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← OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL INC

Form 990 for tax year 2023

Filed by OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL INC.

Totals

Total revenue
$13,184,379
Total expenses
$9,567,416
Contributions and grants received
$7,185
Grants paid
$872
Program service revenue
$12,923,061
Investment income
$228,633
Other revenue
$25,500
Total assets, end of year
$34,014,036
Total liabilities, end of year
$6,864,622
Net assets or fund balances, end of year
$27,149,414
Program services expenses (Part IX)
$7,098,464
Management and general expenses
$2,468,952
Fundraising expenses
$0
Program service expenses (Part III)
$7,098,464

Program services were 74.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $7,185

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $12,917,740 · related or exempt $12,917,740

  • 2b · Program service revenue: OUTREACH LAB

    total $4,318 · related or exempt $4,318

  • 2c · Program service revenue: MISCELLANEOUS

    total $1,003 · related or exempt $1,003

  • 3 · Investment income

    total $247,246 · excluded $247,246

  • 6a · Gross rents

    real property $25,500

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $25,500

  • 6d · Net rental income or loss

    total $25,500 · related or exempt $25,500

  • 7a · Gross sales of assets other than inventory

    securities $962,697

  • 7b · Less cost or other basis and sales expenses

    securities $981,310

  • 7c · Gain or loss

    securities -$18,613

  • 7d · Net gain or loss

    total -$18,613 · excluded -$18,613

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $872 · program services $872

  • 5 · Compensation of officers, directors and key employees

    total $224,572 · program services $181,800 · management and general $42,772

  • 7 · Other salaries and wages

    total $3,330,331 · program services $2,696,031 · management and general $634,300

  • 8 · Pension plan contributions

    total $208,423 · program services $168,726 · management and general $39,697

  • 9 · Other employee benefits

    total $333,722 · program services $270,161 · management and general $63,561

  • 10 · Payroll taxes

    total $244,843 · program services $198,210 · management and general $46,633

  • 11a · Fees: management

    total $1,561,996 · program services $1,331,097 · management and general $230,899

  • 11b · Fees: legal

    total $8,800 · management and general $8,800

  • 11f · Fees: investment management

    total $17,871 · management and general $17,871

  • 11g · Fees: other

    total $397,712 · program services $276,650 · management and general $121,062

  • 12 · Advertising and promotion

    total $86,114 · program services $41,074 · management and general $45,040

  • 13 · Office expenses

    total $1,092,140 · program services $610,124 · management and general $482,016

  • 14 · Information technology

    total $10,995 · program services $5,244 · management and general $5,751

  • 16 · Occupancy

    total $363,640 · program services $255,257 · management and general $108,383

  • 17 · Travel

    total $8,076 · program services $3,852 · management and general $4,224

  • 19 · Conferences, conventions and meetings

    total $2,253 · program services $1,075 · management and general $1,178

  • 22 · Depreciation, depletion and amortization

    total $354,770 · program services $301,554 · management and general $53,216

  • 23 · Insurance

    total $51,596 · program services $8,573 · management and general $43,023

  • 24a · Other expenses: PURCHASED SERVICES

    total $681,419 · program services $401,842 · management and general $279,577

  • 24b · Other expenses: MEDICAL SUPPLIES EXPENS

    total $394,618 · program services $232,712 · management and general $161,906

  • 24c · Other expenses: EQUIPMENT & MAINTENANCE

    total $192,653 · program services $113,610 · management and general $79,043

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,797,286 · end of year $11,206,976

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $1,112,703 · end of year $302,078

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $15,076 · end of year $6,380

  • 10a · Land, buildings and equipment: cost or other basis

    $6,464,463

  • 10b · Land, buildings and equipment: accumulated depreciation

    $4,119,324

  • 10c · Land, buildings and equipment, net

    beginning of year $2,222,196 · end of year $2,345,139

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $7,812,712 · end of year $8,916,469

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $3,420,946 · end of year $11,236,994

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,950,558 · end of year $3,589,327

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $3,275,295

  • 27 · Net assets without donor restrictions

    beginning of year $22,330,361 · end of year $27,149,414

  • 28 · Net assets with donor restrictions

    beginning of year $100,000 · end of year $0

Mission and programs · 2023

Mission

SEE SCHEDULE O.

Activities or mission (Part I)

THE PURPOSE OF THE HOSPITAL IS TO PROVIDE FOR THE CARE OF ILL, INJURED AND (SEE SCHEDULE O).DISABLED PERSONS AND TO ENHANCE THE HEALTH OF THOSE IN THE COMMUNITY THROUGH RESEARCH AND EDUCATION.

  • OUR LADY OF THE LAKE ASSUMPTION PROVIDES TWENTY-FOUR HOUR HEALTHCARE SERVICES FOR PATIENTS IN THE SURROUNDING RURAL COMMUNITIES. THE 14 OUTPATIENT BED HOSPITAL HAD 6,378 EMERGENCY ROOM VISITS THIS YEAR AND PROVIDED 18,740 LAB TESTS. THE HOSPITAL'S EMERGENCY ROOM IS OPEN TO EVERYONE, REGARDLESS OF ABILITY TO PAY. 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 MEMEBERS OF ITS COMMUNITIES. EFFECTIVE AUGUST 2023, ACH BECAME A RURAL EMERGENCY HOSPITAL. THE DESIGNATION ALLOWS IT TO FOCUS ON PROVIDING ESSENTIAL EMERGENCY AND OUTPATIENT SERVICES, PRIMARILY IN COMMUNITIES THAT CANNOT SUPPORT A FULL-SERVICE INPATIENT HOSPITAL OPERATION, EFFECTIVELY MAINTAINING ACCESS TO HEALTHCARE IN AREAS WITH LIMITED OPTIONS.

    Expenses $7,098,464 · Grants $872 · Revenue $12,948,561

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Brian F Tripode

    SENIOR DIRECTOR

    Total calculated
    $252,081
    From this org
    $224,572
    From related orgs
    $0
    Other
    $27,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,246
    Bonus
    $24,226
    Other
    $100
    Deferred
    $11,534
    Nontaxable benefits
    $15,975
    Filer's total
    $252,081
  • Charles L Spicer

    PRESIDENT - OLOL

    Total calculated
    $1,056,071
    From this org
    $0
    From related orgs
    $926,102
    Other
    $129,969
    Hours/week
    2 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $716,043 related
    Bonus
    $0 + $163,924 related
    Other
    $0 + $46,135 related
    Deferred
    $0 + $104,500 related
    Nontaxable benefits
    $0 + $25,469 related
    Filer's total
    $0 + $1,056,071 related
  • Charles P Bolotte MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    10
  • Greg Bowser

    SECRETARY

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Harry J Philips Jr

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Jennifer Clowers

    REGIONAL CFO

    Total calculated
    $715,554
    From this org
    $0
    From related orgs
    $632,613
    Other
    $82,941
    Hours/week
    2 + 45.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $410,422 related
    Bonus
    $0 + $220,415 related
    Other
    $0 + $1,776 related
    Deferred
    $0 + $55,765 related
    Nontaxable benefits
    $0 + $27,176 related
    Filer's total
    $0 + $715,554 related
  • John Fraiche MD

    PHYSICIAN

    Total calculated
    $694,232
    From this org
    $0
    From related orgs
    $655,629
    Other
    $38,603
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $558,034 related
    Bonus
    $0 + $86,043 related
    Other
    $0 + $11,552 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $22,103 related
    Filer's total
    $0 + $694,232 related
  • Lesley Tilley

    VP REGIONAL OPERATIONS BR

    Total calculated
    $460,762
    From this org
    $0
    From related orgs
    $412,765
    Other
    $47,997
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,780 related
    Bonus
    $0 + $132,204 related
    Other
    $0 + $7,781 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $31,497 related
    Filer's total
    $0 + $460,762 related
  • Michael Crapanzano MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Scott N Hengsens

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Stephen M Toups

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Brittany Wyger

    PHYSICIAN

    Total calculated
    $297,566
    From this org
    $281,720
    From related orgs
    $0
    Other
    $15,846
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,215
    Bonus
    $0
    Other
    $505
    Deferred
    $14,061
    Nontaxable benefits
    $1,785
    Filer's total
    $297,566
  • Damian Richard

    MRI TECHNOLOGIST

    Total calculated
    $120,830
    From this org
    $111,364
    From related orgs
    $0
    Other
    $9,466
    Hours/week
    40
  • Donna M Mullings

    DIR. NURSING

    Total calculated
    $108,414
    From this org
    $103,426
    From related orgs
    $0
    Other
    $4,988
    Hours/week
    40
  • Lowell Stanton

    FORMER REG CFO/ LOURDES CFO

    Total calculated
    $642,950
    From this org
    $0
    From related orgs
    $600,074
    Other
    $42,876
    Hours/week
    0 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,903 related
    Bonus
    $0 + $123,980 related
    Other
    $0 + $5,191 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $26,376 related
    Filer's total
    $0 + $642,950 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I QUESTION 4A:
THE REGIONAL CFO 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 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. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.
PART I QUESTION 3
OTHER RELATED ORGANIZATIONS SET THE COMPENSATION AND PAY FOR THE EXECUTIVES. THAT BOARD OF DIRECTORS DESIGNATES THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE COMPENSATION ANNUALLY. 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.
PART I QUESTION 4B:
FMOLHS MAINTAINS TWO 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 OCCURRENCE 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. NO PAYMENTS WERE MADE UNDER THE PLANS IN THE CURRENT YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • LOURDES IMAGING DEVELOPMENT LLC

    N/A · REAL ESTATE · LA

  • PARK PLACE SURGERY CENTER LLC

    N/A · HEALTHCARE · LA

  • CONVENIENT CARE LLC

    N/A · HEALTHCARE · LA

  • PERKINS PLAZA AMBULATORY SURGERY CENTER LLC

    N/A · HEALTHCARE · LA

  • SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC

    N/A · HEALTHCARE · LA

  • ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC

    N/A · HEALTHCARE · LA

  • NORTHEAST LA CANCER INSTITUTE LLC

    N/A · HEALTHCARE · LA

  • LHCG-XIII LLC DBA LOURDES HOME HEALTH

    N/A · HEALTHCARE · LA

  • LOURDES AFTER HOURS LLC

    N/A · HEALTHCARE · LA

  • LAKE URGENT CARE ASCENSION LLC

    N/A · HEALTHCARE · LA

  • ST FRANCIS URGENT CARE LLC

    N/A · HEALTHCARE · LA

  • GAMMA KNIFE OF LOUISIANA LLC

    N/A · HEALTHCARE · LA

  • PINNACLE CARE HOLDINGS LLC

    N/A · HEALTHCARE · LA

  • LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP

    N/A · HEALTHCARE · LA

  • FREMAUX OFFICE MM LLC

    N/A · HEALTHCARE · LA

  • OLOL PONTCHARTRAIN SURGERY CENTER LLC

    N/A · HEALTHCARE · LA

  • LAKE SURGICAL HOSPITAL (SLIDELL) LLC

    N/A · HEALTHCARE · LA

  • PREMIER HEALTH HOLDINGS LLC

    N/A · HEALTHCARE · LA

  • PERKINS PLAZA DEVELOPMENT LLC

    N/A · HEALTHCARE · LA

  • JACKSON HEART & VASCULAR CENTER LLC

    N/A · HEALTHCARE · MS

  • CARDIOVASCULAR AND ARRYTHMIA CENTER LLC (CVAC)

    N/A · HEALTHCARE · LA

  • CARDIOVASCULAR AND ARRYTHMIA MANAGEMENT LLC (CVAM)

    N/A · HEALTHCARE · LA

  • TRACTION SPORT MANAGEMENT LLC

    N/A · HEALTHCARE · LA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • LOUISE INSURANCE COMPANY

    C · INSURANCE · CJ

  • FRANCISICAN HEALTH & WELLNESS SERVICES I

    C · HEALTHCARE · LA

  • FMOL HEALTH SYSTEM HOLDINGS INC

    C · INVESTMENT · LA

  • ST DOMINIC MADISON HEALTH SERVICES INC

    C · HEALTHCARE · MS

  • ST DOMINIC INTEGRATED SERVICES INC

    C · INVESTMENTS · MS

  • LAFAYETTE SURGICARE INC

    C · HEALTHCARE · LA

  • NMC OPERATING COMPANY LLC DBA SPINE HOSPITAL OF LOUISIANA

    S · HEALTHCARE · LA

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202501359349305640

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