2020-11-13T12:22:57-06:00 2019-12-31 990 2019-01-01 720467503 Children's Hospital Inc CHIL 5048969388 200 Henry Clay Avenue New Orleans LA 701185720 John R Nickens IV CEO 5048969452 2020-11-13 198.61.122.106 2020-11-13 11:55:02 CS P BA7CADEEF1AF26739340A6636F595938CFF6E0FC BA7CADEEF1AF26739340A6636F595938CFF6E0FC 2019 2021-01-29 14:40:06Z Children's Hospital John Nickens 200 Henry Clay Ave New Orleans LA 701185720 509574989 0 X WWW.CHNOLA.ORG X 1949 LA To provide comprehensive pediatric healthcare, which recognizes the special needs of children, through excellence and the continuous improvement of patient care, education, research, child advocacy, and management. 16 13 2599 1708 540000 -177318 16988605 9710211 303206762 358063335 42278620 33966209 34026499 -54686 396500486 401685069 32716807 1215233 0 0 117592126 136429656 0 0 4110287 166566769 187573507 316875702 325218396 79624784 76466673 1676867440 1883156358 187417920 193653840 1489449520 1689502518 X To provide comprehensive pediatric healthcare, that recognizes the special needs of children, through excellence and the continuous improvement of patient care, education, research, child advocacy, and management. 0 0 16535703 7400483 Community Care and Outreach Programs: In March of 1998, the Board of Trustees recognized that Children's Hospital, with its richness of talent and programs and its financial resources, was well positioned to identify and address obstacles to the welfare of children in the community. Therefore, a standing committee of the Board of Trustees has been charged with developing and monitoring all services and benefits provided to the community.The hospital also provides a large array of community-education programs, wellness programs, research activities and special programs for the handicapped and medically underserved. These include, but are not limited to, the following:Children's Hospital Outpatient Center of Baton Rouge was immediately established following Hurricane Katrina to reach out to patients who relocated to the Baton Rouge area. Clinic space was purchased for Children's Hospital's pediatric specialists and pediatricians to see patients on a weekly basis. The clinic is fully staffed to meet the needs of the growing pediatric population in Baton Rouge. Children's Hospital Burdin Riehl Clinic was established in Lafayette to meet the needs of those patients who relocated to the area following Hurricane Katrina. Both the Baton Rouge and Lafayette clinics provide care with the same guidelines as the hospital - no child is ever turned away. The Metairie Center is a satellite clinic for pediatric specialists who see patients in the Metairie area. The Northshore Clinic is a satellite clinic for pediatric specialists who see patients in the Covington and Mandeville areas. The Denham Springs Clinic opened in September 2017 as a satellite clinic for pediatric specialists who see patients in the Denham Springs area. The Children's Healthcare Assistance Plan (CHAP) provides physician and hospital services at no cost to children whose family income is too high to qualify for Medicaid but whose lack of resources limit their access to quality healthcare. Free care provided by the hospital, at established charges, was approximately $12,881,300 for the year-end December 31, 2019. Benefits to the indigent also include charges in excess of government payments for services provided to Medicaid beneficiaries of approximately $618,134,005 for the year-end December 31, 2019. In addition, Children's Hospital had to write-off approximately $5,029,763 of patient care charges that could not be collected from patients. The Parenting Center is a community resource program providing support and education to parents. The goals of the Center are to promote confidence and competence in parents, to encourage optimal child development, and to enhance the well being of the family as a whole. The Parenting Center offers: 1) parent training classes, 2) a free telephone advice line, 895-KIDS, 3) drop-in visits to the Center to offer time with other parents and staff while the children play, 4) community outreach programs, such as lunch bag seminars for working parents, and 5) weekly television segments featuring childrearing tips. Services have been extended to suburban New Orleans with the opening of The Metairie Parenting Center, which also offers classes, support groups, individual counseling and a parent library. The Audrey Hepburn Children At Risk Evaluation (CARE) Center provides comprehensive forensic medical evaluations and referrals to community resources for children who are victims of sexual abuse, physical abuse and neglect and their families. The CARE Center has clinics in New Orleans, Baton Rouge and St. Tammany, but children are referred from parishes throughout Louisiana and the Gulf Coast. The medical evaluation consists of a detailed forensic interview of the child and the caretaker, a complete physical examination, and preparation of a report to the referring agency. In addition, the physicians are frequently called upon to testify in court in those cases of sexual and physical abuse that are prosecuted. Physicians have testified in and helped prepare numerous cases in the last year. The CARE Center staff routinely presents lectures on child abuse and neglect to community action and professional medical and legal groups, pediatric nurses, nurse technicians, childcare technicians, dental hygiene students, high school students and childcare workers. They also serve as consultants to the State of Louisiana and outlying parishes and to Office of Community Services for Orleans, Jefferson, St. Bernard and Plaquemines parishes. Currently, the program consists of two full-time fellowship trained pediatricians and one fellow in training.The center receives financial support from the Audrey Hepburn Foundation, which also provides financial assistance to similar centers in Los Angeles, CA. and Hackensack, N.J. The Greater New Orleans Immunization Network (GNOIN) is a model program focusing on increasing immunization rates of children through the age of 18 years. GNOIN offers the combined elements of an immunization registry into the state's system, a mailer reminder system, parental education, and a mobile immunization unit that travels throughout the metropolitan New Orleans area to administer immunizations free of charge to eligible infants, children, and adolescents through the age of 18 years. In 2019, GNOIN had 16,607 visits to the immunization unit and administered 35,385 vaccines. The School Kids Immunization Program (SKIP) grew out of a need to increase the immunization rates for school-age children identified by GNOIN. SKIP is presently working with schools located in New Orleans East, St. Bernard, Orleans, and Jefferson Parish. SKIP works with individual schools and reviews all the student's immunization records. Students, not in the state's immunization registry, LA Immunization Network for Kids Statewide (LINKS), are enrolled into the data registry. The parents of students who do not have up-to-date immunization records are notified as to which vaccine(s) their child requires. They receive immunization information and a consent form that authorizes SKIP to administer the necessary vaccine(s) to their child free-of-charge. In 2019, SKIP immunized 3,020 students and administered 4,923 vaccines.The combined immunization programs, SKIP and GNOIN, are one of the largest providers of immunizations in the state. Combined the programs immunized a total of 19,627 children and administered 40,308 vaccinations in 2019.The Clinical Dietitian Program provides and monitors the nutritional care of patients in conjunction with the Dietetic Services Department and hospital clinical staff. The program is staffed during the workweek and as needed on weekends to be available to all inpatients and outpatients through the Community Care Program and Diabetes Grant. Services and diagnoses include nutritional assessments and monitoring via physician consultation, nutritional education and counseling, establishment of nutritional care plans and interdisciplinary goals, participation in the establishment and revision of patient meal and formula policies and procedures and nutrition care standards and CQI activities, and conduct departmental and clinical staff and dietetic intern education services.The Ventilator Assisted Care Program (VACP) provides case management for Medicaid eligible children living at home in the state of Louisiana and are ventilated assisted. The program also provides nursing, social, educational and respiratory assessments, and facilitates medical intervention for this population. The staff provides aid in the access of social and healthcare supports in the community. In 2019, services were provided to an average of 91 patients per month.**Total visits: 91,822 234949113 338451760 Patient Care, General/Other: In 2019 Children's Hospital provided care to children from all 64 parishes in Louisiana, from 43 other states, the District of Columbia and 5 foreign countries. Patient visits totaled 140,016. Included in these visits were 72,894 physician clinic visits, 52,254 emergency room visits, 8,513 outpatient surgical visits, and 6,355 inpatient admissions or 50,641 patient care days. 1483305 238642 Medical Research, General/Other:The Research Institute for Children is in collaboration with Children's Hospital, Louisiana State University Health Sciences Center (LSUHSC) and Tulane University. Researchers from the divisions of Cardiology, Endocrinology, Gastroenterology, Genetics, Infectious Disease, Neonatology, Nephrology, Neurology and Oncology/Hematology comprise the majority of the group. The total number of research personnel is 25 comprised of 11 administrative and support professionals, 13 LSUHSC faculty members and 1 LSUHSC staff members.Medical Researchers: 25 15520140 1215233 11432450 Professional Education:RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMSChildren's Hospital has become an increasingly important teaching center for both undergraduate and graduate medical education. Approximately 120 trainees in General Pediatrics, Pediatric/Emergency Medicine and Internal Medicine/Pediatric programs obtain most of their training at the hospital. In addition, residents in Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Orthopedics, Ophthalmology, Otolaryngology, Pathology, Physical Medicine and Rehabilitation, Plastic Surgery, Psychiatry, Radiology and Urology also receive training at Children's Hospital. In addition, fellows in Allergy/Immunology, Cardiology, Child and Adolescent Psychiatry, Endocrinology, Gastroenterology, Hematology/Oncology, Hospital Medicine, Infectious Disease, Neonatal-Perinatal Medicine, and Nephrology also receive advanced subspecialty training at Children's Hospital. The majority of medical students, residents and fellows rotating through Children's Hospital are from the LSU Health Sciences Center New Orleans (LSUHSC-NO) and Tulane University (TU).The pediatric residents participate in a variety of educational activities. The chief residents conduct Morning Report, held four times a week where an interesting or unique case is presented and discussed, allowing residents and students to observe the thought processes that go into problem solving and clinical reasoning. Noon Conferences are held on weekdays with specialists from Ambulatory, Adolescent Medicine, Allergy/Immunology, Emergency Medicine, Forensic Medicine, Hospitalist Medicine, Nephrology, Psychiatry, Psychology, Infectious Disease, Radiology, Cardiology, Rheumatology, Neonatology, Hematology/Oncology, Critical Care, Pulmonology, Endocrine, Neonatology, Gastroenterology and several surgical specialties rotating presentations. Pediatric Board Review is held once a month and covers all aspects of pediatrics for preparation of the American Board of Pediatrics Certifying Examination. In addition, all divisions conduct specialty conferences for students and residents rotating on those services.The "Resident as Teachers" series is held quarterly facilitated by the Director of the Clinical Sciences Curriculum who instructs the residents on various teaching tools and methods to improve their supervision of junior residents and students. The Evidenced-based Medicine Journal Club is conducted monthly by the upper level residents under the direction of a faculty member. The presentations are case based and involve a clinical question. The resident outlines their search method, the articles that were relevant and then critically review one article that answers the clinical question.Clinical Case Conferences are held once a week and attended by attending staff, residents and students. Residents present interesting cases followed by a thorough review of the literature on this topic. Faculty members present Grand Rounds at Children's Hospital every Wednesday morning to formally present a topic related to their specialty.The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the Accreditation of post-MD medical training programs within the United States. Children's Hospital is the primary training hospital for the LSUHSC and TU Pediatric Residency training programs. These Programs received full accreditation at the highest level of ten years following their ACGME site visits in 2010 and 2017, respectively. All other resident and fellow training programs are also site-visited at specified intervals and are fully accredited by the ACGME.Medical Residents: 477 Other Program Revenues include (but are not limited to) the following:The Ninth Annual Glenn Otero Memorial Golf Tournament hosted by Children's Hospital and Turn Services was held on May 15th at Lakewood Golf Club. Over 225 golfers participated in the tournament, which raised over $100,000. The 38th annual Sugarplum Ball - Puttin' on the Glitz - was held March 23rd at The Sugar Mill. The event raised more than $392,000 to help fund a Pediatric Simulation Training Center at Children's Hospital. The center will house pediatric robots providing hands on learning in a variety of disciplines. The creation of the new simulation center will allow healthcare providers to improve communication, refine critical thinking skills and enhance clinical training.Boo at the Zoo, an annual family-friendly Halloween event, was held October 26th and 27th at Audubon Zoo. The event includes a haunted house and train ride, trick-or-treating, inflatables, games area, toddler area, entertainment, and different vendors from throughout the New Orleans area. The hospital and the zoo benefit from this event that raised over $256,000 for the organizations to split. The 11th Annual Jazz Half Marathon & 5K was held on October 26th, beginning and ending at Lafayette Square. Over 2,500 people joined on Camp Street to participate in the race. This event raised over $235,000 for Children's Hospital. Our Community Fundraisers brought in over $213,000 in donations to the hospital. These fundraisers take place year-round and are coordinated by generous friends like Delta Fraternity, Maritime Risk Claim Solutions, The Houma Oilman's Fishing Rodeo, The Italian American Fishing Rodeo, Coconut Beach Volleyball Complex and so many more individuals and small businesses. 15520140 1215233 11432450 268488261 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 292 0 1 2599 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jessica Cahill Controller 5048969388 200 Henry Clay Avenue New Orleans LA 701185720 Anthony Recasner PhD Board Chairman 1.00 X 0 0 0 Allan Bissinger Board Vice Chairman 1.00 X 0 0 0 Elwood F Cahill Jr Immediate Past Chair 1.00 X 0 0 0 Louis V Lauricella Board Secretary-Treasurer 1.00 X 0 0 0 Ralph O Brennan Board Trustee 1.00 X 0 0 0 Katherine Andry Crosby Board Trustee 1.00 X 0 0 0 Julie Livaudais George Board Trustee 1.00 X 0 0 0 Walton Goldring Board Trustee 1.00 X 0 0 0 Stephen Hales MD Board Trustee 1.00 X 0 0 0 Kaylea Hill Board Trustee 1.00 X 0 0 0 Henry Peltier MD Board Trustee 1.00 X 0 0 0 Christopher Chip Roth Board Trustee 1.00 X 0 0 0 Tod Smith Board Trustee 1.00 X 0 0 0 Gregory C Feirn Board Trustee/CEO LCMC 1.00 54.00 X 0 1767718 42540 John Nickens Board Trustee/CEO 54.00 1.00 X X 964456 0 224815 George Bissett Board Trustee/CMO 54.50 0.50 X X 751964 0 17677 Lucio Fragoso CAO 55.00 0.00 X 683200 0 10586 Matthew Schaefer COO 54.00 1.00 X 434958 0 23190 Jamie Wiggins Chief Nursing Officer 55.00 0.00 X 337451 0 17813 Courtney C Garrett Sr VP & CFO 54.50 0.50 X 291495 0 22712 Ellis Arjmand MD Surgeon-In-Chief (SIC) 55.00 0.00 X 948077 0 23689 Joseph Caspi MD Physician 55.00 0.00 X 633504 0 0 Joseph A Gonzales MD Physician 55.00 0.00 X 575147 0 22900 Dean S Edell MD Physician 55.00 0.00 X 547214 0 25600 Stephen Levine MD Physician 55.00 0.00 X 465076 0 17635 Mary R Perrin Former' President & CEO 0.00 0.00 X 180500 0 6677 6813042 1767718 455834 196 1 1 0 INO Therapeutics LLC PO Box 3790 Carol Stream IL 601323790 Respiratory Services 2506370 Vizient Inc 290 E John Carpenter Freeway Atlanta GA 303742081 Healthcare Services Company 2152612 TMX Healthcare Technologies LLC 5454 Lakeview Parkway South Dr Indianapolis IN 46268 Health and Allied Services, N.E.C. 1248603 ARUP Laboratories PO Box 27964 Salt Lake City UT 84127 N'tl Clinical & Anatomic Pathology Ref L 1215973 GOOTEE Construction Inc 2400 N Arnoult Road Metairie LA 700555128 Construction Company 1116128 26 318731 67500 4977911 4346069 9710211 Medicare/Medicaid Payments 900099 276745222 276745222 Patient Care Services 622000 61945180 61945180 Ambulatory & Primary Health Care 621000 7400483 7400483 11972450 11432450 540000 358063335 28710241 28710241 72951 92108 -19157 -19157 -19157 112946751 107690783 5255968 5255968 5255968 71500 318731 107029 -35529 -35529 401685069 357523335 540000 33911523 X 1215233 1215233 3309594 271258 3038336 115320671 103425134 10860007 1035530 3244724 3076745 137255 30724 6509166 5542452 912518 54196 8045501 7109820 867519 68162 922062 922062 69842 69842 1457371 1457371 64043156 60589912 3143572 309672 1175879 60291 51632 1063956 9867706 7876350 1446861 544495 919202 545621 293515 80066 6195297 5359201 811981 24115 677771 376265 279388 22118 254815 152861 94801 7153 16544312 15243323 1171391 129598 2899222 2899222 Medical & Dietary Food 51936039 51872033 63924 82 LCMC Management Fees 26431930 0 26431930 0 Permits,Licenses,Filing 1045599 457933 464909 122757 Special Purpose Program 1002610 1002610 0 0 2130694 1411997 101034 617663 325218396 268488261 52619848 4110287 33939832 5053959 4318482 3224568 106278116 148402347 5556086 5147357 2418072 2940162 498854908 181082762 208299904 317772146 912620435 950752212 403436513 449863607 1676867440 1883156358 57427720 62259682 90169 218552 129900031 131175606 187417920 193653840 X 1487277985 1687565396 2171535 1937122 1489449520 1689502518 1676867440 1883156358 76466673 123586325 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15307 0 0 0 0 0 0 0 0 1 15307 15307 0 Part II-B, Line 1i Children's Hospital paid a portion of dues to an organization that was deemed to be for lobbying or related activities. The total expense of $15,307 was paid to Louisiana Hospital Association which was 18% of dues paid. 180013 180013 180013 180013 180013 180013 180013 180013 180013 180013 0 0 37097198 37097198 161783331 71317883 90465448 122275947 3549627 118726320 177698432 106215252 71483180 317772146 Due to Children's Hospital from related organizations 444593955 457B Plan Asset 5019652 LA Patient Compensation Fund CDs 250000 449863607 Due Fr (To) LCMC 125000000 Due Fr (To) LCMC HCS 90383 Touro Infirmary 32697 Leased Assets 6050283 Due Fr (To) NOPS 2243 131175606 525181549 123586325 14551843 138138168 387043381 1457371 13184317 14641688 401685069 335133966 16643997 16643997 318489969 1457371 5271056 6728427 325218396 Part V, Line 4: 1)In 1981 "The Beatrice and Harold Forgotston Philanthropic Fund of Children's Hospital" was established and donated to Children's Hospital. The gift resolution states that the funds are to always be fully invested and only the income made available for use as requested by the donor. 2)As stated in the will of Leon S. Mann, a sum of $5,000 was donated to Children's Hospital in memory of his sister and parents. The sum to be deposited in a separate, interest bearing account, and the interest to be used on the twenty-first day of July of each year to purchase presents for the children in the hospital. Investment earnings or losses are commingled with all other investments for Children's Hospital EIN XXX-XX-XXXX. Part XI, Line 2d - Other Adjustments: CHMPC revenue, as rptd on Form 990, (72-1318421), Sch D, Part XI, Ln 5 14,551,843. Part XI, Line 4b - Other Adjustments: Revenue related to Community Support 4,446,998. Released Contributions reported as Rev on Audited Financials but in PY 990s -234,412. Provider Based Revenue 824,058. Rental Income Expense -92,108. Swap Interest 8,239,781. Part XII, Line 2d - Other Adjustments: CHMPC expense, as rptd on Form 990, (72-1318421), Sch D, Part XII, Ln 5 24,791,670. Rental Income Expense 92,108. Swap Interest -8,239,781. Part XII, Line 4b - Other Adjustments: Revenue related to Community Support 4,446,998. Provider Based Revenue 824,058. Sugar Plum Ball 2019 390231 318731 71500 0 0 36430 2850 4500 63249 390231 318731 71500 36430 2850 4500 63249 107029 -35529 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 3167803 0 3167803 0.00970 206115356 271145752 0.00000 0 0 209283159 271145752 3167803 0.00970 3499290 1358954 2140336 0.00660 18156260 2241904 15914356 0.04890 1038013 497694 540319 0.00170 1483305 238642 1244663 0.00380 2729874 0 2729874 0.00840 26906742 4337194 22569548 0.06940 236189901 275482946 25737351 0.07910 1 5302175 1490006 1490006 X 1 1 1 1 Children's Hospital 200 Henry Clay Avenue New Orleans LA 70118 www.chnola.org 72-0467503 X X X X X Children's Hospital 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X http://www.chnola.org/about/ 1 18 1 http://www.chnola.org/about/ 0 1 X 250.000000000000 400.000000000000 X 1 1 X X X X 1 X www.chnola.org/Patients-Visitors/financial-services/ X www.chnola.org/Patients-Visitors/financial-services/ X X X 1 X 0 X X 1 X 0 0 Children's Hospital Part V, Section B, Line 5: In 2012, CHNOLA first joined with eleven members of the Metropolitan Hospital Council of New Orleans (MHCNO), a non-profit, regional membership and service organization representing hospitals and healthcare organizations in the Greater New Orleans Metropolitan Area to initiate the process of conducting a comprehensive regional Community Health Needs Assessment (CHNA). The collaborative study laid the foundation for individual hospital CHNA's (Individual-level CHNA reports required by the IRS every three years), such as CHNOLA's CHNA. A comprehensive CHNA process performed by Children's Hospital New Orleans 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. 27 interviews with community stakeholders representing LCMC Health to gain a deeper understanding of community health needs from organizations, agencies, and government officials that have day-to-day interactions with populations in greatest need. Interviews provide information about the community's health status, risk factors, service utilizations and community resource needs, as well as gaps and service suggestions. 1 Louisiana Department of Health Bureau of Chronic Disease Prevention and Health Promotion, Kate Andrus, MPH, RDN, LDN; 2 Excelth Health Department, Mike Andry; 3 UMCNO Forensics, Jennifer Avegno, MD; 4 Community Stakeholder, Jennifer Steel-Bourgeois; 5 The Louisiana Campaign for Tobacco-Free Living, Matthew Broussard; 6 Martin Luther King Task Force & West Bank African American Churches, Dr. Clara Byes; 7 Children's Bureau New Orleans , Paulette Carter ; 8 Jefferson Parish Public School System , Sandy Denapolis ; 9 EMS New Orleans , Jeff Elder, MD ; 10 Unity of Greater New Orleans , Martha Kegel ; 11 Louisiana Public Health Institute , Joseph D. Kimbrell, MA, MSW ; 12 West Jefferson Medical Center; Auxiliary , Althea LaCour ; 13 American Heart Association/American Stroke Association , Coretta LaGarde ; 14 VIET , Lang Le ; 15 Susan G. Komen , Lisa Plunkett ; 16 Civic Coalition West Bank , Oscar Pipkins ; 17 Excelth Health Center , Chioma Ogbuefi, MD ; 18 New Orleans Council on Aging , Howard Rodgers ; 19 United Healthcare , Melanie Thompson ; 20 504 HealthNet, Susan Todd; 21 WJMC Foundation Director, Susan Trantham; 22 Jefferson Parish Council on Aging, Jeanne Tripoli; 23 HUB International Gulf South, Charlotte Weil, M.A., CWWS; 24 American Cancer Society, Amy Williams; 25 The Blood Center, Rosalind Woodfox; 26 Louisiana Organ Procurement Agency, Stephanie Young; 27 Bureau of Family Health, Amy Zapata. Needs identified include (not listed in any specific order) 1) Access to care 2) Care coordination 3) Cultural competence 4) Early intervention and prevention and 5) Behavioral health services. Children's Hospital Part V, Section B, Line 11: Children's Hospital New Orleans is a 229-bed, not-for-profit pediatric academic medical center offering a complete range of healthcare services for children from birth to 21 years. With over 40 pediatric specialties and more than 400 physicians, it is the only full-service hospital exclusively for children in Louisiana and the Gulf South. The Patient Protection and Affordable Care Act (PPACA), which went into effect on March 23, 2010, requires tax-exempt hospitals to conduct community health needs assessments (CHNA) and implementation strategies in order to improve the health and well-being being of residents within the communities served by the hospital(s). These strategies created by hospitals and institutions consist of programs, activities, and plans that are specifically targeted towards populations within the community. The execution of the implementation strategy plan is designed to increase and track the impact of each hospitals' efforts.Tripp Umbach was contracted by Metropolitan Hospital Council of New Orleans (MHCNO) to conduct a CHNA for East Jefferson General Hospital, LCMC Health, Ochsner Health System, HCA Healthcare (Tulane Medical Center), Slidell Memorial Hospital, and St. Tammany Parish Hospital. The overall CHNA involved multiple steps that are depicted in Chart 1. The CHNA process undertaken by LCMC Health, along with East Jefferson General Hospital, HCA Healthcare (Tulane Medical Center), Ochsner Health System, Slidell Memorial Hospital, and St. Tammany Parish Hospital, with project management and consultation by Tripp Umbach, included input from representatives who represent the broad interests of the community served by the hospital facilities, including those with special knowledge of public health issues, data related to underserved, hard-to-reach, vulnerable populations, and representatives of vulnerable populations served by each hospital. Tripp Umbach worked closely with Working Group members to oversee and accomplish the assessment and its goals. This report fulfills the requirements of the Internal Revenue Code 501(r)(3), established within the Patient Protection and Affordable Care Act (PPACA) requiring that nonprofit hospitals conduct CHNAs every three years. Data from government and social agencies provides a strong framework and a comprehensive piece to the overall CHNA. The information collected is a snapshot of the health of residents in Southern Louisiana, which encompassed socioeconomic information, health statistics, demographics, and mental health issues, etc. The CHNA report is a summary of primary and secondary data collected for LCMC Health - Children's Hospital while the implementation strategy planning report is a plan for how LCMC Health - Children's Hospital will address the identified needs from the CHNA over the next 3 years.Tripp Umbach facilitated and managed an implementation planning process on behalf of Children's Hospital of New Orleans, resulting in the development of an implementation strategy and plan to address the needs identified in their community health needs assessmentcompleted in 2018 (i.e., access to health services; resource awareness and health literacy; access to healthy options; and behaviors that impact health).Note: The implementation planning strategy report identifies specific approaches and actions to address the community health needs from the 2018 CHNA. Specific timeframes and measures/metrics are tracked internally for reporting purposes. Hospital administration will utilize these measures/metrics to ensure benchmarking efforts are being tracked between each assessment cycle.Refer to http://www.chnola.org/communityhealth for the details of the implementation plan. Children's Hospital Part V, Section B, Line 13h: Children's Hospital - Patients ineligible for financial assistance and having no third-party coverage for emergency or medically necessary services provided by Children's Hospital will be granted a discount equal to that of the average amount generally billed. Children's Hospital Part V, Section B, Line 16j: Children's Hospital - Refer to note for Schedule H, Part III, Section C, Line 9b. Children's Hospital Part V, Section B, Line 18e: Children's Hospital - None of a - d or anything similar, but if eligible for other funding, we ask the families to apply for such funding. Children's Hospital Part V, Section B, Line 20e: Children's Hospital - Refer to note for Schedule H, Part III, Section C, Line 9b. 4 1 - Baton Rouge Clinic 720 Connell Place Baton Rouge LA 70809 Outpatient Clinic 2 - Lafayette Clinic 1121 Coolidge Street Lafayette LA 70505 Outpatient Clinic 3 - Cov 21Northshore 71338 Highway 21 Covington LA 70433 Outpatient Clinic 4 - Denham Springs 31985 HWY 16 Denham Springs LA 70726 Outpatient Clinic Part III, Line 2: Total patient account balances written off to Bad Debt were $5,302,175. Bad debt expense is not included in the amounts reported as community benefit in other sections of Schedule H. Part III, Line 8: The Medicare cost report was used to determine allowable cost. Part III, Line 9b: The collection departments do not take extraordinary collection actions against an individual without first making reasonable efforts to determine if the patients/families are eligible for assistance. Financial assistance information is provided to families in the registration areas on patient statements. The department of Social Services works with patients and families to help obtain insurance coverage where applicable. Information about CHAP is provided in the registration areas. Documented Physician Billing Operating Policies/Procedures include the following: Follow-Up, Self Pay Discount, Statement of Physician Billing follow-up/Collection Activity, Statement of Patient Accounts Follow-Up/Collection Activity, Accounts Receivable Follow-Up and Collection Activity, and Collection by Suit. Part VI, Line 2: The Hospitals support to the community includes activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Programs include Cochlear Implant, Parenting Center, Autism Center, Ventilator Assisted Care Program, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services, Greater New Orleans Miracle League, and the Miracle League Northshore. Part VI, Line 3: The Children's Healthcare Assistance Plan (CHAP) is a comprehensive program funded by Children's Hospital to provide quality healthcare to underserved children in our region. Determination of eligibility is conditioned upon the information provided in the application at the time of registration. Based on proof of income provided by parents, patients will qualify for the program or be deemed ineligible if over-scaled relative to set program income guidelines. If the information provided is not accurate, or should the circumstances supporting the determination of eligibility change, Children's Hospital may rescind determination of eligibility. Furthermore, Children's Hospital reserves the unilateral right to change, modify, or terminate CHAP eligibility at any time. Patients who fall into income categories that qualify them for Medicaid coverage will be provided a LACHIP application and instructions on submitting the completed form. The LACHIP program will cover that day's emergency visit charges. Patients who do not meet the Medicaid age requirements will not be required to apply for Medicaid. Parents will also be given the opportunity to enroll all children in their household in CHAP for one year. They will be given instructions on how to complete the CHAP application, along with a return envelope, and will be notified by return mail when their application has been reviewed and if they qualify for CHAP. Patients who arrive to the Hospital for same-day surgery or a scheduled admission and have no funding will be provided CHAP information by the Admitting office. If the parents are interested in applying, they will be asked to submit proof of income to the CHAP department. A CHAP representative will review the documentation to determine eligibility and which program will best fulfill the patient's needs. If requested, the Social Services department will prepare a financial work-up on patients who have no funding to determine if they qualify for any other available programs. Parents having insurance coverage with a co-pay or will have out-of-pocket expenses will be given the opportunity to apply for coverage under CHAP in the course of the admitting process. On occasion, a patient who does not qualify for the program may be considered a "hardship." These cases will be considered on an individual basis. A complete and thorough explanation will be required to evaluate the reasons for hardship coverage and is subject to approval of the CHAP Director. CHAP representatives engage in Outreach Programs throughout the community to help the community understand the provisions of the program and the rules governing eligibility. Information about the CHAP program can be found in the Hospital lobbies and on the CHNOLA website. Part VI, Line 4: Children's Hospital is a regional center for children and its mission is to provide comprehensive pediatric healthcare which recognizes the special needs of children through excellence and continuous improvement of patient care, education, research, child advocacy and management. Children's Hospital is Louisiana's only full-service hospital exclusively for children, offering a full range of inpatient and outpatient care. A not-for-profit facility, it is governed by an independent board of trustees made up of community volunteers. The hospital has no stockholders and no dividends to pay. Revenue generated is used to operate the hospital and to expand and advance services. Critical care is provided in the hospital's 36-bed Neonatal Intensive Care Unit (NICU), and the 24-bed Pediatric Intensive Care Unit (PICU), and 20-bed Cardiac Intensive Care Unit (CICU), the only one dedicated entirely to the care of Cardiac patients from birth to Adulthood in the state. The hospital's Jack M. Weiss Emergency Care Center, one of the area's busiest emergency rooms, is staffed around the clock by board-certified pediatricians, with the availability of a full range of pediatric specialists. The Emergency Department has a total of 35 exam rooms and is supported by a nursing staff specially trained to handle pediatric emergencies. Outpatient appointments with pediatric specialists are offered Monday through Friday at the Ambulatory Care Center on the hospital campus and at the hospital's satellite locations: The Metairie Center, Children's Hospital Outpatient Center of Baton Rouge, Children's Hospital Burdin Riehl Clinic in Lafayette, La, the Northshore Center of Covington, La and Children's Hospital - Denham Springs in Denham Springs, LA. The CHAP Program provided financial assistance to 6799 patients in 2019 for a total cost of $3.1 million compared to 3,550 patients in 2018 and a total cost of $1.8 million. The inpatient psychiatric unit is the only adolescent and child mental health inpatient unit in the Greater New Orleans Metro Area. The outpatient psychology program had 6241 visits during 2019. The cochlear implant program performed 5 surgeries during 2019. Part VI, Line 5: In March of 1998, the Board of Trustees recognized that Children's Hospital, with its richness of talent and programs and its financial resources, was well positioned to identify and address obstacles to the welfare of the community's children. An ad hoc committee of the Board, later established as a standing committee, was charged with developing and monitoring all components of the plan. To that end, the following represents the Community Benefit Plan of Children's Hospital. The mission of the Community Benefit Plan's programs is to eliminate barriers to the health and well-being of infants, children, and adolescents in the community, particularly the non-served or underserved, by evaluating, developing, implementing, and/or partnering on initiatives in the areas of health care, health education, health research and child and family health advocacy. The goals of Children's Hospital's Community Benefit Plan are to provide children with access to primary, secondary, and tertiary health care services needed to achieve optimal health status, foster healthy parent/child relationships through health education and child health advocacy, and educate families to enhance child safety and encourage injury-prevention to improve the health and well-being of children. The Plan provides for establishment of advocacy programs to support the needs of at-risk children and support pediatric research in order to expand medical knowledge and treatment options. It periodically assesses available community programs and determines gaps in service for potential new program development. Children's Hospital defines community broadly as it serves a large geographic region. Particularly, emphasis is placed on services for the New Orleans Metropolitan statistical area. A large percentage of the patients who utilize hospital services reside in this area and are the most likely beneficiaries of programs established. Any program that significantly and measurably contributes to the physical and psychological well-being of infants, children, adolescents, and their families is considered a benefit. This implies a relationship between organizations that is characterized by mutual cooperation and responsibility for the achievement of the specified goals wherein Children's Hospital maintains the authority for overall program direction and fiscal management. By this definition, Children's Hospital will not act as a granting agency. In addition, only not-for-profit organizations will be considered for partnering. Any exception will require the full approval of the committee and Board. See also Program Service Accomplishments in Sch 0, Statements 3 and 4 as well as Part VI, Line 6. Part VI, Line 6: Louisiana Children's Medical Center (LCMC) is a Louisiana non-stock, not-for-profit corporation that was incorporated in 2009, with its founding member being Children's Hospital (Children's). Through a Health Care System Agreement (System Agreement) between LCMC, Children's, Touro Infirmary and its subsidiaries (Touro), and Cooperative Endeavor Agreements (CEAs) with University Medical Center Management Corporation (UMCMC) and West Jefferson Holding, LLC (West Jefferson), these parties have determined that together they can provide a multi-hospital, not-for-profit community-based, system that will provide a continuum of care to the families of the Gulf South region. LCMC, children's, Touro, UMCMC, and West Jefferson are hereinafter collectively referred to as the System. LCMC functions as the System Parent with reserve powers to be exercised to promote the best interests of the System and its affiliates. All corporate powers of the System are vested in the Board of Trustees of LCMC.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. UMCMC operates the Interim LSU Hospital (ILH) and upon its completion the new University Medical Center in New Orleans (UMC). UMCMC is a provider of charity care for the uninsured and plays a vital role as a statewide referral center for patients in need of tertiary care. UMCMC also provides medical and allied health training through its affiliation with academic institutions to strengthen and enhance opportunities to achieve the State's medical education, clinical care and research goals. In tax year 2019, LCMC and its affiliates provided total community benefit expense of $737.2 million. This amount represented 46% of the affiliates combined total expense. LCMC and its affiliates provides services to many low-income residents of the Greater New Orleans area. In 2019, $516.5 million in expense (32.4% of the affiliates combined total expense) was incurred in providing services for Medicaid recipients and in providing financial assistance. 1 Greater New Orleans Miracle League 200 Henry Clay Avenue New Orleans LA 701185720 810635899 34611 Children's Hospital has an agreement to fund 25 percent of the Miracle League's Payroll and non-payroll expenses as the hospital's annual contribution to the Miracle League. University Medical Center Management Corporation 2021 Perdido Street New Orleans LA 70112 251925187 1105447 During the year ended December 31, 2019, Children's Hospital donated $1,105,447 to University Medical Center Management Corporation (UMCMC) with the intention of providing working capital to UMCMC to support their healthcare and educational activities, specifically for uninsured and underinsured patients. This donation supports Children's tax-exempt purpose and community benefit obligations and is presented as community support in the statement of operations. Miracle League Northshore 200 Henry Clay Avenue new Orleans LA 701185720 465626903 75175 Children's Hospital has an agreement to fund 25 percent of the Miracle League's Payroll and non-payroll expenses as the hospital's annual contribution to the Miracle League Northshore. In 2019 Children's Hospital also contributed a sponsorship of $50,000 to the Miracle League Northshore to further this organization's mission of providing children with an opportunity to play team sports. X X X 1 0 0 0 0 0 0 0 0 Gregory C Feirn Board Trustee/CEO LCMC 0 1134138 0 312396 0 321184 0 11200 0 31340 0 1810258 0 0 John Nickens Board Trustee/CEO 787790 0 173630 0 3036 0 218097 0 12831 0 1195384 0 1195384 0 George Bissett Board Trustee/CMO 629871 0 81318 0 40775 0 11200 0 13058 0 776222 0 776222 0 Lucio Fragoso CAO 620598 0 0 0 62602 0 11200 0 4986 0 699386 0 699386 0 Matthew Schaefer COO 359569 0 72923 0 2466 0 11200 0 18295 0 464453 0 464453 0 Jamie Wiggins Chief Nursing Officer 282090 0 53137 0 2224 0 11200 0 13027 0 361678 0 361678 0 Courtney C Garrett Sr VP & CFO 241217 0 48357 0 1921 0 11200 0 18285 0 320980 0 320981 0 Ellis Arjmand MD Surgeon-In-Chief (SIC) 870148 0 0 0 77929 0 11200 0 19323 0 978600 0 978599 0 Joseph Caspi MD Physician 0 0 633504 0 0 0 0 0 0 0 633504 0 633504 0 Joseph A Gonzales MD Physician 572111 0 0 0 3036 0 11200 0 18646 0 604993 0 604992 0 Dean S Edell MD Physician 467785 0 73201 0 6228 0 11200 0 21174 0 579588 0 579588 0 Stephen Levine MD Physician 449601 0 0 0 15475 0 11200 0 12849 0 489125 0 489125 0 Mary R Perrin Former' President & CEO 128035 0 50625 0 1840 0 7194 0 3181 0 190875 0 190876 0 Part I, Line 3 Base compensation, incentive compensation and all other reportable and non-reportable compensation for Children's Hospital's President/CEO is reviewed annually by the Executive Committee of the Board of trustees of Louisiana Children's Medical Center which is Children's Hospital's parent. 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. Part I, Line 4a Mary Perrin $190,693 Allan Bissinger Children's Hosp Board Member 525234 Telecommunication Services 0 Form 990, Part VI, Section A, line 2 Two of the Board Members/Trustees, Mrs. Francis Lauricella (Betty)and Louis Lauricella are mother and son related. Form 990, Part VI, Section A, line 6 Louisiana Children's Medical Center (LCMC) acts as a System Parent and it is the sole member of Children's Hospital. Form 990, Part VI, Section A, line 7a Louisiana Children's Medical Center (LCMC) has the sole authority to appoint the board of Children's Hospital. Form 990, Part VI, Section A, line 7b On July 13, 2009, as part of the acquisition of Touro Infirmary, Louisiana Children's Medical Center (LCMC), a 501(c)3 corporation, became the sole member of Children's Hospital, Inc. and Touro Infirmary, Inc. LCMC, through various reserve powers, has the ability to approve, disapprove and ratify decisions made by the Board of Trustee's of Children's Hospital. The Board of Trustee's of LCMC, through a majority vote approves the annual operating budgets and capital expenditures of Children's Hospital. LCMC also approves the appointment of new members of the Board of Trustee's of Children's Hospital. Form 990, Part VI, Section B, line 11b The Organization's Form 990 was presented to all members of the Organization's board for review via email link to a secure drop box. The Form 990 was prepared by Children's accounting department and reviewed by Children's CFO. Form 990, Part VI, Section B, line 12c At the time of hire, each employee reviews the conflict of interest form, has an opportunity to ask questions about the policy, and signs a document stating that they have reviewed and understand the policy. This is a part of the employee's permanent record, and applies to all employees. Senior management (directors, vice presidents, CEO) and members of the board of directors are required to review and sign a conflict of interest form on an annual basis. Form 990, Part VI, Section B, line 15 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 Executive Committee. Form 990, Part VI, Section C, line 19 Documents are made available upon request. Form 990, Part IX, line 11g General Medical Prof Fees: Program service expenses 48,543,588. Management and general expenses 23,859. Fundraising expenses 0. Total expenses 48,567,447. Acadian Ambulance SE: Program service expenses 718,203. Management and general expenses 0. Fundraising expenses 0. Total expenses 718,203. AON Consulting Inc: Program service expenses 0. Management and general expenses 109,532. Fundraising expenses 0. Total expenses 109,532. ARAMARK: Program service expenses 445,614. Management and general expenses 0. Fundraising expenses 0. Total expenses 445,614. Canon Solutions America: Program service expenses 163,844. Management and general expenses 28,319. Fundraising expenses 10,114. Total expenses 202,277. Elizabeth Bellino, MD: Program service expenses 99,058. Management and general expenses 0. Fundraising expenses 0. Total expenses 99,058. Ernst & Young, LLP: Program service expenses 0. Management and general expenses 600,204. Fundraising expenses 0. Total expenses 600,204. Gootee Services: Program service expenses 106,865. Management and general expenses 27,151. Fundraising expenses 879. Total expenses 134,895. Infection Prevention: Program service expenses 189,120. Management and general expenses 0. Fundraising expenses 0. Total expenses 189,120. INO Therapeutics, LLC: Program service expenses 2,398,440. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,398,440. Jones Group: Program service expenses 0. Management and general expenses 0. Fundraising expenses 80,052. Total expenses 80,052. Louisiana Organ Procurement: Program service expenses 75,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 75,000. LSUHSC - New Orleans: Program service expenses 134,204. Management and general expenses 42. Fundraising expenses 5. Total expenses 134,251. MEDKODER: Program service expenses 87,122. Management and general expenses 0. Fundraising expenses 0. Total expenses 87,122. MedTronic-USA: Program service expenses 145,295. Management and general expenses 0. Fundraising expenses 0. Total expenses 145,295. Mullin Landscape Assoc: Program service expenses 63,997. Management and general expenses 32,206. Fundraising expenses 269. Total expenses 96,472. Owens & Minor Inc: Program service expenses 171,744. Management and general expenses 1,865. Fundraising expenses 891. Total expenses 174,500. Patio Healthcare: Program service expenses 215,499. Management and general expenses 0. Fundraising expenses 0. Total expenses 215,499. Premium Parking Service: Program service expenses 0. Management and general expenses 551,394. Fundraising expenses 0. Total expenses 551,394. River Parish Disposal: Program service expenses 74,121. Management and general expenses 5,696. Fundraising expenses 630. Total expenses 80,447. Stericycle Inc: Program service expenses 150,945. Management and general expenses 7,798. Fundraising expenses 817. Total expenses 159,560. Stryker Sales Corporation: Program service expenses 155,819. Management and general expenses 0. Fundraising expenses 0. Total expenses 155,819. TMX Healthcare Technology: Program service expenses 550,527. Management and general expenses 0. Fundraising expenses 0. Total expenses 550,527. Values Coach Inc: Program service expenses 0. Management and general expenses 154,000. Fundraising expenses 0. Total expenses 154,000. Westport Linen Service: Program service expenses 476,109. Management and general expenses 0. Fundraising expenses 0. Total expenses 476,109. Whitecap Health: Program service expenses 0. Management and general expenses 70,836. Fundraising expenses 0. Total expenses 70,836. X Change Dialysis IN: Program service expenses 345,781. Management and general expenses 0. Fundraising expenses 0. Total expenses 345,781. All Other Purchased Services (Various Departments): Program service expenses 5,279,017. Management and general expenses 1,530,670. Fundraising expenses 216,015. Total expenses 7,025,702. Form 990, Part XII, Line 2c: The organization did not change either its oversight process or selection process during the tax year. Children's Hospital Medical Practice 298 Henry Clay Avenue New Orleans LA 701185720 721318421 Pediatric Primary Care Physician Service LA 501(c)(3) Line 11 Children's Hospital EIN 72-0467503 1 Louisiana Children's Medical Center 200 Henry Clay Avenue New Orleans LA 701185720 943480131 Provides support for the affiliates of LCMC LA 501(c)(3) Line 3 0 Touro Infirmary 1401 Foucher Street New Orleans LA 70115 720423659 Community based, not-for-profit, faith-based hospital LA 501(c)(3) Line 3 LCMC EIN 94-3480131 0 University Medical Center Management Corporation 2021 Perdido Street New Orleans LA 70112 251925187 Hospital LA 501(c)(3) Line 11 LCMC EIN 94-3480131 0 Childrens Healthcare Network 935 Calhoun Street New Orleans LA 70118 751337515 Negotiate contractual agreements with Managed Care on behalf of physicians LA 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 Louisiana Children's Medical Center (LCMC) C 67500 Contribution amount Children's Hospital Medical Practice Corporation Q 44050343 General Ledger Children's Hospital Medical Practice Corporation O 16318374 Salaries EIN 72-1318421 University Medical Center B 1105447 Children's Hospital Medical Practice Corporation L 0