2021-06-10T13:30:40-05:00 2020-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 761027427 990 2019-07-01 364774713 LSU Health Sciences Center Shreveport Faculty Group Practice LSUH 3186758533 1431 Dalzell Street Shreveport LA 71103 VERNON MOORE CFO,TREASURER 2021-06-10 true MELVA SCOTT P01207335 8173351900 2019 2022-09-23 18:48:47Z Ochsner LSU Physician Group CHARLES FOX III MD 1431 Dalzell Street Shreveport LA 71103 105617844 false X N/A X 2013 LA LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE PROVIDES HEALTHCARE TO THE GENERAL PUBLIC, INCLUDING BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTHCARE SERVICES TO INDIVIDUALS. 8 7 6 0 0 0 0 1853443 92672150 103764401 0 0 0 0 92672150 105617844 0 0 0 0 358947 749057 0 0 0 89924701 107271739 90283648 108020796 2388502 -2402952 29891350 34322641 17832816 24667059 12058534 9655582 No Board Approved Mission Statement false false 108020796 103764401 LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE PROVIDES HEALTHCARE TO THE GENERAL PUBLIC, INCLUDING, BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTHCARE SERVICES TO INDIVIDUALS. THE FGP RECEIVES COMPENSATION FOR THESE SERVICES FROM THE MEDICARE AND MEDICAID PROGRAMS, CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS AND DIRECTLY FROM PATIENTS. 108020796 true true false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 2 0 true 6 true false false false false false false false false false false false false X 8 7 false true false false true false true true true false false true true true true true true true true false X VERNON MOORE 3188629977 1431 Dalzell Street SHREVEPORT LA 71103 CHARLES J FOX III MD PRESIDENT/CHIEF EXECUTIVE OFFICER/BOARD CHAIR 50.0 0 X X 0 0 0 VERNON H MOORE III CHIEF FINANCIAL OFFICER/TREASURER 10.0 40.0 X X 0 40565 5665 CHARLES D DAIGLE DIRECTOR 1.0 49.0 X 0 0 0 DAVID F LEWIS MD MBA DIRECTOR 1.0 49.0 X 0 0 0 GE GHALI DDS MD FACS FRCS(ED) DIRECTOR 1.0 5.0 X 0 0 0 PETER NOVEMBER DIRECTOR 1.0 5.0 X 0 0 0 VINCENT ADOLPH MD DIRECTOR 1.0 0 X 0 0 0 W JEFF REYNOLDS DIRECTOR 1.0 5.0 X 0 0 0 PATRICK BICKNELL EXECUTIVE DIRECTOR 50.0 0 X 190938 0 22003 SHELLEY S TYNAN SECRETARY 1.0 5.0 X 0 0 0 STEPHEN RANDALL CHIEF ADMINISTRATIVE OFFICER 10.0 40.0 X 0 0 0 SHANNON PHAGAN DIRECTOR OF FINANCE 50.0 0 X 122560 0 21624 313498 40565 49292 2 false true false LSUHSC - SHREVEPORT 1501 KINGS HIGHWAY SHREVEPORT LA 71103 PHYSICIAN SERVICES 28551769 ACADIANA COMPUTER SYSTEMS 324 DULLES DRIVE LAFAYETTE LA 70506 BILLING MANAGEMENT 4241182 OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 MANAGEMENT COMPANY 774903 HEALTH MANAGEMENT ASSOCIATES ONE MICHIGAN AVENUE BUILDING 120 NORTH WASHINGTON SQUARE LANSING MI 48933 INTERIM ADMINSTRATIVE SUPPORT 176009 4 1853443 1853443 PATIENT SERVICE REVENUE 621110 103764401 103764401 0 0 0 0 103764401 0 0 0 0 0 0 0 0 0 105617844 103764401 0 0 X 212940 212940 0 0 484050 484050 6306 6306 45761 45761 2310328 2310328 47500 47500 97678471 97678471 0 0 156527 156527 125715 125715 287649 287649 2813 2813 9838 9838 163043 163043 250 250 DISCOUNTS & ALLOWANCES 6331087 6331087 MEDICAL SUPPLIES 108549 108549 REPAIRS AND MAINTENANCE 25709 25709 MEMBERSHIPS AND SUBSCRIPTIONS 13500 13500 10760 10760 0 0 108020796 108020796 0 0 17624888 24604922 9929906 9453039 0 0 0 0 36665 16840 544773 296933 410882 247840 0 0 1889009 0 29891350 34322641 17832816 89057 3893048 0 0 0 20684954 17832816 24667059 X 12058534 9655582 12058534 9655582 29891350 34322641 -2402952 0 0 0 0 0 X false true X true false X 1853443 1853443 70037535 92597150 103764401 266399086 0 0 0 0 0 70037535 92597150 105617844 268252529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268252529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70037535 92597150 105617844 268252529 1 1.0 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 393940 237417 156523 150833 59516 91317 247840 0 DUE TO OLHSNL 285173 DUE TO OCHSNER 3117650 DUE TO LSUHSC 17282131 20684954 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: OLHS-NL QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET. false false false false false false false false false PATRICK BICKNELL EXECUTIVE DIRECTOR 190668 0 0 0 270 0 0 0 22003 0 212940 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA'S CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. Form 990, Part VI, Line 3 Delegation of management duties Ochsner Clinic Foundation entered into a management agreement to provide management services, billing and collection services and administrative support for certain hospital and healthcare operations in Shreveport and Monroe. Also, Ochsner acquired the Electronic Health Record licenses and fully manages the Information Services function. The Directors appointed to the board that are employed as Executives and Physicians by Ochsner Clinic Foundation did not receive any additional compensation by the management company for their duties. The following individuals were compensated as executives and physicians by the management company: 1. PETER NOVEMBER - $0 2. VINCENT ADOLPH MD - $0 3. SHELLEY SULLIVAN TYNAN - $0 4. CHARLES DAIGLE - $695,486 5. VERNON MOORE - $396,718 6. STEPHEN RANDALL - $370,531 Form 990, Part VI, Line 6 Classes of members or stockholders LSU-Health Sciences Center- Shreveport Faculty Group Practice is a wholly owned subsidiary of Ochsner LSU Health System of North Louisiana, a related 501(c)(3) organization, and a supported organization. LSU-Health Sciences Center- Shreveport Faculty Group Practice is organized on a non-stock membership basis, and as of October 1, 2018 the sole Member of the Corporation is Ochsner LSU Health System of North Louisiana. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders In the event of a final vote that results in a deadlock, the Directors may bring the matter before the Member and the board of directors of the Member will make the final determination on the matter, consistent with Section 4.14N of these Bylaws. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE FULL BOARD OF DIRECTORS ONCE REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM, ERNST & YOUNG U.S. LLP Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR, IN CONJUNCTION WITH THE CONFLICT OF INTEREST STEERING COMMITTEE, WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. Form 990, Part VI, Line 15a Process to establish compensation of top management official ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. Form 990, Part VI, Line 15b Process to establish compensation of other employees Management jobs are assigned to pay ranges where the midpoint is aligned to the 50th percentile of salary survey data. Upon hire, management salaries are based upon applicable skills and experience relevant to the job and pay range. Merit increases are awarded annually thereafter based upon performance. Off-cycle adjustments may be provided due to market movement to ensure alignment with the competitive market. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST Form 990, Part IX, Line 11g Other Fees PATIENT BILLING SERVICES - Total Expense: 6701252, Program Service Expense: 6701252, Management and General Expenses: , Fundraising Expenses: ; COLLECTION AGENCY SERVICES - Total Expense: 19785, Program Service Expense: 19785, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 125551, Program Service Expense: 125551, Management and General Expenses: , Fundraising Expenses: ; OTHER MEDICAL SERVICES - Total Expense: 89935632, Program Service Expense: 89935632, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 896251, Program Service Expense: 896251, Management and General Expenses: , Fundraising Expenses: ; OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA 1431 DALZELL STREET SHREVEPORT LA 71103 831605004 PATIENT CARE LA 501(c)(3) 3 NA false false false false false false false false false false false false true false false false false false false true OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA L 22000000 INTERCOMPANY BILLINGS - MKT VALUE OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA S 285173 INTERCOMPANY BILLINGS - MKT VALUE