2024-02-14T08:48:19-06:00 2022-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2022-01-01 843390470 LCMC HEALTH HOLDINGS INC LCMC 5045034000 4200 HOUMA BLVD METAIRIE LA 70006 GREGORY A NIELSON PRESIDENT & CEO 5045034000 2024-02-12 1 GREGORY NIELSON 999009999 0 JOHN S WILES CPA P01222673 5048355522 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X EAST JEFFERSON GENERAL HOSPITAL GREGORY A NIELSON 4200 HOUMA BLVD METAIRIE LA 70006 354866187 0 X WWW.EJGH.ORG X 2019 LA OUR MISSION AT LCMC HEALTH HOLDINGS, INC., A NONPROFIT COMMUNITY HEALTH SYSTEM (CON'T ON SCH O) X 12 8 2370 137 14855 0 13700131 1422236 307226574 342543154 -149 151180 5935068 9176339 326861624 353292909 0 0 0 0 133018954 162394632 0 0 0 223573035 260092396 356591989 422487028 -29730365 -69194119 287653547 0 244849545 0 42804002 0 X EAST JEFFERSON GENERAL HOSPITAL, COMMUNITY OWNED, PROVIDES THE HIGHEST QUALITY, COMPASSIONATE HEALTHCARE TO THE PEOPLE WE SERVE. 0 0 274214192 259345132 ANCILLARY SERVICES: INCLUDES CARDIOLOGY, RADIOLOGY, PHYSICAL THERAPY, LABORATORY, NUCLEAR CARE, NUCLEAR MEDICINE, ENDOSCOPY, AND DIALYSIS. THERE WERE 56,317 CARDIOLOGY NON-INVASIVE PROCEDURES, 3,579 ENDOSCOPY PROCEDURES, 896,758 LABORATORY UNITS OF SERVICE, AND 46,225 PHYSICAL THERAPY RELATIVE VALUE UNITS. 75190564 26218886 GENERAL/SURGICAL HEALTHCARE DELIVERY: INCLUDES SUCH SERVICES AS OBSTERICS, INTENSIVE CARE AND CORONARY CARE, AND NEONATAL NURSERY, TOTAL ADMISSIONS (EXCLUDING SPECIALTY UNITS): 10,756 TOTAL PATIENT DAYS (EXCLUDING SPECIALTY UNITS): 61,457, TOTAL SURGICAL HOURS: 17,074, THERE WERE 839 NEWBORN DELIVERIES. 25833579 20978351 EMERGENCY SERVICES; INCLUDES AMBULANCES SERVICES, AND FULL EMERGENCY ROOM CARE, INCLUDING TRAUMA. IN 2022, THERE WERE 38,190 EMERGENCY ROOM VISITS. TOTAL ADMISSIONS (EXCLUDING SPECIALTY UNITS): 10,756 TOTAL PATIENT DAYS (EXCLUDING SPECIALTY UNITS): 61,457. 14141176 36371445 SPECIALTY CARE AND OTHER: INCLUDES SERVICES SUCH AS PSYCHIATRY, REHABILITATION, AND SKILLED NURSING FACILITIES. IT ALSO INCLUDES CONVENIENCE SERIES SUCH AS WELLNESS FACILITIES. IN 2022, THERE WERE 3,429 PSYCHIATRIC DAYS, 4,540 REHAB PATIENT DAYS, AND 6,421 SKILLED NURSING DAYS. 14141176 36371445 389379511 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 1 134 0 1 2370 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X GREGORY A NIELSON 5045034000 4200 HOUMA BLVD METAIRIE LA 70006 GREGORY FEIRN DIRECTOR 2.00 53.00 X 0 2439917 33804 GREGORY A NIELSON DIRECTOR 2.00 53.00 X 0 742070 31976 BILL MIMELES DIRECTOR 2.00 X 0 0 0 HENRY SHANE DIRECTOR 2.00 X 0 0 0 TREY RAYMOND DIRECTOR 2.00 X 0 0 0 DONALD P BELL MD DIRECTOR 2.00 X 0 0 0 RUTH KULLMAN DIRECTOR 2.00 X 0 0 0 THERESA LAWRENCE DIRECTOR 2.00 X 0 0 0 DAVID WEATHERSBY DIRECTOR 2.00 X 0 0 0 JIM HUDSON DIRECTOR 2.00 X 0 0 0 JAMES L PERRIEN JR MD PHYSICIAN 60.00 X 852437 0 41329 RUBY BREWER SVP, CHIEF QUALITY & NURSING 60.00 X 350345 0 47101 RAYMOND DECORTE FORMER SVP, CHIEF MEDICAL OFFICER 60.00 X 307292 0 47092 CHRISTOPHER OLSEN CHIEF FINANCE OFFICER 60.00 X 337825 0 41555 RICHARD TANZELLA PRESIDENT & CEO 60.00 X 564613 0 45355 MICHAEL MCKENDALL VP, OPERATIONS 60.00 X 208710 0 37363 JENNIFER PARKS CAO, CHIEF ADMINISTRATIVE 60.00 X 247162 0 43777 ORLANDO DEFFER MD PHYSICIAN 60.00 X 838713 0 49197 TOD C ENGELHARDT MD PHYSICIAN 60.00 X 827762 0 53721 MICHAEL N BROTHERS MD PHYSICIAN 60.00 X 830766 0 29284 STEPHEN LAYNE MD PHYSICIAN 60.00 X 827457 0 40451 JENNIFER L MEYERS SVP, CHIEF MEDICAL OFFICER 60.00 X 451210 0 34465 DANNY R HARDMAN FORMER VP, CLINICAL SERVICES 0.00 X 0 371532 12336 6644292 3553519 588806 345 1 1 0 MORRIS AND DICKSON CO LTD PO BOX 51367 SHREVEPORT LA 71135 DRUGS AND PHARMACY SUPPLIES 20906845 QUEST DIAGNOSTICS PO BOX 677960 DALLAS TX 75267 LABORATORY SERVICES 9775374 ARAMARK SERVICES INC 27310 NETWORK PLACE CHICAGO IL 60673 DIETARY AND EVS MANAGEMENT 9224230 CARDINAL HEALTH INC 14265 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 DRUGS AND PHARMACY SUPPLIES 7002422 AYA HEALTHCARE INC DEPT 3519 PO BOX 123519 DALLAS TX 75312 HEALTHCARE STAFFING AGENCY 6944624 183 20000 1402236 1422236 ANCILLIARY 624100 259345132 259345132 OUTPATIENT LAB TESTING 621500 29587541 29587541 NURSING ROOM AND BOARD 623000 26218886 26218886 EMERGENCY SERVICES 621910 20978351 20978351 SPECIALTY CARE AND OTHER 621990 6398389 6398389 14855 14855 342543154 151180 151180 8687298 1573278 7114020 7114020 7114020 CAFE/VENDING 445200 1676804 1676804 INCOME FROM AMBULATORY SURGERY CE 621400 385134 385134 OTHER NON-OPERATING 900099 381 381 2062319 353292909 342913814 14855 8942004 X 2763865 2542756 221109 137520962 126519285 11001677 4082602 3755994 326608 8872224 8162446 709778 9154979 8422581 732398 26810566 24665721 2144845 187587 172580 15007 14679 14679 83617956 72742125 10875831 656037 603554 52483 968145 890693 77452 13801385 12697274 1104111 10773030 9911188 861842 164624 151454 13170 325138 325138 22873788 18299030 4574758 4772107 4390338 381769 CLINICAL SUPPLIES 88617004 88617004 MISC HOSPITAL EXPENSES 4587316 4587316 COMMUNITY BENEFITS EXPE 1923034 1923034 422487028 389379511 33107517 0 4471532 0 0 0 92060899 0 0 0 0 10048918 0 4491766 0 0 0 155640901 0 0 0 0 0 20939531 0 287653547 0 57436003 0 67025511 0 120388031 0 244849545 0 X 42804002 0 42804002 0 287653547 0 X -69194119 10634711 15755406 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14679 14679 0 PART II-B, LINE 1: LCMC HEALTH HOLDINGS, INC. PAID A PORTION OF DUES TO VARIOUS ORGANIZATIONS THAT WERE DEEMED TO BE LOBBYING EXPENSES. THE TOTAL LOBBYING PORTION OF DUES PAID IN 2022 WERE $14,679. THE AMOUNTS PAID WERE 1) LOUISIANA HOSPITAL ASSOCIATION $14,499 (18% OF DUES OF $80,551), 2) LOUISIANA HOSPITAL ASSOCIATION (FOR 18% OF AHA DUES) $180. 0 0 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDEANCE 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 IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 0 9269527 9269527 0.02190 54389231 44082102 10307129 0.02440 63658758 44082102 19576656 0.04630 6477974 2159225 4318749 0.01020 17611894 8571846 9040048 0.02140 24089868 10731071 13358797 0.03160 87748626 54813173 32935453 0.07790 1 -6324127 -330152 50747096 64584483 -13837387 X 1 1 1 EAST JEFFERSON SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.51000 0.49000 2 GULF SOUTH QUALITY NETWORK LLC HOLDS PHYSICIAN PRACTICES 0.50000 0.50000 1 1 LCMC HEALTH HOLDINGS INC 4200 HOUMA BLVD METAIRIE LA 70006 WWW.EJGH.ORG H00001648 X X X X LCMC HEALTH HOLDINGS 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/FINAL_CHNA_GNOHOSPITALS_12-2 X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/EJGH-CHIP_WORKPLAN_2022-OVER 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X X X X X X 1 X 0 X X X 1 X 0 0 LCMC HEALTH HOLDINGS 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: PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERS LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIES 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 14 PUBLIC HEALTH EXPERTS 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND 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 LCMC HEALTH HOLDINGS 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: CHILDRENS HOSPITAL NEW ORLEANS EAST JEFFERSON GENERAL HOSPITAL NEW ORLEANS EAST HOSPITAL OCHSNER MEDICAL CENTER - NEW ORLEANS OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTER OCHSNER MEDICAL CENTER - WEST BANK CAMPUS OCHSNER MEDICAL CENTER - KENNER OCHSNER REHABILITATION HOSPITAL RIVER PLACE BEHAVIORAL HEALTH HOSPITAL TOURO INFIRMARY UNIVERSITY MEDICAL CENTER NEW ORLEANS WEST JEFFERSON MEDICAL CENTER LCMC HEALTH HOLDINGS PART V, SECTION B, LINE 11: EAST JEFFERSON GENERAL HOSPITAL DEVELOPED THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BASED ON THE RESOURCES AVAILABLE TO ADDRESS THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED IN DECEMBER 2021. AN INTERDISCIPLINARY TEAM OF KEY STAKEHOLDERS COLLABORATED TO IDENTIFY INITIATIVES TO ENHANCE THE HEALTH OUTCOMES OF THE COMMUNITY. ACCESS TO CARE HAS BEEN A NEED FOR SOUTHEASTERN LOUISIANA. FIRST, THE ONCOLOGY TEAM HAS PARTNERED WITH ACS HOPE LODGE TO PROVIDE FREE TRANSPORTATION TO PATIENTS LIVING OUTSIDE OF THE METAIRIE AREA THAT ARE RECEIVING CANCER CARE AT EAST JEFFERSON. THE INITIATIVE'S FOCUS IS TO ENSURE PATIENTS IN THE REGION HAVE EASY ACCESS TO CANCER CARE. WITH THE SUCCESS OF THE TRANSPORTATION PROGRAM, THE EAST JEFFERSON FOUNDATION BOARD PROVIDED AN ADDITIONAL $18,000 OF FUNDING TO CONTINUE PROVIDING FREE RIDES TO AND FROM APPOINTMENTS. TABLE BELOW DISPLAYS THE ZIP CODES OF THE PATIENTS' RESIDENCE AND RIDES PROVIDED DURING THE YEAR.PATIENT ZIP CODE # OF PATIENTS SERVED ONE-WAY RIDES PROVIDED70121 10 26770122 1 1270123 2 670130 1 270117 1 7170001 6 7570002 4 2070003 7 12870006 3 4270062 9 12070065 4 68IN ADDITION TO ADDRESSING ACCESS TO CARE, EAST JEFFERSON COMMITS RESOURCES TO EDUCATING THE COMMUNITY IN ORDER TO IMPROVE HEALTHCARE OUTCOMES. THE TABLE BELOW IS A BREAKDOWN OF THE 2022 CLASSES HELD AND NUMBER OF ATTENDEES.CLASS NUMBER OF ATTENDEESABCS OF BREASTFEEDING 23INFANT CPR 64NEWBORN ESSENTIALS 51BREASTFEEDING CLASS 30PRENATAL SERIES 127GIRLS PUBERTY CLASS 49SAFE SITTER 67NURSING SUPPORT GROUP 33THE ONCOLOGY SERVICE LINE ALSO ORGANIZES A NUMBER OF EDUCATIONAL CLASSES ADDRESSING CANCER PREVENTION AND PRE AND POST CANCER SUPPORT GROUPS. . LASTLY, THERE HAS BEEN A HEIGHTENED AWARENESS OF THE IMPACT OF DISCRIMINATION IN HEALTHCARE. EAST JEFFERSON HAS PARTNERED WITH LCMC CORPORATE TEAM TO ADDRESS HEALTHCARE EQUITY WITH ADDITIONAL EDUCATION TO EMPLOYEES OF THE ORGANIZATION. IN 2022, THE FIRST PHASE OF THE "AT THE H.E.L.M (HEALTH EQUITY LEADERSHIP MATTERS) WHICH PROVIDED 16 HOURS OF IN-PERSON DIVERSITY, EQUITY, AND INCLUSION TRAINING TO ALL SENIOR LEVEL EXECUTIVES OF LCMC. THE WOMEN AND CHILD SERVICE LINE ALSO PARTICIPATED IN MATERNAL HEALTH EQUITY TRAINING TO ENHANCE AWARENESS OF EQUITY CARE FOR MINORITY WOMEN. LCMC HEALTH HOLDINGS PART V, SECTION B, LINE 13B: UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, TO BE ELIGIBLE FOR A 100% REDUCTION OF CHARGES (I.E FULL WRITE OFF), THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA FOR THE LCMC FINANCIAL ASSISTANCE PROGRAM: VERIFIED 0-200% OF FPL FOR APPLICANT AND PROOF OF FAMILY INCOME. THE ADEQUACY OF THAT PROOF IS AT THE DISCRETION OF LCMC. UNCOMPENSATED CARE APPLICANTS WILL BE REQUIRED TO SUBMIT SUPPORTING FINANCIAL AND MEDICAL INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. PATIENTS WHO DO NOT MEET THE CRITERIA FOR FREE CARE (I.E FULL WRITE OFF) BUT MEET FEDERAL POVERTY GUIDELINES, AND WITHOUT ANY SOURCE OF INSURANCE COVERAGE WILL BE ELIGIBLE FOR A SLIDING SCALE UNINSURED DISCOUNT. 3 1 - EAST JEFFERSON PHYSICIANS GROUP LLC 4200 HOUMA BLVD METAIRIE LA 70006 PHYSICIANS GROUP 2 - EAST JEFFERSON RADIATION ONCOLOGY LLC 4200 HOUMA BLVD METAIRIE LA 70006 RADIATION ONCOLOGY SERVICES 3 - EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE LA 70006 OUTPATIENT SURGERY CENTER PART I, LINE 3C: UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, TO BE ELIGIBLE FOR A 100% REDUCTION OF CHARGES (I.E FULL WRITE OFF), THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA FOR THE LCMC FINANCIAL ASSISTANCE PROGRAM: VERIFIED 0-200% OF FPL FOR APPLICANT AND PROOF OF FAMILY INCOME. THE ADEQUACY OF THAT PROOF IS AT THE DISCRETION OF LCMC. UNCOMPENSATED CARE APPLICANTS WILL BE REQUIRED TO SUBMIT SUPPORTING FINANCIAL AND MEDICAL INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. PATIENTS WHO DO NOT MEET THE CRITERIA FOR FREE CARE (I.E FULL WRITE OFF) BUT MEET FEDERAL POVERTY GUIDELINES, AND WITHOUT ANY SOURCE OF INSURANCE COVERAGE WILL BE ELIGIBLE FOR A SLIDING SCALE UNINSURED DISCOUNT. PART I, LINE 7: BAD DEBT RECOVERY INCOME OF $6,324,127 WAS REMOVED FOR PURPOSES OF CALCULATING THE NET COMMUNITY BENEFIT EXPENSE REPORTED IN PART I, LINE 7. PART III, LINE 2: PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. PART III, LINE 3: AMOUNTS DEEMED AS CHARITY CARE ARE FOR PATIENTS WHO ARE IDENTIFIED AS MEETING THE REQUIREMENTS FOR CHARITY CARE IN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION ESTIMATES THAT APPROXIMATELY >5% OF THE BAD DEBT EXPENSES COULD BE TREATED AS CHARITY CARE. SCHEDULE H, PART II LCMC HEALTH HOLDINGS, INC. SUPPORTS COMMUNITY HEALTH BY PROVIDING STAND BY AMBULANCE SERVICES FOR MANY PUBLIC EVENTS, FAIRS, FESTIVALS, AND PARADES TO ENSURE THAT HEALTH ISSUES OF EVENT ATTENDEES THAT ARISE ARE ADDRESSED.EJGH SUPPORT COMMUNITY BUILDING THROUGH TRAINING CLASSES OFFERED TO VARIOUS MEMBERS OF THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, EXPECTANT MOTHERS, NEW MOTHERS, BABYSITTERS, AND THE ELDERLY. CLASSES OFFERED RANGE IN TYPE AND FREQUENCY BASED ON THE NEED ASSESSED BY THE HOSPITAL. 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: THE COST FOR PROVIDING MEDICARE SERVICES WAS DETERMINED BY USING THE COST TO CHARGES RATIOS DEVELOPED FROM THE FILED 2022 MEDICARE COST REPORT. PART III, LINE 9B: FOR PATIENTS IDENTIFIED AS FINANCIAL ASSISTANCE POLICY ELIGIBLE, THE ENCOUNTER DOES NOT PROCEED THROUGH THE COLLECTION PROCESS AND IS WRITTEN OFF TO CHARITY CARE. PART VI, LINE 2: LCMC HEALTH HOLDINGS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY MAINTAINING RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CARE IT PROVIDES. COMMUNITY BENEFIT SERVICES REPRESENT THE COST OF PROVIDING SERVICES SUCH AS AMBULANCE SERVICE, AND PUBLIC SPEECHES ON HEALTH CARE ISSUES. LCMC HEALTH HOLDINGS COUNCILS AND EDUCATES PATIENTS AND GUESTS BY DISCUSSING ELIGIBILITY OF CHARITY ASSISTANCE BY MEETING AND MONITORING THE PATIENTS AND GUESTS DURING THE ENTIRE STAY AT LCMC HEALTH HOLDINGS. PART VI, LINE 3: LCMC HEALTH HOLDINGS, UPON REQUEST, SHALL PROVIDE ANY MEMBER OF THE PUBLIC OR STATE GOVERNMENTAL ENTITY A COPY OF ITS FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE POLICY WILL ALSO BE AVAILABLE ON THE LCMC HEALTH HOLDINGS WEBSITE. IN ADDITION, NOTIFICATION ABOUT LCMC HEALTH HOLDINGS' FINANCIAL ASSISTANCE/CHARITY CARE POLICY, WHICH SHALL INCLUDE A CONTACT NUMBER, SHALL BE DISSEMINATED BY LCMC HEALTH HOLDINGS BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS LCMC HEALTH HOLDINGS MAY ELECT. INFORMATION SHALL ALSO BE INCLUDED ON FACILITY WEBSITES AND IN THE CONDITIONS OF ADMISSION FORM. SUCH INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICES BY LCMC HEALTH HOLDINGS. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE LCMC HEALTH HOLDINGS STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: WITH RESPECT TO EAST JEFFERSON GENERAL HOSPITAL, 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, EJGH 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 EJGH'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF EJGH'S SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY EJGH, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362.EJGH'S POPULATION IS COMPRISED 48% MALES AND 52% FEMALES.THE AGE DISPERSION FOR EJGH'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 EJGH'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/NONHISPANIC, 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/NONHISPANIC, 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. THEAVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FORTHE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONALRESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS ANDSURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OFECONOMIC 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 ENDSMEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OFHOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THEPOVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANSPARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%,JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, ANDST. 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: ALL REVENUES GENERATED BY THE HOSPITAL ARE IN FURTHERANCE OF OUR EXEMPT PURPOSE. IN ADDITION, LCMC HEALTH HOLDINGS PROVIDES A FREE AND BELOW COST CARE PROGRAM ON ITS OWN AMBULANCE SERVICE AT NO CHARGE, VARIOUS CONTRIBUTIONS TO PARISH PROGRAMS SUCH AS PRISON MEDICAL UNIT, COMMUNITY EDUCATION, COMPREHENSIVE EARLY DETECTION PROGRAMS, FACILITIES FOR VARIOUS COMMUNITY GROUPS, AND NUMEROUS OTHER SERVICES TO THE COMMUNITY. THE PROGRAM SERVICE REVENUE GENERATED ALLOWS US TO PROVIDE QUALITY, DEPENDABLE HEALTH CARE IN OUR COMMUNITY.THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES. ALTHOUGH NOT ACCOUNTED FOR AS CHARITY CARE, THE ORGANIZATION CONSIDERS THE CONTRACTUAL ADJUSTMENT EXPENSE RELATED TO THE MEDICAID SERVICES AS CHARITY CARE. COMMUNITY BENEFIT SERVICES REPRESENT THE COST OF PROVIDING SERVICES SUCH AS AMBULANCE SERVICES AND PUBLIC SPEECHES ON HEALTH CARE ISSUES TO PARISH ORGANIZATIONS.ADDITIONALLY, THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS, PROVIDED THEY MEET THE REQUIREMENTS AS ESTABLISHED IN THE APPLICATION PROCESS. PART VI, LINE 6: LCMC HEALTH HOLDINGS, INC. IS 501(C)(3) HOSPITAL UNDER 170(B)(1)(A)(III) WHOSE SOLE MEMBER IS LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC). LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, WEST JEFFERSON MEDICAL CENTER 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.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. X X X X 1 0 0 0 0 0 0 0 0 GREGORY FEIRN DIRECTOR 0 2035199 0 393303 0 11415 0 12200 0 21604 0 2473721 0 0 GREGORY A NIELSON DIRECTOR 0 692043 0 10129 0 39898 0 12200 0 19776 0 774046 0 0 JAMES L PERRIEN JR MD PHYSICIAN 570928 0 281509 0 0 0 20500 0 20829 0 893766 0 0 0 RUBY BREWER SVP, CHIEF QUALITY & NURSING 313234 0 37111 0 0 0 27000 0 20101 0 397446 0 0 0 RAYMOND DECORTE FORMER SVP, CHIEF MEDICAL OFFICER 307292 0 0 0 0 0 27000 0 20092 0 354384 0 0 0 CHRISTOPHER OLSEN CHIEF FINANCE OFFICER 306507 0 31318 0 0 0 20500 0 21055 0 379380 0 0 0 RICHARD TANZELLA PRESIDENT & CEO 495622 0 68991 0 0 0 27000 0 18355 0 609968 0 0 0 MICHAEL MCKENDALL VP, OPERATIONS 190416 0 18294 0 0 0 20500 0 16863 0 246073 0 0 0 JENNIFER PARKS CAO, CHIEF ADMINISTRATIVE 236505 0 10657 0 0 0 26682 0 17095 0 290939 0 0 0 ORLANDO DEFFER MD PHYSICIAN 599630 0 239083 0 0 0 27000 0 22197 0 887910 0 0 0 TOD C ENGELHARDT MD PHYSICIAN 827762 0 0 0 0 0 27000 0 26721 0 881483 0 0 0 MICHAEL N BROTHERS MD PHYSICIAN 830766 0 0 0 0 0 16500 0 12784 0 860050 0 0 0 STEPHEN LAYNE MD PHYSICIAN 530928 0 296529 0 0 0 27000 0 13451 0 867908 0 0 0 JENNIFER L MEYERS SVP, CHIEF MEDICAL OFFICER 410134 0 41076 0 0 0 20500 0 13965 0 485675 0 0 0 DANNY R HARDMAN FORMER VP, CLINICAL SERVICES 0 0 0 0 0 371532 0 12200 0 136 0 383868 0 0 PART I, LINE 4A DURING 2022, DANNY HARDMAN ALSO RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $371,532 FROM A RELATED ORGANIZATION. PATIENT RECEIVABLES (NET) 2022-12-31 137461045 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) OTHER RECEIVABLES 2022-12-31 3239053 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) INVENTORIES 2022-12-31 10862844 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) PREPAID EXPENSES 2022-12-31 3304596 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) INVESTMENT IN AMBULATORY SERVICE CENTER 2022-12-31 1521102 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) OPERATING LEASES - RIGHT OF USE ASSET 2022-12-31 5940303 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) OTHER ASSETS 2022-12-31 886555 BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) LAND, BUILDINGS, EQUIPMENT, MACHINERY, AND OTHER FIXED ASSETS 2022-12-31 175316497 NET BOOK VALUE 621596506 UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTE NEW ORLEANS LA 70163 501(C)(3) 1 1 0 0 0 0 0 0 0 SCHEDULE N , PART I AS OF 12:01 AM ON 1/1/2023, LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC), THE SOLE MEMBER OF LCMC HEALTH HOLDINGS, INC, ACQUIRED WHOLE OWNERSHIP OF UNIVERSITY HEALTHCARE SYSTEMS L.C. (UHS) (EIN 62-1596506). SIMULTANEOUSLY WITH THAT TRANSACTION, LCMC HEALTH HOLDINGS INC WAS MERGED INTO UHS, WITH UHS BEING THE SURVIVING TAX ID. LCMC HEALTH HOLDINGS DID NOT HAVE ANY ADDITIONAL OPERATIONS OR ASSETS AFTER THE CLOSE OF THE 12/31/2022 FILING PERIOD. ALL OPERATIONS AND ASSETS WILL BE REFLECTED ON THE SURVIVING ENTITY'S BOOKS AND RECORDS BEGINNING 1/1/2023. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: IS TO PROVIDE PERSONALIZED AND DEPENDABLE HEALTH CARE AND HEALTH RELATED SERVICES TO INDIVIDUALS, PHYSICIANS AND BUSINESSES CONSISTENT WITH QUALITY MEDICAL AND ETHICAL STANDARDS TO IMPROVE THE HEALTH STATUS OF THOSE WE SERVE IN THE EAST BANK OF JEFFERSON PARISH AND SURROUNDING COMMUNITIES. WE PRACTICE A HOLISTIC APPROACH TO HEALTH CARE THAT RECOGNIZES EACH PERSON'S NEED FOR PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING. WE DELIVER OUR CARE TO ALL RACES, CREEDS, NATIONALITIES, SEXES, AGES, AND SOCIO-ECONOMIC GROUPS. IN PURSUING OUR MISSION, WE COMMIT TO THESE GUIDING PRINCIPLES: TO DELIVER QUALITY CARE AND SERVICES AT A PRICE WHICH REPRESENTS VALUE TO OUR CUSTOMERS; TO UPHOLD THE BASIC RIGHTS AND RESPONSIBILITIES OF PATIENTS AND TO ENCOURAGE ACTIVE PARTICIPATION IN THEIR CARE;TO WORK IN HARMONY WITH PHYSICIANS, RECOGNIZING OUR MUTUAL RESPONSIBILITY TO MEET THE NEEDS OF OUR PATIENTS;TO TREAT EACH OTHER, AS MEMBERS OF THE LCMC FAMILY, WITH FAIRNESS AND DIGNITY AND TO STRIVE TO ACHIEVE THE HIGHEST LEVEL OF PERSONAL GROWTH AND DEVELOPMENT IN AN ATMOSPHERE THAT RECOGNIZES CREATIVITY AND INNOVATION;TO FULFILL OUR CIVIC RESPONSIBILITY BY PARTICIPATING IN COMMUNITY ACTIVITIES AND BY SUPPORTING LOCAL COMMERCE AS A MAJOR EMPLOYER AND HEALTH RESOURCE; AND TO MANAGE, INDIVIDUALLY AND COLLECTIVELY, OUR TIME, EQUIPMENT AND SUPPLIES TO ASSURE FULFILLMENT OF OUR MISSION. ALL REVENUES GENERATED BY THE HOSPITAL ARE IN FURTHERANCE OF OUR EXEMPT PURPOSE. IN ADDITION, LCMC HEALTH HOLDINGS PROVIDES A FREE AND BELOW COST CARE PROGRAM ON ITS OWN, AMBULANCE SERVICE AT NO CHARGE, VARIOUS CONTRIBUTIONS TO PARISH PROGRAMS SUCH AS PRISON MEDICAL UNIT, COMMUNITY EDUCATION, COMPREHENSIVE EARLY DETECTION PROGRAMS, FACILITIES FOR VARIOUS COMMUNITY GROUPS, AND NUMEROUS OTHER SERVICES TO THE COMMUNITY. THE PROGRAM SERVICE REVENUE GENERATED ALLOWS US TO PROVIDE QUALITY, DEPENDABLE HEALTH CARE IN OUR COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF LCMC HEALTH HOLDINGS, INC. FORM 990, PART VI, SECTION A, LINE 7A LOUISIANA CHILDREN'S MEDICAL CENTER IS THE SOLE MEMBER OF LCMC HEALTH HOLDINGS, INC. AND HAS THE POWER TO APPOINT AT LEAST TWO TRUSTEES TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B LOUISIANA CHILDREN'S MEDICAL CENTER IS THE SOLE MEMBER OF LCMC HEALTH HOLDINGS, INC. AND HAS THE POWER TO APPOINT AT LEAST TWO TRUSTEES TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM BEFORE BEING REVIEWED AND APPROVED BY THE ORGANIZATION'S CFO AND ACCOUNTING STAFF. UPON APPROVAL, A DRAFT OF THE ORGANIZATION'S FORM 990 IS PRESENTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW VIA AN EMAIL LINK TO A SECURE, ONLINE DROP BOX. FORM 990, PART VI, SECTION B, LINE 12C LCMC HEALTH HOLDINGS INC. REQUIRES BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION TO COMPLETE A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. THE FORM IS MONITORED, UPDATED, AND REVISED ON A YEARLY BASIS BY THE ADMINISTRATIVE OFFICE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT CONDUCTS COMPARABILITY SURVEYS ON A PERIODIC BASIS AND USES THIRD-PARTY INDEPENDENT DATA TO SET LEVELS OF THE ALL TOP MANAGERS AND KEY EMPLOYEES WHEN NEEDED. THE RESULTS OF THE PROCESS ARE PRESENTED TO THE BOARD OF DIRECTORS WHICH DETERMINES THE APPROPRIATE LEVEL OF COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. ALL OTHER OFFICERS AND KEY EMPLOYEES ARE NOT PRESENTED TO THE BOARD, BUT FOLLOW THE SAME PROCESS FOR DETERMINING REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 19 LCMC HEALTH HOLDINGS, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON A REQUEST BASIS. WHEN A REQUEST IS MADE FOR ONE OR MORE OF THE ABOVE POLICIES, THEY ARE PROVIDED TO THE INDIVIDUAL MAKING THE REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 14,101,638. MANAGEMENT AND GENERAL EXPENSES 3,525,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,627,048. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 725,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 725,311. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 28,513,491. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,513,491. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,390,790. MANAGEMENT AND GENERAL EXPENSES 847,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,238,487. RENTAL EXPENSE: PROGRAM SERVICE EXPENSES 1,110,833. MANAGEMENT AND GENERAL EXPENSES 277,708. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,388,541. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,968,751. MANAGEMENT AND GENERAL EXPENSES 5,742,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,710,939. OTHER: PROGRAM SERVICE EXPENSES 1,931,311. MANAGEMENT AND GENERAL EXPENSES 482,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,414,139. FORM 990, PART XI, LINE 9: MERGER INTO UNIVERSITY HEALTHCARE SYSTEM (FEIN: 62-1596506) 15,755,406. FORM 990, PART XII, LINE 2C: LCMC'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF ITS SUBSIDIARIES' (INCLUDING EJGH) FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS HAS NOT CHANGED FROM THE PREVIOUS YEAR. IN ADDITION TO THE LCMC FINANCE COMMITTEE, THE EJGH FINANCE COMMITTEE HAS BEEN DELEGATED TO ASSIST WTIH MONITORING OF THE EJGH FINANCIAL STATEMENTS. 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