2023-08-15T16:29:00-05:00 2022-09-30 923320348 EAG GULF COAST LLC 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2021-10-01 720652905 WOMAN'S HOSPITAL FOUNDATION D/B/A WOMAN'S HEALTH FOUNDATION WOMA 2259248107 100 WOMANS WAY BATON ROUGE LA 70817 APRIL CHAISSON SENIOR VP/CFO 2259248107 2023-08-15 1 APRIL CHAISSON 999009999 BRANDON LAGARDE P01428217 2259224600 2023-08-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z RENE RAGAS 100 WOMANS WAY BATON ROUGE LA 70817 839019145 0 X WWW.WOMANS.ORG X 1968 LA TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 11 7 2631 136 30588377 1485207 2005762 2736665 625896555 705809153 85940373 16005660 31210622 6233547 745053312 730785025 821820 1969595 0 0 179543191 193832980 0 0 0 452755170 496488657 633120181 692291232 111933131 38493793 955522065 921115524 327805163 326437279 627716902 594678245 X TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 1 0 58262570 21000 72154009 CANCER SERVICES - WOMAN'S HOSPITAL, MARY BIRD PERKINS AND OUR LADY OF THE LAKE HAVE COMBINED THEIR EXPERTISE TO CREATE A DESTINATION FOR BREAST AND GYNECOLOGIC CANCER CARE FROM DIAGNOSIS THROUGH SURVIVORSHIP: THE BREAST & GYN CANCER PAVILION. THE PAVILION ENABLES WOMEN TO RECEIVE THE HIGHEST LEVEL OF BREAST AND GYNECOLOGIC CANCER CARE AND IS THE ONLY ONE OF ITS KIND IN THE COUNTRY. THIS IS MADE POSSIBLE THROUGH THE COMBINED EXPERTISE AND RESOURCES OF THIS PARTNERSHIP, PROVIDING PATIENTS WITH COLLABORATIVE TEAMS OF MEDICAL, RADIATION ONCOLOGISTS, GYN AND BREAST SURGICAL ONCOLOGISTS, BREAST SURGEONS, RADIOLOGISTS, PATHOLOGISTS, GENETICISTS, RESEARCH STAFF, NURSE NAVIGATORS, DIETITIANS, PALLIATIVE CARE NURSE NAVIGATORS, PASTORALCARE AND SOCIAL WORKERS.7,566 UNIQUE PATIENTS WERE TREATED IN THE CANCER PAVILION IN FY22. 232879405 90000 283514726 OUTPATIENT SERVICES - WOMAN'S HOSPITAL PROVIDES AN ARRAY OF OUTPATIENT SERVICES WHERE HOSPITALIZATION IS NOT REQUIRED. LAB, IMAGING, SURGERY, ASSESSMENT CENTER, MATERNAL FETAL MEDICINE, AND PHYSICAL AND OCCUPATIONAL THERAPY ARE EXAMPLES OF SERVICES PROVIDED ON A OUTPATIENT BASIS AT EITHER THE HOSPITAL OR THE WOMAN'S CENTER FOR WELLNESS.FY22 INCLUDED 7,325 OUTPATIENT SURGERIES, 15,961 ASSESSMENT CENTER VISITS AND 79,243 IMAGING PROCEDURES. 276272470 7500 318614514 INPATIENT SERVICES - WOMAN'S HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MUST BE ADMITTED TO THE HOSPITAL FOR CARE, WHETHER FOR AN OVERNIGHT STAY OR EXTENDED CARE. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABOR AND DELIVERY, SURGERY, NICU, AICU, AND HIGH RISK PREGNACIES.FY22 INCLUDED 1,182 INPATIENT SURGERIES, 7,823 DELIVERIES AND 69,132 PATIENT DAYS. 12338213 1851095 7615762 12338213 1851095 7615762 579752658 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 378 0 1 2631 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X APRIL F CHAISSON 2259248107 100 WOMANS WAY BATON ROUGE LA 70817 BARBARA GRIFFITH MD PRESIDENT/CEO (FORMER) 65.00 X 930663 0 29125 MARSHALL ST AMANT MD PHYSICIAN 40.00 X 722800 0 58745 ANTHONY C EVANS JR MD PHYSICIAN 40.00 X 735646 0 35360 STEPHANIE ANDERSON EXECUTIVE VP/CAO 65.00 X 663623 0 83352 ROBERT MOORE MD CHIEF MEDICAL OFFICER 65.00 X 729429 0 17076 PAMELA SIMMONS MD PHYSICIAN 40.00 X 611761 0 32526 EDWARD W VEILLON MD PHYSICIAN 40.00 X 586492 0 50614 ALBERT DIKET PHYSICIAN 40.00 X 581848 0 46194 PATRICK SEITER IN-HOUSE GENERAL COUNSEL 65.00 X 401517 0 48716 KURT SCOTT SR VP/COO 65.00 X 390597 0 52174 PAUL CLECKNER PRESIDENT/CEO (INTERIM) 65.00 4.00 X X 383017 0 43791 PAUL KIRK VP, INFORMATION SYSTEMS/CI 65.00 X 363415 0 41102 CHERI JOHNSON SR VP/CNO 65.00 X 362445 0 35378 ED HALPHEN VP, HUMAN RESOURCES 65.00 X 357416 0 24026 APRIL CHAISSON VP, FINANCE 65.00 X 303435 0 68456 MARY MAHER- GRIFFITHS VP, QUALITY 65.00 X 224893 0 46423 EBONI BUCHANAN VP, PHYSICIAN SERVICES 65.00 X 233026 0 24901 BEN MARMANDE 2021 CHAIR 4.00 X X 0 0 0 CHEREE SCHWARTZENBURG MD SECRETARY/TREASURER 4.00 X X 0 0 0 ROSE HUDSON SECRETARY/TREASURER, CHAIR ELECT 4.00 X X 0 0 0 TERRIE THOMAS MD CHAIR ELECT/2022 CHAIR 4.00 X X 0 0 0 RENE RAGAS PRESIDENT/CEO 65.00 4.00 X X 0 0 0 CHRIS CIESIELSKI DIRECTOR 4.00 X 0 0 0 DONNA FRAICHE DIRECTOR 4.00 X 0 0 0 GREG GELPI MD DIRECTOR 4.00 X 0 0 0 JANET OLSON DIRECTOR 4.00 X 0 0 0 NICK SPEYRER DIRECTOR 4.00 X 0 0 0 WHITNEY BREAUX DIRECTOR 4.00 X 0 0 0 RUDY AGUILAR BOARD MEMBER 4.00 X 0 0 0 SUSAN PUYAU MD BOARD MEMBER 4.00 X 0 0 0 8582023 0 737959 127 1 1 0 LOUISIANA ANESTHESIOLOGY GROUP 100 WOMANS WAY BATON ROUGE LA 70817 MEDICAL SERVICES 2026987 PATHOLOGY GROUP OF LOUISIANA 5339 O DONOVAN DRIVE BATON ROUGE LA 70808 MEDICAL SERVICES 1959398 ST GEORGE HEALTH 17732 HIGHLAND RD STE G BOX 117 BATON ROUGE LA 70810 MEDICAL SERVICES 1775550 DELOITTE CONSULTING LLP 4022 SELLS DRIVE HERMITAGE TN 37076 CONSULTING 1220000 OUR LADY OF THE LAKE PHYSICIANS GROUP PO BOX 676207 DALLAS TX 752676207 MEDICAL SERVICES 1201518 34 1895209 280316 561140 2736665 HOSPITAL SERVICES 541900 692011545 674283249 17728296 PHARMACY OUTSIDE SALES 446110 9057025 9057025 FITNESS CENTER 713940 2577817 1035051 1542766 CAFETERIA 722514 2161083 2161083 PATIENT EDUCATION 611710 1683 1683 705809153 8983114 1171074 7812040 3469370 2841607 627763 627763 180919 446844 108903081 3200998 103301862 1779671 5601219 1421327 7022546 7022546 590522 310980 279542 279542 OTHER OPERATING REVENUE 909999 5258320 4350023 908297 UPL EXCESS OF UPL PAYMENT 909999 67922 67922 5326242 730785025 681899011 30588377 15560972 1969595 1969595 6596085 5094530 1501555 145766969 112584062 33182907 30922603 23883273 7039330 10547323 7505315 3042008 417836 331944 85892 88210 70077 18133 90000 71499 18501 1192163 369430 822733 10666229 9451100 1215129 1499043 1484780 14263 360033 210161 149872 11232246 11232246 25302994 7032497 18270497 CONTRACTUAL ADJUSTMENTS 313214498 313214498 PATIENT RELATED SUPPLIE 43420631 43420631 PURCHASED SERVICES 38656959 30710480 7946479 OTHER EXPENSES 17826286 5314381 12511905 32521529 17034405 15487124 692291232 579752658 112538574 0 155128087 173517149 46450735 61525026 6508131 5305811 555733977 202241988 358723529 353491989 4309633 3999855 6444222 1911000 377957728 321364694 955522065 921115524 39197291 45144044 199800 199800 288387346 281004587 20726 88848 327805163 326437279 X 623074491 589098432 4642411 5579813 627716902 594678245 955522065 921115524 X 38493793 -71526735 -17819 12104 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 1 0 1 122641 122641 0 PART II-B, LINE 1: ALL OF THE FOLLOWING AMOUNTS RELATE TO THE LOBBYING EXPENSE PORTION OF THE PAYMENT: 1. $90,000 FOR CONSULTING FEES TO SOUTHERN STRATEGY GROUP OF LOUISIANA LLC. 2. $13,821.70 TO LOUISIANA HOSPITAL ASSOCIATION FOR LHA DUES. 3. $12,818.93 TO LOUISIANA HOSPITAL ASSOCIATION FOR AHA DUES. 4. $6,000.00 BATON ROUGE AREA CHAMBER FOR STATE LEGISLATIVE EFFORTS 16000 X 0 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 0 0 16962255 16962255 413769842 110882910 302886932 120459649 91359078 29100571 4542231 4542231 353491989 OTHER RECEIVABLES 28053085 BONDS HELD BY TRUSTEE 10580763 DEFERRED FINANCING CHARGES 1106900 RESTRCITED DONATIONS - OTHERS 10971744 RESTRICTED DONATIONS - CAP ONE CD 774723 DEPRECIATION RESERVE 289967095 OTHER ASSETS 741004 ESTIMATED THIRD PARTY SETTELMENTS -114293 UNAMORTIZED BOND DISCOUNT -20716327 321364694 OTHER LIABILITIES 88848 88848 X PART III, LINE 4: PERMANENT INSTALLMENT OF 32 GICLEES OF WORLD RENOWNED FOLK ART DONATED IN A PRIOR YEAR AS PART OF THE HEALING ARTS PROGRAM. THE ARTWORK IS DISPLAYED IN A PROMINENT AREA OF THE HOSPITAL, FOR ALL PATIENTS AND VISITORS TO ENJOY. PART V, LINE 4: THE FOUNDATION HOLDS AN ENDOWMENT FUND IN THE AMOUNT OF $1,250,000 FROM THE HELEN BARNES TRUST. THIS AMOUNT IS PERMANENTLY RESTRICTED BUT THE ANNUAL EARNINGS FROM THIS ENDOWMENT MAYBE USED BY THE FOUNDATION. THE INCOME IS REPORTED ON THE CORE FORM 990, BUT THE BALANCE ON THIS ENDOWMENT DOES NOT CHANGE FROM YEAR TO YEAR SINCE ONLY THE $1,250,000 IS RESTRICTED. PART X, LINE 2: THE HOSPITAL APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. 1 1 X 1 X 1 X 1 1 0 0 3612111 3612111 0.00520 34723834 34723834 0.05020 16331546 16331546 0.02360 54667491 54667491 0.07900 626973 626973 0.00090 14654249 14654249 0.02120 -147196 0 0.00000 197345 197345 0.00030 15331371 15478567 0.02240 69998862 70146058 0.10140 1 9251879 29446 6107385 10138307 -4030922 X 1 1 1 WOMAN'S RETAIL VENTURES LLC HOSPITAL GIFT SHOP 0.74750 0.02020 0.23230 2 STUMBERG LAND LLC LAND MANAGEMENT 0.64400 0.00000 0.35600 1 1 WOMAN'S HOSPITAL 100 WOMANS WAY BATON ROUGE LA 70817 WWW.WOMANS.ORG X WOMAN'S HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X HTTPS://WWW.WOMANS.ORG/ABOUT-WOMANS/COMMUNITY X HTTP://WWW.HEALTHYBR.COM/ 1 20 1 HTTP://WWW.HEALTHYBR.COM/ 0 1 X 200.000000000000 300.000000000000 1 1 X X X X 1 X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X X X X X X 1 X 0 X X X 1 X 0 0 WOMAN'S HOSPITAL PART V, SECTION B, LINE 5: WOMAN'S DEVELOPED ITS COMMUNITY HEALTH ASSESSMENT IN COLLABORATION WITH OTHER AREA PROVIDERS AND THE MAYOR-PRESIDENT'S HEALTHY CITY INITIATIVE (MHCI). THE TEAM OF HEALTH CARE LEADERS DEVELOPED A LIST OF BATON ROUGE'S 10 HEALTH PRIORITIES, WHICH WAS REVIEWED AND APPROVED BY ALL MHCI PARTNERS WOMAN'S HOSPITAL PART V, SECTION B, LINE 6A: REPRESENTATIVES FROM WOMAN'S HOSPITAL, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, BATON ROUGE GENERAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTER OF BATON ROUGE MET TO DISCUSS AN ASSESSMENT OF COMMUNITY HEALTH. WOMAN'S HOSPITAL PART V, SECTION B, LINE 6B: PENNINGTON BIOMEDICAL RESEARCH CENTER, THE BATON ROUGE CLINIC, BLUE CROSS BLUE SHIELD OF LOUISIANA, LOUISIANA DEPARTMENT OF HEALTH, EAST BATON ROUGE PARISH SCHOOL SYSTEM, AMERICAN HEART ASSOCIATION, CAPITAL AREA REENTRY PROGRAM, THE BRIDGE CENTER FOR HOPE, GILEADFOCUS INITIATIVE, NIKKY SCOTT INC., IMPACT NURSE CONSULTING, LOUISIANA CHAPTER OF POSITIVE WOMEN'S NETWORK, AND COMMUNITY RESIDENTS. WOMAN'S HOSPITAL PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH: THE GUIDING RECOVERY AND CREATING EMPOWERMENT (GRACE) PROGRAM AT WOMAN'S HOSPITAL IS A CARE COORDINATION PROGRAM FOR PREGNANT WOMEN WITH OPIOID, ALCOHOL OR TOBACCO USE ADDICTION THAT CONNECTS THEM TO RESOURCES IN THE COMMUNITY TO PROVIDE TREATMENT AND SUPPORT. IT IS THE ONLY PROGRAM OF ITS KIND IN LOUISIANA AND ONE OF FEW IN THE NATION. WOMEN ENROLLED IN THIS PROGRAM RECEIVE SUPPORT THROUGHOUT PREGNANCY AND FOR SIX WEEKS AFTER GIVING BIRTH. THIS MULTI-DISCIPLINARY CASE-MANAGEMENT IS DESIGNED TO IMPROVE OUTCOMES FOR MOTHER AND BABY AND LEAD TO ADDICTION RECOVERY. WOMAN'S ALSO ADDED DR. AMBER PARDEN, A BOARD-CERTIFIED PSYCHIATRIST WITH A PASSION FOR PERINATAL MENTAL HEALTH, TO ITS STAFF. SHE PROVIDES TREATMENT FOR PERIPARTUM AND POSTPARTUM ANXIETY AND DEPRESSION, FOCUSING ON MEDICATION MANAGEMENT AND PSYCHOTHERAPY TREATMENT PLANS, ALONG WITH INPATIENT AND OUTPATIENT CONSULTATIONS FOR MENTAL HEALTH SUPPORT, BARIATRIC SURGERY PATIENTS AND THOSE UNDERGOING CANCER TREATMENTS.CHRONIC DISEASE: TO HELP ADDRESS THE HIGH INCIDENCE OF DIABETES ON OUR COMMUNITY, WOMAN'S OPERATES A METABOLIC WEIGHT MANAGEMENT CLINIC AND RUNS ONE OF THE TWO ACCREDITED DIABETES PREVENTION PROGRAMS IN LOUISIANA. WOMAN'S HOSPITAL RESEARCH CENTER CONDUCTS CLINICAL STUDIES RELATED TO TREATING GESTATIONAL DIABETES, TYPE 2 DIABETES AND POLYCYSTIC OVARIAN SYNDROME. WOMAN'S IS ALSO ADDRESSING HYPERTENSION IN PREGNANCY THROUGH ASSIGNING CASE MANAGERS WHO CAN MONITOR A PATIENT'S BLOOD PRESSURE THROUGHOUT PREGNANCY, INCLUDING USING AT-HOME BLOOD PRESSURE CUFFS.HEALTH EQUITY AND RACIAL DISPARITIES: IN 2020, WOMAN'S HIRED A DE&I CONSULTANT AND LAUNCHED AN INCLUSIVE EXCELLENCE ACTION COMMITTEE (IEAC) TO PROMOTE DIVERSITY, EQUITY, INCLUSION AND BELONGING AT WOMAN'S HOSPITAL. THE COMMITTEE WORKS DIRECTLY WITH LEADERSHIP TO LISTEN, LEARN, LEAD, GUIDE AND SHEPHERD THE HOSPITAL'S COMMITMENT TOWARD INCLUSIVE EXCELLENCE AND DIVERSITY. THE HOSPITAL HAS ALSO INVESTED IN TRAINING FOR EMPLOYEES TO HELP ADDRESS UNCONSCIOUS BIAS AND TO IMPROVE INCLUSIVE PRACTICES THAT IMPROVE HEALTH OUTCOMES FOR ALL.HEALTHY LIVING/LIFESTYLE: THE WOMAN'S CENTER FOR WELLNESS, CURRENTLY THE AREA'S ONLY MEDICAL FITNESS FACILITY DESIGNATED BY THE MEDICAL FITNESS ASSOCIATION, OFFERS A VARIETY OF FITNESS CLASSES AND NUTRITION PROGRAMS AND RESOURCES FOR PATIENTS AND COMMUNITY MEMBERS. THE EMPLOYEE WELLNESS PROGRAM AT WOMAN'S OFFERS PREMIUM DISCOUNTS AND CASH INCENTIVES FOR EMPLOYEES WHO COMPLETE HEALTH AND WELLNESS CHALLENGES.MATERNAL AND INFANT HEALTH: RECENTLY NAMED ONE THE WORLD'S BEST HOSPITALS BY NEWSWEEK FOR GYNECOLOGY AND MATERNITY CARE, WOMAN'S HAS ALSO RECEIVED A BIRTH READY+ DESIGNATION FROM THE LOUISIANA DEPARTMENT OF HEALTH FOR ITS EFFORTS IN PROMOTING SAFE, EQUITABLE, AND DIGNIFIED BIRTH FOR ALL BIRTHING PERSONS IN LOUISIANA -- ONE OF ONLY EIGHT FACILITIES IN THE STATE TO EARN THIS DISTINCTION. THROUGH ITS WORK WITH THE LOUISIANA PERINATAL QUALITY COLLABORATIVE, WOMAN'S HAS ADOPTED SAFETY BUNDLES TO REDUCE THE RISKS OF HEMORRHAGE AND HYPERTENSION. THEY HAVE ALSO FORMED WORK GROUPS TO ADDRESS SEVERAL OF THE MAIN DRIVERS FOR PREMATURITY INCLUDING HYPERTENSION, DRUG USE, AND INCOMPETENT CERVIX AND IMPLEMENTED EVIDENCE-BASED STRATEGIES TO EFFECT CHANGE IN THESE AREAS. ADDITIONALLY, WOMAN'S HAS MATERNAL-FETAL MEDICINE SPECIALISTS TO CARE FOR HIGH-RISK PREGNANCIES AND OPERATES A LEVEL III-S NEONATAL INTENSIVE CARE UNIT, A DESIGNATION WHICH ALLOWS THEM TO CARE FOR INFANTS WHO ARE EXTREMELY PREMATURE, ARE CRITICALLY ILL OR REQUIRE SURGICAL INTERVENTION. PART V, SECTION B, LINE 4 WOMAN'S HOSPITAL FOUNDATION CONDUCTED ITS FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2021 TO COVER THE PERIOD 2021-2023 (TAX YEARS 2020-2022) PART I, LINE 3C: WOMAN'S OFFERS A 20% DISCOUNT TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME. DISCOUNTS ARE NOT APPLIED TO COSMETIC PROCEDURES. IN ADDITION, WOMAN'S OFFERS SPECIAL PRICING PACKAGES FOR SPECIFIC SERVICES, I.E. DELIVERY AND BARIATRIC SURGERY, AS WELL AS MATCHING PHYSICIAN DISCOUNTS UP TO 50% REGARDLESS OF INCOME. PART III, LINE 3: THE HOSPITAL MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE HOSPITAL DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE SERVICE/DISCHARGE DATE; HOWEVER, THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTION OF THE OUTSTANDING BALANCES TO BE DOUBTFUL. THIS IS ONLY AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY. BAD DEBT EXPENSE IS A COMBINATION OF ACTUAL ACCOUNTS WRITTEN OFF AND ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BASED ON A REVIEW OF ALL ACCOUNTS IN WHICH WE WERE UNABLE TO FULLY DETERMINE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (BECAUSE THE FINANCIAL ASSISTANCE APPLICATION WAS INCOMPLETE), WE IDENTIFIED CHARGES THAT WERE WRITTEN OFF AS BAD DEBT (AFTER ALL REASONABLE COLLECTION EFFORTS WERE FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY). PART III, LINE 8: 100% OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT. THE METHOD USED TO DETERMINE THE MEDICARE ALLOWABLE COST OF CARE IS COST TO CHARGE RATIO. PART III, LINE 9B: REASONABLE EFFORTS ARE MADE TO DETERMINE A PATIENT'S ELIGIBILITY AND QUALIFY THEM FOR FINANCIAL ASSISTANCE PRIOR TO ANY ACTION BEING TAKEN TO COLLECT. PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND ARE REFERRED TO A FINANCIAL COUNSELOR TO DISCUSS THE POLICY IN DETAIL. FINANCIAL ASSISTANCE APPLICATIONS ARE DOCUMENTED AND TRACKED WHEN PROVIDED TO A PATIENT/GUARANTOR AND WHEN THE APPLICATION IS RETURNED (WHETHER COMPLETE OR INCOMPLETE). ALL COMMUNICATION WITH THE PATIENT/GUARANTOR IS DOCUMENTED WHILE THE APPLICATION IS INCOMPLETE. THE APPLICATION IS NOTATED AS APPROVED OR DENIED ALONG WITH NOTIFICATION OF APPROVAL OR DENIAL TO THE PATIENT/GUARDIAN. IF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS NOT ABLE TO BE FULLY DETERMINED, ALL REASONABLE COLLECTION EFFORTS ARE FOLLOWED AS OUTLINED IN THE HOSPITAL'S COLLECTION POLICY. 0 MARCH OF DIMES FOUNDATION (LOUISIANA CHAPTER) 12015 JUSTICE AVE BATON ROUGE LA 70816 131846366 501(C)(3) 7500 0 CASH GRANT MARCH FOR BABIES SILVER SPONSORSHIP BATON ROUGE AREA CHAMBER 564 LAUREL STREET BATON ROUGE LA 70801 720126959 501(C)(3) 50000 0 CASH GRANT BRAC 2020 "THINK BIGGER" REGIONAL STRATEGIC PLAN BATON ROUGE HEALTH DISTRICT 6400 PERKINS ROAD BATON ROUGE LA 70808 472593574 501(C)(3) 75000 0 CASH GRANT ANNUAL CONTRIBUTION AMERICAN HEART ASSOCIATION PO BOX 4002900 DES MOINES IA 50340 135613797 501(C)(3) 10000 0 CASH GRANT ANNUAL PLEDGE FOUNDATION FOR WOMANS 100 WOMANS WAY BATON ROUGE LA 70817 471970335 501(C)(3) 791095 0 CASH GRANT OFFSET OPERATING EXPENSES BELLA BOWMAN FOUNDATION PO BOX 82610 BATON ROUGE LA 708842610 454551630 501(C)(3) 6000 0 SILVER SPONSOR AT 11TH ANNUAL BELLA'S BALL FOUNDATION FOR WOMANS 100 WOMANS WAY BATON ROUGE LA 70817 471970335 501(C)(3) 1000000 0 COMMUNITY OUTREACH 12 0 PART I, LINE 2: GRANTS ARE GIVEN TO ORGANIZATIONS FOR SPECIFIC PURPOSES AND ARE NOT MONITORED FURTHER. X X X 1 1 X X X X X 0 1 0 0 0 1 0 0 0 BARBARA GRIFFITH MD PRESIDENT/CEO (FORMER) 472631 0 409774 0 48258 0 2323 0 26802 0 959788 0 0 0 MARSHALL ST AMANT MD PHYSICIAN 630783 0 3000 0 89017 0 29650 0 29095 0 781545 0 0 0 ANTHONY C EVANS JR MD PHYSICIAN 618755 0 3000 0 113891 0 2600 0 32760 0 771006 0 0 0 STEPHANIE ANDERSON EXECUTIVE VP/CAO 423719 0 230856 0 9048 0 67941 0 15411 0 746975 0 0 0 ROBERT MOORE MD CHIEF MEDICAL OFFICER 613084 0 1000 0 115345 0 1950 0 15126 0 746505 0 0 0 PAMELA SIMMONS MD PHYSICIAN 515574 0 52992 0 43195 0 1950 0 30576 0 644287 0 0 0 EDWARD W VEILLON MD PHYSICIAN 523557 0 3000 0 59935 0 17725 0 32889 0 637106 0 0 0 ALBERT DIKET PHYSICIAN 518730 0 3000 0 60118 0 20975 0 25219 0 628042 0 0 0 PATRICK SEITER IN-HOUSE GENERAL COUNSEL 349842 0 46551 0 5124 0 44154 0 4562 0 450233 0 0 0 KURT SCOTT SR VP/COO 282783 0 99827 0 7987 0 31250 0 20924 0 442771 0 0 0 PAUL CLECKNER PRESIDENT/CEO (INTERIM) 262951 0 69461 0 50605 0 29596 0 14195 0 426808 0 0 0 PAUL KIRK VP, INFORMATION SYSTEMS/CI 275344 0 78829 0 9242 0 39781 0 1321 0 404517 0 0 0 CHERI JOHNSON SR VP/CNO 267705 0 92235 0 2505 0 34093 0 1285 0 397823 0 0 0 ED HALPHEN VP, HUMAN RESOURCES 135384 0 113882 0 108150 0 8455 0 15571 0 381442 0 0 0 APRIL CHAISSON VP, FINANCE 219421 0 74245 0 9769 0 37431 0 31025 0 371891 0 0 0 MARY MAHER- GRIFFITHS VP, QUALITY 171775 0 50632 0 2486 0 16201 0 30222 0 271316 0 0 0 EBONI BUCHANAN VP, PHYSICIAN SERVICES 177109 0 55600 0 317 0 16058 0 8843 0 257927 0 0 0 PART I, LINE 6 WOMAN'S HOSPITAL'S MANAGEMENT INCENTIVE PLAN PROVIDES FOR COMPENSATION IF CERTAIN GOALS/TARGETS ARE ACHIEVED, ONE BEING NET INCOME FROM OPERATIONS. PART 1 LINE 1A PAUL CLECKNER WAS PAID A TEMPORARY HOUSING ALLOWANCE WHEN HE WAS HIRED AS INTERIM CEO. THE ALLOWANCE AND OTHER MOVING EXPENSE PAYMENTS WERE GROSSED UP WHEN PAID. THE BOARD OF DIRECTORS ATTENDED A GOVERNANCE CONFERENCE IN COLORADO SPRINGS, CO DURING FISCAL YEAR. FIVE SPOUSES OF BOARD MEMBERS WERE PRESENT ON THIS TRIP. PART 1 LINE 4 457(F) CONTRIBUTIONS: STEPHANIES ANDERSON - $26,716 EBONI BUCHANAN - $16,058 APRIL CHAISSON - $4,723 PAUL CLECKNER - $29,596 ED HALPHEN - $8,455 CHERI JOHNSON - $14,724 PAUL KIRK - $13,079 CATHY MAHER-GRIFFITHS - $8,690 KURT SCOTT - $25,833 PAT SEITER - $42,311 A LCDA HOSPREV REF NOTE (WOMAN'S) SERIES 2015 721416168 2015-10-19 63605000 2015 TAX EXEMPT BONDS TO REFUND HOSPITAL REVENUE BONDS SERIES 2010B 0 0 0 B LCDA HOSP REF REV BONDS (WOMAN'S) SERIES 2017A 721416168 2017-06-28 251867391 SERIES 2017A WILL REFUND HOSPITAL REVENUE BONDS SERIES 2010A AND PAY COSTS 0 0 0 A 13345000 63605000 64381504 411894 63969609 1 0 1 1 B 5260000 251867391 269169259 2106164 267063094 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 0 B 0 TERRIE THOMAS MD MEMBER OF AWH 319059 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 CHEREE SCWARTZENBERG MD MEMBER OF SLG 226407 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 SUSAN PUYUA MD MEMBER OF AWH 319059 RENTAL PAYMENT FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 FORM 990, PART III, LINE 2 CANCER SERVICES IS NEW TO FY22. WOMAN'S HOSPITAL BEGAN CANCER INFUSION SERVICES IN APRIL 2022. FORM 990, PART VI, SECTION A, LINE 2 DR. SUSAN PUYUA IS THE INTERIM CEO FOR ASSOCIATES IN WOMEN'S HEALTH OF WHICH DR. TERRIE THOMAS IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 2 DR. CLIFF MOORE IS A MFM CONSULTANT TO ASSOCIATES IN WOMEN'S HEALTH OF WHICH DR. SUSAN PUYUA AND DR. TERRIE THOMAS ARE MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 EMERGENT METHOD, WHICH IS OWNED 90% BY NICK SPEYER, HAD A CONTRACTUAL RELATIONSHIP WITH LOUISIANA LOTTERY CORPORATION, WHOSE CEO IS ROSE HUDSON. FORM 990, PART VI, SECTION A, LINE 6 BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS. THE FOUNDATION CAN VOTE SEPARATELY FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A SUMMARY OF FORM 990 WAS PRESENTED TO THE BOARD PRIOR TO FILING. ALL BOARD MEMBERS WERE ALSO GIVEN THE OPTION TO REVIEW THE FORM 990 IN ITS ENTIRETY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A LETTER AND QUESTIONNAIRE ARE SENT TO EACH BOARD MEMBER ANNUALLY WITH A LIST OF OFFICERS, DIRECTORS, AND KEY PERSONNEL TO USE FOR REFERENCE IN REPORTING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A MARKET COMPARISON AND RESULTING RECOMMENDATIONS FOR TOTAL COMPENSATION AND MANAGEMENT INCENTIVE PLANS ARE CONDUCTED BY A CONSULTING FIRM AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S TAX DOCUMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC. THE FOUNDATION'S ANNUAL REPORT IS AVAILABLE ON THE HOSPITAL WEBSITE. THE FOUNDATION ALSO ISSUES QUARTERLY BOND DISCLOSURE REQUIREMENTS TO BONDHOLDERS AND RATING AGENCIES. FORM 990, PART XI, LINE 9: CHANGE IN AUXILLARY ACCOUNT 12,104. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990. STUMBERG HOLDING LLC 100 WOMANS WAY BATON ROUGE LA 70817 464133824 LAND MANAGEMENT LA 2310970 WOMAN'S HOSPITAL FOUNDATION WOMAN'S MATERRA INVESTMENT COMPANY 100 WOMANS WAY BATON ROUGE LA 70817 844017773 LAND MANAGEMENT LA 1027883 4274181 WOMAN'S HOSPITAL FOUNDATION FOUNDATION FOR WOMAN'S 100 WOMANS WAY BATON ROUGE LA 70895 471970335 TO PROMOTE THE WELFARE OF WOMAN'S HOSPITAL FOUNDATION D/B/A WOMAN'S HOSPITAL LA 501(C)(3) LINE 12B, II WOMAN'S HOSPITAL FOUNDATION 0 WOMAN'S RETAIL VENTURES LLC 9000 AIRLINE HWY STE 330 BATON ROUGE LA 70895 043845778 GIFT SHOP RETAIL LA 0 0 0.74750 STUMBERG LAND LLC 100 WOMANS WAY BATON ROUGE LA 70817 464150615 LAND MANAGEMENT LA 0 1 0.64400 MATERRA DEVELOPMENT LLC 402 N FOURTH ST BATON ROUGE LA 70802 822503975 LAND MANAGEMENT LA 0 0 0.50000 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 FOUNDATION FOR WOMANS C 1895209 CASH FOUNDATION FOR WOMANS B 1791095 CASH FOUNDATION FOR WOMANS N 14579 CASH FOUNDATION FOR WOMANS O 640367 CASH FOUNDATION FOR WOMANS Q 291615 CASH WOMAN'S RETAIL VENTURES LLC S 141463 CASH WOMAN'S RETAIL VENTURES LLC O 223022 CASH MATERRA DEVELOPMENT B 1705959 FMV MATERRA DEVELOPMENT S 476000 CASH WOMAN'S RETAIL VENTURES LLC A 89746 CASH FOUNDATION FOR WOMANS R 772869 CASH FORM 990, SCHEDULE R, PART I & PART III STUMBERG HOLDING, LLC, A DISREGARDED ENTITY FOR TAX PURPOSES, IS OWNED 100% BY WOMAN'S HOSPITAL FOUNDATION. STUMBERG HOLDING, LLC IS A 64.40% MEMBER IN STUMBERG LAND, LLC.