2011-05-16T15:19:47-05:00 2010-06-30 KPMG LLP 450 Laurel Street Suite 1700 Baton Rouge LA 70801 990 2009-07-01 720423635 Our Lady of Lourdes Regional Medical Center Inc OURL 3372892108 611 St Landry Street Lafayette LA 70506 KIM HEBERT 2011-05-16 true 2253444000 2009 2016-02-24 21:20:13Z WILLIAM BARROW 611 ST LANDRY STREET LAFAYETTE LA 70506 179211434 false 0928 X WWW.LOURDES.NET X 1957 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. 18 16 1531 192 138431 -17386 965595 401832 151550546 160573650 254680 119196 1062152 1756957 153832973 162851635 191663 313863 0 0 61979064 67607968 0 0 0 146546145 104104270 208716872 172026101 -54883899 -9174466 235709030 340534210 142736384 241094578 92972646 99439632 INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. EXTENDS THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. CALLS 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. false false 138693935 313863 160413651 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTH 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, HEALTHCARE SERVICES COSTING APPROXIMATELY, $1,574,890 WERE PROVIDED WITHOUT CHARGE. THE MEDICAL CENTER PROVIDED SERVICES FOR 43,352 PATIENT DAYS IN THE YEAR ENDED JUNE 30, 2010. SEE SCHEDULE O FOR FURTHER EXPLANATION. 138693935 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 false true true false false true 143 0 true 1531 true true true false false false false false false false false 18 16 true false false false true true true true true false false true true true true false false true false true true X KIM HEBERT 3372892108 611 ST LANDRY STREET LAFAYETTE LA 70506 BRYAN LEBEAN MD 0.3 X 0 0 0 CHARLES T GOODSON 0.3 X 0 0 0 GAIL ROMERO 0.3 X 0 0 0 GERALD BOUDREAUX 0.3 X X 0 0 0 HENRY J KAUFMAN MD 0.3 X 0 0 0 HENRY PERRET JR 0.3 X X 0 0 0 JERRY REAUX 0.3 X 0 0 0 JOHN SCHUTTE MD 0.3 X 0 0 0 KEMP COREIL MD 0.3 X 4742 0 0 KENNETH L ODINET MD 0.3 X 0 0 0 KEVIN MOODY 0.3 X 0 0 0 RICHARD K BROUSSARD MD 0.3 X 0 0 0 RONALD BRUMLEY 0.3 X X 0 0 0 STEVE LANDRY PhD 0.3 X 0 0 0 WAYNE ELMORE 0.3 X 0 0 0 WILLIAM BARROW 40.0 X X 0 454623 56667 WILLIAM W RUCKS IV 0.3 X 0 0 0 JON LELEUX MD 0.3 X X 0 0 0 SR JUNE ANN MEYER 0.3 X 0 0 0 SR VERNOLA LYONS X 0 0 0 KEVIN DOMINGUE 40.0 X 120346 0 12762 ANDRE MOREAU 40.0 X 141814 0 15721 KIM HEBERT 40.0 X 156066 0 20519 MICHELLE CRAIN 40.0 X 150018 0 20682 BARBARA FESKE 40.0 X 163824 0 33718 KAREN WYBLE 40.0 X 226700 0 15140 ROBERT S DAVIS 40.0 X 208236 0 12382 ANGELA D SNOW 40.0 X 152320 0 12294 KELLY T CAHILL 40.0 X 215714 0 9037 BRADLEY M BLAPPERT 40.0 X 154498 0 12966 STEVEN J SNATIC 40.0 X 251825 0 16093 GREG ROBICHEAUX MD 40.0 X 201877 0 31984 JUDE J BROUSSARD 40.0 X 110621 0 18438 HERBERT E DRUILHET III 40.0 X 116450 0 4602 KIRK L CARBO 40.0 X 114622 0 12534 EDWARD L BROUSSARD 40.0 X 130690 0 8026 KAREN E MANNING 40.0 X 174463 0 26322 2794826 454623 339887 24 false true false FMOL HEALTH SYSTEM INC 4200 ESSEN LANE BATON ROUGE LA 70809 ADMINISTRATIVE SERV 8734074 DAVID MCMANUS MD 600 E BAYOU PKWY LAFAYETTE LA 70503 EMERGENCY ROOM DRS 2415363 LEMOINEBRASFIELD GORRIE 214 jefferson street LAFAYETTE LA 70501 CONTRACTORS 77041734 THE ESTOPINAL GROUP LLC 903 SPRING STREET JEFFERSONVILLE IN 47130 CONSULTING 2648336 SODEXO INC AFFILIATES PO Box 905374 CHARLOTTE NC 282905374 FOOD SVCS MGMT SVCS 2095454 101 28099 155460 218273 401832 PATIENT SERVICE REVENUE 900099 150541153 150541153 OUTREACH LAB REVENUE 900099 4697761 4697761 OUTREACH LAB REVENUE 900099 2444817 2444817 RETAIL PHARMACY REVENUE 900099 780815 780815 FOOD SERVICE REVENUE 900099 663708 663708 1445396 1285397 159999 160573650 596973 -24459 621432 0 0 1797429 1389848 407581 407581 34911 372670 14220924 271250 14717811 252140 -496887 19110 -477777 2891 -480668 0 0 0 HEART HOSPITAL MANAGEMENT FEE 900099 1349376 1349376 1349376 162851635 160448562 138431 1862810 313863 313863 0 0 0 2871308 1148523 1722785 0 46264598 37474324 8790274 7304310 5770405 1533905 7636430 6185508 1450922 3531322 2860371 670951 0 194743 194743 295007 295007 0 0 0 34191107 28051619 6139488 756658 756658 36158283 33312977 2845306 0 0 4257398 2256421 2000977 93795 74098 19697 0 155570 56005 99565 2714708 1384501 1330207 0 10003996 5402158 4601838 1409978 1113883 296095 BAD DEBT 11097011 11097011 CUM EFFECT OF CHG IN ACCT PRIN 2736753 2162035 574718 0 OTHER EXPENSES 39263 30233 9030 172026101 138693935 33332166 0 4036644 4387316 5698045 13556188 21452969 22430543 1161703 1730568 3959732 3385971 1590002 1662844 356430165 173970426 95277343 182459739 26728883 23757188 56788003 68174571 4612869 4186751 13167585 12022577 1235252 2779954 235709030 340534210 18955809 29090674 58970435 153728323 64810140 58275581 142736384 241094578 X 92972646 99439632 92972646 99439632 235709030 340534210 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 24828 false false false 24828 false false 0 26743745 26743745 0 89573866 73314250 16259616 0 3790582 1995215 1795367 0 94332186 77894561 16437625 0 141989785 20766399 121223386 182459739 FIXED INCOME SECURITIES 12836216 F ALTERNATIVE INVESTMENTS 55338355 F 68174571 0 DUE TO THIRD PARTY PAYORS 665968 PROF. & GENERAL LIABILITY 868126 ACCRUED PENSION COST 56506649 BOND DISCOUNT 234838 58275581 FIN 48 FOOTNOTE SCHEDULE D, PART XIV "THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS." THERE WAS NO IMPACT ON THE FINANCIAL STATEMENTS AS A RESULT OF FIN 48. Central America and the Caribbean Investments Europe (Including Iceland and Greenland) Investments true true X true X false true true true false true true 1386093 1386093 0.00760 14189250 9907763 4281487 0.02360 1527745 580592 947153 0.00520 17103088 10488355 6614733 0.03640 475623 187326 288297 0.00160 161552 161552 0.00090 1065332 361816 703516 0.00390 284041 284041 0.00160 1986548 549142 1437406 0.00800 19089636 11037497 8052139 0.04440 true 5153815 56644574 57374625 -730051 X true true LOURDES IMAGING DEV LEASOR OF IMAGING PROP & EQUI 0.29980 0.06490 0.63530 HEART HOSP OF LAFFAY SPECIALTY HOSPITAL 0.60000 0.01820 0.33450 PARK PLAZA SURGICAL AMBULATORY SURGICAL CENTER 0.45000 0.04750 0.38690 OUR LADY OF LOURDES RMC

611 ST LANDRY STREET LAFAYETTE LA 70506

X X X HEART HOSPITAL OF ACADIANA LLC

1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508

X X X SCOTT FAMILY CLINIC

906 CAYRET STREET SCOTT LA 70583

HEALTHCARE CLINIC LOURDES IMAGING NETWORK LLC

411 ST LANDRY STREET LAFAYETTE LA 70506

IMGAGING CENTER LOURDES AFTER HOURS LLC

2130 KALISTE SALOOM ROAD LAFAYETTE LA 70508

HEALTHCARE CLINIC PARK PLACE SURGERY CENTER LLC

901 WILSON STREET LAFAYETTE LA 70503

X SURGERY CENTER LHCG-XIII LLC

601 WEST ST MARY BLVD SUITE 309 LAFAYETTE LA 70506

HOME HEALTH AGENCY Our Lady of the Lourdes Regional Medical Center uses information obtained related to income levels, etc. to determine eligibility for charity and discounted care. All self pay accounts get an automatic 25% discount. 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, 7g, and 7i, IRS worksheets 4-8 were used. Direct costs were captured from the 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. The Medical Center provides subsidized health services. The discount provided brings charges down to cost for all patients who have no form of insurance coverage. Programs such as Scott Family Clinic, which serves the underinsured or uninsured and St. Bernadette's clinic, which provides free medical care to the homeless and uninsured population are also included. The costing methodology used for subsidized health services was actual expenses incurred in providing the services less direct offsetting revenue. For the purpose of calculating the percentage in Part I, Line 7, column F, bad debt expense of $11,097,011 is subtracted from total functional expense. The Medical Center's audited Financial Statements did not include a footnote for Bad Debts expense. However, Bad debts are based on the aging of the accounts and also the historical collection history associated with the different aging categories i.e. 0-30, 30-60, etc. Further analyses are done periodically to determine the appropriate collection percentage to use in estimating the Bad Debt expense. Cost to Charge ratio was used to determine the cost of Bad Debt expense reported in Part III Line 2. Bad Debt expense does not include discounts that are provided, nor are amounts that may qualify for financial assistance included. Any amounts (payments) received on accounts after they have been deemed to be uncollectible (bad debt) are recorded as a recovery (reduction) of Bad Debt Expense. The costing methodology used to determine the medicare allowable costs reported in the medicare cost report is based on regulatory requirement and guidelines. The Medicare cost report (MCR) is an annual report required of all institutions participating in the Medicare Program. The MCR records each institution's Total Costs and Charges associated with providing services to all patients, the portion of those costs and charges allocated to Medicare patients, and the Medicare payments received. Our Lady of Lourdes recognizes its obligation to provide quality healthcare to those who are unable to pay. The hospital also recognizes that it has an obligation to maintain long-term financial stability and viability. Based on our values, the hospital is committed to providing services at no charge or at reduced rates to those patients who meet pre-determined financial and medical qualifications. Patients who qualify for charity care should be identified prior to, or at time of admission. The hospital may also review a patients' ability to pay after discharge as appropriate. When it is determined that a patient has no means to pay, they are provided the financial assistance (FA) information and the FA application. Financial Assistance is based on the patient's income level as dictated in the financial assistance policy. The patient's account may be written off to charity when it is determined that they qualify for financial assistance. The account is also removed from the collection process at that time. All requests for assistance will remain confidential, and the hospital will not discriminate in the application of its charity policy based upon race, creed, color, sex or national origin. The Community Services department at Our Lady of Lourdes Regional Medical Center was formed nearly 10 years ago to assess the Community Needs. It has grown into 5 distinct service areas which provides healthcare to needy residents in the Acadiana area. In taking "Healthcare to the Highest Power", the department reaches out to those most in need, specifically, the uninsured and underinsured. In pursuing the mission to improve the health status of Acadiana's poorest residents, the department has strategically placed accessible services throughout the community. Community services' Catholic identity is made tangible in the community through these unique services. The department stewards its resources by engaging community members, forming partnerships, and establishing collaborative relationships. These unique services clearly distinguish Our Lady of Lourdes from other healthcare facilities in Acadiana. The Medical Center does extensive research regarding community issues and needs within its service areas. The research is conducted in an effort to determine if its community benefit programs are still appropriate and to determine if other programs are needed. The senior executive team determines the focus groups to better understand what the people within the region consider to be the major community needs. The focus group includes community leaders, religious leaders, community service employees, low wage employees and clients from clinics. Some of the results of the Medical Center's Needs Assessment include: St. Clare's Clinic St. Bernadette's Community Clinic Northside High School Based Health Center Scott Family Clinic Congregational Health Services Patients are given the Medical Center's Patient Handbook where they are referred to the section entitled "Financial Information - What to Expect". Financial counselors also meet with the patients and educate them about the eligibility for assistance under Federal, State or Local government programs and also the organization's Financial Assistance (charity) program. For the convenience of the patients, the Medical Center also operates a Medicaid Enrollment Center to assist patients interested in applying for Medicaid benefits. This office is open Monday - Friday from 8:00 a.m. - 4:00 p.m. A telephone number is also provided in the handbook. 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 have established a policy under which the Medical Center provides care to needy members of its communities. The Medical Center serves Lafayette parish and its surrounding areas. Approximately 205,000 people live in Lafayette Parish and 650,000+ in the total service area with expected growth in the next few years. See the qualitative description of community benefit report on Schedule O. Our Lady of Lourdes Regional Medical Center is not-for-profit, non-stock, member corporation of which Franciscan Missionairies of Our Lady Health System, Inc. is the sole member. Francscan Missionairies of Our Lady Health System, Inc. also includes several other hospitals in Louisiana: Our Lady of the Lake Regional Medical Center St. Francis Medical Center St. Elizabeth Hospital true LOURDES FOUNDATION 611 ST LANDRY STREET LAFAYETTE LA 70506 721494532 501(c)3 79000 GENERAL SUPPORT UNITED WAY OF ACADIANA 215 E PINHOOK ROAD LAFAYETTE LA 70501 720513639 501(c)3 25000 GENERAL SUPPORT 2 Schedule I, Part I, Line 2 A compliance report is submitted by the organization receiving the grant at the end of the grant period. X X X X false true false false false false false true false ANDRE MOREAU 128310 0 100 0 13404 0 10300 0 5421 0 157535 0 0 0 KIM HEBERT 134906 0 7600 0 13560 0 13063 0 7456 0 176585 0 0 0 MICHELLE CRAIN 134496 0 10100 0 5422 0 12761 0 7921 0 170700 0 0 0 BARBARA FESKE 149262 0 2600 0 11962 0 25853 0 7865 0 197542 0 0 0 ANGELA D SNOW 152220 0 100 0 0 0 6331 0 5963 0 164614 0 0 0 KELLY T CAHILL 158735 0 56979 0 0 0 7772 0 1265 0 224751 0 0 0 BRADLEY M BLAPPERT 154398 0 100 0 0 0 6441 0 6525 0 167464 0 0 0 KAREN E MANNING 173363 0 1100 0 0 0 22124 0 4198 0 200785 0 0 0 STEVEN J SNATIC 251825 0 0 0 0 0 9800 0 6293 0 267918 0 0 0 KAREN WYBLE 176638 0 36502 0 13560 0 8909 0 6231 0 241840 0 0 0 WILLIAM BARROW 0 332058 0 73216 0 49349 0 32911 0 23756 0 511290 0 0 ROBERT S DAVIS 181018 0 15100 0 12118 0 8246 0 4136 0 220618 0 0 0 GREG ROBICHEAUX MD 201777 0 100 0 0 0 26367 0 5617 0 233861 0 0 0 SCHEDULE J, PART I, LINE 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 IN FORM 990, PART VII, SECTION A RECEIVED PAYMENTS FROM THESE DEFERRED COMPENSATION PLANS DURING THE CURRENT YEAR. SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES WERE PAID WITH REGARD TO PERSONS LISTED ON PART VII, SECTION A, LINE 1A. SUCH BONUSES WERE APPROVED BY THE CEO. SCHEDULE J, PART I, LINE 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 36 MONTHS DEPENDING ON THE LENGTH OF SERVICE OF SUCH EXECUTIVE. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. OTHER PERSONS LISTED ON PART VII, SECTION A ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT DUE TO REORGANIZATION OF HOSPITAL DEPARTMENTS, HOSPITAL FUNCTIONS OR DOWNSIZING ACTIVITY. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS OR HER BASE SALARY AND MEDICAL/DENTAL BENEFITS FOR THE ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD RANGES FROM 3 WEEKS TO 12 MONTHS DEPENDING ON THE LENGTH OF SERVICE AND THE LEVEL OF SUCH EMPLOYEE. NO PAYMENTS TO INDIVIDUALS LISTED IN PART VII, SECTION A WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. LOUISIANA PHYSICIAN CORPORATION BD MEMBER IS PART OWNER 125180 MEDICAL BILLING false PART VI, SECTION A, QUESTION 11 AFTER PREPARATION AND REVIEW BY KPMG LLP, THE FORM 990 IS 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 VI, SECTION B, QUESTION 12C OUR LADY OF LOURDES REGIONAL 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 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 LOURDES REGIONAL 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, OUR LADY OF LOURDES REGIONAL 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 OF POSSIBLE CONFLICTS OF INTERESTS ARE REVIEWED AND INVESTIGATED BY THE CORPORATE COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN. PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC 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 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. PART VI, SECTION B, QUESTION 15A & 15B THE PRESIDENT AND CEO OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS AN EMPLOYEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) WHOSE SALARY IS DETERMINED BY THE PAY PRACTICES OF THAT ORGANIZATION. SUCH PAY PRACTICES INCLUDE THE USE OF AN INDEPENDENT BOARD COMMITTEE WHICH REVIEWS COMPENSATION ANNUALLY AFTER OBTAINING AND RELYING UPON INDUSTRY-WIDE COMPENSATION INFORMATION FROM AN OUTSIDE CONSULTING FIRM. THE BOARD COMMITTEE APPROPRIATELY DOCUMENTS ITS DECISIONS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE CEO. THE CEO IS PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO THEN USES THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND DOCUMENTS THE HUMAN RESOURCE FILES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990 PART III OUR LADY OF LOURDES REGIONAL MEDICAL CENTER SERVICE TO THE COMMUNITY - 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 $1,574,890 WERE PROVIDED WITHOUT CHARGE AS CHARITY DURING THE YEAR ENDED JUNE 30, 2010. GROSS CHARGES FOREGONE, BASED ON ESTABLISHED RATES, TOTALED APPROXIMATELY $3,225,000 FOR THE YEAR ENDED JUNE 30, 2010. THE MEDICAL CENTER ALSO PARTICIPATES IN GOVERNMENT PROGRAMS INCLUDING MEDICARE, MEDICAID, AND THE TRICARE PROGRAM. UNDER THESE PROGRAMS, THE MEDICAL CENTER PROVIDES CARE TO PATIENTS AT PAYMENT RATES WHICH 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 ADJUSTMENTS) 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. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY THE MEDICAL CENTER UNDER MANAGED CARE AND OTHER SUCH AGREEMENTS. THE BELOW FIGURES USE SLIGHTLY DIFFERENT ASSUMPTIONS FROM SCHEDULE H AND THEREFORE AMOUNTS MAY VARY. 2010 CHARGES FORGONE MEDICARE $116,424,638 MEDICAID 24,258,463 TRICARE 1,546,723 CHARITY 3,225,000 TOTAL 145,454,824 ESTIMATED UNREIMBURSED COSTS MEDICARE $24,067,959 MEDICAID 7,990,924 TRICARE 755,324 CHARITY 1,574,890 TOTAL 34,389,097 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 SPONSORS THE ST. BERNADETTE'S CLINIC. ST. BERNADETTE'S PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION IN THE ACADIANA AREA. LOURDES PROVIDES THE SERVICES OF A NURSE PRACTITIONER AND REGISTERED NURSE. THE COST ASSOCIATED WITH THE CLINIC APPROXIMATED $609,495 FOR THE YEAR ENDED JUNE 30, 2010. DURING 1996, THE MEDICAL CENTER BEGAN OPERATING THE NORTHSIDE HIGH SCHOOL HEALTH CENTER. THE CENTER IS COMMITTED TO PROVIDING EXEMPLARY COMPREHENSIVE HEALTH CARE TO THE STUDENTS AT NORTHSIDE HIGH SCHOOL. PHYSICAL AND PSYCHOSOCIAL SERVICES ARE PROVIDED BY A DEDICATED STAFF IN AN INFORMAL AND CONFIDENTIAL ATMOSPHERE THAT IS EASILY ACCESSIBLE TO ALL STUDENTS. EMPHASIS IS PLACED ON WELLNESS, AVOIDING HIGH RISK BEHAVIORS, AND MEETING THE INDIVIDUAL MEDICAL, EMOTIONAL AND SOCIAL NEEDS OF ADOLESCENTS AT NO COST TO THE STUDENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE HEALTH CENTER APPROXIMATED $336,205 FOR THE YEAR ENDED JUNE 30, 2010. CONGREGATIONAL HEALTH SERVICES BEGAN MARCH 2001 AT IMMACULATE HEART OF MARY CHURCH AND THEN EXPANDED TO PROGRESSIVE BAPTIST CHURCH, WHICH ARE CHURCHES IN THE LAFAYETTE AREA. CURRENTLY, THERE ARE TWO PART-TIME NURSES AND ONE NURSE PRACTITIONER WHO COORDINATE THE PROGRAM. THE NURSES HAVE SPECIALIZED TRAINING AS HEALTH EDUCATORS, REFERRAL SOURCES, HEALTH COUNSELORS, HEALTH ADVOCATES AND VOLUNTEER COORDINATORS. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $70,581 FOR THE YEAR ENDED JUNE 30, 2010. THE MEDICAL CENTER HAS PURCHASED THE "CAMP BLUEBIRD" FRANCHISE, A CAMP FOR ADULT CANCER PATIENTS, PROVIDING SUCH PATIENTS A SECURE AND MEDICALLY SUPERVISED ENVIRONMENT, AND OFFERING THERAPEUTIC SHARING OPPORTUNITIES AS WELL AS INFORMATION REGARDING THE EDUCATIONAL, MEDICAL AND PSYCHOLOGICAL CONCERNS OF THE CAMPERS. THE MEDICAL CENTER SPONSORS THE SCOTT FAMILY CENTER (THE CENTER), WHICH BEGAN IN 1998 AS A PEDIATRIC CLINIC AND KIDMED (A STATE-SPONSORED HEALTH PROGRAM) AND HAS NOW EVOLVED INTO A FAMILY CLINIC WITH KIDMED SERVICES. A PEDIATRIC NURSE PRACTITIONER, FAMILY NURSE PRACTITIONER AND CLERICAL STAFF OPERATE THE FACILITY. THE CENTER SERVES UNDERINSURED, UNINSURED, AND LACHIP (A STATE-SPONSORED HEALTH PROGRAM) ENROLLMENT. THE FACILITY IS A MAJOR PROVIDER OF IMMUNIZATIONS AS AN ALTERNATE SOURCE TO THE LAFAYETTE PARISH HEALTH UNIT. THE ESTIMATED COSTS ASSOCIATED WITH THESE ACTIVITIES APPROXIMATED $455,837 FOR THE YEAR ENDED JUNE 30, 2010. THE MEDICAL CENTER DONATES THE SERVICES OF ONE FULL-TIME REGISTERED NURSE TO THE LAFAYETTE COMMUNITY HEALTH CARE CLINIC (THE CLINIC). THE CLINIC TARGETS INDIVIDUALS AND FAMILIES WHO ARE EMPLOYED OR TEMPORARILY UNEMPLOYED AND UNINSURED. PHYSICIANS, DENTISTS, NURSES, AND PHARMACISTS ARE ON HAND TO TREAT PATIENTS. THE ESTIMATED COSTS ASSOCIATED WITH THE CLINIC APPROXIMATED $17,192 FOR THE YEAR ENDED JUNE 30, 2010. THE MEDICAL CENTER ALSO HAD ESTIMATED COSTS OF $120,455 ASSOCIATED WITH EMERGENCY PREPAREDNESS AND $136,326 ASSOCIATED WITH HEALTH PROFESSIONS EDUCATION FOR THE YEAR ENDED JUNE 30, 2010. THE FOLLOWING TABLE SUMMARIZES ESTIMATED COSTS OF THE COMMUNITY SERVICES NOTED ABOVE FOR THE YEAR ENDED JUNE 30, 2010: 2010 ST. BERNADETTE'S $609,495 NORTHSIDE HIGH SCHOOL HEALTH CENTER 336,205 CONGREGATIONAL HEALTH SERVICES 70,581 SCOTT FAMILY CENTER 455,837 LAFAYETTE COMMUNITY HEALTH CARE CLINIC 17,192 HEALTH PROFESSIONS EDUCATION 136,326 EMERGENCY PREPAREDNESS 120,455 ------------- TOTAL $1,746,091 ALTHOUGH THE MEDICAL CENTER HAS ESTIMATED THE COST OF THESE EFFORTS TO SERVE THE ACADIANA COMMUNITY, MANAGEMENT AND THE BOARD OF DIRECTORS BELIEVE THAT SUCH COSTS REPRESENT ONLY ONE FACET OF THE MANY WAYS THAT THE MEDICAL CENTER AND ITS RELATED ORGANIZATIONS SERVE THE ACADIANA AREA. 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 (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. PART VI, SECTION A, QUESTION 2 HENRY PERRET, JR. & KEVIN MOODY - BUSINESS RELATIONSHIP HENRY PERRET, JR. & WILLIAM W. RUCKS, IV - BUSINESS RELATIONSHIP KEVIN MOODY & WILLIAM W. RUCKS, IV - BUSINESS RELATIONSHIP CHARLES GOODSON & WILLIAM W. RUCKS, IV- BUSINESS RELATIONSHIP St Bernard Health Fund 4200 Essen Lane Baton Rouge LA 70809 204685614 Healthcare LA 501(c)(3) 11 Type 1 FMOLHS Health Partners Network of South LA 611 St Landry Street Lafayette LA 70506 Healthcare LA 501(c)(3) 3 LOURDES RMC Lourdes Imaging Center LLC 611 St Landry Street Lafayette LA 70503 208326214 Healthcare LA NA Related 4707175 11695152 false 0 true Heart Hospital of Acadiana 1105 Kaliste Saloom Road Lafayette LA 70508 300442368 Healthcare LA NA Related 1915069 25281760 false 0 true Perkins Plaza Medical Arts Development 5000 Hennessy Boulevard Baton Rouge LA 70808 450516574 Real Estate LA OLOL N/A false true Perkins Plaza Imaging Center 5000 Hennessy Boulevard Baton Rouge LA 70808 203697665 Healthcare LA OLOL N/A false true Perkins Plaza Imaging Development 5000 Hennessy Boulevard Baton Rouge LA 70808 203894521 Real Estate LA OLOL N/A false true Nuclear Imaging LLC 5000 Hennessy Boulevard Baton Rouge LA 70808 721470061 Healthcare LA OLOL N/A false true P&S Surgery Center LLC 312 Grammont Street Monroe LA 71201 721387870 Healthcare LA St Francis N/A false true St Francis Pediatric After Hours LLC Post Office 207 Monroe LA 71210 061782572 Healthcare LA St Francis N/A false true Lourdes Imaging Development LLC 611 St Landry Street Lafayette LA 70503 208326287 Real Estate LA NA Related 67281 390380 false 0 true Park Place Surgical Hospital 901 Wilson Street Lafayette LA 70503 721404092 Healthcare LA NA Related 3800565 17450671 false 0 true BRPT Lake Rehabilitation Centers LLC 530 Shadows Lane Baton Rouge LA 70806 721506100 Healthcare LA OLOL N/A false true Convenient Care LLC 7777 Hennessy Boulevard Suite 1004 Baton Rouge LA 70808 721439481 Healthcare LA OLOL N/A false true Perkins Plaza Ambulatory Surgery Center 54 The Legends Parkway Suite 159 Eureka MO 63025 481264699 Healthcare LA OLOL N/A false true Surgical Specialty Center of Baton Rouge 8080 Bluebonnet Boulevard Baton Rouge LA 70810 233160962 HEALTHCARE LA OLOL N/A false true St Elizabeth - Mary Bird Perkins 4950 Essen Lane Baton Rouge LA 70809 260628752 Healthcare LA STEH N/A false true Regional Eye Surgery Center LLC 7777 Hennessy Blvd Suite 4000 BATON ROUGE LA 70808 721484653 Healthcare LA OLOL N/A false true St Mary's Imaging Center II LLC 611 St Landry Street Lafayette LA 70506 Healthcare LA Lourdes Imaging N/A false true Northeast LA Cancer Institute 141 Destard Street Suite 704 Monroe LA 71201 721329499 Healthcare LA St Francis N/A false true Lourdes After Hours LLC 7777 Hennessy Blvd Suite 1004-202 BATON ROUGE LA 70808 201367299 Healthcare LA NA Related 74743 287897 false 0 true LHCG-XIII LLC 420 West Pinhook Road Suite A Lafayette LA 70503 208068308 Healthcare LA NA Related 51157 131548 false 0 true St Francis Insurance Agency 309 Jackson Street Monroe LA 71201 721435136 Insurance LA St Francis C Corp Hospital Assistance Services PO Box 4027-C Lafayette LA 70502 721073486 Healthcare LA NA C Corp 0 0 1.00000 Louise Insurance Company PO Box 1051 CJ KY1-1102 Insurance CJ FMOL C Corp Monroe Health Services PO Box 3187 Monroe LA 71210 721057820 Healthcare LA Ambulatory C Corp Northeast LA Health Network 309 Jackson Street Monroe LA 71201 721294587 Healthcare LA Ambulatory C Corp Bernard Brian Allain Memorial CRT 5000 HENNESSY BOULEVARD BATON ROUGE LA 70808 207114528 Investment LA OLOL Foundation Trust true true true false false false false false true false true true false false false false false true Lourdes Imaging Center LLC r 3677766 Park Place Surgery Center LLC r 1739045 LOURDES IMAGING CENTER LLC A 85929 LOURDES IMAGING CENTER LLC R 180488 HEART HOSPITAL OF LAFAYETTE LLC R 1410000 HEART HOSPITAL OF LAFAYETTE LCC K 1349376 LOURDES FOUNDATION B 79000 LOURDES IMAGING CENTER K 66421