2015-11-10T11:05:55-06:00 2014-12-31 346565596 Ernst & Young US LLP 401 Congress Ave Suite 1800 Austin TX 78701 990 2014-01-01 720502505 Ochsner Clinic Foundation OCHS 5048423400 1514 Jefferson Highway New Orleans LA 70121 Bobby C Brannon EVP & Treasurer 5048423400 2015-11-10 0 Raymond Lee P00004272 5124789881 2014 2016-04-25 22:37:26Z Ochsner Medical Center Warner L Thomas 1514 Jefferson Highway New Orleans LA 70121 6235914720 0 X www.ochsner.org X 1944 LA Patient Care, Graduate Medical Education, & Medical Research 19 8 16881 991 2681019 92133 12533544 11896065 5501685541 6040819706 28147523 45316188 7831582 14109976 5550198190 6112141935 118035 686509 0 0 1012889384 1123157690 0 0 511755 4484851744 4916265026 5497859163 6040109225 52339027 72032710 1710614387 1807294721 1030671665 1050612882 679942722 756681839 X We Serve, Heal, Lead, Educate and Innovate. Ochsner will be a global medical and academic leader who will save and change lives. We will shape the future of healthcare through our integrated health system, fueled by the passion and strength of our diversified team of physicians and employees. 0 0 5630058987 22473 6013268109 Patient Care/Patient Medical Services: Ochsner Clinic Foundation consists of four hospitals at six campuses and many clinical locations. Served 143,931 inpatients resulting in 701,290 patient days. Emergency Room visits totaled 256,052. The number of births totaled 5,269. Outpatient hospital visits totaled 584,200. Physician clinic visits total 1,107,016. 469 patients received organ transplants. 19767594 5371198 Since 1944, academics have been an integral component of the mission, visions and strategy of the Ochsner organization. Ochsner's focus as an academic center adds emphasis, intellectual capital and commitment to our mission to educate and innovate, through providing the highest quality care and service to the Ochsner community and patients. The academic areas are operating divisions of Ochsner Clinic Foundation. Education. Operating one of the nation's largest independent academic medical centers, OCF trains over 275 residents and fellows annually in 23 independent OCF-sponsored accredited residency training programs. In addition, Ochsner is a joint sponsor of three programs with Louisiana State University Health Science Center ("LSUHSC"), including ophthalmology, psychiatry and urology, and is a joint sponsor of a pediatric program with Tulane University School of Medicine ("Tulane"). The joint programs include approximately 125 residents. In addition, another 300 residents and fellows rotate to OCF in various disciplines of medicine and surgery under affiliation agreements with LSUHSC and Tulane as well as other schools from across the country and around the world. Ochsner also supports LSU residency training programs at the Ochsner Medical Center - Kenner. The site hosts approximately 40 residents annually with the primary programs being Family Practice and Internal Medicine with 26 residents, and medicine and surgical specialties training programs with approximately 14 residents. In the fall of 2008, Ochsner entered into a partnership with the University Of Queensland School Of Medicine in Brisbane, Australia to develop the University of Queensland, Ochsner Clinical School. Beginning in 2017, this program will create an additional 120 medical school graduates each year. The program is for United States citizens or permanent residents who are interested in pursuing a career in medicine with the opportunity to study in a global program. The students complete their first and second years of training at the University of Queensland in Brisbane followed by completion of years three and four (clinical training years) at Ochsner. The students graduate with a Bachelor of Medicine, Bachelor of Surgery (MBBS degree) which is considered a Doctor of Medicine (MD) equivalent degree. In 2015, the University Of Queensland School of Medicine approved the Doctor of Medicine degree to replace the MBBS degree. As a result, the University of Queensland School of Medicine and Ochsner Clinical School were visited in 2014 by the Australian Medical Council as a component of the Medical School's accreditation. The outcome of this site visit was full accreditation for six year, the maximum term allowed. The graduating class of 2018 will be the first class to graduate with the MD degree. As of January 2015, there were 339 students enrolled in the University of Queensland, Ochsner Clinical School program. The program has continued its projected growth since 2009 and in 2014 realized the goal of enrolling 120 students per year. In addition to the University of Queensland, Ochsner Clinical School program, Ochsner continues to provide over 700 student months of clinical education to medical students from Tulane University School of Medicine and Louisiana State University School of Medicine and a host of other medical school programs from across the region, country and around the world. Continuing Medical Education. OCF's Continuing Medical Education ("CME") program is accredited by the Accreditation Council for Continuing Medical Education and provides educational activities designed to assist practicing physicians maintain, develop, and/or increase their clinical competency and professional performance required to deliver high-quality and safe patient care. In 2014, Ochsner's CME program provided over 40,500 CME credits to approximately 10,500 physicians. Approvals and Accreditations. OCF's Academic Division Education Programs are accredited by or registered with the following agencies:* Accreditation Council for Graduate Medical Education (ACGME)* Accreditation Council for Continuing Medical Education (ACCME)* American Association of Medical Colleges (AAMC)* Association of Hospital Medical Education (AHME)* Australian Medical Council (AMC)* Council on Teaching Hospitals (COTH)* Joint Review Committee for Education in Radiologic Technology (JRCERT)Allied Health / Nursing Affiliations. OCF has formal associations with over 100 institutions of higher learning. OCF, through Allied Health and Nursing Education affiliations, enables students enrolled in colleges and universities throughout the United States to conclude formal degree requirements that require clinical training and competency. Through an affiliation agreement with Our Lady of Holy Cross College, students in radiologic technology train at Ochsner Medical Center and complete an Associate or Bachelor's degree in Health Science. Ochsner currently has affiliations with 30 nursing programs across Louisiana as well as an additional 70-75 allied health programs. Through these affiliations, Ochsner provides clinical training and mentoring to over 1000 nursing students and 650 allied health students each year.Medical Library. The Medical Library is a full service library staffed by two librarians and one archivist. The Medical Library Collection consist of over 1,700 e-Journals, 250 e-books and 25 clinical knowledge databases and 2,300 reference texts, circulating books, and historical books. The Medical Library also provide support for the development and dissemination of patient education materials and provides assistance to patients and their families as they seek information regarding maintaining their health and/or on innovative therapies available.Publishing Services. Publishing Services provides medical editing, medical illustration, and review of any written document. In addition, they manage and publish The Ochsner Journal, a quarterly publication designed to support the Ochsner Clinic Foundation's mission to serve, heal, lead, educate, and innovate. Since its inception in 1999, the Journal has provided a wide range of peer-reviewed, timely, and practical information for practicing physicians, healthcare professionals, and physicians in training. The editorial mix includes original research, case reports, literature reviews, editorials, and other articles that span the spectrum of medical practice and scientific research. The entire archive of The Ochsner Journal is deposited with PubMed Central; all articles are fully searchable and available in full-text form through PubMed and PubMed Central searches. 10626877 5516159 Medical Research: Currently, Ochsner Clinic Foundation operates five basic science research laboratories with over 400 active clinical trials in 27 clinical areas. Approximately 3,000 patients participate in Ochsner Clinical research annually. Every, clinical trial is overseen by the Ochsner Institutional Review Board, which provides oversight of the safety of the human subjects participating in clinical trials. Ochsner established the Center for Applied Health Services Research (CASHR) in 2014, the mission of which is to advance knowledge, improve clinical practice, and improve the health and well-being of the community. CASHR services include an Information Analytics Unit that helps researchers extract data from Ochsner's System data repositories, a Biostatistic Unit that helps researchers with project development and data analysis, and a Patient Research Advisory Board which facilitates patient engagement in both industry-sponsored and investigator-initiated studies. The Clinical Trial Unit, located at Ochsner Baptist Medical Center, was established in 2012 to provide the ability to carry out Phase I clinical trials, complex trials requiring close monitoring, high-volume trials, etc. Since inception, over 300 patients have participated in research studies at the CTU. The Biobank Unit, located at Ochsner Medical Center, was established in 2011 to develop a robust inventory of human biospecimens and biofluids for utilization in complex research projects. Since inception, over 850 patients have donated their biospecimens and biofluids. This has resulted in development of a comprehensive ExpressBank with an inventory of over 17,000 aliquots of biospecimens and biofluids. 9508264 13289502 Elmwood Fitness Center: provides fitness services to patients and members of the public. 2047230 3400325 Rent-Physical plant: Ochsner Clinic Foundation rents its physical plant to related 501(c)(3) organizations. The majority of the rental is to Brent House Corporation, a wholly-owned subsidiary and exempt 501(c)(3) organization. Brent House fully reimburses Ochsner for expenses related to the Hotel. 1365844 23345 Ochsner maintains a free parking garage for employees and patients.Revenue is attributable to the optional valet parking service, which isoffered for the convenience of Ochsner's patients. -48932 Program Related Investments: Equity Income from Joint Venture providing patient care. 12921338 16664240 5673374796 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 1 1 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 1138 0 1 16881 1 1 1 1 CJ EI 0 0 0 1 1 0 0 0 0 X 19 8 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 0 1 1 1 0 X Bobby C Brannon 5048423400 1514 Jefferson Highway New Orleans LA 70121 X Pedro Cazabon MD Board Member Sr Phys 49.00 1.00 X 317948 0 44171 F Ralph Dauterive MD Board Member Sr Phys 49.00 1.00 X 386940 0 66944 Richard Deichmann MD Board Member Sr Phys 49.00 1.00 X 251991 0 59285 William H Hines Community Director 1.00 4.00 X 0 0 0 Dennis Kay MD Board Member Sr Phys 49.00 1.00 X 657387 0 60328 R Parker LeCorgne Community Director 1.00 4.00 X 0 255 0 George Loss MD PhD Board Member Sr Phys 48.00 2.00 X 869413 0 70356 James E Maurin Past Chair 1.00 4.00 X 0 0 0 Richard Milani MD Board Member Sr Phys 48.00 2.00 X 642461 0 110267 Jefferson G Parker Community Director 1.00 4.00 X 0 1301 0 Robert J Patrick Community Director 1.00 4.00 X 0 0 0 Patrick J Quinlan MD Board Member Ex Officio 1.00 49.00 X 0 3363174 63775 Dana Smetherman MD Board Member Sr Phys 48.00 2.00 X 544427 0 52634 Stephen Stumpf Community Director 1.00 4.00 X 0 0 0 Jose S Suquet Community Director 1.00 4.00 X 0 0 0 David E Taylor MD Board Member Sr Phys 49.00 1.00 X 366059 0 70251 Andrew B Wisdom Community Director 1.00 4.00 X 0 0 0 Suzanne T Mestayer Board Chairman 1.00 4.00 X X 0 607 0 Warner L Thomas CEO / Board Member 1.00 49.00 X X 0 1497436 108264 Michael F Hulefeld EVP & COO 1.00 49.00 X 0 770935 122576 Scott J Posecai EVP & CFO 1.00 49.00 X 0 837013 59477 Peter November Secretary Exec VP CAO 1.00 49.00 X 0 475683 103930 Bobby C Brannon EVP & Treasurer 43.00 7.00 X 677091 0 46487 Joseph E Bisordi MD Exec VP Chief Medical Officer 1.00 49.00 X 0 796485 145368 Polly Davenport CEO-North Shore Region 50.00 0.00 X 371692 0 56225 Steven B Deitelzweig MD Sr Physician, Svc Line Ldr, Hospital Med 50.00 0.00 X 400625 0 56329 Richard D Guthrie Jr MD Reg Med Dir, N.O. Reg 50.00 0.00 X 444261 0 86254 Robert Hart MD Reg Med Dir, B.R. Reg 50.00 0.00 X 0 409209 95752 Ernest E Martin Jr MD Reg Med Dir - N.S. Reg 50.00 0.00 X 414501 0 65770 J Eric McMillen CEO, Baton Rouge Region 50.00 0.00 X 350503 0 48628 William W Pinsky MD Exec VP/Chief Academic Officer 49.00 1.00 X 532618 0 83314 Dawn Puente MD Reg Med Dir, NO Comm Hosp 10.00 40.00 X 0 373267 68573 Armin Schubert MD VPMA-OMC-Jeff Hwy 50.00 0.00 X 514947 0 62660 Robert Wolterman CEO OMC-Jeff Hwy 50.00 0.00 X 0 433419 59213 Cuong Bui MD Sr Physician 50.00 0.00 X 876203 0 26265 Benjamin Guevara MD Physician. Vice Lead, Sports Med 50.00 0.00 X 866794 0 42475 Deryk G Jones MD Sr Physician, Section Head, Sports Medicine 50.00 0.00 X 922911 0 65425 Jose Mena MD Sr Physician 50.00 0.00 X 939557 0 55326 Olawale Sulaiman MD Sr Physician, Chair, Neurosurgery 50.00 0.00 X 880347 0 31561 Scott Boudreaux Former Key Employee 0.00 50.00 X 0 284546 42791 Lisa S Colletti Former Key Employee 50.00 0.00 X 232962 0 17395 Mark French Former Key Employee 0.00 50.00 X 235815 0 40035 Patrick Shannon Former Key Employee 0.00 50.00 X 0 208233 25901 Beth E Walker Former Key Employee 50.00 0.00 X 234340 0 30937 12931793 9451563 2244942 1488 1 1 0 LOUISIANA STATE UNIVERSITY 433 BOLIVAR ST NEW ORLEANS LA 70112 Purchased Physician Services 34328748 BROADMOOR CO LLC 2740 NORTH ARNOULT RD METAIRIE LA 70002 Construction 7917386 SCOTT MOULDOUS CONSTRUCTION 1600 JUSTIN RD METAIRIE LA 70001 Construction 5251339 GJERSET & LORENZ LLP 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 Legal Services 4386590 ANESTHESIA CONSULTANTS OF THE SOUTH 2820 NAPOLEON AVENUE SUITE 650 NEW ORLEANS LA 70115 Anesthesia Services 3743487 144 30407 1145938 3190312 7529408 1762112 11896065 Patient Service Rev. 621110 6013291454 6005159265 415971 7716218 Elmwood Fitness Center 713940 13289502 13289502 Research Revenue 900099 5516159 5516159 Education Revenue 611600 5371198 5371198 Rent-Physical Plant 531120 3400325 3400325 -48932 74505 -123437 6040819706 12988506 97974 12890532 426325 426325 4370222 3435729 934493 934493 934493 136634718 1009535 104379020 937551 32255698 71984 32327682 32327682 516486 1145938 1169505 -653019 -653019 26527684 13850980 12676704 1565038 11111666 Management Services Re 541610 629498 629498 Administrative Fellows 611430 95975 95975 725473 6112141935 6029410629 2681019 68154222 584576 584576 101933 101933 6778994 5170545 1608449 1304248 1155371 148877 969342527 842983151 126108864 250512 37853488 35145103 2697762 10623 52950373 38989888 13912438 48047 54928060 47386541 7525380 16139 31683406 10665495 21017911 5574127 65664 5508463 68970 68970 766727 766727 683957 683957 77798028 45140374 32646841 10813 906937 645165 261577 195 97418334 87138139 10232926 47269 6967605 6304810 660932 1863 95446425 71929374 23437601 79450 1571398 1007511 557583 6304 3911078 2660797 1250281 30646831 30207881 438950 91592546 56962746 34598123 31677 28780314 25632117 3148197 Discounts & Allowances 3674373428 3674350950 22478 Medical Supplies 309503143 309331500 169074 2569 Outside Provider 215556620 215556620 Unrelated Business Inco 28413 12123 16290 242986739 164246422 78734023 6294 6040109225 5673374796 366222674 511755 25913855 66239173 249965933 205849497 7811343 7404654 178349507 191664961 231626742 139869659 34135607 39753774 23416973 23962300 1439895198 900442344 506957463 539452854 234200027 387437248 137875286 117688719 54510334 54559286 25851317 33412596 1710614387 1807294721 198464739 220625901 13593231 14514641 504930990 499724235 160104729 115414031 153577976 200334074 1030671665 1050612882 X 614939145 688569069 41744434 44715880 23259143 23396890 679942722 756681839 1710614387 1807294721 X 72032710 -24258781 28965188 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 766727 766727 5673626161 5674392888 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 642630 698827 739626 766727 2847810 250000 250000 250000 250000 1000000 1500000 30504804 138247 3916658 926235 33633473 28003991 594194 3696563 1789943 30504804 26449386 112431 1850353 408178 28003991 29000762 113975 -1274665 1390686 26449386 27544777 281209 2639534 1464758 29000762 0.04100 0.69560 0.26340 1 0 4517928 24239597 28757525 1820412 675774306 412881976 264712742 72819117 39832689 32986428 621376743 422490846 198885897 39347095 25236833 14110262 539452854 Brevan Howard Credit Catalysts Fund 15064532 F Clifton Defense Equity Fund 20780099 F Commonfund Capital International Partners V 617971 C Commonfund Capital International Partners VI 1089429 C Commonfund Capital International Partners VII 1126990 C Commonfund Capital Natural Resources VI 777078 C Commonfund Capital Natural Resources VII 3136775 C Commonfund Capital Natural Resources VIII 2337144 C Commonfund Capital Private Equity Partners VI 647420 C Commonfund Capital Private Equity Partners VII 789118 C Commonfund Capital Ventures Partners IX 435898 C Commonfund Capital Ventures Partners VII 1748839 C Commonfund Capital Ventures Partners VIII 3135943 C J O Hambro Global Select Fund 22682549 F Lexington Capital Partners VII (Offshore) 1887085 C Millennium International LTD 22416676 C Overstone Global Equity Fund 17662916 F Park Street Private Equity Fund VI 1352257 C 117688719 3187 Pension Obligations 158307456 Investment in Brent House Hotel (Equity Basis) 7548895 Lease Liability 2723960 Liability Trust Fund 12899003 Worker's Compensation Liability 8475683 Contract Retentions 393443 Split Interest Liability 1002235 Reserve for Recoupments 8666981 Interest Rate Swap Liability 313231 200334074 X Part V, Line 4: In general, the Organization's Endowment Funds support the following initiatives: Medical Research, Graduate Medical Education Program, Medical Lectureships, Fellowship Awards, Anti-Smoking Initiative, Pastoral Care, Alzheimers care, Nursing Education, and Advancement in Anesthesia. Part X, Line 2: OCF and its subsidiaries qualify as tax exempt organizations under Section 501(a) and are described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal and state income taxes. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated balance sheets. 1 Central America and the Caribbean 0 0 Investments 24304000 Europe 0 0 Investments 85184000 Central America and the Caribbean 0 0 Grants to recipients located in the region 54049 Sub-Saharan Africa 0 0 Grants to recipients located in the region 47884 0 0 0 0 0 0 109589933 0 109589933 Central America and the Caribbean Medical Student Rotation 16617 Wire Central America and the Caribbean Clinic Construction 16000 Wire Central America and the Caribbean Water Well Project 11200 Wire Central America and the Caribbean Professor Salary 1707 Educational Program Support Central America and the Caribbean 1250 Cash/Wire 3726 Uniforms, Textbooks, Supplies FMV Financial Support Central America and the Caribbean 1250 356 Cash/Wire Medical Equipment Central America and the Caribbean 1250 1968 Medical Equipment FMV Food & Nutrition Central America and the Caribbean 1250 2475 Food for parents/students FMV Medical Equipment Sub-Saharan Africa 62 47884 Medical equipment FMV 1 0 0 0 0 0 Part I, Line 2: All international grants obtain an additional layer of approval from the Internal Audit and Compliance department. The Director of Internal Audit ensures compliance with donor restrictions, reviews payment procedures and tracks the use of proceeds. Part I, line 3: This section reflects the book value of foreign investments made in 2014 and prior years. Investments and values are as follow: Central America and the Caribbean: Lexington Capital Partners VII (Offshore), Cayman Islands: $1,887,000 Millennium Internaional, LTD, C/o Globeop Financial Services (Cayman) Limited, Grand Cayman: $22,417,000 Europe: Brevan Howard Credit Catalysts Fund Limited, c/o International Fund Services (Ireland) Limited, Ireland: $15,065,000 Comgest Growth Emerging Markets, c/o RBC Dexia Investor Services, Ireland: $29,773,000 J.O. Hambro Capital Management, c/o RBC Dexia Investor Services, Ireland: $22,683,000 Overstone Fund PLC, c/o Northern Trust Int'l Fund Admin Services, Ireland: $17,663,000 Part III, Col (c): The estimated number of recipients that received direct support from the educational progran is around 1,250. The estimated number of recipients that received direct support from the medical equipment in Africa is around 62. Part III, Col (f): The method of accounting for Part III is the accrual method. The estimated number of recipients that received direct support from the educational program is around 1,250. The education program support included staff salary, program supplies, uniforms, teaching tapes, textbook and food. There were various types of medical equipment purchased in order to assist the indigent, construction to the damaged clinic, and installation of a well as a safe source of water. The estimated number of recipients that received direct support from the medical equipment in Africa is around 62. Breast Cancer Gala 1500951 1071140 429811 119216 398646 205425 146050 250780 King Cake Festival 83333 24338 58995 6824 0 11302 12250 10230 4 78140 50460 27680 1610 -1107 218 -2700 10761 1662424 1145938 516486 127650 397539 216945 155600 271771 1169505 -653019 1 1 X 1 X 1 X 380.000000000000 1 1 1 0 1 0 49392699 49392699 0.00830 49392699 49392699 0.00830 1048697 221403 827294 0.00010 15489000 15489000 0.00260 5985110 5985110 0.00100 61556612 61556612 0.01030 84079419 221403 83858016 0.01400 133472118 221403 133250715 0.02230 6535 6535 0.00000 80417 80417 0.00000 249246 240951 8295 0.00000 7614 7614 0.00000 11901 11901 0.00000 111739 3803 107936 0.00000 467452 244754 222698 0 29342434 278766786 273037867 5728919 X 1 1 7 1 Ochsner Medical Center 1516 Jefferson Highway New Orleans LA 70121 www.ochsner.org/locations/ochsner_main 163 X X X X X A 2 Ochsner Medical Center-Baton Rouge 17000 Medical Center Blvd Baton Rouge LA 70816 www.ochsner.org/locations/baton_rouge/ 555 X X X A 3 Ochsner Medical Center-North Shore 100 Medical Center Dr Slidell LA 70461 www.ochsner.org/locations/north_shore/ 678 X X X X A 4 Ochsner Baptist-A Campus of Ochsner Medical Center 2700 Napoleon Ave New Orleans LA 70115 www.ochsner.org/locations/ochsner-bapt 163 - QQQ X X X X Satellite of Ochsner Medical Center A 5 Ochsner Medical Ctr-West Bank Campus 2500 Belle Chasse Hwy Gretna LA 70056 see Part VII Supplemental 163 - HH X X X Satellite of Ochsner Medical Center A 6 Ochsner St Anne General Hospital 4608 Hwy 1 Raceland LA 70394 see Part VII Supplemental 594 X X X A 7 Ochsner Medical Ctr-Elmwood Campus 1121 N Clearview Parkway Jefferson LA 70121 www.ochsner.org/ 163 - Z X Satellite of Ochsner Medical Center A Ochsner Clinic Foundation Hospitals 0 0 1 X X X X X X X X X 13 1 1 0 1 X www.ochsner.org/assessment 1 13 0 1 0 1 X 200.000000000000 380.000000000000 X 1 1 X X X X 1 X X X X 1 X 0 X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Ochsner Medical Center, - Facility 5: Ochsner Medical Ctr-West Bank Campus, - Facility 6: Ochsner St. Anne General Hospital, - Facility 2: Ochsner Medical Center-Baton Rouge, - Facility 3: Ochsner Medical Center-North Shore, - Facility 4: Ochsner Baptist-A Campus of Ochsner Medical Ce, - Facility 7: Ochsner Medical Ctr-Elmwood Campus Ochsner Clinic Foundation Hospitals Part V, Section B, line 5: The hospital identified leaders from organizations that have special knowledge and or expertise in public health, agencies with information relative to the health needs of the community and representatives of medically underserved, low-income, minority populations and populations with chronic disease needs in the community. Such persons were interviewed as part of the needs assessment planning process. Ochsner Clinic Foundation Hospitals Part V, Section B, line 6a: Children's Hospital New Orleans, East Jefferson General Hospital, Ochsner Medical Center, Ochsner Medical Center-Westbank, Ochsner Medical Center-Kenner, Ochsner Baptist Medical Center, Ochsner Medical Center Northshore, Slidell Memorial Hospital, St. Tammany Parish Hospital, Touro Infirmary, Tulane Medical Center, West Jefferson Medical Center Ochsner Clinic Foundation Hospitals Part V, Section B, line 15e: The FAP application is provided to the patient or their representative immediately upon request. Ochsner Clinic Foundation Hospitals Part V, Section B, line 16i: The policy is included in patient billing statements. Ochsner Clinic Foundation Hospitals Part V, Section B, line 18d: Until March 2014, the agreement with a third-party collections agency allowed the collections agency to file garnishments prior to determining if the patient was eligible for financial assistance. In March 2014, the agreement was amended such that the collections agency cannot take any legal actions until it has obtained prior approval from Ochsner, and such approval will not be given unless the individual is not eligible for financial assistance. No such actions were taken to individuals that were ineligible under the organization's FAP. Additionally, the financial assistance policy and guidelines were printed on all billing statements and available on the Ochsner website. Ochsner Clinic Foundation Hospitals Part V, Section B, line 22d: A discount is applied to gross charges and represents the average payor yield by reviewing Medicare and the majority of commercial actual and expected payments (including the patient portion) over a year period. In no event are gross charges billed to a patient approved for financial assistance. Group A-Facility 1 -- Ochsner Medical Center Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (University of Queenland medical students, Delgado- RN, Surg Tech, Nuclear Med, Phlebotomy)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, STAR summer program, SEPA)4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Identified ways Ochsner can partner to support community based health organization to provide access to healthcare (PACE, Access Health)6. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)7. Assisted community members and patients with Medicaid application process and payment plans. OMC is an approved Medicaid application center: number of patients funded increased 35% and amount funded increased 37%.8. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)9. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals to OMC through centralized monitoring services (access to critical cared specialists 24/7) using telemedicine. 10. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites with OMC as the hub. Provided decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.11. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).12. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide13. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including. 1500 patients were enrolled system wide.14. Provided inpatient psychiatric services at Ochsner Medical Center and outpatient mental health services at Lakeview, Metairie, Jefferson Highway clinics.15. Utilized telemedicine to assess and improve triage of mental health patients in the ED linking Northshore and Baton Rouge to providers at OMC (Northshore started April 2014, Baton Rouge Aug 2014)* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Fit NOLA, Zurich Classis, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).6. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)7. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including OMC. Community Calendar unique patient views increased system wide to over 21,000.11. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.12. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.13. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.14. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourages healthy activity and lifestyles (Fit NOLA, Zurich Classic, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)4. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orl Group A-Facility 2 -- Ochsner Medical Center-Baton Rouge Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and mental) * Access to primary/preventive care * Lack of health insurance coverage * Access to mental health services.Actions/3 year Implementation Plans1. Provided medical services in neighborhoods across region adding Sherwood clinic and Denham Springs South clinic, including acceptance of 4 of the LA Medicaid insurances for OB services. 2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state ( LSUHSC-Social Work, Delgado RN-practical nursing; Livingston Parish Public Schools- CAN, PCT; BR Community college-sonography, LPN, PCT,RN; East BR Dept of EMS-EMT,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Baton Rouge is an approved Medicaid application center, increased approved applications by 74%, number of patients funded increased 33% and amount funded increased 12%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baton Rouge to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability.10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baton Rouge. 1500 patients were enrolled system wide.12. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started Aug 2014.13. Provided mental health services at Summa Ave site* Access to community/support services * Access to prevention education and awareness and * Limited number of community services due to fundingActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Adopt a schools, community walks(Heart, Kidney, ADA), school fairs, Mayor's Healthy City committee)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)3. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Ochsner Baton Rouge. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.* Resident health and wellness (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases - Especially Diabetes and Obesity * Prevention and Health Education focused on HIV/AIDS.Actions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)2. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Baton Rouge continued to work with the Mayor's Healthy Baton Rouge initiative to identify ways that all Baton Rouge hospitals can impact HIV/AIDs rates in the community. Group A-Facility 3 -- Ochsner Medical Center-North Shore Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- PA, OT, PT; Delgado- RN, Rad Tech, practical nursing; Herzing- Surg Tech; Lenora School of Phlebotomy; Pearl River Community College-LPN, RN)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Northshore is an approved Medicaid application center, increased approved applications by 46%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Northshore to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Northshore. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Northshore. 1500 patients were enrolled system wide.12. Provided outpatient mental health services at Ochsner Slidell and Mandeville clinics13. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started April 2014* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)2. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Northshore. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Diabetes Walk, West Chamber Business Expo, Olde Town Pumpkin Fest)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.Need not addressed due to limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center - North Shore does offer clinical HIV/AIDS services on site however they do not provide specific outreach education on this topic. Group A-Facility 4 -- Ochsner Baptist-A Campus of Ochsner Medi Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (St Charles Avenue, Midcity). Added Ob/Gyn and cardiology services to Mid-city site.2. Provided health education & preventative care, urgent care services to local universities/colleges (Loyola University Student Health Center)3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs -across the state ( OLOHC- RN, NP, Delgado- RN-practical nursing, sonography, rad tech, dietetic tech, Pharm Tech; Nunez community college-practical nursing)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, Power Ties)5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Baptist is an approved Medicaid application center, increased approved applications by 274%, number of patients funded increased 45% and amount funded increased 75%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baptist to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baptist. 1500 patients were enrolled system wide.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Heart Walk, Freret Fest, Broadmoor Festival,). Over 3500 participated.2. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)3. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.4. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). McMain Secondary school was new location for classes in 2014.5. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).6. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.9. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.10. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.11. Partnered with and supported business organizations to improve the local economy including membership board participation (GNO Inc).* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Needs not addressed due to limited financial and limited availability of specialized clinical resources* Access to Mental Health Services:Ochsner Baptist does not have the clinical resources to offer mental health services in their facility. In order to address the mental health needs of the Greater New Orleans community, Ochsner Health System developed a program to utilize telemedicine technology to allow for assessment of patients in Emergency Departments by psychiatry providers at another location. This will address long waits for patients to see providers and be connected with the services that they need. The program utilized the Ochsner Medical Center -Northshore hospital as the pilot in 2014 and plans to expand to other locations over the next 3 years. OMC-Baptist is interested in continuing to evaluate the need for mental health services in the community and will continue to consider the most sustainable methods that it may offer to address the need for mental health services. * Prevention and Health Education focused on HIV/AIDS services Ochsner Baptist does offer clinical HIV/AIDS services on site; however, they do not provide specific outreach education on this topic. Group A-Facility 5 -- Ochsner Medical Ctr-West Bank Campus Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Algiers, Belle Chasse, Gretna, Marrero)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- Social Work, PA; Delgado- PT asst, RT, Pharm Tech; Herzing- RN, surg tech,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Westbank is an approved Medicaid application center, increased approved applications by 22%, number of patients funded increased 12% and amount funded increased 10%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Westbank to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Westbank . Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Westbank. 1500 patients were enrolled system wide.13. Provided outpatient mental health services at Westbank clinic.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.3. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).4. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )5. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.6. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.7. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).8. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.9. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.10. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.11. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.12. Assisted in Attaining and Maintaining BLS, ACLS, PALS certification for Community members13. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)*Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) *Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity *Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )3. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.4. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.10. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center Westbank does offer clinical HIV/AIDS services on site. They do provide outreach education on this topic to high school students at Ehret High School's School Based Health Center through their partnership with the Jefferson Parish school system. Group A-Facility 6 -- Ochsner St. Anne General Hospital Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and specialty) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverageActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne 2. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region. Partnerships developed to share services.3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (Univ of So. Alabama- RN-BSN, RN-MSN, PA; South Central Technical College-Surg tech; Delgado- dietetic tech; Fletcher Technical Community College- LPN, RN, phlebotomy; Herzing College-surg tech)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. St. Anne is an approved Medicaid application center. 90% increase in applications approved.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including St. Anne. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including, Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including St. Anne. 1500 patients were enrolled system wide.12. Provided inpatient and outpatient mental health services at Ochsner St Anne.* Access to community/support services to sustain a healthy environment * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region, preserving 700 jobs2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, diabetes support groups, prenatal classes)3. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including St. Anne. Community Calendar unique patient views increased system wide to over 21,000.4. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.5. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)6. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide7. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne *Residents Health and Wellness (specific to chronic disease) * Prevention and Health Education and Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, Breast Health grant program, CPR classes, prenatal classes)2. Participated in community events that encourage healthy activity and lifestyles (Race for the Cure,)3. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended. Group A-Facility 7 -- Ochsner Medical Ctr-Elmwood Campus Part V, Section B, line 11: The CHNA for Ochsner Medical Center-Elmwood Campus was done in conjunction with that of Ochsner Medical Center. Please see Part V, Section B, Line 11 for Ochsner Medical Center. Part V, Section B, Line 16a http://www.ochsner.org/patients_visitors/financial_services_and_billing_financial_assistance/ Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Ochsner Medical Center, - Facility 5: Ochsner Medical Ctr-West Bank Campus, - Facility 6: Ochsner St. Anne General Hospital, - Facility 2: Ochsner Medical Center-Baton Rouge, - Facility 3: Ochsner Medical Center-North Shore, - Facility 4: Ochsner Baptist-A Campus of Ochsner Medical Ce, - Facility 7: Ochsner Medical Ctr-Elmwood Campus Ochsner Clinic Foundation Hospitals Part V, Section B, line 5: The hospital identified leaders from organizations that have special knowledge and or expertise in public health, agencies with information relative to the health needs of the community and representatives of medically underserved, low-income, minority populations and populations with chronic disease needs in the community. Such persons were interviewed as part of the needs assessment planning process. Ochsner Clinic Foundation Hospitals Part V, Section B, line 6a: Children's Hospital New Orleans, East Jefferson General Hospital, Ochsner Medical Center, Ochsner Medical Center-Westbank, Ochsner Medical Center-Kenner, Ochsner Baptist Medical Center, Ochsner Medical Center Northshore, Slidell Memorial Hospital, St. Tammany Parish Hospital, Touro Infirmary, Tulane Medical Center, West Jefferson Medical Center Ochsner Clinic Foundation Hospitals Part V, Section B, line 15e: The FAP application is provided to the patient or their representative immediately upon request. Ochsner Clinic Foundation Hospitals Part V, Section B, line 16i: The policy is included in patient billing statements. Ochsner Clinic Foundation Hospitals Part V, Section B, line 18d: Until March 2014, the agreement with a third-party collections agency allowed the collections agency to file garnishments prior to determining if the patient was eligible for financial assistance. In March 2014, the agreement was amended such that the collections agency cannot take any legal actions until it has obtained prior approval from Ochsner, and such approval will not be given unless the individual is not eligible for financial assistance. No such actions were taken to individuals that were ineligible under the organization's FAP. Additionally, the financial assistance policy and guidelines were printed on all billing statements and available on the Ochsner website. Ochsner Clinic Foundation Hospitals Part V, Section B, line 22d: A discount is applied to gross charges and represents the average payor yield by reviewing Medicare and the majority of commercial actual and expected payments (including the patient portion) over a year period. In no event are gross charges billed to a patient approved for financial assistance. Group A-Facility 1 -- Ochsner Medical Center Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (University of Queenland medical students, Delgado- RN, Surg Tech, Nuclear Med, Phlebotomy)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, STAR summer program, SEPA)4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Identified ways Ochsner can partner to support community based health organization to provide access to healthcare (PACE, Access Health)6. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)7. Assisted community members and patients with Medicaid application process and payment plans. OMC is an approved Medicaid application center: number of patients funded increased 35% and amount funded increased 37%.8. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)9. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals to OMC through centralized monitoring services (access to critical cared specialists 24/7) using telemedicine. 10. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites with OMC as the hub. Provided decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.11. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).12. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide13. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including. 1500 patients were enrolled system wide.14. Provided inpatient psychiatric services at Ochsner Medical Center and outpatient mental health services at Lakeview, Metairie, Jefferson Highway clinics.15. Utilized telemedicine to assess and improve triage of mental health patients in the ED linking Northshore and Baton Rouge to providers at OMC (Northshore started April 2014, Baton Rouge Aug 2014)* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Fit NOLA, Zurich Classis, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).6. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)7. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including OMC. Community Calendar unique patient views increased system wide to over 21,000.11. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.12. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.13. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.14. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourages healthy activity and lifestyles (Fit NOLA, Zurich Classic, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)4. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orl Group A-Facility 2 -- Ochsner Medical Center-Baton Rouge Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and mental) * Access to primary/preventive care * Lack of health insurance coverage * Access to mental health services.Actions/3 year Implementation Plans1. Provided medical services in neighborhoods across region adding Sherwood clinic and Denham Springs South clinic, including acceptance of 4 of the LA Medicaid insurances for OB services. 2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state ( LSUHSC-Social Work, Delgado RN-practical nursing; Livingston Parish Public Schools- CAN, PCT; BR Community college-sonography, LPN, PCT,RN; East BR Dept of EMS-EMT,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Baton Rouge is an approved Medicaid application center, increased approved applications by 74%, number of patients funded increased 33% and amount funded increased 12%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baton Rouge to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability.10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baton Rouge. 1500 patients were enrolled system wide.12. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started Aug 2014.13. Provided mental health services at Summa Ave site* Access to community/support services * Access to prevention education and awareness and * Limited number of community services due to fundingActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Adopt a schools, community walks(Heart, Kidney, ADA), school fairs, Mayor's Healthy City committee)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)3. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Ochsner Baton Rouge. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.* Resident health and wellness (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases - Especially Diabetes and Obesity * Prevention and Health Education focused on HIV/AIDS.Actions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)2. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Baton Rouge continued to work with the Mayor's Healthy Baton Rouge initiative to identify ways that all Baton Rouge hospitals can impact HIV/AIDs rates in the community. Group A-Facility 3 -- Ochsner Medical Center-North Shore Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- PA, OT, PT; Delgado- RN, Rad Tech, practical nursing; Herzing- Surg Tech; Lenora School of Phlebotomy; Pearl River Community College-LPN, RN)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Northshore is an approved Medicaid application center, increased approved applications by 46%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Northshore to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Northshore. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Northshore. 1500 patients were enrolled system wide.12. Provided outpatient mental health services at Ochsner Slidell and Mandeville clinics13. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started April 2014* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)2. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Northshore. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Diabetes Walk, West Chamber Business Expo, Olde Town Pumpkin Fest)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.Need not addressed due to limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center - North Shore does offer clinical HIV/AIDS services on site however they do not provide specific outreach education on this topic. Group A-Facility 4 -- Ochsner Baptist-A Campus of Ochsner Medi Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (St Charles Avenue, Midcity). Added Ob/Gyn and cardiology services to Mid-city site.2. Provided health education & preventative care, urgent care services to local universities/colleges (Loyola University Student Health Center)3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs -across the state ( OLOHC- RN, NP, Delgado- RN-practical nursing, sonography, rad tech, dietetic tech, Pharm Tech; Nunez community college-practical nursing)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, Power Ties)5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Baptist is an approved Medicaid application center, increased approved applications by 274%, number of patients funded increased 45% and amount funded increased 75%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baptist to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baptist. 1500 patients were enrolled system wide.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Heart Walk, Freret Fest, Broadmoor Festival,). Over 3500 participated.2. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)3. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.4. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). McMain Secondary school was new location for classes in 2014.5. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).6. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.9. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.10. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.11. Partnered with and supported business organizations to improve the local economy including membership board participation (GNO Inc).* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Needs not addressed due to limited financial and limited availability of specialized clinical resources* Access to Mental Health Services:Ochsner Baptist does not have the clinical resources to offer mental health services in their facility. In order to address the mental health needs of the Greater New Orleans community, Ochsner Health System developed a program to utilize telemedicine technology to allow for assessment of patients in Emergency Departments by psychiatry providers at another location. This will address long waits for patients to see providers and be connected with the services that they need. The program utilized the Ochsner Medical Center -Northshore hospital as the pilot in 2014 and plans to expand to other locations over the next 3 years. OMC-Baptist is interested in continuing to evaluate the need for mental health services in the community and will continue to consider the most sustainable methods that it may offer to address the need for mental health services. * Prevention and Health Education focused on HIV/AIDS services Ochsner Baptist does offer clinical HIV/AIDS services on site; however, they do not provide specific outreach education on this topic. Group A-Facility 5 -- Ochsner Medical Ctr-West Bank Campus Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Algiers, Belle Chasse, Gretna, Marrero)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- Social Work, PA; Delgado- PT asst, RT, Pharm Tech; Herzing- RN, surg tech,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Westbank is an approved Medicaid application center, increased approved applications by 22%, number of patients funded increased 12% and amount funded increased 10%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Westbank to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Westbank . Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Westbank. 1500 patients were enrolled system wide.13. Provided outpatient mental health services at Westbank clinic.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.3. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).4. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )5. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.6. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.7. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).8. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.9. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.10. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.11. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.12. Assisted in Attaining and Maintaining BLS, ACLS, PALS certification for Community members13. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)*Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) *Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity *Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )3. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.4. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.10. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center Westbank does offer clinical HIV/AIDS services on site. They do provide outreach education on this topic to high school students at Ehret High School's School Based Health Center through their partnership with the Jefferson Parish school system. Group A-Facility 6 -- Ochsner St. Anne General Hospital Part V, Section B, line 11: Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and specialty) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverageActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne 2. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region. Partnerships developed to share services.3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (Univ of So. Alabama- RN-BSN, RN-MSN, PA; South Central Technical College-Surg tech; Delgado- dietetic tech; Fletcher Technical Community College- LPN, RN, phlebotomy; Herzing College-surg tech)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. St. Anne is an approved Medicaid application center. 90% increase in applications approved.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including St. Anne. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including, Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including St. Anne. 1500 patients were enrolled system wide.12. Provided inpatient and outpatient mental health services at Ochsner St Anne.* Access to community/support services to sustain a healthy environment * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region, preserving 700 jobs2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, diabetes support groups, prenatal classes)3. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including St. Anne. Community Calendar unique patient views increased system wide to over 21,000.4. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.5. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)6. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide7. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne *Residents Health and Wellness (specific to chronic disease) * Prevention and Health Education and Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, Breast Health grant program, CPR classes, prenatal classes)2. Participated in community events that encourage healthy activity and lifestyles (Race for the Cure,)3. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended. Group A-Facility 7 -- Ochsner Medical Ctr-Elmwood Campus Part V, Section B, line 11: The CHNA for Ochsner Medical Center-Elmwood Campus was done in conjunction with that of Ochsner Medical Center. Please see Part V, Section B, Line 11 for Ochsner Medical Center. 68 Ochsner Medical Center-Main Campus 1514-16 Jefferson Highway New Orleans LA 70121 Clinic Ochsner Medical Center - Kenner 180 West Esplanade Ave Kenner LA 70065 Clinic Ochsner Health Center-Ochsner Baptist 2626-2820 Napoleon Ave New Orleans LA 70115 Clinic Ochsner Health Center-Baton Rouge Summa 9001 Summa Ave Baton Rouge LA 70809 Clinic Ochsner Baptist Medical Center (Clara) 2700 Napoleon Ave New Orleans LA 70115 Clinic Ochsner Health Center-Covington 1000 Ochsner Boulevard Covington LA 70433 Clinic Ochsner Health Ctr-Baton Rouge (Summa) 9001 Summa Ave Baton Rouge LA 70809 Clinic Ochsner Health Ctr-Baton Rouge 16777 17000 17050 Medical Center Dr Baton Rouge LA 70816 Clinic Ochsner Health Ctr For Children 1315 Jefferson Highway New Orleans LA 70121 Clinic Elmwood Medical Office Building 1201 S Clearview Pkwy New Orleans LA 70121 Clinic Ochsner Health Center-Metairie 2005 Veterans Blvd Metairie LA 70002 Clinic Ochsner Orthopedic Health Center-Slidell 104 Medical Center Drive Slidell LA 70461 Clinic Ochsner Kenner Medical Office Building 200 West Esplanade Ave Kenner LA 70065 Clinic Ochsner Health Center-Baptist Napoleon 4429 Clara Street New Orleans LA 70115 Clinic Ochsner Health Ctr-Kenner (W Esplanade) 200 West Esplanade Ave Kenner LA 70065 Clinic Ochsner Health Ctr-Primary CareWellness 1401 Jefferson Hwy Rear Bldg New Orleans LA 70121 Clinic Ochsner Health Center-Lapalco 4225 Lapalco Blvd Marrero LA 70072 Clinic Ochsner Health Center-Driftwood 2120 Driftwood Blvd Kenner LA 70065 Clinic Ochsner Lieselotte Tansey Breast Center 1319 Jefferson Highway New Orleans LA 70121 Clinic Ochsner Health Center-Slidell 2750 E Gause Blvd Slidell LA 70461 Clinic Elmwood Fitness Center-Elmwood 1200 S Clearview Pkwy New Orleans LA 70123 Fitness Center Ochsner Health Center-Central 11424-2 Sullivan Rd Central LA 70818 Clinic Ochsner Health Center-Hammond 41676 Veterans Ave Hammond LA 70403 Clinic Ochsner Womens and Children's Health Ctr 101 East Fairway Dr Suites 301 302 Covington LA 70433 Clinic Ochsner Children's Health Center 4901 Veterans Memorial Blvd Metairie LA 70001 Clinic Outpatient Surgery Suite 103 Medical Center Drive Slidell LA 70461 Clinic Baptist McFarland Medical Office Bldg 4429 Clara Street New Orleans LA 70115 Clinic Ochsner St Anne Fmly Dr Clinic-Matthews 111 Acadia Dr Raceland LA 70394 Clinic Ochsner Health Center-Prairieville 16222 Airline Hwy Ste A Prairieville LA 70769 Clinic Ochsner Physical Therapy-Metairie 850 Veterans Blvd Metairie LA 70005 Clinic Ochsner Hlth Cntr-Baton Rouge Jefferson 8150 Jefferson Hwy Baton Rouge LA 70809 Clinic Ochsner St Anne General Women's Health 104 Acadia Park Dr Raceland LA 70394 Clinic Ochsner Health Center - Lakeview 101 West Robert E Lee Suite 201 New Orleans LA 70124 Clinic Ochsner Research and Academics 1401 Jefferson Hwy Front Bldg New Orleans LA 70121 Clinic Ochsner Outpatient Rehabilitation-Harvey 3820 Lapalco Blvd Harvey LA 70058 Clinic Ochsner Health Center-Denham Springs 30819 LA Hwy 16 Denham Springs LA 70726 Clinic Ochsner Health Center-Algiers 3401 Behrman Place Algiers LA 70114 Clinic Ochsner Specialty Health Center-Slidell 1850 Gause Blvd East Ste 101 102 Slidell LA 70458 Clinic Ochsner Health Center-Mandeville 2810 East Causeway Approach Mandeville LA 70448 Clinic Ochsner Health Cntr For Children-Slidell 2370 E Gause Blvd Slidell LA 70461 Clinic Ochsner Heart and Vascular Health Center 16045 Doctors Blvd Hammond LA 70403 Clinic Ochsner Health Center-Gretna 441 Wall Blvd Gretna LA 70056 Clinic Ochsner Children's Health Cntr-Destrehan 1970 Ormond Boulevard Destrehan LA 70047 Clinic Ochsner Health Center-Mid-City 411 N Carrollton Ave Ste 4 New Orleans LA 70119 Clinic Ochsner Health Center-Luling 1057 Paul Maillard Rd Luling LA 70070 Clinic Ochsner Health Center-Abita Springs 22070 Highway 59 Suite C Abita Springs LA 70420 Clinic Ochsner St Anne General Hlth Cntr 1015 Crescent Ave Lockport LA 70374 Clinic Ochsner Hlth Cntr-W Bank (Meadowcrest) 120 Meadowcrest St Gretna LA 70056 Clinic Ochsner Health Center-Belle Chasse 7772 Belle Chasse Hwy Belle Chasse LA 70037 Clinic Ochsner Health Center - Sherwood 170 McGehee Baton Rouge LA 70815 Clinic Elmwood Fitness Center (Heritage Plza) 111 Veterans Blvd Metairie LA 70005 Fitness Center Ochsner Health Center-Harding 7855 Howell Place Blvd Baton Rouge LA 70807 Clinic Ochsner St Anne Gnrl Behavioral Health 4608 Hwy 1 Raceland LA 70394 Clinic Elmwood Fitness Center-Downtown 701 Poydras Street Annex New Orleans LA 70139 Fitness Center Ochsner Health Center-Denham Springs S 139 Veterans Denham Springs LA 70726 Clinic Kidsports-Elmwood Fitness Center 1200 S Clearview Pkwy New Orleans LA 70123 Fitness Center Ochsner Health Center - St James 1731 Lutcher Ave Lutcher LA 70071 Clinic Ochsner Health Center-Slidell West 2104 Gause Blvd West Slidell LA 70460 Clinic Elmwood Gymnastics Academy 700 Elmwood Park Blvd New Orleans LA 70123 Fitness Center Ochsner Health Center-Plaquemine 24730 Plaza Dr Plaquemine LA 70764 Clinic Ochsner Health Cntr-Slidell (Northshore) 105 Medical Center Dr Slidell LA 70461 Clinic Elmwood Fitness Center-Kenner 200 West Esplanade Suite 112 Kenner LA 70065 Fitness Center Ochsner St Anne General Women's Health 195 West 134th St Cut Off LA 70345 Clinic Elmwood Fitness Center-Brent House 1512 Jefferson Hwy New Orleans LA 70121 Fitness Center Ochsner St Anne General Health Cntr 106 Cypress St Raceland LA 70394 Clinic Ochsner Health Center-Eyecare Iberville 25420 LA Hwy 1 Plaquemine LA 70764 Clinic Leonard J Chabert Medical Center 1978 Industrial Blvd Houma LA 70363 Clinic Ochsner Specialty Health Cntr-Children 107 Smart Pl Slidell LA 70458 Clinic Part I, Line 3c: A Payment Advisor Score (PAS) is taken into consideration during the presumptive financial assistance process; however if a patient requests financial assistance, the PAS is not considered. The PAS is provided by a third party tool. Part I, Line 6a: The community benefit report prepared by Ochsner Clinic Foundation is representative of the entire health system, including Ochsner Clinic Foundation. The amounts reported in Schedule H are those amounts that are either directly incurred by Ochsner Clinic Foundation or those that have been allocated to Ochsner Clinic Foundation as a reimbursement to another organization. Part I, Line 7: OCF provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Records of charges foregone for services and supplies furnished under the charity care policy are maintained to identify and monitor the level of charity care provided. Because OCF does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. OCF estimates its costs of care provided under its charity care programs by applying a ratio of direct and indirect costs to charges to the gross foregone charges associated with providing care to charity patients. OCF's gross charity care charges include only services provided to patients who are unable to pay and qualify under OCF's charity care policies. The ratio of cost to charges is calculated based on OCF's total expenses divided by gross patient revenue. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 78,309,298. Part I, Line 6a The community benefit report prepared by Ochsner Clinic Foundation is representative of the entire health system, including Ochsner Clinic Foundation. The amounts reported in Schedule H are those amounts that are either directly incurred by Ochsner Clinic Foundation or those that have been allocated to Ochsner Clinic Foundation as a reimbursement to another organization. Part II, Community Building Activities: Ochsner endeavors to promote the health of the communities it serves through community building activities. Ochsner Community Hospitals promote economic growth in these areas by partnering and supporting organizations like Greater New Orleans Inc, Jefferson Economic Development Corporation, New Orleans Chamber Foundation, St. Tammany West Chamber of Commerce, United Negro College Fund, LSU Foundation, and local neighborhood associations and child development programs like the Girl Scouts of America. It also aims to engage and inspire high school students to pursue further education and careers in science and medicine through its STAR ("Science, Technology, Academics and Research") program, a free, five-week summer program that provides qualified high school students with a unique opportunity to work in a student healthcare laboratory setting and BEST! Science which offers science teachers the opportunity to bring students to Ochsner's iLab where they can perform experiments designed by our PhD scientists.Ochsner provides programs to the communities we serve to increase their knowledge of healthy foods, through our CHOP (Cooking Healthy Options and Portions) afterschool cooking program at Jefferson parish schools and through our Eat Fit NOLA program which assists local restaurants to develop healthy menu items. Through our partnership with Rouses Markets, Ochsner identifies healthy items in the stores and provides nutritionist tours for the community to learn how to shop healthy. Part III, Line 2: Bad debt expense at cost is calculated by applying the ratio of patient care cost to charges to the bad debt expense calculated using the above methodology. Part III, Line 4: The footnote in the organization's financial statement that describes bad debt expense is described in the section entitled "Managed Care", beginning on page 26 of the attached Financial Statements. Part III, Line 8: Total revenue from Medicare has been taken from the E Series in the Medicare Cost Reports. They do not include Medicare Advantage or payments related to Education or Research, in compliance with the instructions. Worksheet D Part V Line 202 Column 5 was used for outpatient costs and Worksheet D-1 Part II Line 49, and Worksheet D-1 Part III Line 86, and Worksheet E Part A Line 55 was used for inpatient costs. The cost reports for Ochsner Clinic Foundation (Provider No. 19-0036) and Ochsner Bayou LLC (Provider No. 19-1324) cover the period 1/1/2014 - 12/31/2014. The cost report for Ochsner Medical Center - Baton Rouge (Provider No. 19-0202) covers the period 10/1/2013 - 9/30/2014. The cost report for Ochsner Medical Center - North Shore (Provider No. 19-0204) covers the period 4/1/2014 - 3/31/2015. Part III, Line 9b: Upon granting approval for 100% assistance, all collection efforts for that account will cease, the account will not be turned over to a collection agency, and Ochsner will not impose extraordinary collection efforts such as wage garnishments or liens. Part V, Section A, Website Addresses Ochsner Medical Center: www.ochsner.org/locations/ochsner_main_campus/Ochsner Baptist-A Campus of Ochsner Medical Center: www.ochsner.org/locations/ochsner-baptist/Ochsner Medical Ctr-West Bank Campus: www.ochsner.org/locations/ochsner-medical-center-west-bank-campus/Ochsner St. Anne General Hospital: www.ochsner.org/locations/ochsner-st-anne/ Part VI, Line 2: Ochsner serves the needs of the various communities throughout Southeast Louisiana through its commitment is to exemplary patient care, medical research and education. Ochsner Clinic Foundation is part of Ochsner Health System, which comprises a total of eight hospitals (including three satellite locations) and approximately 58 health centers throughout Southeast Louisiana.In order to identify the needs of the community, Ochsner reviews local and state publicly available data regarding the health status and issues in its region. Ochsner works with community organizations that collect information on their areas of focus to identify trends and areas where Ochsner has expertise that can make an impact. Ochsner collaborates with multiple community stakeholders to identify specific community needs in its regions. Ochsner then reviews these needs and determines where it can best use its resources and expertise to affect those needs. One of Ochsner's main focuses is to develop partnerships to address root causes of issues. Examples of Ochsner's commitment to the community can be found in Part VI, Line 5. Ochsner participated with the Metropolitan Hospital Association to conduct a region-wide Community health needs assessment which included all not for profit hospitals in the region in 2013. The applicable Community health needs assessments for each facility may be found in Part V, Section B as required. Part VI, Line 3: All uninsured patients are screened for Medicaid. This process takes place at the time of service, inpatient admissions, and if the patient is not screened at the time, the patient is contacted at home to determine eligibility. In 2013, Ochsner was able to obtain Medicaid coverage for approximately 14,000 patients. If the patients do not qualify for Medicaid, then they will be evaluated under the financial assistance policy.Internal customer service departments and external partners including collection agencies provide patients with financial assistance applications if patients express concerns about the inability to pay outstanding balances. Ochsner also offers zero interest payment plan options with payment terms ranging from six to 60 months. Part VI, Line 4: Ochsner Clinic Foundation is a multi-specialty healthcare delivery system consisting of seven hospitals (including three satellite locations) and approximately 58 health centers in Southeast Louisiana. Ochsner Clinic Foundation is part of Ochsner Health System, southeast Louisiana's largest non-profit, academic, multi-specialty, healthcare delivery system with eight hospitals (including three satellite locations) and approximately 58 health centers. Ochsner employs approximately 930 physicians in over 70 medical specialties and subspecialties. Ochsner Clinic Foundation's patients vary in age, gender, and race due to the multi-specialty nature of the system. As of 2014, Ochsner Clinic Foundation's service area includes 2.5 million of Louisiana's 4.6 million people. At 19.1%, Louisiana has the third highest poverty level in the nation and about 37% of the population receives Medicaid or is uninsured. Approximately 1,038,000 or 22.4% receive Medicaid and approximately 661,000 or 14.2% are uninsured.The original Ochsner facility, Ochsner Medical Center, is located in Jefferson Parish, LA, approximately 1 mile from the western boundary of the city of New Orleans. Ochsner Medical Center, a 553 bed hospital, includes acute and sub-acute facilities. Ochsner Centers of Excellence include the Ochsner Cancer Institute, Ochsner Multi-Organ Transplant Center and Ochsner Heart and Vascular Institute. Ochsner Hospital-Elmwood is a satellite of Ochsner Medical Center, providing inpatient rehabilitation services. Ochsner Baptist Medical Center, which was leased from Ochsner Community Hospitals beginning in March 2013, is a 103-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care; an all-new Women's Pavilion offering full scope services for women of all ages and their newborns; imaging; and laser vision services. Ochsner Medical Center-West Bank Campus is a 165-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care, emergency services and obstetrics, and is located on the West Bank of the Mississippi River within minutes of downtown New Orleans. OMC West Bank is easily accessible to three major parishes: Jefferson, Orleans and Plaquemines. Ochsner Medical Center and its three satellite hospitals serve the New Orleans Metropolitan Standard Area, which includes eight parishes surrounding New Orleans. The Metropolitan Standard Area population is approximately 1.2 million and about 39% of the population receives Medicaid or is uninsured. The poverty rate in the New Orleans Metro area is 18.1%, 27% in New Orleans itself. Approximately 316,000 or 25% receive Medicaid and approximately 175,000 or 14% are uninsured.Ochsner Medical Center-Baton Rouge is a 145-bed hospital located in the city of Baton Rouge within East Baton Rouge parish. East Baton Rouge parish has a population of about 815,000 people, of which about 103,000 were uninsured and about 156,000 received Medicaid.Ochsner St. Anne General Hospital is a 34-bed acute care hospital that serves Lafourche parish, where it is located, and the surrounding parishes. The bayou region has a population of about 283,000 people, of which about 36,000 were uninsured and about 59,000 received Medicaid. Ochsner Medical Center-North Shore is a 157-bed acute care facility located in Slidell, LA and serving the north shore of Lake Pontchartrain, north of New Orleans, LA. The population of its service area is approximately 520,000 people of which about 66,000 were uninsured and about 100,000 received Medicaid. Part VI, Line 5: Having a diverse representation of the community in the governing boards is an important part of making sure all aspects of the community Ochsner serves are being touched by the mission and vision of the organization. The by-laws of both Ochsner Clinic Foundation and Ochsner Health System call for 10 members of the total 19 board members to be community members. The Chief Executive Officer serves on the Board by virtue of his or her office; however, a majority of Board members are prominent multi-disciplinary business and community leaders. The remaining board members are senior physician employees of Ochsner Clinic Foundation elected by their peers in accordance with Ochsner Clinic Foundation by-laws.Ochsner Clinic Foundation is an educational and research-oriented medical center, operating one of the nation's largest accredited non-university based graduate medical education programs, covering 44 different medical, surgical and specialty programs. Ochsner partners with the Louisiana State University and Tulane University Medical Schools, in addition to a consortium relationship with Our Lady of Holy Cross College for allied health and nursing programs. In 2009, Ochsner opened the Ochsner Clinical School through an international partnership with the University of Queensland, Australia which allows US citizens to complete the first two years of Medical School in Australia and the second two years of Medical School at Ochsner. Ochsner's focus on research includes approximately 431 open clinical research trials in almost every specialty. Ochsner operates ten basic science/transitional research laboratories and Ochsner scientists publish over 200 journal articles and book chapters each year. Donations and grants do not cover all of the research related costs.In addition to supplying the community's future healthcare providers and providing research to improve medical outcomes, Ochsner is also focused on improving the lifestyle of the patients it serves. Research has proven that many chronic health problems, such as diabetes, obesity and hypertension, are primarily caused by lifestyle choices. In order to reduce chronic disease in the community, Ochsner needs to change the choices and behaviors through exercise, nutrition and promotion of preventative health behaviors.Ochsner has embarked on an ambitious project to transform the health and wellness of its community, using schools as the focal point. Change the Kids, Change the Future(TM) is an overarching philosophy to alleviate the cause instead of the symptom. The goal is to teach children how to make good lifestyle choices to affect meaningful, lasting change for the health and wellness of the community. Ochsner currently provides two nurse practitioners at local high schools that staff fully functional clinics that see students through scheduled appointments and walk in visits. They also work with the schools to help educate the students about healthy choices. Ochsner also targets childhood obesity through a program at its fitness center, EFC On the Move - Driving to Fight Childhood Obesity, where children ages 9-13 learn about health and fitness in a non-competitive environment via Elmwood Fitness Center's Mobile Fitness Unit. The mobile unit provides fitness classes and weight training equipment. Licensed dieticians provide healthy nutrition information and the staff performs pre- and post- program measurements and exercise performance assessments.In 2013, Ochsner implemented an after school cooking program (CHOP) for middle school students in Jefferson parish public schools. Knowledge and behavioral improvement has been promising and the program will be expanded to other venues.Ochsner is also an advocate for the health and wellness of adults. Ochsner provided various free health screenings, such as glucose, blood pressure and total cholesterol, and health information to over 2,000 people at public health fairs. Ochsner's community outreach programs directly impacted over 75,000 individuals across our regions and reached over 435,000 people through our participation in community events. Ochsner also educates people about the benefits of smart food and lifestyle choices, disease prevention and regular medical checkups through Choose Healthy!, a partnership with Rouse's grocery stores. In addition to the in-store activities, the community is able to access recipes and information on smart food choices, proper meal planning and disease-specific diet alternatives at www.choose-healthy.org. Ochsner also helps people stop smoking with its Tobacco Control & Prevention Program by attending corporate wellness events and partnering with area schools to provide educational materials and support. Ochsner implemented 2 smoking cessation clinics (Jefferson highway and Slidell) to provide free smoking cessation services to patients who are eligible for the Tobacco Trust program.Ochsner's nutritionists developed and implemented Eat Fit NOLA which offers a free service to local restaurants to offer healthy menu items, either by evaluating existing recipes or assisting in the development of new ones. Over 40 restaurants have signed up to participate in the program.Ochsner and four other health care providers formed five non-profit organizations to collaborate with the State of Louisiana and several 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 population. Ochsner contributed over $54 million to the collaboratives in 2014. Part VI, Line 6: Ochsner Health System is the supporting organization to Ochsner Clinic Foundation and Ochsner Community Hospitals, all related 501(c)(3) corporations. While each of the eight hospitals with the System promote the health within the separate geographical communities that they service, many overall community health initiatives are coordinated by Ochsner Health System, which is then reimbursed by the respective entities. Part VI, Line 7: The organization does not file a community benefit report with any state. 1 Louisiana State University 433 Bolivar New Orleans LA 70112 726087770 501(c)(3) 20248 General Grant Support Louisiana Academy of Family Physicians Foundation 919 Tara Blvd Baton Rouge LA 70806 720474962 501(c)(3) 40000 Donation Jefferson Dollars for Scholars 3330 N Causeway Blvd Suite 429 Metairie LA 70002 411756360 501(c)(3) 10000 Workforce Development Algiers Economic Development Foundation 3520 General DeGaulle Dr Ste 3110 New Orleans LA 70114 721275640 501(c)(3) 6250 Economic Development American Cancer Society 250 Williams Street Atlanta GA 30303 131788491 501(c)(3) 16750 Sponsored fundraising events American Heart Association 110 Veterans Memorial Blvd 160 Metairie LA 70005 135613797 501(c)(3) 26400 Sponsored fundraising events Committee of 100 257 Park Avenue South 19th Fl New York NY 10010 133627542 501(c)(3) 10000 Advocacy Great 100 Nurses Foundation 2748 Metairie Lawn Drive Metairie LA 70002 465606080 501(c)(3) 6000 Sponsored fundraising events Hospice Foundation of the South 501 Robert Blvd 304 Slidell LA 70458 721484313 501(c)(3) 10000 Sponsored fundraising events Jazz on the Bayou Easter Seals 1010 Common St Suite 2440 New Orleans LA 70112 720968026 501(c)(3) 10000 Sponsored fundraising events Junior League of Greater Covington 1256 Bluewater Dr Mandeville LA 70471 720838764 501(c)(3) 10000 Sponsored fundraising events Legacy Donor Foundation 1440 Canal St New Orleans LA 70112 721454097 501(c)(3) 7500 Sponsored fundraising events Mayor's Healthy City Initiative 222 Saint Louis Street 3rd Floor Baton Rouge LA 70802 272515190 501(c)(3) 6667 Sponsored fundraising events National Kidney Foundation of Louisiana 8200 Hampton St Ste 425 New Orleans LA 70118 720649707 501(c)(3) 5500 Sponsored fundraising events Northshore Community Foundation 610 Hollycrest Boulevard Covington LA 70433 611517784 501(c)(3) 12500 Sponsored fundraising events St Tammany West Chamber of Commerce 610 Hollycrest Blvd Covington LA 70433 720573742 501(c)(6) 10145 Economic Development United Way of St Tammany 800 N Causeway Blvd Mandeville LA 70448 720471369 501(c)(3) 5500 Sponsored fundraising events 16 1 Part I, Line 2: The organization maintains records to substantiate the amount of grants and assistance through a grant application process. Grantees' ability to perform is vouched for and credit vouchers of performing persons at respective organizations are obtained. Use of grant funds is monitored by the normal accounts payable process that the organization has in place. All payments made to grantees are approved by appropriate persons associated with primary grant awards who are knowledgeable of work product on grants. In addition to the approval process, the organization has a process in place to ensure that requested payments are in line with approved budgets submitted by subrecipients. X X 0 0 X X X X X 1 1 0 0 0 1 1 1 0 Pedro Cazabon MD Board Member Sr Phys 281031 0 32959 0 3958 0 28575 0 15596 0 362119 0 0 0 F Ralph Dauterive MD Board Member Sr Phys 321087 0 42906 0 22947 0 50095 0 16849 0 453884 0 20709 0 Richard Deichmann MD Board Member Sr Phys 229076 0 11251 0 11664 0 47300 0 11985 0 311276 0 3400 0 Dennis Kay MD Board Member Sr Phys 616927 0 12500 0 27960 0 45152 0 15176 0 717715 0 24139 0 George Loss MD PhD Board Member Sr Phys 845682 0 22000 0 1731 0 50715 0 19642 0 939770 0 0 0 Richard Milani MD Board Member Sr Phys 497625 0 107631 0 37205 0 92093 0 18174 0 752728 0 24744 0 Patrick J Quinlan MD Board Member Ex Officio 0 912700 0 340000 0 2110474 0 47596 0 16179 0 3426949 0 2071693 Dana Smetherman MD Board Member Sr Phys 542399 0 0 0 2028 0 34225 0 18409 0 597061 0 0 0 David E Taylor MD Board Member Sr Phys 343328 0 21000 0 1731 0 51842 0 18409 0 436310 0 0 0 Warner L Thomas CEO / Board Member 0 947117 0 525000 0 25319 0 86408 0 21856 0 1605700 0 0 Michael F Hulefeld EVP & COO 0 533823 0 225014 0 12098 0 97418 0 25158 0 893511 0 0 Scott J Posecai EVP & CFO 0 556864 0 253708 0 26441 0 47300 0 12177 0 896490 0 0 Peter November Secretary Exec VP CAO 0 381486 0 90129 0 4068 0 87183 0 16747 0 579613 0 0 Bobby C Brannon EVP & Treasurer 436853 0 198179 0 42059 0 29800 0 16687 0 723578 0 0 0 Joseph E Bisordi MD Exec VP Chief Medical Officer 0 572861 0 200906 0 22718 0 133403 0 11965 0 941853 0 0 Polly Davenport CEO-North Shore Region 294717 0 72501 0 4474 0 43460 0 12765 0 427917 0 0 0 Steven B Deitelzweig MD Sr Physician, Svc Line Ldr, Hospital 362063 0 36612 0 1950 0 35655 0 20674 0 456954 0 0 0 Richard D Guthrie Jr MD Reg Med Dir, N.O. Reg 392180 0 47580 0 4501 0 73047 0 13207 0 530515 0 0 0 Robert Hart MD Reg Med Dir, B.R. Reg 0 327189 0 78750 0 3270 0 88800 0 6952 0 504961 0 0 Ernest E Martin Jr MD Reg Med Dir - N.S. Reg 317215 0 76875 0 20411 0 53721 0 12050 0 480272 0 15323 0 J Eric McMillen CEO, Baton Rouge Region 260940 0 86253 0 3310 0 37800 0 10828 0 399131 0 0 0 William W Pinsky MD Exec VP/Chief Academic Officer 399859 0 82413 0 50346 0 70371 0 12943 0 615932 0 32161 0 Dawn Puente MD Reg Med Dir, NO Comm Hosp 0 306762 0 43613 0 22892 0 53509 0 15064 0 441840 0 18887 Armin Schubert MD VPMA-OMC-Jeff Hwy 490171 0 22000 0 2776 0 47300 0 15360 0 577607 0 0 0 Robert Wolterman CEO OMC-Jeff Hwy 0 384696 0 44717 0 4006 0 44050 0 15163 0 492632 0 0 Cuong Bui MD Sr Physician 865310 0 10000 0 893 0 13369 0 12895 0 902467 0 0 0 Benjamin Guevara MD Physician. Vice Lead, Sports Med 579932 0 285727 0 1135 0 26847 0 15628 0 909269 0 0 0 Deryk G Jones MD Sr Physician, Section Head, Sports M 920675 0 0 0 2236 0 50615 0 14809 0 988335 0 0 0 Jose Mena MD Sr Physician 596789 0 68462 0 274306 0 37152 0 18174 0 994883 0 8511 0 Olawale Sulaiman MD Sr Physician, Chair, Neurosurgery 866371 0 13500 0 476 0 15729 0 15831 0 911907 0 0 0 Scott Boudreaux Former Key Employee 0 279623 0 0 0 4923 0 26882 0 15909 0 327337 0 0 Lisa S Colletti Former Key Employee 208330 0 22404 0 2228 0 15875 0 1520 0 250357 0 0 0 Mark French Former Key Employee 211897 0 22365 0 1553 0 21614 0 18421 0 275850 0 0 0 Patrick Shannon Former Key Employee 0 188297 0 18958 0 978 0 24300 0 1601 0 234134 0 0 Beth E Walker Former Key Employee 210946 0 22000 0 1394 0 24300 0 6637 0 265277 0 0 0 Part I, Line 1a Ochsner's travel policy allows employees to fly first-class under certain circumstances, such as when other seating is not available or for trans-oceanic flights. Ochsner hosts an annual retreat for its Board of Directors, and the Directors' spouses are invited. Ochsner provided travel and accommodations for some of the Board members' spouses. Such benefits were reported as compensation to the recipients. Part I, Lines 4a-b Part I, Line 4a: Joan K. Mollohan received a severance payment in the amount of $116,223.68 from Ochsner Health System. Part I, Line 4b: The following people participate in a Supplemental Executive Retirement Plan (SERP) which is part of the terms and conditions of their employment contracts with Ochsner Health System and Ochsner Clinic Foundation and is based on a targeted replacement of a set percentage of their salary at age 65. The SERP is classified as a Supplemental Non-Qualified Retirement Plan. This benefit is funded in a Trust Account with Capital One Bank. Following is a list of participants, any distributions made in 2014 and the increase in actuarial value during 2014, which is included within Schedule J, Part II, Column C. * Warner Thomas, President and Chief Executive; no distribution; increase in actuarial value of $44,608 * Patrick Quinlan, M.D., Former Chief Executive Officer; distribution in the amount of $2,071,693; increase in actuarial value of $296 * Michael Hulefeld, Executive Vice President and Chief Operating Officer; no distribution; increase in actuarial value of $73,118 * Scott Posecai, Executive Vice President and Chief Financial Officer; no distribution; no increase in actuarial value * Bobby Brannon, Executive Vice President and Treasurer; no distribution; no increase in actuarial value Joseph Bisordi, M.D., Executive Vice President and Chief Medical Officer, participates in a Non-Qualified supplemental plan which is part of the terms and conditions of his employment contract with Ochsner Health System. The retirement calculation is a defined amount as a percent of base pay, calculated annually, and is earned in two vesting periods, one on March 31, 2013, age 63, and one following age 67 on September 18, 2016. This benefit is funded in a Trust Account with Capital One Bank. Dr. Bisordi received a distribution of $86,103 in 2014. The increase in actuarial value was $75,000. The following people participate in a 457(f) non-qualified, unfunded, deferred compensation plan, which was established in 2010. The Plan allows for discretionary initial contributions, vesting begins at age 55. The most recent three years are subject to forfeiture until the attainment of age 65. Annual fixed contributions are individually based and are targeted to replace the benefit that would have been received from the frozen Ochsner Clinic Retirement Plan had the plan continued until the participant attained age 65. The contribution is offset by actual retirement benefit and benefit received in the OCF 401(k) Plan. Following is a list of participants, any distributions made in 2014 and the increase in actuarial value during 2014, which is included within Schedule J, Part II, Column C. * Pedro Cazabon, M.D., AMD-N.O. Reg; no distribution; increase in actuarial value of $5,304 * Ralph Dauterive, M.D., VPMA; distribution in the amount of $20,709; increase in actuarial value of $17,890 * Steven Deitelzweig, M.D., Service Line Leader; no distribution; increase in actuarial value of $5,855 * Richard Guthrie, Jr., M.D., Chief Quality Officer; no distribution; increase in actuarial value of $5,872 * Deryk Jones, M.D., Section Head; no distribution; increase in actuarial value of $3,315 * Dennis Kay, M.D., Service Line Leader; distribution in the amount of $24,139; increase in actuarial value of $20,852 * George Loss, M.D., AMD-N.O. Reg; no distribution; increase in actuarial value of $3,415 * Ernest E. Martin, Jr., M.D., Reg Med Dir - N.S. Reg; distribution in the amount of $15,323; increase in actuarial value of $13,236 * Jose Mena, M.D., Senior Physician; distribution in the amount of $8,511; increase in actuarial value of $7,352 * Richard Milani, M.D.-Chief Clinical Transformation; distribution in the amount of $24,744; increase in actuarial value of $21,375 * Dawn Puente, Reg Med Dir-Kenner Reg; distribution in the amount of $18,887; increase in actuarial value of $7,959 * Dana Smetherman, M.D., Vice Chair; no distribution; increase in actuarial value of $6,518 * David E. Taylor, M.D., Chair; no distribution; increase in actuarial value of $4,542 The following people participate in a 457(f) non-qualified, unfunded, deferred compensation plan, which was adopted in 2013. The Plan allows for discretionary initial contributions, subject to a two-year vesting requirement; annual fixed contributions based on a percent of base pay and subject to a three-year vesting requirement; and annual discretionary contributions based on a percent of base pay or a flat-dollar amount and subject to a three-year vesting requirement. Following is a list of participants, any distributions made in 2014 and the increase in actuarial value during 2014, which is included within Schedule J, Part II, Column C. * Polly Davenport, CEO-NS Region; no distribution; increase in actuarial value of $15,000 * Richard Guthrie, Jr., M.D., Chief Quality Officer; no distribution; increase in actuarial value of $19,875 * Robert Hart, M.D., Reg Med Dir - N.O. Reg; no distribution; increase in actuarial value of $41,500 * Ernest E. Martin, Jr., M.D., Reg Med Dir - N.S. Reg; no distribution; increase in actuarial value of $16,000 * Eric McMillen, CEO- BR Region; no distribution; increase in actuarial value of $13,500 * Richard Milani, M.D.-Chief Clinical Transformation; no distribution; increase in actuarial value of $24,250 * Peter November, EVP & Chief Admin Officer; no distribution; increase in actuarial value of $60,800 * William W. Pinsky, M.D., EVP/Chief Academic Officer; distribution in the amount of $32,161; increase in actuarial value of $32,161 * Dawn Puente, Reg Med Dir-Kenner Reg; no distribution; increase in actuarial value of $15,750 * Robert Wolterman, CEO OMC-Jeff Hwy; no distribution; increase in actuarial value of $19,750 Part I, Line 6 The Physician and Executive Compensation Committee of the Ochsner Clinic Foundation Board of Directors reviews and approves all officer executive incentive plans, which include those for the Officers: the President and CEO, COO, CFO, Treasurer, Regional Medical Directors, and Executive Vice Presidents. All the incentive payouts are audited by the Board Internal Audit Committee. For the 2013 incentive plan, which was paid in 2014, there were seven weighted components: a System Financial Metric which consists of Operating Margin, a Human Capital Metric consisting of turnover results, a Patient Satisfaction Metric, three Quality Metrics based on the provision of all recommended care and mortality and complication indexes, and a subjective metric based on their personal performance targets. Annually, the officers of Ochsner Health System review and approve executive incentive plans for the executive and physician leadership group. The plans are developed similar to the officer incentive plans with weighted components, including a subjective metric. The subjective metric is assigned by the officer responsible for the executive or physician leader as their direct report and the CEO approves all bonuses for this group of management. All bonus amounts are provided in Schedule J Part II in Column B(ii). Part I, Line 7 Subjective components of incentive plan are described in description of Part I, Line 6. In addition, several non-fixed payments were made in 2014. The following were included in Schedule J Part II in Column B(ii): retention bonus, Academic productivity allocation, and the Cardiology compensation plan. A Louisiana Public Facilities Authority Series 2007A 720895871 546398VQ8 2007-09-12 371062406 RETIRE 2002 BONDS, FACILITY IMPROVEMENTS 0 0 0 B Louisiana Public Facilities Authority Series 2011 720895871 546398L48 2011-05-11 148728038 FACILITIES ACQUISITION, CONSTRUCTION & RENOVATION 0 0 0 A 21870000 372254297 24574170 227094692 4054068 48449703 453969 2010 0 1 1 1 B 148746238 15000000 9212238 2365800 7436402 114713598 18200 2013 0 0 1 1 A 0 0 1 1 1 1 0 0 1 B 0 0 1 1 1 1 0 0 0 A 0 0 1 1 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 A 1 B 1 Schedule K, Part I, Line A Form 8038 for CUSIP # 546398VQ8 was prepared for the issuance of Revenue Bonds (Ochsner Clinic Foundation Project) Series 2007A and Revenue Bonds (Ochsner Community Hospitals Project) Series 2007B. The bonds had a total Issue Price of $453,076,501.10. $371,062,405.65 of the Issue Price was issued for the benefit of Ochsner Clinic Foundation (EIN# 72-0502505), and the remaining $82,014,095.45 was issued for the benefit of Ochsner Community Hospitals (EIN# 20-5297040). Schedule K, Part II, Line 7 100% of line 7 relates to issuance cost. Schedule K, Part III, Line 3A All contracts meet IRS safe harbor rules per 97-13. Schedule K, Part IV, Line 2c Issuer Name: Louisiana Public Facilities Authority Series 2007A Date the rebate computation was performed: Completed 7/10/2012, for the period 9/12/2007 to 5/15/2012. Schedule K, Part II, Line 3 The amount includes $1,191,891 of investment income on Series 2007A Bonds and $18,200 of investment income on Series 2011 Bonds related to the Debt Service Reserve Fund and the Construction Fund. Catholic Charities-PACE Program Mr. Hulefeld, a Key Employee, is a Director of Catholic Charities 1330092 PACE contracts with Ochsner to provide hospitalization and specialty care for its patients 0 Tulane University Independent Contractor 2345178 Mr. Wisdom, a Director of OCF, is also a Board Member of Tulane University. 0 Jill Dalovisio Fitzpatrick Daughter of Dr. Dalovisio, a Sr. Physician Board Member of OCF 78731 Compensation as a Physician Assistant 0 Erin Dauterive Dipalma MD Daughter of Dr. Dauterive, a Sr. Physician Board Member of OCF 209901 Compensation as a Physician 0 Richard D Guthrie III Son of Dr. Guthrie, a Key Employee of OCF 68671 Compensation as a RN 0 Elizabeth Guthrie Tucker Daughter of Dr. Guthrie, a Key Employee of OCF 39316 Compensation as a RN 0 Alexis Guthrie Daughter-in-Law of Dr. Guthrie, a Key Employee of OCF 21558 Compensation as a RN 0 Renee Reymond MD Wife of Mr. Hulefeld, a Key Employee of OCF 95084 Compensation as a Physician 0 Kay Belmont Sister of Mr. Posecai, an Officer of OCF 14325 Compensation as an RN 0 Nga Quinlan Wife of Dr. Quinlan, an Officer of OCF 148877 Compensation as Chief Operating Officer of Ochsner Medical Center-West Bank hospital 0 Erin Biro MD Daughter of Dr. Bui, a Highest Compensated Employee of OCF 627784 Compensation as a Physician 0 William A Oliver Enterprises LLC William Oliver, a former board member, is the President of this org. 32917 Provides consulting services to Ochsner 0 South Louisiana Medical Associates PC Dr. Pinsky & Dr. Guthrie are Key Employees of OCF & board mbrs of this org 1001101 Co-management agreement 0 X 100 Fair Market Value X 1070 Fair Market Value X 5 570994 Fair Market Value X 1 1050000 Fair Market Value X 1 13400 Fair Market Value X 4 10186 Fair Market Value X Miscellaneous 45 106442 Fair Market Value X Miscellaneous 10 9920 Cost 0 1 1 Part I, Line 32b: If the organization receives a noncash contribution greater than $5,000, the donor or the organization will hire a third party to complete an appraisal. Form 990, Part I, Item C DBA: Ochsner Health Center DBA: Ochsner St. Anne General Hospital DBA: Ochsner Medical Center - Baton Rouge DBA: Elmwood Fitness Center (a Service of Ochsner) DBA: Ochsner DBA: Alton Ochsner Medical Foundation DBA: Ochsner Outpatient Surgery Suite Form 990, Part VI, Section A, line 1 Part VI, Section A, Line 1b: The Articles of Incorporation provide that no action of the Board may be resolved unless a majority of independent Directors present approve the matter. Thus, even in situations where there is not an absolute majority of independent Directors in Office, those independent Directors in Office control Ochsner Health System's activities. Form 990, Part VI, Section A, line 2 Dr. Quinlan and Mr. Suquet have a business relationship. Form 990, Part VI, Section A, line 4 The Board of Directors made changes to the Articles of Incorporation and Bylaws of the organization in 2014. The change to the Bylaws eliminated the requirement that the board meet a minimum of six times per year. The change to the Articles eliminated the requirement that the board meet a minimum of six times per year, removed the requirement that the CEO be a physician holding the degree of doctor of medicine, and appointed the new CEO, Warner Thomas. Form 990, Part VI, Section A, line 6 Ochsner Clinic Foundation is a wholly-owned subsidiary of Ochsner Health System, a related 501(c)(3) organization. Ochsner Health System is the sole member of Ochsner Clinic Foundation. Ochsner Clinic Foundation has no capital stock and only one class of membership. Form 990, Part VI, Section A, line 7a The Community Directors shall be nominated exclusively by the nominating committee of the board of directors of the Member. The nominating committee shall also nominate two of the eight Senior Physician directors of the Board. The Senior Physician class has the right to nominate and elect six of the eight physician directors of the Board. Form 990, Part VI, Section A, line 7b The following actions require the majority approval of total members of the Senior Physician class, regardless of the number of Senior Physician class members actually voting: 1) amendments to the Articles which affect the rights of Sr. Physicians; 2) any change in the total numbers of Directors, Community Directors, or Sr. Physician Directors; 3) the status of the CEO as a member of the Board; and 4) changes to the supermajority requirements, which call for approval by two-third of the entire Board for certain actions to be considered approved. Form 990, Part VI, Section B, line 11 One or more members of senior management review the return. The return is also reviewed by Ernst & Young LLP, the company's tax advisors. The Audit and Oversight Committee, which is comprised of independent directors, is then provided the return prior to the filing date and given the opportunity to review and discuss the return with management/staff. The meeting to review the 2014 return was held on October 26, 2015. A copy of the return is then provided to each member of the Board of Directors electronically and comments are solicited from the entire Board. Form 990, Part VI, Section B, line 12c Officers, directors, trustees, and key employees of Ochsner Health System and its subsidiaries are required to complete a conflict of interest disclosure form annually, or within 40 days of becoming an employee, or if a current employee has a change in business circumstances not previously disclosed. The Conflict of Interest Program Administrator reviews disclosures and determines whether action is necessary or if the disclosure needs to be reviewed by the Conflict of Interest Steering Committee. Ochsner Health System requires annual certification that the relationships disclosed during a preceding calendar year are complete and accurate. In addition, employees that do not fall within the scope of the Conflict of Interest Disclosure policy annually complete Conflict of Interest training in compliance with the Conflict of Interest policy. The Conflict of Interest Steering Committee will make mitigation recommendations, including, but not limited to, divestiture and termination of employment. Form 990, Part VI, Section B, line 15 All CEO and officer compensation and benefits arrangements, including salary and bonus incentive plans, are reviewed and approved by the Executive and Senior Physician Compensation Committee of the Board of Directors (Compensation Committee) of Ochsner Health System and Ochsner Clinic Foundation. No substantive change to the compensation or benefits packages is made until Committee approval is granted in accordance with Intermediate Sanctions guidelines. The Compensation Committee is without conflicts of interest and uses an independent external consultant. Appropriate data is applied to determine the comparability of fair market value pay and all actions are appropriately documented. In order to meet the requirements of the IRS Intermediate Sanctions regulations, the Compensation Committee identified the "disqualified individuals" that are in a position to exercise substantial influence over the company's operations. These individuals are the members of the Executive Officers Committee (EOC), Regional Medical Directors, physician board members and Section Heads for key departments. For disqualified individuals, the compensation review also includes the cost of benefits such as the company portion of medical and dental benefits, malpractice insurance, payments for 401K matching and pension payments. A different review process is used for Physicians. Annually, the Corporate Integrity department reviews the salary of each employed physician. This review includes a comparison of physician salaries against national survey data for their specialty. Three surveys are used for the review. The Physician Compensation department provides salary data for each physician including base salary, stipends, on-call pay, etc. If it is determined that a physician's compensation is higher than the survey data, the total work Relative Value Units (RVUs) are compared to the survey data. This review is performed to ensure their pay is comparable to the work performed. Comparable benefit national survey data is also obtained periodically. Compensation for other non-physician key employees is reviewed by senior executives who take market value research into consideration when determining compensation levels. Form 990, Part VI, Section C, line 19 Financial statements for Ochsner Clinic Foundation are made available to the public quarterly via www.dacbond.com. All governing documents, conflict of interest policy, and financial statements are available upon written request to the Corporate Integrity Department. Form 990, Part VI, Section B, Line 16b When the organization evaluates its participation in a joint venture, the transactions are handled carefully to ensure that the organization's tax-exempt status is intact with regard to the arrangement. The operations of the joint venture are carefully reviewed by management and legal counsel, and the transaction is not entered into unless it is a reflection of the organization's tax-exempt purpose. A clause is inserted into the joint venture agreement that the operations of the joint venture must be performed in a manner that will not jeopardize the organization's tax-exempt status. Form 990, Part VII, Section A, Line 1a ADDITIONAL COMPENSATION EXPLANATION COMPENSATION OF DIRECTORS AND AVERAGE HOURS PER WEEK DEVOTED TO POSITION The amount of time shown for those Directors listed as "Board Member Sr Phys" as "average hours per week devoted to position" on the Form 990 for Ochsner Clinic Foundation (EIN 72-0502505) consists primarily of their role as a Senior Physician of Ochsner Clinic Foundation. Additional time spent on boards, committees and through fulfilling other responsibilities as a member of one or more Boards of the varied Ochsner organizations is shown as a nominal amount for Ochsner Health System and/or Ochsner Community Hospitals. As a Senior Physician Director of an integrated health system, these individuals devote time to board activities of all 501(c)(3) members of the system to varying degrees including Ochsner Health System, Ochsner Clinic Foundation and Ochsner Community Hospitals. Those directors listed as "Board Member Sr Phys" on the Form 990 for Ochsner Clinic Foundation (EIN 72-0502505) are compensated entirely due to their role as a Senior Physician of a member of the integrated health system. The amount of time shown for those Directors listed as "Community Directors" for "average hours per week devoted to position" includes time spent on boards, on committees and through fulfilling other responsibilities as a member of the Board of varied Ochsner organizations. As a Community Director of an integrated health system, each Community Director devotes time to all 501(c)(3) members of the system to varying degrees including Ochsner Health System, Ochsner Clinic Foundation and Ochsner Community Hospitals. Form 990, Part VII, Section A, Line 1a ADDITIONAL COMPENSATION EXPLANATION COMPENSATION OF OFFICERS AND SYSTEM-LEVEL KEY EMPLOYEES AND AVERAGE HOURS PER WEEK DEVOTED TO POSITION Compensation and average hours worked for Bobby Brannon, EVP, & Treasurer, include all compensation related to the Ochsner Health System, which includes Ochsner Health System (OHS, EIN 20-5296918), Ochsner Clinic Foundation (OCF, EIN 72-0502505) and Ochsner Community Hospitals (OCH, EIN 20-5297040), all related 501(c)(3) organizations. Other members of the Ochsner network are charged a portion of these amounts. The amount of time shown for each of the remaining officers as "average hours per week devoted to position" on this form of the organization that pays the officers directly consists primarily of role as an officer of the integrated health system. Additional time spent on boards, committees and through fulfilling other responsibilities as an officer of the integrated health system is shown as a nominal amount on the forms of the related organizations, but in reality the time is more evenly distributed across all entities. Form 990, Part VII, Section A, Line 1a ADDITIONAL COMPENSATION EXPLANATION KEY EMPLOYEES COMPENSATED BY RELATED ORGANIZATIONS Dr. Joseph Bisordi, Dr. Robert Hart, Dr. Dawn Puente, and Mr. Robert Wolterman are employed and compensated by Ochsner Health System, 20-5296918, 501(c)(3), a related organization. In their duties as leaders of the integrated health system, they all spend a substantial amount of their time on duties pertaining to Ochsner Clinic Foundation, and in all other respects meet the requirements of Key Employees of Ochsner Clinic Foundation. The amount of time shown for each key employee as "average hours per week devoted to position" on this form of the organization that pays the key employees directly consists primarily of role as a key employee of the integrated health system. Additional time spent on boards, committees and through fulfilling other responsibilities as a key employee of the Ochsner organizations is shown as a nominal amount on the forms of the related organizations, but in reality the time is more evenly distributed across all entities. Form 990, Part XI, line 9: Grants/Contributions included in Restricted Net Assets -11,712,075. Fundraising included in Restricted Net Assets -516,486. Net Assets released for Operations 6,908,854. Unrestricted Impairments Recovery -211,775. Additional Minimum Pension Liability -63,579,579. Investment Net Income included in Restricted Net Assets 2,992,965. Change in Net Assets for Brent House 308,255. Change in Net Assets for OSPC 2,430. Change in Net Assets related to Property Sold to EIN # 46-4381058 in 2013 35,657,931. Change in Net Assets related to Property Sold to EIN # 47-1267935 in 2014 58,167,597. Change in Net Assets related to Property Sold to EIN # 47-2642764 in 2014 -653,040. Other Change in Net Assets related to EIN # 46-4381058 1,299,187. Other Change in Net Assets related to EIN # 47-1267935 300,924. Form 990, Part XII, Line 2c The process regarding the committee responsible for the audit, review, or compilation of the organization's financial statements and selection of an independent accountant has not changed from the prior year. Form 990, Part VI, Section B Line 12a, and Line 13 Ochsner Clinic Foundation, as part of Ochsner Health System, is required to follow all policies and procedures adopted by Ochsner Health System including the written Conflict of Interest Policy and the written Whistleblower Protecttion Policy. All affiliates are subject to the same System-Wide requirements. 1201 Dickory LLC 1514 Jefferson Highway New Orleans LA 70121 720502505 Real Estate Title-Holding Company LA 0 0 N/A Chabert Operational Management Company LLC 1514 Jefferson Highway New Orleans LA 70121 462840691 Performs Hospital Management Services LA 22700469 26710948 N/A Deuteron Realty 1514 Jefferson Highway New Orleans LA 70121 721079347 Nominee Real Estate Corporation LA 0 1000 N/A East Baton Rouge Medical Center LLC 17000 Medical Center Dr Baton Rouge LA 70816 201729674 Patient Care DE 197222333 47478349 N/A Foundation Assets LLC 1514 Jefferson Highway New Orleans LA 70121 770589660 Holding of donated interest in fractional share of ground lease-New Orleans LA 283156 855104 N/A Gulf Coast Outpatient Centers -- Mandeville LLC 1514 Jefferson Highway New Orleans LA 70121 208242348 Patient Care LA 0 0 Gulf Coast Outpatient Centers LLC Gulf Coast Outpatient Centers -- Uptown LLC 1514 Jefferson Highway New Orleans LA 70121 208242525 Patient Care LA 0 0 Gulf Coast Outpatient Centers LLC Gulf Coast Outpatient Centers -- Westbank LLC 1514 Jefferson Highway New Orleans LA 70121 208241691 Patient Care LA 0 0 Gulf Coast Outpatient Centers LLC Gulf Coast Outpatient Centers LLC 1514 Jefferson Highway New Orleans LA 70121 208241553 Holding of Gulf Coast Outpatient Centers companies LA 0 0 Ochsner Urgent Care LLC Gulf Coast Physician Network LLC 6341 Lakeland East Dr Flowood MS 39208 753009725 provides healthcare svcs to employees of MS coast casinos LA 130832 -1105 N/A Ochsner Accountable Care Network 1514 Jefferson Highway New Orleans LA 70121 455446191 Accountable Care Organization LA 0 0 N/A Ochsner Bayou LLC 4608 Highway 1 Raceland LA 70394 204670876 Operation of Ochsner St. Anne General Hospital LA 35012105 18620070 N/A Ochsner Center for Molecular Imaging LLC 1514 Jefferson Highway New Orleans LA 70121 471743566 produce imaging agents for clinical and research applications LA 0 0 N/A Ochsner Clinic LLC 1514 Jefferson Highway New Orleans LA 70121 720276883 Physician Services LA 611087248 29884322 N/A Ochsner Health Network LLC 1514 Jefferson Highway New Orleans LA 70121 472540787 Operates a Network of healthcare organaizations LA 0 0 N/A Ochsner Home Medical Equipment LLC 1514 Jefferson Highway New Orleans LA 70121 720502505 Sales of Durable Medical Equipment to Patients LA 6877610 4682810 N/A Ochsner Medical Center - Northshore LLC 1514 Jefferson Highway New Orleans LA 70121 271770321 Patient Care LA 99537553 21609761 N/A Ochsner Pharmacy and Wellness LLC 1514 Jefferson Highway New Orleans LA 70121 465235153 Sale and distribution of health care products LA 7899168 18190852 N/A Ochsner Physician Partners LLC 1514 Jefferson Highway New Orleans LA 70121 454962130 Operates a Clinically Integrated Network of Physicians and Hospitals LA 2145839 1894048 N/A Ochsner Urgent Care LLC 1514 Jefferson Highway New Orleans LA 70121 720502505 Holding of Gulf Coast Outpatient Centers LA 0 0 Ochsner Clinic LLC OMCNS MOBS LLC 1514 Jefferson Highway New Orleans LA 70121 720502505 Holding of Medical Office Buildings LA 0 0 N/A St Charles Operational Management Company 1514 Jefferson Highway New Orleans LA 70121 471714076 Performs Hospital Management Services LA 1141464 1854793 N/A Southern Strategic Sourcing Partners LLC 1514 Jefferson Highway New Orleans LA 70121 472552418 reduce supply costs for members LA 93972 5474 N/A Ochsner Health System 1514 Jefferson Highway New Orleans LA 70121 205296918 Health Care support LA 501(c)(3) Line 11b, II N/A 0 Ochsner Community Hospitals 1514 Jefferson Highway New Orleans LA 70121 205297040 Patient Care LA 501(c)(3) Line 3 Ochsner Health System 1 Ochsner System Protection Company 1514 Jefferson Highway New Orleans LA 70121 271170999 Captive Insurance LA 501(c)(3) Line 11a, I Ochsner Clinic Foundation 1 Brent House Corporation 1514 Jefferson Highway New Orleans LA 70121 720872457 Rents hotel rooms to patients/guests of Ochsner facilities. LA 501(c)(3) Line 11b, II Ochsner Clinic Foundation 1 OMCNS Medical Facilities Inc 1514 Jefferson Highway New Orleans LA 70121 472642764 Real Estate Title Holding Company LA 501(c)(2) Ochsner Clinic Foundation 1 EBR Medical Facilities Inc 1514 Jefferson Highway New Orleans LA 70121 471267935 Real Estate Title Holding Company DE 501(c)(2) Ochsner Clinic Foundation 1 OCF Medical Facilities Inc 1514 Jefferson Highway New Orleans LA 70121 464381058 Real Estate Title Holding Company DE 501(c)(2) Ochsner Clinic Foundation 1 Satyr Clinical Services Inc 1514 Jefferson Highway New Orleans LA 70121 464147298 Medical Services-Indigent Care LA Ochsner Clinic Foundation C 1292000 10330 1.00000 1 Community Medical Group-St Charles Inc 320 Somerulos St Baton Rouge LA 708026129 463447107 Clinical Services LA Satyr Clinical Services Inc C 178418 155948 1.00000 1 1 1 0 1 0 0 1 0 0 0 1 1 1 0 0 1 1 0 0 Brent House Corporation A 2047230 Intercompany Billings - Mkt Value Ochsner Health System A 1240760 Intercompany Billings - Mkt Value Satyr Clinical Services Inc B 3957183 Cash transferred Ochsner Community Hospitals D 72747900 Loan Balance EBR Medical Facilities Inc G 80000000 Appraised Value Brent House Corporation K 1046412 Intercompany Billings - Mkt Value EBR Medical Facilities Inc K 2662251 Market Value OCF Medical Facilities Inc K 6057780 Market Value Ochsner Community Hospitals K 12722308 Intercompany Billings - Mkt Value OMCNS Medical Facilities Inc K 5010 Market Value Brent House Corporation L 38875 Intercompany Billings - Mkt Value Ochsner Community Hospitals L 737247 Intercompany Billings - Mkt Value Ochsner Health System L 595660 Intercompany Billings - Mkt Value Brent House Corporation M 860744 Intercompany Billings - Mkt Value Ochsner Community Hospitals M 9368003 Intercompany Billings - Mkt Value Ochsner System Protection Company M 1993333 Intercompany Billings - Mkt Value Brent House Corporation P 39480 Intercompany Billings - Mkt Value Ochsner Community Hospitals P 9749 Intercompany Billings - Mkt Value Ochsner Health System P 165695355 Intercompany Billings - Mkt Value Brent House Corporation Q 157217 Intercompany Billings - Mkt Value Ochsner Community Hospitals Q 6433615 Intercompany Billings - Mkt Value Ochsner Health System Q 1906654 Intercompany Billings - Mkt Value Sch R Part IV Satyr Clinical Services, Inc., a Louisiana non-profit corporation, has, as its sole member, Ochsner Clinic Foundation. Community Medical Group-St. Charles, Inc., a Louisiana non-profit corporation, is a non-member, non-stock corporation that is controlled by Satyr Clinical Services. Satyr Clinical Services and Community Medical Group-St. Charles, Inc., in conjunction with several other non-profit entities owned by other hospitals in the region, contract with providers to deliver physician and other healthcare services to low income and needy residents.