2022-02-14T12:34:19-06:00 2020-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2020-01-01 720467503 CHILDREN'S HOSPITAL INC CHIL 5048969388 200 HENRY CLAY AVENUE NEW ORLEANS LA 701185720 JOHN R NICKENS IV CEO 5048969452 2022-02-09 1 JOHN NICKENS IV 999009999 JOHN S WILES CPA P01222673 5048355522 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN NICKENS 200 HENRY CLAY AVE NEW ORLEANS LA 701185720 525162350 0 X WWW.CHNOLA.ORG X 1949 LA TO PROVIDE COMPREHENSIVE PEDIATRIC HEALTHCARE, THAT RECOGNIZES (CONTINUED ON SCHEDULE O) THE SPECIAL NEEDS OF CHILDREN, THROUGH EXCELLENCE AND THE CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, RESEARCH, CHILD ADVOCACY, AND MANAGEMENT. 14 11 2642 294 -191880 0 9710211 44941737 358063335 346367472 33966209 66755532 -54686 1975970 401685069 460040711 1215233 2824993 0 0 136429656 153379191 0 0 3692637 187573507 196257444 325218396 352461628 76466673 107579083 1883156358 2132885161 193653840 264846004 1689502518 1868039157 X TO PROVIDE COMPREHENSIVE PEDIATRIC HEALTHCARE, THAT RECOGNIZES THE SPECIAL NEEDS OF CHILDREN, THROUGH EXCELLENCE AND THE CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, RESEARCH, CHILD ADVOCACY, AND MANAGEMENT. 0 0 19451439 8418375 COMMUNITY CARE AND OUTREACH PROGRAMS: 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: (CONTINUED ON SCHEDULE O)CHILDREN'S HOSPITAL OUTPATIENT CENTER OF BATON ROUGE WAS IMMEDIATELY ESTABLISHED FOLLOWING HURRICANE KATRINA TO REACH OUT TO PATIENTS WHO RELOCATED TO THE BATON ROUGE AREA. CLINIC SPACE WAS PURCHASED 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 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. THE METAIRIE CENTER IS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE METAIRIE AREA. THE NORTHSHORE CLINIC IS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE COVINGTON AND MANDEVILLE AREAS. THE DENHAM SPRINGS CLINIC OPENED IN SEPTEMBER 2017 AS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE DENHAM SPRINGS 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 $15,490,708 FOR THE YEAR-END DECEMBER 31, 2020. BENEFITS TO THE INDIGENT ALSO INCLUDE CHARGES IN EXCESS OF GOVERNMENT PAYMENTS FOR SERVICES PROVIDED TO MEDICAID BENEFICIARIES OF APPROXIMATELY $563,687,694 FOR THE YEAR-END DECEMBER 31, 2020. IN ADDITION, CHILDREN'S HOSPITAL HAD TO WRITE-OFF APPROXIMATELY $4,518,315 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 ACROSS THE METRO NEW ORLEANS AREA. 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) PARENTING CLASSES, 2) TELEPHONE ADVICE AND COUNSELING SESSIONS ABOUT PARENTING, 3) A SAFE AND AGE-APPROPRIATE PLAY SPACE FOR PARENTS WITH THEIR YOUNG CHILDREN, ENCOURAGING INTERACTION AMONG THE FAMILIES AND STAFF, 4) COMMUNITY OUTREACH PROGRAMS AT SCHOOLS, BUSINESSES, AND OTHER INSTITUTIONS AND EVENTS, AS WELL AS BIWEEKLY TELEVISION SEGMENTS AND ARTICLES IN PARENTING PUBLICATIONS. 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. 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. 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 CHILDCARE 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 SIMILAR CENTERS 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 ELIGIBLE INFANTS, CHILDREN, AND ADOLESCENTS THROUGH THE AGE OF 18 YEARS. IN 2020, GNOIN HAD 9,229 VISITS TO THE IMMUNIZATION UNIT AND ADMINISTERED 17,804 VACCINES. THE SCHOOL KIDS IMMUNIZATION PROGRAM (SKIP) GREW OUT OF A NEED TO INCREASE THE IMMUNIZATION RATES FOR SCHOOL-AGE CHILDREN IDENTIFIED BY GNOIN. SKIP IS PRESENTLY WORKING WITH SCHOOLS LOCATED IN NEW ORLEANS EAST, ST. BERNARD, ORLEANS, AND JEFFERSON PARISH. SKIP WORKS WITH INDIVIDUAL SCHOOLS AND REVIEWS ALL THE STUDENT'S 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 2020, SKIP IMMUNIZED 1,982 STUDENTS AND ADMINISTERED 3,478 VACCINES.THE COVID PANDEMIC GREATLY IMPACTED THE GNOIN-SKIP PROGRAMS. THE COMBINED IMMUNIZATION PROGRAMS, SKIP AND GNOIN, STILL REMAIN ONE OF THE LARGEST PROVIDERS OF IMMUNIZATIONS IN THE STATE. COMBINED THE PROGRAMS IMMUNIZED A TOTAL OF 11,211 CHILDREN AND ADMINISTERED 21,282 VACCINATIONS IN 2020.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 2020, SERVICES WERE PROVIDED TO AN AVERAGE OF 92 PATIENTS PER MONTH.**TOTAL VISITS: 76,137 256271237 331804344 PATIENT CARE, GENERAL/OTHER: IN 2020 CHILDREN'S HOSPITAL PROVIDED CARE TO CHILDREN FROM ALL 64 PARISHES IN LOUISIANA, FROM 48 OTHER STATES, THE DISTRICT OF COLUMBIA AND 8 FOREIGN COUNTRIES. PATIENT VISITS TOTALED 140,016. INCLUDED IN THESE VISITS WERE 72,894 PHYSICIAN CLINIC VISITS, 33,670 EMERGENCY ROOM VISITS, 8,513 OUTPATIENT SURGICAL VISITS, AND 6,591 INPATIENT ADMISSIONS OR 47,883 PATIENT CARE DAYS. 1624595 354714 MEDICAL RESEARCH, GENERAL/OTHER:THE RESEARCH INSTITUTE FOR CHILDREN IS IN COLLABORATION WITH CHILDREN'S HOSPITAL, LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER NEW ORLEANS (LSUHSC-NO) AND TULANE UNIVERSITY. 104 RESEARCHERS FROM 29 DIVISIONS PARTICIPATE IN ACTIVITIES AT CHILDREN'S HOSPITAL CAMPUSES. THE TOTAL NUMBER OF RESEARCH PERSONNEL IS 13, COMPRISED OF 3 ADMINISTRATIVE SUPPORT PROFESSIONALS AND 10 RESEARCH STAFF MEMBERS.MEDICAL RESEARCHERS: 117 18342622 2824993 PROFESSIONAL EDUCATION:RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMSCHILDREN'S HOSPITAL HAS BECOME AN INCREASINGLY IMPORTANT TEACHING CENTER FOR BOTH UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION. APPROXIMATELY 121 TRAINEES IN GENERAL PEDIATRICS, PEDIATRIC/EMERGENCY MEDICINE AND INTERNAL MEDICINE/PEDIATRIC PROGRAMS OBTAIN MOST OF THEIR TRAINING AT THE HOSPITAL. IN ADDITION, RESIDENTS IN ANESTHESIOLOGY, EMERGENCY MEDICINE, GENERAL SURGERY, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, 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, CHILD AND ADOLESCENT PSYCHIATRY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY, HOSPITAL MEDICINE, INFECTIOUS DISEASE, NEONATAL-PERINATAL MEDICINE, AND NEPHROLOGY 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 NEW ORLEANS (LSUHSC-NO) AND TULANE UNIVERSITY (TU).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. 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 QUARTERLY FACILITATED BY THE DIRECTOR OF THE CLINICAL SCIENCES CURRICULUM 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.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 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 AND TU PEDIATRIC RESIDENCY TRAINING PROGRAMS. THESE PROGRAMS RECEIVED CONTINUED ACCREDITATION IN 2021. ALL OTHER RESIDENT AND FELLOW TRAINING PROGRAMS ARE ALSO SITE-VISITED AT SPECIFIED INTERVALS AND ARE FULLY ACCREDITED BY THE ACGME.MEDICAL RESIDENTS: 485 5790039 OTHER REVENUE CONSISTS OF PROFESSIONAL SERVICES TO THIRD-PARTIES BY CHILDREN'S HOSPITAL. THE MAIN ACTIVITIES ARE: CHILDREN'S HOSPITAL HAS A PROFESSIONAL SERVICES AGREEMENT WITH VARIOUS HEALTH CARE ENTITIES TO PROVIDE REVENUE CYCLE MANAGEMENT SERVICES. UNDER THIS AGREEMENT, THE HOSPITAL PERFORMS REVENUE CYCLE SERVICES FOR ALL CONTRACT PROFESSIONALS PROVIDING MEDICAL CARE AT CHILDREN'S HOSPITAL WHO ARE EMPLOYED BY THESE ENTITIES. CHILDREN'S HOSPITAL ALSO PROVIDES PROFESSIONAL SERVICES TO SEVERAL COMMUNITY HOSPITALS TO STAFF AND/OR MANAGE THEIR NEONATAL INTENSIVE CARE UNITS. 18342622 2824993 5790039 295689893 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 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 1 1 0 0 1 207 0 1 2642 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 14 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JESSICA CAHILL ASSISTANT VICE PRESIDENT FINANCE AND ANALYTICS 5048969388 200 HENRY CLAY AVENUE NEW ORLEANS LA 701185720 STEPHEN HALES MD CHAIR 1.00 0.00 X X 0 0 0 JULIE LIVAUDAIS GEORGE VICE CHAIR 1.00 0.00 X X 0 0 0 ANTHONY RECASNER PHD IMMEDIATE PAST CHAIR 1.00 0.00 X X 0 0 0 LOUIS V LAURICELLA SECRETARY / TREASURER 1.00 0.00 X X 0 0 0 CHRISTOPHER CHIP ROTH MD EX-OFFICIO 1.00 0.00 X X 0 0 0 KATIE CROSBY AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 BETTY LAURICELLA AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 TOD SMITH AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 KAYLEA HILL AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 HENRY PELTIER MD AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 WALTON GOLDRING AT-LARGE TRUSTEE 1.00 0.00 X 0 0 0 GREGORY C FEIRN BOARD TRUSTEE/CEO LCMC 1.00 54.00 X X 0 2028948 34450 JOHN R NICKENS IV BOARD TRUSTEE/CEO 54.00 1.00 X X 1662996 0 213175 GEORGE BISSET III MD BOARD TRUSTEE/CMO 54.00 0.50 X X 844411 0 23520 LUCIO FRAGOSO CAO 55.00 0.00 X 769899 0 117189 JAMIE WIGGINS CHIEF NURSING OFFICER 55.00 0.00 X 406081 0 123832 COURTNEY C GARRETT SR VP & CFO 55.00 0.00 X 318892 0 27717 MATTHEW SCHAEFER COO 55.00 1.00 X 308506 0 21563 ELLIS ARJMAND MD SURGEON-IN-CHIEF (SIC) 55.00 0.00 X 982416 0 32123 JOSEPH GONZALES MD PHYSICIAN 55.00 0.00 X 622880 0 18790 KENNETH WARD PHYSICIAN 55.00 0.00 X 510714 0 14892 MARIE-LOUISE HAYMON PHYSICIAN 55.00 0.00 X 498789 0 11766 LERON FINGER CHIEF QUALITY OFFICER 55.00 0.00 X 503889 0 11400 7429473 2028948 650417 191 0 1 0 TMX HEALTHCARE TECHNOLOGIES LLC 5454 LAKEVIEW PARKWAY SOUTH DR INDIANAPOLIS IN 46268 HEALTH AND ALLIED SERVICES, N.E.C. 2092772 GOOTEE CONSTRUCTION INC 2400 N ARNOULT ROAD METAIRIE LA 700555128 CONSTRUCTION COMPANY 1059499 PREMIUM PARKING SERVICE LLC 601 POYDRAS STREET SUITE 1500 NEW ORLEANS LA 70130 PARKING 845058 SUPERIOR NO 113 LINDA COURT GRETNA LA 70053 CONSTRUCTION COMPANY 756192 ACADIAN AMBULANCE SERVICES PO BOX 92970 LAFAYETTE LA 705092970 AMBULANCE SERVICES 714551 27 439126 87500 38291896 6123215 44941737 MEDICARE/MEDICAID PAYMENTS 900099 272925574 272925574 PATIENT CARE SERVICES 622000 59233484 59233484 AMBULATORY & PRIMARY HEALTH CARE 621000 8418375 8418375 OTHER PROGRAM SERVICE REVENUE 900099 5790039 5790039 346367472 37304424 37304424 1125349 540000 1006454 731880 118895 -191880 -72985 -191880 118895 92724601 60367293 2906200 32357308 -2906200 29451108 29451108 84370 439126 109812 -25442 -25442 CAFETERIA INCOME 722514 1982886 1982886 PARKING INCOME 812930 83891 83891 VENDING MACHINE INCOME 900099 7620 7620 2074397 460040711 346367472 -191880 68923382 X 2824993 2824993 3672033 397435 3274598 127239474 116836786 9687507 715181 3965019 3674173 268303 22543 9940244 9149484 734553 56207 8562421 7875764 633456 53201 29250740 29250740 755105 9454 745651 84535 84535 1731309 1731309 68610537 65793962 2234493 582082 1401909 61044 14724 1326141 8833570 6800705 1399218 633647 528945 474667 50242 4036 6525842 5757996 767846 216039 139107 74438 2494 148459 58169 90191 99 20033365 18429322 1444256 159787 3744171 3744171 MEDICAL & DIETARY FOOD 51364998 51237550 127366 82 OTHER EXPENSES 1861103 1827314 22264 11525 PERMITS,LICENSES,FILING 1166817 597797 443408 125612 352461628 295689893 53079098 3692637 5053959 1511107 3224568 2989942 148402347 136378905 5147357 5778806 2940162 3396515 555455752 188230137 317772146 367225615 950752212 1265042538 449863607 350561733 1883156358 2132885161 62259682 66231454 218552 3950938 131175606 194663612 193653840 264846004 X 1687565396 1865839192 1937122 2199965 1689502518 1868039157 1883156358 2132885161 107579083 70957556 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13841 13841 0 PART II-B, LINE 1: CHILDREN'S HOSPITAL PAID A PORTION OF DUES TO AN ORGANIZATION THAT WAS DEEMED TO BE FOR LOBBYING OR RELATED ACTIVITIES. THE TOTAL EXPENSE OF $13,841 WAS PAID TO LOUISIANA HOSPITAL ASSOCIATON WHICH WAS 16% OF DUES PAID. 180013 180013 180013 180013 180013 180013 180013 180013 180013 180013 1.00000 0 0 37097198 37097198 207677280 77363688 130313592 5566708 3643158 1923550 151293371 107223291 44070080 153821195 153821195 367225615 457B PLAN ASSET 5416824 LA PATIENT COMPENSATION FUND CDS 250000 DUE FROM RELATED ORGANIZATIONS 335098938 RIGHT OF USE- LEASED ASSETS 9795971 350561733 DUE TO RELATED ORGANIZATIONS 186551571 LEASED ASSETS 8112041 194663612 X 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 MADE 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 COMMINGLED WITH ALL OTHER INVESTMENTS FOR CHILDREN'S HOSPITAL EIN XXX-XX-XXXX. PART X, LINE 2: CHILDREN'S HOSPITAL IS A NOT-FOR-PROFIT ENTITY UNDER SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXATION. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. SUGAR PLUM BALL 2019 523496 439126 84370 36607 8526 9500 55179 523496 439126 84370 36607 8526 9500 55179 109812 -25442 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 3776266 0 3776266 0.01160 220092365 281813529 0 0.00000 223868631 281813529 3776266 0.01160 3774633 2290134 1484499 0.00460 21763802 2434939 19328863 0.05940 1430746 1142419 288327 0.00090 1624595 354714 1269881 0.00390 4278909 0 4278909 0.01320 32872685 6222206 26650479 0.08200 256741316 288035735 30426745 0.09360 1 4518315 2086926 2086926 X 1 1 1 1 CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 WWW.CHNOLA.ORG 72-0467503 X X X X X CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTPS://WWW.CHNOLA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 1 18 1 HTTPS://WWW.CHNOLA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 250.000000000000 400.000000000000 X 1 1 X X X X 1 X HTTPS://WWW.CHNOLA.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CHNOLA.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CHNOLA.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X 1 X 0 0 CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: CHNOLA COMBINED WITH ELEVEN MEMBERS OF THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO), A NON-PROFIT, REGIONAL MEMBERSHIP AND SERVICE ORGANIZATION REPRESENTING HOSPITALS AND HEALTHCARE ORGANIZATIONS IN THE GREATER NEW ORLEANS METROPOLITAN AREA TO INITIATE THE PROCESS OF CONDUCTING A COMPREHENSIVE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE COLLABORATIVE STUDY LAID THE FOUNDATION FOR INDIVIDUAL HOSPITAL CHNA'S (INDIVIDUAL-LEVEL CHNA REPORTS REQUIRED BY THE IRS EVERY THREE YEARS), SUCH AS CHNOLA'S CHNA. A COMPREHENSIVE CHNA PROCESS PERFORMED BY CHILDREN'S HOSPITAL NEW ORLEANS INCLUDED THE COLLECTION OF PRIMARY AND SECONDARY DATA. COMMUNITY ORGANIZATIONS AND LEADERS WITHIN THE SIX-PARISH REGION WERE ENGAGED TO DISTINGUISH THE NEEDS OF THE COMMUNITY. CIVIC AND SOCIAL ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 100 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS. 27 INTERVIEWS WITH COMMUNITY STAKEHOLDERS REPRESENTING LCMC HEALTH TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY HEALTH NEEDS FROM ORGANIZATIONS, AGENCIES, AND GOVERNMENT OFFICIALS THAT HAVE DAY-TO-DAY INTERACTIONS WITH POPULATIONS IN GREATEST NEED. INTERVIEWS PROVIDE INFORMATION ABOUT THE COMMUNITY'S HEALTH STATUS, RISK FACTORS, SERVICE UTILIZATIONS AND COMMUNITY RESOURCE NEEDS, AS WELL AS GAPS AND SERVICE SUGGESTIONS. 1 LOUISIANA DEPARTMENT OF HEALTH BUREAU OF CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION, KATE ANDRUS, MPH, RDN, LDN; 2 EXCELTH HEALTH DEPARTMENT, MIKE ANDRY; 3 UMCNO FORENSICS, JENNIFER AVEGNO, MD; 4 COMMUNITY STAKEHOLDER, JENNIFER STEEL-BOURGEOIS; 5 THE LOUISIANA CAMPAIGN FOR TOBACCO-FREE LIVING, MATTHEW BROUSSARD; 6 MARTIN LUTHER KING TASK FORCE & WEST BANK AFRICAN AMERICAN CHURCHES, DR. CLARA BYES; 7 CHILDREN'S BUREAU NEW ORLEANS , PAULETTE CARTER ; 8 JEFFERSON PARISH PUBLIC SCHOOL SYSTEM , SANDY DENAPOLIS ; 9 EMS NEW ORLEANS , JEFF ELDER, MD ; 10 UNITY OF GREATER NEW ORLEANS , MARTHA KEGEL ; 11 LOUISIANA PUBLIC HEALTH INSTITUTE , JOSEPH D. KIMBRELL, MA, MSW ; 12 WEST JEFFERSON MEDICAL CENTER; AUXILIARY , ALTHEA LACOUR ; 13 AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION , CORETTA LAGARDE ; 14 VIET , LANG LE ; 15 SUSAN G. KOMEN , LISA PLUNKETT ; 16 CIVIC COALITION WEST BANK , OSCAR PIPKINS ; 17 EXCELTH HEALTH CENTER , CHIOMA OGBUEFI, MD ; 18 NEW ORLEANS COUNCIL ON AGING , HOWARD RODGERS ; 19 UNITED HEALTHCARE , MELANIE THOMPSON ; 20 504 HEALTHNET, SUSAN TODD; 21 WJMC FOUNDATION DIRECTOR, SUSAN TRANTHAM; 22 JEFFERSON PARISH COUNCIL ON AGING, JEANNE TRIPOLI; 23 HUB INTERNATIONAL GULF SOUTH, CHARLOTTE WEIL, M.A., CWWS; 24 AMERICAN CANCER SOCIETY, AMY WILLIAMS; 25 THE BLOOD CENTER, ROSALIND WOODFOX; 26 LOUISIANA ORGAN PROCUREMENT AGENCY, STEPHANIE YOUNG; 27 BUREAU OF FAMILY HEALTH, AMY ZAPATA. NEEDS IDENTIFIED INCLUDE (NOT LISTED IN ANY SPECIFIC ORDER) 1) ACCESS TO CARE 2) CARE COORDINATION 3) CULTURAL COMPETENCE 4) EARLY INTERVENTION AND PREVENTION AND 5) BEHAVIORAL HEALTH SERVICES. CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA PROCESS WAS UNDERTAKEN WITH OTHER MEMBERS WITH THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS AS NOTED BELOW:LCMC HEALTH (INCLUDING CHILDREN'S HOSPITAL, NEW ORLEANS EAST HOSPITAL (NOEH), TOURO INFIRMARY, UNIVERSITY MEDICAL CENTER (UMC))OCHSNER HEALTH SYSTEM (INCLUDING OCHSNER MEDICAL CENTER - WEST BANK, OCHSNER MEDICAL CENTER - NORTH SHORE, OCHSNER MEDICAL CENTER - BAPTIST, OCHSNER MEDICAL CENTER - KENNER, OCHSNER MEDICAL CENTER - MAIN, OCHSNER REHABILITATION HOSPITAL, RIVER PLACE BEHAVIORAL HEALTH - OCHSNER MEDICAL CENTER, OCHSNER MEDICAL CENTER - ST. ANNE, OCHSNER MEDICAL CENTER - BATON ROUGE)HCA HEALTHCARE (INCLUDING TULANE LAKEVIEW REGIONAL MEDICAL CENTER, AND TULANE LAKESIDE HOSPITAL)SLIDELL MEMORIAL HOSPITAL, ST. TAMMANY PARISH HOSPITAL, AND EAST JEFFERSON GENERAL HOSPITAL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: CHILDREN'S HOSPITAL NEW ORLEANS IS A 229-BED, NOT-FOR-PROFIT PEDIATRIC ACADEMIC MEDICAL CENTER OFFERING A COMPLETE RANGE OF HEALTHCARE SERVICES FOR CHILDREN FROM BIRTH TO 21 YEARS. WITH OVER 40 PEDIATRIC SPECIALTIES AND MORE THAN 400 PHYSICIANS, IT IS THE ONLY FULL-SERVICE HOSPITAL EXCLUSIVELY FOR CHILDREN IN LOUISIANA AND THE GULF SOUTH. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), WHICH WENT INTO EFFECT ON MARCH 23, 2010, REQUIRES TAX-EXEMPT HOSPITALS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES IN ORDER TO IMPROVE THE HEALTH AND WELL-BEING BEING OF RESIDENTS WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL(S). THESE STRATEGIES CREATED BY HOSPITALS AND INSTITUTIONS CONSIST OF PROGRAMS, ACTIVITIES, AND PLANS THAT ARE SPECIFICALLY TARGETED TOWARDS POPULATIONS WITHIN THE COMMUNITY. THE EXECUTION OF THE IMPLEMENTATION STRATEGY PLAN IS DESIGNED TO INCREASE AND TRACK THE IMPACT OF EACH HOSPITALS' EFFORTS.TRIPP UMBACH WAS CONTRACTED BY METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) TO CONDUCT A CHNA FOR EAST JEFFERSON GENERAL HOSPITAL, LCMC HEALTH, OCHSNER HEALTH SYSTEM, HCA HEALTHCARE (TULANE MEDICAL CENTER), SLIDELL MEMORIAL HOSPITAL, AND ST. TAMMANY PARISH HOSPITAL. THE OVERALL CHNA INVOLVED MULTIPLE STEPS THAT ARE DEPICTED IN CHART 1. THE CHNA PROCESS UNDERTAKEN BY LCMC HEALTH, ALONG WITH EAST JEFFERSON GENERAL HOSPITAL, HCA HEALTHCARE (TULANE MEDICAL CENTER), OCHSNER HEALTH SYSTEM, SLIDELL MEMORIAL HOSPITAL, AND ST. TAMMANY PARISH HOSPITAL, WITH PROJECT MANAGEMENT AND CONSULTATION BY TRIPP UMBACH, INCLUDED INPUT FROM REPRESENTATIVES WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITIES, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH ISSUES, DATA RELATED TO UNDERSERVED, HARD-TO-REACH, VULNERABLE POPULATIONS, AND REPRESENTATIVES OF VULNERABLE POPULATIONS SERVED BY EACH HOSPITAL. TRIPP UMBACH WORKED CLOSELY WITH WORKING GROUP MEMBERS TO OVERSEE AND ACCOMPLISH THE ASSESSMENT AND ITS GOALS. THIS REPORT FULFILLS THE REQUIREMENTS OF THE INTERNAL REVENUE CODE 501(R)(3), ESTABLISHED WITHIN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) REQUIRING THAT NONPROFIT HOSPITALS CONDUCT CHNAS EVERY THREE YEARS. DATA FROM GOVERNMENT AND SOCIAL AGENCIES PROVIDES A STRONG FRAMEWORK AND A COMPREHENSIVE PIECE TO THE OVERALL CHNA. THE INFORMATION COLLECTED IS A SNAPSHOT OF THE HEALTH OF RESIDENTS IN SOUTHERN LOUISIANA, WHICH ENCOMPASSED SOCIOECONOMIC INFORMATION, HEALTH STATISTICS, DEMOGRAPHICS, AND MENTAL HEALTH ISSUES, ETC. THE CHNA REPORT IS A SUMMARY OF PRIMARY AND SECONDARY DATA COLLECTED FOR LCMC HEALTH - CHILDREN'S HOSPITAL WHILE THE IMPLEMENTATION STRATEGY PLANNING REPORT IS A PLAN FOR HOW LCMC HEALTH - CHILDREN'S HOSPITAL WILL ADDRESS THE IDENTIFIED NEEDS FROM THE CHNA OVER THE NEXT 3 YEARS.TRIPP UMBACH FACILITATED AND MANAGED AN IMPLEMENTATION PLANNING PROCESS ON BEHALF OF CHILDREN'S HOSPITAL OF NEW ORLEANS, RESULTING IN THE DEVELOPMENT OF AN IMPLEMENTATION STRATEGY AND PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENTCOMPLETED IN 2018 (I.E., ACCESS TO HEALTH SERVICES; RESOURCE AWARENESS AND HEALTH LITERACY; ACCESS TO HEALTHY OPTIONS; AND BEHAVIORS THAT IMPACT HEALTH).NOTE: THE IMPLEMENTATION PLANNING STRATEGY REPORT IDENTIFIES SPECIFIC APPROACHES AND ACTIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS FROM THE 2018 CHNA. SPECIFIC TIMEFRAMES AND MEASURES/METRICS ARE TRACKED INTERNALLY FOR REPORTING PURPOSES. HOSPITAL ADMINISTRATION WILL UTILIZE THESE MEASURES/METRICS TO ENSURE BENCHMARKING EFFORTS ARE BEING TRACKED BETWEEN EACH ASSESSMENT CYCLE.REFER TO HTTP://WWW.CHNOLA.ORG/COMMUNITYHEALTH FOR THE DETAILS OF THE IMPLEMENTATION PLAN. CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: CHILDREN'S HOSPITAL - PATIENTS INELIGIBLE FOR FINANCIAL ASSISTANCE AND HAVING NO THIRD-PARTY COVERAGE FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES PROVIDED BY CHILDREN'S HOSPITAL WILL BE GRANTED A DISCOUNT EQUAL TO THAT OF THE AVERAGE AMOUNT GENERALLY BILLED. CHILDREN'S HOSPITAL PART V, SECTION B, LINE 18E: CHILDREN'S HOSPITAL - NONE OF A - D OR ANYTHING SIMILAR, BUT IF ELIGIBLE FOR OTHER FUNDING, WE ASK THE FAMILIES TO APPLY FOR SUCH FUNDING. CHILDREN'S HOSPITAL PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL - REFER TO NOTE FOR SCHEDULE H, PART III, SECTION C, LINE 9B. 4 1 - BATON ROUGE CLINIC 720 CONNELL PLACE BATON ROUGE LA 70809 OUTPATIENT CLINIC 2 - LAFAYETTE CLINIC 1121 COOLIDGE STREET LAFAYETTE LA 70505 OUTPATIENT CLINIC 3 - COV 21NORTHSHORE 71338 HIGHWAY 21 COVINGTON LA 70433 OUTPATIENT CLINIC 4 - METAIRIE RIDGELAKE CENTER 2121 RIDGELAKE DRIVE 2N FL METAIRIE LA 70001 OUTPATIENT CLINIC PART III, LINE 2: TOTAL PATIENT ACCOUNT BALANCES WRITTEN OFF TO BAD DEBT WERE $4,518,315. BAD DEBT EXPENSE IS NOT INCLUDED IN THE AMOUNTS REPORTED AS COMMUNITY BENEFIT IN OTHER SECTIONS OF SCHEDULE H. PART III, LINE 4: UNDER ASU 2014-09, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET OPERATING REVENUES, WITH A CORRESPONDING MATERIAL REDUCTION IN THE AMOUNTS PRESENTED SEPARATELY AS PROVISION FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE ALLOWABLE COST. PART III, 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. 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, 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. PART VI, LINE 2: THE HOSPITALS SUPPORT TO THE COMMUNITY INCLUDES 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. PROGRAMS INCLUDE COCHLEAR IMPLANT, PARENTING CENTER, AUTISM CENTER, VENTILATOR ASSISTED CARE PROGRAM, GREATER NEW ORLEANS IMMUNIZATION NETWORK, AMBULATORY CLINICAL AND NUTRITIONAL SUPPORT SERVICES, AND CONTRIBUTIONS TO SUPPORT THE GREATER NEW ORLEANS MIRACLE LEAGUE, AND THE MIRACLE LEAGUE NORTHSHORE. 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. 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), AND 20-BED CARDIAC INTENSIVE CARE UNIT (CICU), THE ONLY ONE DEDICATED ENTIRELY TO THE CARE OF CARDIAC PATIENTS FROM BIRTH TO ADULTHOOD IN THE STATE. 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 35 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, CHILDREN'S HOSPITAL BURDIN RIEHL CLINIC IN LAFAYETTE, LA, AND THE NORTHSHORE CENTER OF COVINGTON, LA. THE INPATIENT PSYCHIATRIC UNIT IS THE ONLY ADOLESCENT AND CHILD MENTAL HEALTH INPATIENT UNIT IN THE GREATER NEW ORLEANS METRO AREA. THE HOSPITAL ALSO PROVIDES OUTPATIENT PSYCHOLOGY SERVICES FOR THE COMMUNITY. IN 2018, THE REGION OF NEW ORLEANS WHICH IS SERVED BY LCMC CHILDREN'S, LCMC NEW ORLEANS EAST (NOEH), TOURO INFIRMARY, OCHSNER BAPTIST MEDICAL CENTER, AND TULANE MEDICAL CENTER ALONG WITH OCHSNER MEDICAL CENTER - BAPTIST, AND TULANE MEDICAL CENTER REPRESENTED A TOTAL OF 63 ZIP CODES. THE FINAL CHNA NEEDS WERE DEFINED THROUGH A REGIONAL APPROACH FOCUSING ON SIX PARISHES. THE PARISHES WERE: JEFFERSON, ORLEANS, ST. BERNARD, ST. CHARLES, ST. TAMMANY, AND TANGIPAHOA PARISHES. OVERALL NEW ORLEANS REGION POPULATION AND DEMOGRAPHICS SNAPSHOT: THE NEW ORLEANS REGIONAL STUDY AREA ZIP CODES ENCOMPASS 1,329,370 RESIDENTS. JEFFERSON PARISH ENCOMPASSES 437,303 RESIDENTS AND IS THE LARGEST PARISH IN THE STUDY AREA.FROM 2017 TO 2022 THE NEW ORLEANS STUDY AREA IS PROJECTED TO EXPERIENCE A 4.67% INCREASE IN POPULATION (62,066 PEOPLE).ST. BERNARD PARISH PROJECTS THE LARGEST POPULATION INCREASE OF 9.30 PERCENT; WHILE ST. CHARLES PARISH IS PROJECTED TO HAVE THE SMALLEST POPULATION INCREASE OF 1.1 PERCENT. THE GENDER BREAKDOWN FOR THE STUDY AREA IS CONSISTENT ACROSS THE STUDY AREA PARISHES AND SIMILAR TO STATE AND NATIONAL NORMS. ORLEANS PARISH REPORTS A LARGER PERCENTAGE OF 25-34-YEAR OLD (18.04 PERCENT) WHEN COMPARED TO THE STATE (14.16 PERCENT) AND NATION (13.43 PERCENT). ST. TAMMANY PARISH REPORTS THE HIGHEST WHITE, NON-HISPANIC POPULATION PERCENTAGE AT 78.43 PERCENT. ORLEANS PARISH REPORTS THE HIGHEST BLACK, NON-HISPANIC POPULATION ACROSS THE STUDY AREA AT 57.88 PERCENT. JEFFERSON AND ST. BERNARD PARISHES REPORT THE HIGHEST RATE OF RESIDENTS WITH 'LESS THAN A HIGH SCHOOL' DEGREE (6.49 PERCENT AND 6.48 PERCENT RESPECTIVELY). ORLEANS PARISH REPORTS THE HIGHEST RATE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER AT 35.06 PERCENT. TANGIPAHOA PARISH REPORTS THE LOWEST AVERAGE ANNUAL HOUSEHOLD INCOME FOR THE STUDY AREA AT $58,371. ORLEANS PARISH REPORTS HIGH RATES OF HOUSEHOLDS THAT EARN LESS THAN $15,000 PER YEAR (23.44 PERCENT). ST. TAMMANY PARISH REPORTS THE HIGHEST RATES OF HOUSEHOLDS EARNING OVER $100K (30.28 PERCENT). 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 NON-SERVED 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. PARTICULARLY, 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 AS WELL AS PART VI, LINE 6. PART VI, LINE 6: LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009, WITH ITS FOUNDING MEMBER BEING CHILDREN'S HOSPITAL (CHILDREN'S). THROUGH A HEALTH CARE SYSTEM AGREEMENT (SYSTEM AGREEMENT) BETWEEN LCMC, CHILDREN'S, TOURO INFIRMARY AND ITS SUBSIDIARIES (TOURO), AND COOPERATIVE ENDEAVOR AGREEMENTS (CEAS) WITH UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC), WEST JEFFERSON HOLDING, LLC (WEST JEFFERSON), AND EAST JEFFERSON GENERAL HOSPITAL, THESE PARTIES HAVE DETERMINED THAT TOGETHER THEY CAN PROVIDE A MULTI-HOSPITAL, NOT-FOR-PROFIT COMMUNITY-BASED, SYSTEM THAT WILL PROVIDE A CONTINUUM OF CARE TO THE FAMILIES OF THE GULF SOUTH REGION. LCMC, CHILDREN'S, TOURO, UMCMC, WEST JEFFERSON, AND EAST JEFFERSON ARE HEREINAFTER COLLECTIVELY REFERRED TO AS THE SYSTEM. LCMC FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. ALL CORPORATE POWERS OF THE SYSTEM ARE VESTED IN THE BOARD OF TRUSTEES OF LCMC.CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY. UMCMC OPERATES THE INTERIM LSU HOSPITAL (ILH) AND UPON ITS COMPLETION THE NEW UNIVERSITY MEDICAL CENTER IN NEW ORLEANS (UMC). UMCMC IS A PROVIDER OF CHARITY CARE FOR THE UNINSURED AND PLAYS A VITAL ROLE AS A STATEWIDE REFERRAL CENTER FOR PATIENTS IN NEED OF TERTIARY CARE. UMCMC ALSO PROVIDES MEDICAL AND ALLIED HEALTH TRAINING THROUGH ITS AFFILIATION WITH ACADEMIC INSTITUTIONS TO STRENGTHEN AND ENHANCE OPPORTUNITIES TO ACHIEVE THE STATE'S MEDICAL EDUCATION, CLINICAL CARE AND RESEARCH GOALS. IN TAX YEAR 2020, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $828.8 MILLION. THIS AMOUNT REPRESENTED 47% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2020, $593.9 MILLION IN EXPENSE (34% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. 1 GREATER NEW ORLEANS MIRACLE LEAGUE 200 HENRY CLAY AVENUE NEW ORLEANS LA 701185720 810635899 501(C)(3) 26645 FMV CHILDREN'S HOSPITAL HAS AN AGREEMENT TO FUND 25 PERCENT OF THE MIRACLE LEAGUE'S EXPENSES AS THE HOSPITAL'S ANNUAL CONTRIBUTION TO THE MIRACLE LEAGUE. MIRACLE LEAGUE NORTHSHORE 200 HENRY CLAY AVENUE NEW ORLEANS LA 701185720 465626903 501(C)(3) 71998 FMV CHILDREN'S HOSPITAL HAS AN AGREEMENT TO FUND 25 PERCENT OF THE MIRACLE LEAGUE'S EXPENSES AS THE HOSPITAL'S ANNUAL CONTRIBUTION TO THE MIRACLE LEAGUE NORTHSHORE. IN 2020 CHILDREN'S HOSPITAL ALSO CONTRIBUTED A SPONSORSHIP OF $50,000 TO THE MIRACLE LEAGUE NORTHSHORE TO FURTHER THIS ORGANIZATION'S MISSION OF PROVIDING CHILDREN WITH AN OPPORTUNITY TO PLAN TEAM SPORTS. NEW ORLEANS CLINICAL SERVICES LLC 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 844985872 501(C)(3) 1331873 FMV GRANT TO NEW ORLEANS CLINICAL SERVICES, WHICH IS A SMLLC OF LCMC, WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOCS TO SUPPORT THEIR HEALTHCARE AND EDUCATIONAL ACTIVITIES, SPECIFICALLY FOR UNINSURED AND UNDERINSURED PATIENTS. THIS DONATION SUPPORTS CHILDREN'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFIT OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTHCARE SERVICES LLC DBA NOLA PHYSICIAN GROUP 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 823686098 501(C)(3) 563271 FMV GRANT TO NOLA PHYSICIAN GROUP, WHICH IS A SMLLC OF LCMC, WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO SUPPORT THEIR HEALTHCARE AND EDUCATIONAL ACTIVITIES, SPECIFICALLY FOR UNINSURED AND UNDERINSURED PATIENTS. THIS DONATION SUPPORTS CHILDREN'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFIT OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SUPPORT LLC 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 853007356 501(C)(3) 831206 FMV GRANT TO LCMC HEALTH CLINICAL SUPPORT, WHICH IS A SMLLC OF LCMC, WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO LHCS TO SUPPORT THEIR HEALTHCARE AND EDUCATIONAL ACTIVITIES, SPECIFICALLY FOR UNINSURED AND UNDERINSURED PATIENTS. THIS DONATION SUPPORTS CHILDREN'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFIT OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. 5 X X X 0 0 0 0 0 0 0 0 0 GREGORY C FEIRN BOARD TRUSTEE/CEO LCMC 0 1572809 0 444325 0 11814 0 11400 0 23050 0 2063398 0 0 JOHN R NICKENS IV BOARD TRUSTEE/CEO 816705 0 834477 0 11814 0 201055 0 12120 0 1876171 0 500000 0 GEORGE BISSET III MD BOARD TRUSTEE/CMO 637546 0 188224 0 18641 0 11400 0 12120 0 867931 0 0 0 LUCIO FRAGOSO CAO 572473 0 174524 0 22902 0 111396 0 5793 0 887088 0 0 0 JAMIE WIGGINS CHIEF NURSING OFFICER 316907 0 86182 0 2992 0 111396 0 12436 0 529913 0 0 0 COURTNEY C GARRETT SR VP & CFO 242422 0 74476 0 1994 0 11400 0 16317 0 346609 0 0 0 MATTHEW SCHAEFER COO 197902 0 109236 0 1368 0 11400 0 10163 0 330069 0 0 0 ELLIS ARJMAND MD SURGEON-IN-CHIEF (SIC) 751979 0 216343 0 14094 0 11400 0 20723 0 1014539 0 0 0 JOSEPH GONZALES MD PHYSICIAN 619778 0 0 0 3102 0 11400 0 7390 0 641670 0 0 0 KENNETH WARD PHYSICIAN 416523 0 83350 0 10841 0 11400 0 3492 0 525606 0 0 0 MARIE-LOUISE HAYMON PHYSICIAN 419648 0 70225 0 8916 0 11400 0 366 0 510555 0 0 0 LERON FINGER CHIEF QUALITY OFFICER 386699 0 113176 0 4014 0 11400 0 0 0 515289 0 0 0 PART I, LINE 3 BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR CHILDREN'S HOSPITAL'S PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS CHILDREN'S HOSPITAL'S PARENT. THE EXECUTIVE COMMITTEE IS A 9 VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 TWO OF THE BOARD MEMBERS/TRUSTEES, MRS. FRANCIS LAURICELLA (BETTY)AND LOUIS LAURICELLA ARE MOTHER AND SON RELATED. FORM 990, PART VI, SECTION A, LINE 6 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) HAS THE SOLE AUTHORITY TO APPOINT THE BOARD OF CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B ON JULY 13, 2009, AS PART OF THE ACQUISITION 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 CHILDREN'S HOSPITAL. THE BOARD OF TRUSTEE'S OF LCMC, THROUGH A MAJORITY VOTE APPROVES THE ANNUAL OPERATING BUDGETS AND CAPITAL EXPENDITURES OF CHILDREN'S HOSPITAL. LCMC ALSO APPROVES THE APPOINTMENT OF NEW MEMBERS OF THE BOARD OF TRUSTEE'S OF CHILDREN'S HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 WAS PRESENTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD FOR REVIEW VIA EMAIL LINK TO A SECURE DROP BOX. THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY CHILDREN'S ACCOUNTING DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEE'S PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL OF THE LCMC EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G GENERAL MEDICAL PROF FEES: PROGRAM SERVICE EXPENSES 51,150,686. MANAGEMENT AND GENERAL EXPENSES 187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,150,873. ACADIAN AMBULANCE SE: PROGRAM SERVICE EXPENSES 714,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 714,551. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 207,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 207,090. CUMMINS SALES AND SERVICES: PROGRAM SERVICE EXPENSES 472,064. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472,064. KLS MARTIN: PROGRAM SERVICE EXPENSES 373,774. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 373,774. QCS LOGISTICS: PROGRAM SERVICE EXPENSES 323,148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,148. GOOTEE SERVICES: PROGRAM SERVICE EXPENSES 1,059,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,059,499. INTERSTATE ELECTRONICS: PROGRAM SERVICE EXPENSES 310,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 310,407. NATIONAL MARROW DONOR: PROGRAM SERVICE EXPENSES 269,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 269,685. PREMIUM PARKING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 845,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 845,058. TMX HEALTHCARE TECHNOLOGY: PROGRAM SERVICE EXPENSES 2,092,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,092,772. WESTPORT LINEN SERVICE: PROGRAM SERVICE EXPENSES 525,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525,251. SUPERIOR NO: PROGRAM SERVICE EXPENSES 756,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 756,192. OTHER FEES: PROGRAM SERVICE EXPENSES 7,745,933. MANAGEMENT AND GENERAL EXPENSES 1,182,158. FUNDRAISING EXPENSES 582,082. TOTAL EXPENSES 9,510,173. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VIII, LINE 1 AND LINE 8 FUNDRAISING AND CONTRIBUTION REVENUES INCLUDE (BUT ARE NOT LIMITED TO) THE FOLLOWING: THE 39TH ANNUAL SUGARPLUM BALL - A NIGHT IN WONDERLAND - WAS HELD MARCH 7TH AT THE FILMORE. THE WEEK BEFORE THE CITY OF NEW ORLEANS SHUT DOWN DUE TO THE COVID-19 PANDEMIC. THE EVENT RAISED MORE THAN $525,000 FOR THE NEW CARDIAC INTENSIVE CARE UNIT (CICU) AT CHILDREN'S HOSPITAL. OUR HEART CENTER CARES FOR CHILDREN WITH CONGENITAL HEART DISEASE FROM ACROSS THE REGION AND AROUND THE WORLD. CENTRAL TO THIS EFFORT IS THE CARDIAC INTENSIVE CARE UNIT (CICU) - WHICH PROVIDES HIGHLY SPECIALIZED TREATMENT DESIGNED FOR PATIENTS WITH EVEN THE MOST COMPLEX HEART DEFECTS. SUPPORT OF SUGARPLUM BALL ALLOWED CHILDREN'S HOSPITAL TO CONTINUE TO PROVIDE LIFE SUSTAINING CARE TO THESE PRECIOUS CHILDREN. A SOCIALLY DISTANCED AND SAFE VERSION OF OUR ANNUAL FAMILY-FRIENDLY HALLOWEEN EVENT WAS HELD OVER TWO WEEKENDS: OCTOBER 17TH AND 18TH AND OCTOBER 24TH AND 25TH AT AUDUBON ZOO. PEEK-A-BOO AT THE ZOO MOVED FROM NIGHT TO DAYTIME AND INCLUDED A HAUNTED HOUSE, SOCIALLY DISTANT GAME AREA, A CHANCE TO VISIT THE ANIMAL EXHIBITS, AND PRE-PACKAGED TRICK-OR-TREAT BAGS. THE HOSPITAL AND THE ZOO BENEFITED FROM THIS EVENT RAISING MORE THAN $100,000. THE 12TH ANNUAL JAZZ HALF MARATHON & 5K SCHEDULED FOR OCTOBER, WAS CANCELED DUE TO COVID-19. IN ITS PLACE WE LAUNCHED THE FIRST JAZZ VIRTUAL CHALLENGE, ENCOURAGING FAMILIES TO RUN THEIR OWN 5K OR HALF MARATHON, FROM ANYWHERE. THE VIRTUAL CHALLENGE RAISED MORE THAN $71,000 FOR CHILDREN'S HOSPITAL NEW ORLEANS. OUR COMMUNITY FUNDRAISERS BROUGHT IN OVER $100,000 IN DONATIONS TO THE HOSPITAL. EVEN AMID THE COVID-19 PANDEMIC, OUR LOYAL FUNDRAISERS FOUND CREATIVE WAYS TO STILL FUNDRAISE DURING A RESTRICTED EVENT TIME. THESE FUNDRAISERS TAKE PLACE YEAR-ROUND AND ARE COORDINATED BY GENEROUS FRIENDS LIKE MARITIME RISK CLAIM SOLUTIONS, THE HOUMA OILMAN'S FISHING RODEO, THE ITALIAN AMERICAN FISHING RODEO, COCONUT BEACH VOLLEYBALL COMPLEX AND SO MANY MORE INDIVIDUALS AND SMALL BUSINESSES. FORM 990, PART VIII, LINE 1E IN RESPONSE TO THE ECONOMIC IMPACT OF COVID-19, THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (CARES ACT) WAS ENACTED BY CONGRESS AND WAS SUBSEQUENTLY SIGNED INTO LAW ON MARCH 27, 2020. THE CARES ACT INCLUDED A VARIETY OF ECONOMIC ASSISTANCE PROVISIONS FOR BUSINESSES AND INDIVIDUALS. CHILDREN'S HOSPITAL SUSPENDED NONEMERGENT OR NON-CRITICAL SURGERIES, PROCEDURES AND APPOINTMENTS BEGINNING IN MID-MARCH THROUGH EARLY-MAY IN 2020 DUE TO COVID-19. UNDER CERTAIN PROVISIONS IN THE CARES ACT, THE ORGANIZATION RECEIVED BENEFITS RELATED TO PROVIDER RELIEF FUNDING TOTALING $35,873,474, FOR THE YEAR ENDED DECEMBER 31, 2020. THE HOSPITAL IS REPORTING $32,165,762 AS GOVERNMENT GRANTS ON PART VII OF THE FORM 990 OPERATIONS AND THE REMAINING $3,707,712 AS DEFERRED REVENUE ON LINE 19 OF PART X OF THE FORM 990. CHILDREN'S HOSPITAL MEDICAL PRACTICE 298 HENRY CLAY AVENUE NEW ORLEANS LA 701185720 721318421 PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE LA 501(C)(3) LINE 10 1 LOUISIANA CHILDREN'S MEDICAL CENTER 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 943480131 PROVIDES SUPPORT FOR THE AFFILIATES OF LCMC LA 501(C)(3) LINE 3 0 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 720423659 COMMUNITY BASED, NOT-FOR-PROFIT, FAITH-BASED HOSPITAL LA 501(C)(3) LINE 3 LCMC 0 UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION 2021 PERDIDO STREET NEW ORLEANS LA 70112 251925187 HOSPITAL LA 501(C)(3) LINE 3 LCMC 0 LCMC HEALTH HOLDINGS DBA EAST JEFFERSON GENERAL HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 843390470 FULL SERVICE COMMUNITY & TEACHING HOSPITAL LA 501(C)(3) LINE 3 LCMC 0 CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 061587311 ANESTHESIA SERVICES LA 501(C)(3) LINE 10 LCMC 0 AUDUBON RETIREMENT VILLAGE INC 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 842278120 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LCMC 0 NEW ORLEANS PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO LA 70072 464568405 PHYSICIAN PRACTICES LA 501(C)(3) LINE 10 WEST JEFFERSON MEDICAL CENTER 0 WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS LA 70114 720540671 HEALTHCARE SERVICES LA 501(C)(3) LINE 10 TOURO INFIRMARY 0 METAIRIE PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD METAIRIE LA 70001 461434300 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LCMC HEALTH HOLDINGS 0 TOURO INFIRMARY FOUNDATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721169939 HEALTHCARE SUPPORT LA 501(C)(3) LINE 12A, I TOURO INFIRMARY 0 TIJV LLC 1401 FOUCHER ST NEW ORLEANS LA 70115 261378361 IMAGING CENTER RENTAL LA N/A 0 0 CRESCENT CITY RESEARCH CONSORTIUM LLC 1111 MEDICAL CENTER BLVD STE N701 MARRERO LA 70072 383880814 SCIENTIFIC RESEARCH LA N/A 0 0 COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD STE N-201 MARRERO LA 70072 364819943 MEDICAL COLLABORATION LA N/A 0 0 EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE LA 70006 201425074 OUTPATIENT SURGERY LA N/A 0 0 CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA STREET SUITE 72 NEW ORLEANS LA 70115 721269878 HEALTHCARE LA N/A C 0 BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721226687 REAL ESTATE LA N/A C 0 PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION 650 POYDRAS STREET SUITE 1200 NEW ORLEANS LA 70130 720866121 REAL ESTATE LA N/A C 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION O 11724957 SALARIES EIN 72-1318421 CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION D 50997777 FMV