2018-08-14T14:57:47-05:00 2017-09-30 721202445 POSTLETHWAITE & NETTERVILLE 8550 UNITED PLAZA BLVD SUITE 1001 BATON ROUGE LA 70809 990 2016-10-01 720652905 WOMAN'S HOSPITAL FOUNDATION D/B/A WOMAN'S HOSPITAL WOMA 2259248107 P O BOX 95009 BATON ROUGE LA 70895 STEPHANIE ANDERSON EXECUTIVE VP/ COO 2259248107 2018-08-02 1 BRANDON LAGARDE P01428217 2259224600 2016 2022-09-23 18:48:47Z TERI FONTENOT 100 WOMANS WAY BATON ROUGE LA 708959009 513399103 0 X WWW.WOMANS.ORG X 1968 LA TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 13 7 2299 157 22471164 799953 1477063 1661239 492811795 494243317 3816104 6207695 11282682 6529128 509387644 508641379 101533 98840 0 0 145860558 153273233 0 0 604612 327766187 364690905 473728278 518062978 35659366 -9421599 823377242 811776520 362688686 347476474 460688556 464300046 TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 0 0 367967919 98840 481503012 THE MISSION OF WOMAN'S HOSPITAL IS TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. WE RESPOND TO THE SPECIFIC NEEDS OF THE COMMUNITY AND SURROUNDING AREA'S NEEDS BY PROVIDING QUALITY MEDICAL AND EDUCATIONAL SERVICES WITHOUT DISTINCTION AS TO THE MEANS OF THE PERSON, HIS/HER RACE, OR DOMICILE. WOMAN'S PROVIDES MANY IMPORTANT HEALTH CARE SERVICES THAT ARE NOT AVAILABLE BY ANY OTHER ENTITY IN OUR SERVICE AREA. (142,146 PATIENTS) 9546000 70148 WOMAN'S HOSPITAL EDUCATES THE COMMUNITY BY SPONSORING PROGRAMS AND EVENTS, AND DISTRIBUTES LITERATURE ON HEALTH TOPICS OF INTEREST TO WOMEN INCLUDING CHILDBIRTH, MENOPAUSE, HEART HEALTH, DRUG ABUSE, AGING, AND SEXUALITY (223 EDUCATION PROGRAMS). WE ALSO PROVIDE COMMUNITY SERVICE BY ABSORBING VARIOUS COSTS ESSENTIAL TO THE INDIGENT POPULATION, INCLUDING EMERGENCY AND PRENATAL CARE. 731699 164987 WOMEN'S HEALTH RESEARCH INSTITUTE CONCENTRATES ITS SCIENTIFIC RESEARCH ON THE UNIQUE HEALTH CONDITIONS OF VITAL IMPORTANCE TO WOMEN'S HEALTH. ONGOING RESEARCH INCLUDES STUDIES ON MENOPAUSE, HORMONES, OSTEOPOROSIS, BREAST CANCER, MATERNAL-FETAL MEDICINE, NEONATAL MEDICINE, AND GENETICS (5 NEW PROTOCOLS REVIEWED AND APPROXIMATELY 33 ACTIVE STUDIES). 378245618 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 333 0 1 2299 1 1 1 0 0 0 0 0 0 0 0 0 X 13 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X GREG SMITH 2259248246 100 WOMANS WAY BATON ROUGE LA 70817 AMANDA PEARSON MD 2017 CHIEF OF STAFF NON-VOTING 4.00 X 4500 0 0 BEN MARMANDE DIRECTOR 4.00 X 0 0 0 CHRISTEL SLAUGHTER MD DIRECTOR 4.00 X 0 0 0 DONNA FRAICHE SECRETARY/TREASURER 4.00 X 0 0 0 EDWARD SCHWARTZENBURG MD DIRECTOR 4.00 X 0 0 0 FRANK BREAUX MD DIRECTOR 4.00 X 0 0 0 GREG GELPI MD DIRECTOR 4.00 X 10000 0 0 MIKE WAMPOLD DIRECTOR 4.00 X 0 0 0 PATRICK SEITER DIRECTOR 4.00 X 0 0 0 ROSE HUDSON DIRECTOR 4.00 X 0 0 0 SARAH DAVIS MD 2016 CHIEF OF STAFF NON-VOTING 4.00 X 18000 0 0 STEVEN FEIGLEY MD DIRECTOR 4.00 X 0 0 0 RENEE HARRIS MD CHAIR/ELECT 4.00 X 3120 0 0 TERI FONTENOT PRESIDENT/CEO 65.00 X 1038444 0 264368 TOM HAWKINS CHAIR 4.00 X 0 0 0 CATHY GRIFFITHS VP, QUALITY 65.00 X 176307 0 7258 CHERI JOHNSON VP, PERINATAL SERVICES 65.00 X 215079 0 32241 DONNA BODIN VP, EMPLOYEE SERVICES 65.00 X 253702 0 75894 GREG SMITH VP, FINANCE/CFO 65.00 X 253372 0 32270 KURT SCOTT VP, ANCILLARY SERVICES 65.00 X 238690 0 65520 PATRICIA JOHNSON SR VP, NURSING/CNO 65.00 X 335264 0 110186 PAUL KIRK VP,INFORMATION SYSTEMS/CIO 65.00 X 277234 0 40904 STANLEY SHELTON SR VP,PLANNING, DEVELOPMENT & CONSTRUCTION 65.00 X 279592 0 73607 STEPHANIE ANDERSON EXECUTIVE VP/COO 65.00 X 458582 0 99013 SUSAN F PUYAU CHIEF MEDICAL OFFICER 65.00 X 346084 0 27338 ALBERT L DIKET MD PHYSICIAN 40.00 X 521375 0 50614 DENNIS C DESIMONE MD PHYSICIAN 40.00 X 427213 0 37854 EDWARD W VEILLON MD PHYSICIAN 40.00 X 471682 0 70546 MARSHALL ST AMANT MD PHYSICIAN 40.00 X 624515 0 83109 MILTON GILES FORT MD PHYSICIAN 40.00 X 389077 0 27423 CHARLES M STEDMAN MD PHYSICIAN-FORMER 40.00 X 222213 0 14364 MARK G NEWMAN MD PHYSICIAN-FORMER 40.00 X 540825 0 42184 7104870 0 1154693 115 1 1 0 ARKEL CONSTRUCTION 1048 FLORIDA STREET BATON ROUGE LA 70802 CONSTRUCTION 17426249 VALLEY INNOVATIVE SERVICES INC PO BOX 742992 ATLANTA GA 30374 FOOD SERVICE 5403126 LSUHSC OFFICE OF SPONSORED PROJECTS 433 BOLIVAR STREET NEW ORLEANS LA 70112 MEDICAL SERVICES 4245908 C&M MEDICAL SERVICES INC 3223 EIGHTH STREET METAIRIE LA 70002 MEDICAL SERVICES 2192956 WHELAN SECURITY CO 1699 SOUTH HANLEY RD SUITE 350 ST LOUIS MO 63144 SECURITY 1919264 60 122117 1539122 14399 1661239 HOSPITAL SERVICES 541900 486660440 469541145 17119295 FITNESS CENTER 713940 3545724 1259254 2286470 CAFETERIA 722210 2573477 2530162 43315 CHILD CARE 624410 1053422 129610 923812 PHARMACY OUTSIDE SALES 446110 346220 346220 64034 64034 494243317 3286710 13659 3273051 2768291 3771273 -1002982 -1002982 -1002982 2949868 428368 0 457251 2949868 -28883 2920985 2920985 1029960 529200 500760 500760 OTHER OPERATING REVENUE 900099 7031350 5292957 1738393 7031350 508641379 481738147 22471164 2770829 98840 98840 4059054 2932547 1126507 128065060 92523241 35541819 21149119 15279617 5869502 210792 140308 70463 21 83105 55317 27780 8 120345 80105 40228 12 1097598 270400 827198 2448996 1343420 1105500 76 774631 750333 24298 383748 224909 158839 14936545 14936545 59764900 5569219 54195681 CONTRACTUAL ADJUSTMENTS 212082139 212082139 PATIENT RELATED SUPPLIE 24385293 24385293 PURCHASED SERVICES 20215110 13455686 6757420 2004 REPAIRS & MAINTENANCE 8510990 3835256 4675734 19676713 5218988 13855234 602491 518062978 378245618 139212748 604612 197868838 208937892 31354801 31824914 3495111 4071697 498664881 120087852 361857625 378577029 34325539 6298673 194475328 182066315 823377242 811776520 33892327 37771834 199800 199800 328375747 309284028 220812 220812 362688686 347476474 X 458371848 461895729 1066708 1154317 1250000 1250000 460688556 464300046 823377242 811776520 X -9421599 13025364 -7667 15392 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 0 1 157340 157340 0 PART II-B, LINE 1: ALL OF THE FOLLOWING MEMBERSHIP DUES AMOUNTS RELATE TO THE LOBBYING EXPENSE PORTION OF THE DUES: 1. $560 FOR MEMBERSHIP DUES TO 340B HEALTH (FORMERLY SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS). 2. $9,828 FOR MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION. 3. $422 FOR MEMBERSHIP DUES TO THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACIST. 4. $120,345 TO JUDY EWELL DAY FOR GOVERNMENTAL RELATIONS. 5. $15,801 FOR MEMBERSHIP DUES TO THE LOUISIANA HOSPITAL ASSOCIATION. 6. 1% OF TERI FONTENOT'S (PRESIDENT/CEO) ANNUAL SALARY IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THIS AMOUNTS TO $10,384. 16000 16000 X 0 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1.00000 0 0 10652793 10652793 375526014 55440426 320085588 98077810 64647426 33430384 14408264 14408264 378577029 OTHER RECEIVABLES 8785130 DEFERRED FINANCING CHARGES 1678149 RESTRICTED DONATIONS - OTHERS 7511741 RESTRICTED DONATIONS - CAP ONE CD 744127 DEPRECIATION RESERVE 174150981 OTHER ASSETS 12476075 ESTIMATED THIRD PARTY SETTLEMENTS 2069105 UNAMORTIZED BOND DISCOUNT -25348993 182066315 OTHER LIABILITIES 220812 220812 X PART III, LINE 4: PERMANENT INSTALLMENT OF 32 GICLEES OF WORLD RENOWNED FOLK ART DONATED IN PRIOR YEAR AS PART OF THE HEALING ARTS PROGRAM. THE ARTWORK IS DISPLAYED IN A PROMINENT AREA OF THE HOSPITAL, FOR ALL PATIENTS AND VISITORS TO ENJOY. PART V, LINE 4: THE FOUNDATION HOLDS AN ENDOWMENT FUND IN THE AMOUNT OF $1,250,000 FROM THE HELEN BARNES TRUST. THIS AMOUNT IS PERMANENTLY RESTRICTED BUT THE ANNUAL EARNINGS FROM THIS ENDOWMENT ARE FOR USE BY THE FOUNDATION. THE INCOME IS REPORTED ON THE CORE FORM 990, BUT THE BALANCE ON THIS ENDOWMENT DOES NOT CHANGE FROM YEAR TO YEAR SINCE ONLY THE $1,250,000 IS RESTRICTED. PART X, LINE 2: THE HOSPITAL APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. 1 1 X 1 X 1 X 1 1 0 1 1 2311581 2311581 0.00450 22816065 22816065 0.04400 2042342 2042342 0.00390 27169988 27169988 0.05240 488245 488245 0.00090 0 6613744 6613744 0.01280 731699 731699 0.00140 132242 132242 0.00030 7965930 7965930 0.01540 35135918 35135918 0.06780 1 4226498 90580 8840474 5800021 3040453 X 1 1 1 WOMAN'S RETAIL VENTURES LLC HOSPITAL GIFT SHOP 0.74750 0.04040 0.21210 2 STUMBERG HOLDING LLC LAND MANAGEMENT 0.64400 0.00000 0.35600 1 1 WOMAN'S HOSPITAL FOUNDATION PO BOX 95009 BATON ROUGE LA 70895 WWW.WOMANS.ORG X WOMAN'S HOSPITAL FOUNDATION 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X HTTP://WWW.HEALTHYBR.COM/ 1 15 1 HTTP://WWW.HEALTHYBR.COM/ 0 1 X 200.000000000000 0 1 X X X X 1 X 1 X 0 X X X X 1 X 0 1 WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 5: WOMAN'S DEVELOPED ITS COMMUNITY HEALTH ASSESSMENT IN COLLABORATION WITH OTHER AREA PROVIDERS AND THE MAYOR-PRESIDENT'S HEALTHY CITY INITIATIVE (MHCI). THE TEAM OF HEALTH CARE LEADERS DEVELOPED A LIST OF BATON ROUGE'S 10 HEALTH PRIORITIES, WHICH WAS REVIEWED AND APPROVED BY ALL MHCI PARTNERS WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 6A: REPRESENTATIVES FROM WOMAN'S HOSPITAL, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, BATON ROUGE GENERAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, AND SURGICAL SPECIALTY CENTER OF BATON ROUGE MET TO DISCUSS AN ASSESSMENT OF COMMUNITY HEALTH. WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 6B: AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERIHEALTH CARITAS, ARTHRITIS ASSOCIATION OF LOUISIANA, BATON ROUGE ADVOCATES FOR SAFE STREETS, BATON ROUGE AIDS SOCIETY, BATON ROUGE AREA FOUNDATION, BATON ROUGE BIKE CLUB, BATON ROUGE CHILDREN'S HEALTH PROJECT, BATON ROUGE COMMUNITY COLLEGE, BATON ROUGE CRISIS INTERVENTION CENTER, BATON ROUGE DIETETIC ASSOCIATION, BATON ROUGE GENERAL MEDICAL CENTER, BEREAN WELLNESS, BETTER BR, BIG RIVER ECONOMIC & AGRICULTURAL DEVELOPMENT ASSOCIATION, BIKE BR, BLUE CROSS BLUE SHIELD OF LOUISIANA, BREC CAPITOL AREA HUMAN SERVICES DISTRICT, CAPITOL AREA UNITED WAY, CAPITOL CITY FAMILY HEALTH CENTER, CARDIOVASCULAR INSTITUTE OF THE SOUTH, CENTER FOR PLANNING EXCELLENCE, CITY OF BATON ROUGE-PARISH OF EAST BATON ROUGE, CITY-PARISH RYAN WHITE PROGRAM, CITY-PARISH HEADSTART, DELTA SERVICE CORPS, DEPARTMENT OF HEALTH AND HOSPITALS, DIVISION OF HUMAN DEVELOPMENT AND SERVICES, CITY OF BATON ROUGE-PARISH OF EAST BATON ROUGE, EAST BATON ROUGE PARISH REDEVELOPMENT AUTHORITY, EAST BATON ROUGE PARISH SCHOOLS, EMS/PRISON MEDICAL, GEAUX HEALTH AND FITNESS, GIRLS ON THE RUN, GREATER BATON ROUGE FOOD BANK, HEALTH CENTERS IN SCHOOLS, HEALTHY LIVES, HIV/ AIDS ALLIANCE FOR REGION TWO (HAART), HURT, HELP, HEAL HOPE, IV HOME RETREAT CENTER, INTERFAITH FEDERATION, JUMP START YOUR HEART, KNOCK KNOCK CHILDREN'S MUSEUM, LAHPERD, LAKE AFTER HOURS, LANE REGIONAL MEDICAL CENTER, LOUISIANA BUSINESS GROUP ON HEALTH, LOUISIANA CAMPAIGN FOR TOBACCO-FREE LIVING, LOUISIANA CENTER FOR HEALTH EQUITY, LOUISIANA HEALTHCARE QUALITY FORUM, LOUISIANA HOSPITAL ASSOCIATION, LOUISIANA PUBLIC HEALTH INSTITUTE, LOUISIANA REHABILITATION SERVICES, LSU AG CENTER, LSU COMMUNITY-UNIVERSITY PARTNERSHIP, LSU HEALTH SCIENCES, MARCH OF DIMES, MARY BIRD PERKINS CANCER CENTER, NATIONAL PHARMACY INFUSION, OCHSNER HEALTH SYSTEM, OFFICE OF PUBLIC HEALTH-REGION II, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, PENNINGTON BIOMEDICAL RESEARCH CENTER, ROCKETKIDZ FOUNDATION, SLOW FOOD BATON ROUGE, SOUTHERN UNIVERSITY AG CENTER, SPECTRUM FITNESS, SUNSHINE FOUNDATION, TOGETHER BATON ROUGE, VOLUNTEER HEALTH CORPS, WHEELS TO SUCCEED, WOMAN'S HOSPITAL, YMCA OF THE CAPITAL AREA WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 11: THE GOALS AND STRATEGIES ESTABLISHED TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN WOMAN'S HOSPITAL'S (MOST RECENT) CHNA ARE OUTLINED BELOW. FOUR PRIORITIES WERE DEVELOPED AND THE HOSPITAL PARTICIPATES IN THE FOLLOWING:OBESITY: WOMAN'S OFFERS COMPREHENSIVE WEIGHT LOSS SERVICES DESIGNED WITH THE PATIENT'S NEEDS IN MIND. THESE INCLUDE IDEAL PROTEIN, THE BALANCE WEIGHT LOSS PROGRAM, BARIATRIC SURGERY, SUPPORT GROUPS, EDUCATIONAL SEMINARS, A WOMEN'S ONLY FITNESS FACILITY, AND DIABETES AND METABOLIC CENTERS. WOMAN'S PARTNERS WITH BREADA TO HOST ONSITE FARMER'S MARKETS FOR EMPLOYEES, VISITORS AND AREA RESIDENTS. WOMAN'S NURSES/DIETICIANS ATTEND MOBILE FARMER'S MARKETS TO EDUCATE THE COMMUNITY ON THE ADVANTAGES OF BREASTFEEDING AND A HEALTHY DIET, AND THE RESULTING IMPACT ON CHILDHOOD OBESITY. WOMAN'S BREASTFEEDING RATE IS 69%; COMPARED TO THE JOINT COMMISSION MEAN OF 58% AND THE STATE AVERAGE OF 57%. FROM 2014 TO 2015, THERE WAS A 4.2 INCREASE IN THE NUMBER OF WOMEN WHO CHOSE TO BREASTFEED EXCLUSIVELY. ALL WOMAN'S HOSPITAL FACILITIES WERE DESIGNATED "WELL SPOTS" IN 2015 BY THE DEPARTMENT OF HEALTH AND HOSPITALS WELL AHEAD PROGRAM. WOMAN'S PARTICIPATES IN A VARIETY OF COMMUNITY EVENTS PROMOTING EXERCISE AND NUTRITION AND IS A SPONSOR OF HEALTHY BR'S FAMILY FIT DAY. WOMAN'S PARTICIPATED IN OVER 40 COMMUNITY OUTREACH AND EDUCATIONAL EVENTS IN 2015. THE WOMAN'S CHILD DEVELOPMENT CENTER IS NAPSACC ACCREDITED AND SUPPORTS THE 5210+10 INITIATIVE. HEALTHY MERITS, THE EMPLOYEE WELLNESS PROGRAM, OFFERS FREE BIOMETRIC SCREENINGS AND INCENTIVE POINTS FOR HEALTHY BEHAVIORS AS WELL AS INSURANCE PREMIUM DISCOUNTS. THE WOMAN'S WAY CAFE' OFFERS A COMPLETE LINE OF DISCOUNTED HEALTHY OPTIONS AND PROMOTES THE 5210+10 PROGRAM. HIV AND OTHER STIS: WOMAN'S TREATS OVER 50% OF ALL KNOWN SEXUAL ASSAULT VICTIMS WHO PRESENT TO A HEALTHCARE FACILITY IN EAST BATON ROUGE. VOLUNTARY HIV SCREENS ARE NOW OFFERED TO ALL PRESENTING PATIENTS. FROM OCTOBER 2014 - SEPTEMBER 2015, 2,632 PATIENTS WERE SCREENED FOR HIV, AND 11 NEW CASES WERE DIAGNOSED. SPECIALLY-TRAINED NURSES PROVIDE CARE MANAGEMENT AND MEDICATION AT NO COST TO HIV-POSITIVE PREGNANT PATIENTS. SINCE 2005, THERE HAVE BEEN NO CASES OF MOTHER-TO-CHILD TRANSMISSION AMONG PROGRAM PARTICIPANTS. MENTAL AND BEHAVIORAL HEALTH: A TRIAGE PROCESS INCLUDING A MENTAL HEALTH ASSESSMENT/SUICIDE RISK SCREENING WAS IMPLEMENTED AUGUST 1, 2015 FOR ALL ASSESSMENT CENTER AND LABOR AND DELIVERY PATIENTS. A POSITIVE ASSESSMENT TRIGGERS A SOCIAL WORKER VISIT AND SUICIDE PRECAUTIONS. A NEONATAL ABSTINENCE TASK FORCE RESEARCHES AND REPORTS ON THE ISSUE SURROUNDING CARE OPTIONS WITHIN THE COMMUNITY FOR PREGNANT WOMEN WITH OPIATE ADDICTION. MEASURES INCLUDE EARLY IDENTIFICATION, BRIEF INTERVENTION, TREATMENT AND IF NECESSARY, TRANSITION TO MEDICATIONS WHILE IN THE HOSPITAL. WOMAN'S CENTER FOR OB/GYN HAS PARTNERED WITH CAPITAL AREAS HUMAN SERVICES TO PROVIDE SCREENING, BRIEF INTERVENTION AND TREATMENT TO WOMEN WHO SCREEN POSITIVE FOR ANXIETY, DEPRESSION, SUBSTANCE ABUSE AND/OR DOMESTIC VIOLENCE. SOCIAL WORKERS PROVIDE SUPPORT IN THE CLINIC ENVIRONMENT. OVERUSE OF EMERGENCY DEPARTMENTS: THE CENTER FOR OB GYN (A PARTNERSHIP BETWEEN WOMAN'S AND LSU) ADDED AN ADDITIONAL FIVE CLINIC VISITS PER DAY FOR PATIENTS WITH EMERGENT CONDITIONS TO PREVENT EMERGENCY ROOM VISITS. WOMAN'S EXPANDED COMMUNITY EDUCATION THROUGH THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, WHICH TEACHES PATIENTS SELF-CARE SKILLS TO REDUCE UNNECESSARY HOSPITAL ADMISSIONS. WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 16J: UNINSURED PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR TO DISCUSS OUR FINANCIAL ASSISTANCE POLICY. WOMAN'S HOSPITAL FOUNDATION PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL PATIENTS THE SAME GROSS CHARGE FOR ANY SERVICE REGARDLESS OF THE PAYOR, E.G. SELF PAY, INSURANCE, ETC. WE OFFER DISCOUNTS TO PATIENTS THAT HAVE NO INSURANCE OR THOSE WITH OUT-OF-NETWORK BENEFITS. WE ALSO PROVIDE FREE CARE (BY FULLY DISCOUNTING THE GROSS CHARGE) TO THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE AS OUTLINED IN OUR FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C: WOMAN'S OFFERS A 20% DISCOUNT TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME. DISCOUNTS ARE NOT APPLIED TO COSMETIC PROCEDURES. IN ADDITION, WOMAN'S OFFERS SPECIAL PRICING PACKAGES FOR SPECIFIC SERVICE, I.E. DELIVERY AND BARIATRIC SURGERY, AS WELL AS MATCHING PHYSICIAN DISCOUNTS UP TO 50% REGARDLESS OF INCOME. PART III, LINE 3: THE HOSPITAL MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE HOSPITAL DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE ORIGINAL BILL DATE; HOWEVER, THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTION OF THE OUTSTANDING BALANCES TO BE DOUBTFUL. THIS IS ONLY AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY. BAD DEBT EXPENSE OF $4,226,498 IS A COMBINATION OF ACTUAL ACCOUNTS WRITTEN OFF AND ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BASED ON A REVIEW OF ALL ACCOUNTS IN WHICH WE WERE UNABLE TO FULLY DETERMINE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (BECAUSE THE FINANCIAL ASSISTANCE APPLICATION WAS INCOMPLETE), WE IDENTIFIED $90,580 OF CHARGES THAT WERE WRITTEN OFF AS BAD DEBT (AFTER ALL REASONABLE COLLECTION EFFORTS WERE FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY). PART III, LINE 8: 100% OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT. THE METHOD USED TO DETERMINE THE MEDICARE ALLOWABLE COST OF CARE IS COST TO CHARGE RATIO. PART III, LINE 9B: WE MAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY AND QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE BEFORE WE TAKE ANY ACTION TO COLLECT. WE NOTIFY PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY UPON ADMISSION. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR TO DISCUSS OUR FINANCIAL ASSISTANCE POLICY IN DETAIL. WE DOCUMENT AND TRACK WHEN AN APPLICATION IS PROVIDED TO A PATIENT/GUARANTOR; WHEN AN APPLICATION IS RECEIVED FROM A PATIENT/GUARANTOR (WHETHER COMPLETE OR INCOMPLETE); AND ALL FURTHER COMMUNICATION WITH THE PATIENT/GUARANTOR IF THE APPLICATION IS INCOMPLETE, IF THE APPLICATION IS APPROVE OR DENIED AND THE NOTIFICATION OF APPROVAL OR DENIAL TO THE PATIENT/GUARANTOR. IF WE ARE UNABLE TO FULLY DETERMINE ELIGIBILITY OR QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE, WE FOLLOW ALL REASONABLE COLLECTION EFFORTS AS OUTLINED IN OUR COLLECTION POLICY. 0 AMERICAN CANCER SOCIETY MID-SOUTH DIVISION 10528 KENTSHIRE COURT BATON ROUGE LA 70810 131788491 501(C)(3) 7000 CASH GRANT RELAY FOR LIFE SPONSOR ($5,000) AND MAKING STRIDES AGAINST BREAST CANCER STAGE SPONSOR ($2,000) AMERICAN HEART ASSOCIATION (BATON ROUGE AFFILIATE) 2644 S SHERWOOD FOREST SUITE 108 BATON ROUGE LA 70816 135613797 501(C)(3) 10000 3529 FMV IN-KIND PRINTING GO RED FOR WOMEN MATERIALS BATON ROUGE AREA CHAMBER 564 LAUREL ST BATON ROUGE LA 70801 720126959 501(C)(3) 20000 CASH GRANT ECONOMIC DEVELOPMENT CAMPAIGN; CAPITAL CAMPAIGN BATON ROUGE KOMEN RACE FOR THE CURE P O BOX 14615 BATON ROUGE LA 70898 752854972 501(C)(3) 5000 CASH GRANT 2016 RACE CAMPAIGN CAPITAL AREA HUMAN SERVICES 4615 GOVERNMENT STREET BATON ROUGE LA 70806 721421356 6066 FMV IN-KIND PRINTING EMERGENCY REFERENCE GUIDE KNOCK KNOCK CHILDREN'S MUSEUM 1900 DALYRMPLE DR BATON ROUGE LA 70801 731701786 501(C)(3) 34000 CASH GRANT QUIET CABIN SPONSORSHIP MARCH OF DIMES FOUNDATION (LOUISIANA CHAPTER) 12015 JUSTICE AVE BATON ROUGE LA 70816 131846366 501(C)(3) 5000 CASH GRANT CAPITAL AREA SIGNATURE CHEF'S AUCTION SPONSOR TEXAS HOSPITAL ASSOCIATION PO BOX 95353 GRAPEVINE TX 76099 260597324 501(C)(3) 8245 CASH GRANT THA HOSPITAL EMPLOYEE ASSISTANCE FUND 7 1 PART I, LINE 2: GRANTS ARE GIVEN TO ORGANIZATIONS FOR SPECIFIC PURPOSES AND ARE NOT MONITORED FURTHER. X X 1 1 X X X X X 0 1 0 0 0 1 0 0 0 TERI FONTENOT PRESIDENT/CEO 617039 0 246118 0 175287 0 247816 0 16552 0 1302812 0 0 0 CATHY GRIFFITHS VP, QUALITY 147773 0 27258 0 1276 0 6463 0 795 0 183565 0 0 0 CHERI JOHNSON VP, PERINATAL SERVICES 181064 0 33134 0 881 0 31267 0 974 0 247320 0 0 0 DONNA BODIN VP, EMPLOYEE SERVICES 212998 0 39666 0 1038 0 52693 0 23201 0 329596 0 0 0 GREG SMITH VP, FINANCE/CFO 211894 0 33293 0 8185 0 9078 0 23192 0 285642 0 0 0 KURT SCOTT VP, ANCILLARY SERVICES 199243 0 36663 0 2784 0 42771 0 22749 0 304210 0 0 0 PATRICIA JOHNSON SR VP, NURSING/CNO 238024 0 55462 0 41778 0 88909 0 21277 0 445450 0 0 0 PAUL KIRK VP,INFORMATION SYSTEMS/CIO 231282 0 43823 0 2129 0 39659 0 1245 0 318138 0 0 0 STANLEY SHELTON SR VP,PLANNING, DEVELOPMENT & CONSTR 217339 0 51938 0 10315 0 59346 0 14261 0 353199 0 0 0 STEPHANIE ANDERSON EXECUTIVE VP/COO 348354 0 101080 0 9148 0 75484 0 23529 0 557595 0 0 0 SUSAN F PUYAU CHIEF MEDICAL OFFICER 289994 0 51728 0 4362 0 25765 0 1573 0 373422 0 0 0 ALBERT L DIKET MD PHYSICIAN 506750 0 2998 0 11627 0 35300 0 15314 0 571989 0 0 0 DENNIS C DESIMONE MD PHYSICIAN 425006 0 0 0 2207 0 14025 0 23829 0 465067 0 0 0 EDWARD W VEILLON MD PHYSICIAN 466886 0 3033 0 1763 0 45800 0 24746 0 542228 0 0 0 MARSHALL ST AMANT MD PHYSICIAN 606819 0 3033 0 14663 0 59537 0 23572 0 707624 0 0 0 MILTON GILES FORT MD PHYSICIAN 378047 0 0 0 11030 0 24951 0 2472 0 416500 0 0 0 CHARLES M STEDMAN MD PHYSICIAN-FORMER 222167 0 0 0 46 0 9275 0 5089 0 236577 0 0 0 MARK G NEWMAN MD PHYSICIAN-FORMER 534830 0 3033 0 2962 0 27275 0 14909 0 583009 0 0 0 PART I, LINE 1A ON 1 OCCASION WOMAN'S HOSPITAL PROVIDED FOR TRAVEL TO A CONFERENCE FOR THE SPOUSE OF A BOARD MEMBER. WOMAN'S HOSPITAL PAID FOR RETIREMENT PLANNING ON BEHALF OF TERI FONTENOT. PART I, LINE 4B TERI G. FONTENOT - $161,436 PATRICIA R. JOHNSON - $38,393 THERE ARE TWO SUPPLEMENTAL DEFERRED COMPENSATION PLANS, THE EXECUTIVE DC PLAN AND THE SUPPLEMENTAL EXECUTIVE DEFERRED COMPENSATION PLAN (SERP). THE EXECUTIVE DC PLAN PROVIDES RESTORATION ACCRUALS APPLICABLE TO THE CASH BALANCE RETIREMENT PLAN, THE 403(B) PLAN AND THE 401(A) PLAN. THE RESTORATION ACCRUALS ARE EQUAL TO THE AMOUNTS THAT WOULD HAVE BEEN ADDED TO THE PLANS (BASED ON THE PERCENTAGE OF SALARY AND YEARS OF SERVICE) IF THE ANNUAL PENSION COMPENSATION LIMITS HAD NOT BEEN IN PLACE. THE NORMAL RETIREMENT AGE (NRA) FOR THE EXECUTIVE DC PLAN IS AT AGE 60. UPON ATTAINMENT OF NRA IN THE PLAN, PARTICIPANTS EXPERIENCE A "PAYMENT EVENT." THE SUPPLEMENTAL EXECUTIVE DEFERRED COMPENSATION RETIREMENT PLAN (SERP) PROVIDES ANNUAL CREDITS THAT, WHEN ACCUMULATED TO AGE 65, PROVIDE THE EXECUTIVE WITH A TARGET LIFETIME ANNUITY OF 55% OF FIVE-YEAR AVERAGE BASE NET PAY (OFFSET) OF SS AND OTHER HOSPITAL-PROVIDED BENEFITS. NORMAL RETIREMENT AGE (NRA) FOR THE SERP PLAN IS AT AGE 62. UPON ATTAINMENT OF NRA IN THE SERP, PARTICIPANTS BECOME FULLY VESTED AND EXPERIENCE A "PAYMENT EVENT." PART I, LINE 6 WOMAN'S HOSPITAL'S MANAGEMENT INCENTIVE PLAN PROVIDES FOR COMPENSATION IF CERTAIN GOALS/TARGETS ARE ACHIEVED, ONE BEING NET INCOME FROM OPERATIONS. A LCDA HOSPREV REF NOTE (WOMAN'S) SERIES 2015 721416168 2015-10-19 63605000 REFINANCE SERIES 2010B HOSPITAL REVENUE BONDS 0 0 0 B LCDA HOSP REF REV BONDS (WOMAN'S) SERIES 2017A 721416168 54628CAU6 2017-06-28 251867391 REFUND OUTSTANDING SERIES 2010A AND 2010B BONDS 0 0 0 A 63605000 1 0 1 1 B 251867391 2106164 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 DR EDWARD SCHWARTZENBURG DR. EDWARD SCHWARTZENBURG IS AN OFFICER OF THE FOUNDATION 219296 SCHWARTZENBURG, LAFRANCA, AND GUIDRY RENTS OFFICE SPACE FROM THE FOUNDATION. DR. EDWARD SCHWARTZENBURG IS A MEMBER OF THIS GROUP. 0 DR FRANK BREAUX DR. FRANK BREAUX IS A DIRECTOR OF THE FOUNDATION 1434673 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. FRANK BREAUX IS A MEMBER OF THIS GROUP. 0 DR RENEE HARRIS DR. RENEE HARRIS IS AN OFFICER OF THE FOUNDATION 299373 ASSOCIATES IN WOMEN'S HEALTH RENTS OFFICE SPACE FROM THE FOUNDATION. DR RENEE HARRIS IS A MEMBER OF THIS GROUP. 0 DR STEVEN FEIGLEY DR. STEVEN FEIGLEY IS A DIRECTOR OF THE FOUNDATION 1434673 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. STEVEN FEIGLEY IS A MEMBER OF THIS GROUP. 0 DR SARAH DAVIS DR. SARAH DAVIS IS A DIRECTOR OF THE FOUNDATION 1434673 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. SARAH DAVIS IS A MEMBER OF THIS GROUP. 0 DR AMANDA PEARSON DR. AMANDA PEARSON IS THE FOUNDATION'S 2017 CHIEF OF STAFF NON-VOTING 1434673 LWHA RENTS OFFICE SPACE FROM THE FOUNDATION. DR. AMANDA PEARSON IS A MEMBER OF THIS GROUP. 0 FORM 990, PART VI, SECTION A, LINE 2 DR. STEVEN FEIGLEY, DR. FRANK BREAUX, DR. AMANDA PEARSON, AND DR. SARAH DAVIS ARE ALL MEMBERS OF LOUISIANA WOMEN'S HEALTHCARE (LWHA). FORM 990, PART VI, SECTION A, LINE 6 BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS. THE FOUNDATION CAN VOTE SEPARATELY FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE BOARD TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A LETTER AND QUESTIONNAIRE ARE SENT TO EACH BOARD MEMBER ANNUALLY WITH A LIST OF OFFICERS, DIRECTORS, AND KEY PERSONNEL TO USE FOR REFERENCE IN REPORTING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A MARKET COMPARISON AND RESULTING RECOMMENDATIONS FOR TOTAL COMPENSATION AND MANAGEMENT INCENTIVE PLANS ARE CONDUCTED BY A CONSULTING FIRM AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S TAX DOCUMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC. THE FOUNDATION'S ANNUAL REPORT IS AVAILABLE ON THE HOSPITAL WEBSITE. THE FOUNDATION ALSO ISSUES QUARTERLY BOND DISCLOSURE REQUIREMENTS TO BONDHOLDERS AND RATING AGENCIES. FORM 990, PART XI, LINE 9: CHANGE IN AUXILIARY ACCOUNT 15,392. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990. STUMBERG HOLDING LLC 100 WOMANS WAY BATON ROUGE LA 70817 464133824 LAND MANAGEMENT LA 0 0 WOMAN'S HOSPITAL FOUNDATION FOUNDATION FOR WOMAN'S 100 WOMANS WAY BATON ROUGE LA 70895 471970335 TO PROMOTE THE WELFARE OF WOMAN'S HOSPITAL FOUNDATION D/B/A WOMAN'S HOSPITAL LA 501(C)(3) LINE 12A, I WOMAN'S HOSPITAL FOUNDATION 0 WOMAN'S RETAIL VENTURES LLC 9000 AIRLINE HWY STE 330 BATON ROUGE LA 70895 043845778 GIFT SHOP RETAIL LA 220881 844014 0 0 0.74750 STUMBERG LAND LLC 100 WOMANS WAY BATON ROUGE LA 70817 464150615 LAND MANAGEMENT LA -66436 2727579 0 0 0.64400 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 FOUNDATION FOR WOMANS C 1524723 CASH FOUNDATION FOR WOMANS B 249875 CASH FOUNDATION FOR WOMANS N 14881 CASH FOUNDATION FOR WOMANS O 443263 CASH FOUNDATION FOR WOMANS O 75481 CASH FOUNDATION FOR WOMANS P 692835 CASH WOMAN'S RETAIL VENTURES LLC J 84962 CASH WOMAN'S RETAIL VENTURES LLC S 159110 CASH FORM 990, SCHEDULE R, PART I & PART III STUMBERG HOLDING, LLC, A DISREGARDED ENTITY FOR TAX PURPOSES, IS OWNED 100% BY WOMAN'S HOSPITAL FOUNDATION. STUMBERG HOLDING, LLC IS A 64.40% MEMBER IN STUMBERG LAND, LLC.