2022-11-11T15:25:46-06:00 2021-12-31 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 1000 RIDGELAND MS 39157 990 2021-01-01 720535375 LAFAYETTE GENERAL MEDICAL CENTER INC LAFA 3372897398 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 KIM HEBERT CHIEF FINANCIAL OFFICER 3372897398 2022-11-11 KIM HEBERT 999009999 AMIE T WHITTINGTON CPA P01082167 6013261000 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z OCHSNER LAFAYETTE GENERAL MEDICAL CENTER AL PATIN 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 590546927 0 X HTTPS://OCHSNERLG.ORG/ X 1911 LA TO RESTORE, MAINTAIN, AND IMPROVE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 18 11 3336 51 5158999 3115944 38164 5759634 143372122 573188603 83432 7747560 4610502 2517797 148104220 589213594 11455 27727 0 0 40645218 196490867 0 0 0 90904569 322041953 131561242 518560547 16542978 70653047 680580313 740241066 127771247 116778953 552809066 623462113 X TO RESTORE, MAINTAIN, AND IMPRIVE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 480866535 27727 497311419 PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL:TOTAL ACUTE PATIENT DAYS WERE 107,379, TOTAL NURSERY DAYS WERE 6,659, TOTAL REHAB DAYS WERE 5,084 AND TOTAL MENTAL HEALTH DAYS WERE 5,259. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 70,893 EMERGENCY ROOM VISITS, 13,382 SURGERIES (INPATIENT AND OUTPATIENT), AND 3,384 DELIVERIES.DURING THE YEAR THE FOLOWING DESIGNATIONS WERE EARNED:OCHSNER LAFAYETTE GENERAL MEDICAL CENTER EARNS BLUE DISTINCTION CENTERDESIGNATION FOR QUALITY AND COST-EFFICIENCY IN KNEE AND HIP REPLACEMENTAND SPINE SURGERIES.OCHSNER LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL EARNS BLUE DISTINCTION CENTER DESIGNATION FOR QUALITY IN KNEE AND HIP REPLACEMENT SURGERYTHE ORGANIZATION PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY. SERVICES INCLUDED INPATIENT AND OUTPATIENT CARE IN FURTHERANCE OF THE ORGANIZATION'S HEALTHCARE MISSION.LAFAYETTE GENERAL MEDICAL CENTER (LGMC) SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED ACADIANA WITH 433 STAFFED BEDS (INCLUDING 25 NURSERY BEDS) AND 2,275 EMPLOYEES. LGMC REMAINS THE AREA'S LARGEST, FULL SERVICE, ACUTE-CARE MEDICAL CENTER.OUR HOSPITAL MISSION IN THE COMMUNITIES THAT WE SERVE IS TO RESTORE, MAINTAIN, AND IMPROVE HEALTH. WE ARE A COMMUNITY-OWNED AND LOCALLY MANAGED HOSPITAL THAT STAYS TRUE TO OUR MISSION BY DEDICATING SIGNIFICANT RESOURCES TO COMPENSATE A COMPASSIONATE, HIGHLY SKILLED STAFF; ACQUIRE ADVANCED TECHNOLOGY; AND DEVELOP SERVICE IMPROVEMENTS EACH YEAR.IN LINE WITH OUR GOAL OF BUILDING A REGIONAL HEALTH CARE SYSTEM, LAFAYETTE GENERAL MEDICAL CENTER HAS ESTABLISHED CLINICAL AFFILIATIONS WITH OUTLYING HOSPITALS, EXTENDING OUR BEST PRACTICES IN CANCER TREATMENTS, CARDIOLOGY, AND NEUROSCIENCE SUPPORT TO OUTLYING PARISHES. WE ALSO ENABLED PATIENTS TO PARTICIPATE MORE IN THEIR HEALTH CARE BY OFFERING AN ONLINE PATIENT PORTAL.ON JULY 1, 2013, AFTER LAFAYETTE GENERAL HEALTH TOOK OVER MANAGEMENT OF UNIVERSITY HOSPITAL & CLINICS (FORMERLY UNIVERSITY MEDICAL CENTER) WHEN IT WAS RUN BY THE STATE OF LOUISIANA, THE RESIDENCY PROGRAM WAS EXPANDED TO LAFAYETTE GENERAL MEDICAL CENTER. THESE TWO HOSPITALS SHARE IN A SYNERGISTIC RELATION, WHERE RESIDENTS BASED OUT OF LSU'S NEW ORLEANS AND BATON ROUGE CAMPUSES ROTATE THROUGHOUT EACH OF THESE HOSPITALS. THESE RESIDENTS SPAN A WIDE RANGE OF SERVICE LINES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, OTOLARYNGOLOGY (EAR, NOSE AND THROAT), OPHTHALMOLOGY, GENERAL SURGERY, OBSTETRICS/GYNECOLOGY, ANESTHESIOLOGY AND ORTHOPEDICS. FELLOWSHIPS (SPECIFIC MEDICAL TRAINING AVAILABLE TO THOSE WHO HAVE COMPLETED A RESIDENCY PROGRAM) ARE AVAILABLE IN CARDIOLOGY, GERIATRICS, RETINA AND UROGYNECOLOGY.LAFAYETTE GENERAL HEALTH ALSO EXPANDED EDUCATION OPPORTUNITIES OFFERED TO OTHER HEALTHCARE PROFESSIONALS IN ACADIANA BY STARTING THE FIRST EVIDENCE-BASED CURRICULUM NURSE RESIDENCY PROGRAM (NRP) IN LOUISIANA. LAFAYETTE GENERAL HEALTH RECOGNIZED THE NURSING SHORTAGE AFFECTINGHOSPITALS ACROSS THE COUNTRY, ESPECIALLY IN ACADIANA. THE NURSE RESIDENCY PROGRAM (NRP) HELPS TRAIN GRADUATE NURSES ENTERING THEIR PROFESSIONAL FIELD. THE ONE-YEAR PROGRAM FOCUSES ON PATIENT OUTCOMES, LEADERSHIP AND QUALITY. LGMC'S FIRST NRP COHORT IN JANUARY 2016 CONSISTED OF 11 NURSES. THE THIRD AND FOURTH COHORTS STARTED IN FISCAL YEAR 2017 AND CONSISTED OF 34 AND 35 NURSE RESIDENTS RESPECTIVELY.LAFAYETTE GENERAL CONTINUES TO EXPAND ITS SERVICES AND FACILITIES IN ORDER TO MEET THE GROWING NEEDS OF OUR COMMUNITY. THREE OF THE MORE RECENT RENOVATIONS AND EXPANSION TO OUR FACILITIES ARE DETAILED BELOW.LAFAYETTE GENERAL MEDICAL CENTER COMPLETED A $52.5 MILLION EMERGENCY DEPARTMENT AND OPERATING ROOM EXPANSION AND RENOVATION PROJECT. THE EXPANSION INCREASED THE EMERGENCY DEPARTMENT BED CAPACITY FROM 31 BEDS TO 45 AND ADDED TWO NEW TRAUMA ROOMS. A NEW TRAUMA ELEVATOR ADDED DIRECT ACCESS FROM THE EMERGENCY HELIPAD LANDING AREA TO THE ER, ICU, AND SURGERY AREAS BELOW. THIS EXPANSION ALSO INCLUDED A 343 SPACE PARKING GARAGE.LAFAYETTE GENERAL SOUTHWEST (LGSW) IS THE NEWEST ADDITION IN NOVEMBER 2015 TO LAFAYETTE GENERAL HEALTH (LGH). LGSW SERVES AS AN EXTENSION OF LAFAYETTE GENERAL MEDICAL CENTER'S MAIN CAMPUS IN THE OIL CENTER. LGSW IS A FULL-SERVICE, ACUTE CARE HOSPITAL. THE ADDITION OF BEDS AND AN EMERGENCY DEPARTMENT ALLOWED LGH TO EXPAND SERVICES AND SERVE MORE PEOPLE IN AND AROUND THE LAFAYETTE COMMUNITY. THE ADDITION HELPED EASE LGMC'S INTAKE OF TRANSFERRED PATIENTS. WITH THE ACQUISITION OF THE NEW HOSPITAL, LGSW UNDERWENT UPDATES AND A SMALL RENOVATION. THE FOURTH FLOOR OF LGSW RECEIVED A TOTAL MAKEOVER TO TRANSFER THE INPATIENT REHABILITATION DEPARTMENT FROM LGMC. THE MOVE RESULTED IN MORE REHABILITATION BEDS FOR LAFAYETTE GENERAL PATIENTS THAN EVER BEFORE.IN MARCH 2016 LGMC ADDED 19 NEW BEDS AND AN EXTRA 11,000 SQUARE FEET TO LABOR & DELIVERY, MOTHER/BABY AND THE NEONATAL INTENSIVE CARE UNIT (NICU).LAFAYETTE GENERAL MEDICAL CENTER (LGMC) IS CURRENTLY CLASSIFIED AS A LEVEL II TRAUMA PROGRAM AND IS WORKING TO BECOME AN ACS VERIFIED ADULT LEVEL II TRAUMA CENTER. THIS DESIGNATION ELEVATES LGMC AS THE REGION'S REFERREDDESTINATION FOR TRAUMA PATIENTS, PROVIDING RESOURCES AND STAFFING TO HANDLE MAJOR EMERGENCIES.LAFAYETTE GENERAL MEDICAL CENTER ASSUMES THE ROLE OF A COMMUNITY PARTNER IN A VARIETY OF WAYS. THROUGH FINANCIAL CONTRIBUTIONS WE WORK TO PRESERVE THE PROSPERITY OF OUR COMMUNITY, FURTHER MEDICAL EDUCATION AND RESEARCH AND HELP OUR CONSTITUENTS ACCESS THE MEDICAL CARE THEY NEED. WE COORDINATE EVENTS AND SCREENINGS FREE OF CHARGE TO MAINTAIN THE HEALTH OF THE LOCAL PUBLIC, INCLUDING SUDDEN IMPACT, A PROGRAM TEACHING YOUNG DRIVERS THE HAZARDS OF IMPAIRED, DISTRACTED AND UNRESTRAINED DRIVING, AND DISTRIBUTED FREE COLORECTAL SCREENING KITS.WE ALSO EXTEND OUR WORKFORCE BEYOND THEIR DAILY RESPONSIBILITIES TO PARTICIPATE IN ACTIVITIES THAT PROVIDE FOR THE SAFETY AND BETTERMENT OF OUR COMMUNITY. 480866535 1 1 0 1 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 1 0 0 0 0 0 1 1 0 0 0 1 278 0 1 3336 1 1 1 0 0 0 0 0 0 0 0 0 X 18 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 LA CA IL NC X AL PATIN 3372898125 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 X BRAD BROUSSARD MD BOARD MEMBER 1.00 1.00 X 0 37009 0 BRADLEY J CHASTANT MD CHIEF OF STAFF 1.00 41.00 X 0 420720 23483 CLAY ALLEN EMERITUS TRUSTEE NON-VOTING 1.00 1.00 X 0 236 0 DAVID L CALLECOD FORMER OFFICER 0.00 41.00 X X 0 2296388 95547 DAVID WILSON TRUSTEE (CURRENT) & CHAIRMAN (DEPARTURE FEB 2021) 1.00 6.00 X X 0 25699 0 FRANK WALKER TREASURER 1.00 1.00 X 0 236 0 JARED S QUOYESER BOARD MEMBER CHAIRMAN (EFFECTIVE FEB 2021) 1.00 2.00 X 0 236 0 JENNIFER JACKSON EDD TRUSTEE 1.00 1.00 X 0 236 0 JOHN P SCHUTTE MD BOARD MEMBER 1.00 42.00 X 0 3500559 67657 JOSEPH ZANCO BOARD MEMBER 1.00 1.00 X 0 342 0 MANDI MITCHELL BOARD MEMBER 1.00 6.00 X 0 25693 0 MARTIN BECH TRUSTEE (CURRENT) & SECRETARY (DEPARTURE FEB 2021) 1.00 1.00 X X 0 236 0 MARY ELLEN HENRY TRUSTEE (CURRENT) & SECRETARY (EFFECTIVE FEB 2021) 1.00 1.00 X 0 236 0 MICHAEL HULEFELD TRUSTEE 1.00 49.00 X 0 2201605 0 MOLLY B THOMAS MD BOARD MEMBER 1.00 41.00 X 0 671747 70353 PEGGY GIGLIO BOARD MEMBER 1.00 2.00 X 0 342 0 RICKY MINIEX BOARD MEMBER 1.00 1.00 X 0 342 0 ROBERT HART MD TRUSTEE 1.00 49.00 X 0 2401191 0 WARNER THOMAS TRUSTEE 1.00 49.00 X 0 9155980 0 WAYNE CESTIA MD TRUSTEE 1.00 1.00 X 0 236 0 WILLIAM H FENSTERMAKER EMERITUS TRUSTEE NON-VOTING 1.00 2.00 X 0 342 0 AL J PATIN EVP - CEO LGMC 40.00 2.00 X 0 739284 70183 KIM L HEBERT CHIEF FINANCIAL OFFICER - LGMC 40.00 0.00 X 0 251117 22687 PATRICK W GANDY CHIEF EXECUTIVE OFFICER-LGHS 1.00 45.00 X 0 1450683 57461 DAMON E PATTERSON PHYSICIAN 40.00 0.00 X 0 795923 66580 JAMIE P JOSEPH PHYSICIAN 40.00 0.00 X 0 714307 23689 JASON A BREAUX MD PHYSICIAN 40.00 1.00 X 0 1010997 62748 KEVIN R HARGRAVE PHYSICIAN 40.00 0.00 X 0 698420 73727 MEGAN E DAIGLE PHYSICIAN 40.00 0.00 X 0 775246 52421 DENNIS ESCHETE FORMER BOARD MEMBER 0.00 0.00 X 0 108000 0 PHILIP GACHASSIN FORMER BOARD MEMBER 0.00 0.00 X 0 40000 0 0 27323588 686536 185 1 1 0 GIFTED NURSES LLC PO BOX 202056 DALLAS TX 75320 NURSING SERVICES 8863264 ACADIANA RADIATION THERAPY LLC 104 WOODMONT BLVD STE 500 NASHVILLE TN 73205 RADIATION THERAPY 7851704 CARDIOVASCULAR INSTITUTE OF THE SOUTH 225 DUNN STREET HOUMA LA 70360 CARDIOLOGY SERVICES 4769375 ADVANTAGE MEDICAL PROFESSIONAL PO BOX 1410 SCOTT LA 70526 THERAPY SERVICES 4578360 VERMILION EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 75267 EMERGENCY MEDICAL SERVICE 4181911 59 5705557 54077 5759634 PATIENT REVENUE 621990 573188603 497123502 2516990 73548111 573188603 1669227 1669227 8536 0 8536 8536 8536 7411666 1333333 6078333 6078333 1972802 4105531 EQUITY INCOME - JOINT VENTURES 520000 2267136 606463 1660673 MISCELLANEOUS 900099 239076 176332 62744 EDUCATION 611600 3049 3049 2509261 589213594 497311419 5158999 80983542 27727 27727 167409247 153051201 14358046 2299619 2090326 209293 16139169 14644373 1494796 10642832 9613497 1029335 82937108 82937108 47235618 44656993 2578625 232413 217218 15195 3619467 1343590 2275877 1285053 1285053 20974184 15301217 5672967 78846 66943 11903 84954 77949 7005 14388 14388 8584442 8336596 247846 23422 2500 20922 MED SUPPL, ORGANS, DRUG 139299895 139137299 162596 LICENSES AND TAXES 6214551 133773 6080778 EDUCATION 3297074 3297074 FOOD 2997639 2996374 1265 5162899 1649724 3513175 518560547 480866535 37694012 0 0 263525 0 93219490 63763713 4190567 1376555 18028167 18607365 699962 1461938 35458828 10437659 26426085 25021169 14918823 5734874 1333334 492434 521763885 623519493 680580313 740241066 40283385 39751213 64518363 42018372 126525 7272170 22842974 27737198 127771247 116778953 X 552809066 623462113 552809066 623462113 680580313 740241066 70653047 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 19513 48325 19513 48325 480847021 874070945 480866534 874119270 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 210264 207488 46181 48325 512258 250000 250000 250000 250000 1000000 1500000 210264 207488 46181 48325 512258 PART II-A, LINE 1A ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED. 41000 35222 5778 136400 25530 110870 34045711 10295720 23749991 1235717 81187 1154530 25021169 DUE FROM RELATED PARTIES 593775470 NET RIGHT OF USE OF OPERATING LEASE ASSETS 3815197 COST REPORT ASSETS 1389030 RIGHT OF USE ASSETS 17415671 RIGHT OF USE ASSETS EMBEDDED LEASES 6871141 OTHER LONG TERM ASSETS 252984 623519493 EMBEDDED LEASE ASSETS 5696793 MEDICARE/MEDICAID/TRICARE SETTLEMENT 6750804 LONG TERM FINANCE REAL ESTATE 3386211 LONG TERM LIABILITY EQUIPMENT 11903390 27737198 X PART X, LINE 2: THE MAJORITY OF OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) AND ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ANY FEDERAL INCOME TAXES ASSOCIATED WITH THE FOR-PROFIT ENTITIES ARE NOT MATERIAL TO OCHSNER'S CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2018 THROUGH 2021 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 X 1 X 1 X 1 1 1 0 0 104969 104969 0.00020 96451180 339691533 0 0.00000 96556149 339691533 104969 0.00020 413820 413820 0.00080 3307053 797892 2509161 0.00480 19824873 19824873 0.03820 22727 22727 0.00000 23568473 797892 22770581 0.04380 120124622 340489425 22875550 0.04400 1 26895986 2268815 197886452 216819568 -18933116 X 1 1 3 1 LAFAYETTE GENERAL MEDICAL CENTER INC 1214 COOLDGE BLVD LAFAYETTE LA 70503 207 X X X X A 2 LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL 2810 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70506 X X A 3 LAFAYETTE GENERAL SURGICAL HOSPITAL LLC 1000 W PINHOOK RD LAFAYETTE LA 70503 X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://OCHSNERLG.ORG/ABOUT-US/COMMUNITY X 1 21 1 HTTPS://OCHSNERLG.ORG/ABOUT-US/COMMUNITY 0 1 X 200.000000000000 200.000000000000 X 1 1 X X X 1 X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X X X 1 0 X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: LAFAYETTE GENERAL MEDICAL CENTER INC., - FACILITY 2: LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL, - FACILITY 3: LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: MORE THAN FIFTEEN INTERVIEWS WERE CONDUCTED FROM MARCH 16 THROUGH JUNE 15, 2021. INTERVIEWS REQUIRED APPROXIMATELY 45 MINUTES TO COMPLETE. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACHINTERVIEW. THE FOLLOWING COMMUNITY-FOCUSED QUESTIONS WERE USED AS THE BASIS FOR DISCUSSION:- WHAT ARE SOME STRENGTHS OF YOUR COMMUNITY?- WHAT HEALTH CONCERNS ARE AFFECTING YOUR COMMUNITY?- WHAT BARRIERS MAKE IT HARD FOR COMMUNITY MEMBERS TO REMAIN HEALTHY?- WHICH HEALTH RESOURCES DO YOU FEEL ARE MOST NEEDED WITHIN YOURCOMMUNITY?- ARE THERE ANY SUBPOPULATIONS THAT YOU FEEL ARE MEDICALLY UNDERSERVED?- WHAT COULD BE DONE TO IMPROVE THE HEALTH OF YOUR COMMUNITY?- ARE THERE ANY EMERGING HEALTH NEEDS THAT WE HAVE NOT TOUCHED UPON?- IS THERE ANYTHING ELSE YOU THINK IS IMPORTANT FOR ME TO KNOW ABOUTHEALTHCARE DELIVERY IN THE COMMUNITY? FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: OCHSNER ABROM KAPLAN MEMORIAL HOSPITAL, OCHSNER ACADIA GENERAL HOSPITAL, OCHSNER LAFAYETTE GENERAL MEDICAL CENTER, OCHSNER ST. MARTIN HOSPITAL, OCHSNER UNIVERSITY HOSPITAL & CLINICS, HEART HOSPITAL OF LAFAYETTE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, OUT LADY OF LOURDES WOMEN'S & CHILDREN HSOPITAL, AND PARK PLACE SURGICAL CENTER. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITSMOST RECENTLY CONDUCTED NEEDS ASSESSMENT BY:-ADOPTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THE HEALTH NEEDS OF THE HOSPITAL FACILITY'S COMMUNITY-EXECUTION OF THE IMPLEMENTATION STRATEGY-PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN-PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN-INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS-ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE NEEDS ASSESSMENT-PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY-PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS. PART V, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE HTTPS://WWW.OCHSNER.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART I, LINE 7: THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.PART I, LINE 7B, MEDICAID: LGMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS TO ASSIST IN OFFSETTING THE COSTS OF PROVIDING GRADUATE MEDICAL EDUCATION PROGRAMS AT BOTH LGMC AND UNIVERSITY HOSPITAL AND CLINICS. THE PAYMENTS ARE PROVIDED THROUGH A COLLABORATIVE ENDEAVOR AGREEMENT CREATING A PUBLIC PRIVATE PARTNERSHIP WITH LGMC, UHC, LOUISIANA STATE UNIVERSITY AND THESTATE OF LOUISIANA.PART 1, LINE 7, COLUMN FTHE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25 WHICH EXCLUDED BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7 THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.LINE 7G SUBSIDIZED HEALTH SERVICES. CLINICS THAT MET A DESIGNATED COMMUNITY NEED WERE INCLUDED. CLINIC BOOK REVENUE FOR THE CLINIC LOCATION, LESS THE MEDICARE REIMBURSEMENT, IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF CLINIC BOOK EXPENSES, ADJUSTED BY THE MEDICARE EXPENSE DESCRIBED ABOVE. 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 III, LINE 4: EFFECTIVE JAN. 1, 2018, OCHSNER 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 COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7. PART III, LINE 9B: WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE ,WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY. PART VI, LINE 2: A FORMAL NEEDS ASSESSMENT WAS UNDERTAKEN FOR THE YEAR ENDING 09/30/19. WE ENGAGED THE CARNAHAN GROUP TO COMPLETE OUR COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2019. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS. IN ADDITION, THE HOSPITAL DOES HAVE A BOARD OF TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY. SURPLUS RECEIPTS OVER DISBURSEMENTS ARE INVESTED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES AND EQUIPMENT, ADVANCE MEDICAL TRAINING AND EDUCATION. THE HOSPITAL ALSO MAINTAINS AN OPEN MEDICAL STAFF. PART VI, LINE 3: THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE. HOSPITAL PERSONNEL ALSO SCREEN LARGER ACCOUNTS AFTER THE ORIGINAL BILL IS ISSUED, AND CONTACT THE PATIENT TO DETERMINE QUALIFICATIONS FOR CHARITY CARE POLICY. PART VI, LINE 4: THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARISH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE. PART VI, LINE 5: THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS, AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS. THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TESTAT LOCAL EVENTS. 0 CAMP BON COEUR INC PO BOX 53765 LAFAYETTE LA 70505 581710741 501(C)3 10000 0 DONATION AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA GA 30303 131788491 501(C)3 12727 0 DONATION 2 0 X X X X X 0 1 0 0 0 0 0 0 0 WARNER THOMAS TRUSTEE 0 1888882 0 4902500 0 2364598 0 0 0 0 0 9155980 0 0 JOHN P SCHUTTE MD BOARD MEMBER 0 990887 0 0 0 2509672 0 26000 0 41657 0 3568216 0 0 ROBERT HART MD TRUSTEE 0 871472 0 750000 0 779719 0 0 0 0 0 2401191 0 0 DAVID L CALLECOD FORMER OFFICER 0 965095 0 131902 0 1199391 0 45500 0 50047 0 2391935 0 0 MICHAEL HULEFELD TRUSTEE 0 1020351 0 1150000 0 31254 0 0 0 0 0 2201605 0 0 PATRICK W GANDY CHIEF EXECUTIVE OFFICER-LGHS 0 663163 0 67001 0 720519 0 24564 0 32897 0 1508144 0 0 JASON A BREAUX MD PHYSICIAN 0 742313 0 0 0 268684 0 39000 0 23748 0 1073745 0 0 DAMON E PATTERSON PHYSICIAN 0 580351 0 0 0 215572 0 31883 0 34697 0 862503 0 0 MEGAN E DAIGLE PHYSICIAN 0 566695 0 0 0 208551 0 39000 0 13421 0 827667 0 0 AL J PATIN EVP - CEO LGMC 0 415166 0 36749 0 287369 0 39000 0 31183 0 809467 0 0 KEVIN R HARGRAVE PHYSICIAN 0 635256 0 0 0 63164 0 45500 0 28227 0 772147 0 0 MOLLY B THOMAS MD BOARD MEMBER 0 592129 0 0 0 79618 0 39000 0 31353 0 742100 0 0 JAMIE P JOSEPH PHYSICIAN 0 499990 0 0 0 214317 0 19500 0 4189 0 737996 0 0 BRADLEY J CHASTANT MD CHIEF OF STAFF 0 252852 0 0 0 167868 0 0 0 23483 0 444203 0 0 KIM L HEBERT CHIEF FINANCIAL OFFICER - LGMC 0 232878 0 8229 0 10010 0 18296 0 4391 0 273804 0 0 DENNIS ESCHETE FORMER BOARD MEMBER 0 0 0 0 0 108000 0 0 0 0 0 108000 0 0 PHILIP GACHASSIN FORMER BOARD MEMBER 0 0 0 0 0 40000 0 0 0 0 0 40000 0 0 PART I, LINE 3 AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY A RELATED ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THIS RELATED ORGANIZATION'S COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT THE PRESIDENT/CEO'S COMPENSATION THEREAFTER. PART I, LINE 4B SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01, 2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WERE $0. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS INCLUDED DAVID CALLECOD, FORMER CEO LGHS, PATRICK GANDY, CEO LGHS, & AL PATIN, CEO LGMC. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2021 W-2 WAGES, TOTALLED $2,310,710 THE FOLLOWING RECEIVED DISTRIBUTIONS, INCLUDED IN THEIR 2021 W-2 WAGES: DAVID CALLECOD, FORMER CEO LGHS, PATRICK GANDY, CEO LGHS, & AL PATIN, CEO LGMC. STREAMLINE ORTHOPEDIC SERVICES APMLLC JOHN SCHUTTE, MD IS A TRUSTEE OF LGMC AND IS A MEMBER OF SOS, APMLLC 679350 LAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A CONTRACT WITH STREAMLINE ORTHOPEDIC SERVICES, APMLLC TO PROVIDE MEDICAL DIRECTOR SERVICES AND OVERSIGHT OF THE ORTHOPEDIC 0 GBR LLC BRAD BROUSSARD, CHIEF OF STAFF, IS AN OWNER OF GBR LLC 3203445 LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE INTESIVISTS SERVICES, LUNG MASS CLINIC MANAGEMENT SERVICES, PULMONARY COVERAGE SERVICES AND TO PROVIDE FACULATY FOR GRADUATE MEDICAL EDUCATION PROGRAM 0 SURGICAL HOSPITAL MANAGEMENT SYSTEM PHILIP GACHASSIN, M.D. IS A FORMER TRUSTEE AND IS A MEMBER OF SHMS, LLC. 1977729 LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE ACUTE CARE SURGICALIST SERVICES. 0 ACADIANA WEIGHT LOSS SURGERY LLC PHILIP GACHASSIN, M.D. IS A FORMER TRUSTEE AND IS A MEMBER AWLS, LLC. 426583 LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE SERVICES. 0 ACADIANA ORTHOPEDIC PROPERTIES LLC JOHN SCHUTTE MD IS A TRUSTEE OF LGHS AND IS A MEMBER OF AOP, LLC 121907 LAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A LEASE AGREEMENT WITH INTERESTED PERSON TO PROVIDE OFFICE BUILDING SPACE.LAFAYETTE MEDICAL CENTER, INC HAS ENTERED INTO A LEASE AGREEMENT WITH INTERESTED PERSON TO PROVIDE OFFICE BUILDING SPACE. 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES, CLAY ALLEN AND DAVID WILSON ARE INVOLVED IN SEPARATE BUSINESS VENTURES TOGETHER THAT ARE WHOLLY UNRELATED TO THE ORGANIZATION. THE FOLLOWING TRUSTEES ALL HAVE OWNERSHIP IN LAFAYETTE GENERAL SURGICAL HOSPITAL: DR. SCHUTTE AND DR. GACHASSIN, BOTH FORMER BOARD MEMBERS. PHILIP GACHASSIN, M.D. AND DENNIS ESCHETE, M.D. (FORMER BOARD MEMBERS) ARE PARTNERS IN A GENERAL SURGERY OFFICE PRACTICE AND SHARE OFFICE SPACE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY. FORM 990, PART VI, SECTION B, LINE 11B ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEW THE RETURN. THE RETURN IS ALSO REVIEWED BY HORNE, LLP, THE COMPANY'S TAX ADVISORS. A COPY OF THE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS ELECTRONICALLY AND COMMENTS ARE SOLICITED FROM THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERENCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITTEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAY BE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENTS TO THE PRESIDENT/CEO'S COMPENSATION THEREAFTER. THIS SAME PROCESS IS FOLLOWED FOR ALL THE KEY EMPLOYEES OF THE ORGANIZATION, INCLUDING THE CHIEF FINANCIAL OFFICER. THE PROCESS FOR DETERMINING COMPENSATION OF LHVI'S REMAINING EMPLOYEES AND PHYSICIANS IS DONE BY A REVIEW CONDUCTED BY LAFAYETTE GENERAL MEDICAL CENTER'S HUMAN RESOURCES DEPARTMENT. LOCAL, REGIONAL AND STATE MARKET COMPENSATION SURVEYS ARE USED. PHYSICIAN COMPENSATION IS DETERMINED THROUGH THE USE OF NATIONAL AND REGIONAL SURVEYS AND INDEPENDENT FAIR MARKET VALUE REVIEWS, IF NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES. FORM 990, PART VII, SECTION A, LINE A PAYMENTS TO THE PHYSICIANS THAT SERVE AS TRUSTEES WERE REPORTED ON 1099 MISC BOX 6 FOR SUCH SERVICES AS PROVIDING CALL COVERAGE IN OUR EMERGENCY ROOM, OR SERVING AS MEDICAL DIRECTORS FOR VARIOUS HOSPITAL DEPARTMENTS. NO PAYMENTS WERE MADE IN THEIR CAPACITY AS TRUSTEE. 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