2024-05-15T15:21:39-05:00 2023-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2022-07-01 720423635 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC OURL 2259232701 4200 ESSEN LANE BATON ROUGE LA 70809 JEREMY ROGERS COO 2259232701 2024-05-13 1 JEREMY ROGERS 999009999 0 RYAN HOOKS P00746825 2253444000 2024-05-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHANIE MANSON 4200 ESSEN LANE BATON ROUGE LA 70809 584778282 0 X FMOLHS.ORG/LOCATIONS/ACADIANA X 1957 LA TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS AND TO PROVIDE FOR RESEARCH, EDUCATION, AND THE ENHANCEMENT OF THOSE IN THE COMMUNITY. 18 13 3467 101 56052 7200 3451735 2013282 505853055 557740993 2995144 8808974 30846823 9143851 543146757 577707100 1919300 471767 0 0 212381038 218770065 0 0 0 266964393 305878173 481264731 525120005 61882026 52587095 566496427 598144546 377725014 362175793 188771413 235968753 X SEE SCHEDULE O. 0 0 355589549 471767 520583688 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. THE MEDICAL CENTER PROVIDED SERVICES FOR 98,091 PATIENT DAYS, 17,742 INPATIENT DISCHARGES, AND 100,425 EMERGENCY ROOM VISITS IN THE YEAR ENDED JUNE 30, 2023. SEE SCHEDULE O FOR FURTHER EXPLANATION. 51902571 41898642 OUR LADY OF LOURDES RMC'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. 407492120 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 3467 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 0 1 1 X AMANDA HYMEL 2257658496 5959 SSHERWOOD FOREST BLVD BATON ROUGE LA 70809 KELLY T CAHILL JR MD BOARD MEMBER/PRES MED GRP 40.00 0.00 X 617445 0 31817 CHRISTA V BILLEAUD CHAIR 0.50 0.00 X X 0 0 0 FR JAMES BRADY BOARD MEMBER 0.50 0.00 X 0 0 0 STEPHEN J DELATTE BOARD MEMBER/PHYSICIAN 10.00 0.00 X 24500 0 0 JULIE DRONET BOARD MEMBER 0.50 0.00 X 0 0 0 BRYAN HANKS IMMEDIATE PAST CHAIR 0.50 0.00 X 0 0 0 EDWARD J KRAMPE III VICE CHAIR 0.50 0.00 X X 0 0 0 MICHAEL P MARAIST BOARD MEMBER 0.50 0.00 X 0 0 0 MIKE MONCLA BOARD MEMBER 0.50 0.00 X 0 0 0 ANGELA MORRISON BOARD MEMBER 0.50 0.00 X 0 0 0 LOUIS PERRET SECRETARY & TREASURER 0.50 0.00 X X 0 0 0 SR MARGARIDA VASQUES BOARD MEMBER 0.50 2.00 X 0 0 0 SHAUNN CAILLIER HARDEN BOARD MEMBER 0.50 0.00 X 0 0 0 JOSEPH GIGLIO BOARD MEMBER 0.00 0.50 X 0 0 0 STEPHANIE MANSON PRESIDENT (FROM 3/23) 2.50 40.00 X X 0 552790 52991 SR MARTHA ABSHIRE OSF BOARD MEMBER 0.00 1.00 X 0 0 0 HUNTER RICHARDSON BRD MEMBER/FMOLHS EVP CAO 0.50 40.00 X 0 612108 127003 ERIC THOMASSEE BOARD MEMBER/PHYSICIAN 0.50 0.00 X 0 0 0 KATHLEEN HEALY-COLLIER PRESIDENT (UNTIL 7/22) 0.50 40.00 X 0 585990 12965 MICHAEL GLEASON FMOLHS CFO (FROM 4/23) 0.50 45.50 X 0 0 0 LOWELL STANTON REGIONAL CFO (FROM 8/22) 0.50 46.00 X 0 606053 42795 JEFFREY LIMBOCKER FMOLHS EVP, CFO (UNTIL 9/22) 2.00 54.50 X 0 855174 20489 ROBERT RAMSEY FMOLHS INTERIM CFO (FROM 9/22-5/23) 2.00 40.00 X 0 258636 755 JENNIFER J CLOWERS VP, FINANCE/CFO (UNTIL 8/22) 0.50 46.00 X 0 506713 70656 DONNA LANDRY COO, INTERIM PRESIDENT (7/22-3/23) 0.50 40.00 X 0 451280 29174 GILBERT HUMBERT VP, CHIEF NURSING OFFICER 40.00 0.00 X 346043 0 38632 TRACY DELHOMME VP CLINICAL SUPPORT OPERATIONS 40.00 0.00 X 246607 0 40577 DUKE WALKER VP OPERATIONS (UNTIL 3/23) 40.00 0.00 X 278588 0 39383 ROBERT DEWITT PHYSICIAN 40.00 0.00 X 1421161 0 48663 HENRY KAUFMAN PHYSICIAN 40.00 0.00 X 939234 0 46231 DEIADRA GARRETT PHYSICIAN 40.00 0.00 X 818956 0 24403 KENNETH FALTERMAN PHYSICIAN 40.00 0.00 X 777424 0 40361 JACOB LANDRY PHYSICIAN 40.00 0.00 X 767630 0 40924 6237588 4428744 707819 365 0 1 0 FMOL HEALTH SYSTEM 4200 ESSEN LANE BATON ROUGE LA 70809 MANAGEMENT SERVICES 48380087 SOEDEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 9862040 TRIMEDIX INC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 BIOMED SERVICES 7028095 LSUHSC-NEW ORLEANS 433 BOLIVAR STREET NEW ORLEANS LA 70112 PROFESSIONAL FEES 6041623 KENT DESIGN BUILD 1875 HWY 59 MANDEVILLE LA 70448 CONSTRUCTION SERVICES 3151586 88 1611969 1486 399827 2013282 PATIENT SERVICE REVENUE 622110 545832640 545832640 OTHER REVENUE 900099 6952931 6952931 INCOME FROM EQUITY INVESTEES 622110 3410674 3354622 56052 LABORATORY SERVICES 900099 625178 625178 CAFETERIA 622110 445256 445256 474314 474314 557740993 4149604 4149604 4500 4500 4346462 0 4346462 4346462 4346462 7328318 4397734 7071182 0 257136 4397734 4654870 4654870 PENSION RELATED ADJ 4797389 4797389 4797389 577707100 562482330 56052 13155436 471767 471767 1526683 1404548 122135 183006133 168365643 14640490 5513721 5072623 441098 16157095 14864527 1292568 12566433 11561118 1005315 72256876 34984750 37272126 452621 165934 286687 10000 3666 6334 120226 120226 20661931 9317604 11344327 1791549 573296 1218253 38645599 18092429 20553170 1176506 376482 800024 16056980 12243115 3813865 188738 60396 128342 21083 6747 14336 8908529 4869 8903660 14885538 12717865 2167673 7664142 583820 7080322 MEDICAL SUPPLIES EXPENS 118223331 115090573 3132758 MEDICAL PURCHASED SERVI 3189186 1010240 2178946 REPAIRS 1625338 520108 1105230 525120005 407492120 117627885 0 116086047 87649707 4916076 4928455 0 54935764 53953356 0 0 130632 127475 9370145 9896951 15677751 16277106 432382485 154859846 261248495 277522639 100000 100000 24297830 26926678 6210490 6026502 20993284 20901796 52529913 93833881 566496427 598144546 77991833 74495645 6386196 353141 221463783 220806853 71883202 66520154 377725014 362175793 X 182355330 227940700 6416083 8028053 188771413 235968753 566496427 598144546 X 52587095 2150962 -7540717 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60615227 60615227 227700143 70822369 156877774 22161263 916290 21244973 109170924 83080903 26090021 12734928 40284 12694644 277522639 DUE TO/FROM AFFILIATES 78632238 INTEREST IN NET ASSETS OF FOUNDATION 7755606 SELF INSURANCE RECEIVABLE LT 7446037 93833881 RETIREMENT PAYABLE LONG TERM 28796816 OTHER LEASES PAYABLE 27995006 OTHER LIABILITIES 9728332 66520154 X PART X, LINE 2: FIN 48 FOOTNOTE (ASC 740) 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. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 1 X 1 X 250.000000000000 0 1 1 1 0 0 465623 465623 143544541 124253721 19290820 0.03670 144010164 124719344 19290820 0.03670 854982 854982 0.00160 69104 69104 0.00010 615374 615374 0.00120 28600 28600 0.00010 1568060 1568060 0.00300 145578224 124719344 20858880 0.03970 1 22173292 109592360 112362117 -2769757 X 1 1 1 LOURDES IMAGING DEV LEASOR OF IMAGING PROP & EQUIPMENT 0.73240 0.02580 0.24180 2 PARK PLACE SURGICAL SPECIALTY SURGERY CENTER 0.45000 0.03440 0.51560 3 LAFAYETTE SURGICARE AMBULATORY SURGERY CENTER 0.63580 0.00000 0.36420 2 1 OUR LADY OF LOURDES RMC 4801 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70508 WWW.LOURDESRMC.COM X X X 3 PARK PLACE SURGICAL HOSPITAL 4811 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 WWW.PARKPLACESURGERY.COM X X SURGERY CENTER OUR LADY OF LOURDES RMC 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V SECTION C X 1 21 0 1 0 1 X 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 PARK PLACE SURGERY CENTER LLC 2 0 0 1 X X X X X X X X X 21 1 1 1 1 SEE PART V SECTION C X 1 21 0 1 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5: OUR LADY OF LOURDES RMC & PARK PLACE SURGERY CENTER: THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS, SURVEYS AND SEVERAL FOCUS GROUPS (RURAL ACADIANA, MEDICAID ENROLLEES, MINORITY COMMUNITY AND VACCINE HESITANCY/HEALTH INFORMATION) DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNING PROCESS. THE GROUP CONSIDERED INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING DR. TINA STEFANSKI, REGIONAL MEDICAL DIRECTOR FOR THE LOUISIANA DEPARTMENT OF HEALTH'S (LDH) OFFICE OF PUBLIC HEALTH IN ACADIANA (REGION 4) IN THE PRIOR AND CURRENT CHNA PROCESSES. ADDITIONALLY, THE GROUP CONSIDERED INPUT FROM THOSE WHO REPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OF POPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLY UNDERSERVED, CHRONIC DISEASE NEEDS AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIAL DETERMINANTS OF HEALTH. PART V, SECTION B, LINE 6A AND 6B: OUR LADY OF LOURDES RMC & PARK PLACE SURGERY CENTER: LOURDES REGIONAL MEDICAL CENTER ADOPTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH OCHSNER LAFAYETTE (5 FACILITIES), UNITED WAY OF ACADIANA, AND PARK PLACE SURGERY CENTER. PART V, SECTION B, LINE 11: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (INCLUDES LOURDES WOMEN'S AND CHILDREN'S HOSPITAL, OUR LADY OF LOURDES HEART HOSPITAL) AND PARK PLACE SURGICAL HOSPITAL IDENTIFIED IN THE MOST RECENT JOINT COMMUNITY HEALTH NEEDS ASSESSMENT TEN (10) SIGNIFICANT HEALTH NEEDS: ACCESS TO PRIMARY CARE, CANCER, HEALTH EDUCATION/LITERACY, HEART DISEASE & STROKE, WEIGHT STATUS/NUTRITION, MENTAL HEALTH/BEHAVIORAL HEALTH, MATERNAL & CHILD HEALTH,RURAL HEALTH,DIABETES & HEALTH DISPARITIES (SDOH). THE HOSPITAL FACILITIES CONTINUED TO FOCUS/ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE CURRENT YEAR. THOSE NEEDS WERE CANCER, ACCESS TO PRIMARY CARE, MATERNAL & CHILD HEALTH AND HEALTH DISPARITIES - SOCIAL DETERMINANTS OF HEALTH (SDOH). DURING THE CURRENT YEAR TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF CANCER, ACCESS TO PRIMARY CARE, MATERNAL & CHILD HEALTH AND HEALTH DISPARITIES AND SOCIAL DETERMINATES OF HEALTH, LOURDES DID THE FOLLOWING:HEALTH DISPARITIES AND SOCIAL DETERMINATES OF HEALTH (SDOH)-LOURDES, ALONG WITH OUR FMOL HEALTH SYSTEM, INVESTED IN A PARTNERSHIP WITH FINDHELP DATABASE TO IDENTIFY SOCIAL DETERMINANTES IN OUR EMR SYSTEM ( EPIC) TO BETTER MEET THE NEEDS TOGETHER AND AS AN ORGANIZATION AND COMMUNITY BY CAPTURING THE SDOH DATA ON PATIENTS AND REFERRING THEM FOR HELP AND SERVICES WITHIN OUR ORGANATION OR TO A COMMUNITY PARTNER.LOURDES ST. BERNADETTE'S CLINIC (SBC):FOR THE HOMELESS AND UNINSURED, AS PART OF THE TRIAGE OF NEW PATIENTS, LOURDES SBC CONTINUED TO SCREEN OVER 50% OF ALL PATIENTS FOR ABNORMAL GLUCOSE AND CHOLESTEROL LEVELS. HIGH RISK PATIENTS WERE REFERRED TO THEIR PRIMARY CARE PHYSICIAN. IF A HOMELESS PATIENT DID NOT HAVE ACCESS TO A PRIMARY CARE PHYSICIAN, SBC TREATED THE PATIENT UNTIL SBC WAS ABLE TO FIND A PRIMARY CARE PHYSICIAN FOR THE PATIENT.OUR LADY OF LOURDES HEART HOSPITAL (HHL):TO HELP WITH THE CHALLENGES OF ACCESS TO SPECIALTY PROVIDERS, WE CONTINUED TO OFFER FREE CARDIAC SCREENINGS FOR LOW-INCOME, UNINSURED, OR MEDICAID PATIENTS ANNUALLY. HHL AND SBC CONTINUED THEIR PARTNERSHIP AND OFFERED (20) FREE CAROTID SCREENINGS QUARTERLY TO THE UNINSURED/UNDER-INSURED POPULATION WE SERVE. HHL HELD 4 FREE HEART HEATLH SCREENING EVENT FOR THE COMMUNITY IN FYE 2023. PARK PLACE SURGICAL HOSPITAL(PPSH): PPSH CONTINUED TO FUND A FULL-TIME NURSE PRACTITIONER AT SBC WHO PROVIDES SERVICE TO THE INDIGENT, UNINSURED AND UNDER-RESOURCED POPULATION. SBC PROVIDED OVER 1,700 MEDICAL VISITS FOR FISCAL YEAR. MANY OF OUR HOMELESS PATIENTS WERE HOUSED IN HOTELS SINCE THEY COULD NOT BE HOUSED AT THE SHELTERS ADJACENT TO SBC DUE TO COVID (SOCIAL DISTANCING GUIDELINES).CANCER-LOURDES HOSPITAL:THE LOURDES CANCER NETWORK OFFERS A FULL RANGE OF ONCOLOGY SERVICES AND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER. LOURDES PROVIDES PERSONALIZED NURSE NAVIGATION, SURGICAL ONCOLOGY PROCEDURES, AND AN ON-SITE INFUSION CENTER. FREE OR LOW-COST CANCER SCREENINGS ARE PROVIDED THROUGH LOURDES' VARIOUS OUTREACH PROGRAMS EMBEDDED WITHIN THE COMMUNITY. THE LOURDES CLINIC ALSO HAS A SURVIVORSHIP PROGRAM FOR PATIENTS IN REMISSION.LOURDES PARTNERS WITH MILES PERRET CANCER SERVICES THAT OFFERS A COMPREHENSIVE RESOURCE CENTER HELPING THOSE IN ACADIANA FIGHT, SURVIVE, AND LIVE WITH CANCER. COMMUNITY LEADERS INDICATED THAT THE MILES PERRET MOBILE MILES PROGRAM AND WELLNESS CENTER ARE A STRENGTH OF THE COMMUNITY. A RECENT PARTNERSHIP WITH HOSPICE OF ACADIANA HAS ENABLED MILES PERRET TO PROVIDE A TRANSITION PROGRAM THAT HELPS FAMILIES ESTABLISH RAPPORT WITH HOSPICE PROVIDERS. KOMEN ACADIANA PROMOTES AWARENESS AND ALSO REGULARLY AWARDS LOCAL GRANTS TO SUPPORT BREAST CANCER SCREENINGS, PATIENT EDUCATION, AND PATIENT NAVIGATION SERVICES FOR MEDICAID AND MEDICARE PATIENTS WITHIN THE COMMUNITY. WITH OUR PARTNERSHIP WITH LEVY CANCER FOUNDATION, WE SERVE PATIENTS PRIMARILY IN RURAL VERMILION PARISH STRUGGLING WITH CANCER DIAGNOSES. THE LEUKEMIA AND LYMPHOMA SOCIETY WHICH WE SUPPORT ALSO OFFERS SERVICES TO PATIENTS WITH THOSE DIAGNOSES. LOURDES ALSO SUPPORTS THE LOUISIANA CAMPAIGN FOR TOBACCO-FREE LIVING CONTINUES TO WORK ON LOCAL HEALTH POLICIES ACROSS THE REGION. THE CAMPAIGN ALSO PROVIDES LOCAL RESIDENTS ACCESS TO TOBACCO CESSATION SUPPORT ALONG WITH LOURDES HEART HOSPITAL THAT PROVIDES A SMOKING CESSATION PROGRAM.LOURDES SBC:IN FY 2023, SBC CONTINUED TO PROVIDE EARLY DETECTION BY SCREENING FOR CANCER AND PROVIDING TOBACCO SCREENINGS TO OVER 90% OF ALL PATIENTS (OVER 1,500 PATIENTS). ANTI-CRAVING MEDICATIONS WERE PROVIDED TO 90% OF THOSE PATIENTS THAT WERE NOT REFERRED TO A SMOKING CESSATION PROGRAM. SBC ALSO DID TB SKIN TESTS AND PROVIDED MAMMOGRAM SCREENINGS AND PAP SMEARS TO HOMELESS WOMEN, SOME OF WHICH HAD NEVER HAD THESE SERVICES, FOR OVER 350 PATIENTS. OUR LADY OF LOURDES HEART HOSPITAL (HHL):PATIENTS CONTINUED TO BE REFERRED TO HHL'S SMOKING CESSATION PROGRAM DURING FYE 2023. MATERNAL & CHILD HEALTH-OUR LADY OF LOURDES - WOMEN'S & CHILDREN'S HOSPITAL (WCC):THERE IS STRONG EVIDENCE THAT BREASTFEEDING PROMOTION PROGRAMS INCREASE INITIATION, DURATION AND EXCLUSIVITY OF BREASTFEEDING. WCC PROMOTED AND FACILITATED BREASTFEEDING PROMOTTION PROGRAMS TO THE COMMUNITY AND TO THEIR PATIENTS, MANY OF WHICH ARE LOW-INCOME AND ARE 80% MEDICAID. WITHIN THIS POPULATION, HIGH RISK INDIVIDUALS AT BOTH THE MATERNAL AND NEONATAL/PEDIACTRIC POPULATIONS EXIST. UNDERSERVED CHILDREN, INCLUDING UNDER-REPRESENTED MINORITIES, ARE MORE LIKELY TO EXPERIENCE HIGH INTENSITY END OF LIFE CARE, INCLUDING IN-HOSPITAL DEATH. WCC INDENTIFIED A NEED FOR A PEDIACTRIC PALLIATIVE NURSE PRACTITIONER (NP) TO ASSIST PARENTS AND SIBLINGS WITH RESOURCES, EDUCATION AND SUPPORT IN HELPING WITH POTENTIAL DEATH OR LONG-TERM CARE DECISIONS. IN FYE 2023, WCC CONTINUED TO FUND A FULL-TIME PEDIACTRIC PALLIALTIVE NURSE PRACTITIONER TO HELP THESE LOW-INCOME FAMILIES WITH THE BENEFIT OF PALLIATIVE CARE WITH INDIVIDUALIZED SYMPTOM MANAGEMENT, IMPROVED COMMUNICATION AND SUPPORT IN MAKING THESE DIFFICUT DECISIONS.WCC ALSO PROVIDED THE NECESSITY SPECIAL FORMULA SUPPORT AND SPECIALIZED TRANSPORTATION BEDS, WHEN OTHER OPTIONS ARE UNAVAILABLE OR NOT IN PLACE AT TIME OF DISCHARGE, THAT IS DETRIMENTAL IN THE OVERALL HEALTH AND WELFARE OF THE NEONATE/INFANT/CHILD. LACK OF PROPER NUTRITION AND APPROPIATE SPECIALIZED EQUIPMENT UTILIZED FOR TRANSPORTATION FOR THE NEONATE/INFANT INCREASES THE RISK OF MALNUTRION, FUTURE HEALTH ISSUES AND POSSIBLY DEATH. SPECIALIZED CAR BEDS FOR NEWBORNS ARE UTILIZED WHEN THEY CANNOT TOLERATE A CAR SEAT UPON DISCHARGE AND CAN CAUSE AN INCREASED RISK OF SUFFOCATION. IN FY 2023, WCC ASSISTED OVER 600 NEWBORNS AND THEIR FAMILIES (OFTEN FROM DISCHARGE TO WIC APPOINTMENTS FOR THEIR SUPPORT). 2,000 CANS OF FORMULA WERE ALSO DISTRIBUTED AND 150 OF THE SPECIALIZED TRANSPORTATION BEDS WERE GIVEN OUT TO LOW-INCOME FAMILIES. WE PARTNERED WITH THE JR. LEAGUE OF LAFAYETTE TO PROVIDE DIAPERS TO LOW-INCOME FAMILIES. ALSO, WE WERE ABLE TO CONTINUE TO PARTNER WITH LOCAL HOTELS NEAR WCC TO HOUSE LOW-INCOME OUT OF TOWN PARENTS THAT HAVE NEWBORNS IN OUR NICU AND HAVE NO PLACE TO STAY NEAR THEIR VERY ILL NEWBORN. WE HAD A GENEROUS DONOR THAT CONTINUES TO FUND THIS PROGRAM FOR US STARTING WITH 50 NIGHT STAYS FOR THE YEAR. IN ADDITION,OUR WCC HOSPITAL OPENED OUR OWN RONALD MCDONALD FAMILY ROOM IN FYE 2023 ON THE CAMPUS. THE RONALD MCDONALD FAMILY ROOM IS A SPACE OF RESPITE FOR FAMILIES WHO ARE DEALING A CHILD WHO IS GRAVELY ILL UPSTAIRS IN THE WCC HOSPITAL. THE SPACE IS A HOME AWAY FROM HOME FOR THE FAMILIES TO BE NEAR THEIR CHILD, PROVIDING 3 BEDROOMS AND PRIVATE BATH, A KITCHEN AREA AND LAUDRY ROOM. THERE IS NO COST TO THE FAMILIES. IN FYE 2023 WE SERVED 98 FAMILIES (131 PEOPLE TOTAL). THE AVERAGE FAMILY STAYED 16.5 NIGHTS WITH AN OCCUPANCY RATE OF 83.4%ACCESS TO PRIMARY CARE-IT WAS DETERMINED IN THE DATA FROM OUR CHNA SURVEYS, FOCUS GROUPS AND QUESTIONNAIRES, THAT MEDICAID EXPANSION DID NOT GUARANTEE MEDICAID ACCESS TO PRIMARY CARE PHYSICIANS IN ADDITION TO SPECIALTY PROVIDERS.LOURDES PHYSICIAN GROUP (LPG):LPG IS COMPRISED OF 50 DEDICATED PHYSICIANS AND NURSE PRACTITIONERS PRACTICING IN OVER 18 LOCATIONS THROUGHOUT LAFAYETTE, LA AND THE SURROUNDING AREAS INCLUDING RURAL AREAS SUCH AS ERATH AND BREAUX BRIDGE, LA. DURING FYE23 LPG INCREASED THEIR MEDICAID VISITS BY 18% (OVER 300K MEDICAID VISTS PER QUARTER) WHICH RESULTED IN GREATER ACCESS TO PRIMARY CARE PHYSICIANS. TELEHEALTH/VIDEO VISITS ARE PERFORMED BY LOCAL, BOARD-CERTIFIED LPG PROVIDERS, WHICH HAS GIVEN THE COMMUNITY ADDITIONAL OPPORTUNITIES TO GET PCP SERVICES. ANY NECESSARY FOLLOW-UP CAN BE DONE LOCALLY AND PROVIDERS WILL DETERMINE IF ADDITIONAL IN-PERSON TESTING IS NEEDED. LPG RECENTLY OPENED A NEW OUTPATIENT MEDICAID CLINIC TO HELP WITH THE MAJOR ISSUE WE HAVE BEEN EXPERERICING WITH NOT HAVING ENOUGH MEDICAID PROVIDERS IN OUR COMMUNTIY. THIS CLINIC SAW A TOTAL OF 1,500 MEDICAID VISITS IN FYE23. PART V, SECTION B, LINE 11 CONTINUED: NORTHSIDE HIGH SCHOOL SCHOOL BASED HEALTH CENTER (NSBHC):LOURDES CONTINUES TO OPERATE A SCHOOL BASED HEALTH CENTER OF THE CAMPUS OF NORTHSIDE HIGH SCHOOL WHICH IS AN AT-RISK OPPORTUNITY ZONE SCHOOL IN A LOW-INCOME AREA IN OUR COMMUNITY. THE SCHOOL BASED HEALTH CENTER HAS BEEN ON THAT CAMPUS FOR OVER 25 YFEARS PROVIDING ACCESS FOR THIS POPULATION. THE HEALTHCENTER OFFERS FOLLOWING SERVICES:O WELL-CARE /PREVENTIVE-CAREO SICK VISITSO IMMUNIZATIONSO DISEASE PREVENTIONO HEALTH EDUCATIONO BEHAVIORAL HEALTH COUNSELING O NUTRITION COUNSELINGO COVID 19 VACCINE SITELOURDES SBC:LOURDES SBC CONTINUES TO BE A MEDICAID ENROLLMENT CENTER FOR EASIER ACCESS TO MEDICAID APPLICATIONS FOR THE LOW-INCOME POPULATION NEAR THE CLINIC WITH LITTLE MEANS OF TRANSPORTATION. SBC ALSO OPERATES A FREE DENTAL CLINIC FOR TOOTH EXTRACTIONS ON FRIDAY MORNINGS ONLY WITH WAITING LIST OF 12 MONTHS. WE WERE ABLE TO GET 2 GENEROUS DONORS TO DONATE FUNDS AND VOLUNTEER DENTISTS TO HELP US EXPAND OUR DENTAL CLINIC (HOMELESS-UNINSURED PATIENTS) TO ADD ANOTHER DAY DURING THE WEEK AND OFFER MORE SERVICES TO INCLUDE, PREVENTITIVE AND RESTORATIVE SERVICES IN THE FUTURE. THE DENTAL CLINIC ALSO PARTNERS WITH 232-HELP WHO HAS A PARTNERSHIP WITH ORTHODONTISTS THAT HELP US PROVIDE DENTURES AT A LOW-DISCOUNTED COST. LOURDES SBC CONTINUES TO BE A COVID-19 TESTING/VACCINE AND FLU TESTING AND VACCINE SITE TO SERVE AS A CENTRAL LOCATON FOR THE HOMELESS POPULATION AND THOSE WITH LITTLE OR NO ACCESS TO TRANSPORTATION. CITY BUS PASSES ARE PROVIDED TO THE HOMELESS PATIENTS TO GET TO/FROM CLINIC, GET THEIR MEDICATIONS AND OTHER MEDICAL APPOINTMENTS. A MEN'S VETERAN HOMELESS SHELTER IS ADJACENT TO THE SBC THAT USES THE CLINIC FOR THEIR HEALTH NEEDS (MEDICAL, VISION, DENTAL EXTRACTIONS DENTURES). SBC DOES NOT BILL FOR ANY OF THEIR SERVICES TO THE HOMELESS, UNINSURED, UNDER-RESOURCED POPULATION. LOURDES WILL NOT DIRECTLY ADDRESS THE IDENTIFIED NEEDS OF MENTAL/BAHVORIAL HEALTH; WEIGHT STATUS AND NUTRITION (OBESITY); HEART DISEASE AND STROKE; DIABETES; HEALTHEDUCATION/LITERACY; AND RURAL HEALTH. LOURDES CHOSE NOT TO ADDRESS THESE SIX IDENTIFIED NEEDS AS THE ONES IT CHOSE ARE THE FOUR AREAS IN WHICH THE GREATEST AMOUNT OF WORK STILL NEEDS TO TAKE PLACE, ARE THE MOST FREQUENTLY MENTIONED DURING THE CHNA DEVEOPMENT PROCESS, AND HAVE A NOTEWORTHY INFLUENCE AND IMPACT ON THE VULNERABLE POPLATIONS OF THE COMMUNITY. PART V, SECTION B, LINE 7A OUR LADY OF LOURDES RMC:THE CHNA CAN BE FOUND AT HTTPS://WWW.FMOLHS.ORG/ABOUT-US/COMMUNITY-IMPACTPARK PLACE SURGERY CENTER LLC:THE CHNA CAN BE FOUND AT HTTPS://WWW.FMOLHS.ORG/ABOUT-US/COMMUNITY-IMPACT PART V, SECTION B, LINE 16A,B&C OUR LADY OF LOURDES RMC:THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/PARK PLACE SURGERY:THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://WWW.PARKPLACESURGERY.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16J: OUR LADY OF LOURDES RMC & PARK PLACE SURGICAL CENTER'S REGISTRATION PERSONNEL REFER UNINSURED, UNDERINSURED, AND LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, LINE 13H FOR OUR LADY OF LOURDES RMC: FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY. 4 1 - LOURDES AFTER HOURS LLC 2130 KALISTE SALOOM ROAD LAFAYETTE LA 70508 IMAGING CENTER 3 - LHCG-XIII LLC 601 WEST ST MARY BLVD SUITE 309 LAFAYETTE LA 70506 HOME HEALTH AGENCY 4 - LHCG LXVII LLC 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 HOSPICE 5 - LAFAYETTE SURGICARE 4630 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 AMBULATORY SURGICAL FACILITY PART I, LINE 3C: FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY. PART I, LINE 7: EFFECTIVE JULY 1, 2023, THE LOUISIANA DEPARTMENT OF PUBLIC HEALTH IMPLEMENTED A NEW MEDICAID PAYMENT PROGRAM WHICH MATERIALLY INCREASED HOSPITAL MEDICAID FUNDING. THE NEW PAYMENT MODEL IS DESIGNED TO PAY HOSPITALS ABOVE COST BY PAYING AMOUNTS ROUGHLY EQUIVALENT TO RATES PAID BY COMMERCIAL INSURANCE COMPANIES. AS A RESULT, NET COMMUNITY BENEFIT EXPENSE FOR JUNE 30, 2023 WAS REDUCED FOR MEDICAID PATIENTS.THE COST-TO-CHARGE RATIO IS UTILIZED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. FOR PART I, LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORTS WHERE APPLICABLE. FOR PART I, LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE. PART I, LINE 7G: OUR LADY OF LOURDES PROVIDES SUBSIDIZED HEALTH SERVICES INCLUDING HEALTH CARE CLINICS. ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION, IS INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. PART III, LINE 2: THIS AMOUNT REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF LOURDES REGIONAL MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE. PART III, LINE 4: THE BAD DEBT FOOTNOTE IS ON PAGES 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: 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 WITHPROVIDING SERVICES TO ALL PATIENTS, THE PORTION OF THOSE COSTS AND CHARGES ALLOCATED TO MEDICARE PATIENTS, AND THE MEDICARE PAYMENTS RECEIVED. PART III, LINE 9B: PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. 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 POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS. PART VI, LINE 2: THE COMMUNITY SERVICES DEPARTMENT AT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER WAS FORMED NUMEROUS 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 CLINICST. BERNADETTE'S COMMUNITY CLINICNORTHSIDE HIGH SCHOOL BASED HEALTH CENTERCONGREGATIONAL HEALTH SERVICES PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: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 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. PART VI, LINE 4: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL THAT TREATS PATIENTS FROM ACROSS THE ACADIANA REGION. PURSUANT TO THE HOSPITAL'S LAST CHNA, OUR LADY OF LOURDES' PRIMARY AND SECONDARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 685,442. IT IS ESTIMATED THAT 16.6% OF THE POPULATION AND 23% OF THE CHILDREN OF LAFAYETTE PARISH (THE PRIMARY SERVICE AREA) IS LIVING IN POVERTY.THE PRIMARY SERVICE ARE INCLUDES THE FOLLOWING PARISH:LAFAYETTE PARISHTHE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES:ACADIA PARISHEVANGELINE PARISHIBERIA PARISHJEFFERSON DAVID PARISHST. LANDRY PARISHST. MARTIN PARISHST. MARY PARISHVERMILLION PARISH PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC.(FMOL HEALTH SYSTEM)IS THE SOLE MEMBER. OUR LADY OF LOURDES IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF LOURDES RMC SERVES THE COMMUNITY IN LAFAYETTE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER, ST. ELIZABETH HOSPITAL, OUR LADY OF THE LAKE ASSUMPTION HOSPITAL, AND OUR LADY OF THE ANGELS HOSPITAL. AS OF JULY 1, 2019, ST. DOMINIC JACKSON MEMORIAL HOSPITAL IN MISSISSIPPI IS ALSO A RELATED HOSPITAL, DUE TO A SHARED MISSION AGREEMENT BETWEEN FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM AND ST. DOMINIC HEALTH SYSTEM. PART VI, LINE 6 THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS COMPRISED OF INDIVIDUALS WITH A BROAD CROSS-SECTION OF HEALTH CARE AND BUSINESS EXPERIENCE. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF. 1 AMERICAN HEART ASSOCIATION 110 VETERANS MEMORIAL BLVD SUITE 160 METAIRIE LA 70005 135613797 501(C)(3) 29700 0 SPONSORSHIP FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY 5414 BRITTANY DRIVE BATON ROUGE LA 70808 721173156 501(C)(3) 15000 0 SCHOLARSHIP DONATION BIG BROTHERS BIG SISTERS OF ACADIANA 123 E MAIN STREET LAFAYETTE LA 70501 581634741 501(C)(3) 15000 0 MENTORING RELATIONSHIPS WITH YOUTH FACING OPPORTUNITY GAPS UNITED WAY OF ACADIANA 215 EAS PINHOOK RD LAFAYETTE LA 70501 720513639 501(C)(3) 65000 0 RESOURCE TOOLKIT FOR EARLY BRAIN DEVELOPMENT 4 PART I, LINE 2: MONITORING GRANTS FORMAL REQUESTS ARE RECEIVED BY THE BUSINESS PAYOR RELATIONS DEPARTMENT, ARE CHECKED FOR ALL APPROPRIATE INFORMATION, AND ARE PRESENTED TO THE EXECUTIVE ADMINISTRATION FOR APPROVAL. THE HOSPITAL GIVES GRANTS TO ORGANIZATIONS WELL-KNOWN IN THE COMMUNITY, OR WHICH IT HAS A HISTORY OF GIVING TO. THE HOSPITAL FOLLOWS UP WITH GRANT RECIPIENTS IF THERE IS AN INDICATION OF POTENTIAL THAT THE FUNDS ARE NOT BEING USED FOR CHARITABLE PURPOSES. 1 1 0 0 0 0 0 0 0 ROBERT DEWITT PHYSICIAN 1333243 0 86351 0 1567 0 15250 0 33413 0 1469824 0 0 0 HENRY KAUFMAN PHYSICIAN 898102 0 39890 0 1242 0 15250 0 30981 0 985465 0 0 0 JEFFREY LIMBOCKER FMOLHS EVP, CFO (UNTIL 9/22) 0 561480 0 216453 0 77241 0 0 0 20489 0 875663 0 61057 DEIADRA GARRETT PHYSICIAN 812254 0 0 0 6702 0 14485 0 9918 0 843359 0 0 0 KENNETH FALTERMAN PHYSICIAN 761750 0 0 0 15674 0 15250 0 25111 0 817785 0 0 0 JACOB LANDRY PHYSICIAN 618698 0 148446 0 486 0 15250 0 25674 0 808554 0 0 0 HUNTER RICHARDSON BRD MEMBER/FMOLHS EVP CAO 0 475382 0 134104 0 2622 0 113173 0 13830 0 739111 0 0 KELLY T CAHILL JR MD BOARD MEMBER/PRES MED GRP 520844 0 95386 0 1215 0 15250 0 16567 0 649262 0 0 0 LOWELL STANTON REGIONAL CFO (FROM 8/22) 0 461602 0 141829 0 2622 0 15250 0 27545 0 648848 0 0 STEPHANIE MANSON PRESIDENT (FROM 3/23) 0 423753 0 127327 0 1710 0 27450 0 25541 0 605781 0 0 KATHLEEN HEALY-COLLIER PRESIDENT (UNTIL 7/22) 0 247548 0 182762 0 155680 0 0 0 12965 0 598955 0 0 JENNIFER J CLOWERS VP, FINANCE/CFO (UNTIL 8/22) 0 352392 0 152086 0 2235 0 44531 0 26125 0 577369 0 0 DONNA LANDRY COO, INTERIM PRESIDENT (7/22-3/23) 0 362783 0 80423 0 8074 0 15250 0 13924 0 480454 0 0 GILBERT HUMBERT VP, CHIEF NURSING OFFICER 274731 0 69602 0 1710 0 13091 0 25541 0 384675 0 0 0 DUKE WALKER VP OPERATIONS (UNTIL 3/23) 185197 0 91131 0 2260 0 14306 0 25077 0 317971 0 0 0 TRACY DELHOMME VP CLINICAL SUPPORT OPERATIONS 196948 0 47424 0 2235 0 12674 0 27903 0 287184 0 0 0 ROBERT RAMSEY FMOLHS INTERIM CFO (FROM 9/22-5/23) 0 255295 0 0 0 3341 0 0 0 755 0 259391 0 0 PART I, LINE 3 THE CEO IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4A: TWO OFFICERS AND ONE BOARD MEMBER ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. THREE OFFICERS ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 18 MONTHS. KATHLEEN HEALY-COLLIER RECEIVED A PAYMENT FROM THE PLANS IN THE CURRENT YEAR IN THE AMOUNT OF $154,037. ONE OFFICER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS GENERALLY 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. SCHEDULE J, PART I, LINE 4B: FMOLHS MAINTAINS THREE 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 UPON THE OCCURANCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH, OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. JEFF LIMBOCKER RECEIVED A PAYMENT OF $75,123 FROM THE PLAN DURING THE YEAR. DR KATHRYN STROTHER BOARD MEMBER'S DAUGHTER 274634 EMPLOYMENT 0 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: 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. FORM 990, PART VI, SECTION A, LINE 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 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. FORM 990, PART VI, SECTION A, LINE 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 OFFICE 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 CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION 11. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION 12. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 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. FORM 990, PART VI, SECTION B, LINE 15A 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 AND AN EXECUTIVE COMMITTEE. THE CEO AND EXECUTIVE COMMITTEE IS PROVIDED COMPENSATION RANGES DEVELOPED BY FMOL HEALTH SYSTEM FROM INDUSTRY-WIDE DATA. THE CEO AND EXECUTIVE COMMITTEE THEN USES THAT DATA TO DETERMINE THE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES AND DOCUMENTS THE HUMAN RESOURCE FILES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS TO FMOL -7,540,717. ELECTIONS: SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DE MINIMIS SAFE HARBOR ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(II). SECTION 1.263(A)-3(N) ELECTION- BOOK CONFORMITY ELECTION OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2023. 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