2023-05-12T09:34:46-05:00 2022-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 761027427 990 2021-07-01 831605004 OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA OCHS 3186260990 1541 KINGS HIGHWAY SHREVEPORT LA 71103 JEFF REYNOLDS INTERIM CFO 3186260896 2023-05-11 1 JEFF REYNOLDS 999009999 MELVA SCOTT P01207335 8173351900 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X OCHSNER LSU HEALTH SHREVEPORT DAVID CALLECOD 1541 KINGS HIGHWAY SHREVEPORT LA 71103 1047469234 0 X HTTPS://WWW.OCHSNERLSUHS.ORG X 2018 LA TO PROVIDE HOSPITAL AND MEDICAL CARE TO THE RESIDENTS OF SHREVEPORT AND MONROE, LOUISIANA, AND THEIR SURROUNDING COMMUNITIES THROUGH THE OWNERSHIP AND OPERATION OF THREE SAFETY-NET HOSPITALS. 12 12 5399 0 1568076 399937 55382819 88517608 835105645 930904661 -202269 253823 11985016 19953576 902271211 1039629668 11001885 4000000 0 0 309262374 342734030 0 0 0 572530974 678860966 892795233 1025594996 9475978 14034672 392846528 947825694 279929599 825593118 112916929 122232576 X NO BOARD APPROVED MISSION STATEMENT 0 0 756818793 4000000 931401314 TO PROVIDE HOSPITAL AND MEDICAL CARE TO THE RESIDENTS OF SHREVEPORT AND MONROE, LOUISIANA, AND THEIR SURROUNDING COMMUNITIES THROUGH THE OWNERSHIP AND OPERATION OF THREE SAFETY-NET HOSPITALS. THE SYSTEM SERVED 23,963 INPATIENTS RESULTING IN 135,425 PATIENT DAYS. EMERGENCY ROOM VISITS TOTALED 87,131. THE NUMBER OF BIRTHS TOTALED 5,064. OUTPATIENT HOSPITAL VISITS TOTALED 569,931. OCHSNER LSU HEALTH SYSTEM SERVES AS THE SAFETY NET PROVIDER FOR THE POOR AND UNDER SERVED RESIDING IN NORTH AND CENTRAL LOUISIANA. IN 2022, NEARLY 50% OF ALL PATIENT ENCOUNTERS IN THE HEALTH SYSTEM WERE MEDICAID RECIPIENTS. THE SYSTEM'S HOSPITALS INCLUDE THE ACADEMIC MEDICAL CENTER, A 395-HOSPITAL IN SHREVEPORT, LOUISIANA AND ONE OF THE NATION'S LARGEST INDEPENDENT ACADEMIC MEDICAL CENTERS; THE MONROE MEDICAL CENTER, A 244-BED HOSPITAL IN MONROE, LA AND THE ST. MARY MEDICAL CENTER, A 93-BED HOSPITAL IN SHREVEPORT, LOUISIANA. THE SYSTEM ALSO INCLUDES AN AMBULATORY SURGERY CENTER, OUTPATIENT CLINICS AND URGENT CARE FACILITIES LOCATED THROUGHOUT NORTH LOUISIANA, ALONG WITH A BEHAVIORAL HEALTH FACILITY THAT IS OPERATED AS PART OF A JOINT VENTURE BETWEEN OCHSNER LSU HEALTH SYSTEM AND A THIRD-PARTY PARTNER. 756818793 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 225 0 1 5399 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF REYNOLDS 3186260896 1541 KINGS HIGHWAY SHREVEPORT LA 71103 WARNER THOMAS DIRECTOR 5.00 0.00 X 0 0 0 CAROLYN HUNT COMMUNITY REPRESENTATIVE 5.00 0.00 X 0 0 0 LEONARDO SEOANE MD DIRECTOR 5.00 0.00 X 0 0 0 LESTER WAYNE JOHNSON MD DIRECTOR 5.00 0.00 X 0 0 0 PETER NOVEMBER DIRECTOR 5.00 1.00 X 0 0 0 STEVE SKRIVANOS COMMUNITY REPRESENTATIVE 5.00 0.00 X 0 0 0 REV TIMOTHY JONES MD COMMUNITY REPRESENTATIVE 5.00 0.00 X 0 0 0 DAVID F LEWIS MD MBA BOARD CHAIR 49.00 1.00 X X 0 0 0 BRITTANY GREEN COMMUNITY REP (BEGIN 1/1/2022) 5.00 0.00 X 0 0 0 MIKE HULEFELD DIRECTOR (BEGIN 1/1/2022) 5.00 0.00 X 0 0 0 CINDY RIVES DIRECTOR 5.00 0.00 X 0 0 0 WILLIAM F TATE DIRECTOR (BEGIN 1/1/2022) 5.00 0.00 X 0 0 0 VERNON H MOORE III CFO / TREASURER (END 6/24/22) 40.00 10.00 X 0 0 0 CHARLES D DAIGLE CEO/PRESIDENT (END 10/18/2021) 49.00 1.00 X 0 0 0 SHELLEY S TYNAN SECRETARY 5.00 1.00 X 0 0 0 DAVID CALLECOD INTERIM CEO (BEGIN 12/1/2021) 49.00 1.00 X 0 0 0 CHARLES J FOX MD SYSTEM CHIEF MEDICAL OFFICER 40.00 10.00 X 0 0 0 LAURI WALTON INTERIM CFO (BEGIN 6/27/2022) 40.00 10.00 X 188025 0 55011 JEANNINE HINTON VP ACADEMICS 50.00 0.00 X 347175 0 58322 KRISTI HYLAN AVP NURSING 50.00 0.00 X 275083 0 46251 JASON LAFITTE AVP PHARMACY 50.00 0.00 X 238222 0 37107 MARY STEPHENS VP QUALITY 50.00 0.00 X 248062 0 13981 KATRINA THORNTON RN EMERGENCY MEDICINE 50.00 0.00 X 244978 0 0 1541545 0 210672 507 0 1 0 HAND CONSTRUCTION LLC 9445 STEVENS RD SHREVEPORT LA 71106 GENERAL CONTRACTOR 11482961 FLOYD LEE LOCUMS INC 67 MOULTRIE STREET CHARLESTON SC 29403 CONCIERGE HEALTHCARE STAFFING FIRM 2030337 OTIS ELEVATOR COMPANY 1013 HARIMAW CT W METAIRIE LA 70001 ELEVATOR AND ESCALATOR MANUFACTURING, IN 1559107 GETINGE USA SALES LLC 45 BARBOUR POND DR WAYNE NJ 07470 HEALTHCARE AND LIFE SCIENCES MEDTECH 1381593 SURGICAL SOLUTIONS LLC 1751 LAKE COOK ROAD SUITE 230 DEERFIELD IL 60015 INTEGRATED, ON-SITE SUPPORT FOR MINIMALL 1302185 34 88053527 464081 88517608 PATIENT SERVICE REVENU 621110 930830648 904243912 1568076 25018660 EDUCATION 611710 778050 774000 4050 PROGRAM RELATED INVEST 623220 -704037 -704037 930904661 42856 42856 2035 0 2035 2035 2035 875907 664940 210967 210967 210967 8137648 7174626 963022 963022 ADMINISTRATIVE SUPPORT 561210 18988519 496653 18491866 18988519 1039629668 904810528 1568076 44733456 X 4000000 4000000 286362654 228786888 57575766 9126512 7295997 1830515 26647048 20130940 6516108 20597816 16805340 3792476 29719403 29719403 3077312 3077312 246149 246149 223214 223214 222235567 200513832 21721735 1977074 122903 1854171 14391843 5897859 8493984 12767504 792562 11974942 84970020 10508012 74462008 294361 100973 193388 277193 129044 148149 8071049 1000 8070049 25181601 8034928 17146673 3464668 275370 3189298 MEDICAL SUPPLIES 216514469 216514469 0 REPAIRS AND MAINTENANCE 16975310 9689026 7286284 COMMUNITY BENEFIT EXPEN 16914317 16751848 162469 LICENSES AND TAXES 12810461 9975823 2834638 8749451 491979 8257472 1025594996 756818793 268776203 0 53926770 4382676 2604312 115755029 134997673 158065679 24907568 25380914 6512463 7969044 214568539 69422972 91642332 145145567 104028843 36252132 2604677 319506 15191245 77935904 333049888 392846528 947825694 98451152 135386399 65375273 17575789 2259772 350927083 113843402 321703847 279929599 825593118 X 112916929 117232576 5000000 112916929 122232576 392846528 947825694 X 14034672 -9719025 5000000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1368523 1368523 41219599 4227617 36991982 54598727 13183762 41414965 96733184 34050749 62682435 20648506 17960844 2687662 145145567 DEPOSITS 1234495 COST REPORT ASSET 6129354 OTHER LONG TERM ASSETS 5239312 RIGHT OF USE ASSET 320446727 333049888 MISC NON CURRENT LIABILITIES 4000000 COST REPORT SETTLEMENTS 547807 HSA/DSA FORFEITURE 18681 WORKERS COMPENSATION 1245438 LEASE LIABILITIES 294358060 DUE TO RELATED PARTIES 21533861 321703847 X PART X, LINE 2: SCH D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE OLHS-NL QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET. 1 1 X 1 X 250.000000000000 0 1 1 1 0 0 14458361 8815855 5642506 0.00550 447440861 459675395 8366160 4775724 3590436 0.00350 470265382 473266974 9232942 0.00900 31 9458 44596 0 44596 0.00000 89366900 9638918 79727982 0.07770 40287139 37629751 2657389 0.00260 0 0 2 20500000 0 20500000 0.02000 33 9458 150198635 47268669 102929967 0.10030 33 9458 620464017 520535643 112162909 0.10930 1 20 244 244 0.00000 3 635 4730 4730 0.00000 4 655 4974 4974 0.00000 0 3149716 99081666 117278014 -18196348 X 1 1 4 1 OCHSNER LSU HEALTH SHREVEPORT 1541 KINGS HIGHWAY SHREVEPORT LA 71103 HTTPS://WWW.OCHSNERLSUHS.ORG/ 2203784065 X X X X X X A 2 OCHSNER LSU HEALTH MONROE 4864 JACKSON STREET MONROE LA 71202 HTTPS://WWW.OCHSNERLSUHS.ORG/ 2203782025 X X X X X A 3 OCHSNER LSU HEALTH SHREVEPORT- ST MARY MEDICAL CENTER 1 ST MARY PLACE SHREVEPORT LA 71101 HTTPS://WWW.OCHSNERLSUHS.ORG/ 2203784611 X X X X X C 4 LOUISIANA BEHAVIORAL HEALTH LLC 3905 HEDGECOXE RD 250249 PLANO TX 75025 WWW.OCEANSHEALTHCARE.COM HO0012692 X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 20 1 1 0 1 X SEE PART V, PAGE 8 SEE PART V, PAGE 8 X 1 20 0 1 0 1 X 250.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 1 0 0 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.OCEANSHEALTHCARE.COM X WWW.OCEANSHEALTHCARE.COM X WWW.OCEANSHEALTHCARE.COM X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - C 1 1 1 X X X X X X X X X 20 1 1 0 1 X SEE PART V, PAGE 8 X 1 20 0 0 0 1 X 250.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: OCHSNER LSU HEALTH SHREVEPORT, - FACILITY 2: OCHSNER LSU HEALTH MONROE GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 5: INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER. GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 6A: OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 11: OCHSNER LSU HEALTH SHREVEPORT SHREVEPORT MEDICAL CENTERBEHAVIORAL HEALTHIN 2021 LOUISIANA BEHAVIORAL HEALTH-OCEANS HEALTHCARE BECAME A PART OF THE OCHSNER HEALTH SYSTEM, PROVIDING AN INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. INCREASE ACCESS TO CAREA SIGNIFICANT INVESTMENT WAS MADE TO COLLABORATE WITH THE LSU FOUNDATION TO INCREASE THE NUMBER OF PROVIDERS IN MEDICALLY UNDERSERVED AREAS. ADDITIONALLY, OCHSNER IS INVESTING IN THE LSU HEALTH SCIENCE CENTER MEDICAL SCHOOL IN SHREVEPORT TO INCREASE THE NUMBER OF PROVIDERS AVAILABLE. BOTH THESE INVESTMENTS ADDRESS THE LACK OF ACCESS TO PROVIDERS FOUND IN MORE RURAL AREAS OF NORTH LOUISIANA. ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED. GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 13H: FAMILY SIZE GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES. GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 5: INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER. GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 6A: OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 11: OCHSNER LSU HEALTH SHREVEPORT MONROE MEDICAL CENTERACCESS TO CAREOLHS-MONROE WORKED TO IMPROVE ACCESS TO CARE BY REDUCING BARRIERS TO SCHEDULING APPOINTMENTS VIA OFFERING A CENTRALIZED CALL CENTER, MAKING PRIMARY CARE AVAILABLE SAME-DAY, SELF-SCHEDULING FOR MAMMOGRAPHY, AND INCREASING MY CHART UTILIZATION BY MAKING IT MORE ACCESSIBLE. TO ENSURE ALL COMMUNITY MEMBERS HAD ACCESS TO COVID-19 VACCINATIONS AND EDUCATION, OLHS-MONROE PROVIDED VACCINES REGULARLY AT PEDIATRIC AND FAMILY MEDICINE CLINICS, IMPLEMENTED A VACCINATION CALL CENTER TO INCREASE ACCESS TO COVID VACCINATION ALONG WITH WALK IN APPOINTMENTS AT VACCINE CENTERS, MASS VACCINE EVENTS, AND MOBILE STRIKE EVENTS, PARTICIPATED IN NEWS AND RADIO INTERVIEWS, HELD TOWN HALLS FOR EMPLOYEE EDUCATION ABOUT THE VACCINE, HELD 29 MOBILE VACCINE EVENTS AND 5 MASS VACCINATION EVENTS. TO ENHANCE TRUST AND EDUCATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY, OLHS-MONROE IMPLEMENTED SIGNAGE POSTED IN VARIOUS LANGUAGES REGARDING PATIENTS' RIGHTS PLACED THROUGHOUT THE HOSPITAL AND MADE INTERPRETER SERVICES AVAILABLE 24/7 FOR BOTH LANGUAGE AND HEARING IMPAIRED.HEALTH EDUCATIONOLHS-MONROE PROVIDED HEALTH EDUCATION WORKSHOPS AND SUPPORT GROUPS ON CHRONIC DISEASE MANAGEMENT BY PARTICIPATING IN COMMUNITY EVENTS WITH HEALTH EDUCATION AND SCREENING OPPORTUNITIES INCLUDING THE NELA AMERICAN HEART WALK, PROSTATE CANCER RUN, JONESVILLE JUNETEENTH CELEBRATION, AND COMMUNITY HEALTH AND WELLNESS EXPO. BREAST CANCER EDUCATION AND SCREENING WAS OFFERED THROUGH A "WALK-IN MAMMOGRAM DAY", EDUCATIONAL SESSIONS LEAD BY MAMMOGRAPHY TECHS, AND SCREENINGS AND EDUCATION OFFERED AT THE COMMUNITY HEALTH AND WELLNESS EXPO. OPHTHALMOLOGY TEAM ASSISTED WITH MULTIPLE GLAUCOMA SCREENING EVENTS IN THE COMMUNITY OFFERING GLAUCOMA SCREENINGS FOR COMMUNITY MEMBERS. PATIENT ENGAGEMENT AND BUILDING COMMUNITY PARTNERSHIPSOLHS-MONROE IMPROVED THE LOCAL HIRING PIPELINE AND WORKFORCE DEVELOPMENT THROUGH COLLABORATION WITH DELTA COMMUNITY COLLEGE, OUACHITA PARISH WORKFORCE DEVELOPMENT, AND NELA HEALTHCARE ALLIANCE TO OFFER WORKFORCE DEVELOPMENT AND TRAINING OPPORTUNITIES VIA COALITION BUILDING, INTERNSHIPS AND MA PROGRAMS. OLHS-MONROE WAS RESPONSIVE TO COMMUNITY NEEDS BY HAVING LEADERS SERVE ON COMMUNITY BOARDS FOR ENGAGEMENT AND INCLUSIVITY TO ADDRESS EVOLVING COMMUNITY NEEDS. FOOD INSECURITY WAS ADDRESSED VIA COLLABORATION WITH LOCAL UNIVERSITY, COMMUNITY COLLEGE AND CITY OF MONROE ON FOOD DESERTS IN THE ESTABLISHMENT OF THE ESTER GALLOWS COMMUNITY GARDEN.ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED. GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 13H: FAMILY SIZE GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 3: OCHSNER LSU HEALTH SHREVEPORT- ST MARY MEDICAL GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 5: INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER. GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 6A: OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 11: OCHSNER LSU HEALTH SHREVEPORT ST. MARY MEDICAL CENTERINCREASE HEALTH EDUCATIONOLHS-ST. MARY OFFERED A WIDE VARIETY OF FREE HEALTH EDUCATION OPPORTUNITIES OPEN TO THE COMMUNITY THROUGHOUT 2021 AND 2022. CLASSES OFFERED INCLUDED PROGRAMMING FOR NEW PARENTS AROUND BABY SAFETY, CHILDBIRTH EDUCATION, BREASTFEEDING, CPR, PUBERTY, AND NUTRITION. ADDITIONALLY, OLHS-ST. MARY INCREASED SAFETY PROGRAMMING FOR YOUTH INCLUDING PROTECT- A HOSPITAL VIOLENCE INTERVENTION PROGRAM FOR VICTIMS 17 AND UNDER AND CAR SEAT SAFETY INFORMATION FOR NEW PARENTS, INCLUDING CAR SEAT FITTINGS FOR VEHICLES. PROMOTION OF HEALTHY EATING AND PHYSICAL FITNESS WAS ACHIEVED THROUGH OFFERING FAN CLUB NUTRITION CLASSES FOR KIDS IN PARTNERSHIP WITH THE YMCA AND CADDO PUBLIC SCHOOLS, IMPLEMENTING HEALTHY FOOD OPTIONS IN CAFETERIA, AND BY HOLDING AN ANNUAL 5K RACE TO PROMOTE PHYSICAL FITNESS.EXPAND ACCESS & NAVIGATION OF WOMEN'S AND CHILDREN'S SERVICES WITH EMPHASIS ON PRENATAL CAREOLHS-ST. MARY EXPANDED ACCESS TO WOMEN'S AND CHILDREN'S SERVICES VIA THE OPENING OF A NEW WOMEN'S CLINIC AND PEDIATRIC SPECIALTY CLINIC IN 2022. ADDITIONALLY, A PERMANENT MATERNAL FETAL MEDICINE CLINIC WAS ADDED ONSITE. PATIENT ENGAGEMENT AND BUILDING COMMUNITY PARTNERSHIPSOLHS-ST. MARY HAS EXPANDED COMMUNITY PARTNERSHIPS BY DEVELOPING DEEPER PARTNERSHIPS WITH LOCAL COMMUNITY CLINICS INCLUDING CASSE AND MARY'S HOUSE. AT CASSE CLINICS, MATERIALS WERE DISTRIBUTED AT THE TWO CLINICS WHERE OCHSNER OBS ARE ON ROTATION. AT MARY'S HOUSE, QUARTERLY BABY SHOWERS ARE HELD FOR COMMUNITY MEMBERS THAT PROVIDE HEALTH EDUCATION AND RESOURCES ON SAFE SLEEP, BREASTFEEDING, AND OTHER REQUESTED TOPICS. ADDITIONALLY COMMUNITY EVENTS WERE HELD WITH A VARIETY OF PARTNERS TO PROMOTE HEALTH EDUCATION AND PROVIDE HEALTH SCREENINGS. PARTNERS INCLUDED: GINGERBREAD HOUSE CHILD ADVOCACY CENTER, TEEN ADVISORY COUNCIL FOR COMMUNITY FOUNDATION, VOLUNTEERS OF AMERICA, AND YMCA. ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED. GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 13H: FAMILY SIZE GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES. SCHEDULE H, PART V, SECTION B, LINE 7A - REPORTING GROUP A HTTPS://WWW.OCHSNERLSUHS.ORG/WHO-WE-ARE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 7A - REPORTING GROUP C HTTPS://WWW.OCHSNERLSUHS.ORG/WHO-WE-ARE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FACILITY REPORTING GROUP - A, PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP - C, PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP - A, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP - C, PART V, LINE 16A, FAP APPLICATION WEBSITE: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP - A, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP - C, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY: HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 3E - REPORTING GROUP A THE NEEDS IDENTIFIED IN THE CHNA WERE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY, AS PRIORITIZED BY THE COMMUNITY LEADERS. SCHEDULE H, PART V, SECTION C, LINE 16H - REPORTING GROUP B SEE PART VI FOR ADDITIONAL INFORMATION RELATED TO PART V, LINE 16H 24 1 - OLHSNL - AMBULATORY CARE CENTER 1606 KINGS HWY SHREVEPORT LA 71103 SPECIALITY CENTER 2 - OLHSNL - EYE CENTER 1420 KINGS HWY SHREVEPORT LA 71103 SPECIALITY CENTER 3 - OPHTHALMOLOGY CLINIC 1420 KINGS HWY SHREVEPORT LA 71103 SPECIALITY CENTER 4 - WOMEN'S & CHILDREN'S CLINIC 1602 KINGS HWY SHREVEPORT LA 71103 SPECIALITY CENTER 5 - OLHSNL - OBGYN SPECIALISTS 1 ST MARY PLACE SHREVEPORT LA 71101 SPECIALITY CENTER 6 - OLHSNL - URGENT CARE SHREVEPORT 1641 E 70TH STREET SHREVEPORT LA 71105 URGENT CARE 7 - OLHSNL - VIKING DRIVE 4481 VIKING DRIVE BOSSIER CITY LA 71111 SPECIALITY CENTER 8 - OLHSNL - URGENT CARE WEST MONROE 207 THOMAS ROAD WEST MONROE LA 71291 URGENT CARE 9 - OLHSNL - URGENT CARE BOSSIER 2113 AIRLINE DRIVE BOSSIER CITY LA 71111 URGENT CARE 10 - OLHSNL - ASTHMA ALLERGY & ENT CTR SHRPRT 463 ASHLEY RIDGE BOULEVARD SHREVEPORT LA 71106 SPECIALITY CENTER 11 - OLHSNL - ORTHOPDCS & SPORTS MEDICINE CTR 950 OLIVE STREET SHREVEPORT LA 71104 SPECIALITY CENTER 12 - OLHSNL - NEUROLOGYNEUROSURGERY CENTER 945 MARGARET PLACE SHREVEPORT LA 71101 SPECIALITY CENTER 13 - OLHSNL - FEIST-WEILLER CANCER CENTER 1501 KINGS HWY SHREVEPORT LA 71103 SPECIALITY CENTER 14 - OLHSNL - FAIRFIELD MEDICAL OFFICES 1801 FAIRFIELD AVENUE SHREVEPORT LA 71101 MULTISPECIALTY CENTER 15 - OLHSNL - INTERNAL MEDICINE & PEDIATRICS 1023 PROVENANCE PLACE BLVD SUITE 130 SHREVEPORT LA 71106 PRIMARY CARE CENTER 16 - OLHSNL - SPRING LAKE 8445 LINE AVENUE SHREVEPORT LA 71106 SPECIALITY CENTER 17 - OLHSNL - HEALTH CENTER FERN AVENUE 6841 FERN AVENUE SUITE 100 SHREVEPORT LA 71105 PRIMARY CARE CENTER 18 - OLHSNL - HEALTH CENTER ST VINCENT 6670 ST VINCENT AVE SHREVEPORT LA 71106 PRIMARY CARE CENTER 19 - OLHSNL - REGIONAL UROLOGY 255 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT LA 71105 SPECIALITY CENTER 20 - OLHSNL - MONROE COMMUNITY HEALTH CENTER 1625 LOUISVILLE AVENUE MONROE LA 71201 PRIMARY CARE CENTER 21 - OLHSNL - ORAL AND MAXILLOFACIAL SURGERY 911 MARGARET PLACE SUITE 104 WEST ENTR SHREVEPORT LA 71101 SPECIALITY CENTER 22 - OLHSNL - ASTHMA ALLERGY & ENT CTR BS CTY 4440 VIKING DRIVE BOSSIER CITY LA 71111 SPECIALITY CENTER 23 - OLHSNL - HEART & VASCULAR INSTITUTE 1322 KINGS HWY SUITE 200 SHREVEPORT LA 71103 SPECIALITY CENTER 24 - OLHSNL - WOMEN AND CHILDREN'S SERVICES 915 MARGRET PLACE SHREVEPORT LA 71101 SPECIALITY CENTER PART I, LINE 3C: WE IMPLEMENTED PARO'S PRESUMPTIVE CHARITY PROCESS 7/1/2019. THE MODEL UTILIZES PUBLIC RECORD DATA TO PREDICT THE LIKELIHOOD OF FINANCIAL NEED. THE MODEL TRIANGULATES CONSUMER CHARACTERISTICS, REGIONAL COST OF LIVING, AND COMMUNITY DEMOGRAPHICS TO DERIVE A PREDICTION OF ASSISTANCE QUALIFICATION. THIS ALLOWS US TO AVOID SENDING ACCOUNTS TO BAD DEBT, INSTEAD GRANTING ASSISTANCE TO THOSE IN NEED WHILE MEETING 501(R) REGULATORY REQUIREMENTS.PATIENTS WHOSE FAMILY INCOME EXCEEDS 250% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OLHS-NL. FOR EXCEPTIONS, DOCUMENTATION MAY BE REQUIRED TO QUALIFY FOR FINANCIAL ASSISTANCE. EXCEPTIONS INCLUDE, BUT ARE NOT LIMITED TO: EXPENSIVE MEDICATIONS; TERMINAL ILLNESS; OR MULTIPLE HOSPITALIZATIONS. PART I, LINE 7: LINE 7A FINANCIAL ASSISTANCE AT COST. OLHS-NL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. OLHS-NL DOES NOT PURSUE COLLECTIONS FOR THOSE QUALIFYING AS CHARITY CARE SO CHARGES ARE RECORDING WITH A CORRESPONDING ALLOWANCE OF 100% OF CHARGES. OLHS-NL ESTIMATES ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS BY APPLYING A RATIO OF DIRECT AND INDIRECT COSTS TO CHARGES TO THE GROSS FORGONE CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. OLHS-NL'S GROSS CHARITY CARE CHARGES INCLUDE ONLY SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY AND QUALIFY UNDER OLHS-NL'S CHARITY CARE POLICIES. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON OLHS-NL'S TOTAL EXPENSES DIVIDED BY GROSS PATIENT REVENUE.LINE 7B MEDICAID. DIRECT OFFSETTING REVENUE IS MEDICAID REIMBURSEMENT FOR HOSPITAL AND CLINIC LOCATIONS ALONG WITH FMP AND DSH SUPPLEMENTAL ALLOCATED TO THE MEDICAID POPULATION. COMMUNITY BENEFIT EXPENSE IS THE GROSS MEDICAID REVENUE MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE MEDICAID SERVICES. MEDICAID NET REVENUE, FMP AND DHS SUPPLEMENTAL REVENUE IS THE DIRECT OFFSETTING REVENUE.LINE 7C COST OF OTHER MEANS TESTED GOVERNMENT PROGRAMS IS CALCUATED USING GROSS PATIENT REVENUE CHARGES RELATED TO THE DEPT OF CORRECTIONS PROGRAM MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE SERVICES. NET REVENUE PATIENT REVENUE RELATED TO THESE DEPT OF CORRECTIONS CHARGES IS THE DIRECT OFFSETTING REVENUE.LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDES DIRECT EXPENSE INCLUDING EMPLOYEE PAYROLL FOR COMMUNITY INITIATIVES.LINE 7F EDUCATION IS CALCUATED USING EXPENSES FOR INTERNS, RESIDENTS, AND FELLOWS AND OFFSETTING REVENUE FROM DIRECT GME.LINE 7G SUBSIDIZED HEALTH SERVICES. HOSPITAL AND CLINIC UNINSURED/SELF PAY POPULATIONS THAT DO NOT QUALIFY AS CHARITY CARE. REVENUE IS RECORDED FOR THE CLINIC LOCATION, LESS THE REIMBURSEMENT FOR THE UNINSURED WHICH IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF THE UNREIMBURSED COST FOR THE UNINSURED BY APPLYING THE COST TO CHARGE RATIO TO THE GROSS UNINSURED/SELF PAY GROSS REVENUE.LINE 7I INCLUDES DIRECT CONTRIBUTIONS TO CHARITIES THAT MEET IDENTIFIED COMMUNITY NEEDS AS WELL AS CONTRIBUTIONS TO LSU FOUNDATION FOR MEDICAL EDUCATION BUILDING AND OCHSNER CLINIC FOUNDATION. PART I, LINE 7G: THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G WHERE THERE WAS AN IDENTIFIED COMMUNITY NEED TO OFFER SUCH CLINICAL SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER HEALTH PLAYS A VITAL ROLE IN THE HEALTH OF THE ENTIRE STATE OF LOUISIANA. ALONG WITH ITS NONPROFIT HOSPITALS AND OTHER FACILITIES, OCHSNER OPERATES MULTIPLE PUBLICLY-OWNED HOSPITALS, INCLUDING THE LSU TEACHING HOSPITALS IN SHREVEPORT AND MONROE, CHABERT MEDICAL CENTER IN HOUMA, ST. CHARLES PARISH HOSPITAL, AND ST. BERNARD PARISH HOSPITAL. PUBLIC OFFICIALS IDENTIFIED THE NEED FOR PROFESSIONAL MANAGEMENT OF THESE CRITICAL FACILITIES, AND OCHSNER STEPPED IN TO NOT ONLY STABILIZE BUT IMPROVE HEALTH SERVICES FOR LOUISIANANS ACROSS THE STATE, IN BOTH DENSELY POPULATED AND RURAL AREAS. WHILE THESE IMPACTFUL INVESTMENTS ARE NOT REFLECTED IN THE SCHEDULE H REPORT, THEY ARE AN IMPORTANT PART OF THE WAY OCHSNER PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE TO THE COMMUNITIES WHO NEED IT MOST. OCHSNER ENDEAVORS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH COMMUNITY BUILDING ACTIVITIES. OCHSNER COMMUNITY HOSPITALS PROMOTE ECONOMIC GROWTH IN THESE AREAS BY PARTNERING AND SUPPORTING ORGANIZATIONS LIKE GRACE PLACE, MONROE CHAMBER OF COMMERCE, FOOD BANK OF NORTHEAST LOUISIANA AND NORTHWEST LOUISIANA, LOCAL SCHOOLS, PROVIDENCE HOUSE, AND VETERAN'S ASSOCIATIONS. PART III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. PART III, LINE 3: OLHS-NL DOES NOT CLASSIFY OR CONSIDER ANY OF ITS BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. BAD DEBT EXPENSE DOES NOT INCLUDE PATIENTS WHO ARE FOUND TO BE ELIGIBLE UNDER THE FAP. CHARGES FOR PATIENTS WHO HAVE NOT REQUESTED FINANCIAL ASSISTANCE OR QUALIFIED FOR THE FAP UNDER THE PRESUMPTIVE PROCESS COULD BE CONSIDERED COMMUNITY BENEFIT, BUT IT IS NOT FEASIBLE TO CALCULATE THE IMPACT. PART III, LINE 4: EFFECTIVE JULY 1, 2019, OLHS-NL RETROACTIVELY ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH OUTLINES A SINGLE COMPREHENSIVE MODEL FOR ENTITIES TO USE IN ACCOUNTING FOR REVENUE ARISING FROM CONTRACTS WITH CUSTOMERS. ASU 2014-09 SUPERSEDES MOST CURRENT REVENUE RECOGNITION GUIDANCE, INCLUDING INDUSTRY-SPECIFIC GUIDANCE, AND REQUIRES EXPANDED DISCLOSURES ABOUT REVENUE RECOGNITION TO ENABLE FINANCIAL STATEMENT USERS TO UNDERSTAND THE NATURE, TIMING, AMOUNT, AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM CONTRACTS WITH CUSTOMERS. BAD DEBT IS NO LONGER DISCLOSED IN THE NOTES TO THE FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL, IF ANY, IS NOT CONSIDERED COMMUNITY BENEFIT. TOTAL REVENUE FROM MEDICARE AND MEDICARE ALLOWABLE COSTS WERE AGGREGATED FROM THE FISCAL YEAR COST REPORTS FILED WITH CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ALL HOSPITALS. THEY DO NOT INCLUDE MEDICARE ADVANTAGE OR PAYMENTS RELATED TO EDUCATION OR RESEARCH, IN COMPLIANCE WITH THE INSTRUCTIONS. TOTAL REVENUE FROM MEDICARE HAS BEEN TAKEN FROM THE E SERIES IN THE MEDICARE COST REPORTS. FOR MEDICARE ALLOWABLE COSTS, WORKSHEET D PART V LINE 202 COLUMN 5 WAS USED FOR OUTPATIENT COSTS AND WORKSHEET D-1 PART II LINE 49, AND WORKSHEET D-1 PART III LINE 86, AND WORKSHEET E PART A LINE 55 WAS USED FOR INPATIENT COSTS. OUTPATIENT FEE SCHEDULE COSTS WERE COMPUTED USING OUTPATIENT COST TO CHARGE OVERALL RATIO FROM THE WORKSHEET D SERIES WORKSHEET OF THE COST REPORT. THE COST REPORTS FOR OCHSNER LSU HEALTH SHREVEPORT (PROVIDER NO. 19-0098), OCHSNER LSU HEALTH MONROE (PROVIDER NO. 19-0011) AND OCHSNER LSU HEALTH SHREVEPORT-ST. MARY (PROVIDER NO. 19-0317) COVER THE PERIOD 07/1/2021 - 06/30/2022. PART III, LINE 9B: UPON GRANTING APPROVAL FOR 100% ASSISTANCE, ALL COLLECTION EFFORTS FOR THAT ACCOUNT WILL CEASE, THE ACCOUNT WILL NOT BE TURNED OVER TO A COLLECTION AGENCY, AND OLHS-NL WILL NOT IMPOSE EXTRAORDINARY COLLECTION EFFORTS SUCH AS WAGE GARNISHMENTS OR LIENS. PART VI, LINE 3: REPORTING GROUP AUNINSURED PATIENTS MAY BE SCREENED FOR MEDICAID. THIS PROCESS TAKES PLACE AT THE TIME OF SERVICE, INPATIENT ADMISSIONS, AND IF THE PATIENT IS NOT SCREENED AT THE TIME, THE PATIENT MAY BE CONTACTED AT HOME TO DETERMINE ELIGIBILITY. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEN THEY WILL BE EVALUATED UNDER THE FINANCIAL ASSISTANCE POLICY.INTERNAL CUSTOMER SERVICE DEPARTMENTS AND EXTERNAL PARTNERS INCLUDING COLLECTION AGENCIES PROVIDE PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS IF PATIENTS EXPRESS CONCERNS ABOUT THE INABILITY TO PAY OUTSTANDING BALANCES.REPORTING GROUP BA FINANCIAL COUNSELOR ATTEMPTS TO SPEAK TO ALL PATIENTS AS SOON AS THEY ARE STABILIZED AND/OR AN AUTHORIZED CONTACT SUCH AS A FAMILY MEMBER, SPOUSE, ETC. WHEN APPLICABLE. AS A BEHAVIORAL HEALTH HOSPITAL WHERE PATIENTS ARE ADMITTED BOTH VOLUNTARILY AND INVOLUNTARILY, THERE CAN BE A LOT OF VARIATION AS TO WHEN A PATIENT HAS BEEN STABILIZED TO A POINT WHERE A FINANCIAL COUNSELING CONVERSATION IS APPROPRIATE. THEREFORE, OUR FINANCIAL COUNSELORS WILL COORDINATE WITH NURSING STAFF ON A DAILY BASIS AS TO WHEN THE TIMING OF THAT CONVERSATION SHOULD BE DONE. THE GOALS OF OUR FINANCIAL COUNSELING CONVERSATION ARE AS FOLLOWS:1. FOR ALL PATIENTS -- VERIFY INFORMATION WE HAVE ON FILE AND INFORM THEM OF OPTIONS REGARDING THEIR BILL INCLUDING BUT NOT LIMITED TO FINANCIAL ASSISTANCE.2. FOR PATIENTS WITH INSURANCE COVERAGE -- MAKE SURE THE PATIENT UNDERSTANDS THEIR COVERAGE, THE ESTIMATED OUT OF POCKET LIABILITIES SUCH AS DEDUCTIBLES AND CO-INSURANCE AMOUNTS AND ALL THE VARIOUS OPTIONS THEY HAVE TO PAY THOSE OBLIGATIONS UP TO AND INCLUDING A 100% ADJUSTMENT UNDER OUR FINANCIAL ASSISTANCE POLICY. 3. FOR PATIENTS WITH NO INSURANCE COVERAGE -- MAKE SURE THE PATIENT IS INFORMED OF THEIR ABILITY TO APPLY FOR LOUISIANA MEDICAID BENEFITS. OUR HOSPITAL SITE IS AN APPROVED LOUISIANA MEDICAID APPLICATION CENTER. THESE PATIENTS WOULD ALSO BE INFORMED ABOUT THE PROCESS TO APPLY FOR FINANCIAL ASSISTANCE.4. FOR PATIENTS WITH NO INSURANCE COVERAGE THAT MAY NOT WANT TO APPLY FOR LOUISIANA MEDICAID OR MAY NOT QUALIFY FOR LOUISIANA MEDICAID -- WE INFORM THEM OF OUR FINANCIAL ASSISTANCE POLICY, HOW TO APPLY AND WHAT INFORMATION WE WOULD NEED. ITS AT THIS POINT PATIENTS ARE ALSO INFORMED THEY WILL BE CHARGED A DISCOUNTED PER DIEM RATE EQUAL TO THE AVERAGE NET INSURANCE PER DIEM RATE CALCULATED FROM THE PRIOR YEARS DATA (I.E. OUR DISCOUNTED CASH PRICE). PART VI, LINE 4: SHREVEPORT HOSPITALS AND ITS COMMUNITYTHE CORPORATION EXISTS TO PRESERVE AND ENHANCE SHREVEPORT HOSPITAL FOR THE SHREVEPORT HOSPITAL COMMUNITY. THE SHREVEPORT HOSPITAL COMMUNITY HAS TRADITIONALLY HAD A HIGHER UNEMPLOYMENT RATE THAN OTHER AREAS OF THE STATE, WITH MORE THAN TWENTY (20) PERCENT OF RESIDENTS IN THE SHREVEPORT HOSPITAL COMMUNITY LIVING BELOW THE FEDERAL POVERTY LIMIT. NOT SURPRISINGLY, THE SHREVEPORT HOSPITAL COMMUNITY HAS A HIGHER PERCENTAGE OF RESIDENTS WITHOUT INSURANCE THAN THE STATE OR THE UNITED STATES, RESULTING IN A GREATER DEPENDENCE ON MEDICAID WITHIN THE SHREVEPORT HOSPITAL COMMUNITY. RESIDENTS IN THE SHREVEPORT HOSPITAL COMMUNITY FACE OBSTACLES TO ACCESSING NEEDED HEALTHCARE SERVICES. MORE THAN EIGHTY (80) PERCENT OF RESIDENTS LIVE IN A HEALTH PROFESSIONAL SHORTAGE AREA, AND TWENTY FIVE (25) PERCENT OF RESIDENTS REPORT NOT HAVING A REGULAR PRIMARY CARE PHYSICIAN. THE LACK OF ADEQUATE HEALTH RESOURCES RESULTS IN POORER HEALTH FOR THE SHREVEPORT HOSPITAL COMMUNITY THAN WHEN COMPARED TO THE STATE OR THE UNITED STATES. FIVE OUT OF SIX PARISHES REPORT HIGHER INCIDENTS OF CANCER AND LUNG DISEASE THAN THE STATE OR NATIONAL AVERAGES, WHILE FOUR OUT OF SIX PARISHES HAVE HIGHER RATES OF HEART DISEASE. MONROE HOSPITAL AND ITS COMMUNITYTHE MONROE HOSPITAL COMMUNITY ALSO HAS A GREATER PERCENTAGE OF ITS RESIDENTS WITHOUT HEALTH INSURANCE THAN THE STATE AND NATIONAL AVERAGES, WITH MORE INDIVIDUALS DEPENDENT UPON MEDICAID. TWENTY FIVE (25) PERCENT OF RESIDENTS IN THE MONROE HOSPITAL COMMUNITY DO NOT HAVE A PRIMARY CARE PHYSICIAN, AND ALL RESIDENTS IN THE MONROE HOSPITAL COMMUNITY LIVE IN A HEALTH PROFESSIONAL SHORTAGE AREA. THESE STATISTICS BEAR THEMSELVES OUT IN A STARK REALITY FOR THE MONROE HOSPITAL COMMUNITY WHEN THE HEALTH CONDITION OF THE COMMUNITY IS CONSIDERED. FOR EXAMPLE, FOUR (4) OF THE PARISHES IN THE MONROE HOSPITAL COMMUNITY EXCEED THE STATE AND NATIONAL DEATH RATES FOR HEART DISEASE, WHILE THREE (3) EXCEED THE STATE AND NATIONAL DEATH RATES FOR CANCER, STROKE, MOTOR VEHICLE ACCIDENT AND SUICIDE. ALL PARISHES WITHIN THE MONROE HOSPITAL COMMUNITY HAVE HIGHER RATES OF PREMATURE DEATH THAN THE STATE OR THE NATION. PART VI, LINE 5: OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA IS COMPRISED OF THREE ACADEMIC MEDICAL HOSPITALS IN SHREVEPORT AND MONROE OPERATING UNDER A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN OLHS-NL AND LOUISIANA STATE UNIVERSITY AND AGRICULTURAL AND MECHANICAL COLLEGE (LSU). THE PURPOSE OF THIS PUBLIC/PRIVATE PARTNERSHIP IS TO OPERATE THE HOSPITALS IN A MANNER THAT PROMOTES, ENHANCES, SUPPORTS AND IS CONSISTENT WITH THE STATE OF LOUISIANA'S AND LSU'S HISTORICAL COMMITMENT TO PROVIDING HIGH-QUALITY SAFETY NET SERVICES TO THE STATE'S MOST VULNERABLE POPULATIONS. OCHSNER LSU SHREVEPORT IS HOME TO STATE-DESIGNATED CENTERS OF EXCELLENCE INCLUDING THE FEIST-WEILLER CANCER CENTER AND CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY. THE MAIN CAMPUS HOUSES A CHILDREN'S HOSPITAL, A REGIONAL BURN CENTER AND AN ACS VERIFIED LEVEL I TRAUMA CENTER. IN APRIL 2020, WOMEN'S & CHILDREN'S INPATIENT SERVICES WAS RELOCATED TO THE ST. MARY MEDICAL CENTER, THEREBY CREATING SPACE FOR ITS ICU EXPANSION OF MORE THAN 100 ADDITIONAL BEDS TO ACCOMMODATE A POSSIBLE SURGE. BY RENOVATING ST. MARY MEDICAL CENTER TO ACCOMMODATE INPATIENT PEDIATRIC, LABOR AND DELIVERY, NEONATAL ICU AND PEDIATRIC ICU PATIENTS, MUCH-NEEDED SPACE WAS CREATED TO EXPAND ADULT INTENSIVE CARE CAPACITY BACK AT THE OCHSNER LSU HEALTH SHREVEPORT ACADEMIC MEDICAL CENTER HOSPITAL. THE ICU EXPANSION PROJECT FOLLOWED GUIDANCE FROM STATE PUBLIC OFFICIALS TO IMPROVE SURGE CAPACITY FOR COVID-19 PATIENTS AND REPRESENTED A CRITICAL STEP IN THE RE-OPENING OF NORTHWEST LOUISIANA.OCHSNER HEALTH WELCOMED 2020 WITH A NEW 10-YEAR VISION AND COMMITMENT TO CREATE A HEALTHY STATE. TOGETHER WITH STATE LEADERS, COMMUNITY PARTNERS, INSURERS, SCHOOLS, EMPLOYERS AND OTHERS, OCHSNER IS PLACING A DIRECT FOCUS ON THE HEALTH AND WELLNESS OF THE WHOLE PERSON AND ADDRESSING THE MOST CRITICAL HEALTH NEEDS IN LOUISIANA AND MISSISSIPPI COMMUNITIES. IN 2020, OCHSNER ANNOUNCED A $100 MILLION 10-YEAR INVESTMENT TO ADDRESS HEALTH INEQUITIES AND EXPAND LOUISIANA'S HEALTHCARE WORKFORCE AND COMMUNITY-BASED HEALTH SERVICES. THESE INVESTMENTS INCLUDE THE DEVELOPMENT OF 15 COMMUNITY HEALTH CENTERS IN UNDERSERVED AREAS ACROSS LOUISIANA, THE CREATION OF THE OCHSNER SCHOLARS PROGRAM TO ADDRESS CRITICAL PHYSICIAN SHORTAGES IN KEY AREAS, AND A PARTNERSHIP WITH XAVIER UNIVERSITY TO CREATE THE OCHSNER XAVIER INSTITUTE FOR HEALTH EQUITY AND RESEARCH (OXIHER). IN 2021, THOSE INVESTMENTS WERE EXPANDED BY TARGETING A BROADER ARRAY OF HEALTH, SOCIAL AND ECONOMIC FACTORS HAVING A MAJOR IMPACT ON THE HEALTH OF LOUISIANA. IN PARTNERSHIP WITH OXIHER AND BROAD-BASED STATEWIDE AND REGIONAL COALITIONS, THE HEALTHY STATE PARTNERSHIP WILL FOCUS ON THESE FIVE PILLARS OF A HEALTHY STATE: HEALTH OUTCOMES & INTERVENTIONS, COMMUNITY WELLNESS, SOCIAL DETERMINANTS, HEALTH ACCESS, WORKFORCE DEVELOPMENT & ADDRESSING ECONOMIC DISPARITIES.DUE TO THE LOCAL AND SYSTEM FOCUS ON ADDRESSING COVID-19, MANY PLANNED ACTIVITIES WERE DEFERRED TO MEET THE NEEDS OF THE COMMUNITY DURING THE COVID-19 PANDEMIC. IN BOTH SHREVEPORT AND MONROE AREAS COMMUNITY TESTING WAS OFFERED MULTIPLE TIMES PER WEEK IN A VARIETY OF LOCATIONS ACCESSIBLE TO COMMUNITY MEMBERS WITH A PARTICULAR FOCUS ON REACHING THE ELDERLY AND FAITH BASED COMMUNITIES. COMMUNITY VACCINES WERE OFFERED BEGINNING IN 2021 IN ACCORDANCE WITH STATE AND FEDERAL GUIDANCE. THROUGHOUT THE TIME PERIOD, FACE MASKS WERE DISTRIBUTED TO SCHOOLS AND HOMELESS SHELTERS FREE OF CHARGE. PART VI, LINE 6: HOSPITAL SYSTEM & COMMUNITY WIDEOVER THE FIRST TWO YEARS OF THE PARTNERSHIP, OCHSNER LSU HEALTH SYSTEM HAS MADE ACCESS TO CARE A MAJOR FOCUS OF OUR EFFORTS. PROCESSES, PROCEDURES, AND PROTOCOLS HAVE BEEN STREAMLINED IN ALL CARE SETTINGS TO DRIVE GREATER EFFICIENCY AND HIGHER QUALITY. OLHS HAS MADE SIGNIFICANT INVESTMENTS IN NEW FACILITIES TO BRING CARE CLOSER TO WHERE PEOPLE LIVE AND WORK. THE HEALTH SYSTEM HAS ADDED INPATIENT AND OUTPATIENT FACILITIES, INCLUDING THE FEIST-WEILLER CANCER CENTER, A STATE DESIGNATED CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY, CHILDREN'S HOSPITAL AND REGIONAL BURN CENTER. ADDITIONALLY, SHREVEPORT HOSPITAL SERVES AS A MAJOR TRAUMA CENTER FOR NORTHERN LOUISIANA, EASTERN TEXAS AND SOUTHWEST ARKANSAS. IN ADDITION TO NEW CLINICS, THE HEALTH SYSTEM OPENED A NEW HOSPITAL CAMPUS, OCHSNER LSU ST. MARY MEDICAL CENTER, DURING THE SUMMER OF 2020. SHREVEPORT HOSPITALS AND ITS COMMUNITYOCHSNER LSU SHREVEPORT HOSPITAL IS A 395-BED SHORT TERM, ACUTE CARE HOSPITAL LOCATED AT 1541 KINGS HIGHWAY IN SHREVEPORT, LOUISIANA. SHREVEPORT HOSPITAL MAKES STATE-OF-THE ART TREATMENT, CLINICAL RESEARCH AND COMMUNITY EDUCATION AND PREVENTION PROGRAMS AVAILABLE TO THE RESIDENTS OF CADDO, BOSSIER, DE SOTO, OUCHITA, WEBSTER AND NATCHITOCHES PARISHES ACCESS TO ADVANCED OUTPATIENT IMAGING STUDIES SUCH AS CT AND MRI ROUTINELY TAKE LESS THAN THREE DAYS ONCE THEY ARE PREAUTHORIZED. OCHSNER LSU HEALTH SHREVEPORT- ST. MARY MEDICAL CENTER, OUR 93-BED HOSPITAL OFFERS A NUMBER OF SPECIALTY CARE CENTERS INCLUDING INPATIENT WOMEN'S AND CHILDREN CENTER, SURGERY CENTER, OB/GYN SERVICES.MONROE HOSPITAL AND ITS COMMUNITYMONROE HOSPITAL IS A 244-BED SHORT-TERM, ACUTE CARE HOSPITAL LOCATED AT 4864 JACKSON STREET IN MONROE, LOUISIANA. MONROE MEDICAL CENTER IS ALSO HOME TO THE FIRST HYBRID OPERATION ROOM IN NORTHEAST LOUISIANA. MONROE HOSPITAL MAKES STATE-OF-THE-ART HEALTHCARE SERVICES AVAILABLE TO THE RESIDENTS OF OUTCHITA, RICHLAND, MOREHOUSE, FRANKLIN AND MADISON PARISHES (THE "MONROE HOSPITAL COMMUNITY"). THE SEGMENT OF THE MONROE HOSPITAL COMMUNITY THAT IS OVER THE AGE OF 65 IS EXPECTED TO INCREASE DRAMATICALLY IN THE NEXT FEW YEARS, INCREASING STRAIN ON THE HEALTH RESOURCES WITHIN THE MONROE HOSPITAL COMMUNITY. ADDITIONALLY, EACH PARISH WITHIN THE MONROE HOSPITAL COMMUNITY HAS PER CAPITA INCOME RATES BELOW THE STATE AND NATIONAL AVERAGE, WITH TRADITIONALLY HIGHER UNEMPLOYMENT RATES THAN THE STATE OR THE NATION. AS A RESULT, TWENTY-FIVE (25) PERCENT OF THE RESIDENTS IN THE MONROE HOSPITAL COMMUNITY LIVE BELOW THE FEDERAL POVERTY LIMIT, WITH ONE THIRD (1/3) LIVING IN AN AREA WITHOUT ACCESS TO HEALTHY FOOD SOURCES. SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. GROUP B - LOUISIANA BEHAVORIAL HEALTH, LLC - SCHEDULE H, PART V, LINE 16H DUE TO THE RECENT OPENING OF THE LOUISIANA BEHAVIORAL HEALTH, LLC, THE REQUIREMENT OF MAKING ITS FAP WIDELY PUBLICIZED WITHIN THE COMMUNITY SERVED BY THE HOSPITAL DURING FISCAL YEAR ENDED JUNE 30, 2022, WAS NOT MET. IT WILL BE MET PRIOR TO THE FILING OF ITS NEXT FORM 990 FOR FISCAL YEAR ENDING JUNE 30, 2023. LOUISIANA BEHAVIORAL HEALTH, LLC, DURING THE CURRENT FISCAL YEAR ENDING JUNE 30, 2023, HAS INCORPORATED IN ITS COMMUNICATIONS TO THE COMMUNITY, BOTH IN PRINTED MATERIALS AND VERBALLY THAT FINANCIAL ASSISTANCE IS AVAILABLE, AND THE BENEFITS THAT ARE PROVIDED BY THE FINANCIAL ASSISTANCE POLICY TO ITS CURRENT PATIENTS AND FUTURE PATIENTS IN THE COMMUNITY. 1 LSU HEALTH SCIENCES FOUNDATION SHREVEPORT 920 PIERREMONT ROAD NO 506 SHREVEPORT LA 71106 721402222 501(C)(3) 4000000 0 GENERAL ASSISTANCE 1 PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS AND ASSISTANCE THROUGH A GRANT APPLICATION PROCESS. GRANTEES' ABILITY TO PERFORM IS VOUCHED FOR AND CREDIT VOUCHERS OF PERFORMING PERSONS AT RESPECTIVE ORGANIZATIONS ARE OBTAINED. USE OF GRANT FUNDS IS MONITORED BY THE NORMAL ACCOUNTS PAYABLE PROCESS THAT THE ORGANIZATION HAS IN PLACE. ALL PAYMENTS MADE TO GRANTEES ARE APPROVED BY APPROPRIATE PERSONS ASSOCIATED WITH PRIMARY GRANT AWARDS WHO ARE KNOWLEDGEABLE OF WORK PRODUCT ON GRANTS. IN ADDITION TO THE APPROVAL PROCESS, THE ORGANIZATION HAS A PROCESS IN PLACE TO ENSURE THAT REQUESTED PAYMENTS ARE IN LINE WITH APPROVED BUDGETS SUBMITTED BY SUBRECIPIENTS. 0 0 0 0 0 0 0 0 0 JEANNINE HINTON VP ACADEMICS 286853 0 59782 0 540 0 33813 0 24509 0 405497 0 0 0 KRISTI HYLAN AVP NURSING 237224 0 37319 0 540 0 25355 0 20896 0 321334 0 0 0 JASON LAFITTE AVP PHARMACY 205588 0 32094 0 540 0 21637 0 15470 0 275329 0 0 0 MARY STEPHENS VP QUALITY 197324 0 50198 0 540 0 3747 0 10234 0 262043 0 0 0 KATRINA THORNTON RN EMERGENCY MEDICINE 244978 0 0 0 0 0 0 0 0 0 244978 0 0 0 LAURI WALTON INTERIM CFO (BEGIN 6/27/2022) 161035 0 26450 0 540 0 30589 0 24422 0 243036 0 0 0 SCH J, PT I, LN 3 - ARRANGEMENT USED TO ESTABLISH TOP MGMT OFFICIAL'S COMP ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA'S CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. FORM 990, PART VI, SECTION A, LINE 3 OCHSNER CLINIC FOUNDATION ENTERED INTO A MANAGEMENT AGREEMENT TO PROVIDE MANAGEMENT SERVICES, BILLING AND COLLECTION SERVICES AND ADMINISTRATIVE SUPPORT FOR CERTAIN HOSPITAL AND HEALTHCARE OPERATIONS IN SHREVEPORT AND MONROE. ALSO, OCHSNER ACQUIRED THE ELECTRONIC HEALTH RECORD LICENSES AND FULLY MANAGES THE INFORMATION SERVICES FUNCTION. THE DIRECTORS APPOINTED TO THE BOARD THAT ARE EMPLOYED AS EXECUTIVES AND PHYSICIANS BY OCHSNER CLINIC FOUNDATION DID NOT RECEIVE ANY ADDITIONAL COMPENSATION BY THE MANAGEMENT COMPANY FOR THEIR DUTIES. THE FOLLOWING INDIVIDUALS WERE COMPENSATED AS EXECUTIVES AND PHYSICIANS BY THE MANAGEMENT COMPANY: 1. WARNER THOMAS - $0 2. PETER NOVEMBER - $0 3. MICHAEL HULEFELD - $0 4. SHELLEY SULLIVAN TYNAN - $0 5. LEONARDO SEOANE MD - $0 6. CHARLES DAIGLE - $762,142 7. DAVID CALLECOD - $560,889 8. VERNON MOORE - $471,561 9. MARK RANDOLPH - $382,714 FORM 990, PART VI, SECTION A, LINE 7A FIVE (5) DIRECTORS (THE "LSU APPOINTEES") SHALL BE APPOINTED BY THE PRESIDENT OF LOUISIANA STATE UNIVERSITY AND AGRICULTURAL AND MECHANICAL COLLEGE ("LSU"), AND FIVE (5) DIRECTORS (THE "OCHSNER APPOINTEES") SHALL BE APPOINTED BY THE CHIEF EXECUTIVE OFFICER OF OCHSNER CLINIC FOUNDATION DOING BUSINESS AS OCHSNER HEALTH SYSTEM ("OCHSNER"). FORM 990, PART VI, SECTION A, LINE 7B AN LSU APPOINTEE MAY BE REMOVED, WITH OR WITHOUT CAUSE, ONLY BY THE PRESIDENT OF LSU AND AN OCHSNER APPOINTEE MAY BE REMOVED, WITH OR WITHOUT CAUSE, ONLY BY THE CHIEF EXECUTIVE OFFICER OF OCHSNER. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE FULL BOARD OF DIRECTORS ONCE REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM, ERNST & YOUNG U.S. LLP. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR, IN CONJUNCTION WITH THE CONFLICT OF INTEREST STEERING COMMITTEE, WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. LINE 15B MANAGEMENT JOBS ARE ASSIGNED TO PAY RANGES WHERE THE MIDPOINT IS ALIGNED TO THE 50TH PERCENTILE OF SALARY SURVEY DATA. UPON HIRE, MANAGEMENT SALARIES ARE BASED UPON APPLICABLE SKILLS AND EXPERIENCE RELEVANT TO THE JOB AND PAY RANGE. MERIT INCREASES ARE AWARDED ANNUALLY THEREAFTER BASED UPON PERFORMANCE. OFF-CYCLE ADJUSTMENTS MAY BE PROVIDED DUE TO MARKET MOVEMENT TO ENSURE ALIGNMENT WITH THE COMPETITIVE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 170,507,805. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,507,805. OTHER SERVICES: PROGRAM SERVICE EXPENSES 30,006,027. MANAGEMENT AND GENERAL EXPENSES 21,721,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,727,762. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS 5,000,000. PART XI, LINE 3B THE 2022 SINGLE AUDIT FOR OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE IS CURRENTLY UNDERWAY. BRF HOSPITAL HOLDINGS 2031 KINGS HIGHWAY SHREVEPORT LA 71103 463179229 HEALTH CARE LA 14169 6580012373 N/A OCHSNER LSU HEALTH SHREVEPORT 1541 KINGS HIGHWAY SHREVEPORT LA 71103 831173631 HEALTH CARE LA 782665418 9496359371 BRF HOSPITAL HOLDINGS LLC OCHSNER LSU HEALTH MONROE 4864 JACKSON STREET MONROE LA 71202 800945173 HEALTH CARE LA 154250130 959351315 BRF HOSPITAL HOLDINGS LLC OCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER LLC 1 ST MARY PLACE SHREVEPORT LA 71101 850672191 HEALTH CARE LA 100488245 274864755 BRF HOSPITAL HOLDINGS LLC 1500 KINGS HWY-THREE LOTS LLC 1541 KINGS HIGHWAY SHREVEPORT LA 71103 831605004 PROPERTY HOLDING LA 0 520739 OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE 1431 DALZELL STREET SHREVEPORT LA 71103 364774713 HEALTH CARE LA 501(C)(3) LINE 10 OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP E 21533861 INTERCOMPANY BILLINGS - MKT VALUE LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP Q 18910758 INTERCOMPANY BILLINGS - MKT VALUE LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP M 35761000 INTERCOMPANY BILLINGS - MKT VALUE