Community Benefit Insight - Tax-exempt hospital

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Our Lady Of The Lake Ascension Community Hospital D/b/a St Elizabeth Hospital

Our Lady Of The Lake Ascension

1125 West Hwy 30
Gonzales, LA 70737

Bed count	95	Medicare provider number	190242	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 721470744

Display data for year:

Community Benefit Spending- 2018
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

10.02%

Spending by Community Benefit Category- 2018
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2018

Additional data

Community Benefit Expenditures: 2018

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 627,495 0.86 %
Medicaid as % of operating expenses	$ 6,302,278 8.61 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 105,480 0.14 %
Subsidized health services as % of operating expenses	$ 280,272 0.38 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 17,875 0.02 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 1,163 0.00 %
Community building* as % of operating expenses	$ 3,828 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 3,828 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 3,828 100 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2018

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 5,129,215 7.01 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2018

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2018

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 (Expenses $ 30891857 including grants of $ 16650) (Revenue $ 54049872)
THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES. FOLLOWING THAT POLICY, HEALTH CARE SERVICES WERE PROVIDED WITHOUT CHARGE OR AT RATES WHICH ARE LESS THAN THE COST OF PROVIDING SUCH SERVICES.

4B (Expenses $ 20025104 including grants of $ 0) (Revenue $ 23323470)
OUR LADY OF THE LAKE ASCENSION'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, SECTION B, LINE 16I
REGISTRATION PERSONNEL REFER PATIENTS THAT MAY HAVE DIFFICULTY PAYING FOR MEDICAL CARE TO FINANCIAL COUNSELORS TO DISCUSS QUALIFICATION FOR FREE CARE. THE POLICY IS ALSO POSTED AT THE HOSPITAL ADMISSION AREAS.

PART V, SECTION B, LINE 5
THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS. ST. ELIZABETH HOSPITAL TOOK INTO ACCOUNT INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH BY WORKING WITH ASCENSION COUNCIL ON AGING, ASCENSION COUNSELING CENTER, ASCENSION PARISH HEALTH UNIT, CAPITAL AREA AGENCY ON AGING, AND OFFICE OF THE PARISH PRESIDENT. ST. ELIZABETH HOSPITAL ALSO INTERVIEWED COMMUNITY STAKEHOLDERS, FAITH-BASED ORGANIZATIONS, AND ELECTED LEADERS.

PART V, SECTION B, LINE 11
ST. ELIZABETH HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR TAX YEAR 2018. THE CHNA IDENTIFIED THREE SIGNIFICANT COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND WEIGHT MANAGEMENT. THE ORGANIZATION IS ADDRESSING ALL THREE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA IN THE FOLLOWING MANNER: BEHAVIORAL HEALTH IN AN EFFORT TO DECREASE THE NUMBER OF SELF-REPORTED POOR MENTAL HEALTH DAYS BY 5% OVER 3 YEARS ST. ELIZABETH HOSPITAL PARTNERED WITH THE ASCENSION COUNSELING CENTER. IN THE TIME FRAME BETWEEN 7/1/2018 AND 2/28/2019 ST. ELIZABETH TRACKED THE NUMBER OF APPOINTMENTS KEPT PER QUARTER BY THE ASCENSION COUNSELING CENTER; ST. ELIZABETH EXCEEDED THE GOAL OF 1,300 VISITS PER QUARTER, COMPLETING 4,623 KEPT APPOINTMENTS. ST. ELIZABETH ALSO COMPLETED 9,538 SCREENINGS FOR DEPRESSION USING THE PHQ-2 TOOL; AND CAME VERY CLOSE TO MEETING THE GOAL OF 682 BEHAVIORAL HEALTH ENCOUNTERS PROVIDED BY STEP WITH 1,924 DURING THIS TIME PERIOD. HEALTH EDUCATION AND PREVENTION ST. ELIZABETH HOSPITAL'S GOAL WAS TO DECREASE THE YEARS OF POTENTIAL LIFE LOST TO PREMATURE DEATH BY 5% OVER 3 YEARS. THE ACTIONS TAKEN DURING THE PERIOD FROM 7/1/2018 TO 2/28/2019 INCLUDED PROVIDING EDUCATIONAL OFFERINGS ON OBESITY, DIABETES, AND ARTHRITIS. ST. ELIZABETH OFFERED A TOTAL OF 113 OPPORTUNITIES FOR LEARNING. ST. ELIZABETH ALSO WORKED TOWARD INCREASING MEDICAID ENROLLMENTS ASSISTED BY ST. ELIZABETH STAFF; THE HOSPITAL RECEIVED 507 APPLICATIONS AND COMPLETED 388 ENROLLMENTS. ST. ELIZABETH HOSPITAL SUPPORTED MARY BIRD PERKINS FREE CANCER SCREENINGS IN THE COMMUNITY TO OFFER 69 BREAST, 41 COLORECTAL, 44 SKIN AND 22 PROSTATE SCREENINGS. THE ORGANIZATION ALSO PROVIDED 13,870 PRIMARY CARE VISITS IN DONALDSONVILLE. WEIGHT MANAGEMENT ST. ELIZABETH HOSPITAL'S GOAL WAS TO DECREASE THE NUMBER OF ADULTS WITH AN OBESE BMI BY 1% OVER THREE YEARS, INCLUDING TARGETING CHRONIC COMORBIDITIES LIKE DIABETES AND HYPERTENSION. ST. ELIZABETH TOOK TWO ACTION STEPS: FIRST, TO INCREASE THE NUMBER OF SUCCESSFUL COMPLETIONS OF THE DIABETES MANAGEMENT PROGRAM; 35 INDIVIDUALS COMPLETED THE PROGRAM. SECOND, ST. ELIZABETH SET OUT TO INCREASE THE NUMBER OF ST. ELIZABETH EMPLOYEES BEING ACTIVELY HEALTH COACHED BY THE HEALTHY LIVES PROGRAM. 97 EMPLOYEES WERE ACTIVELY ENGAGED IN COACHING AND 49 SUCCESSFULLY COMPLETED THE COACHING PROGRAM.

PART V, SECTION B, LINE 7
The CHNA can be found at https://ololrmc.com/assets/documents/2019-st-elizabeth-chna.pdf

PART V, SECTION B, QUESTION 13H
PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.

PART V, SECTION B, LINE 16A, B, C
THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION, AND PLAIN-LANGUAGE SUMMARY OF THE FAP WERE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7
THE COST-TO-CHARGE RATIO, AS CALCULATED USING IRS WORKSHEET 2, IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE AMOUNTS REPORTED IN PART 1, LINES 7A-G. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT WHERE APPLICABLE.

PART III, LINE 4
THE BAD DEBT FOOTNOTE IS ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8
CMS REGULATIONS/GUIDELINES ARE USED IN COMPLETING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS THE TOOL USED IN DETERMINING MEDICARE ALLOWABLE COSTS.

PART III, LINE 9B
PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.

PART VI, LINE 2
NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED IS PRIMARY TO THE MISSION OF ST. ELIZABETH HOSPITAL. ST. ELIZABETH HOSPITAL IDENTIFIES THE COMMUNITY'S HEALTH NEEDS BY UTILIZING THE FOLLOWING INFORMATION GATHERING TECHNIQUES: COMMUNITY SURVEY: ON AN ANNUAL BASIS, ST. ELIZABETH HOSPITAL, ALONG WITH THE HELP OF STRATEGIC MARKETING AND RESEARCH, LLC, PERFORM A COMMUNITY SURVEY AIMED AT IDENTIFYING THE HEALTH CARE NEEDS AND PREFERENCES OF LOCAL RESIDENTS. THE SURVEY IS CONDUCTED VIA PHONE WHILE USING A RANDOM SAMPLE OF RESPONDENTS. THE FINDINGS FROM THIS RESEARCH SERVE AS A FOUNDATION FOR THE DEVELOPMENT OF FUTURE PROGRAMS FOR OFFERING HEALTHCARE IN ASCENSION PARISH. THE SURVEY ALSO IDENTIFIES THOSE SERVICES THAT ARE SOUGHT OUTSIDE OF ASCENSION PARISH, DUE TO SERVICES NOT BEING OFFERED OR NOT KNOWN TO BE OFFERED (PUBLIC AWARENESS). SUCH DATA HELPS ST. ELIZABETH HOSPITAL ASSESS WHETHER SPECIFIC MEDICAL NEEDS ARE UNDERSERVED. COMMUNITY EDUCATION SURVEY: EVERY TWO YEARS, THE COMMUNITY EDUCATION DEPARTMENT PREPARES A COMMUNITY EDUCATION SURVEY THAT IS GIVEN TO ASCENSION PARISH RESIDENTS WHO ATTEND LOCAL HEALTH SCREENINGS OR OTHER EDUCATIONAL EVENTS. THIS SURVEY IS DESIGNED TO IDENTIFY THE HEALTH EDUCATION NEEDS OF THE AREA RESIDENTS.

PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INIDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH ST. ELIZABETH HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIALS POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE.

PART VI, LINE 4
COMMUNITY INFORMATION: ST. ELIZABETH'S PRIMARY SERVICE AREA INCLUDES ASCENSION PARISH, LOUISIANA. PURSUANT TO THE HOSPITAL'S LAST CHNA, ST. ELIZABETH'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 119,455. THE MEDIAN HOUSEHOLD INCOME IS $70,551, WHICH IS HIGHER THAN BOTH THE NATIONAL AND STATE AVERAGE. HOWEVER, THE UNEMPLOYMENT RATE SITS AT 5.3%. THE SHARE OF INDIVIDUALS RECEIVING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS IS LOWER THAN BOTH THE STATE AND NATIONAL AVERAGES. DESPITE NUMEROUS GROCERY STORES IN THE PARISH, 44.8% OF RESIDENTS ARE CATEGORIZED AS HAVING LOW FOOD ACCESS. COMPARED TO THE NATION AS A WHOLE, MORE ASCENSION PARISH ADULTS HAVE NO REGULAR PHYSICAL ACTIVITY AND FAIL TO CONSUME THE RECOMMENDED AMOUNT OF FRUITS AND VEGETABLES. RATES OF OBESITY (34.8%) AND DIABETES (10.9%) ARE HIGHER IN ASCENSION PARISH THAN THE NATIONAL AVERAGE. THE WEST BANK AREA EXPERIENCES CONSIDERABLY WORSE HEALTH CONDITIONS THAN THE REST OF THE SERVICE AREA, INCLUDING CANCER AND DIABETES. TRANSPORTATION TO HEALTHCARE SERVICES IS A SIGNIFICANT BARRIER FOR WEST BANK RESIDENTS, WHO ALSO HAVE LITTLE LOCAL ACCESS TO SPECIALISTS AND PRIMARY CARE PROVIDERS. HEALTH INSURANCE HAS BECOME MORE ACCESSIBLE WITH THE STATE EXPANSION OF MEDICAID. OVERALL, ASCENSION PARISH ACHIEVES BETTER ECONOMIC SUCCESS AND HEALTH OUTCOMES THAN MUCH OF THE REST OF LOUISIANA, BUT STILL FALLS BELOW NATIONAL TRENDS IN MOST HEALTH MEASURES AND SEVERAL ECONOMIC DATA POINTS.

PART III, LINE 2
THE ORGANIZATION ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF ACCOUNTS AND HISTORICAL COLLECTION HISTORY ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW OF THE COLLECTIONS TO DETERMINE THE APPROPRIATE COLLECTION PERCENTAGE TO USE IN ESTIMATING BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE.

PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF THE GOVERNING BODY OF ST. ELIZABETH HOSPITAL IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. ST. ELIZABETH HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.

PART II
ST. ELIZABETH PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY BUILDING ACTIVITIES INCLUDE DEVOTING TIME TO NEIGHBORHOOD IMPROVEMENT AND REVITALIZATION PROJECTS, PARTICIPATING IN ECONOMIC DEVELOPMENT COUNCILS/CHAMBERS OF COMMERCE AND PARTICIPATING IN SCHOOL MENTORING PROGRAMS. ALL OF THESE PROGRAMS HELP DEVELOP THE GENERAL WELL-BEING OF THE COMMUNITY WHICH, IN TURN, PROMOTES THE HEALTH OF THE COMMUNITY ST. ELIZABETH SERVES. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE TIME DEVOTED TO FORMING COLLABORATIVE PARTNERSHIPS WITH VARIOUS ORGANIZATIONS SUCH AS THE DEPARTMENT OF HEALTH & HUMAN SERVICES, LOCAL SCHOOL BOARDS, AND OTHER HOSPITALS TO IMPROVE THE GENERAL COMMUNITY HEALTH. ADDITIONALLY, ST. ELIZABETH PARTNERS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES. IT ALSO PARTICIPATES IN SCHOOL-BASED PROGRAMS RELATED TO HEALTH CARE CAREERS.

PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: ST. ELIZABETH HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE-MEMBER. ST. ELIZABETH IS PART OF THE FMOLHS HEALTH CARE SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. ST. ELIZABETH HOSPITAL SERVES THE COMMUNITY IN GONZALES, LA AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL ST. ELIZABETH HOSPITAL WORKS CLOSELY WITH OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER (A TAX-EXEMPT HOSPITAL AFFILIATE) TO PROVIDE COMPREHENSIVE MEDICAL SERVICES AS PART OF THE OVERALL HEALTHCARE PROVIDED TO THE COMMUNITY.

Operating expenses	$ 73,208,158
Total amount spent on community benefits as % of operating expenses	$ 7,334,563 10.02 %