Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
FMOL HEALTH SYSTEM INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4200 ESSEN LANE
 
Room/suite
City or town, state or country, and ZIP + 4
BATON ROUGE, LA708092158
D Employer identification number

72-1028323
E Telephone number

G Gross receipts $ 76,288,458
F Name and address of principal officer:
JOHN FINAN
4200 ESSEN LANE
BATON ROUGE,LA70809
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1984
M State of legal domicile: LA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: FMOL Health System manages an integrated health system to make a difference in our communities through Catholic Health Services by calling forth all who serve in the healthcare ministry.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 10
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 9
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 539
6 Total number of volunteers (estimate if necessary) .... 6 10
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 64,035,528 71,499,367
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 221,369 4,781,122
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 64,256,897 76,280,489
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 68,530 165,075
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 33,307,478 35,080,332
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 52,185,238 48,692,432
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 85,561,246 83,937,839
19 Revenue less expenses. Subtract line 18 from line 12...... -21,304,349 -7,657,350
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 58,991,340 59,169,404
21 Total liabilities (Part X, line 26)............ 43,519,696 34,853,979
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 15,471,644 24,315,425
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: INSPIRED BY THE VISION OF ST. FRANCIS AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL 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. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,067,903 including grants of $   ) (Revenue $ 453,710 )
FMOL HEALTH SYSTEM INCLUDES CALAIS HEALTH, LLC, AND FRANCISCAN HEALTH AND WELLNESS WHICH PROVIDE OCCUPATIONAL MEDICINE, BEHAVORIAL HEALTH AND HEALTH AND WELLNESS SERVICES TO LOUISIANA RESIDENTS.
4b (Code:   ) (Expenses $ 165,075 including grants of $ 165,075 ) (Revenue $ 0 )
GRANTS ARE MADE TO CHARITABLE ORGANIZATIONS IN ORDER TO SUPPORT THE CHARITABLE MISSION OF FMOL HEALTH SYSTEMS, INC.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 1,232,978
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
114
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
539
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
10
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
 
No
14
Does the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ROBERT D RAMSEY
4200 ESSEN LANE
BATON ROUGE,LA70809
(225) 923-2701
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) John J Finan
PRESIDENT/CEO
 50.0 X   X       1,369,259 0 78,617
(2) Kevin Schexnayder
BOARD MEMBER
 1.0 X           0 0 0
(3) Sr Martha Ann Abshire OSF
BOARD MEMBER
 1.0 X           0 0 0
(4) C Steven Clark
Chairman
 1.0 X   X       0 0 0
(5) John Warner Smith
Board Member
 1.0 X           0 0 0
(6) Mr Claude Harbarger
Board Member
 1.0 X           0 0 0
(7) Sr Margarida M Vasques OSF
Board Member
 1.0 X           0 0 0
(8) CW Lovell II MD
Board Member/Chairman
 1.0 X   X       0 0 0
(9) Richard M Dearman MD
Board Member
 1.0 X           0 0 0
(10) Sr Magdalen O'Donovan OSF
Board Member
 1.0 X           0 0 0
(11) Sr Lilian Lynch OSF
Board Member
 1.0 X           0 0 0
(12) Dr William Jenkins
Board Member
 1.0 X           0 0 0
(13) Jim Prince
Board Member
 1.0 X           0 0 0
(14) Sr Barbara Arceneaux OSF
Board Member
 1.0 X           0 0 0
(15) Sr Kathleen Cain OSF
Board Member
 1.0 X           0 0 0
(16) John S Lore
Board Member
 1.0 X           0 0 0
(17) Jolee H Bollinger Esq
Secretary/General Counsel
 50.0     X       369,141 0 47,801
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Robert D Ramsey Jr
Senior Vice President/CFO
 50.0     X       445,487 0 64,102
(19) Kenneth Scott Wester
PRESIDENT / CEO OLOL
 60.0       X     577,057 0 51,392
(20) William Barrow
PRESIDENT / CEO LOURDES
 50.0       X     442,113 0 62,142
(21) Dolores LeJeune
PRESIDENT / CEO ST. ELIZABETH
 50.0       X     546,027 0 69,039
(22) Pamela B Shows
VP of Human Resources
 50.0       X     300,654 0 66,504
(23) Laura T Martin
VP of Healthcare Reform
 50.0       X     218,621 0 60,901
(24) Wilson J Gordon III
VP of Strategy
 50.0       X     418,764 0 72,808
(25) Stephanie A Mills MD
Chief Information Officer/CMIO
 50.0       X     428,960 0 58,492
(26) Redfield E Bryan MD
Special Projects Consultant
 20.0       X     180,821 0 10,780
(27) Louis Bremer
PRESIDENT/CEO St. Francis
 50.0       X     433,973 0 33,684
(28) Peter F Guarisco Jr
Vice President of Mission
 50.0       X     91,128 4,888 28,290
(29) George E Burgess III MD
VP of Innovation & Technology
 50.0       X     125,769 0 57,226
(30) Sue E McMahon
Chief Legal Counsel
 50.0         X   276,396 0 67,492
(31) David E Wendt
Chief Information Officer
 50.0         X   180,222 0 44,037
(32) Vindell Washington
CMIO/CAO
 50.0         X   345,590 0 31,024
(33) Bart L Hubbs
Chief Information Sec Officer
 50.0         X   164,726 0 41,443
(34) William P Mosser
VP of Materials Management
 50.0         X   187,269 0 24,034
(35) Howard L Harvill
Former CFO/retired May 2010
 1.0           X 3,001,411 0 9,679
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 10,103,388 4,888 979,487
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet41
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CERNER CORPORATION
2800 ROCKCREEK PKWY
KANSAS CITY,MO64117 		CONSULTING & SERVICE 14,083,855
Microsoft corporation
PO Box 844510
DALLAS,TX752844510 		CONSULTING & SERVICE 2,802,108
LAWSON
380 ST PETER ST
ST PAUL,MN551021302 		CONSULTING & SERVICE 1,535,329
Getwell network INC
7920 Norfold Ave Ste 1000
BETHESDA,MD20814 		Consulting & service 1,522,650
CDW Government LLc
230 N Milwaukee Ave
VERNON HILLS,IL600611577 		CONSULTING & SERVICE 1,212,957
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet65
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service Revenue Business Code
2a MANAGEMENT FEES 900,099 69,505,020 69,505,020    
b PATIENT SERVICE 900,099 453,710 453,710    
c INSURANCE CONTRACT NEGOTIATION 900,099 888,888 888,888    
d PURCHASED DISCOUNT 900,099 442,802 442,802    
e OTHER REVENUE 900,099 200,746 200,746    
f All other program service revenue . 8,201 8,201    
g Total. Add lines 2a–2f........MediumBullet 71,499,367
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,789,091   0 4,789,091
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   7,969
c Gain or (loss)   -7,969
d Net gain or (loss)..........MediumBullet -7,969     -7,969
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 76,280,489 71,499,367 0 4,781,122
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 165,075 165,075
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 6,249,621   6,249,621  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 22,650,218 576,094 22,074,124  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,355,051 33,020 3,322,031  
9 Other employee benefits ....... 799,344 92,380 706,964  
10 Payroll taxes ........... 2,026,098 43,193 1,982,905  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 358,248   358,248  
c Accounting ........... 73,742   73,742  
d Lobbying ........... 71,095   71,095  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 27,316,494 118,449 27,198,045  
12 Advertising and promotion .... 696,672 25,939 670,733  
13 Office expenses ....... 1,481,377 63,236 1,418,141  
14 Information technology ...... 143,702 24,224 119,478  
15 Royalties .. 0      
16 Occupancy ........... 1,674,451 26,321 1,648,130  
17 Travel ............ 1,234,077 45,158 1,188,919  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 888,750   888,750  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 12,875,566   12,875,566  
23 Insurance .............. 540,291 11,625 528,666  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a DUES/SUBSCRIPTIONS 654,651 1,785 652,866  
b OTHER EXPENSES 246,467 4,205 242,262  
c MINOR UNCAP EQUIPMENT 225,902 169 225,733 0
d DEPARTMENT FOOD 151,045 2,105 148,940  
e MEDICAL RECORDS EXPENSE 59,902   59,902  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 83,937,839 1,232,978 82,704,861 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 7,456,359 1 6,005,114
2 Savings and temporary cash investments ....... 1,945,837 2 2,055,917
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 283,619 4 47,743
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 8,066,319 9 7,438,466
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 93,268,332
b Less: accumulated depreciation. ..... 10b 50,288,205 38,200,424 10c 42,980,127
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 130,000 13 130,000
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 2,908,782 15 512,037
16 Total assets. Add lines 1 through 15 (must equal line 34)... 58,991,340 16 59,169,404
Liabilities 17 Accounts payable and accrued expenses . 16,448,243 17 14,760,478
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 165,000 20 170,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 26,906,453 25 19,923,501
26 Total liabilities. Add lines 17 through 25..... 43,519,696 26 34,853,979
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 15,471,644 27 24,315,425
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 15,471,644 33 24,315,425
34 Total liabilities and net assets/fund balances ..... 58,991,340 34 59,169,404
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
76,280,489
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
83,937,839
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-7,657,350
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
15,471,644
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
16,501,131
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
24,315,425
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) OUR LADY OF THE LAKE HOSPITAL INC
  		720423651 03 Yes   Yes   Yes   40,612,754
(2) OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
  		720423635 03 Yes   Yes   Yes   15,313,083
(3) ST FRANCIS MEDICAL CENTER
  		720408970 03 Yes   Yes   Yes   20,869,087
(4) ST ELIZABETH HOSPITAL
  		721470744 03 Yes   Yes   Yes   7,064,515
(5) FRANCISCAN PACE INC
  		260297860 09 Yes   Yes   Yes   78,400
Total                 83,937,839

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
71,095
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
71,095
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   338,513 87,992 250,521
d Equipment ................   90,981,012 50,200,213 40,780,799
e Other .................   1,948,807   1,948,807
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 42,980,127
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ACCRUED KEYSOP LIABILITY 714,108
OTHER LIABILITIES 7,505,682
CAPITAL LEASE - CERNER 11,703,711






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 19,923,501
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FIN 48 FOOTNOTE   "FMOLHS 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 judgment occurs." There was no impact on the financial statements as a result of FIN 48.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number
72-1028323
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Our Lady of the Lake Hospital Inc5000 Hennessy Blvd
Baton Rouge,LA70808 		72-0423651 501(C)(3) 12,000       GALA SPONSORSHIP
(2) RICHARD STOCKTON COLLEGE OF NEW JERSEY-FOUNDPO BOX 195
POMONA,NJ082400195 		22-1957406 501(C)(3) 15,000       GENERAL SUPPORT
(3) VHA HEALTH FOUNDATION220 E LAS COLINAS BLVD
IRVING,TX75039 		22-2710552 501(C)(3) 10,000       2011 DISASTER RELIEF
(4) LOUISIANA HEALTH CARE QUALITY FORUM8550 UNITED PLAZA SUITE 500
BATON ROUGE,LA70809 		26-0497115 501(C)(3) 75,000       LAPOST GRANT
















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
4
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I, Part 1, Line 2   According to the Levels of Authorization's policies and procedures, all charitable contributions are approved by the CEO of the FMOL Health System.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) John J Finan (i)
(ii)		 738,919
0 		603,193
0 		27,147
0 		49,586
0 		29,031
0 		1,447,876
0 		0
0
(2) Kenneth Scott Wester (i)
(ii)		 422,643
0 		139,916
0 		14,498
0 		25,685
0 		25,707
0 		628,449
0 		0
0
(3) William Barrow (i)
(ii)		 368,003
0 		55,009
0 		19,101
0 		42,364
0 		19,778
0 		504,255
0 		0
0
(4) Dolores LeJeune (i)
(ii)		 275,383
0 		100,295
0 		170,349
0 		49,908
0 		19,131
0 		615,066
0 		0
0
(5) Pamela B Shows (i)
(ii)		 228,353
0 		56,817
0 		15,484
0 		41,481
0 		25,023
0 		367,158
0 		0
0
(6) Laura T Martin (i)
(ii)		 170,283
0 		42,394
0 		5,944
0 		42,340
0 		18,561
0 		279,522
0 		0
0
(7) Sue E McMahon (i)
(ii)		 259,789
0 		16,091
0 		516
0 		46,643
0 		20,849
0 		343,888
0 		0
0
(8) David E Wendt (i)
(ii)		 153,620
0 		26,339
0 		263
0 		26,877
0 		17,160
0 		224,259
0 		0
0
(9) Vindell Washington (i)
(ii)		 280,514
0 		56,705
0 		8,371
0 		9,800
0 		21,224
0 		376,614
0 		0
0
(10) Howard L Harvill (i)
(ii)		 180,648
0 		0
0 		2,820,763
0 		0
0 		9,679
0 		3,011,090
0 		906,209
0
(11) Jolee H Bollinger Esq (i)
(ii)		 277,699
0 		76,378
0 		15,064
0 		22,225
0 		25,576
0 		416,942
0 		0
0
(12) Wilson J Gordon III (i)
(ii)		 307,890
0 		90,616
0 		20,258
0 		46,276
0 		26,532
0 		491,572
0 		0
0
(13) Stephanie A Mills MD (i)
(ii)		 323,654
0 		92,032
0 		13,274
0 		24,146
0 		34,346
0 		487,452
0 		0
0
(14) Redfield E Bryan MD (i)
(ii)		 130,000
0 		40,000
0 		10,821
0 		0
0 		10,780
0 		191,601
0 		0
0
(15) Louis Bremer (i)
(ii)		 278,078
0 		58,121
0 		97,774
0 		9,800
0 		23,884
0 		467,657
0 		0
0
(16) Robert D Ramsey Jr (i)
(ii)		 333,337
0 		98,323
0 		13,827
0 		38,694
0 		25,408
0 		509,589
0 		0
0
(17) Bart L Hubbs (i)
(ii)		 152,483
0 		125
0 		12,118
0 		7,023
0 		34,420
0 		206,169
0 		0
0
(18) William P Mosser (i)
(ii)		 183,938
0 		125
0 		3,206
0 		7,718
0 		16,316
0 		211,303
0 		0
0
(19) George E Burgess III MD (i)
(ii)		 112,040
0 		0
0 		13,729
0 		48,947
0 		8,279
0 		182,995
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE J, PART I, LINE 1A   LOUIS BREMER RECEIVED A HOUSING ALLOWANCE. THE PERSONAL PORTIONS OF THESE EXPENSES WERE TREATED AS TAXABLE COMPENSATION TO THE LISTED PERSON.
SCHEDULE J, PART I, LINE 1B   HUMAN RESOURCES IS INVOLVED IN THE DECISION-MAKING PROCESS IN DETERMINING THAT THE ORGANIZATION WOULD PROVIDE HOUSING ALLOWANCES.
SCHEDULE J, PART I, LINE 4A   THREE KEY EMPLOYEES 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. 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 60 MONTHS DEPENDING ON THE EXECUTIVE AND LENGTH OF SERVICE. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. THE CEO IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID 75% OF HIS BASE SALARY AND 75% OF HIS INCENTIVE PAYMENT DETERMINED 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.
SCHEDULE J, PART I, LINE 4B   FMOL HEALTH SYSTEM, INC. 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. HOWARD HARVILL RETIRED AS OF MAY 2010 AND RECEIVED A PAYMENT FROM ONE OF THE PLANS IN THE CURRENT YEAR IN THE AMOUNT OF $2,804,948. DELORES LEJEUNE RECEIVED A PAYMENT FROM ONE OF THE PLANS IN THE CURRENT YEAR IN THE AMOUNT OF $151,444.
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 OR THE COMPENSATION COMMITTEE DEPENDING ON INDIVIDUALS JOB LEVEL.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number
72-1028323
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A LOUISIANA PUBLIC FACILITIES AUTHORITY 05A 05D
  		72-0895871 546395B78 10-25-2005 170,286,095 CAPITAL, REFUND PRIOR ISSUES 7/23/   X   X   X
B LA PUBLIC FACILITIES AUTHORITY 05B 05C
  		72-0895871 546395D92 05-28-2008 100,000,000 CAPITAL, REFUND PRIOR ISSUE 10/04/   X   X   X
C LA PUBLIC FACILITIES AUTHORITY 2005D
  		72-0895871 546395C28 07-21-2008 88,325,000 REFUND 10/25/05, REFUND 7/23/98   X   X   X
D LA PUBLIC FACILITIES AUTHORITY 98B 08A
  		72-0895871 546395E83 08-07-2008 82,485,000 REFUND PRIOR ISSUES '98 '05   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 0 0 5,800,000 535,000
2 Amount of bonds defeased . . . . 0 0 0 0
3 Total proceeds of issue . . . . 86,933,406 104,257,715 0 535,600
4 Gross proceeds in reserve funds . . 0 0 0 0
5 Capitalized interest from proceeds. 0 0 0 0
6 Proceeds in refunding escrow. . . . . 0 0 0 0
7 Issuance costs from proceeds . . . 1,683,949 1,141,630 0 467,933
8 Credit enhancement from proceeds. 1,675,000 0 0 67,667
9 Working capital expenditures from proceeds . . 0 0 0 0
10 Capital expenditures from proceeds . . 81,819,256 103,116,085 0 0
11 Other spent proceeds . . 0 0 0 0
12 Other unspent proceeds. . . 1,755,201 0 0 0
13 Year of substantial completion . . . 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X     X    
15 Were the bonds issued as part of an advance refunding issue? X     X   X   X
16 Has the final allocation of proceeds been made? . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X     X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X     X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 4.550 % 0.020 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.150 % 0.110 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 4.700 % 0.130 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X   X     X   X
2 Is the bond issue a variable rate issue?   X X     X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X X   X  
b Name of provider . MERRILL LYNCH
  		 
  		MERRILL LYNCH
  		 
 
c Term of hedge . . 23.5   20.5 17.
d Was the hedge superintegrated? . X     X X   X  
e Was a hedge terminated? .   X   X   X   X
4a Were gross proceeds invested in a GIC? . X   X     X   X
b Name of provider . HYPO RE BANK
  		HYPO RE BANK
  		 
  		 
 
c Term of GIC . . 3.5 3.    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X   X          
5 Were any gross proceeds invested beyond an available temporary period? . X     X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART II, LINE 3   THE INTEREST EARNINGS WERE SPENT ON CAPITAL EXPENDITURES.
PART II, LINE 12   THE REMAINING PROCEEDS WERE SPENT BY JANUARY 2012.
PART IV, LINE 3C   THE TERM OF THE HEDGE LISTED IS THE ENTIRE TERM. REMAINING TIME LEFT ON THE HEDGE DIFFERS BY BOND ISSUE.
PART IV, LINE 4C   THE GROSS PROCEEDS WERE INVESTED IN A GIC IN 2005 FOR 3 YEARS. NO PROCEEDS ARE CURRENTLY INVESTED IN A GIC.
PART IV   THE FIVE YEAR REBATE CALCULATION IS NOT YET DUE.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Identifier Return Reference Explanation
Part VI, Section A, Question 6   The entity is organized as a non-profit corporation with members. The Members are the Provincial of the FMOL North American Province and those persons are members of the Provincial Council of FMOL North American Province.
Part VI, Section A, Question 7a   The Members retain the power to appoint and remove the Members of the Board of Trustees and Officers of FMOL Health System.
Part VI, Section A, Question 7b   The reserved powers to the Members are as follows: 1. Change philosophy, objectives, purposes of corporation and any corporation in which FMOL Health System retains voting rights 2. Appoint and remove Board of Trustees and Officers of FMOL Health System 3. Alter Articles of Incorporation and Bylaws of FMOL Health System and any corporation in which FMOL Health System retains voting rights 4. Authorize merger, consolidation or affiliation, or participate in joint ventures 5. Dissolve and distribute Assets of FMOL Health System or any corporation in which FMOL Health System retains voting rights 6. Appoint and terminate CEO of FMOL Health System or any corporation in which FMOL Health System retains voting rights 7. Acquire, lease, encumber real estate on behalf of FMOL Health System or any corporation in which FMOL Health System retains voting rights 8. Add to or incur long term debt in excess of $5 million by FMOL Health System or any corporation in which FMOL Health System retains voting rights
Part VI, Section A, Question 11   After preparation and review by KPMG, LLP, management will review the Form 990. A copy of the Form 990 is provided to the organization's governing body before it is filed with the IRS.
Part VI, Section B, Question 12c   FMOL Health System 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 results in creating 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 she OR HE (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 FMOL Health System 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, FMOL Health System 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, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken.
Part VI, Section B, Question 15a & 15b   Our board of directors designates the human resources and compensation committee, made up of independent members to review and set the compensation annually of our executives and key employees. The committee obtains and relies upon comparable data including industry-wide compensation information from an outside consulting firm. The committee reviews compensation packages and appropriate compensation is determined and approved. The basis for determination is then documented by the committee.
Part VI, Section C, Question 19   Copies of the governing documents, conflict of interest policy, and financial statements are available upon request.
Program Service   The Franciscan Missionaries of Our Lady Health System ("FMOLHS") was formed in 1984 by the Franciscan Missionaries of Our Lady - North American Province, a religious community of the Roman Catholic Church, to ensure the perpetuation of their mission. The Health System delivers medical care and community services through its sponsored hospitals, subsidiaries and affiliates: Our Lady of the Lake Hospital, Inc. in Baton Rouge, Louisiana; St. Elizabeth Hospital, in Gonzales, Louisiana; Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana; and St. Francis Medical Center in Monroe, Louisiana. Calais Health, LLC, a wholly owned corporate health services subsidiary, and Franciscan PACE, Inc., a wholly owned corporation formed for the purpose of performing religious, benevolent, charitable, healthcare and educational activities, are both headquartered in Baton Rouge and operate throughout Louisiana. Louise Insurance Company seeks to assure best-cost liability coverage for Health System-sponsored organizations. These sponsored hospitals, subsidiaries and affiliates are referred to herein as "FMOLHS Affiliates". FMOLHS supports the purpose and activities of FMOLHS Affiliates and its power must be exercised in accordance with the teachings, traditions and Canon law of the Roman Catholic Church and the ethical and religious directives for Catholic Health facilities promulgated by the National Conference of Catholic Bishops of the United States Catholic Conference. FMOLHS supports the activities of the entire system by providing executive leadership and centralized support and managerial functions. System-level activities include strategic planning, capital and operational budgeting, human resources administration, centralized cash management and treasury functions, information technology development and support, business office, decision support, and other support and management functions. FMOLHS and the FMOLHS Affiliates are active, caring members of the communities they serve. 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 FMOLHS Affiliates provide care to needy members of their communities. Following that policy, health care services costing $12,140,000 were provided without charge during the year ended June 30, 2011. Charges foregone, based on established rates, totaled $32,084,000 for the year ended June 30, 2011. The FMOLHS Affiliates also participate in government programs including Medicare, Medicaid, and the TriCare program. Under these programs, the FMOLHS Affiliates provide care to patients at payment rates that are determined by the federal and state governments, regardless of actual cost in some cases. These programs pay the FMOLHS Affiliates at amounts which are less than their cost of providing services. The following tables summarizes the amount of charges foregone (I.e., contractual adjustments) and the estimated losses incurred by the FMOLHS Affiliates due to inadequate payments by these programs and for charity for the years ended. June 30, 2011: Charges Forgone Estimated Unreimbursed Costs Medicare $716,773,000 $62,772,000 Medicaid $285,971,000 $54,813,000 Other $ 5,629,000 $ 1,216,000 Charity $ 32,084,000 $12,140,000 Totals 1,040,457,000 $130,941,000 In addition to community services directly associated with providing hospital based care, FMOLHS Affiliates serve their communities in numerous other ways. Although the FMOLHS Affiliates have estimated the cost of each of these efforts to serve their communities, management and the Boards of Directors believe that such costs represent only some of the many ways FMOLHS Affiliates serve their communities. The estimated costs for the year ended June 30, 2011 are as follows: Our Lady of Lourdes Regional Medical Center Net Community Benefit Expense Community benefits at cost 2011 Subsidized Health Services 761,000 Community health improvement services 357,000 Health professions education 152,000 Community Building Activities 32,000 Donations or in-kind contributions 279,000 Total 1,581,000 Subsidized health services-Includes the discount provided, at cost to all patients that have no form of insurance coverage. Programs such as Scott Family Clinic, which services the underinsured or uninsured, and St. Bernadette's Clinic, which provides free medical care to the homeless and uninsured population, are also included. Community health improvement services - Includes activities carried out to improve community health and costs which are underwritten by Lourdes. No bills are generated for these services. These services include Camp Bluebird, a camp for cancer patients and survivors; Lafayette Community Healthcare Clinic which provides healthcare for individuals who are employed or temporarily unemployed and are not insured; a program that provides medications to Lourdes' patients who do not have the financial ability to purchase them upon discharge; Congregational Health Services which provides nurses to two churches within the Lafayette area; and Northside High School Health Center which is committed to providing exemplary comprehensive health care to the student. Health professions education - Includes helping to prepare future health care professionals and includes assistance to nursing students and pharmacy students. Community building activities-Includes activities that enhance the overall community such as emergency preparedness programs. Donations and in-kind contributions - Includes donations to various area community organizations such as United Way of Acadiana and American Heart Association. Lourdes also provides office space for The Family Tree Parenting Center, which is included. Also included are employee costs associated with board and community involvement in various community organizations. Community benefit operations- Includes costs associated with dedicated staff, community needs assessments, or coordination of community benefit. St. Francis Medical Center Net community benefit expense Community benefits at cost 2011 Other community benefits: Health professions education 858,000 Subsidized health services 525,000 Cash and in-kind contribution 81,000 TO community groups Total other community benefits 1,464,000 Community building activities: Physical improvements & housing 40,000 Community health education 7,000 Community Support 235,000 Community based clinical services 227,000 Leadership development & training 33,000 for community members Community health improvement advocacy 153,000 Workforce development 7,000 Total community building activities 702,000 Total 2,166,000
Program Service Continued   Community Benefits Health professions education - Clinical setting for undergraduate, vocational training, internships, clerkships, and residencies. Includes registered nurse recruitment activities and collaboration with local colleges for supervision and clinical training in pharmacy, respiratory therapy, health information management, and medical technology. Subsidized health services- Includes the discount provided at cost, to all patients that have no form of insurance coverage. Cash and in-kind contribution to community groups - Includes donations to Families Helping Families, Children's Coalition, Wellspring, YMCA, Haiti Project, Prevent Child Abuse, Komen Foundation, Alzheimer's Foundation. Also includes employee cost associated with board and community involvement of rural hospitals. Community Building Activities Physical improvements and housing - Includes occupancy and utilities provided to St. Vincent DePaul Charitable Pharmacy. Also includes occupancy for a primary health care clinic located in one of the poorest areas of Monroe. Community health education - Includes classes on breast feeding, childbirth basics, sibling class, and ABC's of childcare. Also includes sponsorship of Think First, a national injury prevention organization. St. Francis provides free depression and anxiety screenings to the community. St. Francis Junior Fitness promotes wellness for obese children. Community support- Includes staff costs of management oversight of community benefit programs and activities including Meals on Wheels, taxi and medication provided to the needy, and community benefit salary dollars. Community based clinical services - Includes community based health screenings including behavior health. Includes discounted services provided to Louisiana Baptist Children's Home, Veteran's Administration, Rural Hospitals, ULM Athletic Department, MDA, YWCA, and Handicap Children. Leadership development and training for community members - St. Francis serves as the designated regional hospital for Region 8 and provides leadership and coordination for emergency preparedness activities. Community health improvement advocacy - includes the unreimbursed cost of the adult day health care facility. Workforce development - Designed to promote leadership development and provide exposure to various careers in health care. Includes sports medicine program, AHEC (Area Health Education Center) program, Carroll High School housekeeping program, and junior volunteer program. Our Lady of the Lake Net Community Benefit Expense Community Health Improvement Services 2011 Immunological support 852,000 Community Health 182,000 Lakeline Direct 1,187,000 St. Martha Activity Center 102,000 Elderly Services 287,000 Health Care Professions education: OLOL College 6,271,000 Interns and residents 4,263,000 Subsidized Health services: Family Education 3,274,000 OLOL neighborhood clinic 59,000 COPE 6,545,000 Palliative care 484,000 St: francis House 38,000 Research: Clinical Research 611,000 Financial contribution: Cash Contribution 747,000 Community building activities: Elderly Housing complex 611,000 Mary Bird Perkins 100,000 Community Clinic 29,000 Medical Education Building 19,000,000 Total 44,642,000 Community Health Improvement Services Immunological support - The Lake organizes, owns and operates a home which is designed to help the members of our community who have contracted acquired immune deficiency syndrome (AIDS) to deal with the very debilitating physical, social, and psychological problems associated with the disease. Community health - To assist in educating the community regarding health related issues, the Lake participates in numerous health fairs and sponsors talks to various schools and industry groups regarding such issues as drug abuse and safety in the workplace. LakeLine Direct - The Lake operates a nurse call center, Lakeline Direct, offering complimentary 24 hour nurse advice, health information aid and physician referral service to the community. St. Martha Activity Center - The Lake provides an activity center located at the elderly housing facility for the residents of the housing facility as well as other elderly community meetings. Elderly services - The Lake sponsors and incurs the salary of the Director of the HUD housing facility, Pastoral Care Associate and Medical Director of Elderly Services. Health Care Professions Education OLOL College - In an effort to ensure that an adequate supply of nurses are available for the Baton Rouge community, the Lake founded and organized Our Lady of the Lake College, Inc. The Lake subsidizes the operations of Our Lady of the Lake College, Inc. with grants. Interns and Residents- the lake participates in Medicare's Graduate Medical Education through affiliation with Louisiana Medical School and Medical Center of Louisiana at New Orleans to continue to support availability of physicians in future years. Subsidized Health Services OLOL neighborhood clinic - The Lake operates a Scottlandville Clinic to provide walk-in care for minor illness and injury during evening and weekends. COPE and Mental Health Services - The Lake provides crisis oriented psychiatric evaluation (COPE) to the community. Also, the Lake provides both Inpatient and Outpatient mental health services to the community. Palliative care - The Lake provides palliative care service for patients in the final stage of life and their family members. Assumption Community Hospital - Is a 15-bed critical access hospital and Rural Health Clinic located in a rural community serving an area that has a short of medical facilities in the area Elderly Housing - Ollie Steel Burden Manor, a subsidiary of the Lake, operates St. Clare Manor, which has 216 total beds, of which 120 are Medicaid licensed Family Education and Children Support Services - The Lake promotes a healthy environment for the family through its pediatric programs, which include Kid-Med Clinic, Pediatric Assessment Center and child life programs. The Lake now employs the following Pediatric Specialist-Pediatric Pulmonologist, Pediatric Emergency Room Physician, Pediatric Neurology, Pediatric Orthopedist, Pediatric Neurology, and Pediatric Nephrology Medical Home - The Lake established a physician clinic that provides employees and family members medical service to improve quality of health Trauma Service - The Lake employs Trauma Physicians and established a Trauma Clinic to cover the specialty needs of the community Research Clinical research -The Lake participates in clinical research projects to improve the health and care of patients and community members. Financial Contributions Cash contributions - The Lake also organizes employee participation in fund raising for organizations such as Capital Area United Way, March of Dimes of America, Junior Achievement, Cystic Fibrosis and the Community Fund for the Arts. The Lake also makes corporate donations to various area community service organizations. Community-Building Activities Elderly housing complex - The Lake operates four elderly housing projects: Villa St. Francis, Inc., Assisi Village, Inc., Calais House, Inc., and Chateau Louise, Inc. These projects are designed to promote the health, security and happiness of the elderly and handicapped persons of the Greater Baton Rouge area. Mary Bird Perkins - The Lake also sponsors the charitab1e activities of other not for profit organizations in Baton Rouge. The Lake Provides land adjoining the Lake to Mary Bird Perkins Cancer Center for its operations and foregoes any rental income for the use of this land. Community clinic - The Lake provides a building that sponsors a community clinic and foregoes all rental income related to the use of the building.
Part XI, Line 5   Capital Transfers $16,490,804 Unrealized Loss $10,327
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FMOL HEALTH SYSTEM INC
 
Employer identification number

72-1028323
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) CALAIS HEALTH LLC
5745 ESSEN LANE
BATON ROUGE,LA70809
72-1470366 		HEALTHCARE LA 474,868 1,227,970 FMOLHS
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) St Bernard Health Fund

4200 Essen Lane

Baton Rouge,LA70809
20-4685614 		Healthcare LA 501(c)(3) 11 type 1 NA
 
 
 
(2) Health Partners Network of South LA

611 ST LANDRY STREET

LAFAYETTE,LA70506
 Healthcare LA 501(c)(3) 3 Lourdes RMC
 
 
 










For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Lourdes Imaging Center LLC

611 St Landry Street
Lafayette,LA70506
20-8326214 		Healthcare LA LOURDES
  		N/A       No   Yes    
(2) Heart Hospital of Acadiana

1105 Kaliste Saloom Road
Lafayette,LA70508
30-0442368 		Healthcare LA LOURDES
  		N/A       No   Yes    
(3) Perkins Plaza Medical Arts Development

5000 Hennessy Boulevard
Baton Rouge,LA70808
45-0516574 		Real Estate LA OLOL
  		N/A       No   Yes    
(4) Perkins Plaza Imaging Center

5000 Hennessy Boulevard
Baton Rouge,LA70808
20-3697665 		HEALTHCARE LA OLOL
  		N/A       No   Yes    
(5) Perkins Plaza Imaging Development

5000 Hennessy Boulevard
Baton Rouge,LA70808
20-3894521 		REAL ESTATE LA OLOL
  		N/A       No   Yes    
(6) P&S Surgery Center LLC

312 Grammont Street
Monroe,LA71201
72-1387870 		Healthcare LA ST FRANCIS
  		N/A       No   Yes    
(7) NUCLEAR IMAGING

5000 HENNESSY BOULEVARD
BATON ROUGE,LA70808
72-1470061 		Healthcare LA OLOL
  		N/A       No   Yes    
(8) ST FRANIS PEDIATRIC AFTER HOURS LLC

POST OFFICE 207
MONROE,LA71210
06-1782572 		Healthcare LA ST FRANCIS
  		N/A       No   Yes    
(9) LOURDES IMAGING DEVELOPMENT LLC

611 ST LANDRY STREET
Lafayette,LA70506
20-8326287 		REAL ESTATE LA LOURDES
  		N/A       No   Yes    
(10) PARK PLACE SURGICAL HOSPITAL

901 WILSON STREET
LAFAYETTE,LA70503
72-1404092 		Healthcare LA LOURDES
  		N/A       No   Yes    
(11) BRPT LAKE REHABILITAION CENTERES LLC

530 SHADOWS LANE
BATON ROUGE,LA70806
72-1506100 		Healthcare LA OLOL
  		N/A       No   Yes    
(12) CONVENIENT CARE LLC

7777 HENNESSY BOULEVARD SUITE 1004
BATON ROUGE,LA70808
72-1439481 		Healthcare LA OLOL
  		N/A       No   Yes    
(13) PERKINS PLAZA AMBULATORY SURGERY CENTER

54 THE LEDGENDS PARKWAY SUITE 159
EUREKA,MO63025
48-1264699 		Healthcare LA OLOL
  		N/A       No   Yes    
(14) SURGICAL SPECIALTY CENTER OF BATON ROUGE

8080 BLUEBONNET BOULEVARD
Baton Rouge,LA70810
26-3160962 		HEALTHCARE LA OLOL
  		N/A       No   Yes    
(15) ST ELIZABETH - MARY BIRD PERKINS

4950 ESSEN LANE
BATON ROUGE,LA70809
26-0628752 		HEALTHCARE LA STEH
  		N/A       No   Yes    
(16) REGIONAL EYE SURGERY CENTER LLC

7777 HENNESSY BLVD SUITE 4000
BATON ROUGE,LA70808
72-1484653 		HEALTHCARE LA OLOL
  		N/A       No   Yes    
(17) ST MARY'S IMAGING CENTER II LLC

611 ST LANDRY STREET
LAFAYETTE,LA70506
72-1484653 		HEALTHCARE LA LOURDES IMAGING
  		N/A       No   Yes    
(18) NORTHEAST LA CANCER INSTITUTE

141 DESTARD STREET SUITE 704
MONROE,LA71201
72-1329499 		HEALTHCARE LA ST FRANCIS
  		N/A       No   Yes    
(19) LOURDES AFTER HOURS LLC

7777 HENNESSY BLVD SUITE 1004-202
BATON ROUGE,LA70808
20-1367299 		HEALTHCARE LA LOURDES
  		N/A       No   Yes    
(20) LHCG-XIII LLC

420 WEST PINHOOK ROAD SUITE A
LAFAYETTE,LA70503
20-8068308 		HEALTHCARE LA LOURDES
  		N/A       No   Yes    
(21) ST ELIZABETH IMAGING CENTER

1125 Highway 30
Gonzales,LA70737
 HEALTHCARE LA STEH
  		N/A       No   Yes    
(22) Capital Area Shared Services Org LLC

5000 Hennessy Boulevard
Baton Rouge,LA70808
 Healthcare LA OLOL
  		N/A       No   Yes    
(23) Capital Area Shared Services Org LLC

5000 Hennessy Boulevard
Baton Rouge,LA70808
 Healthcare LA STEH
  		N/A       No   Yes    
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) St Francis Insurance Agency
309 Jackson Street
Monroe,LA71201
72-1435136 		Insurance LA ST FRANCIS
  		C Corp      
(2) Hospital Assistance Services
PO Box 4027-C
Lafayette,LA70502
72-1073486 		Healthcare LA LOURDES
  		C Corp      
(3) Louise Insurance Company
PO BOX 1051
    KY1-1102
CJ
INSURANCE CJ FMOL
  		C Corp 7,190,952 31,987,449 100.000 %
(4) Monroe Health Services
PO Box 3187
Monroe,LA72101
72-1057820 		Healthcare LA AMBULATORY
  		C Corp      
(5) Northeast LA Health Network
309 Jackson Street
Monroe,LA71201
72-1294587 		Healthcare LA AMBULATORY
  		C Corp      
(6) BERNARD BRIAN ALLAIN MEMORIAL CRT
5000 HENNESSY BOULEVARD
BATON ROUGE,LA70808
20-7114528 		INVESTMENT LA OLOL FOUNDATION
  		TRUST      


Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) OLOL Ascension Community Hospital

 r 1,331,956  
(2) OLOL Ascension Community Hospital

 o 190,168  
(3) OLOL Ascension Community Hospital

 p 1,821,075  
(4) OLOL Ascension Community Hospital

 k 5,849,796  
(5) Our Lady of the Lake Hospital

 r 7,419,137  
(6) Our Lady of the Lake Hospital

 j 1,168,037  
(7) Our Lady of the Lake Hospital

 o 4,562,767  
(8) Our Lady of the Lake Hospital

 p 26,116,719  
(9) Our Lady of the Lake Hospital

 k 33,567,612  
(10) Our Lady of Lourdes Regional Medical Center

 r 3,569,668  
(11) Our Lady of Lourdes Regional Medical Center

 o 705,788  
(12) Our Lady of Lourdes Regional Medical Center

 p 12,436,660  
(13) Our Lady of Lourdes Regional Medical Center

 k 12,680,052  
(14) St Francis Medical Center

 r 2,646,517  
(15) St Francis Medical Center

 o 900,383  
(16) St Francis Medical Center

 p 16,190,571  
(17) St Francis Medical Center

 k 17,280,720  
(18) Franciscan Pace Inc

 p 399,831  
(19) Franciscan Pace Inc

 o 67,400  
(20) Franciscan Pace Inc

 k 64,920  
(21) Franciscan Missionaries of Our Lady

 j 271,860  
(22) Franciscan Missionaries of Our Lady

 o 647,227  
(23) Louise Insurance Company

 q 5,614,702  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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