2014-05-08T13:11:14-05:00 2013-06-30 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD SUITE 600 METAIRIE LA 700054958 990 2012-07-01 721304948 LOUISIANA STATE UNIVERSITY SCHOOL OF MED IN NEW ORLEANS FACULTY GROUP PRACTICE LOUI 5044121836 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 DR CATHI FONTENOT 5044121818 2014-05-08 1 TERRI A TROYER CPA P00227651 5048355522 2012 2015-11-30 17:44:51Z LSU HEALTHCARE NETWORK DR CATHI FONTENOT 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 94467606 0 X N/A X 1995 LA SEE STATEMENTPRIVATE, TAX-EXEMPT FACULTY GROUP PRACTICE THAT WAS ESTABLISHED TO SUPPORT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MISSIONS OF THE LSU HEALTH SCIENCES CENTER IN NEW ORELANS, PARTICULARLY AS THEY RELATE TO ITS SCHOOLS OF MEDICINE, ALLIED HEALTH PROFESSIONS, DENTISTRY, NURSING, AND PUBLIC HEALTH, IN THEIR CLINICAL PRACTICE FUNCTIONS. 16 16 212 32 0 0 70825 198009 95810595 94256031 -21628 13566 0 0 95859792 94467606 0 0 0 0 36854598 42008374 0 0 0 53289026 50177664 90143624 92186038 5716168 2281568 32613496 34543372 10132652 9780960 22480844 24762412 TO PROVIDE HEALTH CARE TO THE GENERAL PUBLIC AND ASSIST THE LSU HEALTH SCIENCE CENTER AND IN PARTICULAR THE LSU MEDICAL SCHOOL IN NEW ORLEANS IN CARRYING ON ITS MEDICAL, EDUCATIONAL, & RESEARCH FUNCTIONS. 0 0 85836705 94256031 ENHANCEMENT FUND PAYMENTS PAID TO THE LA STATE UNIVERSITY HEALTH SCIENCES CENTER HELPED SUSTAIN FACULTY TEACHING PROGRAMS, RESIDENT TRAINING, AND MEDICAL RESEARCH. THE FACULTY GROUP PRACTICE ALSO MANAGES COMMUNITY OUTREACH CLINICS SUCH AS THE NEW ORLEANS MUSICIAN'S CLINIC THAT PROVIDES DISCOUNTED CARE TO THE CITY'S MUSICIANS, BASED ON NEED. CLINICAL CARE TO THE COMMUNITY IS PROVIDED WITHOUT REGARD TO THE ABILITY TO PAY OR THE POSSESSION OF INSURANCE. DURING THE YEAR ENDED JUNE 30, 2013, CHARITY CHARGES ENTERED INTO THE BILLING SYSTEM AND ADJUSTED OFF TOTALED APPROXIMATELY $29.4 MILLION WHICH REPRESENTS 31% OF THE TOTAL GROSS CHARGES FOR THE FISCAL YEAR. 85836705 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 26 0 1 212 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DR CATHI FONTENOT 5044121818 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 STEVE PERRY 1.00 X 0 0 0 SAMUEL STAGG MD 1.00 X 0 0 0 MICHAEL G MANES 1.00 X 0 0 0 JIM LEONARD MD 1.00 X 0 0 0 JOHN J FINAN JR 1.00 X 0 0 0 E JOHANN BULTMAN 1.00 X 0 0 0 DANIEL NUSS MD 1.00 X 0 0 0 STEVE NELSON MD 1.00 X 0 562939 74905 KEITH MELANCON MD 1.00 X 0 192936 27381 ROBERT BATSON MD 1.00 X 0 529762 69953 HENRY MILLER 1.00 X 0 0 0 CARROLL W SUGGS 1.00 X 0 0 0 AMY SHUMAKER MD 1.00 X 0 445790 69673 JOSPEH CORSO 1.00 X 0 0 0 SHARON RIVES 50.00 X 133333 0 3978 CATHI FONTENOT MD 50.00 X 0 267376 46947 BRIAN FATH 50.00 X 44513 0 1383 177846 1998803 294220 1 0 1 0 ACADIANA COMPUTER SYSTEM PO BOX 60670 LAFAYETTE LA 70596 BILLING SERVICES 3085826 COVENTRY HEALTHCARE PO BOX 51158 LOS ANGELES CA 90051 INSURANCE BENEFITS 855442 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 EHR LICENSING FEES 601624 DIAGNOSTIC IMAGINGSERVICES 3437 PRYTANIA STREET NEW ORLEANS LA 70115 RADIOLOGY SERVICES 379214 GILLIS ELLIS BAKER 1615 POYDRAS STREET NEW ORLEANS LA 70112 INSURANCE 243770 5 198009 198009 PATIENT SERVICE REVENUE 621110 67792484 67792484 CAPITATION REVENUE 621110 26463547 26463547 94256031 12566 12566 1000 0 1000 1000 1000 94467606 94256031 0 13566 304686 265077 39609 40337832 35093914 5243918 831908 723760 108148 533948 464535 69413 48924 42564 6360 3023610 3008421 15189 367534 319755 47779 94659 82353 12306 992095 863123 128972 320193 278568 41625 2456492 2137148 319344 16623 14462 2161 17841 15522 2319 842717 733164 109553 328491 285787 42704 MEDICAL CLAIMS EXPENSE 21284812 21284812 BAD DEBT EXPENSE 8014537 8014537 PAYMENT TO LSUHSC - MED 5797293 5797293 EXPENSES FROM UMGIPA 4151654 4151654 2420189 2260256 159933 92186038 85836705 6349333 0 15153747 18312687 11307192 9803828 506931 1028193 5377838 2769543 2852085 2608295 2793541 2790369 32613496 34543372 2591413 2228220 7541239 7552740 10132652 9780960 X 22480844 24762412 22480844 24762412 32613496 34543372 2281568 0 X X 0 1 X 1 0 X X X 0 0 0 LSU HEALTH SCIENCES CENTER 726087770 2 1 1 1 39793946 1 39793946 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A PART I LINE 11 COLUMN VII - THE TOTAL AMOUNT OF MONETARY SUPPORT OF $39,793,946 IS FOR THE REIMBURSEMENT OF CLINICAL AND ADMINISTRATIVE SERVICES AND LEASED FACULTY EXPENSE PROVIDED BY LSU HEALTH SCIENCE CENTER TO LSU SCHOOL OF MEDICINE FACULTY GROUP. IT ALSO INCLUDES THE LSU SCHOOL OF MEDICINE FACULTY GROUP SUPPORT PAYMENT TO LSU HEALTH SCIENCE CENTER'S MEDICAL SCHOOL ENDOWMENT FUND. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788080 405855 382225 4589758 2363688 2226070 2608295 LICENSE FEES AND INSTALLATION 36230 C DEPOSITS AND INVESTMENTS 2754139 C 2790369 DUE TO LSU MEDICAL CENTER 7552740 7552740 X 86453069 0 86453069 8014537 8014537 94467606 84171501 0 84171501 8014537 8014537 92186038 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: LSUHN FOLLOWS THE PROVISIONS OF THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE FASB ASC, WHICH CLARIFIES THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSTIONS TAKEN, OR EXPECTED TO BE TAKEN, IN LSUHN'S INCOME TAX RETURNS. MANAGEMENT EVALUATED THE LSUHN'S TAX POSITIONS AND CONCLUDED THAT LSUHN HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. ALL TAX RETURNS HAVE BEEN APPROPRIATELY FILED BY LSUHN. LSUHN RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENFITS IN INCOME TAX EXPENSE. LSUHN FILES INCOME TAX RETURNS WITH FEDERAL AND STATE JURISDICTIONS. LSUHN'S OPEN AUDIT PERIODS ARE 2009-2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE - $8,014,537 PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE - $8,014,537 X X X 0 0 0 0 0 0 0 0 0 STEVE NELSON MD 0 562939 0 0 0 0 0 65377 0 9528 0 637844 0 0 KEITH MELANCON MD 0 192936 0 0 0 0 0 15355 0 12026 0 220317 0 0 ROBERT BATSON MD 0 529762 0 0 0 0 0 53981 0 15972 0 599715 0 0 AMY SHUMAKER MD 0 445790 0 0 0 0 0 53981 0 15692 0 515463 0 0 CATHI FONTENOT MD 0 267376 0 0 0 0 0 33842 0 13105 0 314323 0 0 FORM 990, PART VI, SECTION B, LINE 11 UPON COMPLETION OF THE FINAL DRAFT OF FORM 990, A COPY OF THE DRAFT IS SENT TO MEMBERS OF THE EXECUTIVE/FINANCE COMMITTEE. THE COMBINED COMMITTEE IS THEN CONVENED WITH REPRESENTATIVES OF THE OUTSIDE CPA FIRM TO DISCUSS THE FORM. AFTER ACCEPTANCE BY THE COMMITTEE, THE FORM IS THEN REVIEWED BY THE BOARD OF DIRECTORS. WHEN THIS REVIEW IS COMPLETE, THE FORM IS FILED WITH THE APPLICABLE AGENCIES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES AND TRUSTEES TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATIONS WHICH COULD BE PERCEIVED AS A CONFLICT OF INTEREST. ALL TRUSTEES ARE REQUIRED, AT A MINIMUM, TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATION WHICH MAY BE A CONFLICT OF INTEREST ON FORMS PROVIDED TO THEM. EMPLOYEES ARE REQUIRED TO DISCLOSE SUCH CONFLICTS WHEN HIRED AND ARE AN ON-GOING REQUIREMENT OF EMPLOYMENT. NEW TRUSTEES AND EMPLOYEES ARE ALSO REQUIRED TO ATTEND AN ORIENTATION WHERE THIS SPECIFIC TOPIC IS DICUSSED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF THE ORGANIZATION DOES NOT DETERMINE OR APPROVE THE SALARIES FOR THE RELATED ORGANIZATION EMPLOYEES THAT PARTICIPATE ON THE ORGANIZATION'S BOARD. THE ORGANIZATION IS ALLOCATED A PORTION OF THE CEO AND THE MEDICAL DIRECTOR SALARIES FROM THE RELATED ORGANIZATION FOR THEIR TIME ATTRIBUTED TO THEIR ROLE AT THE ORGANIZATION. SENIOR MANAGEMENT COMPENSATION IS COMPARED TO SURVEYS FOR SIMILAR ORGANIZATIONS IN OUR REGION AND APPROVED BY THE PRESIDENT AND CEO AND REPORTED TO THE EXECUTIVE/FINANCE COMMITTEE AND BOARD. THE EXECUTIVE/FINANCE COMMITTEE AND THE BOARD ARE ALSO NOTIFIED OF CHANGES IN KEY POSITIONS AT THE ORGANIZATION AND THIS IS DOCUMENTED AT ITS MEETINGS IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROIVDES THIS FORM AS WELL AS VARIOUS POLICIES TO THE THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UNIVERSITY MEDICAL GROUP LLC 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 721424889 PHYSICIAN HEALTH CARE SERVICES LA 2374725 10285778 LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSUHN BILLING LLC 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 261531455 BILLING COMPANY LA 10749785 LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSUHN VASCULAR LAB LLC 1542 TULANE AVE SUITE 123-HCN NEW ORLEANS LA 70112 271244610 VASCULAR LABORATORY LA LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSU HEALTH SCIENCES CENTER 433 BOLIVAR STREET 401C NEW ORLEANS LA 70112 726087770 HEALTHCARE LA 501(C)(3) 170(B)(I)(A)(II) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0