2011-11-14T10:09:44-07:00 2010-12-31 990 2010-01-01 720467503 CHILDRENS HOSPITAL CHIL 5048969581 200 Henry Clay Avenue New Orleans LA 701185720 Gregory Feirn 5048969461 2011-11-14 2010 2016-02-24 21:20:13Z Steve Worley 200 Henry Clay Avenue New Orleans LA 701185720 5556054958 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. 25 21 1729 703 0 0 13665968 13002450 203463281 183828170 -34133435 34642153 986969 999360 183982783 232472133 0 0 0 0 104391720 99659301 0 0 1371014 117150924 129300816 221542644 228960117 -37559861 3512016 786862166 839003473 23726864 25451773 763135302 813551700 X 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. 1 0 10375015 0 4510737 Professional Education: 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:_ 276 19810026 0 7219482 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 2010 there were six pediatric clinics that provided on-call, 24-hour care, seven days a week for children ranging from birth to 21. Of these six, 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 $36,000 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 $18,087,515 for the year-end December 31, 2010. Benefits to the indigent also include charges in excess of government payments for services provided to Medicaid beneficiaries of approximately $346,738,558 for the year-end December 31, 2010. In addition, Children's Hospital had to write-off approximately $3,227,573 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 2010, 8,412 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 2010, 983 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 2010, GNOIN had 12,786 visits to the immunization unit and administered 25,737 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 2010, SKIP immunized 5,086 students and administered 10,380 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 17,872 children and administered 36,117 vaccinations in 2010. 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 2010, services were provided to an average of 86 patients per month. **Total visits: 92,945 155824958 0 178278464 Patient Care, General/Other: In 2010 Children's Hospital provided care to children from 63 of the 64 parishes in Louisiana, from 48 other states and 3 foreign countries. Patient visits totaled 136,189. Included in these visits were 71,705 physician clinic visits, 48,876 emergency room visits, 6,328 outpatient surgical visits, 2,144 medical visits and 7,136 inpatient admissions or 38,966 patient care days. The Rehabilitation Center treated 52 Rehab patients, and the Acute Care Units treated a total of 6,120 patients. The Pediatric Intensive Care Unit treated 696 patients, the CCU 45 patients, and the Neonatal Intensive Care Unit treated 223 infants. The new Psychiatric Unit treated 1,347 patients in 2010. 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 2010: The proceeds from the annual fund drive, in 2010, were dedicated to the purchase of an emergency transport helicopter to transport gravely ill and serious injured children from throughout Louisiana and the Mississippi Gulf Coast to our hospital for care. The drive raised $775,529. The 25th annual CMN Telethon netted a total of $1,137,501 in revenue. The broadcast took place on the first 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 22, 23, 29, and 30. The event was a sellout all three nights and netted over $133,891 for each organization. There were more than 15,000 attendees over the three-night event. The 29th Annual Sugarplum Ball was held at the hospital's Calhoun Campus in March 2010. The event netted more than $172,232 to support the hospital's Cancer Program. Entercom Broadcasting annual CMN Radiothon in 2010 was held at the hospital on April 9. The amount raised was $45,914. GRANTS Organization Description: In 1988, the Bureau of Maternal and Child Health awarded a grant to Children's Hospital in New Orleans to establish the program now known as the Family Advocacy, Care and Education Services program, or FACES. In twenty-two years, the Part D program has grown from a single-site case management and HIV education demonstration project, to a multi-site, multi-service, comprehensive program with sub-recipients in five regions of the state. The New Orleans and Baton Rouge programs are the largest in terms of its Part D services and are supported by Ryan White Parts A and D. The Part D network partner organizations statewide receive CDC, HOPWA, SAMHSA, and Ryan White Parts A, B, and/or C funds. This application requests $1,952,811 to support the network of Louisiana Ryan White Part D Program providers. Profile of Services and Client Base: The target population is HIV-infected women, their partners, children, youth and their families in five 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), with the remaining support to providers in southwestern, northwestern, and northeastern Louisiana (largely rural areas). Among all sites in 2009, 1,501 clients received Part D services. The majority of clients served by the project (92%) were racial/ethnic minorities, 82% were female, and 15% were youth. Among the clients served were 127 HIV-positive pregnant women and 139 HIV-exposed infants. In FY 2011, the project anticipates serving approximately 1,550 Part D-eligible clients of similar demographics. Part D funds directly support primary care at five sites in New Orleans, at three sites in Baton Rouge, and in Monroe. In Lafayette and Shreveport, Part D funding supplements Part B services (in Baton Rouge, Part A) and supports medical case management, mental health, peer support, and medical transportation. Formal contracts and/or Memoranda of Agreements exist between all Part D sites and the HIV primary care providers in those regions. Statewide, the Part D-supported staff composition is 70% racial or ethnic minorities. Challenges: According to the CDC's 2007 Surveillance Report, among U.S. cities with >500,000 persons, the New Orleans metro area ranked 2nd and Baton Rouge ranked 3rd in reported AIDS case rates. Among states, Louisiana is 5th highest for AIDS case rates and 11th in the number of AIDS cases. Network Coordination: The primary linkages are with the state-funded public hospital system under the Medical Centers of Louisiana, which provide HIV primary medical care to uninsured or under-insured Louisiana residents in each region of the state. In each region funded by Part D, an MCL/HIV Clinic (and ADAP pharmacy) operates, and, except in Lafayette, Part C also supports these clinics. In New Orleans and Baton Rouge Part D funds 5 partners in each city. In each of the remaining three regional sites, one will be funded to support primary care and two will be funded to provide medical case management and supportive services. Planning and coordination is accomplished via a Part D Steering Committee chaired by the Network Coordinator who also conducts a minimum of three sites visits during each project year. Annually, all Part D network partners meet to conduct strategic planning which includes quality management activities. The two newly-funded Part D programs will be invited to participate. 8147894 0 1760060 Medical Research, General/Other: 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 90 comprised of 21 administrative and support professionals, 8 research assistants, 4 postdoctoral researchers, 5 research supervisors, 18 LSUHSC faculty members, 2 LSUHSC staff members, 4 UNO faculty members, 1 UNO staff member, and 2 Helis foundation employees and 25 students. Medical Researchers:_90 8147894 0 1760060 194157893 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 176 0 1729 1 0 0 0 0 0 1 1 0 0 0 0 X 25 21 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 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 Brian Barkemeyer MD 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 Steve Worley 51.00 X X 528632 352422 312330 Alan Robson Sr MD 55 X X 639619 0 28015 Joseph Nadell MD 55 X X 419435 0 31015 Gregory Feirn 55 X 293503 195668 29104 Ricardo Guevara 55 X 200108 133405 30015 Cindy Nuesslein 55 X 317888 0 26977 Brian Landry 55 X 300262 0 29381 Mary Perrin 55 X 290450 0 26376 Diane Michel 55 X 235216 0 46376 Tamela Reites 55 X 227911 0 54908 Stephen D Heinrich 55 X 472345 0 25187 Lori A McBride 55 X 433390 0 24018 Dean Scott Edell 55 X 425310 0 31029 Stephen David Levine 55 X 405823 0 29029 Joseph A Gonzales Jr 55 X 380288 0 28704 5570180 681495 752464 94 0 1 0 Pediatric Radiology Services 200 Henry Clay Avenue New Orleans LA 70118 Radiology Services 1953927 INO Therapeutics Inc PO Box 642509 Pittsburg PA 152642509 Respiratory Services 1415214 ARUP Laboratories PO Box 27964 Salt Lake City UT 84127 National Reference Laboratories 602768 Viracor-IBT Laboratories PO Box 7341 Metairie LA 70010 Laboratory services 389928 Gjerset & Lorenz LLP PO Box 281912 Atlanta GA 303841912 Attorney 366228 45 0 0 175820 0 8814518 4012112 0 13002450 Patient Care Services 622000 52727538 52727538 0 0 Medicare/Medicaid Payments 900099 118331444 118331444 0 0 Ambulatory & Primary Healthcare 621000 7219482 7219482 0 0 5549706 5549706 0 0 183828170 18456045 18456045 0 0 0 0 0 0 0 0 0 0 1272189 0 269242 0 1002947 0 1002947 0 0 1002947 5339392119 62367 5323131039 137339 16261080 -74972 16186108 16186108 0 0 41618 175820 45205 -3587 0 -3587 0 232472133 218470323 0 999360 0 0 0 0 0 0 0 0 2383534 850351 1533183 0 0 0 0 0 78503227 70136942 7631411 734874 4479058 4403910 31533 43615 8661993 7152353 1435597 74043 5631489 4943760 635812 51917 0 0 0 0 419734 0 419734 0 294045 0 294045 0 0 0 0 0 0 0 946034 0 946034 0 35284224 33818899 1440875 24450 123839 95608 16623 11608 44181816 42247806 1681280 252730 1958413 1343553 602345 12515 0 0 0 0 3837564 3592615 225741 19208 204343 136452 47580 20311 0 0 0 0 242385 218524 17841 6020 0 0 0 0 0 0 0 0 12645222 11953594 600974 90654 5478965 5216262 237100 25603 Contributions to Touro 15300000 0 15300000 0 Special Purpose Program 4325388 4325388 0 0 Bad Debt 3227573 3227573 0 0 Dues, Subs,Books, Periodicals 529339 320367 206288 2684 Tuition Reimbursement 113301 99938 12630 733 188631 73998 114584 49 228960117 194157893 33431210 1371014 4676603 7267451 0 0 787710 419555 22846587 22164887 0 0 0 0 0 0 5467441 5956610 8187442 7019464 257309840 151805782 105952162 105504058 0 0 606446635 656765072 0 0 0 32497586 33906376 786862166 839003473 23726864 25451773 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23726864 25451773 X 760556044 811572377 2393245 1793310 186013 186013 763135302 813551700 786862166 839003473 X 3512016 46904382 X 1 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 180013 0 0 0 0 0 180013 180013 0 0 0 0 0 180013 180013 0 0 0 0 0 180013 0 1 0 0 0 19154627 0 19154627 102901333 0 54932081 47969252 0 0 0 0 134186807 0 93018732 41168075 1067073 0 3854969 -2787896 105504058 0 0 U.S. Government Securities 162397 F Marketable Equity Securities 393648721 F Other Fixed Income Securities 151837847 F Mortgage-Backed Securities 10656305 F Alternative Investments 61643346 F Money Market Funds 5598608 F Other 33217848 F 656765072 232472133 228960117 3512016 47154086 0 946033 0 -5158215 42941904 46453920 285086143 47154086 0 0 18074685 65228771 219857372 946033 11668728 12614761 232472133 238632221 0 0 0 24189128 24189128 214443093 946033 13570991 14517024 228960117 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. 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 sum 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. SchD_P10_S00_L00 Schedule D, Part X Not applicable SchD_P11_S00_L08 Schedule D, Part XI, Line 8 REVENUES: Revenues related to Children's Hospital Medical Practice Corporation, as reported on Form 990, (72-1318421), Sch D, Part XII, Line 5 ($14,622,684) Revenues related to Children's Hospital Anesthesia Corporation, as reported on Form 990 (06-1587311) Sch D, Part XII, Line 5 ($3,452,001) Revenue related to Community Support $13,134,143, Contributions reported on 2009 990 released in 2010 as Revenue on Audited Financials ($1,566,137), Provider Based Revenue $436,848, Rental Income Expense ($269,242), DHH Revenue reclassed from net of Supplies in Expense to Revenue 10,588 Loss on sale of assets ($ 77,472) Investment Expenses $946,033 EXPENSES: Expense related to Children's Hospital Anesthesia Corporation, as reported on Form 990 (06-1587311) $7,504,618 Expense related to Children's Hospital Medical Practice Corporation, as reported on Form 990, (72-1318421), Sch D, Part XII, Line 5 $16,348,384, Rental Income Expense $269,242, DHH Revenue reclassed from net of Supplies in Expense to Revenue ($10,588), Loss on sale of assets $77,472, Revenue related to Community Support ($13,134,143) Provider Based Revenue ($436,848). 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 $14,622,684 Revenues related to Children's Hospital Anesthesia Corporation, as reported on Form 990 (06-1587311) Sch D, Part XII, Line 5. $3,452,001 SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Revenue related to Community Support $13,134,143, Contributions reported on 2009 990 released in 2010 as Revenue on Audited Financials ($1,566,137), Provider Based Revenue $436,848, Rental Income Expense ($269,242), DHH Revenue reclassed from net of Supplies in Expense to Revenue 10,588 Loss on sale of assets ($ 77,472) 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) $7,504,618 Expense related to Children's Hospital Medical Practice Corporation, as reported on Form 990, (72-1318421), Sch D, Part XII, Line 5 $16,348,384, Rental Income Expense $269,242, DHH Revenue reclassed from net of Supplies in Expense to Revenue ($10,588), Loss on sale of assets $77,472 SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Revenue related to Community Support $13,134,143, Provider Based Revenue $436,848 Sugar Plum Ball 217438 175820 41618 0 0 17262 4363 5100 18480 0 0 217438 175820 41618 0 0 17262 4363 5100 18480 45205 -3587 1 1 X 1 X 3.5 0 1 1 1 0 1 0 1 11895 4800864 0 4800864 0.021 0 124166018 103966229 20199789 0.0895 0 0 0 0 1 11895 128966882 103966229 25000653 0.1105 6 45406 1741851 891385 850466 0.0038 1 10375015 1946310 8428705 0.0373 5 13099 3243106 2175114 1067992 0.0047 1 8147894 0 8147894 0.0361 0 0 0 13 58505 23507866 5012809 18495057 0.0819 14 70400 152474748 108979038 43495710 0.1924 1 883247 0 2495753 2495753 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 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 2010, the 62.5% discount offered by Children's Hospital to its patients was $1,087,816. 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_L072f Schedule H, Part I, Line 7, Column f Bad Debt Expense $3,227,573 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 - $174,900. 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. 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_P06_S00_L02 Schedule H, Part VI, Line 2 The CHAP Program provided financial assistance to 11,895 patients in 2010 for a total cost of $4.8 million compared to 14,352 patients in 2009 and a total cost of $4 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 2,205 visits during 2010, a 6% increase as compared to 2009. The dental care program had 8493 visits during 2010, a 5% increase as compared with 2009. The cochlear implant program performed 23 surgeries during 2010. No formal needs assessment was performed in 2010 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 is underway to replace the existing PICU with a new 20-bed Cardiac Intensive Care Unit (CICU) and a new 20-bed PICU. 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 Community Benefit Plan - 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. X X X X X 0 0 0 0 0 0 0 0 0 Steve Worley 398041 265361 94371 62914 36221 24147 155352 103568 35064 23376 719049 479366 0 0 Alan Robson Sr MD 513022 0 88097 0 38500 0 20825 0 8720 0 669164 0 0 0 Gregory Feirn 206437 137625 60343 40228 26723 17815 12300 8200 6080 4054 311883 207922 0 0 Joseph Nadell MD 397435 0 0 0 22000 0 20825 0 11720 0 451980 0 0 0 Ricardo Guevara 128281 85521 43800 29200 28026 18684 12495 8330 6197 4132 218799 145867 0 0 Cindy Nuesslein 198388 0 73000 0 46500 0 19786 0 8250 0 345924 0 0 0 Brian Landry 188762 0 73000 0 38500 0 19190 0 11214 0 330666 0 0 0 Mary Perrin 175316 0 73000 0 42134 0 18172 0 9535 0 318157 0 0 0 Tamela Reites 163077 0 25000 0 39834 0 43704 0 12109 0 283724 0 0 0 Diane Michel 175216 0 25000 0 35000 0 42858 0 4447 0 282521 0 0 0 Stephen D Heinrich 450345 0 0 0 22000 0 20825 0 5892 0 499062 0 0 0 Lori A McBride 416890 0 0 0 16500 0 20500 0 5435 0 459325 0 0 0 Dean Scott Edell 403310 0 0 0 22000 0 20825 0 13016 0 459151 0 0 0 Stephen David Levine 383823 0 0 0 22000 0 20825 0 10814 0 437462 0 0 0 Joseph A Gonzales Jr 363788 0 0 0 16500 0 20500 0 11016 0 411804 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 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 Discritionary. F990_P03_S00_L02 Form 990, Part III, Line 2 Children's Hospital purchased a helicopter in December of 2010 in order to provide its own air transport services. 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_L11a Form 990, Part VI, Section B, Line 11a 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 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_P11_S00_L05 Form 990, Part XI, Line 5 Investments Unrealized Gains and Losses $47,154,086 and Temporary Restricted Assets transferred from Children's Hospital Medical Practice (EIN 72-1318421 ($249,703) released from Restriction on Children's Hospital's financial statements yearend 2010. 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 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 0 0 0 0 0 0 1 0 1 1 0 1 1 0 Childrens Hospital Medical Practice Corporation n 10333987 Childrens Hospital Medical Practice Corporation p 12615140 Childrens Hospital Anesthesia Corporation n 6980017 Childrens Hospital Anesthesia Corporation p 3496600 Childrens Hospital Anesthesia Corporation m 0 Childrens Healthcare Network k 62256 Childrens Healthcare Network p 104263 Touro Infirmary q 15300000 Filed and IRS approved additional extension until November 15, 2011