2023-05-12T15:19:40-05:00 2022-06-30 721202445 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2021-07-01 721332678 ASCENSION DEPAUL SERVICES ASCE 5044822080 PO BOX 4148 NEW ORLEANS LA 701784148 MICHAEL GRIFFIN CEO 5044822080 2023-05-09 1 MICHAEL GRIFFIN 999009999 SHARON CASSIERE P00543368 5048375990 2023-05-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MICHAEL GRIFFIN PO BOX 4148 NEW ORLEANS LA 701784148 12060251 0 0928 X WWW.DCSNO.ORG X 1996 LA TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 10 9 103 11 0 0 4891738 5595083 3743504 3716377 685439 289271 858114 2316848 10178795 11917579 189666 160243 0 0 3256644 4559059 0 51993 74810 4175139 4926515 7621449 9697810 2557346 2219769 30186189 30354270 5659304 4092616 24526885 26261654 ASCENSION DEPAUL SERVICES' MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 0 0 7842378 160243 3902371 ASCENSION DEPAUL SERVICES PROVIDES HEALTHCARE, DENTAL, OPTOMETRY, PHARMACEUTICAL, EDUCATION, AND COUNSELING SERVICES TO THE POOR AND WORKING POOR OF THE GREATER NEW ORLEANS, LOUISIANA AREA, AS WELL AS OF THE GOULD AND DUMAS, ARKANSAS AREAS. INDIVIDUALS WITHOUT THE ABILITY TO PAY ARE PLACED ON A SLIDING FEE SCALE AND ARE ASKED TO PAY A NOMINAL FEE. ASCENSION DEPAUL SERVICES GENERATED 5,517 MEDICAL VISITS, 49 BEHAVIORAL HEALTH VISITS, 1,460 DENTAL VISITS, 2,266 OPTOMETRY VISITS, AND FILLED 106,244 PRESCRIPTIONS DURING THE YEAR. 7842378 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 32 0 1 103 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AR X GRAYSON MARLOFF CFO 5042073060 3201 S CARROLLTON AVENUE NEW ORLEANS LA 70118 MR MICHAEL GRIFFIN PRESIDENT/CEO/EX-OFFICIO 1.20 6.80 X X 60250 0 17097 MR GUY CURRY BOARD MEMBER 1.00 2.00 X 0 0 0 MS ABRIL B SUTHERLAND BOARD MEMBER 1.00 2.00 X 0 0 0 DR KRISTIN VAN HOOK BOARD MEMBER 1.00 2.00 X 0 0 0 MS ELIZABETH HEFLER BOARD MEMBER 1.00 2.00 X 0 0 0 SR CATHERINE KELLY DC BOARD MEMBER 1.00 2.00 X 0 0 0 DR RAENELL HOUSTON BOARD MEMBER 1.00 2.00 X 0 0 0 MR MICHAEL DEYOUNG BOARD MEMBER 1.00 2.00 X 0 0 0 MR DAVID BEAU HAYNES BOARD MEMBER (THRU 05/2022) 1.00 2.00 X 0 0 0 MR LEON RAYMOND III CHAIR (THRU 06/2022) 1.00 2.00 X X 0 0 0 MR PIERRE VILLERE VICE CHAIR 1.00 2.00 X X 0 0 0 MS JOEL SELLERS SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 MR GRAYSON MARLOFF CFO 2.00 18.00 X 101487 0 12069 MR ALFRED JORDAN PHARMACIST 40.00 X 125025 0 17469 MS CHANDRA GREEN PHARMACIST 40.00 X 114371 0 18637 MS NAKEISHA MITCHELL PHARMACIST 40.00 X 105559 0 3439 MR SETH STANTON OPTOMETRIST 40.00 X 138338 0 22020 MR RAYMOND J STRONG DIRECTOR OF PHARMACY 40.00 X 146855 0 6229 791885 0 96960 6 0 1 0 AUTOMATIC DATA PROCESSING INC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING SERVICES 178318 1 18579 1795929 209250 3571325 22808 5595083 PHARMACY ADMIN FEES 621110 1912536 1912536 CLINICAL SERVICE FEES 621110 1393066 1393066 WIC REIMBURSEMENT FEES 621110 410775 410775 3716377 289271 289271 948573 56284 120203 0 828370 56284 884654 884654 10032 18579 22469 -12437 -12437 INSURANCE PROCEEDS 621110 781600 781600 PENSION RELATED CHANGE 900099 477037 477037 BUSINESS INTERRUPTION INSURANCE P 621110 77070 77070 108924 108924 1444631 11917579 3902371 0 2420125 49018 49018 111225 111225 235861 235861 3152890 2553841 599049 185327 150115 35212 948043 767915 180128 36938 29920 7018 20000 20000 38112 38112 51993 51993 755958 514177 241781 508831 369191 139640 147129 107549 39580 1092489 1038549 53940 18374 14311 4063 110819 31672 79147 550768 462375 88393 161007 144433 16574 DISASTER RECOVERY 759180 759180 BAD DEBT EXPENSE 341396 341396 MEDICAL/LAB/PHARMACY SU 241022 241022 CONSUMER AWARENESS 152235 152235 29195 4254 2124 22817 9697810 7842378 1780622 74810 7034203 7610643 1163737 1094737 111001 207877 153310 124867 47034 69819 152412 128810 24729060 11991316 13077766 12737744 8446726 8379773 30186189 30354270 3495441 3490233 437118 297395 1726745 304988 5659304 4092616 X 24353201 26077111 173684 184543 24526885 26261654 30186189 30354270 2219769 -485000 0 X X 0 1 X 1 0 X PART I, LINE 3: SCHEDULE H IS NOT REQUIRED TO BE COMPLETED, PER THE INSTRUCTIONS FOR SCHEDULE A, LINE 3. PER THE INSTRUCTIONS AND DEFINITIONS FOR BOTH SCHEDULE A, LINE 3 AND FORM 990, PART IV, LINE 20, SCHEDULE H IS NOT REQUIRED TO BE ATTACHED. ASCENSION DEPAUL SERVICES IS A MEDICAL GROUP THAT IS NOT REGULATED OR REGISTERED WITH THE STATE OF LOUISIANA AS A HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2566198 2566198 14008042 5216668 8791374 617511 501128 116383 3720503 3413544 306959 3816806 2859976 956830 12737744 INTEREST IN INVESTMENT HELD BY ASCENSION HEALTH ALLIANCE 6225174 DUE FROM MARILLAC COMMUNITY HEALTH CENTERS (MCHC) 1796997 OTHER RECEIVABLES 357602 8379773 SELF INSURANCE LIABILITY 304988 304988 X PART X, LINE 2: THE ORGANIZATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS THAT HAVE A GREATER THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS A RESULT OF IMPLEMENTING THIS APPROACH, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROACTIVE TAX POSITIONS WITH MORE THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. X X X X 1 PETER R QUIRK 1201 BEVERLY GARDEN DR METAIRIE LA 70002 EXECUTIVE DIRECTOR OF ADS FOUNDATION 0 0 51993 0 51993 LA AR GOLF TOURNAMENT 22511 12479 10032 11857 3892 2782 GALA 6100 6100 3638 300 28611 18579 10032 15495 3892 3082 22469 -12437 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE AGREEMENT WITH PETER R. QUIRK IS ON A FLAT HOURLY RATE WITH EXPENSE REIMBURSEMENT AS APPLICABLE. 1 MARILLAC COMMUNITY HEALTH CENTERS PO BOX 13038 NEW ORLEANS LA 70185 273046997 501(C)(3) 21607 0 TO SUPPORT THE OPERATIONAL COST OF MARILLAC'S HEALTH CENTER IN PROVIDING CLINICAL SERVICES TO PATIENTS IN THE GREATER NEW ORLEANS COMMUNITY. 1 HURRICANE IDA DISASTER ASSISTANCE 180 111225 PART I, LINE 2: THE ORGANIZATION IS REQUIRED TO PROVIDE FINANCIAL INFORMATION ON THE USE OF THE FUNDS. THE ORGANIZATION RELEASED A GENERAL SURVEY TO ALL ASSOCIATES TO ASK ABOUT THEIR IMMEDIATE NEEDS. THE MOST COMMON NEEDS WERE FOOD, GAS AND SHELTER. UPON REVIEW OF THEIR IMMEDIATE NEEDS, A DIRECT FUNDS TRANSFER WAS INITIATED INTO THEIR BANK ACCOUNT. SUBSEQUENT REQUESTS REQUIRED INVOICES FOR PAYMENT, WITH THE NAME AND ADDRESS OF THE VENDOR. CHECKS WERE MADE PAYABLE AND MAILED TO THE VENDOR. AN ASSISTANCE FUND APPLICATION WAS REQUIRED FOR EMERGENCY ASSISTANCE FOR THE HURRICANE IDA DISASTER RELIEF. X X 0 0 0 0 0 0 0 1 0 MR SETH STANTON OPTOMETRIST 137338 0 1000 0 0 0 4373 0 17647 0 160358 0 0 0 MR RAYMOND J STRONG DIRECTOR OF PHARMACY 141855 0 5000 0 0 0 0 0 6229 0 153084 0 0 0 PART I, LINE 7 BONUSES WERE PAID DURING THE FISCAL YEAR. AN INCENTIVE BASED ON THE NUMBER OF ANNUAL VISITS AND THE NUMBER OF RETINAL SCANS WAS ALSO PAID TO SETH STANTON. FORM 990, PART VI, SECTION A, LINE 6 ASCENSION DEPAUL SERVICES HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. FORM 990, PART VI, SECTION A, LINE 7A ASCENSION DEPAUL SERVICES HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BOARD OF ASCENSION DEPAUL SERVICES. FORM 990, PART VI, SECTION A, LINE 7B ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY TO THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE NEW ORGANIZATIONS AND MAJOR TRANSACTIONS, GOVERNING DOCUMENTS, APPOINTMENTS AND REMOVALS, EVALUATION, DEBT LIMITS, STRATEGIC AND FINANCIAL PLANS, ASSETS, SYSTEM POLICIES AND PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION HEALTH PER THE SYSTEM AUTHORITY MATRIX. FORM 990, PART VI, SECTION B, LINE 11B ONCE A DRAFT COPY OF THE FORM 990 IS RECEIVED BY THE CFO, THE DOCUMENT IS REVIEWED WITH THE CEO AND FINANCE COMMITTEE OF THE BOARD. AFTER COMMITTEE APPROVAL, THE DRAFT REPORT IS SUBMITTED TO THE ENTIRE BOARD FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A FORMAL CORPORATE COMPLIANCE PROGRAM WHICH INCLUDES A CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE. ALL BOARD MEMBERS AND OFFICERS ARE SUBJECT TO THE POLICY WHICH IS UPDATED AND SIGNED BY MEMBERS AND OFFICERS EACH YEAR. ANY CONFLICTS OF INTEREST ARE SELF-REPORTED BY MEMBERS AND OFFICERS. MEMBERS WHO ARE FOUND TO HAVE A CONFLICT EITHER ABSTAIN FROM VOTING ON ISSUES THAT CREATE THE CONFLICT OR ARE EXCUSED FROM THE BOARD DEPENDING ON THE SEVERITY OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION FOR THE CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION WITH THE FACILITATION BY THE SCP OF HR AND THE DIRECTOR OF COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER SIMILAR ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER SIMILAR ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES. ASCENSION DEPAUL FOUNDATION OF NEW ORLEANS LLC 3201 SOUTH CARROLLTON AVENUE NEW ORLEANS LA 70118 FUNDRAISING - SUPPORT OF ASCENSION DEPAUL SERVICES LA 180276 443916 ASCENSION DEPAUL SERVICES ASCENSION HEALTH 4600 EDMUNDSON ROAD ST LOUIS MO 63134 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) LINE 12A, I ASCENSION HEALTH ALLIANCE 0 DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION PO BOX 4148 NEW ORLEANS LA 701784148 271658000 PROVIDE SUPPORT TO ASCENSION DEPAUL SERVICES LA 501(C)(3) LINE 12A, I ASCENSION DEPAUL SERVICES 1 DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS EAST PO BOX 4148 NEW ORLEANS LA 701784148 461384518 PROVIDE SUPPORT TO ASCENSION DEPAUL SERVICES LA 501(C)(3) LINE 12A, I ASCENSION DEPAUL SERVICES 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 ASCENSION HEALTH Q 380245 CASH DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS EAST C 1773121 CASH