2024-08-15T11:07:06-05:00 2023-09-30 721396621 CARR RIGGS & INGRAM LLC 3850 N CAUSEWAY BLVD 1400 METAIRIE LA 70002 990 2022-10-01 720652905 WOMAN'S HOSPITAL FOUNDATION D/B/A WOMAN'S HEALTH FOUNDATION WOMA 2259248101 100 WOMANS WAY BATON ROUGE LA 70817 NINA DUSANG EXECUTIVE VICE PRESIDENT/CFO 2259248101 2024-08-14 1 0 MELISSA Y DUHON CPA P01336607 5048379116 2024-08-14 2022 2024-08-08 14:25:15Z NINA DUSANG 100 WOMANS WAY BATON ROUGE LA 70817 853171576 0 X WWW.WOMANS.ORG X 1968 LA TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 13 8 2818 126 21544489 361453 2736665 3863734 705809153 828431979 16005660 8255358 6233547 3425011 730785025 843976082 1969595 1496072 0 0 193832980 216856396 0 0 285842 496488657 564063741 692291232 782416209 38493793 61559873 921115524 1058508313 326437279 364352251 594678245 694156062 X TO IMPROVE THE HEALTH OF WOMEN AND INFANTS. 0 0 67078829 324000 85729635 CANCER SERVICES - WOMAN'S HOSPITAL, MARY BIRD PERKINS AND OUR LADY OF THE LAKE HAVE COMBINED THEIR EXPERTISE TO CREATE A DESTINATION FOR BREAST AND GYNECOLOGIC CANCER CARE FROM DIAGNOSIS THROUGH SURVIVORSHIP: THE BREAST & GYN CANCER PAVILION. THE PAVILION ENABLES WOMEN TO RECEIVE THE HIGHEST LEVEL OF BREAST AND GYNECOLOGIC CANCER CARE AND IS THE ONLY ONE OF ITS KIND IN THE COUNTRY. THIS IS MADE POSSIBLE THROUGH THE COMBINED EXPERTISE AND RESOURCES OF THIS PARTNERSHIP, PROVIDING PATIENTS WITH COLLABORATIVE TEAMS OF MEDICAL, RADIATION ONCOLOGISTS, GYN AND BREAST SURGICAL ONCOLOGISTS, BREAST SURGEONS, RADIOLOGISTS, PATHOLOGISTS, GENETICISTS, RESEARCH STAFF, NURSE NAVIGATORS, DIETITIANS, PALLIATIVE CARE NURSE NAVIGATORS, PASTORAL CARE AND SOCIAL WORKERS. 28,925 UNIQUE PATIENTS WERE TREATED IN THE CANCER PAVILLION IN FY23. 268118587 47500 336857430 OUTPATIENT SERVICES - WOMAN'S HOSPITAL PROVIDES AN ARRAY OF OUTPATIENT SERVICES WHERE HOSPITALIZATION IS NOT REQUIRED. LAB, IMAGING, SURGERY, ASSESSMENT CENTER, MATERNAL FETAL MEDICINE, AND PHYSICAL AND OCCUPATIONAL THERAPY ARE EXAMPLES OF SERVICES PROVIDED ON AN OUTPATIENT BASIS AT EITHER THE HOSPITAL OR THE WOMAN'S CENTER FOR WELLNESS. FY23 INCLUDED 8,453 OUTPATIENT SURGERIES, 19,715 ASSESSMENT CENTER VISITS AND 84,073 IMAGING PROCEDURES. 318077866 15000 378561169 INPATIENT SERVICES - WOMAN'S HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MUST BE ADMITTED TO THE HOSPITAL FOR CARE, WHETHER FOR AN OVERNIGHT STAY OR EXTENDED CARE. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABOR AND DELIVERY, SURGERY, NICU, AICU, AND HIGH RISK PREGNACIES. FY23 INCLUDED 1,257 INPATIENT SURGERIES, 7,835 DELIVERIES AND 68,453 PATIENT DAYS. 14205225 1109572 9048652 CANCER INFUSION SERVICES 14205225 1109572 9048652 667480507 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 410 0 1 2818 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X APRIL CHAISSON 2259248101 100 WOMANS WAY BATON ROUGE LA 70817 CHEREE SCHWARTZENBURG MD CHAIR-ELECT 4.00 X X 0 0 0 CHRIS CIESIELSKI SECRETARY/TREASURER 4.00 X X 0 0 0 EMILY MAGEE MD CHIEF OF STAFF 65.00 X 0 0 0 GREG GELPI MD BOARD MEMBER 4.00 X 0 0 0 JANET OLSON BOARD MEMBER 4.00 X 0 0 0 JOHN EVERETT BOARD MEMBER 4.00 X 0 0 0 NICK SPEYRER BOARD MEMBER 4.00 X 0 0 0 RENE RAGAS PRESIDENT/CEO 65.00 4.00 X X 538566 0 64915 ROSE HUDSON CHAIR 4.00 X X 0 0 0 RUDY AGUILAR BOARD MEMBER 4.00 X 0 0 0 SHAWN KLEINPETER MD BOARD MEMBER 4.00 X 0 0 0 SUSAN PUYAU MD BOARD MEMBER 4.00 X 0 0 0 TERRIE THOMAS MD BOARD MEMBER 4.00 X 0 0 0 WHITNEY BREAUX BOARD MEMBER 4.00 X 0 0 0 APRIL CHAISSON VP, FINANCE 65.00 X 405325 0 77484 CHERI JOHNSON SR VP, PT CARE/CHIEF NSG 65.00 X 372875 0 39941 EBONI BUCHANAN VP, PHYSICIAN SERVICES 65.00 X 412894 0 38056 ED HALPHEN VP, HUMAN RESOURCES 65.00 X 306789 0 38954 GREGORY SNOW VP, REVENUE CYCLE 65.00 X 232647 0 2638 KEILA STOVAL CHIEF PHIL OFF & FND PRES 65.00 X 226936 0 11923 KURT SCOTT SR. VP/CHIEF OP OFFICER 65.00 X 454064 0 52850 MARY MAHER-GRIFFITHS VP, QUALITY 65.00 X 286589 0 46820 PATRICK SEITER IN-HOUSE GENERAL COUNSEL 65.00 X 500711 0 50923 PAUL KIRK VP, CHIEF INFORMATION OFFICER 65.00 X 403042 0 45753 ROBERT MOORE MD CHIEF MEDICAL OFFICER 65.00 X 794022 0 18913 WENDY SINGLTON VP, NURS ADMIN/ASSOC CNO 65.00 X 232312 0 54794 ALBERT L DIKET MD PHYSICIAN 40.00 X 598772 0 49188 ANTHONY C EVANS JR MD PHYSICIAN 40.00 X 719524 0 33302 EDWARD W VEILLON JR MD PHYSICIAN 40.00 X 610936 0 51384 MARSHALL ST AMANT MD MEDICAL DIRECTOR 65.00 X 749310 0 60027 TARA BENJAMIN PHYSICIAN 40.00 X 566908 0 14505 PAUL CLECKNER FORMER PRESIDENT/CEO (INTERIM) 65.00 4.00 X 555915 0 18169 STEPHANIE ANDERSON FORMER EXEC VP/CHIEF ADMIN OFFICER 65.00 X 672660 0 18108 9640797 0 788647 21 1 1 0 LOUISIANA ANESTHESIOLOGY GROUP 100 WOMANS WAY BATON ROUGE LA 70817 MEDICAL SERVICES 2171487 ST GEORGE HEALTH 17732 HIGHLAND ROAD STE G BOX 117 BATON ROUGE LA 70810 MEDICAL SERVICES 1771200 PATHOLOGY GROUP OF LOUISIANA 5339 ODONOVAN DRIVE BATON ROUGE LA 70808 MEDICAL SERVICES 1616263 PROFESSIONAL EMERGENCY PHYSICIAN ASSOCIA 7777 HENNESSY BLVD SUITE 211 BATON ROUGE LA 70808 MEDICAL SERVICES 1331427 LANGUAGE LINE SERVICES PO BOX 16012 MONTEREY CA 93942 INTERPRETATION SERIVCES 1140148 38 3863734 3863734 HOSPITAL SERVICES 541900 772419828 772419828 PHARMACY 456110 28882473 10581289 18301184 OPERATING INCOME 541900 23255816 21817070 1438746 CAFETERIA 722514 2366357 2366357 FITNESS CENTER 713940 1507505 1507505 828431979 17222735 -115615 17338350 3411761 0 3411761 3411761 2999092 412669 228117 9195494 0 -9195494 228117 -8967377 -8967377 MARKETING INCOME 900099 13250 13250 13250 843976082 810196886 21544489 8370973 1496072 1496072 9763767 6843910 2911797 8060 153873823 107857812 45888984 127027 41943744 29400455 12508664 34625 11275062 7903251 3362503 9308 264532 185424 78890 218 853921 598556 254660 705 853329 598141 254484 704 40060313 28080265 11946977 33071 2238393 1569001 667544 1848 2244049 1572965 669231 1853 6712062 4704818 2001703 5541 522798 366455 155911 432 11388542 11388542 18875849 13231021 5629245 15583 3346925 2346026 998136 2763 CONTRACTUAL ADJUSTMENTS 351864086 351864086 MEDICAL SUUPLIES & DRUG 71414173 71414173 OTHER EXPENSES 29909918 20965349 8919878 24691 SHARED CANCER COLLABORA 20855251 14618482 6219552 17217 2659600 1864245 793159 2196 782416209 667480507 114649860 285842 173517149 241140360 61525026 58419657 2449676 5305811 5293978 6329771 586523001 219554025 353491989 366968976 3999855 3116920 1911000 1711200 321364694 373077775 921115524 1058508313 45144044 40066911 199800 11237232 281004587 264586764 88848 48461344 326437279 364352251 X 589098432 687576919 5579813 6579143 594678245 694156062 921115524 1058508313 61559873 38596045 -678101 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 1 0 1 123357 123357 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: ALL OF THE FOLLOWING AMOUNTS RELATE TO THE LOBBYING EXPENSE PORTION OF THE PAYMENT: 1. $90,000 FOR CONSULTING FEES TO SOUTHERN STRATEGY GROUP OF LOUISIANA LLC. 2. $14,537.79 TO LOUISIANA HOSPITAL ASSOCIATION FOR LHA DUES. 3. $12,818.93 TO LOUISIANA HOSPITAL ASSOCIATION FOR AHA DUES. 4. $6,000 TO BATON ROUGE AREA CHAMBER FOR STATE LEGISLATIVE EFFORTS. 16000 X 0 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 1250000 0 0 16487941 16487941 416147923 122368325 293779598 81540 46170 35370 125450535 97139530 28311005 28355062 28355062 366968976 OTHER RECEIVABLES 2703968 BONDS HELD BY TRUSTEE 10715213 RESTRICTED DONATIONS - OTHERS 1250000 RESTRICTED DONATIONS - CAP ONE CD 779989 DEPRECIATION RESERVE 323660132 OTHER ASSETS 4575039 BLACKROCK FOUNDERS & FRIENDS 11819867 DUE TO/FROM 12443003 CREDIT CARDS 461140 SECURITY DEPOSITS 10833 RIGHT OF USE ASSET 3639542 DEBT ISSUANCE COST 1019049 373077775 OTHER LIABILITIES 5438804 ESTIMATED THIRD PARTY SETTLEMENTS 3753415 LONG TERM DEBT 9334289 BOND PREMIUM 19774676 LEASE LIABILITY - LT 2162933 LEASE LIABILITY - CURRENT 1476609 PENSION PAYABLE 850000 CREDIT BALANCES IN A/R 5660618 LEASE DEPOSITS 10000 48461344 X PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL DID NOT INCUR FEDERAL INCOME TAX EXPENSE FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. FOR INCOME TAX PURPOSES, WOMAN'S RETAIL VENTURES, LLC IS TREATED AS A PARTNERSHIP. THE MEMBERS OF THIS ENTITY ARE TAXED INDIVIDUALLY BASED ON THEIR PROPORTIONATE SHARE OF THEIR TAXABLE INCOME. AS SUCH, NO PROVISION IS MADE FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. TAX POSITIONS ARE RECOGNIZED ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX POSITION IS RECORDED. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART III, LINE 4 PERMANENT INSTALLMENT OF 32 GICLEES OF WORLD RENOWED FOLK ART DONATED IN A PRIOR YEAR AS PART OF THE HEALING ARTS PROGRAM. THE ARTWORK IS DISPLAYED IN A PROMINENT AREA OF THE HOSPITAL, FOR ALL PATIENTS AND VISITORS TO ENJOY. PART V, LINE 4 THE FOUNDATION HOLDS AN ENDOWMENT FUND IN THE AMOUNT OF $1,250,000 FROM THE HELEN BARNES TRUST. THIS AMOUNT IS PERMANENTLY RESTRICTED BUT THE ANNUAL EARNINGS FROM THIS ENDOWMENT MAY BE USED BY THE FOUNDATION. THE INCOME IS REPORTED ON THE CORE FORM 990, BUT THE BALANCE ON THIS ENDOWMENT DOES NOT CHANGE FROM YEAR TO YEAR SINCE ONLY THE $1,250,000 IS RESTRICTED. PART X, LINE 2 THE HOSPITAL APPLIES THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH SETS OUT A CONSISTENT FRAMEWORK TO DETERMINE THE APPROPRIATE LEVEL OF TAX RESERVES TO MAINTAIN FOR UNCERTAIN TAX POSITIONS. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE RECORDED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN THE RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL HAS EVALUATED ITS POSITION REGARDING THE ACCOUNTING FOR UNCERTAIN INCOME TAX POSITIONS AND DOES NOT BELIEVE THAT IT HAS ANY MATERIAL UNCERTAIN TAX POSITIONS. 1 1 X 1 X 1 X 1 1 0 0 6397594 6397594 0.00820 -269132 0 0.00000 20147020 20147020 0.02570 26275482 26544614 0.03390 376882 376882 0.00050 16749059 16749059 0.02140 339802 339802 0.00040 539297 539297 0.00070 18005040 18005040 0.02300 44280522 44549654 0.05690 5080401 0 9180062 14135267 -4955205 1 WOMAN'S RETAIL VENTURE'S LLC HOSPITAL GIFT SHOP 0.74750 0.02020 0.23230 2 STUMBERG LAND LLC LAND MANAGEMENT 0.64400 0.00000 0.35600 1 1 WOMAN'S HOSPITAL 100 WOMANS WAY BATON ROUGE LA 70817 WWW.WOMANS.ORG X WOMAN'S HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X HTTPS://WWW.WOMANS.ORG/ABOUT-WOMANS/COMMU X HTTP://HEALTHYBR.COM/ 1 20 1 HTTP://WWW.HEALTHYBR.COM/ 0 1 X 200.000000000000 300.000000000000 1 1 X X X X 1 X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X HTTP://WWW.WOMANS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE X X X X X X 1 X 0 1 X 0 0 WOMAN'S HOSPITAL PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: WOMAN'S DEVELOPED ITS COMMUNITY HEALTH ASSESSMENT IN COLLABORATION WITH OTHER AREA PROVIDERS AND THE MAYOR-PRESIDENT'S HEALTHY CITY INITIATIVE (MHCI). THE TEAM OF HEALTH CARE LEADERS DEVELOPED A LIST OF BATON ROUGE'S 10 HEALTH PRIORITIES, WHICH WAS REVIEWED AND APPROVED BY ALL MHCI PARTNERS WOMAN'S HOSPITAL PART V, SECTION B, LINE 6A: PART V, SECTION B, LINE 6A: REPRESENTATIVES FROM WOMAN'S HOSPITAL, OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, BATON ROUGE GENERAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER, SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTER OF BATON ROUGE MET TO DISCUSS ANASSESSMENT OF COMMUNITY HEALTH. WOMAN'S HOSPITAL PART V, SECTION B, LINE 6B: PART V, SECTION B, LINE 6B: PENNINGTON BIOMEDICAL RESEARCH CENTER, THE BATON ROUGE CLINIC, BLUE CROSS BLUE SHIELD OF LOUISIANA, LOUISIANA DEPARTMENT OF HEALTH, EAST BATON ROUGE PARISH SCHOOL SYSTEM, AMERICAN HEART ASSOCIATION, CAPITAL AREA REENTRY PROGRAM, THE BRIDGE CENTER FOR HOPE, GILEADFOCUS INITIATIVE, NIKKY SCOTT INC., IMPACT NURSE CONSULTING, LOUISIANA CHAPTER OF POSITIVE WOMEN'S NETWORK, AND COMMUNITY RESIDENTS. WOMAN'S HOSPITAL PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH: THE GUIDING RECOVERY AND CREATING EMPOWERMENT (GRACE) PROGRAM AT WOMAN'S HOSPITAL IS A CARE COORDINATION PROGRAM FOR PREGNANT WOMEN WITH OPIOID, ALCOHOL OR TOBACCO USE ADDICTION THAT CONNECTS THEM TO RESOURCES IN THE COMMUNITY TO PROVIDE TREATMENT AND SUPPORT. IT IS THE ONLY PROGRAM OF ITS KIND IN LOUISIANA AND ONE OF FEW IN THE NATION. WOMEN ENROLLED IN THIS PROGRAM RECEIVE SUPPORT THROUGHOUT PREGNANCY AND FOR SIX WEEKS AFTER GIVING BIRTH. THIS MULTI-DISCIPLINARY CASE-MANAGEMENT IS DESIGNED TO IMPROVE OUTCOMES FOR MOTHER AND BABY AND LEAD TO ADDICTION RECOVERY. WOMAN'S ALSO ADDED DR. AMBER PARDEN, A BOARD-CERTIFIED PSYCHIATRIST WITH A PASSION FOR PERINATAL MENTAL HEALTH, TO ITS STAFF. SHE PROVIDES TREATMENT FOR PERIPARTUM AND POSTPARTUM ANXIETY AND DEPRESSION, FOCUSING ON MEDICATION MANAGEMENT AND PSYCHOTHERAPY TREATMENT PLANS, ALONG WITH INPATIENT AND OUTPATIENT CONSULTATIONS FOR MENTAL HEALTH SUPPORT, BARIATRIC SURGERY PATIENTS AND THOSE UNDERGOING CANCER TREATMENTS.CHRONIC DISEASE: TO HELP ADDRESS THE HIGH INCIDENCE OF DIABETES ON OUR COMMUNITY, WOMAN'S OPERATES A METABOLIC WEIGHT MANAGEMENT CLINIC AND RUNS ONE OF THE TWO ACCREDITED DIABETES PREVENTION PROGRAMS IN LOUISIANA. WOMAN'S HOSPITAL RESEARCH CENTER CONDUCTS CLINICAL STUDIES RELATED TO TREATING GESTATIONAL DIABETES, TYPE 2 DIABETES AND POLYCYSTIC OVARIAN SYNDROME. WOMAN'S IS ALSO ADDRESSING HYPERTENSION IN PREGNANCY THROUGH ASSIGNING CASE MANAGERS WHO CAN MONITOR A PATIENT'S BLOOD PRESSURE THROUGHOUT PREGNANCY, INCLUDING USING AT-HOME BLOOD PRESSURE CUFFS.HEALTH EQUITY AND RACIAL DISPARITIES: IN 2020, WOMAN'S HIRED A DE&I CONSULTANT AND LAUNCHED AN INCLUSIVE EXCELLENCE ACTION COMMITTEE (IEAC) TO PROMOTE DIVERSITY, EQUITY, INCLUSION AND BELONGING AT WOMAN'S HOSPITAL. THE COMMITTEE WORKS DIRECTLY WITH LEADERSHIP TO LISTEN, LEARN, LEAD, GUIDEAND SHEPHERD THE HOSPITAL'S COMMITMENT TOWARD INCLUSIVE EXCELLENCE AND DIVERSITY. THE HOSPITAL HAS ALSO INVESTED IN TRAINING FOR EMPLOYEES TO HELP ADDRESS UNCONSCIOUS BIAS AND TO IMPROVE INCLUSIVE PRACTICES THAT IMPROVE HEALTH OUTCOMES FOR ALL. HEALTHY LIVING/LIFESTYLE: THE WOMAN'S CENTER FOR WELLNESS, CURRENTLY THE AREA'S ONLY MEDICAL FITNESS FACILITY DESIGNATED BY THE MEDICAL FITNESS ASSOCIATION, OFFERS A VARIETY OF FITNESS CLASSES AND NUTRITION PROGRAMS AND RESOURCES FOR PATIENTS AND COMMUNITY MEMBERS. THE EMPLOYEE WELLNESS PROGRAM AT WOMAN'S OFFERS PREMIUM DISCOUNTS AND CASH INCENTIVES FOR EMPLOYEES WHO COMPLETE HEALTH AND WELLNESS CHALLENGES.MATERNAL AND INFANT HEALTH: RECENTLY NAMED ONE THE WORLD'S BEST HOSPITALS BY NEWSWEEK FOR GYNECOLOGY AND MATERNITY CARE, WOMAN'S HAS ALSO RECEIVED A BIRTH READY+ DESIGNATION FROM THE LOUISIANA DEPARTMENT OF HEALTH FOR ITS EFFORTS IN PROMOTING SAFE, EQUITABLE, AND DIGNIFIED BIRTH FOR ALL BIRTHING PERSONS IN LOUISIANA -- ONE OF ONLY EIGHT FACILITIES IN THE STATE TO EARN THIS DISTINCTION. THROUGH ITS WORK WITH THE LOUISIANA PERINATAL QUALITY COLLABORATIVE, WOMAN'S HAS ADOPTED SAFETY BUNDLES TO REDUCE THE RISKS OF HEMORRHAGE AND HYPERTENSION. THEY HAVE ALSO FORMED WORK GROUPS TO ADDRESS SEVERAL OF THE MAIN DRIVERS FOR PREMATURITY INCLUDING HYPERTENSION, DRUG USE, AND INCOMPETENT CERVIX AND IMPLEMENTED EVIDENCE-BASED STRATEGIES TO EFFECT CHANGE IN THESE AREAS. ADDITIONALLY, WOMAN'S HAS MATERNAL-FETAL MEDICINE SPECIALISTS TO CARE FOR HIGH-RISK PREGNANCIES AND OPERATES A LEVEL III-S NEONATAL INTENSIVE CARE UNIT, A DESIGNATION WHICH ALLOWS THEM TO CARE FOR INFANTS WHO ARE EXTREMELY PREMATURE, ARE CRITICALLY ILL OR REQUIRE SURGICAL INTERVENTION. PART V, SECTION B, LINE 4 WOMAN'S HOSPITAL FOUNDATION CONDUCTED ITS FOURTH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2021 TO COVER THE PERIOD 2021-2023 (TAX YEARS 2020-2022). PART I, LINE 3C WOMAN'S OFFERS A 20% DISCOUNT TO ALL UNINSURED PATIENTS REGARDLESS OF INCOME. DISCOUNTS ARE NOT APPLIED TO COSMETIC PROCEDURES. IN ADDITION, WOMAN'S OFFERS SPECIAL PRICING PACKAGES FOR SPECIFIC SERVICES, I.E. DELIVERY AND BARIATRIC SURGERY, AS WELL AS MATCHING PHYSICIAN DISCOUNTS UP TO 50% REGARDLESS OF INCOME. PART III, LINE 3 THE HOSPITAL MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN ASSESSMENT OF COLLECTABILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. THE HOSPITAL DETERMINES IF PATIENT ACCOUNTS RECEIVABLE ARE PAST-DUE BASED ON THE SERVICE/DISCHARGE DATE; HOWEVER, THE HOSPITAL DOES NOT CHARGE INTEREST ON PAST-DUE ACCOUNTS. THE HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE IF MANAGEMENT CONSIDERS THE COLLECTION OF THE OUTSTANDING BALANCES TO BE DOUBTFUL. THIS IS ONLY AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY. BAD DEBT EXPENSE IS A COMBINATION OF ACTUAL ACCOUNTS WRITTEN OFFAND ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BASED ON A REVIEW OF ALL ACCOUNTS IN WHICH WE WERE UNABLE TO FULLY DETERMINE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (BECAUSE THE FINANCIAL ASSISTANCE APPLICATION WAS INCOMPLETE), WE IDENTIFIED CHARGES THAT WERE WRITTEN OFF AS BAD DEBT (AFTER ALL REASONABLE COLLECTION EFFORTS WERE FOLLOWED AS OUTLINED IN OUR COLLECTION POLICY). PART III, LINE 8 100% OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT. THE METHOD USED TO DETERMINE THE MEDICARE ALLOWABLE COST OF CARE IS COST TO CHARGE RATIO. PART III, LINE 9B REASONABLE EFFORTS ARE MADE TO DETERMINE A PATIENT'S ELIGIBILITY AND QUALIFY THEM FOR FINANCIAL ASSISTANCE PRIOR TO ANY ACTION BEING TAKEN TO COLLECT. PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND ARE REFERRED TO A FINANCIAL COUNSELOR TO DISCUSS THE POLICY IN DETAIL. FINANCIAL ASSISTANCE APPLICATIONS ARE DOCUMENTED AND TRACKED WHEN PROVIDED TO A PATIENT/GUARANTOR AND WHEN THE APPLICATION IS RETURNED (WHETHER COMPLETE OR INCOMPLETE). ALL COMMUNICATION WITH THE PATIENT/GUARANTOR IS DOCUMENTED WHILE THE APPLICATION IS INCOMPLETE. THE APPLICATION IS NOTATED AS APPROVED OR DENIED ALONG WITH NOTIFICATION OF APPROVAL OR DENIAL TO THE PATIENT/GUARDIAN. IF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS NOT ABLE TO BE FULLY DETERMINED, ALL REASONABLE COLLECTION EFFORTS ARE FOLLOWED AS OUTLINED IN THE HOSPITAL'S COLLECTION POLICY. 0 FOUNDATION FOR WOMAN'S 100 WOMANS WAY BATON ROUGE LA 70817 471970335 501(C)(3) 1042072 0 CASH GRANT FINANCIAL SUPPORT TO COVER OPERATING EXPENSES BIG BUDDY PROGRAM 1415 MAIN ST BATON ROUGE LA 70802 720901506 501(C)(3) 10000 0 CASH GRANT DANCING FOR BIG BUDDY EVENT 100 BLACK MEN OF METRO 2050 NORTH FOSTER DR BATON ROUGE LA 70806 721235682 501(C)(6) 7500 0 CASH GRANT FREEDOM RUN 5K SPONSORSHIP AMERICAN HEART ASSOCIATION PO BOX 4002900 DES MOINES IA 50340 135613797 501(C)(3) 42500 0 CASH GRANT ANNUAL PLEDGE BATON ROUGE AREA CHAMBER 564 LAUREL STREET BATON ROUGE LA 70801 720126959 501(C)(3) 50000 0 CASH GRANT BRING IT! BATON ROUGE CAMPAIGN PLEDGE AMERICAN SOCIETY OF BREAST SURGEONS 7067 COLUMBIA GATEWAY DRIVE SUITE 290 COLUMBIA MD 21046 541765370 501(C)(3) 6500 0 CASH GRANT 24TH ANNUAL MEETING FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY 4200 ESSEN LN BATON ROUGE LA 70809 721173156 501(C)(3) 20000 0 CASH GRANT 2023 FETE DES FIDELES CENTENNIAL GALA KELLY CARES FOUNDATION PO BOX 8107 SOUTH BEND IN 46660 263591070 501(C)(3) 10000 0 CASH GRANT 2023 GOLDEN CLEATS COMBINE SPONSORSHIP LOUISIANA RESOURCE & DEVELOPMENT 4700 WISSAHICKON AVENUE SUITE 126 PHILADELPHIA PA 19144 581686563 501(C)(3) 15000 0 CASH GRANT 2023 ELEPHANT STOMP MADDIE'S FOOTPRINTS LLC 234 RUE BEAUREGARD LAFAYETTE LA 70508 271874830 501(C)(3) 10000 0 CASH GRANT NIGHTS IN HAVANA AND 2ND ANNUAL FOOTSTEPS FOREVER QUARTER MARATHON SPONSORSHIPS MARCH OF DIMES FOUNDATION (LOUISIANA CHAPTER) 12015 JUSTICE AVE BATON ROUGE LA 70816 131846366 501(C)(3) 7500 0 CASH GRANT MARCH FOR BABIES SILVER SPONSORSHIP TIGER ATHLETIC FOUNDATION PO BOX 711 BATON ROUGE LA 70821 721004960 501(C)(3) 275000 0 CASH GRANT ANNUAL PLEDGE TO SUPPORT LSU WOMEN STUDENT ATHLETES 11 1 PART I, LINE 2 GRANTS ARE GIVEN TO ORGANIZATIONS FOR SPECIFIC PURPOSES AND ARE NOT MONITORED FURTHER. X X X 1 1 X X X X X 1 1 0 0 0 1 0 0 0 ROBERT MOORE MD CHIEF MEDICAL OFFICER 689504 0 1600 0 102918 0 3584 0 15329 0 812935 0 0 0 MARSHALL ST AMANT MD MEDICAL DIRECTOR 663130 0 1600 0 84580 0 30925 0 29102 0 809337 0 0 0 ANTHONY C EVANS JR MD PHYSICIAN 622861 0 1598 0 95065 0 2700 0 30602 0 752826 0 0 0 STEPHANIE ANDERSON FORMER EXEC VP/CHIEF ADMIN OFFICER 483591 0 620 0 188449 0 7658 0 10450 0 690768 0 0 0 EDWARD W VEILLON JR MD PHYSICIAN 550527 0 1600 0 58809 0 18638 0 32746 0 662320 0 0 0 ALBERT L DIKET MD PHYSICIAN 549911 0 1600 0 47261 0 24175 0 25013 0 647960 0 0 0 RENE RAGAS PRESIDENT/CEO 374659 0 50000 0 113907 0 45637 0 19278 0 603481 0 0 0 TARA BENJAMIN PHYSICIAN 550971 0 1600 0 14337 0 2050 0 12455 0 581413 0 0 0 PAUL CLECKNER FORMER PRESIDENT/CEO (INTERIM) 337743 0 158718 0 59454 0 0 0 18169 0 574084 0 0 0 PATRICK SEITER IN-HOUSE GENERAL COUNSEL 360323 0 135101 0 5287 0 46281 0 4642 0 551634 0 0 0 KURT SCOTT SR. VP/CHIEF OP OFFICER 291142 0 154673 0 8249 0 32234 0 20616 0 506914 0 0 0 APRIL CHAISSON VP, FINANCE 293389 0 97549 0 14387 0 54093 0 23391 0 482809 0 0 0 EBONI BUCHANAN VP, PHYSICIAN SERVICES 251075 0 161376 0 443 0 23771 0 14285 0 450950 0 0 0 PAUL KIRK VP, CHIEF INFORMATION OFFICER 283609 0 109901 0 9532 0 44392 0 1361 0 448795 0 0 0 CHERI JOHNSON SR VP, PT CARE/CHIEF NSG 275667 0 94620 0 2588 0 38544 0 1397 0 412816 0 0 0 ED HALPHEN VP, HUMAN RESOURCES 235788 0 68752 0 2249 0 15741 0 23213 0 345743 0 0 0 MARY MAHER-GRIFFITHS VP, QUALITY 196346 0 87365 0 2878 0 17237 0 29583 0 333409 0 0 0 WENDY SINGLTON VP, NURS ADMIN/ASSOC CNO 192359 0 35642 0 4311 0 25657 0 29137 0 287106 0 0 0 KEILA STOVAL CHIEF PHIL OFF & FND PRES 175659 0 49722 0 1555 0 11080 0 843 0 238859 0 0 0 GREGORY SNOW VP, REVENUE CYCLE 136202 0 20000 0 76445 0 0 0 2638 0 235285 0 0 0 PART I, LINE 1A PAUL CLECKNER AND RENE RAGAS WERE PAID A TEMPORARY HOUSING ALLOWANCE WHEN THEY WERE HIRED. THE ALLOWANCE AND OTHER MOVING EXPENSE PAYMENTS WERE GROSSED UP WHEN PAID. THE BOARD OF DIRECTORS ATTENDED A GOVERNANCE CONFERENCE IN COLORADO SPRINGS, CO DURING THE FISCAL YEAR. FIVE SPOUSES OF BOARD MEMBERS WERE PRESENT ON THIS TRIP. PART I, LINES 4A-B 457(F) CONTRIBUTIONS: RENE RAGAS - $45,637 ROBERT MOORE MD - $3,584 STEPHANIE ANDERSON - $7,658 PATRICK SEITER - $46,281 KURT SCOTT - $32,234 PAUL KIRK - $44,392 CHERI JOHNSON - $38,544 APRIL CHAISSON - $54,093 ED HALPHEN - $15,741 EBONI BUCHANAN - $23,771 MARY MAHER-GRIFFITHS - $17,237 KEVIN GUIDRY - $5,823 WENDY SINGLTON - $25,657 KEILA STOVAL - $11,080 ANTHONY C. EVANS JR. MD - $2,700 MARSHALL ST. AMANT MD - $30,925 TARA BENJAMIN - $2,050 EDWARD W. VEILLON JR. MD - $18,638 ALBERT L DIKET MD - $24,175 PART I, LINE 6 WOMAN'S HOSPITAL'S MANAGEMENT INCENTIVE PLAN PROVIDES FOR COMPENSATION IF CERTAIN GOALS/TARGETS ARE ACHIEVED, ONE BEING NET INCOME FROM OPERATIONS. A LCDA HOSP REV REF NOTE (WOMAN'S) SERIES 2015 721416168 2015-10-19 63605000 2015 TAX EXEMPT BONDS TO REFUND HOSPITAL REVENUE BONDS SERIES 2010B 0 0 0 B LCDA HOSP REV REF BONDS (WOMAN'S) SERIES 2017A 721416168 2017-06-28 251867391 SERIES 2017A WILL REFUND HOSPITAL REVENUE BONDS SERIES 2010A AND PAY COSTS 0 0 0 A 13345000 63605000 64381504 411894 63969609 1 0 1 1 B 5260000 251867391 269169259 2106164 267063094 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 0 B 0 TERRI THOMAS MD MEMBER OF AWH 312443 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 CHEREE SCHWARTZENBERG MD MEMBER OF SLG 223683 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 SUSAN PUYUA MD MEMBER OF AWH 312443 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 NICK SPEYRER OWNER OF EMERGENT METHOD 182511 PROVIDED CONSULTING AND SUPPORT SERVICES TO WOMAN'S HOSPITAL 0 SHAWN KLEINPETER MD MEMBER OF LWH 1639393 RENTAL PAYMENTS FOR SPACE IN PHYSICIAN'S OFFICE BUILDING 0 FORM 990, PART VI, SECTION A, LINE 2 DR. SUSAN PUYUA IS THE INTERIM CEO FOR ASSOCIATES IN WOMEN'S HEALTH OF WHICH DR. TERRU THOMAS IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 2 DR. CLIFF MOORE IS A MFM CONSULTANT TO ASSOCIATES IN WOMEN'S HEALTH OF WHICH DR. SUSAN PUYUA AND DR. TERRIE THOMAS ARE MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 EMERGENT METHOD, WHICH IS OWNED 90% BY NICK SPEYER, HAS A CONTRACTUAL RELATIONSHIP WITH LOUISIANA LOTTERY CORPORATION, WHOSE CEO IS ROSE HUDSON. FORM 990, PART VI, SECTION A, LINE 6 BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED BY FOUNDATION MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS. THE FOUNDATION CAN VOTE SEPARATELY FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A SUMMARY OF FORM 990 WAS PRESENTED TO THE BOARD PRIOR TO FILING. ALL BOARD MEMBERS WERE ALSO GIVEN THE OPTION TO REVIEW THE FORM 990 IN ITS ENTIRETY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A LETTER AND QUESTIONNAIRE ARE SENT TO EACH BOARD MEMBER ANNUALLY WITH A LIST OF OFFICERS, DIRECTORS, AND KEY PERSONNEL TO USE FOR REFERENCE IN REPORTING ANY POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A MARKET COMPARISON AND RESULTING RECOMMENDATIONS FOR TOTAL COMPENSATION AND MANAGEMENT INCENTIVE PLANS ARE CONDUCTED BY A CONSULTING FIRM AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S TAX DOCUMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO UPLOADED ONTO GUIDESTAR'S WEBSITE WHERE IT CAN BE VIEWED BY THE GENERAL PUBLIC. THE FOUNDATION'S ANNUAL REPORT IS AVAILABLE ON THE HOSPITAL WEBSITE. THE FOUNDATION ALSO ISSUES QUARTERLY BOND DISCLOSURE REQUIREMENTS TO BONDHOLDERS AND RATING AGENCIES. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE FILING OF THE PREVIOUS FORM 990. 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STUMBERG HOLDING, LLC IS 64.40% MEMBER IN STUMBERG LAND, LLC.