2012-12-04T12:01:00-07:00 2011-12-31 990 2011-01-01 720467503 CHILDRENS HOSPITAL CHIL 5048969581 200 Henry Clay Avenue New Orleans LA 701185720 Gregory Feirn 5048969461 2012-11-19 2011 2016-02-24 21:20:13Z Steve Worley 200 Henry Clay Avenue New Orleans LA 701185720 627008790 0 X WWW.CHNOLA.ORG X 1949 LA To provide comprehensive pediatric healthcare, which recognizes the special needs of children, through excellence and the continuous improvement of patient care, education, research, child advocacy, and management. 24 20 1787 740 0 0 13002450 16250006 183828170 204877467 34642153 34354839 999360 962370 232472133 256444682 0 100215 0 0 99659301 111500629 0 0 1375935 129300816 114875993 228960117 226476837 3512016 29967845 839003473 851427209 25451773 39092340 813551700 812334869 To provide comprehensive pediatric healthcare, which recognizes the special needs of children, through excellence and the continuous improvement of patient care, education, research, child advocacy, and management. 0 0 9203517 0 3991470 RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMS Children's Hospital has become an increasingly important teaching center for both undergraduate and graduate education. Approximately 70 trainees in Pediatrics and in the combined Internal Medicine/Pediatric programs obtain most of their training at the hospital. Residents in Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Orthopaedics, Ophthalmology, Otolaryngology, Pathology, Physical Medicine and Rehabilitation, Plastic Surgery, Psychiatry, Radiology and Urology also receive training at Children's Hospital. In addition, fellows in Allergy/Immunology, Cardiology, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious Disease, Neonatal Intensive Care, Nephrology and Pathology also receive advanced subspecialty training at Children's Hospital. The majority of medical students, residents and fellows rotating through Children's Hospital are from the LSU Health Sciences Center. The pediatric residents participate in a variety of educational activities. The chief residents conduct Morning Report, held four times a week where an interesting or unique case is presented and discussed, allowing residents and students to observe the thought processes that go into problem solving and clinical reasoning. Noon conferences are held on weekdays with specialists from Ambulatory, Adolescent Medicine, Allergy/Immunology, Emergency Medicine, Forensic Medicine, Hospitalist Medicine, Nephrology, Psychiatry, Psychology, Infectious Disease, Radiology, Cardiology, Rheumatology, Neonatology, Hematology/Oncology, Critical Care, Pulmonology, Endocrine, Neonatology, Gastroenterology and several surgical specialties rotating presentations. Pediatric Board Review is held once a month and covers all aspects of pediatrics for preparation of the American Board of Pediatrics Certifying Examination. In addition all divisions conduct specialty conferences for students and residents rotating on those services. The "Resident as Teachers" series is held once a month facilitated by the student clerkship director who instructs the residents on various teaching tools and methods to improve their supervision of junior residents and students. The Evidenced-based Medicine Journal Club is conducted monthly by the upper level residents under the direction of a faculty member. The presentations are case based and involve a clinical question. The resident outlines their search method, the articles that were relevant and then critically review one article that answers the clinical question. The Professionalism Forums are held quarterly where faculty members meet in small groups to discuss possible opportunities to improve upon professionalism in residents' careers. The Clinical Reasoning Skills sessions are conducted quarterly with the first year residents to practice clinical reasoning in groups of 4-5 residents with faculty supervision. Clinical Case Conferences are held once a week and attended by attending staff, residents and students. Residents present interesting cases followed by a thorough review of the literature on this topic. Faculty members present Grand Rounds at Children's Hospital every other Wednesday morning to formally present a topic related to their specialty. The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the Accreditation of post-MD medical training programs within the United States. Children's Hospital is the primary training hospital for the LSUHSC Pediatric Residency training program. This Program received full accreditation at the highest level of five years following the ACGME site visit in 2010. All other resident and fellow training programs are also site-visited at specified intervals and are fully accredited by the ACGME. Medical Residents:_ 282 21588423 0 9028511 Ambulatory & Primary Health Care: In March of 1998, the Board of Trustees recognized that Children's Hospital, with its richness of talent and programs and its financial resources, was well positioned to identify and address obstacles to the welfare of children in the community. Therefore, a standing committee of the Board of Trustees has been charged with developing and monitoring all services and benefits provided to the community. The hospital also provides a large array of community-education programs, wellness programs, research activities and special programs for the handicapped and medically underserved. These include, but are not limited to, the following: Kids First provides children in medically underserved areas with convenient access to quality, cost-effective pediatric primary care. Initiated in 1996, Kids First participates in the State of Louisiana KIDMED program for indigent children, which includes medical, vision, hearing and learning screening services. In 2011 there were seven pediatric clinics that provided on-call, 24-hour care, seven days a week for children ranging from birth to 21. Of these seven, two were open only part-time but still had 24-hour on call. Children's Hospital Outpatient Center of Baton Rouge was immediately established following Hurricane Katrina in order to reach out to patients who relocated to the Baton Rouge area. Clinic space was purchased in order for Children's Hospital's pediatric specialists and pediatricians to see patients on a weekly basis. The clinic is fully staffed to meet the needs of the growing pediatric population in Baton Rouge. Children's Hospital Burdin Riehl Clinic was established in Lafayette in order to meet the needs of those patients who relocated to the area following Hurricane Katrina. Both the Baton Rouge and Lafayette clinics provide care with the same guidelines as the hospital - no child is ever turned away. Doctors at these locations continue to see a large number of patients whose families lost their incomes as a result of Hurricane Katrina. The hospital loses approximately $37,000 per month on these clinics. The Metairie Center is a satellite clinic for pediatric specialists who see patients in the Metairie area. The Children's Healthcare Assistance Plan (CHAP) provides physician and hospital services at no cost to children whose family income is too high to qualify for Medicaid but whose lack of resources limit their access to quality healthcare. Free care provided by the hospital, at established charges, was approximately $15,803,806 for the year-end December 31, 2011. Benefits to the indigent also include charges in excess of government payments for services provided to Medicaid beneficiaries of approximately $423,740,631 for the year-end December 31, 2011. In addition, Children's Hospital had to write-off approximately $4,032,862 of patient care charges that could not be collected from patients. The Parenting Center is a community resource program providing support and education to parents. The goals of the Center are to promote confidence and competence in parents, to encourage optimal child development, and to enhance the well being of the family as a whole. The Parenting Center offers: 1) parent training classes, 2) a free telephone advice line, 895-KIDS, 3) drop-in visits to the Center to offer time with other parents and staff while the children play, 4) community outreach programs, such as lunch bag seminars for working parents, and 5) weekly television segments featuring childrearing tips. Services have been extended to suburban New Orleans with the opening of The Metairie Parenting Center, which also offers classes, support groups, individual counseling and a parent library. SAFE KIDS Louisiana, Inc. is a separate corporation that is partially supported by Children's Hospital as part of its benefits program. As part of SAFE KIDS Worldwide, it is dedicated to reducing the number of unintentional childhood injuries - the number one killer of children ages 14 and under. The Tooth Bus is a community service providing free dental care to children in need. The bus is a mobile dental office that travels to various locations throughout the New Orleans area to provide routine dental exams and other standard procedures to children of all ages who meet eligibility requirements. In 2011, 7,835 visits were made to The Tooth Bus from children throughout the New Orleans area. The Audrey Hepburn Children At Risk Evaluation (CARE) Center provides comprehensive forensic medical evaluations and referrals to community resources for children who are victims of sexual abuse, physical abuse and neglect and their families. In 2011, 1139 patients were seen. The CARE Center has clinics in New Orleans, Baton Rouge and St. Tammany, but children are referred from parishes throughout Louisiana and the Gulf Coast. The medical evaluation consists of a detailed forensic interview of the child and the caretaker, a complete physical examination, and preparation of a report to the referring agency. In addition, the physicians are frequently called upon to testify in court in those cases of sexual and physical abuse that are prosecuted. Both physicians have testified in and helped prepare numerous cases in the last year. The CARE Center staff routinely presents lectures on child abuse and neglect to community action and professional medical and legal groups, pediatric nurses, nurse technicians, childcare technicians, dental hygiene students, high school students and child care workers. They also serve as consultants to the State of Louisiana and outlying parishes and to Office of Community Services for Orleans, Jefferson, St. Bernard and Plaquemines parishes. Currently, the program consists of two full-time fellowship trained pediatricians and one fellow in training. The center receives financial support from the Audrey Hepburn Foundation, which also provides financial assistance to centers similar to ours in Los Angeles, CA. and Hackensack, N.J. The Greater New Orleans Immunization Network (GNOIN) is a model program focusing on increasing immunization rates of children through the age of 18 years. GNOIN offers the combined elements of an immunization registry into the state's system, a mailer reminder system, parental education, and a mobile immunization unit that travels throughout the metropolitan New Orleans area to administer immunizations free of charge to infants, children and adolescents through the age of 18 years. In 2011, GNOIN had 12,433 visits to the immunization unit and administered 22,837 vaccines. The School Kids Immunization Program (SKIP I) and (SKIP II) grew out of a need to increase the immunization rates for school-age children identified by GNOIN. SKIP works with individual schools and reviews all the students' immunization records. Students, not in the state's immunization registry, LA Immunization Network for Kids Statewide (LINKS), are enrolled into the data registry. The parents of students who do not have up-to-date immunization records are notified as to which vaccine(s) their child requires. They receive immunization information and a consent form that authorizes SKIP to administer the necessary vaccine(s) to their child free-of-charge. In 2011, SKIP immunized 6,506 students and administered 11,945 vaccines. The combined immunization programs, SKIP I, SKIP II & GNOIN, are the number one providers of immunizations in the state. The programs immunized a total of 118,939 children and administered 34,782 vaccinations in 2011. The Clinical Dietitian Program provides and monitors the nutritional care of patients in conjunction with the Dietetic Services Department and hospital clinical staff. The program is staffed during the workweek and as needed on weekends to be available to all inpatients and outpatients through the Community Care Program and Diabetes Grant. Services and diagnoses include nutritional assessments and monitoring via physician consultation, nutritional education and counseling, establishment of nutritional care plans and interdisciplinary goals, participation in the establishment and revision of patient meal and formula policies and procedures and nutrition care standards and CQI activities, and conduct departmental and clinical staff and dietetic intern education services. The Ventilator Assisted Care Program (VACP) provides case management for Medicaid eligible children living at home in the state of Louisiana and are ventilated assisted. The program also provides nursing, social, educational and respiratory assessments, and facilitates medical intervention for this population. The staff provides aid in the access of social and healthcare supports in the community. In 2011, services were provided to an average of 90 patients per month. **Total visits:__106,699 __ 163879039 0 194733777 Patient Care, General/Other: In 2011 Children's Hospital provided care to children from all 64 parishes in Louisiana, from 44 other states and 2 foreign countries. Patient visits totaled 152,501. Included in these visits were 83,207 physician clinic visits, 53,092 emergency room visits, 7,138 outpatient surgical visits, 1,875 medical visits and 7,189 inpatient admissions or 44,249 patient care days. The Rehabilitation Center treated 50 Rehab patients, and the Acute Care Units treated a total of 6,113 patients. The Pediatric Intensive Care Unit treated 738 patients, the CCU 53 patients, and the Neonatal Intensive Care Unit treated 235 infants. The Psychiatric Unit treated 1,466 patients in 2011. The Neonatal Intensive Care Unit continues to be a major referral center for the neonate with complex problems, the majority of which were transferred from other neonatology units whose resources are more limited than those available at Children's. Recognizing the needs of the community, Children's Hospital provides care to patients covered by governmental programs. Seventy percent of the hospital's patients are funded through Medicaid or the state's Children's Special Health Services (CSHS) and other charity programs. Following are some highlights of the hospital's services and growth in 2011: The proceeds from the annual fund drive, in 2011, were dedicated to the construction of two new surgery suites in our OR. The drive raised $843,187. The 25th annual CMN Telethon netted a total of $1,156,607 in revenue. The broadcast took place on the second weekend in June. Boo at the Zoo, an annual joint fundraiser with the zoo that provides a safe trick-or-treat environment for children up to age 12, was held at the Audubon Zoo on the evenings of October 21, 22, 28, and 29. The event was a sellout three of the four nights and netted $109,291 for each organization. There were more than 15,000 attendees over the three-night event. The 29th Annual Sugarplum Ball was held at the New Orleans Fairgrounds Race Track on April 1. The event netted $170,097 to support the hospital's Cancer Program. GRANTS Background: In 1988, the Bureau of Maternal and Child Health awarded a grant to Children's Hospital in New Orleans to establish the program as one of the first Pediatric AIDS Demonstration Projects. In twenty-three years, this program has grown from a single-site case management and HIV education demonstration project, to a multi-site, multi-service, comprehensive provider network with ten Network partners in four regions of the state serving a majority of adult female patients and youth. The New Orleans and Baton Rouge networks are the largest in terms of its Part D services and include both HIV primary care (3 clinics in each city) and supportive services, primarily nurse case management. HIV primary care services only are supported in the communities of Monroe and Lafayette. The catchment area for the Network encompasses 35 parishes (counties) or 55% of the state. During 2011 the total budget for FACES was approximately $2.2 million. Target Population: The target population is HIV-infected women, pregnant women, children, and youth in four distinct geographic areas in Louisiana. As reflected by the epidemic in Louisiana, the majority of Part D funds and number of network partner sites are located in New Orleans and Baton Rouge (mostly urban and suburban and where 66% of persons living with HIV/AIDS reside), with the remaining support to providers in southwestern and northeastern Louisiana (largely rural areas). During 2011, a total of 1,880 HIV-infected clients were served by FACES with an additional 148 HIV-affected family members being served. These patients were predominately African-American (88%) and live at 200% or below the federal poverty levels. Challenges: According to the U.S. Centers for Disease Control and Prevention's most recent Surveillance Report, among U.S. cities with >500,000 persons, Baton Rouge ranked 2nd and New Orleans ranked 9th in reported AIDS case rates. Among states, Louisiana ranked 5th highest for AIDS case rates and 12th in the number of AIDS cases. Louisiana ranks among the highest in rates of sexually transmitted diseases, poor health outcomes for children and families, poverty, and rates of uninsured adults. Objectives: The Louisiana Ryan White Part D Program is comprised of 10 network partner providers in four regions of the State. The major objectives of the Network are to increase access to care by developing new points of entry; to provide HIV-infected women, pregnant women, youth, and HIV-infected and exposed children with HIV primary care; provide patients with mental health and substance abuse counseling; to provide supportive services, especially nurse medical case management to patients to assure their retention in primary care; to track and improve Part D patients' retention in care and improved health outcomes by conducting a Network-wide clinical quality management program utilizing the HIV/AIDS Bureau's Clinical Core Measures; and to include consumers in the planning, implementation, and evaluation of Part D services. 7386228 0 1328221 The Research Institute for Children is in collaboration with Children's Hospital and Louisiana State University Health Sciences Center (LSUHSC). The institute also has a formal affiliation with the University of New Orleans (UNO). Researchers from Allergy/Immunology, Endocrinology, Oncology, Nephrology, gene therapies and microbiology comprise the majority of the group. The total number of research personnel is 73 comprised of 20 administrative and support professionals, 4 research assistants, 4 postdoctoral researchers, 4 research supervisors, 17 LSUHSC faculty members, 2 LSUHSC staff members, 3 UNO faculty members, 1 UNO staff member, and 2 Helis foundation employees and 16 students. Notes: CTC, RA, RIS & Vivarium staff were included in the administrative & support professionals category Medical Researchers:_73 7386228 0 1328221 202057207 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 155 0 1787 1 0 0 0 0 0 1 1 0 0 0 0 X 24 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Mirela Nicola Controller 5048969581 200 Henry Clay Ave New Orleans LA 701185720 X Mrs George Villere 1 X 0 0 0 A Whitfield Huguley IV 1 X 0 0 0 William L Mimeles 1 X 0 0 0 Mrs Julie Livaudais George 1 X 0 0 0 Mrs Norman Sullivan Jr 1 X 0 0 0 Kenneth H Beer 1 X 0 0 0 Allan Bissinger 1 X 0 0 0 Ralph O Brennan 1 X 0 0 0 Elwood F Cahill Jr 1 X 0 0 0 Philip deV Claverie 1 X 0 0 0 Katie Andry Crosby 1 X 0 0 0 Kyle France 1 X 0 0 0 Stephen Hales MD 1 X 0 0 0 Mrs E Douglas Johnson Jr 1 X 0 0 0 Mrs Francis Lauricella 1 X 0 0 0 John Y Pearce 1 X 0 0 0 Anthony Recasner PhD 1 X 0 0 0 Elliot C Roberts Sr 1 X 0 0 0 Mrs Robbie Rubenstein 1 X 0 0 0 Everett J Williams PhD 1 X 0 0 0 Armand LeGardeur 1 X 0 0 0 Henry N Stall 1 X 0 0 0 Steve Worley 32 X X 576317 384212 351638 Alan Robson Sr MD 55 X X 597881 0 35833 John F Heaton MD 55 X X 0 447351 42466 Joseph Nadell MD 55 X X 422135 0 39229 Gregory Feirn 33 X 366029 244020 40141 Ricardo Guevara 33 X 212696 141798 64343 Cindy Nuesslein 55 X 263551 0 61174 Brian Landry 55 X 250660 0 62952 Tamela Reites 55 X 332204 0 25779 Mary Perrin 55 X 238012 0 60946 Diane Michel 55 X 234631 0 55801 Clarence S Greene MD 55 X 587916 0 39729 Stephen D Heinrich MD 55 X 485114 0 39327 Lori A McBride MD 55 X 449651 0 31752 Dean Scott Edell MD 55 X 433479 0 41239 Stephen David Levine MD 55 X 414886 0 38239 5865162 1217381 1030588 104 0 1 0 Pediatric Radiology Services 200 Henry Clay Avenue New Orleans LA 70118 Radiology Services 2072700 Metro Aviation Inc PO Box 7008 Shreveport LA 71137 Helicopter Services 1632028 INO Therapeutics Inc PO Box 642509 Pittsburg PA 152642509 Respiratory Services 1608108 Gjerset & Lorenz LLP 2801 Via Fortuna Suite 500 Austin TX 78746 Attorney 870440 ARUP Laboratories PO Box 27964 Salt Lake City UT 84127 National Reference Laboratories 787830 60 0 0 182172 4231167 7732739 4103928 0 16250006 Medicare/Medicaid Payments 900099 128831473 128831473 0 0 Patient Care Services 622000 56873793 56873793 0 0 Ambulatory & Primary Healthcare 621000 9028511 9028511 0 0 10143690 10143690 0 0 204877467 17768446 17768446 0 0 0 0 0 0 0 0 0 0 1177062 0 202617 0 974445 0 974445 0 0 974445 386887943 0 370188231 113319 16699712 -113319 16586393 16586393 0 0 47866 182172 59941 -12075 0 -12075 0 0 0 0 0 0 0 0 0 0 0 0 0 256444682 239232306 0 962370 X 100215 100215 0 0 0 0 0 0 2544086 823205 1720881 0 0 0 0 0 84339960 74278397 9303777 757786 7137266 6690389 379370 67507 11661241 9598026 1966370 96845 5818076 5103335 661368 53373 0 0 0 0 226441 0 226441 0 113995 0 113995 0 0 0 0 0 0 0 1038153 0 1038153 0 37680446 34437785 3238698 3963 120252 88947 16223 15082 46716837 44472366 2012129 232342 1424695 941244 476103 7348 0 0 0 0 3781516 3473881 287539 20096 401415 321116 56317 23982 0 0 0 0 38274 18324 19950 0 0 0 0 0 0 0 0 0 12498325 11401902 1001837 94586 1866507 1862373 3923 211 Bad Debt 4032862 4032862 0 0 Dues, Subs,Books, Periodicals 641216 317533 321269 2414 Tuition Reimbursement 55307 47476 7431 400 Special Purpose Program 3996139 3996139 0 0 243613 51692 191921 0 226476837 202057207 23043695 1375935 7267451 2652609 0 0 419555 951550 22164887 27309919 0 0 0 0 0 0 5956610 6407426 7019464 9687858 259677825 155935433 105504058 103742392 656765072 660991340 0 0 0 0 0 0 33906376 39684115 839003473 851427209 25451773 39092340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25451773 39092340 X 811572377 809642660 1793310 2506196 186013 186013 813551700 812334869 839003473 851427209 X 29967845 -31184676 X 1 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7911389 0 0 0 0 0 7911389 7868129 43260 0 0 0 0 7911389 7868129 0 0 0 0 0 7868129 7863627 4502 0 0 0 0 7868129 0 1 0 0 1 1 0 13489753 13489753 0 103472836 59298106 44174730 0 0 0 0 0 130547739 92560112 37987627 0 12167497 4077215 8090282 103742392 256444682 226476837 29967845 -30649532 0 1038153 0 0 -29611379 356466 230855306 -30649532 0 0 20829839 -9819693 240674999 1038153 14731530 15769683 256444682 236245683 0 0 0 25826005 25826005 210419678 1038153 15019006 16057159 226476837 SchD_P05_S00_L04 Schedule D, Part V, Line 4 1) In 1981 "The Beatrice and Harold Forgotston Philanthropic Fund of Children's Hospital" was established and donated to Children's Hospital; amount of $175,000. The gift resolution states that the funds are to always be fully invested and only the income be available for use as requested by the donor. 2) As stated in the will of Leon S. Mann, a sum of $5,000 was donated to Children's Hospital in memory of his sister and parents. The some to be deposited in a separate, interest bearing account, and the interest to be used on the twenty-first day of July of each year to purchase presents for the children in the hospital. Investment earnings or losses are comingled with all other investments for Children's Hospital EIN XXX-XX-XXXX. The remainder of funds is intended to be used for the exempt purposes of related filing organization of Touro Infirmary EIN 72-0423659. SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Revenues related to Children's Hospital Medical Practice Corporation, as reported on Form 990, (72-1318421), Sch D, Part XII, Line 5 $17,170,622; Revenues related to Children's Hospital Anesthesia Corporation, as reported on Form 990 (06-1587311) Sch D, Part XII, Line 5 $3,656,518; Revenues related to Children's Hospital Health Plan Inc, as reported on Form 990 (45-2341500) Sch D, Part XII, Line 5 $2,699 SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Revenues related to Community Support $14,355,429; Contributions reported on 2011 990 but not released in 2011 as Revenue on Audited Financials $28,845; Provider Based Revenue $563,362; Rental Income Expense ($202,617); Loss on sale of assets ($113,704); UPL Expense $100,215 SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Expense related to Children's Hospital Anesthesia Corporation, as reported on Form 990 (06-1587311) $8,426,516; Expense related to Children's Hospital Medical Practice Corporation, as reported on Form 990, (72-1318421), Sch D, Part XII, Line 5 $17,083,168; Rental Income Expense $202,617; Loss on sale of assets $113,704 SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Revenue related to Community Support $14,355,429; Provider Based Revenue $563,362; UPL Expense $100,215. Sugar Plum Ball 230038 182172 47866 0 0 14519 12634 6075 26713 0 0 230038 182172 47866 0 0 14519 12634 6075 26713 59941 -12075 1 1 X 1 X 3.5 0 1 1 0 1 0 1 12564 4240907 0 4240907 0.0187 0 0 133974312 112432068 21542244 0.0951 0 0 0 0 0 0 1 12564 138215219 112432068 25783151 0.1138 7 53224 2780180 1024202 1755978 0.0078 1 0 9203517 1696655 7506862 0.033 5 13581 3504727 2930531 574196 0.0025 1 0 7567957 3150 7564807 0.0334 1 0 100215 4231167 -4130952 0.018 15 66805 23156596 9885705 13270891 0.0947 16 79369 161371815 122317773 39054042 0.2085 1 911701 0 1730687 1730687 0 X 1 1 1 1 Children's Hospital

200 Henry Clay Avenue New Orleans LA 701185720

X X X X X Children's Hospital 1 1 1 350 0 1 X X 1 1 X X X X 1 X 0 X X X X X 1 X 0 0 3 Metairie Center

3040 33rd Street Metairie LA 70001

Outpatient Clinic Baton Rouge Clinic

720 Connell Place Baton Rouge LA 70809

Outpatient Clinic Lafayette Clinic

1121 Coolidge Street Lafayette LA 70505

Outpatient Clinic SchH_P01_S00_L03c Schedule H, Part I, Line 3c All patients seen in the facility are eligible for discounted care if they have no insurance (including Medicaid) and they do not qualify for CHAP (the charity program at Children's Hospital) because of income limits or because they chose not to apply for CHAP. The discount offered in 62.5% of charges. The cost of the charges on which a 62.5% discount is offered is not separately tracked by Children's Hospital. During 2011, the 62.5% discount offered by Children's Hospital to its patients was $1,472,379. SchH_P01_S00_L06a Schedule H, Part I, Line 6a A report is prepared by Children's Hospital and presented to the board but is not made available to the public. SchH_P01_S00_L07 Schedule H, Part I, Line 7 Line 7a, b, g, & h direct costs are identified on the general ledger using separate accounts; indirect costs are allocated using Medicare cost reporting methodology. Line 7b & f Medicare/Medicaid cost reporting methodology. SchH_P01_S00_L07g Schedule H, Part I, Line 7g One Hundred Percent (100%) of the cost of two Otolaryngology physician contracts are included in the cost for the Cochlear Implant program - $146,782. SchH_P01_S00_L07i Schedule H, Part I, Line 7i Column ( c ) Children's Hospital elected to donate to Touro approximately $100,000 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings. Column (d) Touro elected to donate to Children's Hospital approximately $4,131,000 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit ("UPL") funds received by Touro, to assist Children's with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Additional programs include: Mobile Dental Program, Inpatient Behavioral Health Program, the Parenting Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League. SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 The audited financial statements of Children's Hospital do not include a footnote describing bad debt. For purposes of this form 990, the cost of bad debt was calculated by multiplying the ratio of patient care cost to charge ratio with the bad debt attributable to patient accounts of $3,702,691. Bad debt expense is not included in the amounts reported as community benefit in other sections of Schedule H. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 The Medicare cost report was used to determine allowable cost. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b The collection departments do not take extraordinary collection actions against an individual without first making reasonable efforts to determine if the patients/families are eligible for assistance. Financial assistance information is provided to families in the registration areas, on patient statements and on the Children's Hospital website. The department of Social Services works with patients and families to help obtain insurance coverage where applicable. Information about CHAP is provided in the registration areas. Documented Physician Billing Operating Policies/Procedures include the following: Follow-Up, Self Pay Discount (50641), Statement of Physician Billing follow-up/Collection Activity, Statement of Patient Accounts Follow-Up/Collection Activity, Accounts Receivable Follow-Up and Collection Activity, and Collection by Suit. SchH_P05_S0B_L11 Schedule H, Part V, Section B, Line 11 Hospital uses a uniform pricing for all services offered and for all patients. This pricing is captured in a charge master file, which is designed with consideration for optimizing insurance reimbursement opportunities and covering operating costs. SchH_P05_S0B_L13 Schedule H, Part V, Section B, Line 13 Refer to note for Schedule H, Part III, Section C, Line 9b SchH_P05_S0B_L15 Schedule H, Part V, Section B, Line 15 None of a - d or anything similar, but if eligible for other funding, we ask the families to apply for such funding. SchH_P05_S0B_L17 Schedule H, Part V, Section B, Line 17 Refer to note for Schedule H, Part III, Section C, Line 9b. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 The CHAP Program provided financial assistance to 12,564 patients in 2011 for a total cost of $4.2 million compared to 11,895 patients in 2010 and a total cost of $4.8 million. The inpatient psychiatric unit is the only adolescent and child mental health inpatient unit in the Greater New Orleans Metro Area. The outpatient psychology program had 2,200 visits during 2011. The dental care program had 8544 visits during 2011. The cochlear implant program performed 21 surgeries during 2011. No formal needs assessment was performed in 2011 as this was not required, but the latest documented Community Needs Assessment of the Health Status of Children in the New Orleans Metropolitan area is as follows: 1) Children Under 18 in Poverty in Orleans 63,264, Jefferson 24,278, Tammany 7,489 and St. Bernard 1,775 2) Children Under 5 in Poverty in Orleans 18,719, Jefferson 6,756, St. Tammany 1,909 and St. Bernard 925 3) % Female Headed Families with Children Under 18 in Orleans 47.5, Jefferson 22.2, St. Tammany 15.7 and St. Bernard 18.7 4) % Births to Teens in Orleans 22.3, Jefferson 15.8, St. Tammany 13.1 and St. Bernard 15.6 5) % Low Birth Weight Infants (1995) in Orleans 12.1, Jefferson 8.8, St. Tammany 6.9 and St. Bernard 7.6 6) % Children Without UP-to-Date Immunizations (1996) in Orleans 23.0, Jefferson 33.0, St. Tammany 16.0 and St. Bernard 31.0 7) % Abused and Neglected Children in Orleans 1.5, Jefferson 1.1, St. Tammany 1.2 and St. Bernard 1.0 8) % Student Drop Outs, Grades 7-12 in Orleans 5.8, Jefferson 3.1, St. Tammany 3.1 and St. Bernard 2.9. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 The Children's Healthcare Assistance Plan (CHAP) is a comprehensive program funded by Children's Hospital to provide quality healthcare to underserved children in our region. Determination of eligibility is conditioned upon the information provided in the application at the time of registration. Based on proof of income provided by parents, patients will qualify for the program or be deemed ineligible if over-scaled relative to set program income guidelines. If the information provided is not accurate, or should the circumstances supporting the determination of eligibility change, Children's Hospital may rescind determination of eligibility. Furthermore, Children's Hospital reserves the unilateral right to change, modify, or terminate CHAP eligibility at any time. Patients who fall into income categories that qualify them for Medicaid coverage will be provided a LACHIP application and instructions on submitting the completed form. The LACHIP program will cover that day's emergency visit charges. Patients who do not meet the Medicaid age requirements will not be required to apply for Medicaid. Parents will also be given the opportunity to enroll all children in their household in CHAP for one year. They will be given instructions on how to complete the CHAP application, along with a return envelope, and will be notified by return mail when their application has been reviewed and if they qualify for CHAP. Patients who arrive to the Hospital for same-day surgery or a scheduled admission and have no funding will be provided CHAP information by the Admitting office. If the parents are interested in applying, they will be asked to submit proof of income to the CHAP department. A CHAP representative will review the documentation to determine eligibility and which program will best fulfill the patient's needs. If requested, the Social Services department will prepare a financial work-up on patients who have no funding to determine if they qualify for any other available programs. Parents having insurance coverage with a co-pay or will have out-of-pocket expenses will be given the opportunity to apply for coverage under CHAP in the course of the admitting process. On occasion, a patient who does not qualify for the program may be considered a "hardship." These cases will be considered on an individual basis. A complete and thorough explanation will be required to evaluate the reasons for hardship coverage and is subject to approval of the CHAP Director. CHAP representatives engage in Outreach Programs throughout the community to help the community understand the provisions of the program and the rules governing eligibility. Information about the CHAP program can be found in the Hospital lobbies and on the CHNOLA website. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 Children's Hospital is a regional center for children and its mission is to provide comprehensive pediatric healthcare which recognizes the special needs of children through excellence and continuous improvement of patient care, education, research, child advocacy and management. Children's Hospital is Louisiana's only full-service hospital exclusively for children, offering a full range of inpatient and outpatient care. A not-for-profit facility, it is governed by an independent board of trustees made up of community volunteers. The hospital has no stockholders and no dividends to pay. Revenue generated is used to operate the hospital and to expand and advance services. Critical care is provided in the hospital's 36-bed Neonatal Intensive Care Unit (NICU), and the 24-bed Pediatric Intensive Care Unit (PICU). Construction of a new 20-bed Cardiac Intensive Care Unit (CICU) and a new 18-bed PICU was completed in 2011. The hospital's Jack M. Weiss Emergency Care Center, one of the area's busiest emergency rooms, is staffed around the clock by board-certified pediatricians, with the availability of a full range of pediatric specialists. The Emergency Department has a total of 37 exam rooms and is supported by a nursing staff specially trained to handle pediatric emergencies. Outpatient appointments with pediatric specialists are offered Monday through Friday at the Ambulatory Care Center on the hospital campus and at the hospital's satellite locations: The Metairie Center, Children's Hospital Outpatient Center of Baton Rouge and Children's Hospital Burdin Riehl Clinic in Lafayette, La. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 In March of 1998, the Board of Trustees recognized that Children's Hospital, with its richness of talent and programs and its financial resources, was well positioned to identify and address obstacles to the welfare of the community's children. An ad hoc committee of the Board, later established as a standing committee, was charged with developing and monitoring all components of the plan. To that end, the following represents the Community Benefit Plan of Children's Hospital. The mission of the Community Benefit Plan's programs is to eliminate barriers to the health and well-being of infants, children, and adolescents in the community, particularly the unserved or underserved, by evaluating, developing, implementing, and/or partnering on initiatives in the areas of health care, health education, health research and child and family health advocacy. The goals of Children's Hospital's Community Benefit Plan are to provide children with access to primary, secondary, and tertiary health care services needed to achieve optimal health status, foster healthy parent/child relationships through health education and child health advocacy, and educate families to enhance child safety and encourage injury-prevention to improve the health and well-being of children. The Plan provides for establishment of advocacy programs to support the needs of at-risk children and support pediatric research in order to expand medical knowledge and treatment options. It periodically assesses available community programs and determines gaps in service for potential new program development. Children's Hospital defines community broadly as it serves a large geographic region. Particular emphasis is placed on services for the New Orleans Metropolitan statistical area. A large percentage of the patients who utilize hospital services reside in this area and are the most likely beneficiaries of programs established. Any program that significantly and measurably contributes to the physical and psychological well-being of infants, children, adolescents, and their families is considered a benefit. This implies a relationship between organizations that is characterized by mutual cooperation and responsibility for the achievement of the specified goals wherein Children's Hospital maintains the authority for overall program direction and fiscal management. By this definition, Children's Hospital will not act as a granting agency. In addition, only not-for-profit organizations will be considered for partnering. Any exception will require the full approval of the committee and Board. See also Program Service Accomplishments in Sch 0, Statements 3 and 4. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Louisiana Children's Medical Center ("LCMC") was organized in the State of Louisiana as a non-stock, non-profit corporation, in connection with a proposed affiliation (the "Transaction") between Children's Hospital ("Children's") EIN 72-0467503 and Touro Infirmary ("Touro") EIN 72-0423659, both Louisiana non-profit, tax-exempt, publicly supported corporations, and their respective subsidiaries and affiliates (together with Children's and Touro, the "System Entities", and together with LCMC, the "System". LCMC is a support organization which will spend 100% of its time performing specific functions of, and carrying out the purposes of the System Entities, including increasing the management and operational efficiency of the System Entities. All of these organizations are located in the greater New Orleans area and provide health care related services, primarily hospital based, to a regional population. SchH_P06_S00_L07 Schedule H, Part VI, Line 7 No community benefit reports are mailed to any states by this organization or any related organizations. 1 Touro Infirmary 1401 Foucher Street New Orleans LA 70115 720423659 100215 0 Children's Hospital elected to donate to Touro approximately $100,000 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings. 1 0 SchI_P01_S00_L02 Schedule I, Part I, Line 2 Children's Hospital elected to donate to Touro approximately $100,000 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings. X X X X X 0 0 0 0 0 0 0 0 0 Steve Worley 410046 273364 129722 86481 36549 24366 176446 117630 37511 25008 790274 526849 0 0 Alan Robson Sr MD 479664 0 79717 0 38500 0 28175 0 9188 0 635244 0 0 0 John F Heaton MD 0 365764 0 43087 0 38500 0 28175 0 16371 0 491897 0 0 Joseph Nadell MD 381735 0 18400 0 22000 0 28175 0 12054 0 462364 0 0 0 Gregory Feirn 227843 151896 112387 74924 25799 17200 16710 11140 8293 5528 391032 260688 0 0 Ricardo Guevara 144304 96202 40185 26790 28208 18805 32873 21916 6481 4321 252051 168034 0 0 Cindy Nuesslein 203451 0 17500 0 42600 0 53120 0 9140 0 325811 0 0 0 Brian Landry 194660 0 17500 0 38500 0 52294 0 11709 0 314663 0 0 0 Tamela Reites 166699 0 125500 0 40005 0 22938 0 13744 0 368886 0 0 0 Mary Perrin 178287 0 17500 0 42225 0 50882 0 11417 0 300311 0 0 0 Diane Michel 177195 0 17500 0 39936 0 51608 0 5144 0 291383 0 0 0 Clarence S Greene MD 549416 0 0 0 38500 0 28175 0 13329 0 629420 0 0 0 Stephen D Heinrich MD 463114 0 0 0 22000 0 28175 0 12152 0 525441 0 0 0 Lori A McBride MD 433151 0 0 0 16500 0 27850 0 5289 0 482790 0 0 0 Dean Scott Edell MD 412202 0 0 0 21277 0 28175 0 15346 0 477000 0 0 0 Stephen David Levine MD 392886 0 0 0 22000 0 28175 0 12144 0 455205 0 0 0 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 Base compensation, incentive compensation and all other reportable and non-reportable compensation is reviewed annually by the Executive Committee of the Board of Trustees. The Executive Committee is a 10 voting-member subset of the Board of Trustees. Decision 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. Incentive bonuses are based on 25% Revenue Growth, 30% Operating Income, and 45% Board discretion based on overall performance, quality initiatives, and accreditation, etc. VPs are based on 1/3 Quality scores, and 1/3 CEO Discretionary. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The organization is a non-stock not-for-profit corporation. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a The board elects the CEO who then becomes the President of the Board. The CEO appoints the Medical Director who then becomes a Member of the Board. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b On July 13, 2009, as part of the acqusition of Touro Infirmary, Louisiana Children's Medical Center (LCMC), a 501(c)3 corporation, became the sole member of Children's Hospital, Inc. and Touro Infirmary, Inc. LCMC, through various reserve powers, has the ability to approve, disapprove and ratify decisions made by the Board of Trustee's of both Children's Hospital and Touro Infirmary. The Board of Trustee's of LCMC, through a majority vote approves the annual operating budgets and capital expenditures of the two organizations. LCMC also approves the appointment of new members of the Board of Trustee's of both organizations. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form 990s are prepared and reviewed in detail by the organization's Controller and the respective accounting staff. The CFO and Senior Vice President reviews the 990 in final draft format, including supporting work papers and reconciliations. The CFO then reviews the completed 990 with the organization's CEO, Chairperson of the Board of Trustees and chairperson of the finance/Audit committee of the Board of Trustees. The 990s are then distributed to the full board for review and comment. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c An annual survey is sent to the Board Members, and it requires them to disclose conflicts of interest. If conflicts exist, they are resolved by the governing body, and the resolution could include removal of the board member. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Base compensation, incentive compensation and all other reportable and non-reportable compensation is reviewed annually by the Executive Committee of the Board of Trustees. The Executive Committee is a 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. Incentive bonuses are based on 25% Revenue Growth, 30% Operating Income, and 45% Board discretion based on overall peformance, quality initiatives, and accreditation, etc. VPs are based on 1/3 Operating Income, 1/3 Quality scores, and 1/3 CEO Discretionary. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Documents are made available upon request. F990_P07_S0A_L01a Form 990, Part VII, Section A, Line 1a Column (B) Average hours per week for related organizations: Steve Worley, President and CEO of Children's Hospital (EIN 72-0467503) and of LCMC (EIN 94-3480131) also works 21 hours for the related filing organization LCMC (EIN 94-3480131), 1 hour for services as Board Member of related filing organization, Touro Infirmary (EIN 72-0423659), and 1 hour of services as Board Member of the related filing organization Touro Infirmary Foundation (EIN 72-1169939); and both Gregory Feirn and Ricardo Guevaro also work 22 hours for related filing organization of LCMC (EIN 94-3480131). F990_P08_S00_L01d Form 990, Part VIII, Line 1d Touro elected to donate to Children's Hospital $4,231,167 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit ("UPL") funds received by Touro, to assist Children's with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Additional programs include: Mobile Dental Program, Inpatient Behavioral Health Program, the Parenting Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League. F990_P09_S00_L01 Form 990, Part IX, Line 1 Children's Hospital elected to donate to Touro $100,215 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings. F990_P11_S00_L05 Form 990, Part XI, Line 5 Unrealized (Loss) on Investments ($30,649,532); Capital to related CHHP EIN 45-2341500 ($3,040,500); UPL revenue was restated in 2010 after 990s were submitted $1,703,435; Correction for prior year errors (2009-2010 PSACG - balances should have been transferred from MPC to CH in the past, but were not handled correctly. Overall net assets were properly stated, but not assigned to appropriate corporation.) $812,321; Misc ($10,401). Childrens Hospital Medical Practice Corporation 298 Henry Clay Avenue New Orleans LA 701185720 721318421 Pediatric Primary Care Physician Services LA 501©(3) Line 9 Children's Hospital EIN 72-046-7503 Childrens Hospital Anesthesia Corporation 200 Henry Clay Avenue New Orleans LA 701185720 061587311 Provides, in conjunction with Childrens Hospital, cost-effective, comprehensive anesthesia services LA 501©(3) Line 9 Children's Hospital EIN 72-046-7503 Louisiana Childrens Medical Center 200 Henry Clay Avenue New Orleans LA 701185720 943480131 Provide support for the affiliates of LCMC LA 501©(3) Line 11d N/A Touro Infirmary 1401 Foucher St New Orleans LA 70115 720423659 Community based, not-for-profit, faith-based hospital. LA 501(c)(3) 3 N/A 0 Children's Hospital Health Plan 200 Henry Clay Avenue New Orleans LA 70118 452341500 Objective was to serve as a Health Maintenance Organization LA 501(c)(3) 9 Children's Hospital EIN 72-0467503 0 Childrens Healthcare Network 935 Calhoun Street New Orleans LA 70118 721337515 Negotiate contractual agreements with Managed Care companies on behalf of physicians LA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 Childrens Hospital Medical Practice Corporation n 10421795 Total Salaries, Part IX, Lines 5-10, Children's Hospital Medical Practice Corporation EIN 72-1318421 Childrens Hospital Medical Practice Corporation p 13556160 Sum of all cash transfer entries from Children's Hospital Medical Practice EIN 72-1318421 to Children's Hospital for the fiscal year 2011 as documented in the general ledger and on the balance sheet. Childrens Hospital Anesthesia Corporation n 7722722 Total Salaries, Part IX, Lines 5-10, Children's Hospital Anesthesia Corporation EIN 06-1587311 Childrens Hospital Anesthesia Corporation m 0 Childrens Hospital Anesthesia Corporation o 3580000 Sum of all cash transfer entries from Children's Hospital Anesthesia Corporation EIN 06-1587311 to Children's Hospital for the fiscal year 2011 as documented in the general ledger and on the balance sheet. Childrens Healthcare Network k 69088 Childrens Healthcare Network p 137797 Children's Hospital Health Plan b 3040000 Start up transfer. Louisiana Childrens Medical Center m 0 Touro Infirmary b 100215 See explanation in Schedule R Supplemental Information part V, Line 1b. Touro Infirmary c 4231167 See explanation in Schedule R Supplemental Information Part V, Line 1c. SchR_P05_S00_L01b Schedule R, Part V, Line 1b $100,215 given to Touro - Children's Hospital elected to donate to Touro approximately $100,000 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings. SchR_P05_S00_L01c Schedule R, Part V, Line 1c $4,231,167 received from Touro - Touro elected to donate to Children's Hospital approximately $4,131,000 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit ("UPL") funds received by Touro, to assist Children's with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Additional programs include: Mobile Dental Program, Inpatient Behavioral Health Program, the Parenting Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League. Filed and IRS approved the automatic 3 month extension and later approved additional extension until November 15,2012. Additional time beyond the November 15 deadline granted by the IRS for hurricane Isaac relief.