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 TripodeBRIAN 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 SpicerCHARLES 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 MDCHARLES P BOLOTTE MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 10
-
Greg BowserGREG BOWSER
SECRETARY
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Harry J Philips JrHARRY J PHILIPS JR
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Jennifer ClowersJENNIFER 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 MDJOHN 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 TilleyLESLEY 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 MDMICHAEL CRAPANZANO MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Scott N HengsensSCOTT N HENGSENS
CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Stephen M ToupsSTEPHEN M TOUPS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Brittany WygerBRITTANY 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 RichardDAMIAN RICHARD
MRI TECHNOLOGIST
- Total calculated
- $120,830
- From this org
- $111,364
- From related orgs
- $0
- Other
- $9,466
- Hours/week
- 40
-
Donna M MullingsDONNA M MULLINGS
DIR. NURSING
- Total calculated
- $108,414
- From this org
- $103,426
- From related orgs
- $0
- Other
- $4,988
- Hours/week
- 40
-
Lowell StantonLOWELL 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.
-
ST DOMINIC HEALTH SERVICES INC
501(C)(3) · HOLDING CO · MS
Directly controlled by FMOLHS
-
COMMUNITY HEALTH SERVICES - ST DOMINIC
501(C)(3) · HEALTH PROGRAM · MS
Directly controlled by SDJMH
-
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
501(C)(3) · HOSPITAL · MS
Directly controlled by FMOLHS
-
ST DOMINIC - HEALTH SERVICES FOUNDATION
501(C)(3) · FUNDRAISING · MS
Directly controlled by SDJMH
-
501(C)(3) · RET HOME · MS
Directly controlled by SDJMH
-
HEALTH CARE CENTERS IN SCHOOLS
501(C)(3) · HEALTHCARE · LA
Directly controlled by OLOL
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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