2019-11-14T15:23:28-06:00 2018-12-31 990 2018-01-01 720467503 Children's Hospital Inc CHIL 5048969388 200 Henry Clay Avenue New Orleans LA 701185720 Courtney Garrett CFO 5048969388 2019-11-14 184.176.196.206 2019-11-14 15:02:12 CS P 14408212A635E8F42A904D17529EDD5146E6480F 3AC66EB17C7B70D5214A9CB9D7E3F318A9B9013D 2018 2020-03-31 21:24:44Z Children's Hospital John Nickens 200 Henry Clay Ave New Orleans LA 701185720 480926147 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. 17 13 2315 2258 540000 -168165 10400343 16988605 295934677 303206762 37768620 42278620 -6807 34026499 344096833 396500486 38494198 32716807 0 0 109163714 117592126 0 0 3448280 153747178 166566769 301405090 316875702 42691743 79624784 1661831849 1676867440 176418763 187417920 1485413086 1489449520 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 13603044 5212425 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, and is 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 $8,031,030 for the year-end December 31, 2017. Benefits to the indigent also include charges in excess of government payments for services provided to Medicaid beneficiaries of approximately $597,183,305 for the year-end December 31, 2018. In addition, Children's Hospital had to write-off approximately $13,178,861 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 child care 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 2018, GNOIN had 12,929 visits to the immunization unit and administered 24,474 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 2018, SKIP immunized 4,256 students and administered 6,569 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 17,185 children and administered 31,043 vaccinations in 2018.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 2018, services were provided to an average of 87 patients per month.**Total visits:_81,549 234461670 292057405 Patient Care, General/Other: In 2018 Children's Hospital provided care to children from all 64 parishes in Louisiana, from 39 other states, the District of Columbia and 3 foreign countries. Patient visits totaled 129,646. Included in these visits were 69,988 physician clinic visits, 45,573 emergency room visits, 8,260 outpatient surgical visits, and 5,825 inpatient admissions or 44,812 patient care days. 1430450 248836 Medical Research, General/Other:The Research Institute for Children is in collaboration with Children's Hospital and Louisiana State University Health Sciences Center (LSUHSC). Researchers from Allergy/Immunology, Cardiology, Endocrinology, Gastroenterology, Genetics, Neonatology, Microbiology, Nephrology and Oncology/Hematology comprise the majority of the group. The total number of research personnel is 30 comprised of 11 administrative and support professionals, 18 LSUHSC faculty members and 1 LSUHSC staff members.Medical Researchers: _30________ 14306260 32716807 39148096 Professional Education:RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMSChildren's Hospital has become an increasingly important teaching center for both undergraduate and graduate education. Approximately 80 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, Orthopaedics, 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, Endocrinology, Gastroenterology, Hematology/ Oncology, 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. 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 Pediatric Residency training program. This Program received full accreditation at the highest level of ten years following the ACGME site visit in 2010. All other resident and fellow training programs are also site-visited at specified intervals and are fully accredited by the ACGME.Medical Residents:_378 Other Program Revenues include (but are not limited to) the following:The Eighth Annual Glenn Otero Memorial Golf Tournament hosted by Children's Hospital and Turn Services was held on March 21st at Lakewood Golf Club. Over 220 golfers participated in the tournament, which raised over $80,000. The 37th annual Sugarplum Ball - Grecian Gala -- was held March 23rd at The Hellenic Cultural Center. The event raised more than $395,000 to fund to fund ROSA, a surgical robot for Neurosciences. ROSA will allow our caregivers to pinpoint the location in the brain where seizures originate with a minimally invasive procedure. The robot will yield a shorter recovery time, reduce post-operative risks and ultimately render more successful results. On June 2nd, the Children's Hospital Volleyball Classic was held at Coconut Beach in Kenner. The tournament hosted over 350 people and 30 teams competing in Beginner, Intermediate and Advanced divisions. Registration, sponsorships and donations for the tournament reached $21,000. Our Community Fundraisers brought in over $270,000 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 Plaisance Poker Run and The Italian American Fishing Rodeo. Boo at the Zoo, an annual family-friendly Halloween event, was held October 26th, 27th and 28th 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 $310,000 for the organizations to split. The Tenth Annual Jazz Half Marathon and 5K was held on October 27th, beginning and ending at Lafayette Square. Over 2,300 people converged on Camp Street to participate in the race. This event raised over $225,000 for Children's Hospital. 14306260 32716807 39148096 263801424 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 1 409 0 1 2315 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 17 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 Louis V Lauricella Board Secretary-Treasurer 1.00 X 0 0 0 Julie Livaudais George Board Trustee 1.00 X 0 0 0 Ralph O Brennan Board Trustee 1.00 X 0 0 0 Katherine Andry Crosby Board Trustee/Ex-Officio 1.00 X 0 0 0 Stephen Hales MD Board Trustee 1.00 X 0 0 0 Whitfield A Huguley IV Board Trustee 1.00 X 0 0 0 Betty Lauricella Board Trustee 1.00 X 0 0 0 Fran Villere Deceased Board Trustee 1.00 X 0 0 0 Henry Peltier MD Board Trustee 1.00 X 0 0 0 Walton Goldring Board Trustee 1.00 X 0 0 0 Elwood F Cahill Jr Ex-Officio 1.00 X 0 0 0 George Hescock MD Ex-Officio 1.00 54.00 X 0 0 0 Gregory C Feirn Ex-Officio CEO LCMC 1.00 54.00 X 0 2736796 39054 John Nickens Ex-Officio CEO 54.00 1.00 X X 695527 0 11741 George Bissett Ex-Officio CMO 54.50 0.50 X 590902 0 12068 Matthew Schaefer COO 54.00 1.00 X 362880 0 20388 Jamie Wiggins Chief Nursing Officer 55.00 0.00 X 305579 0 17580 Courtney C Garrett Sr VP & CFO 54.50 0.50 X 275465 0 22527 Gonzales Joseph A Jr MD Physician 55.00 0.00 X 562001 0 23863 Stephen Levine MD Physician 55.00 0.00 X 454711 0 18552 Dean S Edell MD Physician 55.00 0.00 X 561995 0 26454 Leron J Finger ACMO 55.00 0.00 X 434657 0 6834 Joseph Caspi Physician 55.00 0.00 X 422336 0 0 4666053 2736796 199061 50 0 1 0 Lemoine Company 214 Jefferson Street Ste 200 Lafayette LA 70501 Gen Contracting & Constr Management 11109341 Aramark Corporation pO Box 7548 Chicago IL 60673 Environmental,Dietary & Biomed 4017023 Pediatric Radiology Services 200 Henry Clay Avenue New Orleans LA 701185720 Radiology Services 2524289 INO Therapeutis LLC PO Box 3790 Carol Stream IL 601323790 Respiratory Services 2397397 MedAssets 290 E John Carpenter Freeway Atlanta GA 303742081 Contract Labor 2070000 32 284812 67500 6120580 10515713 16988605 Medicare/Medicaid Payments 900099 226317989 226317989 Patient Care Services 622000 65988252 65988252 Ambulatory & Primary Health Care 621000 5212425 5212425 5688096 5148096 540000 303206762 32407804 32407804 91334 83592 7742 7742 7742 94119972 84249156 9870816 9870816 9870816 111670 284812 92913 18757 18757 Settlement Revenue 900099 34000000 34000000 34000000 396500486 336666762 540000 42305119 X 32716807 32716807 3045416 247613 2797803 97052416 89230232 6898265 923919 3159200 3031665 96231 31304 7702706 6763707 870180 68819 6632388 6025076 549332 57980 500570 500570 75491 75491 1418484 1418484 57165710 54421332 2240427 503951 739780 22483 26878 690419 9047010 6729028 1845171 472811 345653 345653 5219340 4344844 851200 23296 516868 232021 252024 32823 123740 27020 96720 13131746 12102735 926506 102505 2071260 2071260 Medical & Dietary Food 43920418 43919756 198 464 LCMC Management Fees 29375285 0 29375285 0 Special Purpose Program 1195304 1084601 110703 0 Permits,Licenses,Filing 939634 402117 492952 44565 780476 83474 201578 495424 316875702 263801424 49625998 3448280 26571705 33939832 3507610 4318482 30328223 106278116 5079667 5556086 2177306 2418072 379273433 170973529 149375729 208299904 1056119820 912620435 0 0 0 0 0 0 388671789 403436513 1661831849 1676867440 50363760 57427720 157657 90169 125897346 129900031 176418763 187417920 X 1480796539 1487277985 4430534 1985522 186013 186013 1485413086 1489449520 1661831849 1676867440 79624784 -75588350 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5655 5655 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 $5,655 was paid to Louisiana Hospital Association which was 29% of dues paid. 180013 180013 180013 180013 180013 180013 180013 180013 180013 180013 1.00000 0 0 41778314 41778314 137795292 67362481 70432811 0 140257714 100205156 40052558 59442113 3405892 56036221 208299904 Due to Children's Hospital from related organizations 403436513 403436513 Due Fr (To) LCMC Anesthesia 3606 Due Fr (To) LCMC 125000000 Due Fr (To) NOEH 5326 Due Fr (To) LCMC HCS 173968 Settlements due to Medicaid/due to CH 4717131 129900031 318921060 -75588350 10662283 -64926067 383847127 1418484 11234875 12653359 396500486 320332950 9585081 9585081 310747869 1418484 4709349 6127833 316875702 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 10,662,283. Part XI, Line 4b - Other Adjustments: Revenue related to Community Support 4,121,090. Released Contributions reported as Rev on Audited Financials but in PY 990s -2,445,011. Provider Based Revenue 588,259. Rental Income Expense -83,592. Swap Interest 9,054,129. Part XII, Line 2d - Other Adjustments: CHMPC expense, as rptd on Form 990, (72-1318421), Sch D, Part XII, Ln 5 18,555,618. Rental Income Expense 83,592. Swap Interest -9,054,129. Part XII, Line 4b - Other Adjustments: Revenue related to Community Support 4,121,090. Provider Based Revenue 588,259. Sugar Plum Ball 2018 396482 284812 111670 0 0 6300 5434 5950 75229 396482 284812 111670 6300 5434 5950 75229 92913 18757 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 1778883 0 1778883 0.00580 180897462 218241859 0 0.00000 0 0 0.00000 182676345 218241859 1778883 0.00580 2759102 1150681 1608421 0.00520 17332993 2361647 14971346 0.04860 1439500 803659 635841 0.00210 1430450 248836 1181614 0.00380 32382612 0 32382612 0.10520 55344657 4564823 50779834 0.16490 238021002 222806682 52558717 0.17070 1 8079249 0 1969947 1969947 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. Children's Hospital had almost 200,000 patient encounters (visits) in 2018 with children coming from 64 parishes in Louisiana, 43 states and 4 foreign countries. In all 79,147 children received care from Children's Hospital last year. 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 $6,773,745. 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 (50641), 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 Mobile Dental Program, Cochlear Implant, Parenting Center, Autism Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League. 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). Construction of a new 20-bed Cardiac Intensive Care Unit (CICU) and a new 18-bed PICU was completed in 2011. 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 31 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 3,550 patients in 2018 for a total cost of $1.8 million compared to 5,195 patients in 2017 and a total cost of $3.1 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 4,508 visits during 2018. The cochlear implant program performed 17 surgeries during 2018. 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 2018, LCMC and its affiliates provided total community benefit expense of $738.5 million. This amount represented 48 percent of the affiliates combined total expense. LCMC and its affiliates provide services to many low-income residents of the Greater New Orleans area. In 2018, $481.6 million in expense (31.5 percent 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 34195 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 31382612 During the year ended December 31, 2018, Children's Hospital donated $31,382,612 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. Audubon Zoo 6500 Magazine Street New Orleans LA 70118 510157624 1000000 During the year ended December 31, 2018, Children's Hospital pledged $1,000,000 to the Audubon Zoo to sponsor the Audubon Zoo Lights event which furthers the Audubon Zoo's mission to celebrate the wonders of nature. Miracle League Northshore 200 Henry Clay Avenue New Orleans LA 70118 465626903 300000 During the year ended December 31, 2018, Children's Hospital pledged a sponsorship of $300,000 to the Miracle League Northshore to further this organization's mission of providing children with an opportunity to play team sports. Part I, Line 2: Children's Hospital maintains the general ledger accounts for the Greater New Orleans Miracle League (EIN XXX-XX-XXXX) and holds all the contributions in its operating bank account as well as handles the payroll and accounts payable for the Miracle League expenses. In addition, the hospital maintains an expense account on its General Ledger to account for 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. The amount reported as the domestic contribution is the total expenses in the expense account on Children's general ledger. X X X 1 0 0 0 0 0 0 0 0 Gregory C Feirn Ex-Officio CEO LCMC 0 1044068 0 1371544 0 321184 0 11000 0 28054 0 2775850 0 0 John Nickens Ex-Officio CEO 633216 0 25782 0 36529 0 7664 0 11773 0 714964 0 0 0 George Bissett Ex-Officio CMO 416301 0 150000 0 24601 0 11000 0 7093 0 608995 0 0 0 Matthew Schaefer COO 339954 0 4426 0 18500 0 12481 0 14996 0 390357 0 0 0 Jamie Wiggins Chief Nursing Officer 232058 0 53543 0 19978 0 12498 0 12074 0 330151 0 0 0 Courtney C Garrett Sr VP & CFO 208616 0 48349 0 18500 0 12542 0 17274 0 305281 0 0 0 Gonzales Joseph A Jr MD Physician 522305 0 2696 0 37000 0 14769 0 17447 0 594217 0 0 0 Stephen Levine MD Physician 428075 0 2136 0 24500 0 13986 0 11966 0 480663 0 0 0 Dean S Edell MD Physician 422831 0 96164 0 43000 0 14607 0 19925 0 596527 0 0 0 Leron J Finger ACMO 343706 0 72451 0 18500 0 13223 0 0 0 447880 0 0 0 Joseph Caspi Physician 0 0 422336 0 0 0 0 0 0 0 422336 0 0 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 $695,669 Allan Bissinger Children's Hosp Board Member 310094 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 44,922,649. Management and general expenses 60,505. Fundraising expenses 0. Total expenses 44,983,154. INO Therapeutics, LLC: Program service expenses 2,294,160. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,294,160. Acadian Ambulance SE: Program service expenses 743,950. Management and general expenses 0. Fundraising expenses 0. Total expenses 743,950. ARAMARK: Program service expenses 712,519. Management and general expenses 71. Fundraising expenses 8. Total expenses 712,598. Westport Linen Service: Program service expenses 517,760. Management and general expenses 0. Fundraising expenses 0. Total expenses 517,760. Premium Parking Service: Program service expenses 0. Management and general expenses 412,902. Fundraising expenses 0. Total expenses 412,902. X Change Dialysis IN: Program service expenses 371,412. Management and general expenses 0. Fundraising expenses 0. Total expenses 371,412. Infection Prevention: Program service expenses 192,579. Management and general expenses 0. Fundraising expenses 0. Total expenses 192,579. Patio Healthcare: Program service expenses 181,681. Management and general expenses 0. Fundraising expenses 0. Total expenses 181,681. Values Coach Inc: Program service expenses 0. Management and general expenses 178,200. Fundraising expenses 0. Total expenses 178,200. Jones Group: Program service expenses 0. Management and general expenses 0. Fundraising expenses 169,515. Total expenses 169,515. Windancer Technologies: Program service expenses 168,247. Management and general expenses 788. Fundraising expenses 87. Total expenses 169,122. Strategy Resouce Group: Program service expenses 0. Management and general expenses 0. Fundraising expenses 154,862. Total expenses 154,862. Stryker Sales Corporation: Program service expenses 151,466. Management and general expenses 0. Fundraising expenses 0. Total expenses 151,466. Whitecap Health: Program service expenses 0. Management and general expenses 151,162. Fundraising expenses 0. Total expenses 151,162. Stericycle Inc: Program service expenses 137,173. Management and general expenses 6,788. Fundraising expenses 740. Total expenses 144,701. Louisiana Organ: Program service expenses 144,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,000. Owens & Minor Inc: Program service expenses 133,697. Management and general expenses 0. Fundraising expenses 0. Total expenses 133,697. Gootee Services: Program service expenses 99,498. Management and general expenses 25,683. Fundraising expenses 843. Total expenses 126,024. River Parish Disposal: Program service expenses 96,337. Management and general expenses 7,375. Fundraising expenses 816. Total expenses 104,528. Libertas Group LLC: Program service expenses 0. Management and general expenses 88,327. Fundraising expenses 0. Total expenses 88,327. Mullin Landscape Assoc: Program service expenses 54,222. Management and general expenses 30,853. Fundraising expenses 241. Total expenses 85,316. Canon Financial Services: Program service expenses 69,059. Management and general expenses 11,936. Fundraising expenses 4,263. Total expenses 85,258. Taw Power Systems Inc: Program service expenses 80,075. Management and general expenses 0. Fundraising expenses 0. Total expenses 80,075. All Other Purchased Services (Various Departments): Program service expenses 3,350,848. Management and general expenses 1,265,837. Fundraising expenses 172,576. Total expenses 4,789,261. 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 33337934 General Ledger Children's Hospital Medical Practice Corporation O 12898945 Salaries EIN 72-1318421 University Medical Center B 31382612 Children's Hospital Medical Practice Corporation L 0