2024-02-14T08:53:16-06:00 2022-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2022-01-01 943480131 LOUISIANA CHILDREN'S MEDICAL CENTER LOUI 5048962847 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 JOANN KUNKEL CHIEF FINANCIAL OFFICER 5048962847 2024-02-12 1 JOANN KUNKEL 999009999 0 JOHN S WILES CPA P01222673 5048355522 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREGORY C FEIRN 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 505398925 0 X WWW.LCMCHEALTH.ORG X 2009 LA HEALTH, CARE, AND EDUCATION BEYOND EXTRAORDINARY. THE PRIMARY PURPOSE OF (CONT'D ON SCHEDULE O) LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES. 30 28 2865 32 0 0 15836014 13723051 416076035 457573034 174311 419447 28707861 33683393 460794221 505398925 1475000 16093920 0 0 167714188 177162674 0 0 0 281510720 337025084 450699908 530281678 10094313 -24882753 2940292717 3121083959 966804717 1431970959 1973488000 1689113000 X SEE SCHEDULE O 0 0 51931228 16093920 181421218 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) IS A LOUISIANA NON-STOCK NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009, WITH ITS FOUNDING MEMBER BEING CHILDREN'S HOSPITAL (CHILDREN'S). THROUGH A HEALTH CARE SYSTEM AGREEMENT (SYSTEM AGREEMENT) BETWEEN LCMC, CHILDREN'S, TOURO INFIRMARY AND ITS SUBSIDIARIES (TOURO), LCMC HEALTH HOLDINGS (EJGH)AND COOPERATIVE ENDEAVOR AGREEMENTS (CEAS) WITH UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC) AND WEST JEFFERSON HOLDINGS, LLC (WEST JEFFERSON), THESE PARTIES HAVE DETERMINED THAT TOGETHER THEY CAN PROVIDE A MULTI-HOSPITAL, NOT-FOR-PROFIT COMMUNITY-BASED, SYSTEM THAT WILL PROVIDE A CONTINUUM OF CARE TO THE FAMILIES OF THE GULF SOUTH REGION. LCMC, CHILDREN'S, TOURO, UMCMC, EJGH AND WEST JEFFERSON ARE HEREINAFTER (CONTINUED ON SCHEDULE O) COLLECTIVELY REFERRED TO AS THE SYSTEM. LCMC FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. ALL CORPORATE POWERS OF THE SYSTEM ARE VESTED IN THE BOARD OF TRUSTEES OF LCMC. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FORMED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY. UMCMC OPERATES UNIVERSITY MEDICAL CENTER IN NEW ORLEANS (UMC). UMCMC IS A PROVIDER OF CHARITY CARE FOR THE UNINSURED AND PLAYS A VITAL ROLE AS A STATEWIDE REFERRAL CENTER FOR PATIENTS IN NEED OF TERTIARY CARE. UMCMC ALSO PROVIDES MEDICAL AND ALLIED HEALTH TRAINING THROUGH ITS AFFILIATION WITH ACADEMIC INSTITUTIONS TO STRENGTHEN AND ENHANCE OPPORTUNITIES TO ACHIEVE THE STATE'S MEDICAL EDUCATION, CLINICAL CARE, AND RESEARCH GOALS.IN TAX YEAR 2022, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,064 MILLION. THIS AMOUNT REPRESENTED 45% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2022, $762 MILLION IN EXPENSE (33% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2022, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $337.9 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S. 214325498 308479291 THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH, AND REHABILITATION SERVICES. THE HOSPITAL HAS A TOTAL OF 357 LICENSED PATIENT BEDS. THE HOSPITAL TREATED 12,093 INPATIENTS AND HAD 57,555 OUTPATIENT VISITS DURING 2022. THERE WERE 8,531 SURGERIES (INPATIENT, OUTPATIENT, AND AMBULATORY SURGERY CENTER), 51,440 EMERGENCY DEPARTMENT VISITS AND 1,405 BABIES DELIVERED. 9076661 1355918 COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS PROVIDE FREE HEALTH EDUCATION PROGRAMS AND SCREENINGS TO THE COMMUNITY. THESE PROGRAMS ARE DESIGNED TO FOCUS ON SOME OF THE MOST PREVALENT DISEASES WITHIN THE COMMUNITY, SUCH AS DIABETES, HEART DISEASE AND CANCER. THESE PROGRAMS ADDRESS PREVENTION, EARLY DETECTION, TREATMENT AND MAINTAINING HEALTHY LIFESTYLES. 275333387 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 568 0 1 2865 1 0 0 0 0 0 0 0 0 0 0 1 0 X 30 28 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 5048962847 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 GREGORY C FEIRN PRESIDENT & CEO 46.00 9.00 X X 2439917 0 33804 JOHN HEATON MD PRESIDENT OF CLIN. AND SYS 55.00 X X 996323 0 28631 SUZZANE HAGGARD CHIEF REVENUE OFFICER 55.00 X 737638 0 23958 JOANN KUNKEL CHIEF FINANCIAL OFFICER 50.00 5.00 X 922683 0 13025 GREGORY NIELSEN CHIEF OPERATING OFFICER 55.00 X 742070 0 31976 JODY MARTIN SVP CHIEF LEGAL OFFICER 55.00 X 580209 0 14592 SCOTT C LANDRY SR. VP FAC MGT/SUP SVCS-LC 55.00 X 328026 0 23701 CHRISTINE ALBERT SVP - MARKETING & COMMUNI 55.00 X 537261 0 18884 CHAD COURREGE SVP - HUMAN RESOURCES 55.00 X 492272 0 39071 TANYA KENNEDY CHIEF INFORMATION OFFICER 55.00 X 551027 0 34378 AYAME DINKLER CHIEF ADMINISTRATIVE OFFIC 50.00 5.00 X 435213 0 24586 ROBIN MCGOEY CHIEF ACADEMIC OFFICER 55.00 X 429903 0 38143 ROBERT CALHOUN CEO - WEST JEFFERSON HOLDI 54.00 1.00 X 584274 0 28626 RUSSELL RUSSO PHYSICIAN 40.00 X 922192 0 38128 CHARLES BALLAY II PHYSICIAN 40.00 X 588768 0 34302 ROBERT CHUGDEN PHYSICIAN 40.00 X 532674 0 33182 DAMON M DIETRICH CHIEF MED INFORMATION OFFI 55.00 X 505114 0 21542 KIM-ANH TRAN PHYSICIAN 40.00 X 480805 0 33235 JENNIFER B SARPALIUS FORMER CHIEF FINANCIAL OFFICER 0.00 X 451700 0 17883 LEON J REYMOND III BOARD CHAIRMAN 1.00 X X 0 0 0 RUTH KULLMAN BOARD VICE CHAIR 1.00 X X 0 0 0 THEODORE TED LE CLERCQ BOARD SECRETARY/TREASURER 1.00 X X 0 0 0 KATIE ANDRY CROSBY PAST CHAIRMAN 1.00 X X 0 0 0 LEONARD BOK MD BOARD MEMBER 1.00 X 0 0 0 BRIAN BARKMEYER MD BOARD MEMBER 1.00 X 0 0 0 RALPH O BRENNAN BOARD MEMBER 1.00 X 0 0 0 CHIP CAHILL BOARD MEMBER 1.00 X 0 0 0 ELWOOD F CAHILL JR BOARD MEMBER 1.00 X 0 0 0 FRANK DIVENCENTI MD BOARD MEMBER 1.00 X 0 0 0 STEPHEN HALES MD BOARD MEMBER 1.00 X 0 0 0 A WHITFIELD HUGULEY IV BOARD MEMBER 1.00 X 0 0 0 DOTTIE REESE BOARD MEMBER 1.00 X 0 0 0 HUGH W LONG PHD BOARD MEMBER 1.00 X 0 0 0 ALDEN MCDONALD BOARD MEMBER 1.00 X 0 0 0 ANTHONEY RECASNER PHD BOARD MEMBER 1.00 X 0 0 0 MONICA R SYLVAIN PHD BOARD MEMBER 1.00 X 0 0 0 SHARONDA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 WILLIAM F VON ALMEN II MD BOARD MEMBER 1.00 X 0 0 0 KNIGHT WORLEY MD BOARD MEMBER 1.00 X 0 0 0 JULIE LIVAUDAIS GEORGE BOARD MEMBER 1.00 X 0 0 0 CINDY HOWSON WEINMANN BOARD MEMBER 1.00 X 0 0 0 JAMIEE COLLINS BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER ROTH MD BOARD MEMBER 1.00 X 0 0 0 JILL ISRAEL BOARD MEMBER 1.00 X 0 0 0 PAUL GLADDEN BOARD MEMBER 1.00 X 0 0 0 DR ROBERT MATHENEY BOARD MEMBER 1.00 X 0 0 0 BOYSIE BOLLINGER BOARD MEMBER 1.00 X 0 0 0 13258069 0 531647 312 1 1 0 THE LEMOINE COMPANY 300 LAFAYETTE ST 100 NEW ORLEANS LA 70130 CONSTRUCTION 33714341 DELOITTE CONSULTING LLC 701 POYDRAS ST 4200 NEW ORLEANS LA 70139 CONSULTING 23695641 MORRIS & DICKSON CO P O BOX 51367 SHREVEPORT LA 71135 PHARMACEUTICAL 14864347 EPIC SYSTEMS CORPORATION 4142 MERAMEC BOTTOM RD ST LOUIS MO 63129 SOFTWARE 13705887 AYA HEALTHCARE 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 CONTRACT LABOR 12213128 429 4394502 8863502 465047 13723051 WEST JEFFERSON PATIENT SERVICES 621110 283167807 283167807 LCMC MANAGEMENT FEE 561000 162773640 162773640 POPULATION HEALTH 900099 8234347 8234347 LHCS PATIENT SERVICES 621110 3397240 3397240 457573034 419447 419447 8384989 0 8384989 8384989 8384989 340B PRESCRIPTION REVENUE 900099 10081680 10081680 WEST JEFFERSON NON-PATIENT SERVIC 621400 9490315 9490315 LCMC OTHER REVENUE 900099 4366804 4366804 1359605 1359605 25298404 505398925 491256427 0 419447 X 16093920 16093920 12581854 12581854 139810177 76902219 62907958 4019673 2042194 1977479 10911496 3962787 6948709 9839474 5409562 4429912 26231615 24724724 1506891 4219380 33 4219347 117561 117561 639085 639085 107371305 58144607 49226698 1137580 2702 1134878 8706446 367117 8339329 34754210 87166 34667044 8306996 1797302 6509694 206129 64943 141186 191682 5044 186638 9891385 9891385 36345088 16651847 19693241 3268275 105603 3162672 MEDICAL SUPPLIES 61488650 58631822 2856828 ALL OTHER EXPENSES 19187954 6799521 12388433 LEASED FACILITIES & EQU 10033947 2216297 7817650 REPAIRS & MAINTENANCE 4888434 1284615 3603819 39362 39362 530281678 275333387 254948291 0 43599626 10895438 66563444 80077640 2643818 2630098 412884160 438373836 10447246 9437554 180609392 195913361 644406796 181864444 240183383 462542352 1933529495 1889115404 49832153 32098276 2940292717 3121083959 74977778 82595466 33910257 17997193 522251116 520804866 50000000 300000000 285665566 510573434 966804717 1431970959 X 1973400997 1689025997 87003 87003 1973488000 1689113000 2940292717 3121083959 X -24882753 -370058 -77959 -259044230 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 639085 639085 529642593 530281678 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 548824 630841 450491 639085 2269241 250000 250000 250000 250000 1000000 1500000 174547 174547 48652016 48652016 150366966 28162259 122204707 816010 410766 405244 321117010 151848905 169268105 123454794 1442514 122012280 462542352 OTHER INVESTMENTS 217661629 C INVESTMENTS IN JOINT VENTURES -107854481 C INVESTMENTS IN SUBSIDIARIES 1776902192 C INVESTMENT IN PREMIER CLASS A 2406064 F 1889115404 EMPLOYEE BENEFITS 171592 LT LIABILITY 647469 CURRENT LIABILITIES 2932348 SELF-INSURANCE RESERVES 8568155 DUE TO/FROM RELATED ENTITIES 458222351 COST REPORT LIABILITIES 5946795 457B - RETIREMENT PLAN 10745126 LT LIABILITY - LEASES 23339598 510573434 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IS HAS APPROPRIATE SUPPORT FOR ANY POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 1 1 X 250.000000000000 1 X 1 1 0 0 8249702 8249702 0.01560 107115217 88847055 18268162 0.03440 115364919 88847055 26517864 0.05000 2149134 13139 2135995 0.00400 6925642 1342779 5582863 0.01050 1885 1885 0.00000 9076661 1355918 7720743 0.01450 124441580 90202973 34238607 0.06450 1 5544850 30455440 33075476 -2620036 X 1 1 1 WEST JEFFERSON INDUSTRIAL MEDICINE LLC PHYSICIAN PRACTICE 0.50000 0.50000 2 WEST JEFFERSON MRI LLC OUTPATIENT IMAGING FACILITY 0.50000 0.50000 1 1 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 WWW.WJMC.ORG 1982090742 X X X WEST JEFFERSON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY 0 1 X 250.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X X X X X X 1 X 0 X 1 X 0 0 WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 5: DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM O 14 PUBLIC HEALTH EXPERTSO 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, ANDO 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT. WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:O CHILDRENS HOSPITAL NEW ORLEANSO EAST JEFFERSON GENERAL HOSPITALO NEW ORLEANS EAST HOSPITALO OCHSNER MEDICAL CENTER - NEW ORLEANSO OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTERO OCHSNER MEDICAL CENTER - WEST BANK CAMPUSO OCHSNER MEDICAL CENTER - KENNERO OCHSNER REHABILITATION HOSPITALO RIVER PLACE BEHAVIORAL HEALTH HOSPITALO TOURO INFIRMARYO UNIVERSITY MEDICAL CENTER NEW ORLEANSO WEST JEFFERSON MEDICAL CENTER WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY WEST JEFFERSON MEDICAL CENTER (WJMC) ARE HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, ACCESS TO AND CONTINUITY OF CARE, AND EDUCATION AND HEALTH LITERACY.TO ADDRESS THE NEED OF HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, WJMC WILL DEVELOP EXPANDED AND REGULAR EDUCATION TO LEADERS AND STAFF ON IDENTIFYING AND BREAKING DOWN BARRIERS RELATED TO DISCRIMINATION AND IMPROVING HEALTH EQUITY AND RECRUIT A DIVERSE EMPLOYEE POOL THROUGH TRAININGS, RECRUITMENTS AND COMMUNITY PARTNERSHIPS. THIS WILL BE DONE THROUGH IMPLENTING AND ATTENDING A SEMINAR NAMED, "AT THE HELM", FOR IDENTIFIED HEALTH SYSTEM LEADERSHIP (AVPS AND ABOVE INITIALLY WITH FUTURE EXPANSION TO ADDITIONAL LEADERSHIP). THE PROGRAM IS DESIGNED TO EDUCATE AND EMPOWER SENIOR LEADERSHIP WITH KNOWLEDGE AND TOOLS TO LEAD DIVERSE TEAMS, CREATE EQUITABLE AND INCLUSIVE WORK ENVIRONMENTS WHILE ACHIEVING 100% SENIOR LEADER ATTENDANCE,AND ESTABLISH/APPOINT WJMC LEADERS TO SERVE ON SYSTEM-SANCTIONED DIVERSITY ACTION TEAMS. ALSO, WJMC WILL WORK TO RECRUIT A MORE DIVERSE EMPLOYEE POOL BY COMPLETING DUE DILIGENCE WITH JEFFERSON PARISH SCHOOL LEADERSHIP TO FINALIZE A PROGRAM STRUCTURE AND GENERAL FINANCIAL MODEL FOR IMPLEMENTATION OF A SCHOLARSHIP PROGRAM, AND HOSTING INTRODUCTORY MEETINGS WITH IDENTIFIED STUDENTS AND FAMILY MEMBERS.TO ADDRESS THE NEEDS OF ACCESS TO AND CONTINUITY OF CARE, WJMC WILL PROVIDE CULTURALLY-APPROPRIATE CARE TO THE LATINO/HISPANIC POPULATIONS RESIDING IN THE WJMC PRIMARY SERVICE AREA VIA DEVELOPMENT OF THE CENTRO HISPANO DE LA SALUD, CONNECT UNDERSERVED PATIENTS WITHIN THE WJMC PSA TO APPROPRIATE HEALTH SERVICES WITHIN THE REGION BASED ON THE RESULTS OF THE HOSPITAL'S MOST RECENT COMMUNITY NEEDS ANALYSIS, AND OFFER INFORMATION AND ASSISTANCE RELATED TO THE AFFORDABILITY OF HEALTH SERVICES. WJMC OPENED THE CENTRO HISPANO DE LA SALUD CLINIC IN 4TH QUARTER FY 2022, LAUNCHED AND EXECUTED A TARGETED MARKETING CAMPAIGN WITH ASSISTANCE FROM JUAN GERSHANIK, MD, AND COMPILED SPANISH MARKETING COLLATERAL AND PATIENT EDUCATION MATERIALS. ALSO, WJMC WILL PROVIDE FINANCIAL ASSISTANCE, AS NEEDED, TO ELIGIBLE PATIENTS, UP TO AND INCLUDING ASSISTANCE WITH MEDICAID ENROLLMENT.TO ADDRESS THE NEEDS OF EDUCATION AND HEALTH LITERACY, WJMC WILL PROVIDE TARGETED POPULATIONS MORE EFFECTIVE COMMUNICATION PLATFORMS TO IMPROVE PATIENT ENGAGEMENT AND FACILITATE MORE PATIENT-CENTERED CARE. WJMC WILL IMPLEMENT A NEW LANGUAGE SERVICE PROGRAM TO ENSURE OPTIMAL QUALITY OF COMMUNICATION AND PATIENT SAFETY FOR WJMC'S LEP (LIMITED ENGLISH PROFICIENCY) AND HEARING-IMPAIRED PATIENT POPULATION(S), ENSURE IMPROVED ACCESS TO TRANSLATION SERVICES DURING PATIENT ENCOUNTERS, AND EDUCATE WJMC EMPLOYEES ON CULTURAL COMPETENCY AND SPIRITUAL SUPPORT FOR PATIENTS AND FAMILIES. WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 13B: WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER. THIS ENABLES WEST JEFFERSON MEDICAL CENTER TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. 4 1 - NEW ORLEANS PHYSICIANS SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO LA 70072 PHYSICIAN PRACTICE 2 - NOLA PHYSICIANS GROUP LLC 200 HENRY CLAY AVE NEW ORLEANS LA 70018 PHYSICIAN PRACTICE 3 - CRESCENT CITY RESEARCH CONSORTIUM 1111 MEDICAL CENTRE BLVD MARRERO LA 70072 CLINICAL TRIALS 4 - COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD MARRERO LA 70072 MEDICAL COLLABORATION PART I, LINE 3C: WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER. THIS ENABLES WEST JEFFERSON MEDICAL CENTER TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PART I, LINE 7: WEST JEFFERSON IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: WEST JEFFERSON MEDICAL CENTER MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. WEST JEFFERSON MEDICAL CENTER USES A BALANCE SHEET APPROACH TO VALUE THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES. PART III, LINE 4: FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO PATIENTS IN ACCORDANCE WITH POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO PATIENTS. EXPLICIT PRICE CONCESSIONS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. IMPLICIT PRICE CONCESSIONS REPRESENT DIFFERENCES BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR PATIENT RESPONSIBILITY BALANCES, INCLUDING DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY EXPLICIT PRICE CONCESSIONS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. PART III, LINE 8: WEST JEFFERSON IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 9B: CHARITY CARE IS OFFERED TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. PART VI, LINE 2: WEST JEFFERSON MEDICAL CENTER ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE IN SEVERAL WAYS. OUR GOAL IS TO PROVIDE AN OPEN FORUM AND MORE OPPORTUNITIES FOR PATIENTS, FAMILY MEMBERS,OUR HOSPITAL VISITORS AND COMMUNITY MEMBERS TO SPEAK FREELY OF THEIR HEALTH CONCERNS AND PROVIDE FEEDBACK THAT IS PERTINENT TO OUR DECISION MAKING AS A HEALTHCARE ORGANIZATION. THIS IS ACCOMPLISHED IN SEVERAL WAYS INCLUDING THE RECENT LAUNCH OF OUR PATIENT/FAMILY ADVISORY COUNCIL (FOCUS GROUP), THROUGH HEALTH-RELATED DATA PROVIDED BY THE LOUISIANA DEPARTMENT OF HEALTH OR LOUISIANA HOSPITAL ASSOCIATION, OR NRC HEALTH, THROUGH STAKEHOLDER MEETINGS WITH OUR HOSPITAL BOARD MEMBERS AND MEDICAL EXECUTIVE COMMITTEE AND COMMUNITY REPRESENTATIVES, THROUGH PATIENT-FOCUSED FOCUS GROUPS AND SURVEYS, AND PARTICIPATION IN LOCAL CHAMBERS AND ORGANIZATIONS. WE ALSO HAVE SEVERAL PATIENT FEEDBACK FORMS ON OUR WJMC.ORG WEBSITE AND WE WELCOME AMPLE DISCUSSION THROUGH OUR SOCIAL MEDIA PLATFORMS INCLUDING FACEBOOK, LINKEDIN TWITTER AND INSTAGRAM. PART VI, LINE 3: PRIOR TO RECEIPT OF SERVICES, PATIENTS ARE PROVIDED THE HOSPITAL'S "PATIENT RIGHTS BOOKLET", WHICH CLEARLY OUTLINES THE HOSPITAL'S PAYMENT EXPECTATIONS. IT ALSO STATES THAT FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE UPON REQUEST.WJMC OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.IN-HOUSE SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR AND/OR A CONIFER (ELIGIBILITY MANAGEMENT SERVICE) REPRESENTATIVE TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR THIRD-PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD-PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE. ALL SELF-PAY PATIENTS WHO ARE NOT SCREENED PRIOR TO BEING DISCHARGED RECEIVE A NOTICE FROM CONIFER THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT WEST JEFFERSON TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. DECO STAFF, REGISTRATION STAFF, FINANCIAL COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES, AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES. PART VI, LINE 4: WITH RESPECT TO WEST JEFFERSON MEDICAL CENTER (WJMC), THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM WJMC'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF WJMC'S SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. WJMC'S POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR WJMC'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT. PART VI, LINE 5: IN 2022, WEST JEFFERSON MEDICAL CENTER DEMONSTRATED A STEADFAST COMMITMENT TO COMMUNITY WELL-BEING THROUGH A DIVERSE RANGE OF INITIATIVES. AMID THE ONGOING COVID-19 PANDEMIC, THE HOSPITAL ESTABLISHED A CONVENIENT DRIVE-UP TESTING SITE, ENSURING ACCESSIBILITY TO VITAL TESTING SERVICES FOR LOCAL RESIDENTS. MOREOVER, THE HOSPITAL HOSTED A SERIES OF THREE INFORMATIVE UROLOGY COMMUNITY HEALTH WEBINARS, EMPOWERING COMMUNITY MEMBERS WITH KNOWLEDGE ABOUT UROLOGICAL HEALTH. RECOGNIZING THE SIGNIFICANCE OF REGULAR BLOOD DONATIONS, WEST JEFFERSON ORGANIZED QUARTERLY BLOOD DRIVES, CONTRIBUTING SIGNIFICANTLY TO THE LOCAL BLOOD SUPPLY. THE HOSPITAL ALSO PLAYED AN ACTIVE ROLE IN COMMUNITY ENGAGEMENT THROUGH EVENTS LIKE GIVE NOLA DAY, FOSTERING A SPIRIT OF PHILANTHROPY. ADDRESSING A CRITICAL ASPECT OF COMMUNITY HEALTH, WEST JEFFERSON INTRODUCED WELLTHY FARMER'S MARKETS IN JUNE, OCTOBER, AND DECEMBER, WITH A SPECIAL FOCUS ON MEDICAID PATIENTS, THEREBY ENHANCING FOOD ACCESS AND OVERALL COMMUNITY WELLNESS. ADDITIONALLY, THE HOSPITAL ORGANIZED AN IN-PERSON COMMUNITY HEALTH TALK CENTERED ON ADVANCED CARE DIRECTIVES, ENCOURAGING VITAL CONVERSATIONS ABOUT HEALTHCARE PREFERENCES AND END-OF-LIFE DECISIONS. FURTHERMORE, WEST JEFFERSON ACTIVELY PARTICIPATED IN COMMUNITY UPLIFTMENT ENDEAVORS SUCH AS CAMPUS BEAUTIFICATION, JOINT PAIN SEMINARS, AND INITIATIVES LIKE THE MDSAVE PLATFORM, WHICH OFFERED DISCOUNTED MAMMOGRAMS, MAKING ESSENTIAL HEALTHCARE SERVICES MORE ACCESSIBLE. COLLABORATING WITH SERENITY HOSPICE SERVICE, WEST JEFFERSON EXTENDED SUPPORT TO THE COMMUNITY THROUGH BEREAVEMENT COUNSELING, AIDING INDIVIDUALS IN COPING WITH LOSS. THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH WAS FURTHER EXEMPLIFIED BY INITIATIVES LIKE DRIVE-UP FLU SHOTS AND THE GLADEWAVES PARTNERSHIP, WHICH COLLECTED FOOD DONATIONS TO PROVIDE NOURISHMENT DURING THE HOLIDAY SEASON, UNDERSCORING WEST JEFFERSON MEDICAL CENTER'S INVALUABLE CONTRIBUTIONS TO THE WELL-BEING OF THE COMMUNITY IN 2022. PART VI, LINE 6: WEST JEFFERSON HOLDING, LLC IS A LOUISIANA LIMITED LIABILITY COMPANY WHOSE SOLE MEMBER IS LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC). LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, EJGH, AND UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S") ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.TO FURTHER ITS MISSION, LCMC HEALTH OFFERS CARE THROUGH ITS FORMATION OF LCMC HEALTH HOLDINGS, INC. WHICH IS DOING BUSINESS AS EAST JEFFERSON GENERAL HOSPITAL (EJGH), LCMC HEALTH ANESTHESIA CORPORATION (LHAC), LCMC HEALTH CLINICAL SERVICES (LHCS), AND NEW ORLEANS CLINICAL SERVICES (NOCS). LCMC HEALTH FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. 1 CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 720467503 501(C)(3) 87500 0 COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK(BLIND PROGRAM). TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 720423689 501(C)(3) 87500 0 COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK (BLIND PROGRAM). LSU FOUNDATION 3796 NICHOLSON DRIVE BATON ROUGE LA 70802 726020969 501(C)(3) 15918920 0 DURING THE YEAR ENDED DECEMBER 31, 2022, LCMC DONATED A TOTAL OF $15,918,920 TO LSU FOUNDATION. THIS SUPPORT INCLUDES $5,000,000 TO THE CANCER RESEARCH ENDOWMENT, $10,000,000 TO THE SCIENCE BUILDING AND $918,920 FOR NURSING SUPPORT EDUCATION. 3 0 PART I, LINE 2: SINCE GRANTS WERE GIVEN TO RELATED PARTIES OF WHICH LCMC IS THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED. X X X 1 0 0 0 0 0 0 0 0 GREGORY C FEIRN PRESIDENT & CEO 2035199 0 393303 0 11415 0 12200 0 21604 0 2473721 0 0 0 JOHN HEATON MD PRESIDENT OF CLIN. AND SYS 786476 0 193530 0 16317 0 12200 0 16431 0 1024954 0 0 0 SUZZANE HAGGARD CHIEF REVENUE OFFICER 657286 0 65835 0 14517 0 12200 0 11758 0 761596 0 0 0 JOANN KUNKEL CHIEF FINANCIAL OFFICER 792059 0 100000 0 30624 0 12200 0 825 0 935708 0 0 0 GREGORY NIELSEN CHIEF OPERATING OFFICER 692043 0 10129 0 39898 0 12200 0 19776 0 774046 0 0 0 JODY MARTIN SVP CHIEF LEGAL OFFICER 478377 0 92217 0 9615 0 7908 0 6684 0 594801 0 0 0 SCOTT C LANDRY SR. VP FAC MGT/SUP SVCS-LC 264129 0 53055 0 10842 0 6100 0 17601 0 351727 0 0 0 CHRISTINE ALBERT SVP - MARKETING & COMMUNI 452004 0 76554 0 8703 0 12200 0 6684 0 556145 0 0 0 CHAD COURREGE SVP - HUMAN RESOURCES 400256 0 80121 0 11895 0 12200 0 26871 0 531343 0 0 0 TANYA KENNEDY CHIEF INFORMATION OFFICER 452576 0 89748 0 8703 0 12200 0 22178 0 585405 0 0 0 AYAME DINKLER CHIEF ADMINISTRATIVE OFFIC 358397 0 68797 0 8019 0 12200 0 12386 0 459799 0 0 0 ROBIN MCGOEY CHIEF ACADEMIC OFFICER 370752 0 55536 0 3615 0 12200 0 25943 0 468046 0 0 0 ROBERT CALHOUN CEO - WEST JEFFERSON HOLDI 469025 0 114256 0 993 0 6100 0 22526 0 612900 0 0 0 RUSSELL RUSSO PHYSICIAN 683399 0 236774 0 2019 0 12200 0 25928 0 960320 0 0 0 CHARLES BALLAY II PHYSICIAN 587775 0 0 0 993 0 12200 0 22102 0 623070 0 0 0 ROBERT CHUGDEN PHYSICIAN 444027 0 87654 0 993 0 12200 0 20982 0 565856 0 0 0 DAMON M DIETRICH CHIEF MED INFORMATION OFFI 437217 0 65194 0 2703 0 12200 0 9342 0 526656 0 0 0 KIM-ANH TRAN PHYSICIAN 479812 0 0 0 993 0 12200 0 21035 0 514040 0 0 0 JENNIFER B SARPALIUS FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 451700 0 12200 0 5683 0 469583 0 0 0 PART I, LINE 3 BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE IS A SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. PART I, LINE 4A IN 2022, JENNIFER SARPALIUS RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $451,700 FROM THE ORGANIZATION. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395S96 2018-08-15 327485369 REMARKET TAX-EXEMPT DEBT PREVIOUSLY ISSUED FOR CAPITAL EXPENDITURES 0 1 0 B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395V50 2020-08-04 101954720 ISSUED TO FINANCE CAPITAL PROJECTS 0 1 0 C LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395V66 2020-08-04 102280000 WORKING CAPITAL EXPENDITURES AND BOND ISSUANCE COSTS 0 1 0 A 329234325 2485369 325000000 33307 1 0 1 1 B 101954720 2072825 99867274 14621 1 0 0 1 C 102280000 2406028 99873972 1 0 0 1 A 0 1 1 0 0 0.04200 0.04200 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K, PART II, LINE 3 COLUMN A CUMULATIVE NET EARNINGS OF $1,748,955.99 SCHEDULE K, PART II, LINE 11, COLUMN A OTHER SPENT PROCEEDS REPRESENT AMOUNTS PAID TO REFUND THE SERIES 2015A TAXABLE BONDS AND REFINANCE AMOUNTS AS TAX-EXEMPT. SCHEDULE K, PART II, LINE 11 COLUMN B THE SERIES 2017 DEBT WAS ISSUED TO FINANCE A PORTION OF THE ACQUISITION COSTS OF AN EXPANSION PROJECT OF CHILDREN'S HOSPITAL, A WHOLLY-OWNED SUBSIDIARY OF LCMC. WHILE THE DEBT IS REPORTED ON THE BOOKS OF LCMC, ALL UNSPENT PROCEEDS ARE RECORDED AND REPORTED WITHIN THE FINANCIAL STATEMENTS OF CHILDREN'S HOSPITAL. GREGORY C FEIRN CEO SPLIT INTEREST LOAN X 2907790 2630098 0 1 1 2630098 SCHEDULE L, PART II AN EXTERNAL PROFESSIONAL COMPENSATION AND BENEFITS CONSULTING FIRM CONDUCTS LCMC HEALTH'S EXECUTIVE COMPENSATION AND REASONABLENESS REVIEWS. THE FIRM'S BENEFITS DIVISION ASSISTED WITH THE DEVELOPMENT OF MR. FEIRN'S SPLIT DOLLAR BENEFIT. THE REVIEWS, WHICH INCLUDE THE SPLIT DOLLAR PROGRAM, ARE TRADITIONALLY CONDUCTED ON AN ANNUAL BASIS. PART III, LINE 1 THE PRIMARY PURPOSE OF LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES. TO THAT END, THE EXECUTIVE MANAGEMENT OF THE SYSTEM AND THEIR SUPPORT STAFF AND SYSTEMS ARE CENTRALIZED AT LCMC. THE REVENUE OF LCMC IS DERIVED FROM PROVIDING PATIENT SERVICES AT WEST JEFFERSON MEDICAL CENTER AND FROM MANAGEMENT FEES RECEIVED FROM THE SYSTEM ENTITIES. CHILDREN'S HOSPITAL AND ITS SUBSIDIARIES, TOURO INFIRMARY AND ITS SUBSIDIARIES, UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC), LCMC HEALTH HOLDINGS (EJGH) AND WEST JEFFERSON HOLDINGS, LLC AND ITS SUBSIDIARIES ARE MEMBERS OF THE SYSTEM (LCMC). WHILE CHILDREN'S, TOURO, EJGH,AND UMCMC ARE TAX-EXEMPT ORGANIZATIONS, SOME OF THE AFFILIATES AND/OR SUBSIDIARIES OF WJMC, EJGH, AND TOURO ARE FOR-PROFIT ENTITIES. ANY SERVICES PROVIDED TO SUCH ENTITIES WILL BE AT THE EXPRESS DIRECTION AND FOR THE BENEFIT OF EJGH AND TOURO. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE DIRECTOR AND ACCOUNTING STAFF ENGAGED AN INDEPENDENT CPA FIRM TO ASSIST IN PREPARATION OF THE FORM 990 IN 2022. ONCE THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM, THE ACCOUNTING STAFF REVIEWS THE COMPLETED 990 WITH THE ORGANIZATION'S CEO, CHAIRPERSON OF THE BOARD OF TRUSTEES, AND CHAIRPERSON OF THE FINANCE/AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. THE 990S ARE THEN DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEE'S PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL BY THE LCMC EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,479,945. MANAGEMENT AND GENERAL EXPENSES 8,930,131. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,410,076. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 6,233,212. MANAGEMENT AND GENERAL EXPENSES -1,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,232,012. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 3,288,702. MANAGEMENT AND GENERAL EXPENSES 6,260,724. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,549,426. DUES & MEMBERSHIPS: PROGRAM SERVICE EXPENSES 249,504. MANAGEMENT AND GENERAL EXPENSES 513,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 762,549. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 22,698,607. MANAGEMENT AND GENERAL EXPENSES 5,766,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,465,394. CONSULTING & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,159,450. MANAGEMENT AND GENERAL EXPENSES 27,654,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,814,273. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 35,187. MANAGEMENT AND GENERAL EXPENSES 100,915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,102. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,473. FORM 990, PART XI, LINE 9: EARNINGS FROM EQUITY INVESTMENTS IN RELATED TAX-EXEMPT HOSPITALS -259,044,230. FORM 990, PART XIII, LINE 2C THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. WEST JEFFERSON HOLDINGS LLC 1101 MEDICAL CENTER BLVD MARRERO LA 70072 472667968 FULL-SERVICE COMMUNITY HOSPITAL LA 317964295 395828255 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) LCMC HEALTHCARE SERVICES LLC DBA NOLA PHYSICIAN GROUP 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 823686098 PHYSICIAN PRACTICES LA 3444438 2490930 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) WEST JEFFERSON CT SCAN LLC 1111 MEDICAL CENTER BLVD MARRERO LA 70072 200405536 DIAGNOSTIC IMAGING LA WEST JEFFERSON HOLDINGS LLC LCMC HEALTHCARE PARTNERS LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 611813039 CLINICAL INTEGRATION NETWORK LA 8234347 4998234 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) LHP ACCOUNTABLE CARE LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 834543150 CLINICAL INTEGRATION NETWORK LA LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) LCMC HEALTH CLINICAL SUPPORT LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 853007356 CLINICAL SERVICES LA 21287 LOUISIANA 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