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        <PersonNm>DONALD T BOLLINGER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY A MILLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT YARBOROUGH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD HELM MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEONARD BOK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEON J TREY REYMOND III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SONTHEIMER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NIRAV PATEL</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>539258</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>22310</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANNY R HARDMAN</PersonNm>
        <TitleTxt>PRESIENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>516698</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13042</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER DEBLIEUX</PersonNm>
        <TitleTxt>CHIEF EXPERIENCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>454881</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12832</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE M BOND</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>330507</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21014</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE DANNA</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>301341</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18136</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE PARENT</PersonNm>
        <TitleTxt>VP OF BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>269249</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10718</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MIRANDA</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>216863</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12238</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JYOTSNA FULORIA</PersonNm>
        <TitleTxt>VP CLINICAL RESEARCH</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>382250</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>29805</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID JANZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>21595</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VIRENDRA JOSHI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIONEL BOURGEOIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>33675</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA E BLANDA</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHOLA M PREVOST</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <ReportableCompFromOrgAmt>224450</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TROY BOND</PersonNm>
        <TitleTxt>FORMER VP HUMAN RESOURCES</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>250629</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27262</OtherCompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>LSU HEALTH SCIENCES CENTER</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>433 BOLIVAR STREET</AddressLine1Txt>
            <CityNm>NEW ORLEANS</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70112</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRIS &amp; DICKSON CO</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>410 KAY LANE</AddressLine1Txt>
            <CityNm>SHREVEPORT</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71115</ZIPCd>
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        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TULANE UNIVERSITY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6823 ST CHARLES AVE</AddressLine1Txt>
            <CityNm>NEW ORLEANS</CityNm>
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            <ZIPCd>70118</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENWAVEUSA NEW ORLEANS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1661 GRAVIER ST</AddressLine1Txt>
            <CityNm>NEW ORLEANS</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDINAL HEALTH</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>233 MASON ROAD</AddressLine1Txt>
            <CityNm>LA VERGNE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37086</ZIPCd>
          </USAddress>
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      <GovernmentGrantsAmt>67085289</GovernmentGrantsAmt>
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      <TotalContributionsAmt>69265945</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>639117235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>639117235</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>74945165</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>74945165</RelatedOrExemptFuncIncomeAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8110</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>-8110</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-8110</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-8110</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>783320235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>714054290</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>313415</TotalAmt>
        <ProgramServicesAmt>313415</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4579225</TotalAmt>
        <ProgramServicesAmt>3603850</ProgramServicesAmt>
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        <ProgramServicesAmt>131518528</ProgramServicesAmt>
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        <ProgramServicesAmt>4228279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1144376</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7406363</ProgramServicesAmt>
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        <ProgramServicesAmt>9267175</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>58660488</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>681877</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>942211</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>175430760</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>486127</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>4220870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2849265</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>605608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>658445</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>69244352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27040016</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>25717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57026</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>10703</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161093</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>49596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21630745</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>26783829</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2967226</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>118351452</TotalAmt>
        <ProgramServicesAmt>117724189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>627263</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER CONTRACTUAL SERVI</Desc>
        <TotalAmt>35152662</TotalAmt>
        <ProgramServicesAmt>4773731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30378931</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>9127125</TotalAmt>
        <ProgramServicesAmt>8823017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304108</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>ADJUSTMENT AND TRANSFER</Desc>
        <TotalAmt>4799802</TotalAmt>
        <ProgramServicesAmt>1976078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2823724</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>6410331</TotalAmt>
        <ProgramServicesAmt>3739414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2670917</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>764912575</TotalAmt>
        <ProgramServicesAmt>542961645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>221950930</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>86920497</BOYAmt>
        <EOYAmt>127130038</EOYAmt>
      </CashNonInterestBearingGrp>
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        <BOYAmt>1135888</BOYAmt>
        <EOYAmt>900897</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>104131787</BOYAmt>
        <EOYAmt>80451675</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>10983368</BOYAmt>
        <EOYAmt>12275212</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>261183919</BOYAmt>
        <EOYAmt>246610212</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>104701058</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>31890956</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>34723559</BOYAmt>
        <EOYAmt>72810102</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4198334</BOYAmt>
        <EOYAmt>6171647</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>503277352</BOYAmt>
        <EOYAmt>546349783</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>168073139</BOYAmt>
        <EOYAmt>250662162</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: A COMPREHENSIVE CHNA PROCESS PERFORMED BY UNIVERSITY MEDICAL CENTER NEW ORLEANS (UMCNO) 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.THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. HEALTH PROVIDER SURVEYS WERE COLLECTED TO CAPTURE THOUGHTS AND OPINIONS REGARDING HEALTH PROVIDERS' COMMUNITY REGARDING THE CARE AND SERVICES THEY PROVIDE. COMMUNITY REPRESENTATIVES AND STAKEHOLDERS ATTENDED A COMMUNITY FORUM FACILITATED BY TRIPP UMBACH TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A ROBUST REGIONAL PROFILE (SECONDARY DATA PROFILE) WAS ANALYZED. THE REGIONAL PROFILE CONTAINED LOCAL, STATE, AND FEDERAL DATA/STATISTICS PROVIDING INVALUABLE INFORMATION ON A WIDE-ARRAY OF HEALTH AND SOCIAL TOPICS. DIFFERENT SOCIOECONOMIC CHARACTERISTICS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS WERE REVIEWED AND DISCUSSED WITH MEMBERS OF THE WORKING GROUP AND TRIPP UMBACH.EAST JEFFERSON GENERAL HOSPITAL, LCMC HEALTH, OCHSNER HEALTH SYSTEM, HCA HEALTHCARE (TULANE MEDICAL CENTER), SLIDELL MEMORIAL HOSPITAL, AND ST. TAMMANY PARISH HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT THROUGH A COLLABORATIVE PARTNERSHIP UNDER THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE, WHILE DEVELOPING A DEEPER UNDERSTANDING OF COMMUNITY NEEDS AND IDENTIFYING COMMUNITY HEALTH PRIORITIES. THE MISSION OF THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS CHNA IS TO UNDERSTAND AND PLAN FOR THE CURRENT AND FUTURE HEALTH NEEDS OF RESIDENTS IN ITS COMMUNITY. THE COMMUNITY NEEDS ASSESSMENT PROCESS IS A MEANINGFUL ENGAGEMENT AND INPUT WAS COLLECTED FROM A BROAD CROSS-SECTION OF COMMUNITY-BASED ORGANIZATIONS, ESTABLISHMENTS, AND INSTITUTIONS.THE HEALTH CARE ENVIRONMENT IS CHARACTERIZED BY CHANGE AND UNCERTAINTY. AS CHANGE AND UNCERTAINTY DEEPEN, HOSPITALS AND HEALTH SYSTEMS MUST CONTINUALLY ENHANCE THEIR ABILITY TO ENSURE VALUE TO THEIR MEMBERS AND TO ASSIST DIVERSE MEMBERS WITH STRATEGIES AND TOOLS FOR IMPROVING THE HEALTH OF THE POPULATION. TRIPP UMBACH FACILITATED THE DEVELOPMENT OF A COMPREHENSIVE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT APPROACH FOR MHCNO AND THEIR PARTNER HOSPITALS TO ADVANCE COMMUNITY HEALTH, PROMOTE WELLNESS AND PREVENTION, AND MOBILIZE COMMUNITY PARTNERS TO PARTICIPATE IN ADDRESSING HEALTH AND WELL-BEING OF THE POPULATION. TRIPP UMBACH HAS FOUND THAT COMMUNITY AND REGIONAL CHNAS OFTEN BRING ABOUT A GREATER UNDERSTANDING OF THE SHARED HEALTH ISSUES ACROSS A COMMUNITY AS WELL AS OPPORTUNITIES FOR HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS TO SHARE DATA AND WORK COLLABORATIVELY TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.AS SUCH, THE CHNA WAS DEVELOPED THROUGH A REGIONAL APPROACH. IN TOTAL, SIX GEOGRAPHIC PROFILES EMERGED BASED ON THE LOCATION AND PRIMARY SERVICE AREA OF EACH PARTICIPATING HOSPITAL. THE REGIONAL PROFILES WERE: BATON ROUGE, JEFFERSON, NEW ORLEANS, NORTH SHORE, WEST BANK, AND ST. ANNE (RACELAND)/LAFOURCHE REGION. FIVE COMMUNITY FORUMS WERE CONDUCTED WITHIN THE RESPECTIVE REGIONAL AREAS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE TOP TWO NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY UMC ARE ACCESS TO HEALTH SERVICES AND BEHAVIORAL HEALTH. TO ADDRESS THE NEED OF INCREASED ACCESS TO HEALTH SERVICES, UMC HAS EXPANDED CURRENT SERVICES OR OPEN NEW SERVICES. THESE SERVICES INCLUDE THE CANCER CENTER, RADIATION ONCOLOGY, NEUROSURGERY, ENT, IBD, PRIMARY CARE, OPHTHALMOLOGY AND DERMATOLOGY. UMC HAS ALSO EXPANDED 340B SERVICES THROUGH A PARTNERSHIP WITH WALGREEN'S. ADDITIONALLY, THE FACILITY'S FINANCIAL ASSISTANCE POLICY HAD BEEN REVISED, EFFECTIVE 5/1/2016, TO ALLOW FOR A 75% INDIGENT CARE ADJUSTMENT FOR 251 - 400% FPL AND 100% ADJUSTMENT FOR 250% AND BELOW. FINALLY, UMC HAS IMPROVED COLLABORATION OF SERVICES WITH THE FGQHC'S THROUGH QUARTERLY MEETINGS. TO ADDRESS THE INCREASED BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, UMC INITIALLY EXPANDED ITS CAPACITY BY 15 BEDS. BY LATE 2016, ALL 60 BEHAVIORAL HEALTH BEDS WERE OPENED. ADDITIONALLY, THE EMERGENCY DEPARTMENT HAS EXPANDED ITS BEHAVIORAL HEALTH BEDS. UMC HAS ALSO CREATED A GOVERNING BOARD MENTAL HEALTH TASK FORCE CONSISTING OF COMMUNITY PARTNERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: THE FOLLOWING FACTORS WILL BE CONSIDERED WHEN DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE FOR WHICH A PATIENT IS ELIGIBLE BASED ON RESOURCES:- PATIENT MUST REQUEST ASSISTANCE BY SUBMITTING AN APPLICATION FOR FINANCIAL ASSISTANCE OR ARE DEEMED ELIGIBLE AS OUTLINED IN THE PRESUMPTIVE ELIGIBILITY SECTION IN THIS DOCUMENT.- IF A LOUISIANA RESIDENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID OR STATE ASSISTANCE PROGRAM SUCH AS SNAP, WIC, TANF, OR GNOCHC, THEY WILL AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE.- IF AN INDIVIDUAL HAS BEEN SCREENED BY A 504HEALTHNET MEMBER CLINIC AND HAS BEEN DECLARED BOTH A LOUISIANA RESIDENT AND MEDICALLY INDIGENT IN A MANNER CONSISTENT WITH THIS POLICY AND STATE GUIDELINES, AND THE MEMBER CLINIC ATTESTS IN WRITING TO THE INDIVIDUAL'S ELIGIBILITY, HE/SHE WILL AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE.- INDIVIDUAL OR FAMILY INCOME, EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE; - MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 20% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND. SELF-PAY PATIENTS MAY BE DETERMINED ELIGIBLE FOR A MEDICAL HARDSHIP BY PRESENTING DOCUMENTED PREVIOUSLY INCURRED ELIGIBLE MEDICAL EXPENSES FOR THE TWELVE (12) MONTHS OF IMMEDIATELY PRECEDING TREATMENT FROM ANY HEALTH PROVIDER, WHICH ARE EQUAL OR ABOVE TWENTY PERCENT (20%) OF THE GROSS INCOME OF THE FAMILY UNIT. ONLY APPROVED VALID MEDICAL EXPENSES WILL QUALIFY THE PATIENT FOR MEDICAL TREATMENT AT NO ADDITIONAL COST TO THE FAMILY UNIT FOR THE NEXT TWELVE MONTHS FROM THE DATE OF SERVICE.- ALL OTHER RESOURCES MUST BE APPLIED FIRST, INCLUDING, BUT NOT LIMITED TO, THIRD-PARTY PAYERS, VICTIMS OF CRIME (A STATE-LEVEL PROGRAM FOR CRIME VICTIMS TO RECOVER SOME HOSPITAL COSTS), AND MEDICAID; - IF A PATIENT DOES NOT HAVE MEDICAID, BUT WOULD QUALIFY, HE OR SHE MUST COOPERATE WITH THE MEDICAID APPLICATION PROCESS PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE; - FINANCIAL ASSISTANCE MAY ALSO BE PROVIDED TO NON-LOUISIANA RESIDENTS WHO EXPERIENCE AN EMERGENCY MEDICAL CONDITION IN LOUISIANA AND REQUIRE IMMEDIATE MEDICAL TREATMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMCNO USES THE FPG IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. SPECIFICALLY, A PERSON WHOSE FAMILY UNIT RESOURCES OR PROPERTY AND INCOME IS AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL FOR THE SIZE OF THE FAMILY UNIT, ROUNDED TO THE NEAREST DOLLAR. IN ADDITION TO INCOME-BASED CRITERIA, UMC APPLIES AN ASSET TEST AND RESIDENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC USES A RATIO OF PATIENT CARE COST TO GROSS PATIENT CHARGES, ADJUSTED FOR MEDICAID PROVIDER TAX AND OTHER NON-PATIENT RELATED ITEMS TO ESTABLISH TOTAL COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE, MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>INJURY PREVENTION PROGRAMS: LIKE DISEASES, INJURIES ARE PREVENTABLE. THE SAME SCIENTIFIC METHODS TO PREVENT DISEASE HAVE BEEN USED TO PREVENT INJURIES. MIRRORING THE CDC, UMC CAREFULLY DESCRIBES THE PROBLEM THROUGH SURVEILLANCE, STUDIES FACTORS THAT INCREASE OR DECREASE RISK FOR INJURY, DESIGNS AND EVALUATES INTERVENTION STRATEGIES THAT TARGET RISK FACTORS, FOLLOWED BY STEPS TO ENSURE THAT PROVEN STRATEGIES ARE IMPLEMENTED THROUGHOUT COMMUNITIES AND STATEWIDE. ACCORDING TO THE AMERICAN COLLEGE OF SURGEONS, "TRAUMA CENTERS MUST HAVE AN ORGANIZED AND EFFECTIVE APPROACH TO INJURY PREVENTION AND MUST PRIORITIZE THOSE EFFORTS BASED ON LOCAL TRAUMA REGISTRY AND EPIDEMIOLOGIC DATA. PHYSICIANS, NURSES, AND OTHER TRAUMA CENTER PERSONNEL HAVE UNIQUE PERSPECTIVES AND EQUALLY UNIQUE OPPORTUNITIES TO FOCUS COMMUNITY EFFORTS ON EFFECTIVE PREVENTION PROGRAMS, AND PERHAPS MOST IMPORTANT TO PARTNER WITH INJURY PREVENTION EXPERTS AND RESOURCES IN THE COMMUNITY." SUDDEN IMPACT: A 6-HOUR HOSPITAL-BASED PROGRAM FOR SOPHOMORE ADOLESCENTS, PROVIDES THE GROUNDWORK FOR AN INCREASE IN KNOWLEDGE, ATTITUDE AND BEHAVIOR CHANGE REGARDING HIGH RISK BEHAVIOR BEHIND THE WHEEL. THE PROGRAM IS PROVIDED THROUGH AN INVALUABLE PARTNERSHIP BETWEEN THE HOSPITAL, LOUISIANA STATE POLICE, THE LOUISIANA HIGHWAY SAFETY COMMISSION AND TRAUMA VICTIMS. THE PROGRAM WAS DEVELOPED 20 YEARS AGO BY UMC INJURY PREVENTION COORDINATORS AND HAS EXPANDED TO 16 HOSPITALS IN 9 REGIONS OF THE STATE. DURING THE 2020--2021 SCHOOL YEAR, THE SUDDEN IMPACT PROGRAM REACHED 7,027 STUDENTS. MOCK CRASHES: THE CONSEQUENCES OF IMPACT MOCK CRASH WAS DEVELOPED AS A FOLLOW UP TO THE HOSPITAL-BASED SOPHOMORE LEVEL HOSPITAL BASED SUDDEN IMPACT PROGRAM. STUDENTS PARTICIPATE IN A MOCK MOTOR VEHICLE CRASH TO INCREASE THE AWARENESS OF THE DANGERS OF DRIVING IMPAIRED, DRIVING UNRESTRAINED AND DISTRACTED DRIVING. PARTNERSHIPS INCLUDE FIRST RESPONDERS, LOCAL FIRE DEPARTMENTS, EMS, TRAUMA CENTER PERSONNEL, AND THE CORONER'S OFFICE. THE CONSEQUENCES OF IMPACT MOCK TRIAL WAS DEVELOPED TO REINFORCE THE EDUCATION FROM THE MOCK CRASH. THE PERCEIVED CERTAINTY OF LEGAL CONSEQUENCES IS OF SIGNIFICANT VALUE, ESPECIALLY AMONG ADOLESCENTS. TWO LOCAL ATTORNEYS AND A LOCAL TRAFFIC COURT JUDGE PRESENT A COURT CASE TO DEMONSTRATE THE LIFETIME OF CONSEQUENCES TO POOR DECISIONS. SCHOOL -BASED TRAUMA PREVENTION OUTREACH PROGRAM (STOP): STOP IS AN INJURY PREVENTION PROGRAM FOR ELEMENTARY SCHOOL CHILDREN. THROUGH AGE APPROPRIATE INTERACTIVE DISCUSSIONS AND ACTIVITIES, THE PRESENTERS PROMOTE SAFETY HABITS AND THE USE OF PROTECTIVE GEAR. THE PROGRAM EMPHASIZES SAFETY WHILE RIDING IN A MOTOR-VEHICLE, SEAT BELT AND BOOSTER SEAT USAGE, BICYCLE HELMETS, PEDESTRIAN SAFETY, BURN PREVENTION AND GUN/FIREARM SAFETY. DURING THE 2019-2020 ABBREVIATED SCHOOL YEAR, UMC HOSTED THE STOP PROGRAM TO 2,671 ELEMENTARY SCHOOL STUDENTS. THIS PROGRAM IS ON HOLD DUE TO COVID MITIGATION MEASURES.CHILD PASSENGER SAFETY INITIATIVES: THE LOUISIANA PASSENGER SAFETY TASK FORCE (LPSTF) WAS CREATED BY UMC INJURY PREVENTION COORDINATORS 22 YEARS AGO. THE LPSTF IS A COALITION OF PARTNERS IN LOUISIANA WHO ARE RESPONSIBLE FOR EDUCATING THE COMMUNITY AND OTHER AGENCIES ON THE BENEFIT OF RESTRAINT SYSTEMS IN MOTOR VEHICLES. CONCENTRATED EFFORTS ARE PLACED ON EDUCATION, ENFORCEMENT AND LEGISLATION RELATED TO MOTOR VEHICLE OCCUPANTS. GRANT FUNDING BY THE LOUISIANA HIGHWAY SAFETY COMMISSION ALLOWS THE TEAM TO ASSIST THE COMMUNITY FREE OF CHARGE. TOGETHER, OVER 3,616 CHILDREN WERE ASSISTED IN 2020-2021. IN 2020, THE CHILD PASSENGER SAFETY NETWORK HOSTED BY UMC WAS HONORED NATIONALLY AS "TEAM OF THE YEAR."GRANT FUNDED FITTING STATIONS: FITTING STATIONS PROVIDE A ONE ON ONE TUTORIAL FOR THE COMMUNITY TO LEARN THE BENEFITS OF PROPER SEAT BELT AND CHILD SAFETY SEATS. GRANT FUNDED SUPPLIES AND TRAINING ARE PROVIDED BY UMC TO THE PARTICIPATING 104 FITTING STATIONS IN LOUISIANA. STOP THE BLEED: WITH SIMPLE TRAINING IN BLEEDING CONTROL TECHNIQUES, CITIZENS CAN PROVIDE IMMEDIATE STABILIZATION TO INJURED VICTIMS PRIOR TO THE ARRIVAL OF FIRST RESPONDERS. BLEEDING CONTROL EDUCATION IS APPROPRIATE FOR ALL SKILL LEVELS AND INCREASES SURVIVABILITY. THE GOAL IS TO PROVIDE WIDESPREAD BLEEDING CONTROL EDUCATION AND SUPPLIES TO LAW ENFORCEMENT/SECURITY ORGANIZATIONS, SCHOOLS/EDUCATIONAL INSTITUTIONS, COMMUNITY CENTERS, LOCAL BUSINESSES AND CHURCHES.SONIC PARTNERSHIP: SONIC RESTAURANTS RAISED MONEY THROUGH SALES OF THE 2019 SONIC "TOT" CALENDAR. THIS IS THE FIFTH YEAR OF THE CHILD SAFETY SEAT DONATION PROGRAM, WHICH HAS RAISED A TOTAL OF $273,000 TO UMC AND PURCHASED 3,870 CHILD SAFETY SEATS SINCE ITS INCEPTION. LEGISLATION: UNIVERSITY MEDICAL CENTER AUTHORED NEW CHILD SAFETY SEAT LEGISLATION FOR THE 2019 LOUISIANA SESSION. UMC PREVENTION NURSES AUTHORED SB76, NOW LOUISIANA LAW R.S.295, TESTIFIED IN BOTH THE HOUSE AND SENATE TRANSPORTATION COMMITTEES, AND PRODUCED EDUCATIONAL MATERIALS FOR DISSEMINATION STATEWIDE. THE LOUISIANA LAW HAS BEEN TITLED "BEST IN THE COUNTRY" BY NATIONAL TRAFFIC SAFETY EXPERTS. GOVERNOR JOHN BEL EDWARDS RECOGNIZED AND AWARDED THE PREVENTION NURSES IN NOVEMBER 2019 AT A STATE CONFERENCE FOR BUILDING A STRONGER, HEALTHIER, INJURY FREE SOCIETY. CAR FIT PROGRAM: THE PREVENTION NURSES EXPANDED SERVICES THIS YEAR INTO A GERIATRIC PREVENTION PROGRAM THROUGH THE DEVELOPMENT OF CAR FIT INSTRUCTORS AND COORDINATORS IN LOUISIANA. UMC PREVENTION NURSES PROVIDE THE LEADERSHIP FOR THE CAR FIT PROGRAM, INFRASTRUCTURE, DEVELOPMENT AND IMPLEMENTATION. ER DISCHARGE: UPON DISCHARGE OR TRANSFER OF A UMC PEDIATRIC TRAUMA ACTIVATION, THE PREVENTION NURSES PROVIDE A CHILD SAFETY SEAT AND INSTALLATION INSTRUCTIONS TO THE CAREGIVER. SEATS ARE PROVIDED BY THE LOUISIANA SONIC PARTNERSHIP. 2020 INJURY PREVENTION CONFERENCE: UMC HOSTED THE CHILD PASSENGER SAFETY INJURY PREVENTION CONFERENCE. NATIONAL SPEAKERS JOINED THE PREVENTION NURSES TO LEAD LOUISIANA IN A 200-PERSON VIRTUAL CONFERENCE. UMC RECEIVED A NATIONAL AWARD FOR "TEAM OF THE YEAR" BY THE NATIONAL SAFETY COUNCIL FOR PROVIDING LEADERSHIP IN INJURY PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS BASED ON UMC'S PROVISION FOR DOUBTFUL ACCOUNTS. THE AMOUNT IS DETERMINED AS GROSS CHARGES RESERVED ON A SLOPE PERCENTAGE SPECIFIC TO HISTORICAL COLLECTIONS BY PAYOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC HAS PROCEDURES THAT ASSURE THAT ALL SELF-PAY (UNINSURED) AND MEDICALLY INDIGENT PATIENTS IN HOUSEHOLDS UP TO 250% OF FPG RECEIVE FREE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FROM NOTE 2, "NET PATIENT SERVICE REVENUES AND RELATED RECEIVABLES." PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE OF DOUBTFUL ACCOUNTS. IN ESTABLISHING ITS ESTIMATE OF COLLECTABILITY OF ACCOUNTS RECEIVABLE, EACH ENTITY WITHIN THE SYSTEM ANALYZES ITS HISTORY AND COLLECTION PATTERNS OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ALLOWANCES ARE ADJUSTED MONTHLY FOR VOLUME AND SERVICE MIX, AND ANNUALLY FOR RATE INCREASES. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE WHO ARE NOT COVERED BY THE CHARITY CARE PROGRAM OF EACH ENTITY WITHIN THE SYSTEM AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL) , THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY THE POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC IS REQUIRED TO MANAGE ITS BAD DEBT LOSSES, A SIGNIFICANT COMPONENT OF ITS OPERATING PERFORMANCE, AS ONE OF THE CONTRIBUTORS TO THE TOTAL COMMUNITY BENEFIT THE ORGANIZATION IS ABLE TO PROVIDE; THIS IS BASED ON THE RECOGNITION THAT MUCH OF THE NEW ORLEANS AREA POPULATION IS UNABLE TO AFFORD THE CARE THEY NEED. UMC USES A RATIO OF PATIENT CARE COST TO CHARGES TO ESTABLISH THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR PATIENTS DETERMINED TO BE MEDICALLY INDIGENT AND MEETING 250-400% OF THE FPL, 75% OF THE PATIENT ACCOUNT WILL BE DISCOUNTED. FOR PEOPLE MEETING LESS THAN 250% OF THE FPL, 100% OF THE PATIENT ACCOUNT WILL BE DISCOUNTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 5, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC)WAS ORIGINALLY ESTABLISHED ON OCTOBER 12, 2005 AS THE EARL K. LONG MEDICAL FOUNDATION, INC. AND QUALIFIED AT THAT TIME AS A TAX-EXEMPT CORPORATION UNDER THE PROVISIONS OF 26 USC SECT. 501(C)(3). ON JULY 9, 2010, THE ARTICLES OF INCORPORATION OF THE EARL K. LONG MEDICAL FOUNDATION, INC. WERE RESTATED TO CHANGE THE NAME OF THE ENTITY TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (A MAJOR AFFILIATE OF LSU PURSUANT TO LA. R.S. 17:3390). THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS NOT FOR PROFIT CORPORATION WERE DESIGNATED AS ITS MEMBERS. SUBSEQUENTLY ON MAY 30, 2013, THE ARTICLES OF INCORPORATION FOR THE ORGANIZATION WERE AGAIN AMENDED TO SUBSTITUTE THE LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) AS THE SOLE CORPORATE MEMBER AND TO CHANGE THE NAME TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION. ACCORDING TO THE TERMS OF THE COOPERATIVE ENDEAVOR AGREEMENT, UMCMC AGREED TO ASSUME MANAGEMENT OF THE INTERIM LSU HOSPITAL ON JUNE 24, 2013. THIS AGREEMENT WAS EXECUTED IN ORDER TO AVOID REDUCTIONS IN SERVICE LEVELS PROPOSED BY THE STATE OF LOUISIANA BASED UPON PROJECTED FUNDING SHORTFALLS. IN 2014 THE LOUISIANA DEPARTMENT OF HOSPITALS SUBMITTED TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) A MEDICAID STATE PLAN AMENDMENT MAKING ACADEMIC MEDICAL CENTERS SERVING AS SAFETY NET PROVIDERS ELIGIBLE FOR MEDICAID DISPROPORTIONATE SHARE PAYMENTS. THE COOPERATIVE ENDEAVOR AGREEMENT AND THE MASTER LEASE WERE AMENDED AND RESTATED IN 2014 TO REMOVE THE DEPARTMENT OF HEALTH AND HOSPITALS AS SIGNATORY AND TO ELIMINATE THE REQUIRED FUNDING PROVISIONS. THE AMENDED AND RESTATED MASTER LEASE NOW PROVIDES FOR A 60 DAY TERMINATION WITHOUT CAUSE IN LIEU OF ANY REQUIRED FUNDING PROVISIONS AND THE COOPERATIVE ENDEAVOR AGREEMENT PERMITS LCMC TO WITHDRAW AS THE SOLE MEMBER OF UMCMC UPON 60 DAYS NOTICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN MANY WAYS. NUMEROUS STUDIES HAVE BEEN CONDUCTED BY VARIOUS STATE AGENCIES REGARDING THE NEEDS OF PATIENTS HISTORICALLY SERVED BY UMC IN FORMULATING DECISIONS REGARDING A REPLACEMENT FACILITY, TO ESTABLISH PROGRAMS SUCH AS GNOCHC, AND OTHERWISE TO ASSURE THAT HEALTH CARE AND MEDICAL EDUCATION NEEDS ARE ADDRESSED. UMC RECEIVES INFORMATION REGARDING THE HEALTH CARE NEEDS OF THE NEW ORLEANS COMMUNITY FROM THE SCHOOLS THAT PARTICIPATE IN ITS TRAINING PROGRAMS. THE PARTICIPANTS IN THE TRAINING PROGRAMS ARE ON THE FRONT LINES OF PATIENT CARE AND ARE MOST AWARE OF THE PARTICULAR NEEDS OF THIS COMMUNITY. THROUGH COMMUNICATION WITH THESE SCHOOLS AND THE OTHER PROVIDERS IN THE COMMUNITY, UMC DEVELOPS AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THE INDIGENT POPULATION OF THE NEW ORLEANS REGION. UMC HAS PARTICIPATED ACTIVELY IN THE AFOREMENTIONED STUDIES AND IN MANY COMMUNITY EFFORTS RELATING TO THE HEALTHCARE NEEDS IN THE NEW ORLEANS AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON SCHEDULING OR REGISTRATION, THE ABILITY TO APPLY FOR FINANCIAL ASSISTANCE IS OFFERED IF THE PATIENT IS UNINSURED OR UNDERINSURED. IF MEDICAID ASSISTANCE IS DENIED, THE UMC FINANCIAL ASSISTANCE AND MEDICAL ASSISTANCE PROGRAM (MAP) DEPARTMENTS WILL ASSIST THE PATIENT IN SEEKING OTHER FINANCIAL ASSISTANCE BENEFITS. THIS DEPARTMENT INSTRUCTS THE PATIENT ON REQUIRED DOCUMENTATION AND ELIGIBILITY PROCEDURES. IF THE PATIENT IS DETERMINED TO BE MEDICALLY INDIGENT AND UNABLE TO OBTAIN MEDICAID BENEFITS, UMC WILL INFORM THEM OF ALTERNATIVE POSSIBILITIES FOR FINANCIAL ASSISTANCE. IF THE PATIENT IS FOUND TO BE UNABLE TO QUALIFY FOR ANY PUBLIC ASSISTANCE BUT IS NOT BELOW THE 400% FPG LIMITS ON CHARITY CARE, THEY ARE INFORMED THAT THEY WILL BE CONSIDERED SELF-PAY AND ENTITLED TO A 66% DISCOUNT ON CHARGES. UMC WORKS WITH THE PATIENT TO FORMULATE A PAYMENT PLAN. IF THE PATIENT FALLS IN BETWEEN 250-400% OF THE FPG LIMITS, THE PATIENT'S CHARGES WILL BE DISCOUNTED BY 75%. FURTHER, IF THE PATIENT IS FOUND TO FALL BELOW THE 250% FPG LEVEL, HE OR SHE IS CLASSED AS CHARITY CARE AND ALL CHARGES ARE WRITTEN OFF. UMC HAS A LONG STANDING REPUTATION OF BEING THE SAFETY NET HOSPITAL FOR THE INDIGENT MEDICALLY ILL PATIENTS OF NEW ORLEANS AND SURROUNDING AREAS. OUR COMMITMENT TO OUR COMMUNITY IS TO CARE FOR ALL WHO NEED OUR CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH RESPECT TO UNIVERSITY MEDICAL CENTER, THE COMMUNITY SERVED IS DEFINED AS THE 50 ZIP CODES, ACROSS 13 DIFFERENT PARISHES, WHICH HOLD A MAJORITY (75%) OF THE INPATIENT DISCHARGES FOR THE HOSPITAL. IN DISCUSSING DEMOGRAPHIC DATA, UMC'S SERVICE AREA WILL DRAW COMPARISONS TO JEFFERSON PARISH AND ORLEANS PARISH, THE TWO PARISHES CONTAINING THE GREATEST NUMBER OF PATIENT DISCHARGE ZIP CODES. IN ADDITION, COMPARISON ARE DRAWN TO THE STATE OF LOUISIANA AS A WHOLE. THE INFORMATION BELOW IS GLEAMED FROM UMC'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2018 BY TRIPP UMBACH. IN 2017, THE TOTAL POPULATION OF UMC'S SERVICE AREA IS 1,329,370. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH WERE 399,567 AND 437,303, RESPECTIVELY. THE OVERALL 2017 POPULATION OF THE STATE OF LOUISIANA WAS 4,706,135. BY 2022, UMC ANTICIPATES A 4.7% INCREASE IN POPULATION TO 1,391,436. THIS COMPARES TO 1.7% AND 7% GROWTH FOR JEFFERSON PARISH AND ORLEANS PARISH, RESPECTIVELY. THE POPULATION OF LOUISIANA IS EXPECTED TO INCREASE BY 2.8% TO 4,839,118 BY 2022.UMC'S POPULATION IS COMPRISED 47.8% MALES AND 52.2% FEMALES. THIS RATIO MIRRORS THAT OF JEFFERSON PARISH AND ORLEANS PARISH. BY COMPARISON, THE STATE OF LOUISIANA IS COMPRISED OF 49% MALES AND 51% FEMALES, AS OF 2017.THE AGE DISPERSION FOR UMC'S SERVICE AREA IS AS FOLLOWS: 0 -14: 19%, 15 - 17: 3.7%, 18 - 24: 9.1%, 25 - 34: 15.2%, 35 - 54: 25.9%, 55 - 64: 13.2%, 64+: 14%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 31.3% OF THE POPULATION IS WHITE/NON-HISPANIC, 57.9% IS BLACK/NON-HISPANIC, AND 5.8% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.2%, AND 14.7%. AS A STATE, LOUISIANA IS COMPRISED OF 58.5% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.3% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $66,697. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $71,756. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $68,011. IT IS IMPORTANT TO NOTE THAT ALL AVERAGE HOUSEHOLD INCOMES HIGHLIGHTED ABOVE FALL SUBSTANTIALLY BELOW THE NATIONAL AVERAGE OF $80,853. THE POVERTY RATES OF JEFFERSON PARISH, ORLEANS PARISH, AND LOUISIANA ARE AS FOLLOWS: 16.48%, 27.34%, AND 21.7%. ALL SUBSTANTIALLY GREATER THAN THE 15.3% OF THE UNITED STATES AS A WHOLE. IN REVIEWING THE UMC SERVICE AREA'S 50 ZIP CODES BASED ON THE COMMUNITY NEEDS INDEX, IT WAS FOUND THAT 45 OF THE 50 ZIP CODES SCORED HIGHER THAN THE MEDIAN SCORE OF 3. THIS WOULD INDICATE THAT THESE ZIP CODES HAVE MORE THAN AVERAGE THE NUMBER OF BARRIERS TO PROPER HEALTH CARE ACCESS. THE FACTORS THAT ARE TAKEN INTO ACCOUNT WHEN CALCULATING A ZIP-CODE'S CNI SCORE AREA AS FOLLOWS: INCOME BARRIERS, CULTURAL BARRIERS, EDUCATIONAL BARRIERS, INSURANCE BARRIERS, AND HOUSING BARRIERS. FOUR ZIP CODES IN UMC'S SERVICE AREA SCORED A 5. THIS INDICATES SIGNIFICANT BARRIERS TO HEALTH CARE ACCESS. IN ADDITION, A REVIEW OF PREVENTION QUALITY INDICATORS FINDS THAT THE FOLLOWING AILMENTS DRIVE A HIGHER THAN NORMAL PREVENTABLE ADMISSIONS RATE: DIABETES SHORT-TERM COMPLICATIONS, DIABETES LONG-TERM COMPLICATIONS, LOWER EXTREMITY AMPUTATIONS AMONG DIABETICS, PERFORATED APPENDIX, AND LOW BIRTH WEIGHT.FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL. THIS INCLUDES RANKING 48TH FOR SMOKING, 47TH FOR DIABETES, AND 45TH FOR OBESITY. THE STATES CHALLENGES INCLUDE A HIGH INCIDENCE OF INFECTIOUS DISEASES, A HIGH PREVALENCE OF LOW BIRTH-WEIGHTS, AND A HIGH RATE OF PREVENTABLE HOSPITALIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOP TWO NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY UMC ARE ACCESS TO HEALTH SERVICES AND BEHAVIORAL HEALTH. TO ADDRESS THE NEED OF INCREASED ACCESS TO HEALTH SERVICES, UMC HAS EXPANDED CURRENT SERVICES OR OPEN NEW SERVICES. THESE SERVICES INCLUDE THE CANCER CENTER, RADIATION ONCOLOGY, NEUROSURGERY, ENT, IBD, PRIMARY CARE, OPHTHALMOLOGY AND DERMATOLOGY. IN 2018 UMC OPENED A NEW 16 BED BURN UNIT TO PROVIDE NEW SERVICES TO THE REGION. IN ADDITION, UMC STARTED A NEW BARIATRIC PROGRAM TO OFFER BARIATRIC SERVICES TO ITS PATIENT POPULATION. UMC ALSO OPENED UP 42 ADDTIONAL BEDS IN 2019. UMC HAS ALSO EXPANDED 340B SERVICES THROUGH A PARTNERSHIP WITH WALGREEN'S. ADDITIONALLY, THE FACILITY'S FINANCIAL ASSISTANCE POLICY HAD BEEN REVISED, EFFECTIVE 5/1/2016, TO ALLOW FOR A 75% INDIGENT CARE ADJUSTMENT FOR 251 - 400% FPL AND 100% ADJUSTMENT FOR 250% AND BELOW. FINALLY, UMC HAS IMPROVED COLLABORATION OF SERVICES WITH THE FGQHC'S THROUGH QUARTERLY MEETINGS. TO ADDRESS THE INCREASED BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, UMC HAS 60 LICENSED BEHAVIORAL HEALTH BEDS. ADDITIONALLY, THE EMERGENCY DEPARTMENT HAS EXPANDED ITS BEHAVIORAL HEALTH BEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>LCMC HEALTH HOLDINGS, INC. IS 501(C)(3) HOSPITAL UNDER 170(B)(1)(A)(III) WHOSE SOLE MEMBER IS LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC). LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S") ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. 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.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.IN TAX YEAR 2020, LCMC HEALTH HOLDINGS PURCHASED THE ASSETS OF EAST JEFFERSON GENERAL HOSPITAL AND BEGAN HOSPITAL OPERATIONS ON OCTOBER 1, 2020. LCMC HEALTH HOLDINGS, D/B/A EAST JEFFERSON GENERAL HOSPITAL SERVES THE EAST BANK OF JEFFERSON PARISH AND SURROUNDING COMMUNITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>LA</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>1100 POYDRAS ST 2500 ENERGY CENTRE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>GRANT TO LCMC HEALTH CLINICAL SERVICES ( A SMLLC OF LCMC) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST.</PurposeOfGrantTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7779</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18057</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15618</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253332</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA E BLANDA</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>162087</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>70643</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9449</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8455</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250634</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHOLA M PREVOST</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>165890</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>56605</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1955</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9087</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11792</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245329</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY BOND</PersonNm>
        <TitleTxt>FORMER VP HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>197862</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>48951</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3816</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10247</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17015</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>277891</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR UMC'S PRESIDENT / CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS UMCNO'S SOLE MEMBER. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EQUIPMENT</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>2180656</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>ACQUISITION COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UMCNO HAS 12 VOTING MEMBERS OF THE BOARD OF DIRECTORS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>LCMC HEALTH IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AND RETAINS THE RIGHT OF ALL GOVERNANCE DECISIONS. THE GOVERNING BOARD IS APPOINTED UNDER THE REQUIREMENTS OF THE COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE OF LOUISIANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM BEFORE BEING REVIEWED AND APPROVED BY THE ORGANIZATION'S CFO AND ACCOUNTING STAFF. UPON APPROVAL, A DRAFT OF UMCNO'S FORM 990 IS PRESENTED TO ALL MEMBERS OF THE UMCNO BOARD OF DIRECTORS FOR REVIEW VIA AN EMAIL LINK TO A SECURE, ONLINE DROP BOX.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF HIRE, EACH MANAGER AND ABOVE REVIEWS THE CONFLICT OF INTEREST POLICY AND SIGNS A CONFLICT OF INTEREST CERTIFICATION STATING THAT THEY REVIEWED AND UNDERSTAND THE POLICY. THE AFFECTED INDIVIDUALS ARE REQUIRED TO REVIEW THE POLICY ANNUALLY. MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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'S PRESIDENT AND CEO, THE LCMC COMPENSATION COMMITTEE, AND LCMC EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS ARE ALSO POSTED ONLINE BY THE STATE OF LOUISIANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 388,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,993. GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 175,041,767. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,041,767.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>943480131</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOURO INFIRMARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1401 FOUCHER STREET</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>720423659</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC EIN 94-3480131</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>720467503</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC EIN 94-3480131</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LCMC HEALTH ANESTHESIA CORPORATION (CHILDREN'S HOSPITAL ANESTHESIA CORP)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>061587311</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC EIN 94-3480131</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AUDUBON RETIREMENT VILLAGE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>842278120</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC EIN 94-3480131</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LCMC HEALTH HOLDINGS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>843390470</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC EIN 94-3480131</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW ORLEANS PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1101 MEDICAL CENTER BLVD</AddressLine1Txt>
          <CityNm>MARRERO</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70072</ZIPCd>
        </USAddress>
        <EIN>464568405</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WEST JEFFERSON HOLDINGS LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>313415</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TOURO INFIRMARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>23769187</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>145203264</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EAST JEEFFERSON GENERAL HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>1823006</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>58660488</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCMC HEALTH ANESTHESIA CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>680449</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATED FUND AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TOURO INFIRMARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2506346</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATED FUND AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LCMC HEALTH HOLDINGS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1898419</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATED FUND AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R PART V LINE 1 CODE R</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2020, UMCMC RECEIVED PROVIDER RELIEF FUNDS FROM THE DEPARTMENT OF HEALTH RESOURCES AND SERVICES ADMINISTRATION. A PORTION OF THOSE FUNDS WERE PROVIDED TO OTHER ENTITIES WITHIN THE LCMC HEALTH SYSTEM AS ALLOWED UNDER THE PROVIDER RELIEF GUIDELINES. THE AMOUNTS LISTED AS CODE R IN PART V LINE 2 ARE THE AMOUNT OF FUNDS THAT UMCMC PASSED THROUGH TO THE LISTED RELATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
