2014-11-17T17:01:45-07:00 2013-12-31 990 2013-01-01 251925187 University Medical Center Management Corporation UNIV 5042994721 2021 Perdido St New Orleans LA 70112 Lisa Napier SVP & Chief Financial Officer 5049034907 2014-11-17 2013 2015-11-30 17:44:51Z X 'Interim LSU Hospital' or 'ILH' Cindy Nuesslein 2021 Perdido St New Orleans LA 70112 176551485 0 X www.umcno.org/ X 2005 LA The Interim LSU Hospital (ILH) is the major teaching hospital for the LSU New Orleans Schools of Medicine, Nursing, Dental Medicine and Allied Health resident and student training programs and a major teaching hospital for Tulane University School of Medicine residents and students. ILH is the home to the only verified Level 1 Trauma Center in South Louisiana. It is the mission of the ILH to provide quality service to meet the healthcare needs of all people through medical care, education and research; centers of excellence; and leadership without limitations. 14 12 1986 107 0 0 478495 1492941 0 175040063 0 18481 0 0 478495 176551485 0 0 0 0 0 67486422 0 0 0 478338 139774794 478338 207261216 157 -30709731 44172 371738456 43650 402447665 522 -30709209 X It is the mission of the Interim LSU Hospital to provide quality service to meet the healthcare needs of all people through medical care, education and research; centers of excellence; and leadership without limitations 1 0 32071444 0 1367581 Resident Teaching & Graduate Medical Education Programs: The Interim LSU Hospital (ILH) is a major teaching hospital for both LSU and Tulane University Schools of Medicine, as well as for LSU School of Dental Medicine. 280 resident FTE positions actively rotated to ILH. Because each position has multiple individuals rotate into it throughout the year, over 1500 individual physicians in training are educated at ILH each year. Physicians receive training in 36 specialties at ILH. 157598355 0 173568499 Patient Care: ILH provides core safety net services to the New Orleans region. These services include the operation of an emergency room, an HIV outpatient clinic, oncology services, mental health services, and a Level I trauma center. ILH provides inpatient, outpatient, emergency and critical care. ILH provides a wide range of services covering over 40 specialties and ambulatory care in over 60 specialty clinics and provides free or reduced cost health care to medically indigent and uninsured patients, including medically complex and otherwise high-risk Medicaid patients. It also provides medically necessary health care to the Louisiana prison population. The hospital has 390 licensed beds and treated 143,632 inpatients and outpatients during since UMCMC assumed management of the hospital at June 24, 2013. 810240 0 103983 Community health services and community benefit operations provide free health education programs and screenings to the community. These programs are designed to focus on some of the most prevalent diseases in the New Orleans community, such as diabetes, heart disease and cancer. These programs address prevention, early detection, treatment and maintaining health lifestyles. In 2013, ILH participated in and offered numerous outreach events. Additionally, ILH operates an outpatient pharmacy that fills patient prescriptions at a significantly discounted rate to ensure that patients have access to necessary pharmaceutical needs that would not be available to them otherwise. 0 0 0 190480039 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 146 0 1 1986 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Lisa Napier Chief Financial Officer 5042994726 2021 Perdido St New Orleans LA 70112 X Robert Yarborough Chairman of the Board 1 0 X 0 0 0 Darryl D Berger Vice Chairman of the Board 1 0 X 0 0 0 Alden J McDonald Jr Secretary/Treasurer of the Board 1 0 X 0 0 0 Elaine D Abell Board Member 1 0 X 0 0 0 Donald T Bollinger Board Member 1 0 X 0 0 0 Jaimme A Collins Board Member 1 0 X 0 0 0 Kyle M France Board Member 1 0 X 0 0 0 Harold Gaspard Board Member 1 0 X 0 0 0 Byron Harrell Board Member 1 0 X 0 0 0 A Whitfield Huguley IV Board Member 1 0 X 0 0 0 Henry A Miller Board Member 1 0 X 0 0 0 Cindy Nuesslein President/CEO/Board Member 50 0 X X X X 0 229835 48958 Charles L Rice Jr Board Member 1 0 X 0 0 0 Steve Worley Board Member 1 50 X 0 1173799 318565 0 1403634 367523 0 0 1 0 LSU Health Sciences Center 433 Bolivar St New Orleans LA 70112 Provision of Resident costs & supervision; other medical provider coverage; Medical Director 23169683 LSU Health Care Services Division LSU Health Administration and Business Office 5429 Airline Highway Baton Rouge LA 708211308 Billing & Collections; Lease of IT infrastructure and support 10235919 Tulane University 6823 St Charles Avenue New Orleans LA 70118 GME and other clinical services 7289392 Crothall Healthcare Inc 1500 Liberty Ridge Drive Ste 210 Wayne PA 19087 Environmental Services Management 1251510 Morrison Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Management of dietary services 1233562 13 0 0 0 0 1492941 0 0 1492941 Net Patient Service Revenue 622110 167275121 167275121 0 0 Non-patient service revenue 622110 7764942 7764942 0 0 0 0 0 0 175040063 18481 0 0 18481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176551485 175040063 0 18481 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56580871 50178644 6402227 0 2230434 1978056 252378 0 4700020 4168204 531816 0 3975097 3566429 408668 0 6596245 0 6596245 0 361126 0 361126 0 1448320 0 1448320 0 0 0 0 0 0 0 0 0 0 0 47760172 47760172 0 0 30112 0 30112 0 4816365 4720037 96328 0 15503392 15503392 0 0 0 0 0 0 4278612 4278612 0 0 19750 19750 0 0 0 0 0 0 948 799 149 0 0 0 0 0 0 0 0 0 274282 274282 0 0 3000934 3000934 0 0 Medical Supplies 29978773 29978773 0 0 Dues & Memberships 89663 37965 51698 0 Leased facilities & equipment 18006719 18006719 0 0 Misc expenses prior to member substitution 171 0 171 7609210 7007271 601939 0 207261216 190480039 16781177 0 522 46448393 0 0 43650 43071151 0 0 0 0 7137631 0 256198931 4437794 274282 0 4163512 0 0 0 0 0 14718838 44172 371738456 43650 49589548 0 0 0 91593447 0 0 0 0 0 0 0 0 0 253000000 0 8264670 43650 402447665 X 522 -30709209 0 0 0 0 522 -30709209 44172 371738456 -30709731 0 0 0 0 0 X 0 1 X 1 1 1 X 0 1092117 0 0 1092117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4437794 274282 4163512 0 0 0 0 4163512 Due to Related Third Parties 1980025 Professional Liability Claims 1618586 Due to LSU HCSD - unapplied patient accounts 4666059 8264670 X 176181796 0 0 0 0 0 176181796 0 369689 369689 176551485 206891006 0 0 0 0 0 206891006 0 370210 370210 207261216 Schedule D, Part V, Line 4 Government grants were received to cover costs of trauma prevention training and HIV treatment. These funds were accounted for as temporarily restricted funds. Schedule D, Part X, Line 2 The Corporation follows the provisions of Accounting for Uncertainty in Income Taxes Topic of the FASB ASC. The Corporation recognizes a threshold and measurement process for financial statement recognition of uncertain tax positions taken or expected to be taken in a tax return. The interpretation also provides guidance on recognition, de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Corporation's tax filings are subject to audit by various taxing authorities. There are currently no returns under examination. Management evaluated the Corporation's tax positions and considered that the Corporation had taken no uncertain tax positions that require adjustments to the financial statements to comply with the provisions of this guidance. Schedule D, Part XI, Line 4b This amount comprises grants received by UMCMC prior to member substitution by Louisiana Children's Medical Center Schedule D, Part XII, Line 4b This amount represents expenses incurred by University Medical Center Management Corporation prior to the Member Substitution May 30, 2013 in which Louisiana Children's Medical Center became the sole member of the corporation. The amount comprises the following: Legal fees of $361,126; Accounting fees of $4,205; Consulting fees of $4,358; and bank service charges of $521. 1 1 X 1 X 0 1 1 0 0 16211157 12342677 3868481 0.0187 60038028 63929393 -3891364 0 28998256 25812628 3185628 0.0154 0 0 105247441 102084698 3162745 0.0341 810240 103983 706257 0.0034 32071444 1367581 30703863 0.1481 0 0 0 0 127188 0 127188 0.0006 0 0 33008872 1471564 31537308 0.1521 0 0 138256313 103556262 34700053 0.1862 1 19960659 0 13126367 13049878 76489 X 1 1 1 1 Interim LSU Hospital 2021 Perdido Street New Orleans LA 70112 http://www.umcno.org 2203781824 X X X X X Interim LSU Hospital 1 0 1 1 200 0 1 X X X X X X 1 1 X X X 1 0 1 X 0 0 Schedule H, Part V, Section B, Line 11-Interim LSU Hospital ILH provides free care to all patients falling below the 200% FPL level. There is no sliding scale utilized for the provision of discounted care. Patients who do not fall below the 200% FPL level, who are uninsured and who do not qualify for assistance receive a self pay discount of 60%. Schedule H, Part V, Section B, Line 14-Interim LSU Hospital Patients are instructed verbally regarding the opportunities for financial assistance. Schedule H, Part I, Line 3c In addition to income-based criteria, ILH applies a Medicare Medically Indigent Assets Test when determining eligibility for financial assistance for Medicare beneficiaries. Schedule H, Part I, Line 7 ILH uses a ratio of patient care cost to charges derived from Worksheet 2 to establish total community benefit expense for Financial Assistance, Medicaid, and other means-tested government programs. Costs for community health improvement services and health professions education are derived from ILH department-level accounting records and Medicare and Medicaid cost reports. Additionally, it should be noted that due to software limitations, certain percentages from Line 7, column (f) are overstated. Line 7b, Medicaid, accounts for -1.88% of total expense. Line 7d, column (f) should reflect "Total Financial Assistance and Means-Tested Government Programs" as being 1.53% of total expense. Total Community Benefits in Line 7k, are 16.74% of total expenses for ILH. HEALTH PROFESSIONS EDUCATION at ILH (see Part I, Line 7f) provides clinical training to students annually in a variety of training programs and specialties, including medical student and postgraduate medical training in various specialties. ILH is also a clinical training site for allied health programs for various metropolitan colleges and provides rehabilitation therapy training to students from colleges across the country. RESEARCH at ILH (see Part I, Line 7h) provides the resources and infrastructure essential to a preeminent research institution. The mission of the Department of Clinical Research is to promote, foster, and sustain the highest quality research within the hospital facilitating innovation and discovery at the cutting edge of science, technology, and scholarly pursuits. To fulfill this mission the ILH Department of Clinical Research through its Research Review Committee, in conjunction with the Institutional Review Boards of affiliated academic institutions, collaboratively facilitate healthcare research that supports the needs of the patient populations served throughout the state of Louisiana, in particular, and the global community in general. These objectives are achieved by augmenting the academic mission of medical education, research and training programs that include, but are not limited to medical, dental, nursing, and public health. ILH supports research across the biomedical spectrum, from core lab-based science and transactional research to clinical trials in all major disease areas. It further assists in the development of Quality and Performance Improvement initiatives, driven through and by staff and trainees, thus providing a direct correlation between the level of improved health services and desired outcomes in a meaningful way. SYSTEM INFORMATION: Louisiana Children's Medical Center (LCMC) is a Louisiana nonstock, not-for-profit corporation that was incorporated in 2009. LCMC, the sole member of Children's Hospital Inc. (Children's) also became sole member of Touro Infirmary (Touro) in 2009 to create a two-hospital medical system providing a complete continuum of care from birth to geriatrics. Children's provides comprehensive pediatric healthcare that meets the special needs of children through excellence and continuous improvement of patient care, education and research. Touro, founded in 1852, serves the Greater New Orleans community as a premier, diverse, multi-specialty hospital, caring for the sick regardless of race, color, creed, religious affiliation, or ability to pay. In tax year 2013, following state budget reductions that caused severe cuts to the louisiana public hospital system and at the request of state officials, LCMC embarked on a cooperative endeavor with the State of Louisiana (State) for the purpose of creating an academic medical center (1) to serve the State and its citizens as a premier site for graduate medical education and (2) to fulfill the State's historical mission of assuring access to safety net services to all citizens of the State, including its medically indigent, high risk Medicaid and State inmate populations. Under this agreement, LCMC agreed to assume responsibility for the management and operations of the Interim LSU Public Hospital (ILH) and the University Medical Center, presently under construction. Through this endeavor, LCMC and its affiliates are fulfilling their missions to enhance the health of the Greater New Orleans community by delivering high quality health care services to all patients through a commitment to clinical excellence, education, technology, research and community outreach. In tax year 2013, LCMC and its affiliates provided total community benefit expense of $368.5 million. This amount represented 57% of the affiliates' combined total expense. LCMC and its affiliates provide services to many low-income residents of the Greater New Orleans area. In 2013, $296.0 million in expense (45% of the affiliate's combined total expense) was incurred in providing services for Medicaid recipients and in providing financial assistance. Schedule H, Part I, Line 7b University Medical Center Management Corporation (UMCMC)was originally established on October 12, 2005 as the Earl K. Long Medical Foundation, Inc. and qualified at that time as a tax exempt corporation under the provisions of 26 USC Sect. 501(c)(3). On July 9, 2010, the Articles of Incorporation of the Earl K. Long Medical Foundation, Inc. were restated to change the name of the entity to University Medical Center Management Corporation (A Major Affiliate of LSU pursuant to La. R.S. 17:3390). The members of the Board of Directors of this not for profit corporation were designated as its members. Subsequently on May 30, 2013, the Articles of Incorporation for the organization were again amended to substitute the Louisiana Children's Medical Center (LCMC) as the sole corporate member and to change the name to University Medical Center Management Corporation. According to the Terms of a Cooperative Endeavor Agreement, UMCMC agreed to assume management of the Interim LSU Hospital on June 24, 2013. This agreement was executed in order to avoid reductions in service levels proposed by the State of Louisiana based upon projected funding shortfalls. In 2014 the Louisiana Department of Hospitals submitted to the Centers for Medicare and Medicaid Services (CMS) a Medicaid State Plan Amendment making academic medical centers serving as safety net providers eligible for Medicaid Disporportionate payments. The Cooperative Endeavor Agreement and the Master Lease were amended and restated in 2014 to remove the Department of Health and Hospitals as signatory and to eliminate the required funding provisions. The Amended and Restated Master Lease now provides for a 60 day termination without cause in lieu of any required funding provisions and the Cooperative Endeavor Agreement permits LCMC to withdraw as the sole member of UMCMC upon 60 days notice. Schedule H, Part II, Line 10 UMCMC assumed management of ILH on 6/24/13, only 6 months before the 2013 year end. While the organization participates in significant community building activities, tracking processes necessary to quantify these efforts were not in place during the 6 months covered by this reporting period. These community building activities included the following: In the furtherance of its charitable purpose, ILH provides a wide variety of benefits to the community that it serves. Such benefits include health seminars on a variety of health topics that are relevant to the health needs of the community. ILH offers a Stroke Program that offers free screenings and educational programs to the public. It has several employees engaged in community programs such as sexual abuse awareness and Children's Bureau Board of Directors. It supports several community function fundraisers for causes such as Diabetes, American Heart Association, United Way, etc. ILH also participated in providing dental care for the indigent during the National Dental Association meeting held in New Orleans. It offers counseling for patients and families, pastoral care, and health enhancement and wellness programs. ILH staff support area nonprofits and community groups to offer health information and health screenings at community events. It partners with other healthcare nonprofits to provide healthcare information and education resources to the community and provides a broad range of clinical services to economically disadvantaged patients, both inpatient and outpatient, through outpatient clinics. ILH's Governing Board and management work closely with local civic leaders to address the health care needs of the community. Schedule H, Part III, Section A, Line 2 The amount reported in Part III, Section A, Line 2, is based on ILH's provision for doubtful accounts. The amount has not been converted to cost using a ratio of patient care cost to charges. Schedule H, Part III, Section A, Line 3 ILH has procedures that assure that all self-pay (uninsured) patients in households up to 200% of poverty, those who participate in the Greater New Orleans Community Heath Connection (GNOCHC) program, and those who are medically indigent receive free care. Schedule H, Part III, Section A, Line 4 From Note 2, "Net Patient Service Revenues and Related Receivables." Patient accounts receivable are reduced by an allowance of doubtful accounts. In evaluating the collect ability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Corporation analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes patients without insurance who are not covered by the Corporation's charity care programs and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Corporation records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted are charged off against the allowance for doubtful accounts. Schedule H, Part III, Section B, Line 8 ILH is required to manage its Bad Debt losses, a significant component of its operating performance, as one of the contributors to the total community benefit the organization is able to provide; this is based on the recognition that much of the New Orleans are population is unable to afford the care they need. ILH uses a ratio of patient care cost to charges derived from Worksheet 2 to establish the amount reported on Line 6 as Medicare allowable costs of care. Schedule H, Part III, Section C, Line 9b For patients determined to be medically indigent, a system generated transaction will post to the patient account, adjusting the amount due to zero. There will be no collection activity on the account following this adjustment. Schedule H, Part VI, Line 2 ILH assesses the health care needs of the communities it serves in many ways. Numerous studies have been conducted regarding the needs of patients historically served by ILH in formulating decisions regarding a replacement facility, to establish programs such as GNOCHC, ad otherwise to assure that health care and medical education needs are addressed. ILH receives information regarding the health care needs of the New Orleans community from the schools that participate in its training programs. The participants in the training programs are on the front lines of patient care and are most aware of the particular needs of this community. Through communication with these schools and the other providers in the community, ILH develops an assessment of the health care needs of the indigent population of the New Orleans region. ILH has participated actively in the aforementioned studies and in many community efforts relating to needs in the New Orleans area. Schedule H, Part VI, Line 3 Upon scheduling or registration, the ability to apply for financial assistance is offered if the patient is uninsured or underinsured. If Medicaid assistance is denied, the ILH Financial Assistance and Medical Assistance Program (MAP) departments will assist the patient in seeking other financial assistance benefits. These departments instruct the patient on required documentation and eligibility procedures. If the patient is determined to be medically indigent and unable to obtain Medicaid benefits, ILH will inform them of alternative possibilities for financial assistance such as Greater New Orleans Community Health Connection (GNOCHC). If the patient is found to be unable to qualify for any public assistance but is not below the 200% FPL limits on charity care, they are informed that they will be considered self pay and entitled to a 60% discount on charges. ILH works with the patient to formulate a payment plan requiring a deposit and monthly payments. If the patient is found to fall below the 200% FPL level, he or she is classed as charity care and all charges are adjusted off. ILH has a long standing reputation of being the safety net hospital for the indigent medically ill patients of New Orleans and surrounding areas. Our commitment to our community is to care for all who need our care. Schedule H, Part VI, Line 4 The total population of the following parishes for 2012: Orleans Parish 366,360 (42.83% total pop. across the parishes served by ILH); Jefferson Parish 425,199 (49.70% total pop. across the parishes served by ILH); St. Bernard Parish 39,646 (4.63% total pop. across the parishes served by ILH); and Plaquemines Parish 24,267 (2.84% total pop. across the parishes served by ILH). Source: 2012 Nielson Company, Truven Health 2012. Race/Ethnicity distribution for Orleans Parish: White/Non Hispanic was 31% (114,011); Black/Non-Hispanic was 58.4% (213,935); Hispanic was 5.6% (20,566); Asian/Isl. was 3% (11,029); All Other was 1.9% (6,819). Jefferson Parish: White/Non Hispanic was 54.4% (231,481); Black/Non-Hispanic was 26.4% (112,367); Hispanic was 13.3% (56,538); Asian/Isl was 4.0% (16,914); All Other was 1.9% (7,899). St. Bernard Parish: White/Non Hispanic was 65.9% (26,123); Black/Non-Hispanic was 19.1% (7,590); Hispanic was 9.9% (3,927); Asian/Isl was 2.0% (800); All Other was 3.0% (1,206). Plaquemines Parish: White/Non Hispanic was 67.6% (16,415); Black/Non-Hispanic was 19.7% (4,791); Hispanic was 5.2% (1,255); Asian/Isl was 3.3% (806); All Other was4.1% (1,000). Median household income (2008-2012) for the state compared to parishes served by ILH: Louisiana was $44,673; Orleans Parish was $36,681; Jefferson Parish was $48,522; St. Bernard Parish was $40,590; and Plaquemines Parish was $57,386. Median Earnings for Workers in 2011: New Orleans was $25,668; State of Louisiana was $23,853. Source: 2011 US Census. Percent of people living below the poverty level (2008-2012) in the state compared to parishes served by ILH: Louisiana was 18.7%; Orleans Parish was 27.2%; Jefferson Parish was 15.3%; St. Bernard Parish was 18.2%; and Plaquemines Parish was 11.0%. Percent of Uninsured Adults in December 2011: Orleans was 20.7%; Jefferson was 19.9%; St. Bernard was 23.5%; Plaquemines was 21.1%. Source: Dec 2011 Louisiana Health Insurance Survey (sponsored by DHH). Health Outcomes: Source: 2014 County Health Rankings & America's Health Rankings by the United Health Foundation. Health Outcomes Ranking (out of 64 parishes state-wide): Orleans was 47; Jefferson was 13; St. Bernard was 52; Plaquemines was 2. Length of Life: Orleans was 45; Jefferson was 16; St. Bernard was 44; Plaquemines was 10. Quality of Life: Orleans was 39; Jefferson was 17; St. Bernard was 56; Plaquemines was 1. Healthy Behaviors: Orleans was 13; Jefferson was 5; St. Bernard was 23; Plaquemines was 22. Percentage of population smoking in parishes served by ILH: Orleans was 20%; Jefferson was 21%; St. Bernard was 22%; Plaquemines was 23%. In Louisiana, obesity is more prevalent among non-Hispanic blacks at 41.6 percent than non-Hispanic whites at 29.3 percent and Hispanics at 28.9 percent (source: America's Health Rankings by the United Health Foundation http://www.americashealthrankings.org/LA/2012). Prevalence of obesity: Orleans was 32%; Jefferson was34%; St. Bernard was 36%; Plaquemines was 34%. Diabetes also varies by race and ethnicity in the state; 12.9 percent of non-Hispanic blacks have diabetes compared to 9.2 percent of non-Hispanic whites and 8.1 percent of Hispanics. Louisiana has the 2nd highest diabetes mortality rate in the nation and diabetes is the fifth leading cause for deaths among Louisiana residents. (source: Louisiana Department of Health and Hospitals Diabetes Prevention and Control program http://new.dhh.louisiana.gov/assets/oph/pcrh/diabetes/2012_Louisiana_Diabe. Louisiana ranks 46th for cardiovascular deaths (source America's Health Rankings by the United Way Health Foundation http://www.americashealthrankings.org/LA). Cancer rates: Louisiana ranks 48th in cancer deaths and has consistently had one of the highest cancer incidence rate and highest cancer mortality rate in the country. (source America's Health Rankings by the United Way Health Foundation http://www.americashealthrankings.org/LA). The other acute care hospitals serving the community are: Children's Hospital; Touro Infirmary, Ochsner Medical Center Ochsner Baptist Hospital, Ochsner Kenner Hospital, Ochsner Westbank Hospital, Tulane Medical Center, East Jefferson General Hospital, West Jefferson Medical Center and St. Bernard Parish Hospital. Schedule H, Part VI, Line 5 (A) ILH is committed to the mission of the original Charity Hospital in New Orleans that had a history of charity care spanning over 275 years. As part of that commitment, ILH appropriately serves indigent patients and offers financial assistance to those who have an established need to receive medically necessary medical services by offering free care to all uninsured persons who fall below 200% of the Federal Poverty Limits. ILH also offers free care to uninsured, medically indigent persons who present documentation that they have incurred eligible medical expenses for the twelve months immediately preceding treatment from any health care provided which are equal to or above 20% of the gross income of the family unit. (B) ILH incurs significant cost in the provision of care to those patients qualifying for Medicaid (including Bayou Health Coordinated Care Networks) and the Greater New Orleans Community Health Connection (GNOCHC). To qualify for GNOCHC, applicants must be (1) age 19 to 64; (2) a U.S. citizen or legal resident; (3) living in Orleans, Jefferson, St. Bernard or Plaquemines parishes; (4) uninsured and not have had medical insurance for at least 6 months; (5) not pregnant; and (6) meet monthly income restrictions based on 100% of the Federal Poverty Limit (FPL). GNOCHC covers (1) primary care; (2) preventive care; (3) immunizations and vaccinations; (4) care coordination; (5) lab work and x-rays; (6) behavioral health for mental health and substance abuse services; and (7) some specialty care. All professional fees incurred under this program are billed to GNOCHC and paid 100% of the approved fee schedule. Facility charges for these services are not reimbursed by the program. ILH provides financial assistance to patients enrolled in GNOCHC on a presumptive basis. ILH provides Community Health Improvement Services as follows: (1) ILH has a robust injury prevention program that includes (a) SUDDEN IMPACT: Held within the Trauma Center, the seven-hour program for high school sophomores allows teens to witness first-hand the devastation of motor-vehicle crash injuries and fatalities due to driving under the influence of alcohol or drugs, distracted driving and driving unrestrained. During the 2013-2014 school year, ILH presented this program to 1,524 students. (b) CONSEQUENCES OF IMPACT MOCK CRASHES: This program serves as a follow up to the Sudden Impact Program. It portrays a motor vehicle crash to increase the awareness of the dangers of driving impaired, driving unrestrained and participating in high-risk behaviors. During the 2013-2014 school year, ILH hosted Consequences of Impact Mock Crashes to 3,760 students. (c) MOCK TRIALS: This program reinforces the education from the Mock Crash. All participants return and are placed on trial for the decisions and outcomes of the crash. During the 2013-2014 school year, ILH hosted Mock Trials for over 1,400 students. (d) SENIOR SESSIONS: This program reinforces the sophomore hospital based Sudden Impact Program. During the 2013-2014 school year, ILH hosted the Senior presentation to over 225 students. (e) SCHOOL-BASED TRAUMA PREVENTION OUTREACH PROGRAM (STOP): This program focuses on Kindergarten through 2nd grade and seeks to prevent unintentional injuries. During the 2013-2014 school year, ILH hosted the STOP program to over 1,475 elementary school students. (f) CHILD PASSENGER SAFETY INITIATIVES: The project director and assistant administrator of the Louisiana Passenger Safety Task Force (LPSTF) are employees at the ILH Level 1 Trauma Center in New Orleans. Through LPSTF, ILH offers free child safety seat installations and inspections. ILH personnel are responsible for maintaining the database of child safety seat inspections. (g) OCCUPANT PROTECTION AWARENESS CLASSES: These classes provide injury prevention education to law enforcement, fire and rescue personnel, EMS, healthcare providers and families who witness death and injury daily in preventable crashes. The course focuses on the needs of both adult and child passengers and the ranges and proper use of appropriate child restraint devices. It includes crash dynamics and demonstrates how restraint devices help prevent or minimize injuries. (h) GRANT-FUNDED CAR FITTING STATIONS: ILH supports 32 grant-funded fitting stations in Louisiana and hosts mandatory fitting station in-services for the personnel who man these stations. (i) LAW ENFORCEMENT HEMORRHAGE CONTROL AND TRAUMA TOURNIQUET TRAINING: This program provides information to law enforcement, EMS and fire personnel on early hemorrhage control and its role in increasing the survivability of any victim. It incorporates a 2 to 3-hour instruction period during which the participants receive education on the need for immediate hemorrhage control and review the signs of shock. Over 1,400 officers from New Orleans, St. Bernard and Gretna, as well as a majority of Louisiana State Police officers have received this training from ILH. (j) CEASEFIRE NEW ORLEANS: This program uses outreach workers/case workers and violence interrupters/hospital responders to detect and interrupt potentially violent situations and resolve them using a combination of science and street outreach. The CeaseFire New Orleans Hospital Crisis Intervention Team is based in the ILH-Spirit of Charity Trauma Center, the only Level 1 Trauma Center in the region. It provides services for all gunshot wound victims between the ages of 16 and 25 that come to the hospital. ILH provides access and information to CeaseFire New Orleans and in return, CeaseFire provides immediate bedside response at ILH to individuals injured by gun violence. It provides follow-up interventions and case management to help reduce the incidences of such injuries. (k) SBI-SCREENING AND BRIEF INTERVENTION: Because excessive drinking is a significant risk factor for injury, it is vital for trauma centers to have protocols in place to identify and help patients. Trauma Centers are in an ideal position to take advantage of the teachable moment generated from an injury by implementing screening and brief intervention (SBI) for at risk and dependent drinkers. They provide brief interventions for patients who screen positive and, when needed, refer patients to specialty assessment and treatment. (2) The ILH telemedicine program gives patients in rural Louisiana access to quality subspecialty care, removing the obstacles of time and cost to travel to major medical hubs in New Orleans and Baton Rouge. ILH telemed also offers services in cardiology, endocrinology and psychiatry to the primary care clinic at L.B.Landry High School ILH Community Clinic in Algiers on the New Orleans West Bank, eliminating the need for the patient's trip across the Mississippi River. (3) The ILH Dental Clinic offers an extensive variety of dental services to the public. Predoctoral dental students and dental hygiene students provide care under the supervision of LSU School of Dentistry faculty. In the advanced education clinics, residents provide patient care under the close supervision of faculty members. In both clinics, services are provided at charges significantly reduced from the cost of private dental care. (4) the ILH Outpatient Pharmacy fills the prescriptions of ILH patients at a significantly discounted rate. This service ensures that patients have access to necessary pharmaceutical needs that would not be available to them without this program. (5) The Tobacco Control Initiative at ILH is a multi-disciplinary program specializing in helping tobacco users quit. The program offers free or low-cost, evidence-based tobacco treatment services. (6)CenteringPregnancy is a model of group prenatal care where women with similar due dates join together in a group with their healthcare provider. They receive all the components of prenatal care, including health assessment, education and support.This program is offered at ILH although ILH does not offer obstetrical inpatient care. (7) ILH facilitates meetings of Alcoholics Anonymous and Narcotics Anonymous on the campus of the DePaul Behavioral Health Center. (8) ILH provides access to a Sexual Assault Nurse Examiner (SANE) 24/7. ILH absorbs the costs for trained SANE personnel who administer the forensic exam for evidence collection, normally a four to eight hour process, as well as time spent in coordination with other agencies and at trials. ILH also offers financial assistance within qualified guidelines for medical costs incurred for treatment outside of the forensic exam. (9) ILH provides HIV screening and testing to all patients presenting in the Emergency Department free of charge. (10) ILH provides a Population Health Area that provides counseling to patients regarding nutrition, diabetes, asthma, weight management and heart health. 0 0 0 0 0 0 0 0 0 Steve Worley Board Member 0 1214382 0 100248 0 8002 0 164575 0 5157 0 1492364 0 Cindy Nuesslein President/CEO/Board Member 0 236933 0 0 0 8677 0 33108 0 75 0 278793 0 0 Schedule J, Part I, Line 3 Base compensation, incentive compensation and all other reportable and non-reportable compensation for ILH's President/CEO is reviewed annually by the Executive Committee of the Board of Trustees of Louisiana Children's Medical Center which is ILH's parent. The Executive Committee is a 10 voting-member subset of the Board of Trustees. Decisions made by the Executive committee are documented and reported in summary to the full Board of Trustees. In addition to board review, third-party consultants periodically review compensation and incentive amounts to ensure market reasonableness and competitiveness. Third-party prepared compensation and incentive review is presented to the Executive Committee. Form 990, Part III, Line 2 On 6/24/2013, the Corporation assumed management of the Interim LSU Hospital, formerly known as University Hospital. It is now responsible for the operations of a large academic medical center that is vital to the teaching missions of Louisiana State University New Orleans Schools of Medicine, Nursing, Dental Medicine and Allied Health Professionals and Tulane University School of Medicine. Form 990, Part VI, Section A, Line 4 The Articles of Incorporation of University Medical Center Management Corporation (A Major Affiliate of LSU pursuant to La. R.S. 17:3390) were amended on May 30, 2013, to substitute Louisiana Children's Medical Center as the sole member of the corporation and to change the name to University Medical Center Management Corporation. Form 990, Part VI, Section A, Line 6 Louisiana Children's Medical Center is the sole member of the organization. Form 990, Part VI, Section A, Line 7a Louisiana Children's Medical Center reserved the power to approve the decisions of the board. Form 990, Part VI, Section A, Line 7b Louisiana Children's Medical Center reserves the power to approve decisions of the board of directors of University Medical Center Management Corporation. Form 990, Part VI, Section B, Line 11b A draft of the Corporation's Form 990 will be presented at a monthly board of director's meeting. During this meeting the return will be reviewed for accuracy & completeness. Form 990, Part VI, Section B, Line 12c At the time of hire, each employee reviews the conflict of interest form, has an opportunity to ask questions about the policy, and signs a document stating that they have reviewed and understand the policy. This is a part of the employees' permanent record, and applies to all employees. Senior management (directors, vice presidents, CEO) and members of the board of directors are required to review and sign a conflict of interest form on an annual basis. Form 990, Part VI, Section B, Line 15 The Corporation relies on comparable data from unrelated entities to determine the amount of compensation for its executives, and documentation is maintained regarding the determination of these amounts. The final decision regarding the amount of compensation is subject to the approval of the board of directors. Form 990, Part VI, Section C, Line 19 All governing documents, the conflict of interest policy, and financial statements are made available to the public upon request. Form 990, Part VII, Section A, Line 1a As explained in response to the answer on Form 990, Part VI, Line 4 (see this Schedule O), the Articles of Incorporation of University Medical Center Management Corporation (A Major Affiliate of LSU pursuant to La. R.S. 17:3390) were amended on May 30, 2013, to substitute Louisiana Children's Medical Center (LCMC) as the sole member of the corporation and to change the name to University Medical Center Management Corporation. Certain Officers, Board Members and Key Employees of UMCMC were employees of Children's Hospital, an organization related to LCMC, prior to this member substitution and remained employees of Children's following this transaction. Due to the fact that Children's Hospital has only been a related entity for approximately 6 months of the 2013 calendar year, the salary amounts for these individuals has been prorated to reflect the salary paid during the time of the relationship. Additionally, during 2013 a consulting company provided a temporary Chief Financial Officer while Management searched for a permanent Chief Financial Officer. This consultant did not have executive authority for operations. Form 990, Part IX, Line 11g Medical Professional Services 46,928,188; Patient Transportation Services 261,800; Outside Patient Services 570,184 Louisiana Children's Medical Center 200 Henry Clay Ave New Orleans LA 70118 943480131 Healthcare delivery LA 501(c)(3) Line 11d N/A 0 Touro Infirmary 1401 Foucher St New Orleans LA 70118 720423659 Healthcare delivery LA 501(c)(3) Line 3 N/A 0 Childrens Hospital Inc 200 Henry Clay Ave New Orleans LA 70118 720467503 Healthcare delivery LA 501(c)(3) Line 3 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 Louisiana Children's Medical Center m 1465969 Fair Market Value of services provided Childrens Hospital Inc e 622209