SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBulletGo to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
ST FRANCIS MEDICAL CENTER
 
Employer identification number

72-0408970
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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) ST FRANCIS MEDICAL GROUP
PO BOX 1901
MONROE,LA71210
HEALTHCARE LA 20,329,764 -4,418,680 SFMC
 










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 entity?
Yes No
(1)ST BERNARD HEALTH FUND
4200 ESSEN LANE

BATON ROUGE,LA70809
20-4685614
HEALTHCARE LA 501(C)(3) 11 TYPE 1 FMOL
 
 
No
(2)HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD

BATON ROUGE,LA70808
72-1443935
HEALTHCARE LA 501(C)(3) 7 OLOL
 
Yes
 
(3)ST FRANCIS AMBULATORY SERVICES
PO BOX 1901

MONROE,LA71210
72-1206096
HEALTHCARE LA 501(C)(3) 3 SFMC
 
Yes
 








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
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) HEART HOSPITAL OF ACADIANA LLC

1105 KALISTE SALOOM ROAD
LAFAYETTE,LA70508
30-0442368
HEALTHCARE LA LOURDES
 
N/A                
(2) PERKINS PLAZA IMAGING DEVELOPMENT LLC

5000 HENNESSY BLVD
BATON ROUGE,LA70808
20-3894521
REAL ESTATE LA OLOL
 
N/A                
(3) P&S SURGERY CENTER LLC

312 GRAMMONT STREET
MONROE,LA71201
72-1387870
HEALTHCARE LA SFMC
 
RELATED -110,367 9,263,178   No 0 Yes   50.000 %
(4) LOURDES IMAGING DEVELOPMENT LLC

4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE,LA70508
20-8326287
REAL ESTATE LA LOURDES
 
N/A                
(5) PARK PLACE SURGERY CENTER LLC

4811 AMBASSADOR CAFFERY PKWY
LAFAYETTE,LA70508
72-1404092
HEALTHCARE LA LOURDES
 
N/A                
(6) BRPT LAKE REHABILITATION CENTERS LLC

5222 BRITTANY DRIVE
BATON ROUGE,LA70808
72-1506100
HEALTHCARE LA OLOL
 
N/A                
(7) CONVENIENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
72-1439481
HEALTHCARE LA OLOL
 
N/A                
(8) SURGICAL SPECIALTY CENTER OF BATON ROUGE

8080 BLUEBONNET BLVD
BATON ROUGE,LA70810
26-3160962
HEALTHCARE LA OLOL
 
N/A                
(9) ST ELIZABETH-MARY BIRD PERKINS CANCER C

4950 ESSEN LANE
BATON ROUGE,LA70809
26-0628752
HEALTHCARE LA STEH
 
N/A                
(10) ST MARYS IMAGING CENTER II LLC

4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE,LA70508
72-1329499
HEALTHCARE LA LOURDES IMAGING
 
N/A                
(11) NORTHEAST LA CANCER INSTITUTE LLC

411 CALYPSO STREET
MONROE,LA71201
72-1329499
HEALTHCARE LA SFMC
 
RELATED 621,795 5,715,404   No 0 Yes   50.000 %
(12) LHCG-XIII LLC

901 S HUGH WALLIS ROAD
LAFAYETTE,LA70508
20-8068308
HEALTHCARE LA LOURDES
 
N/A                
(13) LOURDES AFTER HOURS LLC

7777 HENNESSY BLVD SUITE 1004-202
BATON ROUGE,LA70809
20-1367299
HEALTHCARE LA LOURDES
 
N/A                
(14) LAKE URGENT CARE ASCENSION LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
35-2463092
HEALTHCARE LA STEH
 
N/A                
(15) LAKE URGENT CARE ASCENSION LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
35-2463092
HEALTHCARE LA OLOL
 
N/A                
(16) OLOLUSP SURGERY CENTER LLC

15305 DALLAS PKWY STE 1600 LB 28
ADDISON,TX75001
35-2457810
HEALTHCARE TX OLOL
 
N/A                
(17) ST FRANCIS URGENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
47-4013731
HEALTHCARE LA SFMC
 
RELATED 2,102,593 640,046   No 0 Yes   50.000 %
(18) GAMMA KNIFE OF LOUISIANA LLC

4950 ESSEN LANE
BATON ROUGE,LA70809
81-1827194
HEALTHCARE LA OLOL
 
N/A                
(19) LHCG LXVII LLC

901 S HUGH WALLIS ROAD
LAFAYETTE,LA70508
72-0423635
HEALTHCARE LA LOURDES
 
N/A                
(20) PREMIER HEALTH HOLDINGS LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
47-2665226
HEALTHCARE LA OLOL
 
N/A                
(21) PINNACLE CARE HOLDINGS LLC

5627 S SHERWOOD FOREST BLVD
BATON ROUGE,LA70816
72-0423651
HEALTHCARE LA LOURDES
 
N/A                
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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ST FRANCIS INSURANCE AGENCY

309 JACKSON STREET
MONROE,LA71201
72-1435136
INSURANCE LA SFMC
 
C CORP 3,497 0 100.000 % Yes  
(2) HOSPITAL ASSISTANCE SERVICES

PO BOX 4027-C
LAFAYETTE,LA70502
72-1073486
HEALTHCARE LA LOURDES
 
C CORP          
(3) LOUISE INSURANCE COMPANY

PO BOX 1051
  CAYMAN ISLANDSKY1-1102
CJ
INSURANCE CJ FMOL
 
C CORP          
(4) MONROE HEALTH SERVICES

PO BOX 3187
MONROE,LA71210
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) FRANCISICAN HEALTH & WELLNESS SERVICES I

4200 ESSEN LANE
BATON ROUGE,LA70809
45-5492379
HEALTHCARE LA FMOL
 
C CORP          
(7) FMOL HEALTH SYSTEM HOLDINGS INC

4200 ESSEN LANE
BATON ROUGE,LA70809
45-4405024
INVESTMENT LA FMOL
 
C CORP          
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) P&S SURGERY CENTER

a 901,105 FMV
(2) P&S SURGERY CENTER

l 226,020 FMV




Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2017

Additional Data


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