PARISH POINTE COUPEE PARISH ST. HELENA PARISH ST. JAMES PARISH WEST BATON ROUGE PARISH WEST FELICIANA PARISH PART VI, LINE 5 OUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES. AFTER HURRICANE KATRINA, OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM. THE STATE CHARITY HOSPITAL WILL CLOSE THE INPATIENT PORTION OF THE STATE FACILITY SHIFTING THOSE HEALTH CARE SERVICES TO OUR LADY OF THE LAKE HOSPITAL. THE OUTPATIENT COMPONENT OF THE STATE CHARITY HOSPITAL WILL BE EXPANDED THROUGH THE OPENING OF A 24/7 URGENT CARE CLINIC IN AN AREA WITH A LARGE UNDER-INSURED/UNINSURED POPULATION. PART VI, LINE 6 THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE 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. OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENT IN PATIENT CARE AREAS THROUGH THE INVESTMENT IN CLINICAL TECHNOLOGY. MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. PART VI, LINE 7 OUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER ST. ELIZABETH HOSPITAL OUR LADY OF THE LAKE ASSUMPTION HOSPITAL true HEALTH CENTERS IN SCHOOLS PO BOX 64749 BATON ROUGE LA 70806 721443935 501(c)(3) 47000 GENERAL SUPPORT BATON ROUGE SPEECH AND HEARING FOUNDATION 535 W ROOSEVELT ST BATON ROUGE LA 70802 720542134 501(c)(3) 45000 GENERAL SUPPORT CARDIOVASCULAR RESEARCH FOUNDATION OF LOUISIANA 7777 HENNESSY AVE SUITE 2007 BATON ROUGE LA 70808 721490050 501(c)(3) 50000 GENERAL SUPPORT SOUTHERN UNIVERSITY SYSTEM FOUNDATIONATHLETICS PO BOX 9942 BATON ROUGE LA 70813 726000817 501(c)(3) 26500 GENERAL SUPPORT DR FRANK MCMAINS CHILDREN DEVELOPMENT CENTER 1805 COLLEGE DRIVE BATON ROUGE LA 70808 720459036 501(c)(3) 36111 GENERAL SUPPORT CANCER SERVICES OF BR 550 LOBDELL AVE BATON ROUGE LA 70806 720517180 501(c)(3) 15000 GENERAL FUNDING BOYS AND GIRLS CLUB 135 HWY 402 NAPOLEONVILLE LA 703902217 720928014 501(c)(3) 8000 GENERAL SUPPORT LOUISIANA STATE UNIVERSITY FOUNDATION PO BOX 25095 BATON ROUGE LA 70894 726020969 501(C)(3) 46850 GENERAL FUNDING PENNINGTON BIOMEDICAL RESEARCH 6400 PERKINS ROAD BATON ROUGE LA 708084124 581767810 501(c)(3) 5100 GENERAL SUPPORT OUR LADY OF THE LAKE COLLEGE 7434 PERKINS ROAD BATON ROUGE LA 708084374 721173156 501(c)(3) 3153956 GENERAL SUPPORT OUR LADY OF THE LAKE FOUNDATION 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 721014324 501(c)(3) 918562 GENERAL SUPPORT MARY BIRD PERKINS CANCER CENTER 4950 ESSEN LANE BATON ROUGE LA 708093739 237010520 501(c)(3) 15000 GENERAL SUPPORT GENERAL GROWTH MANAGEMENT 110 N wacker dr CHICAGO IL 60606 300247204 90000 PLAYGROUND EQUIPMENT FOR CHILDREN KOMEN BATON ROUGE PO BOX 47948 BATON ROUGE LA 70898 752854972 501(c)(3) 26449 GENERAL SUPPORT SAFETY COUNCIL OF LOUISIANA 8180 SIEGEN LANE BATON ROUGE LA 70810 720702946 501(c)(3) 15000 GENERAL SUPPORT ISTROUMA AREA COUNCIL BOY SCOUTS OF AM P O BOX 66676 BATON ROUGE LA 70896 720411324 501(c)(3) 9500 GENERAL SUPPORT 15 1 MEDICAL CARE FOR NEEDY INDIVIDUAL 1 8000 Monitoring grants FORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT. THE REQUESTS ARE CHECKED FOR ALL APPROPRIATE INFORMATION AND DOCUMENTATION AND ARE PRESENTED TO EXECUTIVE ADMINISTRATION FOR APPROVAL. UPON APPROVAL THE REQUESTS ARE SUBMITTED TO ACCOUNTS PAYABLE FOR PAYMENT. X X X X false true false false false false false true false ROBERT RAMSEY JR 171790 140337 0 60415 3710 12115 0 29577 13020 9372 188520 251817 0 0 KENNETH WESTER 0 336739 0 128182 0 47296 0 17319 0 27614 0 557150 0 0 JEFFERY LIMBOCKER 203908 0 40000 0 8402 0 16210 0 7628 0 276148 0 0 0 TERRI STERLING 304480 0 60000 0 10406 0 24635 0 3027 0 402548 0 0 0 MICHAEL A FRIERSON 643012 0 0 1586 0 9800 0 6988 0 661386 0 0 0 MOHAMMAD PIRZADAH MD 543912 0 0 0 1598 0 9800 0 6820 0 562130 0 0 0 TOMAS H JACOME 356090 0 108080 0 848 0 14249 0 3910 0 483177 0 0 0 BRAD VINCENT MD 450227 0 0 0 1369 0 9800 0 6308 0 467705 0 0 0 WARREN E TRASK 271156 0 175932 0 1935 0 35713 0 8853 0 493590 0 0 0 PART 1, QUESTION 4A THE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS 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 60 MONTHS DEPENDING ON THE LENGTH OF SERVICE OF SUCH EXECUTIVE. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. PART 1, QUESTION 4B FMOL 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 ON FORM 990, PART VII, SECTION A RECEIVED PAYMENTS FROM THESE DEFERRED COMPENSATION PLANS DURING THE CURRENT YEAR. PART 1, QUESTION 7 DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO OR THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. BATON ROUGE WATER COMPANY CHAIRMAN/CEO OF BR WATER 560247 FEES FOR PUBLIC WATER SUPPLY false BRAZEALE SACHSE WILSON PARTNER WITH LAW FIRM 1480836 LEGAL SERVICE false GOVERNING DOCUMENTS PART VI, SECTION C, #19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART VI, SECTION A, QUESTION 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501 (C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF THE LAKE REGIONAL HOSPITAL, INC. MEMBERS PART VI, SECTION A, QUESTION 7B THE RESERVED POWERS TO THE MEMBER 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. CONFLICT OF INTEREST PART VI, SECTION B, QUESTION 12C OUR LADY OF THE LAKE HOSPITAL, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT REQUIRES EACH OFFICER, TRUSTEE, BOARD COMMITTEE MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. COMPLETED DISCLOSURE FORMS ARE REVIEWED AND MAINTAINED BY THE CHIEF COMPLIANCE OFFICER. IF ANY TRUSTEE, BOARD COMMITTEE MEMBER OR SENIOR MANAGER HAS A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES WHETHER ACTION NEEDS TO BE TAKEN AND COMMUNICATES ANY SUCH ACTION TO THE INDIVIDUAL. A POTENTIAL CONFLICT OF ANY OTHER EMPLOYEE IS REVIEWED BY THE CEO OR HIS DESIGNEE. THE EXECUTIVE COMMITTEE, CEO OR DESIGNEE, AS APPLICABLE, DETERMINES IF A CONFLICT OF INTEREST EXISTS OR CREATES THE APPEARANCE OF IMPROPRIETY. IF SUCH A DETERMINATION IS MADE, THE INDIVIDUAL WILL BE EXCUSED FROM PARTICIPATING IN THE BUSINESS DECISION. DURING THE YEAR, ANY CHANGE TO THE INFORMATION IN THE DISCLOSURE STATEMENT MUST BE DISCLOSED PROMPTLY TO THE CHIEF COMPLIANCE OFFICER, WHO TAKES APPROPRIATE ACTION. THE PROCESS ALSO REQUIRES AFFIRMATION FROM EACH INDIVIDUAL THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY AND (D) UNDERSTANDS THAT OUR LADY OF THE LAKE UNITED STATES CATHOLIC CONFERENCE IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION TO THE ABOVE, OUR LADY OF THE LAKE HOSPITAL, INC. PROVIDES MECHANISMS FOR CONFIDENTIAL REPORTING OF COMPLIANCE ISSUES. THESE MECHANISMS INCLUDE AN ANONYMOUS HOTLINE AND WEB SITE WHERE INDIVIDUALS MAY RAISE ISSUES, SEEK CLARIFICATION AND REPORT POSSIBLE CONFLICTS OF INTEREST OR OTHER CONCERNS. THESE REPORTS, INCLUDING REPORTS OF POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. PART VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW OF THE FORM 990 BY KPMG, THE FORM 990 IS REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. PART VI, SECTION A, QUESTION 7A FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF OUR LADY OF THE LAKE HOSPITAL, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF OUR LADY OF THE LAKE Hospital, Inc. DETERMINING COMPENSATION PART VI, SECTION B, QUESTION 15A & 15B OUR BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS 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. THE COMPENSATION FOR THE CEO OF OUR LADY OF THE LAKE HOSPITAL, INC. 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. COMMUNITY BENEFIT STATEMENT FORM 990 PART III THE MEDICAL CENTER PARTICIPATES IN GOVERNMENT PROGRAMS, INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. 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 AMOUNTS THAT 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 END JUNE 30, 2010. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY THE MEDICAL CENTER UNDER MANAGED CARE OR OTHER SUCH ARRANGEMENTS. THE BELOW FIGURES USE A SLIGHTLY DIFFERENT ASSUMPTION FROM SCHEDULE H AND THEREFORE AMOUNTS MAY VARY. JUNE 30, 2010 CHARGES FOREGONE NET COMMUNITY BENEFIT EXPENSE CHARITY CARE AND MEANS TESTED PROGRAMS: CHARITY CARE $13,814,000 $5,674,000 UNREIMBURSED MEDICAID 113,144,000 12,040,000 UNREIMBURSED MEDICARE 230,925,000 14,778,000 TOTAL $357,883,000 $32,492,000 IN ADDITION TO COMMUNITY SERVICES DIRECTLY ASSOCIATED WITH PROVIDING HOSPITAL BASED CARE, THE MEDICAL CENTER SERVES THE COMMUNITY IN NUMEROUS OTHER WAYS. THE FOLLOWING TABLE FOR THE YEAR ENDED JUNE 30, 2010 SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES: COMMUNITY HEALTH IMPROVEMENT SERVICES: IMMUNOLOGICAL SUPPORT 497,000 COMMUNITY HEALTH 186,000 LAKELINE DIRECT 1,226,000 ST. MARTHA ACTIVITY CENTER 41,000 ELDERLY SERVICES 279,000 ELDERLY HOUSING 2,246,000 HEALTH CARE PROFESSIONS EDUCATION: OLOL COLLEGE 6,074,000 INTERNS AND RESIDENTS 2,373,000 FAMILY EDUCATION 1,396,000 SUBSIDIZED HEALTH SERVICES: OLOL NEIGHBORHOOD CLINIC 457,000 COPE 1,159,000 PALLIATIVE CARE 398,000 RESEARCH: CLINICAL RESEARCH 645,000 FINANCIAL CONTRIBUTION: CASH CONTRIBUTION 585,000 COMMUNITY BUILDING ACTIVITIES: ELDERLY HOUSING COMPLEX 462,000 MARY BIRD PERKINS 100,000 COMMUNITY CLINIC 29,000 TOTAL $18,153,000 COMMUNITY HEALTH IMPROVEMENT SERVICES IMMUNOLOGICAL SUPPORT THE MEDICAL CENTER ORGANIZED OWNS AND OPERATES A HOME WHICH IS DESIGNED TO HELP THE MEMBERS OF OUR COMMUNITY WHO HAVE CONTRACTED ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) TO DEAL WITH THE VERY DEBILITATING PHYSICAL, SOCIAL, AND PSYCHOLOGICAL PROBLEMS ASSOCIATED WITH THE DISEASE. COMMUNITY HEALTH TO ASSIST IN EDUCATING THE COMMUNITY REGARDING HEALTH RELATED ISSUES, THE MEDICAL CENTER PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SPONSORS TALKS TO VARIOUS SCHOOLS AND INDUSTRY GROUPS REGARDING SUCH ISSUES AS DRUG ABUSE AND SAFETY IN THE WORKPLACE. LAKELINE DIRECT THE MEDICAL CENTER OPERATES A NURSE CALL CENTER, LAKELINE DIRECT, OFFERING COMPLIMENTARY 24 HOUR NURSE ADVICE, HEALTH INFORMATION AID, AND PHYSICIAN REFERRAL SERVICE TO THE COMMUNITY. ST. MARTHA ACTIVITY CENTER THE MEDICAL CENTER PROVIDES AN ACTIVITY CENTER LOCATED AT THE ELDERLY HOUSING FACILITY FOR THE RESIDENTS OF THE HOUSING FACILITY AS WELL AS OTHER ELDERLY COMMUNITY MEETINGS. ELDERLY SERVICES THE MEDICAL CENTER SPONSORS AND INCURS THE SALARY OF THE DIRECTOR OF THE HUD HOUSING FACILITY, PASTORAL CARE ASSOCIATE AND MEDICAL DIRECTOR OF ELDERLY SERVICES. ELDERLY HOUSING OLLIE STEELE BURDEN MANOR, A SUBSIDIARY OF THE MEDICAL CENTER, OPERATES ST. CLARE MANOR WHICH HAS 216 TOTAL BEDS, OF WHICH 120 ARE MEDICAID LICENSED. HEALTH CARE PROFESSIONAL'S EDUCATION OLOL COLLEGE IN AN EFFORT TO ENSURE THAT AN ADEQUATE SUPPLY OF NURSES ARE AVAILABLE FOR THE BATON ROUGE COMMUNITY, THE MEDICAL CENTER FOUNDED AND ORGANIZED OUR LADY OF THE LAKE COLLEGE, INC. THE MEDICAL CENTER SUBSIDIZES THE OPERATES OF THE COLLEGE WITH GRANTS. INTERNS AND RESIDENTS THE MEDICAL CENTER PARTICIPATES IN MEDICARE'S GRADUATE MEDICAL EDUCATION THROUGH AFFILIATION WITH LOUISIANA MEDICAL SCHOOL AND MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS TO CONTINUE TO SUPPORT AVAILABILITY OF PHYSICIANS IN FUTURE YEARS. FAMILY EDUCATION THE MEDICAL CENTER PROMOTES A HEALTHY ENVIRONMENT FOR THE FAMILY THROUGH PEDIATRIC PROGRAMS, WHICH INCLUDE KID-MED CLINIC, PEDIATRIC ASSESSMENT CENTER AND CHILD LIFE PROGRAMS. SUBSIDIZED HEALTH SERVICES OLOL NEIGHBORHOOD CLINIC THE MEDICAL CENTER OPERATES A SCOTLANDVILLE CLINIC TO PROVIDE WALK IN CARE FOR MINOR ILLNESS AND INJURY DURING EVENINGS AND WEEKENDS. COPE THE MEDICAL CENTER PROVIDES CRISIS ORIENTED PSYCHIATRIC EVALUATION (COPE) TO THE COMMUNITY. PALLIATIVE CARE THE MEDICAL CENTER PROVIDES PALLIATIVE CARE SERVICE FOR PATIENTS IN THE FINAL STATE OF LIFE AND THEIR FAMILY MEMBERS. ST. FRANCIS HOUSE THE MEDICAL CENTER SUBSIDIZES AN ADULT DAY CARE CENTER FOR AGING PERSONS IN THE COMMUNITY. CLINICAL RESEARCH THE MEDICAL CENTER PARTICIPATES IN CLINICAL RESEARCH PROJECTS TO IMPROVE THE HEALTH AND CARE OF PATIENTS AND COMMUNITY MEMBERS FINANCIAL CONTRIBUTIONS CASH CONTRIBUTIONS THE MEDICAL CENTER ALSO ORGANIZES EMPLOYEE PARTICIPATION IN FUND RAISING FOR ORGANIZATIONS SUCH AS CAPITAL AREA UNITED WAY, MARCH OF DIMES OF AMERICA, JUNIOR ACHIEVEMENT, CYSTIC FIBROSIS AND THE COMMUNITY FUND FOR THE ARTS. THE MEDICAL CENTER ALSO MAKES CORPORATE DONATIONS TO VARIOUS AREA COMMUNITY SERVICE ORGANIZATIONS. COMMUNITY BUILDING ACTIVITIES ELDERLY HOUSING COMPLEX THE MEDICAL CENTER OPERATES FOUR ELDERLY HOUSING PROJECTS: VILLA ST. FRANCIS, INC., ASSISI VILLAGE, INC., CALAIS HOUSE, INC., AND CHATEAU LOUISE, INC. THESE PROJECTS ARE DESIGNED TO PROMOTE THE HEALTH, SECURITY, AND HAPPINESS OF THE ELDERLY AND HANDICAPPED PERSONS OF THE GREATER BATON ROUGE AREA. MARY BIRD PERKINS THE MEDICAL CENTER ALSO SPONSORS THE CHARITABLE ACTIVITIES OF OTHER NOT-FOR-PROFIT ORGANIZATIONS IN BATON ROUGE. THE MEDICAL CENTER PROVIDES LAND ADJOINING THE MEDICAL CENTER TO THE MARY BIRD PERKINS CANCER CENTER FOR ITS OPERATIONS AND FOREGOES ALL RENTAL INCOME FOR THE USE OF THIS LAND. 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