2011-02-14T13:30:52-06:00 2010-06-30 LaPorte Sehrt Romig & Hand 111 Veterans Memorial Blvd Suite 60 Metairie LA 700054958 990 2009-07-01 721304948 LOUISIANA STATE UNIVERSITY SCHOOL OF MED IN NEW ORLEANS FACULTY GROUP PRACTICE LOUI 5044121836 1340 POYDRAS STREET SUITE 1640 NEW ORLEANS LA 70112 E JOHANN BULTMAN 5044121818 2011-02-09 1 Bonnie M Wyllie JD LLM 5048355522 2009 2016-02-24 21:20:13Z E JOHANN BULTMAN 1340 POYDRAS ST SUITE 1340 NEW ORLEANS LA 70112 73129158 0 X N/A X 1995 LA SEE STATEMENTFACULTY GROUP PRACTICE IS ESTABLISHED TO PROMOTE THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MISSIONS OF THE LSU MEDICAL CENTER IN NEW ORLEANS. THE FACULTY GROUP PRACTICE CONSISTS OF THE FACULTY OF THE CLINICAL DEPARTMENTS OF THE LSU SCHOOL OF MEDICINE WHOSE ACTIVITIES ARE CONDUCTED IN ASSOCIATION WITH THE HEALTHCARE INSTITUTIONS OWNED OR AFFILIATED WITH THE LSU MEDICAL CENTER. 15 15 195 15 0 0 962725 690014 88450547 72439144 239 0 0 89413511 73129158 0 0 25682092 30990445 0 0 62240126 42467531 87922218 73457976 1491293 -328818 23772359 23298280 11964694 11819433 11807665 11478847 TO PROVIDE HEALTH CARE TO THE GENERAL PUBLIC AND ASSIST THE LSU HEALTH SCIENCE CENTER AND IN PARTICULAR THE LSU MEDICAL SCHOOL IN NEW ORLEANS IN CARRYING ON ITS MEDICAL, EDUCATIONAL, & RESEARCH FUNCTIONS. 0 0 69455998 73129158 ENHANCEMENT FUND PAYMENTS PAID TO THE LA STATE UNIVERSITY HEALTH SCIENCES CENTER HELPED SUSTAIN FACULTY TEACHING PROGRAMS, RESIDENT TRAINING, AND MEDICAL RESEARCH. THE FACULTY GROUP PRACTICE ALSO MANAGES COMMUNITY OUTREACH CLINICS SUCH AS THE NEW ORLEANS MUSICIAN'S CLINIC THAT PROVIDES DISCOUNTED CARE TO THE CITY'S MUSICIANS, BASED ON NEED. CLINICAL CARE TO THE COMMUNITY IS PROVIDED WITHOUT REGARD TO THE ABILITY TO PAY OR THE POSSESSION OF INSURANCE. During the year ending June 30, 2010, charity charges entered into the billing system and adjusted off totaled over $39.1 million which represents 23% of the total gross charges for the fiscal year. Also, during the year ending June 30, 2010, total free care patient visits were 148,760. 69455998 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 19 0 1 195 1 0 0 0 0 0 0 0 0 0 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOEL SELLERS 5044121836 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 KEITH FERDINAND MD 1.00 X 0 0 0 JIM FUNK 1.00 X 0 0 0 MICHAEL G MANES 1.00 X 0 0 0 JIM LEONARD MD 1.00 X 0 0 0 JOHN J FINAN JR 1.00 X 0 0 0 E JOHANN BULTMAN 1.00 X 0 0 0 DANIEL NUSS MD 1.00 X 0 0 0 STEVE NELSON MD 1.00 X 0 0 0 KEITH MELANCON MD 1.00 X 0 0 0 ROBERT BATSON MD 1.00 X 0 0 0 KIM EDWARD LEBLANC MD 1.00 X 0 0 0 STANLEY JACOBS 1.00 X 0 0 0 JOSEPH CORSO 1.00 X 0 0 0 HENRY MILLER 1.00 X 0 0 0 CARROLL W SUGGS 1.00 X 0 0 0 JANE E OLDS 40.00 X X 155190 0 15861 JOEL C SELLERS 40.00 X X 133664 3383 15032 DONALD VARNADO 40.00 X X 138864 0 0 427718 3383 30893 3 0 1 0 ACADIANA COMPUTER SERVICES PO BOX 60670 LAFEYETTE LA 70596 BILLING SERVICES 1957695 PER-SE TECHNOLOGIES INC PO BOX 403421 ATLANTA GA 30384 BILLING SERVICES 1883728 CHC OF LOUISIANA INC PO BOX 6483 CAROL STREAM IL 60197 INSURANCE BROKER 655595 EUStiS INSURANCE INC 1340 POYDRAS ST SUITE 1900 NEW ORLEANS LA 70112 INSURANCE BROKER 152684 ALLSCRIPTS LLC 24630 NETWORK PLEACE CHICAGO IL 60673 EHR LICENSING FEES AND MAINTENANCE 133950 5 690014 690014 PATIENT SERVICE REVENU 621110 48840553 48840553 CAPITATION REVENUE 621110 23598591 23598591 72439144 73129158 72439144 0 0 527487 474738 52749 28768160 25891344 2876816 1203622 1083260 120362 491176 442058 49118 69270 62343 6927 10651 9586 1065 144364 129928 14436 181958 163762 18196 313999 282599 31400 1485643 1337079 148564 32790 29511 3279 14686 13217 1469 3777 3777 979327 881394 97933 782579 704321 78258 MEDICAL SUPPLIES 17502187 17502187 BAD DEBT EXPENSE 7334633 7334633 PAYMENT TO LSUHSC - MED 4043210 4043210 GENERAL AND ADMINISTRAT 3764831 3388348 376483 BILLING EXPENSE 3577830 3577830 2225796 2100873 124923 73457976 69455998 4001978 0 6964188 7984536 11653370 10583231 139740 219683 2368576 1623084 899239 745492 4115822 3765338 23772359 23298280 4425583 3259566 384391 18 7154720 8559849 11964694 11819433 X 11807665 11478847 11807665 11478847 23772359 23298280 X 0 1 1 X 1 1 X X X 0 0 0 LSU HEALTH SCIENCES CENTER 726087770 2 1 1 1 26804962 1 26804962 Schedule A, Part IV, Supplemental Information: SCHEDULE A PART I LINE 11 COLUMN VII - THE TOTAL AMOUNT OF MONETARY SUPPORT of $26,804,962 is for the reimbursement of clinical and administrative services and leased faculty expense provided by LSU Health Science Center to LSU School of Medicine Faculty Group. it also includes the LSU School of Medicine Faculty Group support payment to lsu health science center's medical school endowment fund. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 427148 296930 130218 1941428 1326154 615274 745492 LICENSE FEES AND INSTALLATION 991944 C deposITS and investments 2773394 C 3765338 LEASES PAYABLE 32286 DUE TO LSU MEDICAL CENTER 8527563 8559849 73129158 73457976 -328818 0 -328818 65794525 0 65794525 7334633 7334633 73129158 66123343 0 66123343 7334633 7334633 73457976 Part X: Description of Uncertain Tax Positions Under FIN 48: On July 1, 2009, LSUHN adopted the provisions of the Accounting for Uncertainty in Income Taxes Topic of the FASB ASC, which clarifies the accounting and recognition for income tax positions taken, or expected to be taken, in LSUHN's income tax returns. As a result of this adoption, the LSUHN believes there was no impact to the consolidated financial statements and did not record any adjustment to the beginning balance of net assets on the Consolidated Balance Sheets. All tax returns have been appropriately filed by LSUHN. LSUHN recognizes interest and penalties, if any, related to unrecognized tax benefits in income tax expense. LSUHN files income tax returns with federal and state jurisdictions. LSUHN's open audit periods are 2006 - 2009. Management evaluated the LSUHN's tax positions and concluded that LSUHN had taken no uncertain tax positions that require adjustments to the consolidated financial statements to comply with the provisions of this guidance. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE - $7,334,633 Part XIII, Line 4b - Other Adjustments: BAD DEBT EXPENSE - $7,334,633 X X X 0 0 0 0 0 0 0 0 0 JANE E OLDS 155190 0 0 0 0 0 7759 0 8102 0 171051 0 0 0 JOEL C SELLERS 133664 3383 0 0 0 0 6683 0 8349 0 148696 3383 0 0 Form 990, Part VI, Section B, line 11 UPON COMPLETION OF THE FINAL DRAFT OF FORM 990, A COPY OF THE DRAFT IS SENT TO MEMBERS OF THE AUDIT COMMITTEE. THE AUDIT COMMITTEE IS THEN CONVENED WITH REPRESENTATIVES OF THE OUTSIDE CPA FIRM TO DISCUSS THE FORM. AFTER ACCEPTANCE BY THE COMMITTEE, THE FORM IS THEN REVIEWED BY THE BOARD OF DIRECTORS. WHEN THIS REVIEW IS COMPLETE, THE FORM IS FILED WITH THE APPLICABLE AGENCIES. Form 990, Part VI, Section B, line 12c THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES AND TRUSTEES TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATIONS WHICH COULD BE PERCEIVED AS A CONFLICT OF INTEREST. ALL TRUSTEES ARE REQUIRED, AT A MINIMUM, TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATION WHICH MAY BE A CONFLICT OF INTEREST ON FORMS PROVIDED TO THEM. EMPLOYEES ARE REQUIRED TO DISCLOSE SUCH CONFLICTS WHEN HIRED AND ARE AN ON-GOING REQUIREMENT OF EMPLOYMENT. NEW TRUSTEES AND EMPLOYEES ARE ALSO REQUIRED TO ATTEND AN ORIENTATION WHERE THIS SPECIFIC TOPIC IS DISCUSSED. IF AN EMPLOYEE OR TRUSTEE IS DEEMED TO HAVE A CONFLICT OF INTEREST THEY MUST RECUSE THEMSELVES FROM VOTING ON THE ISSUE. Form 990, Part VI, Section B, line 15 THE EXECUTIVE COMMITTEE OF THE BOARD MEETS ANNUALLY TO REVIEW THE COMPENSATION OF THE PRESIDENT AND CEO AS WELL AS SENIOR MANAGEMENT OF THE FOUNDATION. THE REVIEW CONISTS OF COMPARISONS TO OTHER NON PROFITS IN THE AREA, REVIEW OF ANNUAL COMPENSATION SURVEYS, AND A REVIEW OF OVERALL MARKETS TRENDS IN THE INDUSTRY. THIS INFORMATION IS PRESENTED TO THE COMBINED EXECUTIVE/FINANCE COMMITTEE AND FINALLY, THE BOARD OF DIRECTORS. THIS REVIEW IS DOCUMENTED IN THE WRITTEN MINUTES. Form 990, Part VI, Section C, line 19 THE ORGANIZATION PROIVDES THIS FORM AS WELL AS VARIOUS POLICIES TO THE THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, SCHEDULE R, PART I, LINE 4, COLUMN D: LSUHN BILLING LLC TOTAL INCOME LSUHN BILLING LLC IS A DISREGARDED ENTITY THAT CONDUCTS THE BILLING FOR THE LAFAYETTE AND BATON ROUGE REGION OF LOUISIANA FOR LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY (LSUHN) GROUP PRACTICE. MONEY IS DEPOSITED INTO THE LSUHN BILLING LLC'S BANK ACCOUNT EVERYDAY, AND AT THE END OF THE DAY IT IS SWEPT INTO THE LSUHN'S BANK ACCOUNT. THE INCOME FROM LSU BILLING, LLC, IS INCLUDED IN LSUHN'S FINANCIALS. UNIVERSITY TECHNOLOGY GROUP LLC 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 721436427 INACTIVE ENTITY LA 0 0 LSU ScHOOL OF MEDicine in new orleans faculty group practice UNIVERSITY MEDICAL GROUP LLC 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 721424889 PHYSICIAN HEALTH CARE SERVICES LA 23598591 10218626 LSU ScHOOL OF MEDicine in new orleans faculty group practice LSUHN SURGERY CENTER LLC 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 861063284 INACTIVE ENTITY LA 0 0 LSU ScHOOL OF MEDicine in new orleans faculty group practice LSUHN BILLING LLC 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 261531455 BILLING COMPANY LA 12473008 0 LSU ScHOOL OF MEDicine in new orleans faculty group practice LSUHN VASCULAR LAB LLC 1340 POYDRAS ST SUITE 1640 NEW ORLEANS LA 70112 271244610 VASCULAR LABORATORY LA 0 0 LSU ScHOOL OF MEDicine in new orleans faculty group practice LSU HEALTH SCIENCES CENTER 433 BOLIVAR STREET 401C NEW ORLEANS LA 70112 726087770 HEALTHCARE LA 501(C)(3) 509(A)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0