The recipient entity's physical address:
           5000 Hennessy Blvd.
Baton Rouge, La 70808

The recipient entity's mailing address (if different):
           5000 Hennessy Blvd.
Baton Rouge, La 70808

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          Franciscan Missionaries of Our Lady Health System Inc.

The last four digits of the entity's taxpayer ID number:  3651

What is the dollar amount of the request?  $7,763,900

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           Mr. John M. Selser, Chair
Tightline Capital, LLC
601 Poydras Street
Suite 1725
New Orleans, LA 70130

Mr. Donald D. Daigle, Vice Chair
1100 Knollwood Drive
Baton Rouge, LA 70808

Ms. Yolanda Dixon, Secretary
Louisiana Senate
PO Box 94183
Baton Rouge, LA 70804-9183

William E. Balhoff, CPA, CFE
Postlethwaite and Netterville
8550 United Plaza Blvd, Ste 1001
Baton Rouge, LA 70809
Sr. Helen Cahill, FMOL
4200 Essen Lane
Baton Rouge, LA 70809

Michael Crapanzano, MD
Pediatric Cardiology Associates
7777 Hennessy Blvd, Ste 103
Baton Rouge, LA 70808

James Craven, MD
CVT Surgical Center
7777 Hennessy Blvd, Ste 1008
Baton Rouge, LA 70808

P. Michael. Davis, MD
CVT Surgical Center
7777 Hennessy Blvd, Ste 1008
Baton Rouge, LA 70808

Henry L. Eiserloh, MD
Baton Rouge Orthopedic Clinic
8080 Bluebonnet Boulevard
Suite 1000
Baton Rouge, LA 70801

Mr. John M. Engquist
Chief Executive Officer
H&E Equipment Services
7500 Pecue Lane
Baton Rouge, LA 70809

Mr. Scott N. Hensgens
Managing Partner
Breazeale Sachse & Wilson, LLP
PO Box 3197
Baton rouge, LA 70821-3197

Dr. Richard J. Koubek
EVP and Provost
Louisiana State University
Office of Academic Affairs
156 Thomas Boyd Hall
Baton Rouge, LA 70803

Mr. Julio Melara
Louisiana Business, Inc.
9029 Jefferson Hwy, Suite 300
Baton Rouge, LA 70808

Benton Oubre, MD
Gastroenterology Associates
9103 Jefferson Highway
Baton Rouge, LA 70809

Mr. Harry J. “Skip” Philips, Jr.
Taylor, Porter, Brooks & Phillips, LLP
451 Florida Street, Suite 800
Baton Rouge, LA 70801

Sr. Eileen Rowe, FMOL
4200 Essen Lane
Baton Rouge, LA 70809

Mr. K. Scott Wester
OLOL Regional Medical Center
5000 Hennessy Boulevard
Baton Rouge, LA 70808

Provide a summary of the project or program:
           Our Lady of the Lake Children's Hospital is Louisiana's second largest provider of pediatric care, serving 90,000 patients from 63 of 64 parishes. It is the preferred facility for pediatric emergencies with a 24/7 pediatric emergency department and a pediatric transport team that has transported more than 500 children to Baton Rouge from other communities. As one of only six St. Jude affiliate clinics in the country, our hematologists/oncologists have access to world class expertise, state-of-the-art cancer research and treatment protocols. The Children's Hospital is also a source for community-based initiatives that expand access to healthcare and essential education to children. Children are cared for regardless of their ability to pay—70% or 65,100 children are uninsured or covered by Medicaid.

Positioned with our prominent geographic location at the I-10/I-12 corridor in Baton Rouge, our distinguished reputation of excellent pediatric care, as well as the long-standing mission of our Sisters, we are well set to become a destination children's hospital for the state of Louisiana. Currently many parents are forced to leave their homes and families to travel to Baton Rouge or to other states to seek tertiary care for children. The mission of our Sisters to care for all children as well as a lack of comprehensive pediatric hospital services and specialists offered in similar facilities in the area, affords us a unique opportunity to provide for the community. Establishing a free-standing Children’s Hospital will create a distinct environment that accommodates the unique needs of pediatric patients and their families. Patient safety and quality will be improved due to the particular focus on children’s health outcomes as will the level of physician expertise attracted to the Baton Rouge community. Our
Lady of the Lakes current status as an academic medical center includes a pediatric residency program that requires continued
interest and commitment from top tier residents—a component that will be strengthened through the provision of a cutting edge learning environment. A designated pediatric hospital will also create capacity on the existing Our Lady of the Lake campus, which is experiencing rapid growth.

Construction of the new hospital will allow for expansion to accommodate continued growth and to implement best practices in pediatric healthcare facility design. Children’s Hospital program will relocate from two floors in Our Lady of the Lake Regional Medical Center to a free-standing, 130-bed facility across Essen Lane. The new facility will contain space for diagnostic and treatment services, patient care, support services, and public and administration areas. Capital Outlay Request is for approximately 10% of project costs ($20,000,000 spread over 3 years) and would be allocated to Construction costs. Projected funding goals are as follows for the project: Philanthropy $50,000,000, Bond Issue $100,000,000, OLOL Children's Hospital Capital Funds $30,000,000, and State Capital Outlay Funding For Construction Costs $20,000,000. This totals the $200,000,000 overall project cost.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $40,500,000
          Professional Services. . . $12,532,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $0
          Other Charges. . . . . . . $387,400,000

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To construct a 130-bed, free-standing Children's Hospital facility to provide specialized inpatient and outpatient care for Louisiana's pediatric population. This new facility will include an Emergency Department, Operating Rooms, ICU, patient care areas, and all ancillary departments necessary to provide inpatient and outpatient pediatric care.

What are the goals and objectives for achieving such purpose?
          In order to accommodate expansion and specialized needs of pediatric patients and families, a new facility is needed. The program is currently housed within floors 2 and 3 of Our Lady of the Lake Regional Medical Center. The new Children's Hospital facility will include space for comprehensive pediatric medical services across the inpatient and outpatient continuums of care. The distribution of patient care, diagnostic and treatment, and shell space to public, administrative, and support space. The ratio for the patient
care/diagnostic and treatment/shell space to public/administrative/support space is approximately 74% to
26%. Shell space will be used for future expansion for patient care services to total the 130-bed capacity.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           planning and work has begun and we anticipate the project to be completed 10/2019

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 N/A
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 N/A

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 N/A

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  N/A

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               N/A

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
               

          What is the nature of the relationship? 

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 N/A

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               N/A


Contact Information
name:  Angie J. Brown 
                                       address:  9032 Perkins Rd.
Baton Rouge, La 70808
                                       phone:  225-768-5791
                                       fax:  225-768-5859
                                       e-mail:  angelee.brown@fmolhs.org
                                       relationship to entity:  Director of Community Health Sciences Programs