2021-11-12T10:44:40-06:00 2020-12-31 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 100 RIDGELAND MS 39157 990 2020-10-01 462605366 UNIVERSITY HOSPITAL & CLINICS INC UNIV 3372616004 2390 WEST CONGRESS LAFAYETTE LA 70506 KATHERINE D HEBERT VP CHIEF EXECUTIVE OFFICER 3372616004 2021-11-12 1 KATHERINE HEBERT 999009999 AMIE T WHITTINGTON CPA P01082167 6013261000 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KATHERINE D HEBERT 2390 WEST CONGRESS LAFAYETTE LA 70506 44354087 0 X N/A X 2013 LA THE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE ORGANIZATION ALSO SERVES THE COMMUNITY BY OPERATING AS A TEACHING FACILITY. 4 2 1143 2 0 0 9069686 2326 155466574 37609189 31941 5803 18416298 6736769 182984499 44354087 5000 5000 0 0 55274305 14477249 0 0 0 134639873 39249760 189919178 53732009 -6934679 -9377922 42896218 45685987 47625253 58229824 -4729035 -12543837 X THE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 40729189 5000 44345958 UNIVERSITY HOSPITAL AND CLINICS (UHC) WAS CREATED ON JUNE 24, 2013, AS A WHOLLY-OWNED SUBSIDIARY OF LAFAYETTE GENERAL HEALTH SYSTEM, AND WAS CREATED AS THE RESULT OF A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN THE STATE OF LOUISIANA, LOUISIANA STATE UNIVERSITY, AND LAFAYETTE GENERAL HEALTH TO PROVIDE FOR THE OPERATION OF THE FORMER UNIVERSITY MEDICAL CENTER, ONE OF THE TEN (10) SAFETY-NET HOSPITALS PREVIOUSLY OPERATED BY LOUISIANA STATE UNIVERSITY THROUGH THEIR LSU HEALTH SYSTEM. UHC A GENERAL ACUTE CARE HOSPITAL PROVIDING THE NORMAL COMPLIMENT OF BOTH INPATIENT AND OUTPATIENT SERVICES, PROVIDING BOTH INPATIENT AND OUTPATIENT MEDICAL CARE, DIAGNOSTIC TESTING AND THERAPY SERVICES TO THOSE SEEKING CARE. HEALTHCARE SERVICES ARE PROVIDED ON A CONTINUOUS BASIS, TWENTY-FOUR HOURS PER DAY, SEVEN DAYS PER WEEK. TRADITIONALLY AND CURRENTLY, THIS FACILITY HAS BEEN THE MEDICAL CARE PROVIDER TO WHICH THOSE WHO WERE UNINSURED OR OTHERWISE UNABLE TO PAY FOR THEIR HEALTHCARE SERVICES TURNED TO FOR THOSE SERVICES. THROUGH AN AGREEMENT WITH THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS, UHC ALSO PROVIDES GRADUATE MEDICAL EDUCATION THROUGH A NUMBER OF RESIDENCY PROGRAMS WHICH PROVIDE THE PHYSICIAN SERVICES FOR SEVERAL OUTPATIENT PRIMARY CARE AND SPECIALTY CARE CLINICS. THE ENTIRE PURPOSE OF THE ORGANIZATION IS TO PROVIDE INPATIENT AND OUTPATIENT MEDICAL CARE AND GRADUATE MEDICAL EDUCATION TO PROVIDE FOR THE MEDICAL NEEDS OF THE CITIZENS OF THE ACADIANA REGION OF SOUTH LOUISIANA. THE MAJORITY OF THE MEDICAL CARE PROVIDED AT UHC IS PROVIDED BY BOTH MEDICAL RESIDENTS AND STAFF PHYSICIANS. UHC EMPLOYS NURSING AND OTHER ANCILLARY PROFESSIONALS TO PROVIDE NON-PHYSICIAN HEALTHCARE SERVICES AND SUPPORT TO THE PATIENTS FOR WHOM WE PROVIDE CARE. ADDITIONALLY, UHC ALSO EMPLOYS SOME PHYSICIAN PROVIDERS, TO PROVIDE CARE DIRECTLY. UHC PROVIDES CARE FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, BASED UPON WRITTEN GUIDELINES WHICH ALLOWS UHC TO PROVIDE CARE TO PATIENTS WITH VARYING FINANCIAL MEANS TO PAY FOR THAT CARE. THROUGH THE AGREEMENT WITH THE STATE OF LOUISIANA, UHC RECEIVES SOME REIMBURSEMENT FOR PATIENTS WHO QUALIFY FOR "FREE CARE", WITH A MAXIMUM ON THE AMOUNT THAT THE STATE WILL REIMBURSE THE HOSPITAL. THE HOSPITAL HAS ALSO ENTERED INTO CONTRACTS AND AGREEMENTS WITH VARIOUS STATE AND FEDERAL HEALTHCARE REIMBURSEMENT PROGRAMS, SUCH AS MEDICAID AND MEDICARE, AS WELL AS PRIVATE INSURANCE PLANS TO REIMBURSE THE HOSPITAL FOR SERVICES PROVIDED TO THEIR BENEFICIARIES.IN ADDITION TO THE TRADITIONAL HOSPITAL SERVICES, UHC OPERATES SEVERAL CLINICS WHICH PROVIDE ONGOING MEDICAL CARE TO PATIENTS. THESE CLINICS OPERATE MONDAY THROUGH FRIDAY AND OPERATE JUST LIKE PRIVATE PHYSICIAN OFFICES. THEY ARE STAFFED BY NURSE PRACTITIONERS AND BY STAFF PHYSICIANS WHO SUPERVISE MEDICAL RESIDENTS, ALLOWING THEM TO GAIN VALUABLE CLINICAL EXPERIENCE AS PART OF THEIR MEDICAL RESIDENCY TRAINING. UHC HAS TWO "HOME-BASED" RESIDENCY PROGRAMS PROVIDING GRADUATE MEDICAL EDUCATION IN FAMILY MEDICINE, INTERNAL MEDICINE, AND TWO "HOME-BASED" FELLOWSHIP PROGRAMS IN GERIATRIC MEDICINE AND SPORTS MEDICINE. IN ADDITION, UHC OPERATES SEVERAL ROTATING RESIDENCIES THAT ALLOWS RESIDENTS IN RESIDENCY PROGRAMS BASED IN NEW ORLEANS AT THE LSU SCHOOL OF MEDICINE TO SPEND PART OF THEIR RESIDENCY AT UHC PROVIDING CARE FOR OUR PATIENTS AND RECEIVING CLINICAL EXPERIENCE IN THEIR FIELD OF MEDICAL SPECIALTY. THESE RESIDENCIES ARE IN THE SPECIALTIES OF GENERAL SURGERY, OTORHINOLARYNGOLOGY, GYNECOLOGY, ORTHOPEDIC SURGERY, AND OPHTHALMOLOGY.UHC ALSO OPERATES A MEDICAL LIBRARY, STAFFED BY A LIBRARY INFORMATION SPECIALIST AND A LIBRARY ASSISTANT. IT SERVES AS LEARNING RESOURCE CENTER FOR A 13 DISTRICT AREA PROVIDING OUTREACH TO HEALTH PROFESSIONALS AND POTENTIAL HEALTHCARE PROFESSIONS, PROVIDING THEM TOOLS TO OBTAIN INFORMATION REGARDING HEALTHCARE CAREERS, AND RESEARCH ON SPECIFIC HEALTHCARE AND MEDICAL ISSUES TO INCLUDE PATIENTS, FAMILIES, VISITORS, AND OTHER PROFESSIONALS REQUIRING SUCH RESOURCES. PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL DURING FYE 12/31/20 WERE: 3,280 TOTAL ACUTE PATIENT DAYS, 8,786 EMERGENCY ROOM VISITS AND 653 SURGERIES (INPATIENT AND OUTPATIENT). 40729189 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 121 0 1 1143 1 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHERINE D HEBERT 3376435284 1214 COOLIDGE BLVD LAFAYETTE LA 70503 ROSEMARY ST CLERGY MD TRUSTEE - NON-VOTING 1.00 0.00 X 0 0 0 PEGGY GIGILIO TRUSTEE 1.00 2.00 X 0 0 0 PATRICK GANDY EVP CHIEF EXECUTIVE OFFICE 1.00 44.00 X 0 898658 125871 KATHERINE D HEBERT CEO/VP 40.00 0.00 X X 0 756531 154243 JAMES B FALTERMAN JR MD MEDICAL DIRECTOR 40.00 0.00 X 0 0 0 FARHA KHAN MD TRUSTEE - NON-VOTING 40.00 0.00 X 0 0 0 BETTY DUHON BROWN TRUSTEE - NON-VOTING 1.00 0.00 X 0 0 0 ALLEN J CELESTINE TRUSTEE - NON-VOTING 1.00 0.00 X 0 0 0 STACY MISTRIC EXECUTIVE DIRECTOR AMBULAT 40.00 X 0 159932 3510 LAURENCE VINCENT CNO 40.00 0.00 X 0 194145 3651 ERIC FREY CONTROLLER 40.00 0.00 X 0 27184 876 TIFFANY LIU PHYSICIAN 40.00 X 0 295910 11678 SUDHIR AGGARWAL PHYSICIAN 40.00 X 0 656531 1932 MATTHEW RUBACHA PHYSICIAN 40.00 0.00 X 0 503735 15892 LAWRENCE MANALO PHYSICIAN 40.00 0.00 X 0 477739 6305 KENT HUMBLE PHYSICIAN 40.00 0.00 X 0 313617 6239 DAVID CALLECOD FORMER BOARD MEMBER 0.00 41.00 X 0 1487370 237767 0 5771352 567964 63 1 1 0 LSU HSC-NEW ORLEANS 433 BOLIVAR STREET NEW ORLEANS LA 70112 RESIDENTS AND FACULTY, TRANSITIONS SERVI 27202715 CONGRESS EMERGENCY GROUP LLC PO BOX 82368 LAFAYETTE LA 70598 ER PROVIDER 2824436 PARISH ANESTHESIA OF LAFAYETTE PO BOX 7250 METAIRIE LA 70010 ANESTHESIA PROVIDER 2124273 REGIONAL RADIOLOGY LLC PO BOX 1089 COVINGTON LA 70434 MEDICAL - RADIOLOGY SERVICES 1243750 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LABORATORY SERVICES 1167752 25 2326 2326 PATIENT REVENUE 621990 37609189 37609189 37609189 5803 5803 OTHER REVENUE 900099 6736769 6736769 6736769 44354087 44345958 0 5803 X 5000 5000 12393890 10933846 1460044 212828 191674 21154 1015048 893988 121060 855483 752899 102584 6616321 193628 6422693 2282 2282 346892 250409 96483 4483893 510340 3973553 2798 1326 1472 16 13 3 263427 92169 171258 81 81 CONTRACT LABOR 11794047 11686580 107467 MEDICAL SUPPLIES 7304652 7264078 40574 BAD DEBT EXPENSE 6104287 6104287 EQUIPMENT RENTAL & MAIN 1985538 1535851 449687 345526 313020 32506 53732009 40729189 13002820 0 108355 161788 16640075 16013299 2725149 3053468 16321770 16042611 7161596 263427 5213120 6898169 1887749 3516652 42896218 45685987 21147403 30692897 14521713 14521713 11956137 13015214 47625253 58229824 X -4729035 -12543837 -4729035 -12543837 42896218 45685987 -9377922 1563120 0 X X 0 1 X 1 0 X X 7938 46181 7938 46181 40721251 219609567 40729189 219655748 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 150830 210264 207488 46181 614763 250000 250000 250000 250000 1000000 1500000 150830 210264 207488 46181 614763 FORM 990, SCHEDULE C, PART II-A LINE 1A ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THIS ORGANIZATION ARE USED. ALSO, A MINIMAL AMOUNT WAS SPENT TO HAVE LUNCHES WITH VARIOUS LEGISLATURES. 3252000 65806 3186194 2581370 197621 2383749 1328226 1328226 6898169 DEPOSITS 116415 NET RIGHT OF USE OPERATING LEASE ASSETS 3400237 3516652 INTERCOMPANY PAYABLE 9612610 CURRENT PORTION OF RIGHT OF USE ASSET 1592091 LONG TERM PORTION OF RIGHT OF USE ASSET 1810513 13015214 X PART X, LINE 2: THE MAJORITY OF OCHSNER AND ITS SUBSIDIARIES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) AND ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ANY FEDERAL INCOME TAXES ASSOCIATED WITH THE FOR-PROFIT ENTITIES ARE NOT MATERIAL TO OCHSNER'S CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2017 THROUGH 2020 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 1 X 1 X 1 1 0 1 1 971249 14056315 0 0.00000 22543013 9937405 12605608 0.26470 23514262 23993720 12605608 0.26470 5000 5000 0.00010 5000 5000 0.00010 23519262 23993720 12610608 0.26480 1 6104287 820294 8876174 15577872 -6701698 X 1 1 1 1 UNIVERSITY HOSPITAL & CLINIC INC 2390 WEST CONGRESS STREET LAFAYETTE LA 70506 X X X X X UNIVERSITY HOSPITAL & CLINICS INC 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/2019-02/SP2103-LGH-UHC-CHNAFINAL- X 1 18 0 0 0 1 X 200.000000000000 200.000000000000 X 1 1 X X X 1 X HTTPS://OCHSNERLG.ORG/FINANCIAL-ASSISTANCE-POLICIES X HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/OUHC%20FINANCIAL%20ASSISTANCE%20A X HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/OUHC%20PLAIN%20LANGUAGE%20SUMMARY X X X X X X X 1 0 X X 1 X 0 0 UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY GATHERING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, AS WELL AS INDIVIDUALS PROVIDING INPUT WHO HAVE SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. IT IS MEANT TO PROVIDE DEPTH AND RICHNESS TO THE QUANTITATIVE DATA COLLECTED. ADDITIONALLY, FOCUS GROUPS WERE CONDUCTED TO ALLOW PARTICIPANTS TO PROVIDE INFORMATION ABOUT THEIR EXPERIENCES IN THE COMMUNITY AND WAYS IN WHICH THEY THINK THE SERVICES AND RESOURCES PROVIDED TO THE COMMUNITY CAN BE IMPROVED.COMMUNITY LEADER INTERVIEWEES WERE FROM THE FOLLOWING ORGANIZATIONS AND REPRESENTED THE FOLLOWING AREAS:LAFAYETTE GENERAL HEALTH - HOSPITAL LEADERSHIP AND MEDICAL PROFESSIONALSLSU HEALTH NEW ORLEANS SCHOOL OF MEDICINE - MEDICAL PROFESSIONALSLAFAYETTE MEDICAL EDUCATION - MEDICAL PROFESSIONALSSOUTHWEST LOUISIANA AREA HEALTH EDUCATION CENTER - PUBLIC HEALTH ORGANIZATIONUNITED WAY OF ACADIANA - PUBLIC SERVICE ORGANIZATIONLAFAYETTE COUNCIL ON AGING - MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONSLOUISIANA DEPARTMENT OF HEALTH, REGION 4 OFFICE OF PUBLIC HEALTH - PUBLIC HEALTH ORGANIZATIONKOMEN ACADIANA - PUBLIC SERVICE ORGANIZATIONCOPY OF CHNA IS AVAILABLE AT: HTTPS://WWW.LAFAYETTEGENERAL.COM/SITES/DEFAULT/FILES/2019-02/SP2103-LGH-UHC-CHNAFINAL-AUG18.PDF UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 11: PLEASE SEE ATTACHED IMPLEMENTATION STRATEGY, ADOPTED AND EXECUTED BY THE HOSPITAL, FOR A DESCRIPTION OF HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.THE IMPLEMENTATION STRATEGY ADDRESSED ALL NEEDS IDENTIFIED IN THE CHNA. IT CAN BE FOUND AT: HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/UHC%20IMPLEMENTATION%20STRATEGY%20FOR%20CHNA%202018%20PDF.PDF UNIVERSITY HOSPITAL & CLINICS, INC. PART V, SECTION B, LINE 16J: THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS. PART I, LINE 7: THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,104,287. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TEST AT LOCAL EVENTS. (PLEASE NOTE THAT UHC OFFICIALLY HAS A CLOSED MEDICAL STAFF) PART III, LINE 4: THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEPT EXPENSE IS ON PAGE 17 OF THE ATTACHED AUDITED FINANCIALS STATEMENTS. PLEASE NOTE THAT BAD DEBT EXPENSE IS NOW REFERRED TO AS IMPLICIT PRICE CONCESSIONS.BAD DEBT EXPENSE REFLECTED IN PART III EQUALS BAD DEBT EXPENSE REFLECTED ON THE ORGANIZATION'S TRIAL BALANCE AND CLASSIFIED AS IMPLICIT PRICE CONCESSIONS IN THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BOTH CHARITY AND BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT 49% OF THE UNINSURED OUTPATIENT EMERGENCY ROOM VISITS THAT WERE ADJUSTED TO BAD DEBT MAY HAVE BEEN PATIENTS THAT COULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY BUT DID NOT INITIATE OR COMPLETE THE NECESSARY DOCUMENTATION.THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS. PART III, LINE 8: THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE ESTIMATED BASED ON PREVIOUS COST REPORTS FILED WHEN THE HOSPITAL WAS A GOVERNEMNT RUN HOSPITAL. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7. PART III, LINE 9B: WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE, WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY. PART III, LINES 2 & 3 BAD DEBT EXPENSE REFLECTED IN PART III EQUALS BAD DEBT EXPENSE ON THE AUDITED TRIAL BALANCE. THE HOSPITAL ANALYZED THE POPULATION THAT WAS WRITTEN OFF TO BAD DEBT DURING THE YEAR. IT WAS ESTIMATED THAT AT LEAST 49% OF THE TOTAL SELF PAY REVENUE IN BAD DEBT WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE POLICY. HOWEVER, SINCE NECESSARY DOCUMENTATION WAS NOT COMPLETED, THIS AMOUNT WAS INSTEAD WRITTEN OFF TO BAD DEBT. THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS. HOWEVER, HOSPITAL BELIEVES THAT THE COST OF THIS BAD DEBT IS A COMMUNITY BENEFIT BECAUSE BY CONTINUING TO TREAT PATIENTS THAT ARE UNABLE TO AFFORD CARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL CARE. PART VI, LINE 2: A FORMAL NEEDS ASSESSMENT WAS UNDERTAKEN FOR THE YEAR ENDING 9/30/18. WE ENGAGED THE CARNAHAN GROUP TO COMPLETE OUR COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2018. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS. IN ADDITION, THE HOSPITAL DOES HAVE A BOARD OF TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY. CHNA WEBSITE: HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/2019-02/SP2103-LGH-UHC-CHNAFINAL-AUG18.PDFIMPLEMETATION STRATEGY WEBSITE:HTTPS://OCHSNERLG.ORG/SITES/DEFAULT/FILES/UHC%20IMPLEMENTATION%20STRATEGY%20FOR%20CHNA%202018%20PDF.PDF PART VI, LINE 3: THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE. PART VI, LINE 4: THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARISH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE WITHOUT REGARD TO THEIR ABILITY TO PAY. PART VI, LINE 5: THE MAJORITY OF UHC'S BOARD IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. ONLY 2 ARE EMPLOYEES. UHC, SINCE INCEPTION HAS NEVER MADE A SURPLUS AND BY CEA DESIGN, NEVER WILL MAKE A SURPLUS. UHC TAKES CARE OF THE POOR AND INDIGENT IN OUR COMMUNITY AND RECEIVES A COST REPORT SUBSIDY THAT ONLY COVERS ALLOWABLE COSTS. LGH SYSTEM INVESTED MORE THAN $4 MILLION ON AN ELECTRONIC MEDICAL RECORD TO IMPROVE PATIENT SAFETY, SATISFACTION, AND EFFICIENCY. UHC IS A TEACHING HOSPITAL WHICH TRAINS HUNDREDS OF RESIDENTS IN VARIOUS PROGRAMS TO HELP THEM BECOME DOCTORS. UHC EXEMPLIFIED COMMUNITY OUTREACH BY OFFERING FREE MAMMOGRAMS, BREAST SCREENING AND FOLLOW UP CARE TO ELIGIBLE PATIENTS BY WORKING WITH SUSAN G. KOMEN, INC. AND THE LOUISIANA BREAST & CERVICAL HEALTH PROGRAM. LOUISIANA EXCEEDS THE NATIONAL AVERAGE IN BREAST CANCER DEATHS, LARGELY DUE TO LATE OR INCURABLE-STAGE DIAGNOSIS, AND UHC IS NOW HELPING COMBAT THAT. PART VI, LINE 6: THE HOSPITAL IS AFFILIATED WITH OTHER HEALTHCARE ORGANIZATIONS. SEE FORM 990 SCHEDULE R FOR A COMPLETE LISTING. ALL OF THE ORGANIZATIONS ARE LOCAL HEALTHCARE ORGANIZATIONS WITH THE SAME PURPOSE AS THE HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES LA 1 LAFAYETTE PARISH SCHOOL SYSTEM -ON TRACK BY 5 ALLIANCE 326 GAUTHIER ROAD LAFAYETTE LA 70501 726000625 GOV'T 5000 DONATION 1 0 PART I, LINE 2: GRANTS ARE ONLY MADE TO ENTITIES THAT BENEFIT THE COMMUNITY SERVED BY UNIVERSITY HOSPITALS AND CLINICS. X 1 0 X X X X X 0 1 0 0 0 1 1 0 0 DAVID CALLECOD FORMER BOARD MEMBER 0 899254 0 361787 0 226329 0 227428 0 10339 0 1725137 0 0 PATRICK GANDY EVP CHIEF EXECUTIVE OFFICE 0 538501 0 264087 0 96070 0 110100 0 15771 0 1024529 0 0 KATHERINE D HEBERT CEO/VP 0 562561 0 84895 0 109075 0 143312 0 10931 0 910774 0 0 SUDHIR AGGARWAL PHYSICIAN 0 455850 0 149049 0 51632 0 1327 0 605 0 658463 0 0 MATTHEW RUBACHA PHYSICIAN 0 488627 0 0 0 15108 0 5700 0 10192 0 519627 0 0 LAWRENCE MANALO PHYSICIAN 0 465728 0 11651 0 360 0 5700 0 605 0 484044 0 0 KENT HUMBLE PHYSICIAN 0 287065 0 0 0 26552 0 5634 0 605 0 319856 0 0 TIFFANY LIU PHYSICIAN 0 295718 0 0 0 192 0 5700 0 5978 0 307588 0 0 LAURENCE VINCENT CNO 0 164743 0 24773 0 4629 0 3293 0 358 0 197796 0 0 STACY MISTRIC EXECUTIVE DIRECTOR AMBULAT 0 138490 0 20842 0 600 0 3202 0 308 0 163442 0 0 PART I, LINE 1A A SMALL GROSS UP PAYMENT IS MADE FOR EXECUTIVE DISABILITY INSURANCE. PART I, LINE 4B A SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01,2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $4465,400. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS WERE PATRICK GANDY, EVP CHIEF EXECUTIVE OFFICER, DAVID CALLECOD, FORMER TRUSTEE, AND KATHERINE HEBERT, VP/CEO. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2020 W-2 WAGES, TOTALED $ 311,818. THE FOLLOWING RECEIVED DISTRIBUTIONS, INCLUDED IN THEIR 2020 W-2 WAGES: PATRICK GANDY, EVP CHIEF EXECUTIVE OFFICER, DAVID CALLECOD, FORMER TRUSTEE, AND KATHERINE HEBERT, VP/CEO. PART I, LINE 6 THE ORGANIZATION DOES HAVE AN INCENTIVE PLAN FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS; 20% EMPLOYEES, 15% SERVICE, 20% QUALITY, 35% FUNDING OUR FUTURE, AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS', AS LISTED ON PART VII OF FORM 990, CALCULATION OF INCENTIVE PLAN PAYMENTS ARE IN PART BASED ON THE CONSOLIDATED NET EARNINGS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B YES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERNANCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITIEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAYBE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT TO THE PRESIDENT'S COMPENSATION THEREAFTER. FORM 990, PART VI, SECTION C, LINE 19 BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 193,628. MANAGEMENT AND GENERAL EXPENSES 6,422,693. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,616,321. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSIGHT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. 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