2025-02-03T12:05:29-06:00 2023-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2023-01-01 943480131 LOUISIANA CHILDREN'S MEDICAL CENTER LOUI 5048962847 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 JOANN KUNKEL CHIEF FINANCIAL OFFICER 5048962847 2025-02-03 1 0 JOHN S WILES CPA P01222673 5048355522 2025-02-03 2023 2025-03-06 01:10:19Z GREGORY C FEIRN 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 1626044230 0 X WWW.LCMCHEALTH.ORG X 2009 LA HEALTH, CARE, AND EDUCATION BEYOND EXTRAORDINARY. THE PRIMARY PURPOSE OF (CONT'D ON SCHEDULE O) LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES. 33 31 15696 259 170230 0 13723051 15090610 457573034 1516681474 419447 4112817 33683393 90159329 505398925 1626044230 16093920 3075000 0 0 177162674 575186400 0 0 0 337025084 1111156216 530281678 1689417616 -24882753 -63373386 3121083959 4001304052 1431970959 2253383529 1689113000 1747920523 X SEE SCHEDULE O 0 0 22255381 3075000 180411720 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) IS A LOUISIANA NON-STOCK NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009, WITH ITS FOUNDING MEMBER BEING CHILDREN'S HOSPITAL (CHILDREN'S). THROUGH A HEALTH CARE SYSTEM AGREEMENT (SYSTEM AGREEMENT) BETWEEN LCMC, CHILDREN'S, TOURO INFIRMARY AND ITS SUBSIDIARIES (TOURO), UNIVERSITY HEALTHCARE SYSTEM L.C. (EJGH AND TULANE) AND COOPERATIVE ENDEAVOR AGREEMENTS (CEAS) WITH UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC) AND WEST JEFFERSON HOLDINGS, LLC (WEST JEFFERSON), THESE PARTIES HAVE DETERMINED THAT TOGETHER THEY CAN PROVIDE A MULTI-HOSPITAL, NOT-FOR-PROFIT COMMUNITY-BASED, SYSTEM THAT WILL PROVIDE A CONTINUUM OF CARE TO THE FAMILIES OF THE GULF SOUTH REGION. LCMC, CHILDREN'S, TOURO, UMCMC, EJGH AND WEST (CONTINUED ON SCHEDULE O) JEFFERSON ARE HEREINAFTER COLLECTIVELY REFERRED TO AS THE SYSTEM. LCMC FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. ALL CORPORATE POWERS OF THE SYSTEM ARE VESTED IN THE BOARD OF TRUSTEES OF LCMC. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FORMED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY. UMCMC OPERATES UNIVERSITY MEDICAL CENTER IN NEW ORLEANS (UMC). UMCMC IS A PROVIDER OF CHARITY CARE FOR THE UNINSURED AND PLAYS A VITAL ROLE AS A STATEWIDE REFERRAL CENTER FOR PATIENTS IN NEED OF TERTIARY CARE. UMCMC ALSO PROVIDES MEDICAL AND ALLIED HEALTH TRAINING THROUGH ITS AFFILIATION WITH ACADEMIC INSTITUTIONS TO STRENGTHEN AND ENHANCE OPPORTUNITIES TO ACHIEVE THE STATE'S MEDICAL EDUCATION, CLINICAL CARE, AND RESEARCH GOALS.IN TAX YEAR 2023, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,326 MILLION. THIS AMOUNT REPRESENTED 42% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2023, $970 MILLION IN EXPENSE (31% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2023, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $519.5 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S. 983852949 1444450775 THE SYSTEM PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH, AND REHABILITATION SERVICES. THE SYSTEM HAS A TOTAL OF 895 LICENSED PATIENT BEDS. THE SYSTEM TREATED 36,259 INPATIENTS AND HAD 176,830 OUTPATIENT VISITS DURING 2023. THERE WERE 28,158 SURGERIES (INPATIENT, OUTPATIENT, AND AMBULATORY SURGERY CENTER), 157,128 EMERGENCY DEPARTMENT VISITS AND 4,133 BABIES DELIVERED. THE SYSTEM HAD 364,725 PRIMARY CARE AND SPECIALTY CLINIC VISTS IN 2023. 26982613 1181735 COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS PROVIDE FREE HEALTH EDUCATION PROGRAMS AND SCREENINGS TO THE COMMUNITY. THESE PROGRAMS ARE DESIGNED TO FOCUS ON SOME OF THE MOST PREVALENT DISEASES WITHIN THE COMMUNITY, SUCH AS DIABETES, HEART DISEASE AND CANCER. THESE PROGRAMS ADDRESS PREVENTION, EARLY DETECTION, TREATMENT AND MAINTAINING HEALTHY LIFESTYLES. 1033090943 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 1466 0 1 15696 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 33 31 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 5048962847 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 DR WESLEY BRYAN EX-OFFICIO 1.00 X 0 0 0 DR PATRICK GREIFFENSTEIN EX-OFFICIO 1.00 X 0 0 0 DR PAUL DU TREIL EX-OFFICIO 1.00 X 0 0 0 PINKI PRASAD MD EX-OFFICIO 1.00 X 0 0 0 LEON J TREY REYMOND III EX-OFFICIO, PAST CHAIR 1.00 X X 0 0 0 BOYSIE BOLLINGER EX-OFFICIO 1.00 X 0 0 0 DR ROBERT MATHENEY BOARD MEMBER 1.00 X 0 0 0 DR PAUL GLADDEN BOARD MEMBER 1.00 X 0 0 0 JILL ISRAEL EX-OFFICIO 1.00 X 0 0 0 CINDY HOWSON WEINMANN BOARD MEMBER 1.00 X 0 0 0 JULIE LIVAUDAIS GEORGE BOARD MEMBER 1.00 X 0 0 0 KIM BOYLE BOARD MEMBER 1.00 X 0 0 0 WILLIAM F VON ALMEN II MD BOARD MEMBER 1.00 40.00 X 0 286976 22733 SHARONDA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 MONICA R SYLVAIN PHD BOARD MEMBER 1.00 X 0 0 0 TERESA LAWRENCE BOARD MEMBER 1.00 X 0 0 0 ALDEN MCDONALD BOARD MEMBER 1.00 X 0 0 0 DR LEE HAMM BOARD MEMBER 1.00 X 0 0 0 DOTTIE REESE BOARD MEMBER 1.00 X 0 0 0 A WHITFIELD HUGULEY IV BOARD MEMBER 1.00 X 0 0 0 STEPHEN HALES MD BOARD SECRETARY/TREASURER 1.00 X X 0 0 0 FRANK DIVENCENTI MD BOARD MEMBER 1.00 X 0 0 0 ELWOOD F CAHILL JR BOARD MEMBER 1.00 X 0 0 0 CHIP CAHILL EX-OFFICIO 1.00 X 0 0 0 RALPH O BRENNAN BOARD MEMBER 1.00 X 0 0 0 MIKE FITTS BOARD MEMBER 1.00 X 0 0 0 PATRICK NORTON BOARD MEMBER 1.00 X 0 0 0 KATIE ANDRY CROSBY BOARD MEMBER 1.00 X 0 0 0 THEODORE TED LE CLERCQ BOARD VICE CHAIR 1.00 X X 0 0 0 RUTH KULLMAN BOARD CHAIRMAN 1.00 X X 0 0 0 JOHN HEATON MD PRESIDENT OF CLIN. AND SYS 55.00 X X 1083579 0 31962 GREGORY C FEIRN PRESIDENT AND CEO 46.00 9.00 X X 2239340 0 31055 BENJAMIN RICHAUD CEO - LAKEVIEW HOSPITAL 1.00 X 367518 0 12544 TOM PATRIAS CEO - TULANE UNIVERSITY MEDICAL CENTER 0.00 X 0 0 0 MAURICE LAGARDE CHIEF OPERATING OFFICER 1.00 X 841275 0 31063 JOHN NICKENS PRESIDENT OF HOSPITAL SERVICES & CHIEF EXECUTIVE O 1.00 X 1620216 0 24540 RICHARD TANZELLA CEO - EJGH 1.00 X 714979 0 17610 GREGORY NIELSEN CEO -EAST JEFFERSON GENERAL HOSPITAL 55.00 X 909345 0 30205 JOANN KUNKEL CHIEF FINANCIAL OFFICER 50.00 5.00 X 1121644 0 20607 SUZZANE HAGGARD CHIEF REVENUE OFFICER 55.00 X 680336 0 20514 ROBERT CALHOUN CEO - WEST JEFFERSON HOLDI 55.00 X 604492 0 29507 ROBIN MCGOEY CHIEF ACADEMIC OFFICER 55.00 X 452596 0 33734 AYAME DINKLER CHIEF ADMINISTRATIVE OFFICER 50.00 5.00 X 302989 0 18943 TANYA KENNEDY CHIEF INFORMATION OFFICER 55.00 X 407273 0 21473 CHAD COURREGE SVP - HUMAN RESOURCES 55.00 X 519970 0 36058 CHRISTINE ALBERT SVP - MARKETING & COMMUNICATIONS 55.00 X 611599 0 22329 SCOTT C LANDRY SR. VP FAC MGT/SUP SVCS-LCMC 55.00 X 347733 0 24599 JODY MARTIN SVP CHIEF LEGAL OFFICER 55.00 X 678922 0 23259 ALA MOHSEN PHYSICIAN 40.00 X 894336 0 29457 ABHINAV SAXENA PHYSICIAN 40.00 X 916703 0 19865 JAMES PERRIEN PHYSICIAN 40.00 X 968012 0 29569 RUSSELL RUSSO PHYSICIAN 40.00 X 958311 0 18817 ORLANDO DEFFER PHYSICIAN 1.00 X 1025940 0 33259 18267108 286976 583702 1081 0 1 0 THE LEMOINE COMPANY 300 LAFAYETTE ST 100 NEW ORLEANS LA 70130 CONSTRUCTION 82033909 VAYA WORKFORCE SOLUTIONS LLC PO BOX 713427 CHICAGO IL 60677 CONTRACT LABOR 28664490 THE ADMINISTRATORS OF THE TULANE EDUCATI 800 E COMMERCE RD SUITE 203 HARAHAN LA 70123 PROFESSIONAL FEES 28239826 DELOITTE CONSULTING LLC 701 POYDRAS ST 4200 NEW ORLEANS LA 70139 CONSULTING 22963260 ARAMARK SERVICES PO BOX 978839 DALLAS TX 75397 CONTRACTED SERVICES-DIETARY & EVS 14871551 376 5627064 8941295 522251 15090610 PATIENT SERVICES 621110 1348148911 1348148911 LCMC MANAGEMENT FEE 561000 162112739 162112739 POPULATION HEALTH 621110 6419824 6419824 1516681474 4051373 170230 3881143 16874277 0 16874277 16874277 16874277 61444 0 61444 61444 61444 PHARMACY AND 340B REVENUE 900099 58417634 58417634 LCMC OTHER REVENUE 900099 9071804 9071804 CAFETERIA INCOME 722514 4661552 4661552 1134062 1134062 73285052 1626044230 1602179251 170230 8604139 X 3075000 3075000 12109852 12109852 469149867 357565972 111583895 13745903 5677541 8068362 46299752 16856033 29443719 33881026 23776986 10104040 6055976 78791 5977185 2100525 493059 1607466 38938 38938 417929688 245652908 172276780 2216998 27876 2189122 58207890 22543263 35664627 41256307 1842789 39413518 47579672 7947654 39632018 1701195 993735 707460 326022 222988 103034 35311769 127539 35184230 87496636 30529932 56966704 13556592 2119096 11437496 MEDICAL & DIETARY FOOD 291622862 265865758 25757104 PERMITS,LICENSES, & TAX 27632338 1410721 26221617 REPAIRS & MAINTENANCE 27039413 16014554 11024859 COMMUNITY SUPPORT EXPEN 18682044 18682044 32401351 11586704 20814647 1689417616 1033090943 656326673 0 10895438 144826470 80077640 339838841 2630098 6295817 438373836 544968127 9437554 42299936 195913361 190516561 977691392 268401796 462542352 709289596 1889115404 1869134913 79355745 32098276 74778046 3121083959 4001304052 82595466 218251744 17997193 98683071 520804866 723127663 300000000 350704900 510573434 862616151 1431970959 2253383529 X 1689025997 1747812522 87003 108001 1689113000 1747920523 3121083959 4001304052 X -63373386 -797567 122978476 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 930693 930693 1688486923 1689417616 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 630841 450491 639085 930693 2651110 250000 250000 250000 250000 1000000 1500000 174547 174547 40878099 40878099 263583976 46817415 216766561 33338125 2971962 30366163 253818514 188320654 65497860 386072678 30291765 355780913 709289596 OTHER INVESTMENTS 18294696 C INVESTMENTS IN JOINT VENTURES 471557 C INVESTMENTS IN SUBSIDIARIES 1848830650 C INVESTMENT IN PREMIER CLASS A 1538010 F 1869134913 EMPLOYEE BENEFITS 18149886 LT LIABILITY 24299999 CURRENT LIABILITIES 12040936 SELF-INSURANCE RESERVES 22723813 DUE TO/FROM RELATED ENTITIES 742570410 LT LIABILITY - LEASES 42831107 862616151 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 250.000000000000 1 X 1 1 0 0 20376280 20376280 0.01210 327407305 340101520 0 0.00000 347783585 340101520 20376280 0.01210 17444836 17444836 0.01030 35995035 27154374 8840661 0.00520 1121957 1121957 0.00070 255120 255120 0.00020 17368263 17368263 0.01030 72185211 27154374 45030837 0.02670 419968796 367255894 65407117 0.03880 150000 150000 0.00010 115250 115250 0.00010 265250 265250 0.00020 1 86114919 130953625 207066389 -76112764 X 1 1 1 WEST JEFFERSON INDUSTRIAL MEDICINE LLC PHYSICIAN PRACTICE 0.50000 0.50000 2 WEST JEFFERSON MRI LLC OUTPATIENT IMAGING FACILITY 0.50000 0.50000 3 EAST JEFFERSON SURGERY CENTER LLC OUTPATIENT SURGERY CENTER 0.51000 0.49000 4 GULF SOUTH QUALITY NETWORK LLC HOLDS PHYSICIAN PRACTICES 0.50000 0.50000 2 1 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 WWW.WJMC.ORG 1982090742 X X X 2 UNIVERSITY HEALTHCARE SYSTEM 4200 HOUMA BLVD METAIRIE LA 70006 WWW.EJGH.ORG 2203785741 X X X X WEST JEFFERSON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY 0 1 X 250.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/ X X X X X X 1 X 0 X X X 1 X 0 0 UNIVERSITY HEALTHCARE SYSTEM 2 0 1 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/FINAL_CHNA_GNOHOSPITALS_12-2 X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/EJGH-CHIP_WORKPLAN_2022-OVER 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR X X X X X X 1 X 0 X X X 1 X 0 0 WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 5: DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM O 14 PUBLIC HEALTH EXPERTSO 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, ANDO 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT. UNIVERSITY HEALTHCARE SYSTEM PART V, SECTION B, LINE 5: IN 2023, LCMC PURCHASED UNIVERSITY HEALTHCARE SYSTEM, L.C. (UHS) TO FACILITATE THE PURCHASE OF UNIVERSITY HEALTHCARE SYSTEM WHICH INCLUDES TULANE MEDICAL CENTER, LAKESIDE HOSPITAL, AND LAKEVIEW HOSPITAL. SIMULTANEOUSLY ON JANUARY 1, 2023, LCMC HEALTH HOLDINGS, LLC D/B/A EAST JEFFERSON GENERAL HOSPITAL MERGED INTO UNIVERSITY HEALTHCARE SYSTEM, L.C. UHS IS CURRENTLY UNDERWAY WITH ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT BUT HAS FOLLOWED THE GOALS AND PLANS LAID OUT IN THE PRE-EXISTING COMMUNITY HEALTH IMPLEMENTATION PLAN OF LCMC HEALTH HOLDINGS. THE ORGANIZATION IS ANSWERING SCHEDULE H AS IT APPLIES TO THE PRE-EXISTING CHNA PLAN OF LCMC HEALTH HOLDINGS FOR 2023.DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM O 14 PUBLIC HEALTH EXPERTSO 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, ANDO 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT. WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:O CHILDRENS HOSPITAL NEW ORLEANSO EAST JEFFERSON GENERAL HOSPITALO NEW ORLEANS EAST HOSPITALO OCHSNER MEDICAL CENTER - NEW ORLEANSO OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTERO OCHSNER MEDICAL CENTER - WEST BANK CAMPUSO OCHSNER MEDICAL CENTER - KENNERO OCHSNER REHABILITATION HOSPITALO RIVER PLACE BEHAVIORAL HEALTH HOSPITALO TOURO INFIRMARYO UNIVERSITY MEDICAL CENTER NEW ORLEANSO WEST JEFFERSON MEDICAL CENTER UNIVERSITY HEALTHCARE SYSTEM PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE PRE-EXISTING CHNA FOR EAST JEFFERSON GENERAL HOSPITAL WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:CHILDRENS HOSPITAL NEW ORLEANSEAST JEFFERSON GENERAL HOSPITALNEW ORLEANS EAST HOSPITALOCHSNER MEDICAL CENTER - NEW ORLEANSOCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTEROCHSNER MEDICAL CENTER - WEST BANK CAMPUSOCHSNER MEDICAL CENTER - KENNEROCHSNER REHABILITATION HOSPITALRIVER PLACE BEHAVIORAL HEALTH HOSPITALTOURO INFIRMARYUNIVERSITY MEDICAL CENTER NEW ORLEANSWEST JEFFERSON MEDICAL CENTER WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY WEST JEFFERSON MEDICAL CENTER (WJMC) ARE HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, ACCESS TO AND CONTINUITY OF CARE, AND EDUCATION AND HEALTH LITERACY.TO ADDRESS THE NEED OF HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, WJMC WILL DEVELOP EXPANDED AND REGULAR EDUCATION TO LEADERS AND STAFF ON IDENTIFYING AND BREAKING DOWN BARRIERS RELATED TO DISCRIMINATION AND IMPROVING HEALTH EQUITY AND RECRUIT A DIVERSE EMPLOYEE POOL THROUGH TRAININGS, RECRUITMENTS AND COMMUNITY PARTNERSHIPS. THIS WILL BE DONE THROUGH IMPLEMENTING AND ATTENDING A SEMINAR NAMED, "AT THE HELM", FOR IDENTIFIED HEALTH SYSTEM LEADERSHIP (AVPS AND ABOVE INITIALLY WITH FUTURE EXPANSION TO ADDITIONAL LEADERSHIP). THE PROGRAM IS DESIGNED TO EDUCATE AND EMPOWER SENIOR LEADERSHIP WITH KNOWLEDGE AND TOOLS TO LEAD DIVERSE TEAMS, CREATE EQUITABLE AND INCLUSIVE WORK ENVIRONMENTS WHILE ACHIEVING 100% SENIOR LEADER ATTENDANCE, AND ESTABLISH/APPOINT WJMC LEADERS TO SERVE ON SYSTEM-SANCTIONED DIVERSITY ACTION TEAMS. HEALTH EQUITY LEADERSHIP MATTERS (HELM) 2022 REPORTTHIS LEARNING INTENSIVE PROGRAM IS THE RESULT LCMC HEALTH SENIOR LEADERS INTERVIEWS AND REQUESTS FOR DEI TRAINING OBTAINED DURING OUR ORGANIZATIONAL ASSESSMENT PERIOD'AT THE H.E.L.M.' (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED AS A QUARTERLY LEARNING INTENSIVE FOR ALL LCMC SYSTEM SENIOR LEADERSHIP INCLUSIVE OF AVPS AND ABOVE AND OPEN TO BOARD MEMBERS.DEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THREE OPTIONS ARE OFFERED TO ACCOMMODATE LEARNER'S SCHEDULES WITH A TOTAL OF 16 HRS ( 4HRS EACH QUARTER) THROUGHOUT THE YEAR.SESSIONS FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. SESSIONS 2-4 INCLUDE CULTURAL IMMERSION PRESENTATIONS FROM COMMUNITY LEADERS REPRESENTING OUR TOP-3 UNDERSERVED COMMUNITIES (AFRICAN AMERICAN, LATINO-HISPANIC & VIETNAMESE)THIS EVIDENCE-BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES.HEALTH EQUITY LEADERSHIP MATTERS (HELM) 2023 REPORTTHIS LEARNING INTENSIVE REPORT WAS DISSEMINATED TO 450 OF LCMC HEALTH MIDDLE MANAGEMENT (SENIOR DIRECTORS, DIRECTORS AND MANAGERS) AFTER TRAINING THEIR SENIOR LEADERS LAST YEAR.'AT THE H.E.L.M.' (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED AS A QUARTERLY LEARNING INTENSIVE FOR ALL THE TRAINING WAS ADJUSTED AND ALTERED FOR THIS COHORT OF LEADERSDEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THREE OPTIONS ARE OFFERED TO ACCOMMODATE LEARNER'S SCHEDULES WITH A TOTAL OF 9 HRS. (3HRS TO OCCUR IN 3 QUARTERS) THROUGHOUT THE YEAR.SESSIONS FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. THIS EVIDENCE-BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES.ALSO, WJMC WILL WORK TO RECRUIT A MORE DIVERSE EMPLOYEE POOL BY COMPLETING DUE DILIGENCE WITH JEFFERSON PARISH SCHOOL LEADERSHIP TO FINALIZE A PROGRAM STRUCTURE AND GENERAL FINANCIAL MODEL FOR IMPLEMENTATION OF A SCHOLARSHIP PROGRAM, AND HOSTING INTRODUCTORY MEETINGS WITH IDENTIFIED STUDENTS AND FAMILY MEMBERS. IN 2023, THE SR. DIRECTOR OF OPERATIONS AND THE DIRECTOR OF MARKETING AND COMMUNICATIONS SERVE ON SYSTEM SANCTIONED DIVERSITY ACTION TEAMS. TO ADDRESS THE NEEDS OF ACCESS TO AND CONTINUITY OF CARE, WJMC WILL PROVIDE CULTURALLY-APPROPRIATE CARE TO THE LATINO/HISPANIC POPULATIONS RESIDING IN THE WJMC PRIMARY SERVICE AREA VIA DEVELOPMENT OF THE CENTRO HISPANO DE LA SALUD, CONNECT UNDERSERVED PATIENTS WITHIN THE WJMC PSA TO APPROPRIATE HEALTH SERVICES WITHIN THE REGION BASED ON THE RESULTS OF THE HOSPITAL'S MOST RECENT COMMUNITY NEEDS ANALYSIS, AND OFFER INFORMATION AND ASSISTANCE RELATED TO THE AFFORDABILITY OF HEALTH SERVICES. WJMC OPENED THE CENTRO HISPANO DE LA SALUD CLINIC IN 4TH QUARTER FY 2022, LAUNCHED AND EXECUTED A TARGETED MARKETING CAMPAIGN WITH ASSISTANCE FROM JUAN GERSHANIK, MD, AND COMPILED SPANISH MARKETING COLLATERAL AND PATIENT EDUCATION MATERIALS. ALSO, WJMC WILL PROVIDE FINANCIAL ASSISTANCE, AS NEEDED, TO ELIGIBLE PATIENTS, UP TO AND INCLUDING ASSISTANCE WITH MEDICAID ENROLLMENT.DURING 2022 AND 2023, THE WJMC ALSO HIT SEVERAL OTHER ITEMS OF NOTE TOWARDS IS GOAL OF ADDRESSING THE NEEDS OF ACCESS TO AND CONTINUITY OF CARE:ESTABLISHMENT OF THE CENTRO HISPANO DE LA SALUD: CREATION OF THIS CLINIC WAS INITIALLY CONTEMPLATED AS PART OF THE 2021 WEST JEFFERSON MEDICAL CENTER PHYSICIAN BUSINESS PLANNING SESSION (MEETING BOOKLET ATTACHED'WJMC 2022 BUSINESS PLANNING SESSION; MEETING HELD JUNE 17, 2021) BY JUAN GERSHANIK, MD. AT THE CONCLUSION OF THIS SESSIONAND WITH FEEDBACK FROM THE WJMC MEDICAL STAFFOPERATIONAL DUE DILIGENCE BEGAN. WORK TO THIS POINT HAS BEEN FOCUSED ON THE FOLLOWING:O RECRUITMENT OF A PHYSICIAN LEADDR. MAGALY SOTRES BEGAN IN AUGUST 2022; CLINIC SERVICES WILL FORMALLY BEGIN IN THE 4TH QUARTER THEREAFTER.O BUILD-OUT OF DEDICATED CLINIC SPACE: RENOVATIONS WERE COMPLETED IN AUGUST 2022; CLINIC TO OPEN IN THE 4TH QUARTER (SOUTH POB, SUITE 650).O 3,408 CLINIC VISITS IN 2023A COROLLARY STUDY TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT IS THE 'COMMUNITY NEEDS ASSESSMENT'. THIS STUDYCOMPILED BY THE CARNAHAN GROUPINFORMS NOT JUST THE HOSPITAL'S EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS; IT LIKEWISE INFLUENCES THE HOSPITAL'S ANNUAL PHYSICIAN RECRUITMENT STRATEGY. FOR THE FISCAL YEAR THAT BEGAN JANUARY 1, 2022, WJMC HAS EFFORTED TO CONSISTENTLY RECRUIT AS MANY AS 3 PRIMARY CARE PHYSICIANS PER YEAR. IN ADDITION TO PRIMARY CARE, WJMC HAS LIKEWISE ACCOMPLISHED THE FOLLOWING IN FURTHERANCE OF ITS ALREADY ESPOUSED NEUROSCIENCE STRATEGY:O RECRUITMENT OF COLE LEWIS, MD WHO BEGAN PRACTICING IN AUGUST 2023; RECRUITMENT OF ADAM PODET WHO BEGAN PRACTICING IN SEPTEMBER 2023O COMMENCEMENT OF NEUROCRITICAL CARE FELLOWSHIP IN COLLABORATION WITH LSU; PROGRAM BEGAN JULY 1, 2022.O NEUROLOGY: WJMC IS ACTIVELY WORKING WITH LSU DEPARTMENT OF NEUROLOGY TO ESTABLISH A FULL-TIME ONSITE EPILEPSY PRACTICE BEGINNING IN EARLY 2023; TO THAT END, THE FOLLOWING HAS BEEN EXECUTED:AGREEMENT TO ESTABLISH CLINIC IN JANUARY/FEBRUARY 2023 IN COLLABORATION WITH PIOTR OLEJINCZAK, MD; ON A PARALLEL PATH, WJMC TO WORK WITH LSU DEPARTMENT OF NEUROLOGY TO IDENTIFY QUALIFIED CANDIDATES FOR THE FULL-TIME FACULTY POSITION. RECRUITMENT IS ACTIVELY UNDERWAY.WEST JEFFERSON MEDICAL CENTER REMAINS COMMITTED THROUGH OUR PARTNERSHIP WITH CONIFER HEALTH SOLUTIONS TO PROVIDE CARE TO THE COMMUNITY REGARDLESS OF SOMEONE'S ABILITY TO PAY. WE HAVE INCREASED THE NUMBER OF PATIENTS WHO WERE SCREENED WHILE HAVING THE SAME % ACCEPTED ULTIMATELY RESULTING IN MORE CONVERSIONS TO MEDICAID COVERAGE.A COROLLARY STUDY TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT IS THE 'COMMUNITY NEEDS ASSESSMENT'. THIS STUDY COMPILED BY THE CARNAHAN GROUPINFORMS NOT JUST THE HOSPITAL'S EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS; IT LIKEWISE INFLUENCES THE HOSPITAL'S ANNUAL PHYSICIAN RECRUITMENT STRATEGY. FOR THE FISCAL YEAR THAT BEGAN JANUARY 1, 2022, WJMC HAS EFFORTED TO CONSISTENTLY RECRUIT AS MANY AS 3 PRIMARY CARE PHYSICIANS PER YEAR. TO ADDRESS THE NEEDS OF EDUCATION AND HEALTH LITERACY, WJMC PROVIDED TARGETED POPULATIONS MORE EFFECTIVE COMMUNICATION PLATFORMS TO IMPROVE PATIENT ENGAGEMENT AND FACILITATE MORE PATIENT-CENTERED CARE. WJMC IMPLEMENTED A NEW LANGUAGE SERVICE PROGRAM TO ENSURE OPTIMAL QUALITY OF COMMUNICATION AND PATIENT SAFETY FOR WJMC'S LEP (LIMITED ENGLISH PROFICIENCY) AND HEARING-IMPAIRED PATIENT POPULATION(S), ENSURE IMPROVED ACCESS TO TRANSLATION SERVICES DURING PATIENT ENCOUNTERS, AND EDUCATED WJMC EMPLOYEES ON CULTURAL COMPETENCY AND SPIRITUAL SUPPORT FOR PATIENTS AND FAMILIES.WJMC WAS ABLE TO HIT THE FOLLOWING ADDITIONAL MILESTONES TOWARDS ADDRESSING THE NEEDS OF EDUCATION AND HEALTH LITERACY: THE MEDICAID ENTITLEMENT SPECIALISTS/MEDICAID APPLICATION CENTER, WAS RELOCATED IN Q4 OF 2022 TO ACCOMPLISH 2 OBJECTIVES: A) IMPROVE PATIENT WAYFINDING AND B) PREVENT PATIENTS FROM HAVING TO VISIT THE HOSPITAL CAMPUS UNNECESSARILY. NEW LANGUAGE LINE SERVICES: IN JANUARY 2022, LCMC HEALTH (TO INCLUDE WJMC) TRANSITIONED TO AMN HEALTHCARE (AS CONTRASTED TO CYRACOM). FEEDBACK FROM STAFF AND PATIENTS RE: THE NEW SERVICE PLATFORM HAS BEEN OVERWHELMINGLY POSITIVE. WJ NOTED POSITIVE CORRELATION BETWEEN UTILIZATION OF ENHANCED LANGUAGE LINE SOFTWARE AND COMMUNICATION. UNIVERSITY HEALTHCARE SYSTEM PART V, SECTION B, LINE 11: EAST JEFFERSON GENERAL HOSPITAL DEVELOPED THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BASED ON THE RESOURCES AVAILABLE TO ADDRESS THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED IN DECEMBER 2021. AN INTERDISCIPLINARY TEAM OF KEY STAKEHOLDERS COLLABORATED TO IDENTIFY INITIATIVES TO ENHANCE THE HEALTH OUTCOMES OF THE COMMUNITY. THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY EAST JEFFERSON GENERAL HOSPITAL (EJGH) ARE ACCESS TO AND CONTINUITY OF CARE AND INFRASTRUCTURE, EDUCATION AND HEALTH LITERACY, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, AND INFRASTRUCTURE. ACCESS TO CARE HAS BEEN A NEED FOR SOUTHEASTERN LOUISIANA. FIRST, THE ONCOLOGY TEAM HAS PARTNERED WITH ACS HOPE LODGE TO PROVIDE FREE TRANSPORTATION TO PATIENTS LIVING OUTSIDE OF THE METAIRIE AREA THAT ARE RECEIVING CANCER CARE AT EAST JEFFERSON. THE INITIATIVE'S FOCUS IS TO ENSURE PATIENTS IN THE REGION HAVE EASY ACCESS TO CANCER CARE BY USING SOCIAL WORKERS TO EDUCATE ON THE HOPE LODGE RESOURCE DURING NEW PATIENT ORIENTATION. EJGH FOCUSED ON ELIGIBLE PATIENTS TRAVELING AN EXCESS OF FORTY MILES FOR CANCER TREATMENT THAT REQUEST ADDITIONAL HOUSING SUPPORT. THOSE INDIVIDUALS ARE ENROLLED IN THE HOPE LODGE PROGRAM WHICH PROVIDED 190 PATIENTS, 136 ROOM NIGHTS IN 2022 AND 406 PATIENTS, 347 NIGHTS IN 2023. TO INCREASE ACCESS TO CARE, EJGH SET A GOAL THROUGHOUT 2022 TO 2024 THAT A MINIMUM OF 50% OF NEW OUTPATIENT ONCOLOGY INFUSION PATIENTS AT EJGH WILL MEET WITH THE FINANCIAL NAVIGATOR PRIOR TO TREATMENT START. DURING 2022, EJGH PROVIDED 80 PATIENTS WITH $650,000 OF FINANCIAL AID ASSISTANCE AND 91 PATIENTS WITH $793,000 OF FINANCIAL ASSISTANCE IN 2023. EJGH PROVIDED HEART AND VASCULAR SUPPORT GROUPS TO 44 INDIVIDUALS IN 2022 AND 82 INDIVIDUALS IN 2023. EJGH'S STROKE SUPPORT GROUP HAD 31 ATTENDEES IN 2022 AND 65 ATTENDEES IN 2023. EJGH SET A GOAL TO INCREASE PATIENT POST-DISCHARGE TELEPHONIC CALLS WITHIN 48 HOURS OF DISCHARGE AND REACHED 70% OF PATIENTS WITHIN 48 HOURS IN 2022 AND 72% OF PATIENTS IN 2023. EJGH SET OUT TO INCREASE HEART FAILURE APPOINTMENT SCHEDULES AFTER DISCHARGES AND ARRANGED APPOINTMENTS FOR 83% OF THOSE DISCHARGED IN 2022 AND 87% OF THOSE DISCHARGED IN 2023. FINALLY, EJGH SET A GOAL TO IMPROVE ACCESS TO MEDICAL SERVICES TO UNINSURED AND UNDERINSURED PATIENTS. EJGH WAS ABLE TO INCREASE ITS MEDICAID INPATIENT/OUTPATIENTS POPULATION TO 11.5% INPATIENT AND 12.8% OUTPATIENT IN 2022 AND 12.1% INPATIENT IN 2023 AND 14.3% OUTPATIENT IN 2023. IN ADDITION TO ADDRESSING ACCESS TO CARE, EAST JEFFERSON COMMITS RESOURCES TO EDUCATING THE COMMUNITY IN ORDER TO IMPROVE HEALTHCARE OUTCOMES BY INCREASING ITS POPULATION'S HEALTH LITERACY AND EDUCATION. EJGH PLANNED TO HOST QUARTERLY CANCER SUPPORT GROUPS FOR ITS OUTPATIENT ONCOLOGY POPULATION. IN 2022, THIS PROGRAM WAS SUSPENDED DUE TO COVID BUT WAS REINSTATED IN OCTOBER OF 2023. EJGH HELD A MEETING IN OCTOBER WITH 4 ATTENDEES AND MEETING IN NOVEMBER FOR 6 ATTENDEES. EJGH ALSO COMMITTED TO HOSTING AN ANNUAL CANCER SCREENING EVENT. IN 2022, 50 ATTENDEES ATTENDED THE SCREENING AND THE 2023 HOSTED 88 ATTENDEES AT ITS THINK PINK MAMMOGRAM SCREENING EVENT. TO INCREASE AWARENESS OF EJGH'S CANCER PREVENTION GROUP PAGE, EJGH POSTED 20 SEPARATE TOPICS IN 2022 WHICH RECEIVED 919 PAGE VIEWS. EJGH PROVIDED HEART AND VASCULAR HEALTH SCREENING AND/OR EDUCATION EVENTS WITH COMMUNITY MEMBERS VIA ANNUAL EVENTS. BOTH THE 2022 AND 2023 EVENTS, EXCEEDED 2000 SENIOR ATTENDEES. FOR EJGH'S MATERNAL CHILD COMMUNITY, THE HOSPITAL OFFERED SUPPORT GROUPS EVERY MONTH. THE 2022 MONTHLY MEETINGS WERE ATTENDED BY 33 MOTHER BABY COUPLETS AND THE 2023 MEETINGS WERE ATTENDED BY 43 MOTHER BABY COUPLETS. EJGH ALSO OFFERED ITS MATERNAL CHILD COMMUNITY POPULATION, PRENATAL COMMUNITY CLASSES EVERY OTHER MONTH WHICH WERE ATTENDED BY 127 INDIVIDUALS IN 2022 AND 153 INDIVIDUALS IN 2023. EJGH OFFERED A BETTER BREATHERS CLUB WITH THE GOAL OF ASSISTING ITS POPULATION CEASE SMOKING. THESE ANNUAL MEETINGS WERE ATTENDED BY 21 INDIVIDUALS IN 2022 AND 2023 INDIVIDUALS IN 2023. LASTLY, EAST JEFFERSON HAS PARTNERED WITH LCMC CORPORATE TEAM TO ADDRESS HEALTHCARE EQUITY WITH ADDITIONAL EDUCATION TO EMPLOYEES OF THE ORGANIZATION. AT THE H.E.L.M. (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED BASED ON SENIOR LEADER INTERVIEWS & REQUESTS FOR DEI TRAINING OBTAINED DURING THE ORGANIZATIONAL ASSESSMENT. THE PROGRAM WAS DEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THESE SESSIONS WERE FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. THIS EVIDENCE BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, AND IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES. IN 2022, THE FIRST PHASE OF THE "AT THE H.E.L.M (HEALTH EQUITY LEADERSHIP MATTERS) PROVIDED 16 HOURS OF IN-PERSON DIVERSITY, EQUITY, AND INCLUSION TRAINING TO ALL SENIOR LEVEL EXECUTIVES OF LCMC. THE WOMEN AND CHILD SERVICE LINE ALSO PARTICIPATED IN MATERNAL HEALTH EQUITY TRAINING TO ENHANCE AWARENESS OF EQUITY CARE FOR MINORITY WOMEN. IN 2023, THE SESSIONS ENCOMPASSED 9 HOURS OF TRAINING WHICH WAS OPEN TO SENIOR LEADERS, DIRECTORS, AND MANAGERS AND FOCUSED ON CREATING INCLUSIVE ENVIRONMENTS. FRONTLINE STAFF DEI TRAINING IS PART OF EJGH'S ANNUAL MANDATORY COMPETENCY TRAINING VIA ITS LEARNING MANAGEMENT SYSTEM. ATTENDANCE FOR THE 2022 TRAINING WAS 93.6% AND ATTENDANCE FOR THE 2023 EVENT WAS 95.6%. THROUGHOUT 2022 AND 2023, EJGH REPORTED ANNUALLY ON AMN HEALTHCARE VIDEO REMOTE INTERPRETING DEVICE USAGE FOR NON-ENGLISH SPEAKING PATIENTS WITHIN THE OUTPATIENT ONCOLOGY INFUSION CENTER. IN 2022, 1693 MINUTES OF INTERPRETATION WAS PROVIDED AND IN 2023 25 ENCOUNTERS WERE PROVIDED WITH 13 IN SPANISH, 9 IN AMERICAN SIGN LANGUAGE, 2 IN CANTONESE AND 1 SESSION IN VIETNAMESE. WEST JEFFERSON MEDICAL CENTER PART V, SECTION B, LINE 13B: WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER. THIS ENABLES WEST JEFFERSON MEDICAL CENTER TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNIVERSITY HEALTHCARE SYSTEM PART V, SECTION B, LINE 13B: UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, TO BE ELIGIBLE FOR A 100% REDUCTION OF CHARGES (I.E FULL WRITE OFF), THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA FOR THE LCMC FINANCIAL ASSISTANCE PROGRAM: VERIFIED 0-200% OF FPL FOR APPLICANT AND PROOF OF FAMILY INCOME. THE ADEQUACY OF THAT PROOF IS AT THE DISCRETION OF LCMC. UNCOMPENSATED CARE APPLICANTS WILL BE REQUIRED TO SUBMIT SUPPORTING FINANCIAL AND MEDICAL INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. PATIENTS WHO DO NOT MEET THE CRITERIA FOR FREE CARE (I.E FULL WRITE OFF) BUT MEET FEDERAL POVERTY GUIDELINES, AND WITHOUT ANY SOURCE OF INSURANCE COVERAGE WILL BE ELIGIBLE FOR A SLIDING SCALE UNINSURED DISCOUNT. 7 1 - NEW ORLEANS PHYSICIANS SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO LA 70072 PHYSICIAN PRACTICE 2 - NOLA PHYSICIANS GROUP LLC 200 HENRY CLAY AVE NEW ORLEANS LA 70018 PHYSICIAN PRACTICE 3 - CRESCENT CITY RESEARCH CONSORTIUM 1111 MEDICAL CENTRE BLVD MARRERO LA 70072 CLINICAL TRIALS 4 - COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD MARRERO LA 70072 MEDICAL COLLABORATION 5 - EAST JEFFERSON PHYSICIANS GROUP LLC 4200 HOUMA BLVD METAIRIE LA 70006 PHYSICIANS GROUP 6 - EAST JEFFERSON RADIATION ONCOLOGY LLC 4200 HOUMA BLVD METAIRIE LA 70006 RADIATION ONCOLOGY SERVICES 7 - EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE LA 70006 OUTPATIENT SURGERY CENTER PART I, LINE 3C: WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S AND UNIVERSITY HEALTHCARE SYSTEM'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM. THIS ENABLES WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER OR UNIVERSITY HEALTHCARE SYSTEM BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PART I, LINE 7: WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM ARE COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM USE THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION GAVE $150,000 TO YOUTHFORCE NOLA. YOUTHFORCE NOLA IS AN "ENGINE FOR CAREER-CONNECTED LEARNING" SO NEW ORLEANS PUBLIC SCHOOL STUDENTS ARE READY FOR COLLEGE, CAREER, AND THE FUTURE THEY CHOOSE. CAREER-CONNECTED LEARNING EQUIPS NEW ORLEANS PUBLIC SCHOOL STUDENTS WITH THE SKILLS AND KNOW-HOW THEY NEED TO TAKE CHARGE OF THEIR FUTURES AND SUCCESSFULLY NAVIGATE THEIR NEXT STEPS IN LIFE. THE ORGANIZATION SPENT $115,420 ON VARIOUS PROGRAMS INCLUDING EMS SERVICES PROVIDED FOR LOCAL FUNCTIONS, EDUCATIONAL CLASSES FOR NEW PARENTS, AND BABYSITTERS. PART III, LINE 2: WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. WEST JEFFERSON MEDICAL CENTER USES A BALANCE SHEET APPROACH TO VALUE THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES. PART III, LINE 4: FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS IN ACCORDANCE WITH THE SYSTEM'S POLICIES, AND IMPLICIT PRICE CONCESSIONS PROVIDED FOR UNCOLLECTABLE AMOUNTS. ESTIMATES OF EXPLICIT PRICE CONCESSIONS, WHICH REPRESENT ADJUSTMENTS AND DISCOUNTS, ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE BY PAYOR GROUPS. IMPLICIT PRICE CONCESSIONS ARE PRIMARILY BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. GENERALLY, THE SYSTEM BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY, AND PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE SYSTEM RECEIVING INPATIENT ACUTE CARE SERVICES OR PATIENTS RECEIVING SERVICES IN ITS OUTPATIENT CENTERS. PART III, LINE 8: WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 9B: CHARITY CARE IS OFFERED TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. PART VI, LINE 2: WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE IN SEVERAL WAYS. OUR GOAL IS TO PROVIDE AN OPEN FORUM AND MORE OPPORTUNITIES FOR PATIENTS, FAMILY MEMBERS,OUR HOSPITAL VISITORS AND COMMUNITY MEMBERS TO SPEAK FREELY OF THEIR HEALTH CONCERNS AND PROVIDE FEEDBACK THAT IS PERTINENT TO OUR DECISION MAKING AS A HEALTHCARE ORGANIZATION. THIS IS ACCOMPLISHED IN SEVERAL WAYS INCLUDING THE RECENT LAUNCH OF OUR PATIENT/FAMILY ADVISORY COUNCIL (FOCUS GROUP), THROUGH HEALTH-RELATED DATA PROVIDED BY THE LOUISIANA DEPARTMENT OF HEALTH OR LOUISIANA HOSPITAL ASSOCIATION, OR NRC HEALTH, THROUGH STAKEHOLDER MEETINGS WITH OUR HOSPITAL BOARD MEMBERS AND MEDICAL EXECUTIVE COMMITTEE AND COMMUNITY REPRESENTATIVES, THROUGH PATIENT-FOCUSED FOCUS GROUPS AND SURVEYS, AND PARTICIPATION IN LOCAL CHAMBERS AND ORGANIZATIONS. WE ALSO HAVE SEVERAL PATIENT FEEDBACK FORMS ON OUR WEBSITES AND WE WELCOME AMPLE DISCUSSION THROUGH OUR SOCIAL MEDIA PLATFORMS INCLUDING FACEBOOK, LINKEDIN TWITTER AND INSTAGRAM. PART VI, LINE 3: PRIOR TO RECEIPT OF SERVICES, PATIENTS ARE PROVIDED THE HOSPITAL'S "PATIENT RIGHTS BOOKLET", WHICH CLEARLY OUTLINES THE HOSPITAL'S PAYMENT EXPECTATIONS. IT ALSO STATES THAT FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE UPON REQUEST.WJMC AND UNIVERSITY HEALTHCARE SYSTEM OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.IN-HOUSE SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR AND/OR A CONIFER (ELIGIBILITY MANAGEMENT SERVICE) REPRESENTATIVE TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR THIRD-PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD-PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE. ALL SELF-PAY PATIENTS WHO ARE NOT SCREENED PRIOR TO BEING DISCHARGED RECEIVE A NOTICE FROM CONIFER THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT WEST JEFFERSON TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. DECO STAFF, REGISTRATION STAFF, FINANCIAL COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES, AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES. PART VI, LINE 4: WITH RESPECT TO WEST JEFFERSON MEDICAL CENTER (WJMC) AND UNIVERSITY HEALTHCARE SYSTEM(UHS), THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM WJMC'S AND EJGH'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF WJMC AND UHS' SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. WJMC AND UHS' POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR WJMC AND UHS' SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT. PART VI, LINE 5: IN 2022, WEST JEFFERSON MEDICAL CENTER DEMONSTRATED A STEADFAST COMMITMENT TO COMMUNITY WELL-BEING THROUGH A DIVERSE RANGE OF INITIATIVES. AMID THE ONGOING COVID-19 PANDEMIC, THE HOSPITAL ESTABLISHED A CONVENIENT DRIVE-UP TESTING SITE, ENSURING ACCESSIBILITY TO VITAL TESTING SERVICES FOR LOCAL RESIDENTS. MOREOVER, THE HOSPITAL HOSTED A SERIES OF THREE INFORMATIVE UROLOGY COMMUNITY HEALTH WEBINARS, EMPOWERING COMMUNITY MEMBERS WITH KNOWLEDGE ABOUT UROLOGICAL HEALTH. RECOGNIZING THE SIGNIFICANCE OF REGULAR BLOOD DONATIONS, WEST JEFFERSON ORGANIZED QUARTERLY BLOOD DRIVES, CONTRIBUTING SIGNIFICANTLY TO THE LOCAL BLOOD SUPPLY. THE HOSPITAL ALSO PLAYED AN ACTIVE ROLE IN COMMUNITY ENGAGEMENT THROUGH EVENTS LIKE GIVE NOLA DAY, FOSTERING A SPIRIT OF PHILANTHROPY. ADDRESSING A CRITICAL ASPECT OF COMMUNITY HEALTH, WEST JEFFERSON INTRODUCED WELLTHY FARMER'S MARKETS IN JUNE, OCTOBER, AND DECEMBER, WITH A SPECIAL FOCUS ON MEDICAID PATIENTS, THEREBY ENHANCING FOOD ACCESS AND OVERALL COMMUNITY WELLNESS. ADDITIONALLY, THE HOSPITAL ORGANIZED AN IN-PERSON COMMUNITY HEALTH TALK CENTERED ON ADVANCED CARE DIRECTIVES, ENCOURAGING VITAL CONVERSATIONS ABOUT HEALTHCARE PREFERENCES AND END-OF-LIFE DECISIONS. FURTHERMORE, WEST JEFFERSON ACTIVELY PARTICIPATED IN COMMUNITY UPLIFTMENT ENDEAVORS SUCH AS CAMPUS BEAUTIFICATION, JOINT PAIN SEMINARS, AND INITIATIVES LIKE THE MDSAVE PLATFORM, WHICH OFFERED DISCOUNTED MAMMOGRAMS, MAKING ESSENTIAL HEALTHCARE SERVICES MORE ACCESSIBLE. COLLABORATING WITH SERENITY HOSPICE SERVICE, WEST JEFFERSON EXTENDED SUPPORT TO THE COMMUNITY THROUGH BEREAVEMENT COUNSELING, AIDING INDIVIDUALS IN COPING WITH LOSS. THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH WAS FURTHER EXEMPLIFIED BY INITIATIVES LIKE DRIVE-UP FLU SHOTS AND THE GLADEWAVES PARTNERSHIP, WHICH COLLECTED FOOD DONATIONS TO PROVIDE NOURISHMENT DURING THE HOLIDAY SEASON, UNDERSCORING WEST JEFFERSON MEDICAL CENTER'S INVALUABLE CONTRIBUTIONS TO THE WELL-BEING OF THE COMMUNITY IN 2022. PART VI, LINE 6: WEST JEFFERSON HOLDING, LLC AND UNIVERSITY HEALTHCARE SYSTEM, L.C. ARE BOTH LOUISIANA LIMITED LIABILITY COMPANY WHOSE SOLE MEMBER IS LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC). LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, AND UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S") ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.TO FURTHER ITS MISSION, LCMC HEALTH OFFERS CARE THROUGH LCMC HEALTH ANESTHESIA CORPORATION (LHAC), LCMC HEALTH CLINICAL SERVICES (LHCS), AND NEW ORLEANS CLINICAL SERVICES (NOCS). LCMC HEALTH FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. 1 CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 720467503 501(C)(3) 87500 0 COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK(BLIND PROGRAM). TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 720423689 501(C)(3) 87500 0 COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK (BLIND PROGRAM). LSU FOUNDATION 3796 NICHOLSON DRIVE BATON ROUGE LA 70802 726020969 501(C)(3) 2000000 0 IN 2023 LCMC DONATED $2,000,000 TO LSU FOUNDATION WITH THE INTENTION OF FURTHING NURSING EDUCATION IN THE AREAS SERVED BY LCMC'S MEMBER HOSPITALS. THESE FUNDS ARE USED TO IDENTIFY FUTURE POTENTIAL NURSING STUDENTS, DEVELOP NURSING FACULTY, AND PROVIDE TUITION ASSISTANCE TO QUALIFIED STUDENTS OF THE LSU NURSING PROGRAM. YOUTHFORCE NOLA 1100 POYDRAS ST 1405 NEW ORLEANS LA 70163 263606930 501(C)(3) 150000 0 GENERAL OPERATING SUPPORT XAVIER UNIVERSITY OF LOUISIANA 1 DREXEL DRIVE NEW ORLEANS LA 70125 720635884 501(C)(3) 750000 0 GENERAL OPERATING SUPPORT 5 0 PART I, LINE 2: SINCE GRANTS WERE GIVEN TO RELATED PARTIES OF WHICH LCMC IS THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED. X X X X 1 0 0 0 0 0 0 0 0 GREGORY C FEIRN PRESIDENT AND CEO 1734424 0 497116 0 7800 0 13200 0 17855 0 2270395 0 0 0 JOHN NICKENS PRESIDENT OF HOSPITAL SERVICES & CHI 1236195 0 376871 0 7150 0 11908 0 12632 0 1644756 0 0 0 JOANN KUNKEL CHIEF FINANCIAL OFFICER 878810 0 235634 0 7200 0 13200 0 7407 0 1142251 0 0 0 JOHN HEATON MD PRESIDENT OF CLIN. AND SYS 839520 0 236259 0 7800 0 13200 0 18762 0 1115541 0 0 0 ORLANDO DEFFER PHYSICIAN 618455 0 407485 0 0 0 13200 0 20059 0 1059199 0 0 0 JAMES PERRIEN PHYSICIAN 573956 0 394056 0 0 0 13200 0 16369 0 997581 0 0 0 RUSSELL RUSSO PHYSICIAN 482833 0 474965 0 513 0 13200 0 5617 0 977128 0 0 0 GREGORY NIELSEN CEO -EAST JEFFERSON GENERAL HOSPITAL 694218 0 207927 0 7200 0 13200 0 17005 0 939550 0 0 0 ABHINAV SAXENA PHYSICIAN 464229 0 452474 0 0 0 11483 0 8382 0 936568 0 0 0 ALA MOHSEN PHYSICIAN 542878 0 351458 0 0 0 13200 0 16257 0 923793 0 0 0 MAURICE LAGARDE CHIEF OPERATING OFFICER 835275 0 0 0 6000 0 13200 0 17863 0 872338 0 0 0 RICHARD TANZELLA CEO - EJGH 144632 0 66207 0 504140 0 13200 0 4410 0 732589 0 0 0 JODY MARTIN SVP CHIEF LEGAL OFFICER 558526 0 114396 0 6000 0 13200 0 10059 0 702181 0 0 0 SUZZANE HAGGARD CHIEF REVENUE OFFICER 249493 0 427843 0 3000 0 13200 0 7314 0 700850 0 0 0 ROBERT CALHOUN CEO - WEST JEFFERSON HOLDI 493062 0 111193 0 237 0 13200 0 16307 0 633999 0 0 0 CHRISTINE ALBERT SVP - MARKETING & COMMUNICATIONS 497572 0 108027 0 6000 0 13200 0 9129 0 633928 0 0 0 CHAD COURREGE SVP - HUMAN RESOURCES 415762 0 98208 0 6000 0 13200 0 22858 0 556028 0 0 0 ROBIN MCGOEY CHIEF ACADEMIC OFFICER 384363 0 68233 0 0 0 13200 0 20534 0 486330 0 0 0 TANYA KENNEDY CHIEF INFORMATION OFFICER 293028 0 110745 0 3500 0 13200 0 8273 0 428746 0 0 0 BENJAMIN RICHAUD CEO - LAKEVIEW HOSPITAL 247518 0 70000 0 50000 0 5400 0 7144 0 380062 0 0 0 SCOTT C LANDRY SR. VP FAC MGT/SUP SVCS-LCMC 277047 0 64686 0 6000 0 9610 0 14989 0 372332 0 0 0 AYAME DINKLER CHIEF ADMINISTRATIVE OFFICER 213112 0 86377 0 3500 0 12059 0 6884 0 321932 0 0 0 WILLIAM F VON ALMEN II MD BOARD MEMBER 0 229791 0 56573 0 612 0 9220 0 13513 0 309709 0 0 PART I, LINE 3 BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE IS A SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. PART I, LINE 4A IN 2023, RICHARD TANZELLA RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $504,140 FROM THE ORGANIZATION. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395S96 2018-08-15 327485369 REMARKET TAX-EXEMPT DEBT PREVIOUSLY ISSUED FOR CAPITAL EXPENDITURES 0 1 0 B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395V50 2020-08-04 101954720 ISSUED TO FINANCE CAPITAL PROJECTS 0 1 0 C LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395V66 2020-08-04 102280000 WORKING CAPITAL EXPENDITURES AND BOND ISSUANCE COSTS 0 1 0 D LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546399RTS 2023-06-23 305481500 DEBT REFINANCING AND CAPITAL EXPENDITURES 0 0 0 A 155325000 329234325 2485369 325000000 94515 1 0 1 1 B 101954720 2072825 99867274 14621 1 0 0 1 C 102280000 2406028 99873972 1 0 0 1 D 305481500 549655 86746501 200000000 18185344 1 0 1 1 A 0 1 1 0 0 0.04200 0.04200 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 SCHEDULE K, PART II, LINE 3 COLUMN A CUMULATIVE NET EARNINGS OF $1,748,955.99 SCHEDULE K, PART II, LINE 11, COLUMN A OTHER SPENT PROCEEDS REPRESENT AMOUNTS PAID TO REFUND THE SERIES 2015A TAXABLE BONDS AND REFINANCE AMOUNTS AS TAX-EXEMPT. SCHEDULE K, PART II, LINE 11 COLUMN B THE SERIES 2017 DEBT WAS ISSUED TO FINANCE A PORTION OF THE ACQUISITION COSTS OF AN EXPANSION PROJECT OF CHILDREN'S HOSPITAL, A WHOLLY-OWNED SUBSIDIARY OF LCMC. WHILE THE DEBT IS REPORTED ON THE BOOKS OF LCMC, ALL UNSPENT PROCEEDS ARE RECORDED AND REPORTED WITHIN THE FINANCIAL STATEMENTS OF CHILDREN'S HOSPITAL. A LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395W67 2023-08-16 125205959 DEBT REFINANCING 0 0 0 B LOUISIANA PUBLIC FACILITIES AUTHORITY 720895871 546395S88 2023-06-01 27096300 REMARKETING OF PREVIOUS BONDS 0 0 0 A 125000000 125000000 35311 1 0 1 1 B 27096300 27096300 1 0 1 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 1 B 1 GREGORY C FEIRN CEO SPLIT INTEREST LOAN X 5977440 6295817 0 1 1 6295817 ELECTRICAL SALES CORPORATION ELECTRICAL SALES CORPORATION 434916 ELECTRICAL SALES CORPORATION IS A COMPANY OWNED BY A FORMER BOARD MEMBER'S SON. THE COMPANY PROVIDED TELECOMMINUCATION SERVICES TO LCMC BOTH DURING AND AFTER HIS TENURE AS A BOARD MEMBER. 0 SCHEDULE L, PART II AN EXTERNAL PROFESSIONAL COMPENSATION AND BENEFITS CONSULTING FIRM CONDUCTS LCMC HEALTH'S EXECUTIVE COMPENSATION AND REASONABLENESS REVIEWS. THE FIRM'S BENEFITS DIVISION ASSISTED WITH THE DEVELOPMENT OF MR. FEIRN'S SPLIT DOLLAR BENEFIT. THE REVIEWS, WHICH INCLUDE THE SPLIT DOLLAR PROGRAM, ARE TRADITIONALLY CONDUCTED ON AN ANNUAL BASIS. PART III, LINE 1 THE PRIMARY PURPOSE OF LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM, AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES. TO THAT END, THE EXECUTIVE MANAGEMENT OF THE SYSTEM AND THEIR SUPPORT STAFF AND SYSTEMS ARE CENTRALIZED AT LCMC. THE REVENUE OF LCMC IS DERIVED FROM PROVIDING PATIENT SERVICES AT WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM AND FROM MANAGEMENT FEES RECEIVED FROM THE SYSTEM ENTITIES. CHILDREN'S HOSPITAL AND ITS SUBSIDIARIES, TOURO INFIRMARY AND ITS SUBSIDIARIES, UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC), UNIVERSITY HEALTHCARE SYSTEM L.C. (UHS) AND WEST JEFFERSON HOLDINGS, LLC AND ITS SUBSIDIARIES ARE MEMBERS OF THE SYSTEM (LCMC). WHILE CHILDREN'S, TOURO, AND UMCMC ARE TAX-EXEMPT ORGANIZATIONS, SOME OF THE AFFILIATES AND/OR SUBSIDIARIES OF WJMC, UHS, AND TOURO ARE FOR-PROFIT ENTITIES. ANY SERVICES PROVIDED TO SUCH ENTITIES WILL BE AT THE EXPRESS DIRECTION AND FOR THE BENEFIT OF WJMC, UHS AND TOURO. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE DIRECTOR AND ACCOUNTING STAFF ENGAGED AN INDEPENDENT CPA FIRM TO ASSIST IN PREPARATION OF THE FORM 990 IN 2023. ONCE THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM, THE ACCOUNTING STAFF REVIEWS THE COMPLETED 990 WITH THE ORGANIZATION'S CEO, CHAIRPERSON OF THE BOARD OF TRUSTEES, AND CHAIRPERSON OF THE FINANCE/AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. THE 990S ARE THEN DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEE'S PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL BY THE LCMC EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,960,527. MANAGEMENT AND GENERAL EXPENSES 64,174,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,134,541. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 72,628,448. MANAGEMENT AND GENERAL EXPENSES 12,173,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,802,392. CONSULTING & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,504,702. MANAGEMENT AND GENERAL EXPENSES 21,810,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,315,446. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 11,274. MANAGEMENT AND GENERAL EXPENSES 804,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 815,789. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 13,467,992. MANAGEMENT AND GENERAL EXPENSES 24,463. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,492,455. GENERAL MEDICAL: PROGRAM SERVICE EXPENSES 122,079,965. MANAGEMENT AND GENERAL EXPENSES 73,289,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,369,065. FORM 990, PART XI, LINE 9: NET ASSET ADJUSTMENT FROM MERGER - EJGH, EJASC 48,631,267. INCOME FROM CONSOLIDATED ENTITIES 72,368,347. YEAR 2 PERFORMANCE ADJUSTMENT ON EJ CONTINGENT CONSIDERATION 1,739,372. SPLIT DOLLAR 293,707. PHYSICIAN SUBSIDY AGREEMENT INTEREST 8,008. MONEY MARKET INTEREST 104,786. LHP -570. ROUNDING 3,789. AUDAX BOOK/TAX DIFFERENCE -170,230. FORM 990, PART XIII, LINE 2C THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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