2020-05-29T15:07:50-05:00 2019-06-30 721202445 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2018-07-01 721332678 ASCENSION DEPAUL SERVICES ASCE 5044822080 PO BOX 4148 NEW ORLEANS LA 701784148 MICHAEL GRIFFIN CEO 5044822080 2020-05-28 1 SHARON CASSIERE P00543368 5048375990 206.124.204.139 2020-05-28 11:39:47 CD P C6ADD9A11D1E3681FCBEE8E595FD3B1E97A690DD 99694F27AD9FBB00156BC8BBB6D686FFBE3530E8 2018 2021-01-29 14:40:06Z MICHAEL GRIFFIN PO BOX 4148 NEW ORLEANS LA 701784148 10022820 0 0928 X WWW.DCSNO.ORG X 1996 LA TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 10 9 77 10 0 0 2116032 2194930 4113447 4060669 127727 45227 1875798 3474281 8233004 9775107 273679 280800 0 0 2524080 2781900 0 0 0 4284969 3889989 7082728 6952689 1150276 2822418 21555728 25136086 2233911 2982221 19321817 22153865 ASCENSION DEPAUL SERVICES' MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 0 0 5458872 280800 6560669 ASCENSION DEPAUL SERVICES PROVIDES OPTOMETRY SERVICES TO THE GENERAL POPULATION. INDIVIDUALS WITHOUT THE ABILITY TO PAY ARE PLACED ON A SLIDING FEE SCALE AND ARE ASKED TO PAY A NOMINAL FEE. ASCENSION DEPAUL SERVICES ALSO PROVIDES PHARMACEUTICAL SERVICES, EDUCATION, AND COUNSELING SERVICES TO THE POOR AND WORKING POOR OF THE NEW ORLEANS AREA. ASCENSION DEPAUL SERVICES GENERATED 3,196 VISITS AND FILLED 121,248 PRESCRIPTIONS DURING THE YEAR. 5458872 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 97 0 1 77 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X GRAYSON MARLOFF CFO 5042073060 3201 S CARROLLTON AVENUE NEW ORLEANS LA 70118 SR MARILYN PERKINS DC BOARD MEMBER (THRU SEPT 2018) 1.00 2.00 X 0 0 0 MS ABRIL B SUTHERLAND BOARD MEMBER 1.00 2.00 X 0 0 0 MR GUY CURRY BOARD MEMBER 1.00 2.00 X 0 0 0 MR MICHAEL DEYOUNG BOARD MEMBER 1.00 2.00 X 0 0 0 SR MARIE THERESE SEDGWICK DC BOARD MEMBER 1.00 2.00 X 0 0 0 DR KRISTIN VAN HOOK BOARD MEMBER 1.00 2.00 X 0 0 0 DR RAENELL HOUSTON BOARD MEMBER 1.00 2.00 X 0 0 0 MS JOEL SELLERS SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 MR LEON REYMOND III CHAIRMAN 1.00 2.00 X X 0 0 0 MR PIERRE VILLERE VICE CHAIRMAN 1.00 2.00 X X 0 0 0 MR MICHAEL GRIFFIN PRESIDENT/CEO/EX-OFFICIO 6.40 1.60 X X 56103 0 14359 MR THOMAS MASSEY CFO (THRU FEB 2019) 17.20 2.80 X 91949 0 4661 MR GRAYSON MARLOFF CFO 17.20 2.80 X 75894 0 9605 MR SETH STANTON OPTOMETRIST 40.00 X 129489 0 20637 MS CHERYL GAUTHIER HAYES DIRECTOR OF PHARMACY 40.00 X 123148 0 20457 MR ALFRED JORDAN PHARMACIST 40.00 X 110292 0 16736 586875 0 86455 3 0 1 0 MED CLAIM COMPREHENSIVE LLC 18264 LAKE HARBOR LANE PRAIRIEVILLE LA 70769 PROFESSIONAL BILLING SERVICE 245572 1 157638 75044 20000 1942248 32514 2194930 PHARMACY ADMIN FEES 621110 2637144 2637144 CLINICAL SERVICE FEES 621110 781460 781460 WIC REIMBURSEMENT FEES 621110 642065 642065 4060669 45227 45227 846366 267238 135554 0 710812 267238 978050 978050 59242 157638 112159 -52917 -52917 MARILLAC CHC PROVISION FOR AMOUNT 900099 2500000 2500000 PENSION RELATED CHANGES-SFAS 158 900099 49148 49148 2549148 9775107 6560669 0 1019508 X 280800 280800 233347 233347 1753895 1385577 368318 184578 145817 38761 506398 400054 106344 103682 81909 21773 75061 75061 56662 56662 1097107 891062 206045 445745 303365 142380 138368 112071 26297 777780 750497 27283 19762 9662 10100 122899 38537 84362 503272 426831 76441 147820 135502 12318 BAD DEBT EXPENSE 310059 310059 CONSUMER AWARENESS 118871 118871 MEDICAL/LAB/PHARMACY SU 68052 68052 MISCELLANEOUS 8531 206 8325 6952689 5458872 1493817 0 1612274 5342614 319961 520326 83497 144757 76283 77661 90696 109523 20167284 8003544 12457442 12163740 6915575 6777465 21555728 25136086 440791 725345 1793120 2256876 2233911 2982221 X 19227590 22044871 94227 108994 19321817 22153865 21555728 25136086 2822418 9630 0 X X 0 1 X 1 0 X PART I, LINE 3: SCHEDULE H IS NOT REQUIRED TO BE COMPLETED, PER THE INSTRUCTIONS FOR SCHEDULE A, LINE 3. PER THE INSTRUCTIONS AND DEFINITIONS FOR BOTH SCHEDULE A, LINE 3 AND FORM 990, PART IV, LINE 20, SCHEDULE H IS NOT REQUIRED TO BE ATTACHED. DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS IS A MEDICAL GROUP THAT IS NOT REGULATED OR REGISTERED WITH THE STATE OF LOUISIANA AS A HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1622516 1622516 11881104 2835929 9045175 931658 515780 415878 3210237 2766893 443344 2521769 1884942 636827 12163740 INTEREST IN INVESTMENT HELD BY ASCENSION HEALTH ALLIANCE 5251741 DUE FROM MARILLAC COMMUNITY HEALTH CENTERS (MCHC) 1525724 6777465 ACCRUED PENSION, SALARIES AND VACATION PAY 1288056 SELF INSURANCE LIABILITY 268134 DUE TO DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS (DCSNOE) 700562 OTHER PAYABLE 124 2256876 X PART X, LINE 2: THE ORGANIZATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS THAT HAVE A GREATER THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS A RESULT OF IMPLEMENTING THIS APPROACH, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROACTIVE TAX POSITIONS WITH MORE THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. GALA 185447 140367 45080 25514 8128 33268 5340 14978 GOLF TOURNAMENT 31433 17271 14162 7000 7850 4051 6030 216880 157638 59242 32514 15978 37319 5340 21008 112159 -52917 1 MARILLAC COMMUNITY HEALTH CENTERS PO BOX 13038 NEW ORLEANS LA 70185 273046997 501(C)(3) 195519 TO SUPPORT THE OPERATIONAL COST OF MARILLAC'S HEALTH CENTER IN PROVIDING CLINICAL SERVICES TO PATIENTS IN THE GREATER NEW ORLEANS COMMUNITY. DILLARD UNIVERSITY 2601 GENTILLY BOULEVARD NEW ORLEANS LA 70122 720408929 501(C)(3) 5400 2019 SESQUICENTENNIAL GALA SPONSORSHIP ST AUGUSTINE HIGH SCHOOL 2600 AP TUREAUD AVENUE NEW ORLEANS LA 70119 720539545 501(C)(3) 10000 DONATION TO SR. JULIANNE BLANCHARD, D.C. TUITION ASSISTANCE FUND 3 0 PART I, LINE 2: THE ORGANIZATION IS REQUIRED TO PROVIDE FINANCIAL INFORMATION ON THE USE OF THE FUNDS. X 0 0 0 0 0 0 0 0 0 MR SETH STANTON OPTOMETRIST 118044 0 11445 0 0 0 7539 0 13098 0 150126 0 0 0 X 3 535 DONOR VALUED X 5 340 DONOR VALUED X GIFT CERTICATES/CARDS 24 25439 DONOR VALUED X MEMORABILIA 16 6200 DONOR VALUED 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI, SECTION A, LINE 6 ASCENSION DEPAUL SERVICES HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. FORM 990, PART VI, SECTION A, LINE 7A ASCENSION DEPAUL SERVICES HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BOARD OF ASCENSION DEPAUL SERVICES. FORM 990, PART VI, SECTION A, LINE 7B ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY TO THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE NEW ORGANIZATIONS & MAJOR TRANSACTIONS, GOVERNING DOCUMENTS, APPOINTMENTS/REMOVALS, EVALUATION, DEBT LIMITS, STRATEGIC & FINANCIAL PLANS, ASSETS, SYSTEM POLICIES AND PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX. FORM 990, PART VI, SECTION B, LINE 11B ONCE A DRAFT COPY OF THE FORM 990 IS RECEIVED BY THE CFO, THE DOCUMENT IS REVIEWED WITH THE CEO AND FINANCE COMMITTEE OF THE BOARD. AFTER COMMITTEE APPROVAL, THE DRAFT REPORT IS SUBMITTED TO THE ENTIRE BOARD FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A FORMAL CORPORATE COMPLIANCE PROGRAM WHICH INCLUDES A CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE. ALL BOARD MEMBERS AND OFFICERS ARE SUBJECT TO THE POLICY WHICH IS UPDATED AND SIGNED BY MEMBERS AND OFFICERS EACH YEAR. ANY CONFLICTS OF INTEREST ARE SELF-REPORTED BY MEMBERS AND OFFICERS. MEMBERS WHO ARE FOUND TO HAVE A CONFLICT EITHER ABSTAIN FROM VOTING ON ISSUES THAT CREATE THE CONFLICT OR ARE EXCUSED FROM THE BOARD DEPENDING ON THE SEVERITY OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION FOR THE CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION WITH THE FACILITATION BY THE SCP OF HR AND THE DIRECTOR OF COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER SIMILAR ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER SIMILAR ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 368,442. MANAGEMENT AND GENERAL EXPENSES 16,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 384,598. SECURITY: PROGRAM SERVICE EXPENSES 3,362. MANAGEMENT AND GENERAL EXPENSES 42. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,404. BILLING: PROGRAM SERVICE EXPENSES 197,827. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,827. OTHER: PROGRAM SERVICE EXPENSES 4,879. MANAGEMENT AND GENERAL EXPENSES 16,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,516. PAYROLL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 105,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,015. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 312,516. MANAGEMENT AND GENERAL EXPENSES 50,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,391. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,320. OTHER CLINICAL: PROGRAM SERVICE EXPENSES 141. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141. MEDICAL RECORD FEES: PROGRAM SERVICE EXPENSES 395. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395. RADIOLOGY: PROGRAM SERVICE EXPENSES 3,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,500. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES. ASCENSION DEPAUL FOUNDATION OF NEW ORLEANS LLC 3201 SOUTH CARROLLTON AVENUE NEW ORLEANS LA 70118 FUNDRAISING - SUPPORT OF ASCENSION DEPAUL SERVICES LA 160356 411330 ASCENSION DEPAUL SERVICES ASCENSION HEALTH 4600 EDMUNDSON ROAD ST LOUIS MO 63134 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) LINE 12A, I ASCENSION HEALTH ALLIANCE 0 DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION PO BOX 4148 NEW ORLEANS LA 701784148 271658000 PROVIDE SUPPORT TO ASCENSION DEPAUL SERVICES LA 501(C)(3) LINE 12A, I ASCENSION DEPAUL SERVICES 1 DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS EAST PO BOX 4148 NEW ORLEANS LA 701784148 461384518 PROVIDE SUPPORT TO ASCENSION DEPAUL SERVICES LA 501(C)(3) LINE 12A, I ASCENSION DEPAUL SERVICES 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION C 75044 CASH DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS EAST E 700562 CASH DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION R 75044 CASH