2021-06-10T13:00:41-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 761027427 990 2019-07-01 831605004 Ochsner LSU Health System of North Louisiana OCHS 3186260990 1431 Dalzell Street Shreveport LA 71103 VERNON MOORE CFO, TREASURER 2021-06-10 true MELVA SCOTT P01207335 8173351900 2019 2022-09-23 18:48:47Z Ochsner LSU Health Shreveport CHARLES DAIGLE 1431 Dalzell Street Shreveport LA 71103 793255516 false X https://www.ochsnerlsuhs.org/ X 2018 LA TO PROVIDE HOSPITAL AND MEDICAL CARE TO THE RESIDENTS OF SHREVEPORT AND MONROE, LOUISIANA, AND THEIR SURROUNDING COMMUNITIES THROUGH THE OWNERSHIP AND OPERATION OF THREE SAFETY-NET HOSPITALS. 10 10 4412 109 0 0 218380 22414999 572279413 746709455 -305466 -64143 3663 17702428 572195990 786762739 2500000 318169 0 171993385 263229469 0 0 349881020 493421705 524374405 756969343 47821585 29793396 197150200 334299199 129915626 230858248 67234574 103440951 NO BOARD APPROVED MISSION STATEMENT false false 586199789 318169 764347740 TO PROVIDE HOSPITAL AND MEDICAL CARE TO THE RESIDENTS OF SHREVEPORT AND MONROE, LOUISIANA, AND THEIR SURROUNDING COMMUNITIES THROUGH THE OWNERSHIP AND OPERATION OF THREE SAFETY-NET HOSPITALS. THE SYSTEM SERVED 24,259 INPATIENTS RESULTING IN 146,346 PATIENT DAYS. EMERGENCY ROOM VISITS TOTALED 95,505. THE NUMBER OF BIRTHS TOTALED 2,710. OUTPATIENT HOSPITAL VISITS TOTALED 508,331. OCHSNER LSU HEALTH SYSTEM SERVES AS THE SAFETY NET PROVIDER FOR THE POOR AND UNDER SERVED RESIDING IN NORTH AND CENTRAL LOUISIANA. IN 2020, NEARLY 50% OF ALL PATIENT ENCOUNTERS IN THE HEALTH SYSTEM WERE MEDICAID RECIPIENTS. OCHSNER LSU HEALTH SYSTEM FACILITIES PROVIDE CLINICAL TRAINING OPPORTUNITIES TO 570 MEDICAL STUDENTS ALONG WITH 571 RESIDENTS AND FELLOWS ANNUALLY. APPROXIMATELY 40% OF THE PHYSICIANS THAT COMPLETE THEIR TRAINING PROGRAMS THROUGH LSU SCHOOL OF MEDICINE IN SHREVEPORT REMAIN IN LOUISIANA. OTHER LSU ALLIED HEALTH PROGRAMS SUCH AS PHYSICAL THERAPY, PHYSICIAN ASSISTANT, OCCUPATIONAL THERAPY & RESPIRATORY THERAPY COMPLETE CLINICAL ROTATIONS WITHIN OCHSNER LSU HEALTH SYSTEM. IN ADDITION, NINE NURSING PROGRAMS COLLABORATE WITH THE HOSPITALS IN SHREVEPORT AND MONROE TO PROVIDE CLINICAL ROTATIONS TO THEIR STUDENTS. 586199789 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 374 0 true 4412 true false false false false false false false false false false false false X 10 10 false true false false false true true true true false false true true true true true true true true false X VERNON MOORE 3186286099 1431 DALZELL STREET SHREVEPORT LA 71103 WARNER THOMAS BOARD CHAIR 5.0 0 X X 0 0 0 CAROLYN HUNT DIRECTOR - COMMUNITY REPRESENTATIVE 5.0 0 X 0 0 0 GE GHALI DDS MD FACS FRCS(ED) DIRECTOR 5.0 1.0 X 0 0 0 JAQUELINE SCOTT DIRECTOR - COMMUNITY REPRESENTATIVE 5.0 0 X 0 0 0 LEONARDO SEOANE MD DIRECTOR 5.0 0 X 0 0 0 LESTER JOHNSON MD DIRECTOR 5.0 0 X 0 0 0 PETER NOVEMBER DIRECTOR 5.0 1.0 X 0 0 0 STEVE SKRIVANOS DIRECTOR - COMMUNITY REPRESENTATIVE 5.0 0 X 0 0 0 TIMOTHY JONES MD DIRECTOR - COMMUNITY REPRESENTATIVE 5.0 0 X 0 0 0 W JEFF REYNOLDS DIRECTOR 5.0 1.0 X 0 0 0 CHARLES D DAIGLE PRESIDENT/CHIEF EXECUTIVE OFFICER 49.0 1.0 X 0 0 0 DAVID F LEWIS MD MBA CHIEF MEDICAL OFFICER 49.0 1.0 X 0 0 0 SHELLEY S TYNAN SECRETARY 5.0 1.0 X 0 0 0 STEPHEN RANDALL CHIEF ADMINISTRATIVE OFFICER 40.0 10.0 X 0 0 0 VERNON H MOORE III CHIEF FINANCIAL OFFICER/TREASURER 40.0 10.0 X 40565 0 5665 CHEZHIYAN MURUGESAN PHYSICIAN 50.0 0 X 240872 0 43598 JASON JARRETT CRNA 50.0 0 X 229912 0 50220 JEANNINE HINTON VICE PRESIDENT OF ACADEMICS 50.0 0 X 232610 0 8386 KRISTI HYLAN ASSISTANT VICE PRESIDENT OF NURSING 50.0 0 X 232265 0 44980 UMASHANKAR KANDASAMY PHYSICIAN 50.0 0 X 240576 0 50819 1216799 0 203668 248 false true false LSUHSC-SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT LA 71103 PHYSICIAN SERVICES 24058933 HAND CONSTRUCTION LLC 9445 STEVENS RD SHREVEPORT LA 71106 CONSTRUCTION 6412095 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 NURSE STAFFING 6079037 FASTAFF LLC 5700 SOUTH QUEBEC STREET SUITE 300 GREENWOOD VILLAGE CO 80111 NURSE STAFFING 2049210 SURGICAL SOLUTIONS LLC 1751 LAKE COOK ROAD SUITE 230 DEERFIELD IL 60015 NON CLINICAL SURGICAL SERVICES 1981939 55 12159183 10255816 22414999 PATIENT SERVICE REVENUE 621110 746709455 746709455 0 0 0 0 746709455 144722 144722 3961 3961 0 3961 3961 208865 0 -208865 -208865 -208865 21146819 6283912 14862907 14862907 ADMINISTRATIVE SUPPORT 561210 2835560 2835560 0 0 0 0 2835560 786762739 764347740 0 0 X 318169 318169 95093 0 95093 0 223934301 186846579 37087722 7388518 7388518 15559545 11571784 3987761 16252012 13724541 2527471 23856251 23856251 131511 131511 371020 371020 94000 94000 173708463 163916563 9791900 0 1646060 54738 1591322 13141743 6092804 7048939 10941744 2457102 8484642 58534248 8686813 49847435 512826 203496 309330 317730 61078 256652 893356 270449 622907 7913874 7778151 135723 2095931 244729 1851202 SUPPLIES 146945196 146677115 268081 REPAIRS AND MAINTENANCE 28761137 12293484 16467653 TAXES 13050408 7549804 5500604 BAD DEBT 7862004 7850673 11331 2644203 2213199 431004 0 756969343 586199789 170769554 0 45198543 103602222 0 95558 0 0 88725511 79779515 0 0 0 0 0 0 9789148 20489948 7615092 6698570 122003821 28635951 30156096 93367870 0 0 0 0 944964 5386888 14720846 24878628 197150200 334299199 58867015 77862000 0 0 0 61624122 0 0 0 0 0 0 10221310 2338388 0 60827301 89033738 129915626 230858248 X 67234574 103440951 0 0 0 0 0 0 0 0 67234574 103440951 197150200 334299199 29793396 6412981 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 94000 false false 94000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Part II-B, 1(b)/Part II-B, 1(g) Consulting fees for lobbying on behalf of the organization with Louisiana legislators 311505 24016 287489 15866427 3025128 12841299 36157236 13259622 22897614 69668653 12327185 57341468 93367870 DUE FROM MEDICAID 13851588 OTHER ASSETS 6872627 MEDICARE HUMANA SENIOR SETTLEMENT 2238981 DEPOSITS 1423645 DUE FROM TRICARE 206614 DUE FROM OLPG 285173 24878628 0 PASSTHROUGH PAYMENTS RECEIVED 9974185 DUE TO LSUHSC 53173678 DUE TO OCHSNER 23364065 DUE TO OLPG 0 CAPITAL LEASES 468930 OTHER LIABILITIES 473220 HUMANA SENIOR IME PMT RECD 1579660 89033738 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote OLHS-NL QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET. true true X true X 250 false true true true true false 10994862 18089634 0 0.0 343535237 382888470 0 0.0 7711810 4328869 3382941 0.0045 0 0 362241909 405306973 3382941 0.0045 0 0.0 30414767 6546462 23868305 0.0315 35040530 39418422 0 0.0 0 0.0 0 0.0 0 0 65455297 45964884 23868305 0.0315 0 0 427697206 451271857 27251246 0.0360 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 7862004 0 128211852 124590732 3621120 X true true 3 1 UNIVERSITY HEALTH SHREVEPORT LLC 1541 KINGS HIGHWAY SHREVEPORT LA 71103 https://www.ochsnerlsuhs.org/ 2203784065 X X X X X X A 2 BRFHH MONROE LLC 4864 JACKSON STREET MONROE LA 71202 https://www.ochsnerlsuhs.org/ 2203782025 X X X X A 3 OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC 1 ST MARY PLACE SHREVEPORT LA 71101 https://www.ochsnerlsuhs.org/ 2203784611 X X X A A true true false false true X 250.0 250.0 X X X true true X X X X true X https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance X https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance X https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 2 UNIVERSITY HEALTH SHREVEPORT, LLC/ BRFHH MONROE, LLC THE HOSPITAL FACILITIES MANAGED AND OPERATED BY OCHSNER LSU HEALTH OF NORTH LOUISIANA (OLHS-NL) ARE IN THE PROCESS OF CONDUCTING THEIR INITIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AS REQUIRED BY THE AFFORDABLE CARE ACT. THE OPERATIONS OF THE TWO HOSPITALS, UNIVERSITY HEALTH SHREVEPORT, LLC (OCHSNER LSU HEALTH SHREVEPORT) AND BRFHH MONROE, LLC (OCHSNER LSU HEALTH MONROE), WERE TRANSFERRED UNDER A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN OLHS-NL AND THE STATE OF LOUISIANA BEGINNING OCTOBER 1, 2018. PER 501 (R) (3) REGULATIONS ISSUED BY THE IRS, A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (WHETHER THROUGH MERGER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501 (R) (3) WITH RESPECT TO THE ACQUIRED FACILITY BY THE LAST DAY OF THE ORGANIZATIONS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. PER THESE REGULATIONS THE INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED BY THE REQUIRED DEADLINE. OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC THE HOSPITAL FACILITY OF OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC MANAGED AND OPERATED BY OCHSNER LSU HEALTH OF NORTH LOUISIANA (OLHS-NL) IS IN THE PROCESS OF CONDUCTING ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY THE AFFORDABLE CARE ACT. THE OPERATIONS OF THE HOSPITAL BEGAN APRIL 9, 2020. PER 501 (R) (3) REGULATIONS ISSUED BY THE IRS, A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (WHETHER THROUGH MERGER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501 (R) (3) WITH RESPECT TO THE ACQUIRED FACILITY BY THE LAST DAY OF THE ORGANIZATIONS SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED. PER THESE REGULATIONS THE INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED BY THE REQUIRED DEADLINE. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - UNIVERSITY HEALTH SHREVEPORT, LLC/ BRFHH MONROE, LLC/OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC. Family Size Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - UNIVERSITY HEALTH SHREVEPORT, LLC/ BRFHH MONROE, LLC/OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC. The FAP application is provided to the patient or their representative immediately upon request. Financial Assistance requests can be made via telephone, email, fax, written correspondence or in person by visiting the Financial Counseling Department located at OLHS facilities. 19 Ochsner LSU Health Shreveport - Feist-Weiller Cancer Center 1501 Kings Hwy Shreveport LA 71103 Specialty Center Ochsner LSU Health Shreveport - Ambulatory Care Center 1602 Kings Hwy Shreveport LA 71103 Specialty Center Ochsner LSU Health Shreveport - Women and Children's Services 915 Margaret Place Shreveport LA 71101 Specialty Center Ochsner LSU Health Shreveport - Eye Center 1420 Kings Hwy Shreveport LA 71103 Specialty Center Ochsner LSU Health Shreveport Health Center St Vincent 6670 St Vincent Ave Shreveport LA 71106 Primary Care Center Ochsner LSU Health Shreveport Orthopedics and Sports Medicine Center 950 Olive Street Shreveport LA 71104 Specialty Center Ochsner LSU Health Shreveport Internal Medicine and Pediatrics 1023 Provenance Place Blvd Suite 13 0 Shreveport LA 71106 Primary Care Center Ochsner LSU Health Shreveport Health Center Fern Avenue 6841 Fern Avenue Suite 100 Shreveport LA 71105 Primary Care Center Ochsner LSU Health Shreveport Urgent Care Shreveport 1641 E 70th Street Shreveport LA 71105 Urgent Care Ochsner LSU Health Shreveport Urgent Care Bossier 2113 Airline Drive Bossier City LA 71111 Urgent Care Ochsner LSU Health Shreveport Heart & Vascular Institute 1322 Kings Hwy Suite 200 Shreveport LA 71103 Specialty Center Ochsner LSU Health Shreveport Gastroenterology Center 1801 Fairfield Avenue Suite 305 Shreveport LA 71101 Specialty Center Ochsner LSU Health Shreveport Asthma Allergy & ENT Center Shreveport 463 Ashley Ridge Boulevard Shreveport LA 71106 Specialty Center Ochsner LSU Health Shreveport Asthma Allergy & ENT Center Bossier City 4440 Viking Drive Bossier City LA 71111 Specialty Center Ochsner LSU Health Shreveport - Neurology Center 945 Margaret Place Shreveport LA 71101 Specialty Center Ochsner LSU Health Shreveport - Neurosurgery Center 945 Margaret Place Shreveport LA 71101 Specialty Center Ochsner LSU Health Shreveport - Sleep Medicine Center 1801 Fairfield Avenue Suite 400 Shreveport LA 71101 Specialty Center Ochsner LSU Health - Urgent Care West Monroe 207 Thomas Road West Monroe LA 71291 Urgent Care Ochsner LSU Health - Urgent Care Monroe Medical Center 4864 Jackson Street Monroe LA 71202 Urgent Care Schedule H, Part VI, Line 7 State filing of community benefit report The organization does not file a community benefit report with any state. Schedule H, Part V, Section C Line 20a - Extraordinary Collection Action Ochsner LSU Health System of North Louisiana's FAPs policy states that the organization doesn't impose any ECA's such as wage garnishment, liens on primary residences or other legal actions. The collection process begins with a statement being generated within 30 business days of determination of patients responsibility, with a minimum of 4 patient statements sent in a 30 day cycle, but any balances not billed within 12 months of determination of patient responsibility will be adjusted as untimely transfer to patient responsibility. Additional collection activity begins after 60 days, and will be placed with an Early Out Vendor. Accounts remain with the Early Out Vendor until the outstanding balance reaches 120 days and 4 statements have been sent. After a minimum of 120 days from the first statement date, the balance is eligible to be placed with a collection agency for further follow-up through automated and manual processes. The collection agency is authorized to send legal letters and make outbound telephone calls. Collection attempts are made by the agency for a minimum of 120 days from the date of placement. On day 120, unresolved accounts or accounts not on an active payment arrangement may be closed and returned back to Ochsner LSU Health System of North Louisiana. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care WE IMPLEMENTED PARO'S PRESUMPTIVE CHARITY PROCESS 7/1/2019. THE MODEL UTILIZES PUBLIC RECORD DATA TO PREDICT THE LIKELIHOOD OF FINANCIAL NEED. THE MODEL TRIANGULATES CONSUMER CHARACTERISTICS, REGIONAL COST OF LIVING, AND COMMUNITY DEMOGRAPHICS TO DERIVE A PREDICTION OF ASSISTANCE QUALIFICATION. THIS ALLOWS US TO AVOID SENDING ACCOUNTS TO BAD DEBT, INSTEAD GRANTING ASSISTANCE TO THOSE IN NEED WHILE MEETING 501(R) REGULATORY REQUIREMENTS. PATIENTS WHOSE FAMILY INCOME EXCEEDS 250% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OLHS. FOR EXCEPTIONS, DOCUMENTATION MAY BE REQUIRED TO QUALIFY FOR FINANCIAL ASSISTANCE. EXCEPTIONS INCLUDE, BUT ARE NOT LIMITED TO: EXPENSIVE MEDICATIONS; TERMINAL ILLNESS; OR MULTIPLE HOSPITALIZATIONS. Schedule H, Part I, Line 7g Subsidized Health Services THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G WHERE THERE WAS AN IDENTIFIED COMMUNITY NEED TO OFFER SUCH CLINICAL SERVICES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance LINE 7A FINANCIAL ASSISTANCE AT COST. OLHS-NL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. OLHS-NL DOES NOT PURSUE COLLECTIONS FOR THOSE QUALIFYING AS CHARITY CARE SO CHARGES ARE RECORDING WITH A CORRESPONDING ALLOWANCE OF 100% OF CHARGES. OLHS-NL ESTIMATES ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS BY APPLYING A RATIO OF DIRECT AND INDIRECT COSTS TO CHARGES TO THE GROSS FORGONE CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. OLHS-NL'S GROSS CHARITY CARE CHARGES INCLUDE ONLY SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY AND QUALIFY UNDER OLHS-NL'S CHARITY CARE POLICIES. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON OLHS-NL'S TOTAL EXPENSES DIVIDED BY GROSS PATIENT REVENUE. LINE 7B MEDICAID. DIRECT OFFSETTING REVENUE IS MEDICAID REIMBURSEMENT FOR HOSPITAL AND CLINIC LOCATIONS ALONG WITH FMP AND DSH SUPPLEMENTAL ALLOCATED TO THE MEDICIAD POPULATION. COMMUNITY BENEFIT EXPENSE IS THE GROSS MEDICAID REVENUE MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE MEDICAID SERVICES. MEDICAID NET REVENUE, FMP AND DHS SUPPLEMENTAL REVENUE IS THE DIRECT OFFSETTING REVENUE. LINE 7C COST OF OTHER MEANS TESTED GOVERMENT PROGRAMS IS CALCUATED USING GROSS PATIENT REVENUE CHARGES RELATED TO THE DEPT OF CORRECTIONS PROGRAM MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE SERVICES. NET REVENUE PATIENT REVENUE RELATED TO THESE DEPT OF CORRECTIONS CHARGES IS THE DIRECT OFFSETTING REVENUE. LINE 7F EDUCATION IS CALCUATED USING EXPENSES FOR INTERNS, RESIDENTS, AND FELLOWS AND OFFSETTING REVENUE FROM DIRECT GME. LINE 7G SUBSIDIZED HEALTH SERVICES. HOSPITAL AND CLINIC UNINSURED/SELF PAY POPULATIONS THAT DO NOT QUALIFY AS CHARITY CARE. REVENUE IS RECORDED FOR THE CLINIC LOCATION, LESS THE REIMBURSEMENT FOR THE UNINSURED WHICH IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF THE UNREIMBURSED COST FOR THE UNINSURED BY APPLYING THE COST TO CHARGE RATIO TO THE GROSS UNINSURED/SELF PAY GROSS REVENUE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS ESTIMATED BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology OLHS-NL does not classify or consider any of its bad debt expense as a community benefit. Bad debt expense does not include patients who are found to be eligible under the FAP. Charges for patients who have not requested financial assistance or qualified for the FAP under the presumptive process could be considered community benefit, but it is not feasible to calculate the impact. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Effective July 1, 2019, OLHS-NL retroactively adopted Accounting Standards Update (ASU) 2014-09, Revenue from Contracts with Customers (Topic 606), which outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 supersedes most current revenue recognition guidance, including industry-specific guidance, and requires expanded disclosures about revenue recognition to enable financial statement users to understand the nature, timing, amount, and uncertainty of revenue and cash flows arising from contracts with customers. Bad debt is no longer disclosed in the notes to the financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE SHORTFALL, IF ANY, IS NOT CONSIDERED COMMUNITY BENEFIT. TOTAL REVENUE FROM MEDICARE AND MEDICARE ALLOWABLE COSTS WERE AGGREGATED FROM THE FISCAL YEAR COST REPORTS FILED WITH CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ALL HOSPITALS. THEY DO NOT INCLUDE MEDICARE ADVANTAGE OR PAYMENTS RELATED TO EDUCATION OR RESEARCH, IN COMPLIANCE WITH THE INSTRUCTIONS. TOTAL REVENUE FROM MEDICARE HAS BEEN TAKEN FROM THE E SERIES IN THE MEDICARE COST REPORTS. FOR MEDICARE ALLOWABLE COSTS, WORKSHEET D PART V LINE 202 COLUMN 5 WAS USED FOR OUTPATIENT COSTS AND WORKSHEET D-1 PART II LINE 49, AND WORKSHEET D-1 PART III LINE 86, AND WORKSHEET E PART A LINE 55 WAS USED FOR INPATIENT COSTS. OUTPATIENT FEE SCHEDULE COSTS WERE COMPUTED USING OUTPATIENT COST TO CHARGE OVERALL RATIO FROM THE WORKSHEET D SERIES WORKSHEET OF THE COST REPORT. THE COST REPORTS FOR OCHSNER LSU HEALTH SHREVEPORT (PROVIDER NO. 19-0098) AND OCHSNER LSU HEALTH MONROE (PROVIDER NO. 19-0011) COVER THE PERIOD 07/1/2019 - 06/30/2020. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Upon granting approval for 100% assistance, all collection efforts for that account will cease, the account will not be turned over to a collection agency, and OLHS-NL will not impose extraordinary collection efforts such as wage garnishments or liens. Schedule H, Part V, Section B, Line 16a FAP website A - UNIVERSITY HEALTH SHREVEPORT, LLC: Line 16a URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; A - OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC: Line 16a URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - UNIVERSITY HEALTH SHREVEPORT, LLC: Line 16b URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; A - OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC: Line 16b URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - UNIVERSITY HEALTH SHREVEPORT, LLC: Line 16c URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; A - OCHSNER LSU HEALTH SHREVEPORT - ST MARY CENTER LLC: Line 16c URL: https://www.ochsnerlsuhs.org/patients-visitors/billing-financial-services/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The hospital facilities managed and operated by Ochsner LSU Health of North Louisiana (OLHS-NL) are in the process of conducting their initial community health needs assessments as required by the Affordable Care Act. The operations of the two hospitals (Ochsner LSU Health Shreveport and Ochsner LSU Health Monroe) were transferred under a Cooperative Endeavor Agreement between OLHS-NL and the State of Louisiana beginning October 1, 2018, and an additional hospital (Ochsner LSU Health Shreveport - St Mary Center LLC) began operations on April 9, 2020. Per 501 (r) (3) regulations issued by the IRS, a hospital organization that acquires a hospital facility (whether through merger or acquisition) must meet the requirements of section 501 (r) (3) with respect to the acquired facility by the last day of the organizations second taxable year beginning after the date on which the hospital facility was acquired. Per these regulations the initial community health needs assessment will be completed by the required deadline. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance All uninsured patients are screened for Medicaid. This process takes place at the time of service, inpatient admissions, and if the patient is not screened at the time, the patient is contacted at home to determine eligibility. If the patients do not qualify for Medicaid, then they will be evaluated under the financial assistance policy. Internal customer service departments and external partners including collection agencies provide patients with financial assistance applications if patients express concerns about the inability to pay outstanding balances. Schedule H, Part VI, Line 4 Community information Shreveport Hospitals and Its Community The Corporation exists to preserve and enhance Shreveport Hospital for the Shreveport Hospital Community. The Shreveport Hospital Community has traditionally had a higher unemployment rate than other areas of the State, with more than twenty (20) percent of residents in the Shreveport Hospital Community living below the federal poverty limit. Not surprisingly, the Shreveport Hospital Community has a higher percentage of residents without insurance than the State or the United States, resulting in a greater dependence on Medicaid within the Shreveport Hospital Community. Residents in the Shreveport Hospital Community face obstacles to accessing needed healthcare services. More than eighty (80) percent of residents live in a health professional shortage area, and twenty five (25) percent of residents report not having a regular primary care physician. The lack of adequate health resources results in poorer health for the Shreveport Hospital Community than when compared to the State or the United States. Five out of six Parishes report higher incidents of cancer and lung disease than the State or national averages, while four out of six Parishes have higher rates of heart disease. Monroe Hospital and Its Community The Monroe Hospital Community also has a greater percentage of its residents without health insurance than the State and national averages, with more individuals dependent upon Medicaid. Twenty five (25) percent of residents in the Monroe Hospital Community do not have a primary care physician, and all residents in the Monroe Hospital Community live in a health professional shortage area. These statistics bear themselves out in a stark reality for the Monroe Hospital Community when the health condition of the community is considered. For example, four (4) of the Parishes in the Monroe Hospital Community exceed the State and national death rates for heart disease, while three (3) exceed the State and national death rates for cancer, stroke, motor vehicle accident and suicide. All Parishes within the Monroe Hospital Community have higher rates of premature death than the State or the nation. Schedule H, Part VI, Line 5 Promotion of community health OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA IS COMPRISED OF THREE ACADEMIC MEDICAL HOSPITALS IN SHREVEPORT AND MONROE OPERATING UNDER A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN OLHS-NL AND LOUISIANA STATE UNIVERSITY AND AGRICULTURAL AND MECHANICAL COLLEGE (LSU). THE PURPOSE OF THIS PUBLIC/PRIVATE PARTNERSHIP IS TO OPERATE THE HOSPITALS IN A MANNER THAT PROMOTES, ENHANCES, SUPPORTS AND IS CONSISTENT WITH THE STATE OF LOUISIANA'S AND LSU'S HISTORICAL COMMITMENT TO PROVIDING HIGH-QUALITY SAFETY NET SERVICES TO THE STATE'S MOST VULNERABLE POPULATIONS. OCHSNER LSU SHREVEPORT IS HOME TO STATE-DESIGNATED CENTERS OF EXCELLENCE INCLUDING THE FEIST-WEILLER CANCER CENTER AND CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY. THE MAIN CAMPUS HOUSES A CHILDREN'S HOSPITAL, A REGIONAL BURN CENTER AND AN ACS VERIFIED LEVEL I TRAUMA CENTER. Schedule H, Part VI, Line 6 Affiliated health care system Hospital System & Community Wide Over the first two years of the partnership, Ochsner LSU Health System has made access to care a major focus of our efforts. Processes, procedures, and protocols have been streamlined in all care settings to drive greater efficiency and higher quality. Inpatient admissions have increased systemwide by 6% while key quality metrics around hospital acquired infections have seen significant decreases of over 50%. OLHS outpatient clinics have increased their total number of visits by 64,000 (19%) since the partnership's inception. The system has seen a dramatic reduction in its third next available appointment metric across all specialties. This is a key metric for determining the wait time and availability of appointments. In addition to process improvements in existing facilities, OLHS has made significant investments in new facilities to bring care closer to where people live and work. The health system has added three offsite urgent care locations (Shreveport, Bossier and Monroe), four primary care clinics (Shreveport & Monroe), and opened numerous specialty care clinics across the community Shreveport Hospitals and Its Community Shreveport Hospital is a 452-bed short term, acute care hospital located at 1541 Kings Highway in Shreveport, Louisiana. Shreveport Hospital makes state-of-the art treatment, clinical research and community education and prevention programs available to the residents of Caddo, Bossier, De Soto, Ouchita, Webster and Natchitoches Parishes (the "Shreveport Hospital Community") through its inpatient and outpatient facilities, including the Feist-Weiller Cancer Center, a state designated Center of Excellence in Arthritis and Rheumatology, children's hospital and regional burn center. Additionally, Shreveport Hospital serves as a major trauma center for northern Louisiana, eastern Texas and southwest Arkansas. In addition to new clinics, the health system opened a new hospital campus, Ochsner LSU St. Mary Medical Center, during the summer of 2020. The new St. Mary campus provides expanded Women's and Children's services for the region. This 131-bed hospital includes Labor & Delivery, Postpartum, General Pediatrics, Pediatric Intensive Care and a Neonatal Intensive Care Unit. The facility boasts comprehensive lab services, outpatient imaging and ambulatory surgery. Access to advanced outpatient imaging studies such as CT and MRI routinely take less than three days once they are preauthorized. Monroe Hospital and Its Community Monroe Hospital is a 244-bed short-term, acute care hospital located at 4864 Jackson Street in Monroe, Louisiana. Monroe Medical Center is also home to the first hybrid operation room in northeast Louisiana. Monroe Hospital makes state-of-the-art healthcare services available to the residents of Outchita, Richland, Morehouse, Franklin and Madison Parishes (the "Monroe Hospital Community"). The segment of the Monroe Hospital Community that is over the age of 65 is expected to increase dramatically in the next few years, increasing strain on the health resources within the Monroe Hospital Community. Additionally, each Parish within the Monroe Hospital Community has per capita income rates below the State and national average, with traditionally higher unemployment rates than the State or the nation. As a result, twenty-five (25) percent of the residents in the Monroe Hospital Community live below the federal poverty limit, with one third (1/3) living in an area without access to healthy food sources. true Biomedical Research Foundation Of Northwest LA PO Box 38050 Shreveport LA 71133 581711612 501(c)(3) 110339 GENERAL ASSISTANCE Shreveport Regional Arts Council 801 Crockett Street Shreveport LA 71101 720805661 501(c)(3) 50000 GENERAL ASSISTANCE YMCA of North Louisiana 400 McNeil Street Shreveport LA 71101 720408997 501(c)(3) 50000 GENERAL ASSISTANCE Shreveport Chamber of Commerce 400 Edwards Street Shreveport LA 71101 720315700 501(c)(6) 17500 GENERAL ASSISTANCE American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 15000 GENERAL ASSISTANCE Cystic Fibrosis Foundation 4550 Montgomery Ave Bethesda MD 20814 131930701 501(c)(3) 10000 GENERAL ASSISTANCE St Jude Children's Research Hospital Inc 262 Danny Thomas Place Memphis TN 38105 620646012 501(c)(3) 10000 GENERAL ASSISTANCE 6 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS AND ASSISTANCE THROUGH A GRANT APPLICATION PROCESS. GRANTEES' ABILITY TO PERFORM IS VOUCHED FOR AND CREDIT VOUCHERS OF PERFORMING PERSONS AT RESPECTIVE ORGANIZATIONS ARE OBTAINED. USE OF GRANT FUNDS IS MONITORED BY THE NORMAL ACCOUNTS PAYABLE PROCESS THAT THE ORGANIZATION HAS IN PLACE. ALL PAYMENTS MADE TO GRANTEES ARE APPROVED BY APPROPRIATE PERSONS ASSOCIATED WITH PRIMARY GRANT AWARDS WHO ARE KNOWLEDGEABLE OF WORK PRODUCT ON GRANTS. IN ADDITION TO THE APPROVAL PROCESS, THE ORGANIZATION HAS A PROCESS IN PLACE TO ENSURE THAT REQUESTED PAYMENTS ARE IN LINE WITH APPROVED BUDGETS SUBMITTED BY SUBRECIPIENTS. false false false false false false false false false CHEZHIYAN MURUGESAN PHYSICIAN 176524 0 64348 0 0 0 24362 0 19235 0 284470 0 0 0 JEANNINE HINTON VICE PRESIDENT OF ACADEMICS 232340 0 0 0 270 0 0 0 8386 0 240996 0 0 0 UMASHANKAR KANDASAMY PHYSICIAN 190033 0 50543 0 0 0 24899 0 25920 0 291395 0 0 0 JASON JARRETT CRNA 228075 0 0 0 1837 0 21554 0 28666 0 280132 0 0 0 KRISTI HYLAN ASSISTANT VICE PRESIDENT OF NURSING 229836 0 0 0 2429 0 25422 0 19558 0 277245 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. Form 990, Part VI, Line 3 Delegation of management duties Ochsner Clinic Foundation entered into a management agreement to provide management services, billing and collection services and administrative support for certain hospital and healthcare operations in Shreveport and Monroe. Also, Ochsner acquired the Electronic Health Record licenses and fully manages the Information Services function. The Directors appointed to the board that are employed as Executives and Physicians by Ochsner Clinic Foundation did not receive any additional compensation by the management company for their duties. The following individuals were compensated as executives and physicians by the management company: 1. WARNER THOMAS - $0 2. PETER NOVEMBER - $0 3. SHELLEY SULLIVAN TYNAN - $0 4. LEONARDO SEOANE MD - $0 5. CHARLES DAIGLE - $695,486 6. VERNON MOORE - $396,718 7. STEPHEN RANDALL - $370,531 8. CHRISTOPHER MANGIN - $0 9. MARK RANDOLPH - $296,500 Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Five (5) Directors (the "LSU Appointees") shall be appointed by the President of Louisiana State University and Agricultural and Mechanical College ("LSU"), and five (5) Directors (the "Ochsner Appointees") shall be appointed by the Chief Executive Officer of Ochsner Clinic Foundation doing business as Ochsner Health System ("Ochsner"). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders An LSU Appointee may be removed, with or without cause, only by the President of LSU and an Ochsner Appointee may be removed, with or without cause, only by the Chief Executive Officer of Ochsner. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE FULL BOARD OF DIRECTORS ONCE REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM, ERNST & YOUNG U.S. LLP Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR, IN CONJUNCTION WITH THE CONFLICT OF INTEREST STEERING COMMITTEE, WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. Form 990, Part VI, Line 15b Process to establish compensation of other employees Management jobs are assigned to pay ranges where the midpoint is aligned to the 50th percentile of salary survey data. Upon hire, management salaries are based upon applicable skills and experience relevant to the job and pay range. Merit increases are awarded annually thereafter based upon performance. Off-cycle adjustments may be provided due to market movement to ensure alignment with the competitive market. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. Form 990, Part IX, Line 11g Other Fees MEDICAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 1506349, Fundraising Expenses: ; HOSPITAL BILLING - Total Expense: 8579533, Program Service Expense: 8579479, Management and General Expenses: 54, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 15977884, Program Service Expense: 8184193, Management and General Expenses: 7793691, Fundraising Expenses: ; FOOD SERVICES - Total Expense: 8102859, Program Service Expense: 8102859, Management and General Expenses: 0, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 537047, Program Service Expense: 143299, Management and General Expenses: 393748, Fundraising Expenses: ; COLLECTION AGENCY - Total Expense: 621385, Program Service Expense: 621385, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 572919, Program Service Expense: 572919, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 1250, Program Service Expense: 1250, Management and General Expenses: , Fundraising Expenses: ; TEMP EMPLOYEE - Total Expense: 583202, Program Service Expense: 485144, Management and General Expenses: 98058, Fundraising Expenses: ; BRF Hospital Holdings LLC 2031 KINGS HIGHWAY SHREVEPORT LA 71103 463179229 HEALTH CARE LA 0 37490387 NA University Health Shreveport LLC 1541 KINGS HIGHWAY SHREVEPORT LA 71103 831173631 HEALTH CARE LA 17858245 251504277 BRF Hospital Holdings LLC BRFHH Monroe LLC 4864 JACKSON STREET MONROE LA 71202 800945173 HEALTH CARE LA 15407423 36694877 BRF Hospital Holdings LLC Ochsner LSU Health Shreveport St Mary Medical Center LLC 1 ST MARY PLACE SHREVEPORT LA 71101 850672191 HEALTH CARE LA 2795463 8903594 BRF Hospital Holdings LLC LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE 1431 DALZELL STREET SHREVEPORT LA 71103 364774713 HEALTH CARE LA 501(c)(3) 10 OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA true false false false false false false false false false false false false true false false false false true false LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP M 22000000 INTERCOMPANY BILLINGS - MKT VALUE LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP R 285173 INTERCOMPANY BILLINGS - MKT VALUE