Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $643,122

• 1e · Government grants (contributions)

  $162,444

• 1f · All other contributions, gifts and grants

  $110,600

• 2a · Program service revenue: PATIENT SERVICE REVENU

  total $333,172,334 · related or exempt $333,172,334

• 2b · Program service revenue: OTHER REVENUE

  total $3,077,902 · related or exempt $3,077,902

• 2c · Program service revenue: MANAGEMENT FEES

  total $681,031 · related or exempt $681,031

• 2d · Program service revenue: LAB

  total $305,082 · related or exempt $305,082

• 2e · Program service revenue: CAFETERIA & VENDING

  total $284,928 · excluded $284,928

• 2f · All other program service revenue

  total $208,272 · related or exempt $208,272

• 3 · Investment income

  total $1,045,444 · unrelated business $69,100 · excluded $976,344

• 4 · Income from investment of tax-exempt bond proceeds

  total $794 · excluded $794

• 6a · Gross rents

  real property $1,990,168

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $1,990,168

• 6d · Net rental income or loss

  total $1,990,168 · related or exempt $1,990,168

• 7a · Gross sales of assets other than inventory

  securities $27,295,394 · other assets $403

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

  securities $26,337,653 · other assets $0

• 7c · Gain or loss

  securities $957,741 · other assets $403

• 7d · Net gain or loss

  total $958,144 · excluded $958,144

• 11a · Other revenue: PENSION RELATED ADJ

  total $3,513,102 · related or exempt $3,513,102

• 11e · Other revenue, total

  $3,513,102

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $10,250 · program services $10,250

• 5 · Compensation of officers, directors and key employees

  total $1,519,560 · program services $1,383,672 · management and general $135,888

• 7 · Other salaries and wages

  total $118,470,165 · program services $107,875,902 · management and general $10,594,263

• 8 · Pension plan contributions

  total $3,353,757 · program services $3,009,199 · management and general $344,558

• 9 · Other employee benefits

  total $13,808,703 · program services $12,397,261 · management and general $1,411,442

• 10 · Payroll taxes

  total $8,292,059 · program services $7,440,150 · management and general $851,909

• 11a · Fees: management

  total $45,909,284 · program services $20,493,931 · management and general $25,415,353

• 11b · Fees: legal

  total $282,891 · program services $226,786 · management and general $56,105

• 11f · Fees: investment management

  total $161,623 · management and general $161,623

• 11g · Fees: other

  total $24,313,109 · program services $14,324,893 · management and general $9,988,216

• 12 · Advertising and promotion

  total $866,636 · program services $243,864 · management and general $622,772

• 13 · Office expenses

  total $18,251,826 · program services $8,037,429 · management and general $10,214,397

• 14 · Information technology

  total $988,693 · program services $278,210 · management and general $710,483

• 16 · Occupancy

  total $6,818,198 · program services $5,626,946 · management and general $1,191,252

• 17 · Travel

  total $274,508 · program services $77,244 · management and general $197,264

• 19 · Conferences, conventions and meetings

  total $19,130 · program services $5,383 · management and general $13,747

• 20 · Interest

  total $4,423,294 · program services $16,494 · management and general $4,406,800

• 22 · Depreciation, depletion and amortization

  total $10,906,412 · program services $9,215,883 · management and general $1,690,529

• 23 · Insurance

  total $4,010,805 · program services $1,156,397 · management and general $2,854,408

• 24a · Other expenses: MEDICAL SUPPLIES EXPENS

  total $72,709,415 · program services $70,613,835 · management and general $2,095,580

• 24b · Other expenses: MEDICAL PURCHASED SVC

  total $9,925,849 · program services $2,793,049 · management and general $7,132,800

• 24c · Other expenses: REPAIRS

  total $1,785,509 · program services $502,427 · management and general $1,283,082

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $22,097,641 · end of year $2,009,049

• 4 · Accounts receivable

  beginning of year $34,409,800 · end of year $31,222,257

• 7 · Other notes and loans receivable

  beginning of year $166,642 · end of year $200,204

• 8 · Inventories for sale or use

  beginning of year $6,229,574 · end of year $8,065,683

• 9 · Prepaid expenses and deferred charges

  beginning of year $2,176,479 · end of year $2,641,958

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

  $404,908,462

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

  $278,068,781

• 10c · Land, buildings and equipment, net

  beginning of year $99,519,876 · end of year $126,839,681

• 12 · Investments: other securities

  beginning of year $90,500,828 · end of year $104,014,582

• 14 · Intangible assets

  beginning of year $1,492,009 · end of year $1,461,197

• 15 · Other assets

  beginning of year $15,988,082 · end of year $8,438,511

• 17 · Accounts payable and accrued expenses

  beginning of year $38,137,694 · end of year $33,119,291

• 19 · Deferred revenue

  beginning of year $12,036,145 · end of year $1,032

• 20 · Tax-exempt bond liabilities

  beginning of year $114,098,296 · end of year $113,149,408

• 25 · Other liabilities

  beginning of year $31,924,377 · end of year $81,378,570

• 27 · Net assets without donor restrictions

  beginning of year $75,221,122 · end of year $55,438,402

• 28 · Net assets with donor restrictions

  beginning of year $1,163,297 · end of year $1,806,419

The filer's explanations (Part III)

PART I, LINE 1A

CHARTER TRAVEL WAS USED BY A DIRECTOR, WHO ALSO SERVES IN A FMOLHS ROLE, WHEN IT WAS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL BETWEEN SUBSIDIARY HOSPITALS LOCATED THROUGHOUT THE STATES OF LOUISIANA AND MISSISSIPPI. THESE AMOUNTS WERE NOT INCLUDED IN EMPLOYEE COMPENSATION BECAUSE THE FLIGHTS WERE STRICTLY FOR BUSINESS PURPOSES.

PART I, QUESTION 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 DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE. THE CEO ALSO SIGNS A WRITTEN EMPLOYMENT AGREEMENT.

PART I, QUESTION 4A:

THE EXITING CFO AND THE INTERIM CFO WERE 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. ONE BOARD MEMBER AND ONE OFFICER ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO 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 GENERALLY 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

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 PROVIDES 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. IN THE CURRENT YEAR, JEFFREY LIMBOCKER RECEIVED A PAYMENT OF $75,123.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• ST FRANCIS MEDICAL GROUP

  HEALTHCARE · LA · income $35,975,226 · assets $3,712,676

  Directly controlled by SFMC

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

• BRPT LAKE REHABILITATION CENTERS 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

  RELATED · HEALTHCARE · LA · 50% owned · share of income $737,972 · share of assets $4,833,399

  Directly controlled by SFMC

• LHCG-XIII LLC DBA LOURDES HOME HEALTH

  N/A · HEALTHCARE · LA

• LOURDES AFTER HOURS LLC

  N/A · HEALTHCARE · LA

• LAKE URGENT CARE ASCENSION LLC (LUCA)

  N/A · HEALTHCARE · LA

• ST FRANCIS URGENT CARE LLC

  RELATED · HEALTHCARE · LA · 50% owned · share of income $8,268 · share of assets $438,314

  Directly controlled by SFMC

• GAMMA KNIFE OF LOUISIANA LLC

  N/A · HEALTHCARE · LA

• LHCG LXVII 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 · REAL ESTATE · LA

• JACKSON HEART & VASCULAR CENTER LLC

  N/A · HEALTHCARE · MA

• CARDIOVASCULAR AND ARRYTHMIA CENTER LLC (CVAC)

  N/A · HEALTHCARE · LA

• CARDIOVASCULAR AND ARRYTHMIA MANAGEMENT LLC (CVAM)

  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