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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD T BOYSIE BOLLINGER</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL FOLEY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK ANDONIE MD</PersonNm>
        <TitleTxt>SECRETARY/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TED LECLERQ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY SEDGWICK THROUGH OCT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>231331</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>649944</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18917</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN NICKENS NOV TERM START</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1620216</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24540</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL GLADDEN MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER DEBLIEUX</PersonNm>
        <TitleTxt>CHIEF EXPERIENCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>104218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>161482</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7950</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE M BOND</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>80343</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>291224</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22349</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM KILLINGER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>165109</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>403684</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27031</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE DANNA THROUGH MARCH</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>68255</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>221472</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14655</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA GALLARDO MARCH-OCT 2023</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>86210</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>208982</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10698</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON GUSTE OCT-DEC 2023</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>295593</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26035</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MIRANDA THROUGH FEBRUARY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>64502</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>321350</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PUNEET FREIBOTT FEB-DEC 2023</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>209094</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>263839</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14242</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE PARENT</PersonNm>
        <TitleTxt>VP OF BUSINESS DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>64844</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>207741</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16021</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JYOTSNA FULORIA</PersonNm>
        <TitleTxt>VP CLINICAL RESEARCH</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>95999</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>78041</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13941</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM DENSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>71266</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>283766</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21738</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHOLA M PREVOST</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>253120</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20406</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID JANZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>159860</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>455579</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25711</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCELYN RUELLO</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>92945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>233799</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13449</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM SERVARY</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108825</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>304487</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24374</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1703567</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>8493659</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>360162</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>504</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LSU HEALTH SCIENCES CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1100 FLORIDA AVE</AddressLine1Txt>
            <CityNm>NEW ORLEANS</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70119</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GME &amp; OTHER CLINICAL SERVICES</ServicesDesc>
        <CompensationAmt>120585385</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TULANE UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1430 TULANE AVE</AddressLine1Txt>
            <CityNm>NEW ORLEANS</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70112</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GME &amp; OTHER CLINICAL SERVICES</ServicesDesc>
        <CompensationAmt>28530060</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARAMARK CHICAGO LOCKBOX</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>27310 NETWORK PL</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERVICES - DIETARY &amp; ENVIRONM</ServicesDesc>
        <CompensationAmt>15603089</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRIMEDX</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 636129</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL EQUIPMENT MANAGEMENT</ServicesDesc>
        <CompensationAmt>10066150</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VAN METER MD &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1816 INDUSTRIAL BLVD</AddressLine1Txt>
            <CityNm>HARVEY</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70058</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>8679479</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>82</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6318432</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1119851</AllOtherContributionsAmt>
      <TotalContributionsAmt>7438283</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>668084254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>668084254</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NON-PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>43631026</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43631026</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>36422303</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36422303</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>F&amp;A RECOVERY</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>57669</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57669</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>748195252</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>25978</TotalRevenueColumnAmt>
        <ExclusionAmt>25978</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1465327</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1465327</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1465327</TotalRevenueColumnAmt>
        <ExclusionAmt>1465327</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>52356</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>52356</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>52356</TotalRevenueColumnAmt>
        <ExclusionAmt>52356</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>PARKING INCOME</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1560125</TotalRevenueColumnAmt>
        <ExclusionAmt>1560125</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA INCOME</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1230425</TotalRevenueColumnAmt>
        <ExclusionAmt>1230425</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2790550</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>759967746</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>748195252</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4334211</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1479919</TotalAmt>
        <ProgramServicesAmt>1479919</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3962537</TotalAmt>
        <ProgramServicesAmt>3584145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>378392</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>164792446</TotalAmt>
        <ProgramServicesAmt>149056014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15736432</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>4114259</TotalAmt>
        <ProgramServicesAmt>3764670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>349589</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>17230782</TotalAmt>
        <ProgramServicesAmt>16048334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1182448</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>12581010</TotalAmt>
        <ProgramServicesAmt>11436720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1144290</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>54640173</TotalAmt>
        <ProgramServicesAmt>3176666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51463507</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2462856</TotalAmt>
        <ManagementAndGeneralAmt>2462856</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>338399</TotalAmt>
        <ProgramServicesAmt>3487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334912</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>276289913</TotalAmt>
        <ProgramServicesAmt>240061995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36227918</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>582246</TotalAmt>
        <ProgramServicesAmt>537840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44406</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7283935</TotalAmt>
        <ProgramServicesAmt>6755221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>528714</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2531429</TotalAmt>
        <ProgramServicesAmt>1897096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>634333</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>96948567</TotalAmt>
        <ProgramServicesAmt>88786539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8162028</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>135409</TotalAmt>
        <ProgramServicesAmt>99020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36389</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>172341</TotalAmt>
        <ProgramServicesAmt>138623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33718</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>25800507</TotalAmt>
        <ProgramServicesAmt>25800507</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>22418152</TotalAmt>
        <ProgramServicesAmt>8919117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13499035</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>5105387</TotalAmt>
        <ProgramServicesAmt>5105387</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; DIETARY FOOD</Desc>
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        <ExplanationTxt>PART V, SECTION B, LINE 5: DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERS LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIES LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM 14 PUBLIC HEALTH EXPERTS 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: CHILDRENS HOSPITAL NEW ORLEANS EAST JEFFERSON GENERAL HOSPITAL NEW ORLEANS EAST HOSPITAL OCHSNER MEDICAL CENTER - NEW ORLEANS OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTER OCHSNER MEDICAL CENTER - WEST BANK CAMPUS OCHSNER MEDICAL CENTER - KENNER OCHSNER REHABILITATION HOSPITAL RIVER PLACE BEHAVIORAL HEALTH HOSPITAL TOURO INFIRMARY UNIVERSITY MEDICAL CENTER NEW ORLEANS WEST JEFFERSON MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY UMC ARE ACCESS TO AND CONTINUITY OF CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND HEALTH LITERACY, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, AND HEALTH RELATED IMPACTS OF VIOLENCE. PRIORITY 1: ACCESS TO AND CONTINUITY OF CARE GOAL(S): INCREASE OPTIONS TO ACCESSIBLE SERVICES (PRIMARY CARE AND SPECIALTY) FOR PATIENTS IN THE HOSPITAL SERVICE AREA.GENERAL STRATEGY: IDENTIFY AND IMPLEMENT STRATEGIES THAT EXPANDS ACCESS OPTIONS AND DECREASES BARRIERS TO CURRENT AND FUTURE OPTIONS FOR SERVICE.HIGHLIGHTS- INCREASED THE NUMBER OF CLINIC EXAM ROOMS BY 20% FOR IMPROVED ACCESS AND THROUGHPUT FOR PATIENTS.- INCREASED CLINIC VOLUME FROM 281,917 IN 2022 TO 320,459 IN 2023 WHILE DECREASING THE NO SHOW RATE FROM 29% IN 2022 TO 25% IN 2023. - ADDITION OF 45 ADDITIONAL PROVIDERS FOR VARIOUS IDENTIFIED SPECIALTY GAPS INCLUDING PRIMARY CARE, CANCER, NEUROSCIENCE, RHEUMATOLOGY, AND PODIATRY.- INCREASED TELEMEDICINE ACCESS FOR PATIENTS- ENCOURAGED AND INCREASED THE NUMBER OF PATIENTS UTILIZING MYCHART TOOLS FOR EASE OF ACCESS TO THEIR PERSONAL HEALTH INFORMATION. MYCHART MESSAGES HANDLED WITHIN 24 HOURS HAVE INCREASED FROM 2,990 IN JANUARY 2022 TO 4,372 JUNE 2024. - STRENGTHENED THE RELATIONSHIP WITH COMMUNITY PROVIDERS BY IMPLEMENTING THE FOLLOWING: O ON-SITE TRAINING FOR EHR CONNECTIONS TO LCMC ORDERING AND REFERRALS, O OFFERING OPPORTUNITIES TO PARTNER AND JOIN THE LCMC HER NETWORK. O DEVELOPMENT OF A REFERRAL MANUAL THAT INCLUDES TESTS AND INFORMATION NEEDED FOR A SUCCESSFUL VISIT WITH THE SPECIALIST. O OPENED SELF-SCHEDULING TO PRIMARY CARE PATIENTS. O CREATED DECISION TREES FOR ALL SPECIALTIES TO ENSURE THAT PATIENTS ARE SCHEDULED TO THE RIGHT CLINIC, WITH THE RIGHT PROVIDER AND AT THE RIGHT TIME FOR THE PATIENT O ADDITION OF NOLA MED FOR TRANSPORTATION ACCESS FOR PATIENTS IN THE NEW ORLEANS AREA. O HOST QUARTERLY MEETINGS WITH 504 HEALTHNET - A PARTNERSHIP THAT REPRESENTS THE LOCAL FQHC'S. UMC AND LCMC ARE MEMBERS OF THE PARTNERSHIP.PRIORITY 2: MENTAL AND BEHAVIORAL HEALTHGOAL(S): PROVIDE IN-PATIENT AND OUT-PATIENT BEHAVIORAL HEALTH SERVICES.GENERAL STRATEGY: PROVIDE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES IN THE HOSPITAL PRIMARY AND SECONDARY SERVICE AREAS.HIGHLIGHTS- INCREASED THE VOLUME OF OP (PATIENT VISITS) FROM 8,149 IN 2022 TO 9,350 IN 2023- BEHAVIORAL HEALTH SYMPOSIUM HELD FOR THE COMMUNITY TO OUTLINE SERVICES AVAILABLE AT UMC.- PROVIDED SERVICES TO VARIOUS SPECIALTY AREAS FOR BEHAVIORAL HEALTH INCLUDING: O WOMEN'S SERVICES O TRAUMA RECOVERY COUNSELING O CANCER SERVICES O BARIATRICS O INTEGRATED MEDICINE- PARTNERED WITH METROPOLITAN HEALTH SERVICES DISTRICT TO HAVE ON SITE NAVIGATION TO COMMUNITY SERVICES WHEN PATIENT CHOOSES- MEMBER OF THE REGION WIDE METROPOLITAN BOARD OF DIRECTORS- PARTNERED AND BROUGHT TRAUMA INFORMED CARE TRAINING TO HOSPITAL EMPLOYEES- SUPPORT COMMUNITY PARTNERS IN THE CW MENTAL HEALTH FIRST AID TRAININGPRIORITY 3: HEALTH EDUCATION AND HEALTH LITERACYGOAL(S): EXPAND CAPABILITY TO PROVIDE CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH SERVICES.GENERAL STRATEGY: INCREASED ABILITY TO MEET PATIENT CARE NEEDS WHEN THERE ARE LIMITATIONS EITHER EDUCATIONAL LEVELS OR LANGUAGE BARRIERS.HIGHLIGHTS:- EDUCATION SERVICES TO COMMUNITY PARTNERS ON THE INTERPRETATION SERVICES TO BUILD TRUST WITH THEIR PATIENTS WITH UTILIZATION OF THE VIRTUAL SERVICE.- PROVIDED 4,043 SPIRITUAL CARE ENCOUNTERS IN 2023- DEVELOPED LANGUAGE INTRODUCTION CARDS THAT ARE GIVEN TO PATIENTS TO PRESENT UPON ARRIVAL TO THE HOSPITAL AS A PROMPT FOR STAFF TO UTILIZE THE TRANSLATION TOOL IMMEDIATELY.- COLLATERAL INFORMATIONAL MATERIALS DEVELOPED AT APPROPRIATE LITERACY LEVELS AND IN MULTIPLE LANGUAGES FOR PATIENTS AND OUTREACH EVENTS AND ACTIVITIES- PLAN TO ENSURE WAYFINDING SIGNAGE INCLUDES OTHER LANGUAGES.- DEVELOPMENT OF THE "BE IN THE KNOW" PATIENT EDUCATIONAL TOOL TO PROVIDE INFORMATION ON WHAT TO ASK YOUR PROVIDER AND EASY WAYS FOR THE PATIENTS TO DO SO. - BI-MONTHLY "KEEPING YOU WELL CAF" RADIO TALK SHOW DISCUSSIONS ON LOCAL AFRICAN AMERICAN RADIO STATION.PRIORITY 4: DISCRIMINATION IN HEALTH CARE GOAL(S): REDUCE DISCRIMINATION IN HEALTHCARE BY INCREASING EQUITABLE HEALTHCARE OUTCOMES.GENERAL STRATEGY: IDENTIFY AND IMPLEMENT ACTIONS TO FORCEFULLY ADDRESS INEQUITIES PREVALENT IN HEALTHCARE THRU CLINICAL INTERACTIONS, WORKFORCE DEVELOPMENT AND COMMUNITY ENGAGEMENT. HIGHLIGHTS- HELM TRAINING SUCCESSFULLY COMPLETED BY 148 OF UMC EMPLOYEES COMPLETED SINCE 2022. THE STRATEGY HAS STARTED WITH ALL LEADERSHIP OVER THE PAST THREE YEARS AND MOVING TO STAFF IN THE NEXT PERIOD. - HIRED A LCMC MINORITY FELLOW AT UMC TO RECEIVE ACTIONABLE TRAINING IN REAL WORLD HEALTHCARE ADMINISTRATION.- INTERVIEWED AND HIRED MINORITIES THRU THE HOSPITAL INTERNSHIP PROGRAM TO ALSO RECEIVE REAL WORLD TRAINING IN HEALTHCARE ADMINISTRATION. HIRED 3 OF THE STUDENTS TO CONTINUE THEIR WORK AT UMC.- ENGAGEMENT OF MINORITY LEADERS AT UMC TO JOIN AND BECOME OFFICE HOLDERS IN NAHSE (NATIONAL ASSOCIATION OF HEALTH SERVICE EXECUTIVES) TO PROVIDE SUPPORT AND CONTINUING EDUCATION TO MINORITIES GROWING IN THE FIELD.- DEVELOPMENT OF THE FIND HELP TOOL TO IDENTIFY SOCIAL NEEDS AND PROVIDE REFERRAL SOURCES FOR PATIENTS.- HELD THE ANNUAL UMC HEALTH FEST WITH PARTNERS FROM ACROSS THE COMMUNITY TO PROVIDE INFORMATION AND ACCESS TO SERVICES RELATED TO HEALTH BUT ALSO SOCIAL DETERMINANT CONCERNS SUCH AS FOOD INSECURITY, SAFETY, PREPAREDNESS, ETC. PRIORITY 5: HEALTH RELATED IMPACTS OF VIOLENCEGOAL(S): IDENTIFY AND REDUCE THE HEALTH-RELATED OUTCOMES OF VIOLENCE IN THE UNIVERSITY MEDICAL CENTER SERVICE AREAGENERAL STRATEGY: IDENTIFY ACTIONS TO BE IMPLEMENTED IN UMC TARGET AREAS TO PROMOTE POSITIVE HEALTH BEHAVIORS AND INCREASE BETTER HEALTH OUTCOMES. PROVIDE BEHAVIORAL HEALTH SERVICES TO VICTIMS AND NEIGHBORHOODS WITHIN OUR SERVICE AREA TO REDUCE THE HEALTH EFFECTS OF VIOLENCEHIGHLIGHTS- PROVIDES STATEWIDE TRAININGS FOR NURSES AND PROVIDERS FOR SANE SERVICES. UMCMC WAS ABLE TO PROVIDE 705 SEXUAL ASSAULT NURSE EXAMINATIONS IN 2023 AND PROVIDED 500 TRAUMA RECOVERY SERVICES DURING 2023- CONTINUES TO PROVIDE SUDDEN IMPACT TRAININGS TO HIGH SCHOOLS ACROSS THE STATE. UMCMC INCREASED THE NUMBER OF SUDDEN IMPACT TRAININGS FROM 258 IN 2022 TO 269 DURING 2023- HOST THE CITY OF NEW ORLEANS WEEKLY CRIME REVIEW WHICH INCLUDES ALL AREAS OF LAW ENFORCEMENT FOR PLAN DEVELOPMENT. - LAUNCHED IN COLLABORATION WITH THE CITY OF NEW ORLEANS THE SEEDS OF NOLA TRAUMA RECOVERY CENTER IN DECEMBER 2023. OFFERS COUNSELING AND WRAPAROUND SERVICES FOR VICTIMS OF VIOLENT TRAUMA IN ORLEANS PARISH PAID FOR BY THE CITY AND UMC.- DEVELOPED THE UMC HOSPITAL BASED VIOLENCE INTERRUPTION PROGRAM (HBVIP) TO PROVIDE IMMEDIATE SERVICES TO PATIENTS AND THEIR FAMILIES WHO ARE VICTIMS OF VIOLENT TRAUMA (GUN SHOT WOUNDS, STABBINGS, ETC.) WITH WRAPAROUND SERVICES.- LEADS THE COMMUNITY PARTNER/STAKEHOLDER MEETINGS FOR COLLABORATIVE EFFORTS WITH THE HOSPITAL AND COMMUNITY VIOLENCE PROGRAMS- UMCMC HELD 16 STOP THE BLEED TRAINING FOR THE COMMUNITY DURING 2023 AND INCREASED ITS TRAFFICKING AWARENESS TRAINING FROM 3 IN 2022 TO 5 IN 2023</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>UNIVERSITY MEDICAL CENTER NEW ORLEANS</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: THE FOLLOWING FACTORS WILL BE CONSIDERED WHEN DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE FOR WHICH A PATIENT IS ELIGIBLE BASED ON RESOURCES:- PATIENT MUST REQUEST ASSISTANCE BY SUBMITTING AN APPLICATION FOR FINANCIAL ASSISTANCE OR ARE DEEMED ELIGIBLE AS OUTLINED IN THE PRESUMPTIVE ELIGIBILITY SECTION IN THIS DOCUMENT.- IF A LOUISIANA RESIDENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID OR STATE ASSISTANCE PROGRAM SUCH AS SNAP, WIC, TANF, OR GNOCHC, THEY WILL AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE.- IF AN INDIVIDUAL HAS BEEN SCREENED BY A 504HEALTHNET MEMBER CLINIC AND HAS BEEN DECLARED BOTH A LOUISIANA RESIDENT AND MEDICALLY INDIGENT IN A MANNER CONSISTENT WITH THIS POLICY AND STATE GUIDELINES, AND THE MEMBER CLINIC ATTESTS IN WRITING TO THE INDIVIDUAL'S ELIGIBILITY, HE/SHE WILL AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE.- INDIVIDUAL OR FAMILY INCOME, EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE; - MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 20% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND. SELF-PAY PATIENTS MAY BE DETERMINED ELIGIBLE FOR A MEDICAL HARDSHIP BY PRESENTING DOCUMENTED PREVIOUSLY INCURRED ELIGIBLE MEDICAL EXPENSES FOR THE TWELVE (12) MONTHS OF IMMEDIATELY PRECEDING TREATMENT FROM ANY HEALTH PROVIDER, WHICH ARE EQUAL OR ABOVE TWENTY PERCENT (20%) OF THE GROSS INCOME OF THE FAMILY UNIT. ONLY APPROVED VALID MEDICAL EXPENSES WILL QUALIFY THE PATIENT FOR MEDICAL TREATMENT AT NO ADDITIONAL COST TO THE FAMILY UNIT FOR THE NEXT TWELVE MONTHS FROM THE DATE OF SERVICE.- ALL OTHER RESOURCES MUST BE APPLIED FIRST, INCLUDING, BUT NOT LIMITED TO, THIRD-PARTY PAYERS, VICTIMS OF CRIME (A STATE-LEVEL PROGRAM FOR CRIME VICTIMS TO RECOVER SOME HOSPITAL COSTS), AND MEDICAID; - IF A PATIENT DOES NOT HAVE MEDICAID, BUT WOULD QUALIFY, HE OR SHE MUST COOPERATE WITH THE MEDICAID APPLICATION PROCESS PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE; - FINANCIAL ASSISTANCE MAY ALSO BE PROVIDED TO NON-LOUISIANA RESIDENTS WHO EXPERIENCE AN EMERGENCY MEDICAL CONDITION IN LOUISIANA AND REQUIRE IMMEDIATE MEDICAL TREATMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 16A, FAP WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMCNO USES THE FPG IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. SPECIFICALLY, A PERSON WHOSE FAMILY UNIT RESOURCES OR PROPERTY AND INCOME IS AT OR BELOW 250% OF THE FEDERAL POVERTY LEVEL FOR THE SIZE OF THE FAMILY UNIT, ROUNDED TO THE NEAREST DOLLAR. IN ADDITION TO INCOME-BASED CRITERIA, UMC APPLIES AN ASSET TEST AND RESIDENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC USES A RATIO OF PATIENT CARE COST TO GROSS PATIENT CHARGES, ADJUSTED FOR MEDICAID PROVIDER TAX AND OTHER NON-PATIENT RELATED ITEMS TO ESTABLISH TOTAL COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE, MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS BASED ON UMC'S PROVISION FOR DOUBTFUL ACCOUNTS. THE AMOUNT IS DETERMINED AS GROSS CHARGES RESERVED ON A SLOPE PERCENTAGE SPECIFIC TO HISTORICAL COLLECTIONS BY PAYOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC HAS PROCEDURES THAT ASSURE THAT ALL SELF-PAY (UNINSURED) AND MEDICALLY INDIGENT PATIENTS IN HOUSEHOLDS UP TO 250% OF FPG RECEIVE FREE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS IN ACCORDANCE WITH THE SYSTEM'S POLICIES, AND IMPLICIT PRICE CONCESSIONS PROVIDED FOR UNCOLLECTABLE AMOUNTS. ESTIMATES OF EXPLICIT PRICE CONCESSIONS, WHICH REPRESENT ADJUSTMENTS AND DISCOUNTS, ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE BY PAYOR GROUPS. IMPLICIT PRICE CONCESSIONS ARE PRIMARILY BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. GENERALLY, THE SYSTEM BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY, AND PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE SYSTEM RECEIVING INPATIENT ACUTE CARE SERVICES OR PATIENTS RECEIVING SERVICES IN ITS OUTPATIENT CENTERS.AGREEMENTS WITH THIRD-PARTY PAYORS TYPICALLY PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN STANDARD CHARGES. FOLLOWING IS A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYORS:MEDICARE - CERTAIN INPATIENT ACUTE CARE SERVICES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN SERVICES ARE PAID BASED ON COST-REIMBURSEMENT METHODOLOGIES, SUBJECT TO CERTAIN LIMITS. PHYSICIAN SERVICES ARE PAID BASED UPON ESTABLISHED FEE SCHEDULES. OUTPATIENT SERVICES ARE PAID USING PROSPECTIVELY DETERMINED RATES.MEDICAID - REIMBURSEMENTS FOR MEDICAID SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC IS REQUIRED TO MANAGE ITS BAD DEBT LOSSES, A SIGNIFICANT COMPONENT OF ITS OPERATING PERFORMANCE, AS ONE OF THE CONTRIBUTORS TO THE TOTAL COMMUNITY BENEFIT THE ORGANIZATION IS ABLE TO PROVIDE; THIS IS BASED ON THE RECOGNITION THAT MUCH OF THE NEW ORLEANS AREA POPULATION IS UNABLE TO AFFORD THE CARE THEY NEED. UMC USES A RATIO OF PATIENT CARE COST TO CHARGES TO ESTABLISH THE AMOUNT REPORTED ON LINE 6 AS MEDICARE ALLOWABLE COSTS OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR PATIENTS DETERMINED TO BE MEDICALLY INDIGENT AND MEETING 250-400% OF THE FPL, 75% OF THE PATIENT ACCOUNT WILL BE DISCOUNTED. FOR PEOPLE MEETING LESS THAN 250% OF THE FPL, 100% OF THE PATIENT ACCOUNT WILL BE DISCOUNTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN MANY WAYS. NUMEROUS STUDIES HAVE BEEN CONDUCTED BY VARIOUS STATE AGENCIES REGARDING THE NEEDS OF PATIENTS HISTORICALLY SERVED BY UMC IN FORMULATING DECISIONS REGARDING A REPLACEMENT FACILITY, TO ESTABLISH PROGRAMS SUCH AS GNOCHC, AND OTHERWISE TO ASSURE THAT HEALTH CARE AND MEDICAL EDUCATION NEEDS ARE ADDRESSED. UMC RECEIVES INFORMATION REGARDING THE HEALTH CARE NEEDS OF THE NEW ORLEANS COMMUNITY FROM THE SCHOOLS THAT PARTICIPATE IN ITS TRAINING PROGRAMS. THE PARTICIPANTS IN THE TRAINING PROGRAMS ARE ON THE FRONT LINES OF PATIENT CARE AND ARE MOST AWARE OF THE PARTICULAR NEEDS OF THIS COMMUNITY. THROUGH COMMUNICATION WITH THESE SCHOOLS AND THE OTHER PROVIDERS IN THE COMMUNITY, UMC DEVELOPS AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THE INDIGENT POPULATION OF THE NEW ORLEANS REGION. UMC HAS PARTICIPATED ACTIVELY IN THE AFOREMENTIONED STUDIES AND IN MANY COMMUNITY EFFORTS RELATING TO THE HEALTHCARE NEEDS IN THE NEW ORLEANS AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON SCHEDULING OR REGISTRATION, THE ABILITY TO APPLY FOR FINANCIAL ASSISTANCE IS OFFERED IF THE PATIENT IS UNINSURED OR UNDERINSURED. IF MEDICAID ASSISTANCE IS DENIED, THE UMC FINANCIAL ASSISTANCE AND MEDICAL ASSISTANCE PROGRAM (MAP) DEPARTMENTS WILL ASSIST THE PATIENT IN SEEKING OTHER FINANCIAL ASSISTANCE BENEFITS. THIS DEPARTMENT INSTRUCTS THE PATIENT ON REQUIRED DOCUMENTATION AND ELIGIBILITY PROCEDURES. IF THE PATIENT IS DETERMINED TO BE MEDICALLY INDIGENT AND UNABLE TO OBTAIN MEDICAID BENEFITS, UMC WILL INFORM THEM OF ALTERNATIVE POSSIBILITIES FOR FINANCIAL ASSISTANCE. IF THE PATIENT IS FOUND TO BE UNABLE TO QUALIFY FOR ANY PUBLIC ASSISTANCE BUT IS NOT BELOW THE 400% FPG LIMITS ON CHARITY CARE, THEY ARE INFORMED THAT THEY WILL BE CONSIDERED SELF-PAY AND ENTITLED TO A 70% DISCOUNT ON CHARGES. UMC WORKS WITH THE PATIENT TO FORMULATE A PAYMENT PLAN. IF THE PATIENT FALLS IN BETWEEN 250-400% OF THE FPG LIMITS, THE PATIENT'S CHARGES WILL BE DISCOUNTED BY 75%. FURTHER, IF THE PATIENT IS FOUND TO FALL BELOW THE 250% FPG LEVEL, HE OR SHE IS CLASSED AS CHARITY CARE AND ALL CHARGES ARE WRITTEN OFF. UMC HAS A LONG STANDING REPUTATION OF BEING THE SAFETY NET HOSPITAL FOR THE INDIGENT MEDICALLY ILL PATIENTS OF NEW ORLEANS AND SURROUNDING AREAS. OUR COMMITMENT TO OUR COMMUNITY IS TO CARE FOR ALL WHO NEED OUR CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH RESPECT TO UNIVERSITY MEDICAL CENTER, THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM UMC'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF UMC'S SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. UMC'S POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR UMC'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE COMMUNITY HEALTH, UMC ADDRESSES THE TOP THREE NEEDS IDENTIFIED BY THE CHNA. THOSE NEEDS WERE ACCESS TO HEALTH SERVICES, BEHAVIORAL HEALTH, AND HEALTH LITERACY. TO ADDRESS THE NEED OF INCREASED ACCESS TO HEALTH SERVICES, UMC EXPANDED ITS SERVICES TO INCLUDE THE CANCER CENTER, RADIATION ONCOLOGY, NEUROSURGERY, ENT, IBD, PRIMARY CARE, OPHTHALMOLOGY AND DERMATOLOGY. IN 2020, UMC'S BURN UNIT WAS ACCREDITED BY THE AMERICAN BURN ASSOCIATION AND ADDED SERVICES FOR SOUTH CENTRAL LOUISIANA AND THE GULF COAST. UMC CONTINUES TO PROVIDE EXPERT CARE TO PEOPLE WHO HAVE EXPERIENCED SEXUAL ASSAULT AND DOMESTIC VIOLENCE THROUGH THE FORENSIC PROGRAM, WHICH IS HOUSED IN OUR ED FOR IMMEDIATE ACCESS. UMC ALSO PILOTED A HOMELESS LIAISON PROGRAM FROM 2019 TO 2021. UMC HAS EXPANDED ITS 340B SERVICES THROUGH A PARTNERSHIP WITH WALGREEN'S. UMC HAS IMPROVED COLLABORATION OF SERVICES WITH THE FQHC'S THROUGH REGULAR MEETINGS. UMC HAS ALSO CREATED A MECHANISM FOR FQHCS TO PROVIDE INFORMATION FOR THEIR PATIENTS TO BE CLEARED FOR FINANCIAL ASSISTANCE DECREASING BARRIERS TO ACCESSING CARE. UMC PROVIDES CONTINUED ACCESS TO AMBULATORY SERVICES (PRIMARY CARE AND SPECIALTY SERVICES) THROUGH TELEMEDICINE ESTABLISHED DURING THE PANDEMIC AND CONTINUES TO BE AVAILABLE AS NEEDED FOR PATIENTS TO ACCESS CARE. UMC ALSO PROVIDES FREE HIV, HEPATITIS, AND STD TESTING TO PATIENTS THROUGH THE EMERGENCY DEPARTMENT, WITH FOLLOW UP CASE MANAGEMENT SERVICES THROUGH THE INFECTIOUS DISEASE CLINIC, WHEN NEEDED. IN 2020, UMC EXPANDED THIS SERVICE TO CLINIC PATIENTS WHO REQUEST TESTING.TO ADDRESS THE INCREASED BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, UMC OPERATES 60 LICENSED BEHAVIORAL HEALTH BEDS, AS WELL AS A BEHAVIORAL HEALTH ER FOR EVALUATIONS. UNIVERSITY MEDICAL CENTER ADDED ADDITIONAL OUTPATIENT SERVICES INCLUDING ADDICTION-PSYCHIATRY SERVICES AND INTEGRATED MEDICINE. THE ABILITY TO PROVIDE THESE SERVICES, WHEN APPROPRIATE BY TELEMEDICINE, HAS ALSO BEEN AVAILABLE SINCE THE START OF THE PANDEMIC. IN 2021, UNIVERSITY MEDICAL CENTER ADDED AN OUTPATIENT BEHAVIORAL HEALTH CENTER NEAR THE MAIN CAMPUS, THAT HOUSES OUR GENERAL BH OUTPATIENT SERVICES, INTENSIVE OUTPATIENT THERAPY FOR SUBSTANCE USE AND GENERAL BEHAVIORAL HEALTH. THEY INTEGRATE SEVERAL BEHAVIORAL HEALTH SERVICES IN SPECIFIC SPECIALTY CLINICS SUCH AS TRAUMA AND HIGH RISK ANTENATAL.TO ADDRESS THE HEALTH LITERACY NEEDS OF THE COMMUNITY, UMC ESTABLISHED THE FOLLOWING: SUDDEN IMPACT: A 6-HOUR HOSPITAL-BASED PROGRAM FOR SOPHOMORE ADOLESCENTS, PROVIDES THE GROUNDWORK FOR AN INCREASE IN KNOWLEDGE, ATTITUDE AND BEHAVIOR CHANGE REGARDING HIGH RISK BEHAVIOR BEHIND THE WHEEL. THE PROGRAM IS PROVIDED THROUGH AN INVALUABLE PARTNERSHIP BETWEEN THE HOSPITAL, LOUISIANA STATE POLICE, THE LOUISIANA HIGHWAY SAFETY COMMISSION AND TRAUMA VICTIMS. THE PROGRAM WAS DEVELOPED 27 YEARS AGO BY UMC INJURY PREVENTION COORDINATORS AND HAS EXPANDED TO 15 HOSPITALS IN 9 REGIONS OF THE STATE. DURING THE 2022-2023 SCHOOL YEAR, THE SUDDEN IMPACT PROGRAM REACHED 15,646 STUDENTS. MOCK CRASHES: THE CONSEQUENCES OF IMPACT MOCK CRASH WAS DEVELOPED AS A FOLLOW UP TO THE HOSPITAL-BASED SOPHOMORE LEVEL HOSPITAL BASED SUDDEN IMPACT PROGRAM. STUDENTS PARTICIPATE IN A MOCK MOTOR VEHICLE CRASH TO INCREASE THE AWARENESS OF THE DANGERS OF DRIVING IMPAIRED, DRIVING UNRESTRAINED AND DISTRACTED DRIVING. PARTNERSHIPS INCLUDE FIRST RESPONDERS, LOCAL FIRE DEPARTMENTS, EMS, TRAUMA CENTER PERSONNEL, AND THE CORONER'S OFFICE. SCHOOL -BASED TRAUMA PREVENTION OUTREACH PROGRAM (STOP): STOP IS AN INJURY PREVENTION PROGRAM FOR ELEMENTARY SCHOOL CHILDREN. THROUGH AGE APPROPRIATE INTERACTIVE DISCUSSIONS AND ACTIVITIES, THE PRESENTERS PROMOTE SAFETY HABITS AND THE USE OF PROTECTIVE GEAR. THE PROGRAM EMPHASIZES SAFETY WHILE RIDING IN A MOTOR-VEHICLE, SEAT BELT AND BOOSTER SEAT USAGE, BICYCLE HELMETS, PEDESTRIAN SAFETY, BURN PREVENTION AND GUN/FIREARM SAFETY. DURING THE 2019-2020 ABBREVIATED SCHOOL YEAR, UMC HOSTED THE STOP PROGRAM TO 2,671 ELEMENTARY SCHOOL STUDENTS. THIS PROGRAM IS ON HOLD DUE TO COVID MITIGATION MEASURES.CAR FIT: AN ADULT DRIVER SAFETY PROGRAM THAT WAS ESTABLISHED IN 2022 TO ADDRESS THE COGNITIVE ABILITIES AND SKILLS OF OLDER DRIVERS AND IMPROVE THEIR SAFETY BY ENSURING THAT CARS ARE PROPERLY ADJUSTED FOR THEM. BY ADJUSTING THE FIT OF THE CAR FOR THE DRIVER, THE PROGRAM HELPS INCREASE NOT ONLY THE DRIVER'S SAFETY BUT ALSO THE SAFETY OF OTHERS. UMC HOSTS THE LOUISIANA CAR FIT PROGRAM STATEWIDE ON A QUARTERLY BASIS FOR TRAINING TECHNICIANS, INSTRUCTORS AND THE COMMUNITY.CHILD PASSENGER SAFETY INITIATIVES: THE LOUISIANA PASSENGER SAFETY TASK FORCE (LPSTF) WAS CREATED BY UMC INJURY PREVENTION COORDINATORS 25 YEARS AGO. THE LPSTF IS A COALITION OF PARTNERS IN LOUISIANA WHO ARE RESPONSIBLE FOR EDUCATING THE COMMUNITY AND OTHER AGENCIES ON THE BENEFIT OF RESTRAINT SYSTEMS IN MOTOR VEHICLES. CONCENTRATED EFFORTS ARE PLACED ON EDUCATION, ENFORCEMENT AND LEGISLATION RELATED TO MOTOR VEHICLE OCCUPANTS. GRANT FUNDING BY THE LOUISIANA HIGHWAY SAFETY COMMISSION ALLOWS THE TEAM TO ASSIST THE COMMUNITY FREE OF CHARGE. TOGETHER, OVER 5,872 CHILDREN WERE ASSISTED IN 2022-2023. IN 2020, THE CHILD PASSENGER SAFETY NETWORK HOSTED BY UMC WAS HONORED NATIONALLY AS "TEAM OF THE YEAR."GRANT FUNDED FITTING STATIONS: FITTING STATIONS PROVIDE A ONE ON ONE TUTORIAL FOR THE COMMUNITY TO LEARN THE BENEFITS OF PROPER SEAT BELT AND CHILD SAFETY SEATS. GRANT FUNDED SUPPLIES AND TRAINING ARE PROVIDED BY UMC TO THE PARTICIPATING 110 FITTING STATIONS IN LOUISIANA. STOP THE BLEED: WITH SIMPLE TRAINING IN BLEEDING CONTROL TECHNIQUES, CITIZENS CAN PROVIDE IMMEDIATE STABILIZATION TO INJURED VICTIMS PRIOR TO THE ARRIVAL OF FIRST RESPONDERS. BLEEDING CONTROL EDUCATION IS APPROPRIATE FOR ALL SKILL LEVELS AND INCREASES SURVIVABILITY. THE GOAL IS TO PROVIDE WIDESPREAD BLEEDING CONTROL EDUCATION AND SUPPLIES TO LAW ENFORCEMENT/SECURITY ORGANIZATIONS, SCHOOLS/EDUCATIONAL INSTITUTIONS, COMMUNITY CENTERS, LOCAL BUSINESSES AND CHURCHES.LEGISLATION: UNIVERSITY MEDICAL CENTER AUTHORED NEW CHILD SAFETY SEAT LEGISLATION FOR THE 2019 LOUISIANA SESSION. UMC PREVENTION NURSES AUTHORED SB76, NOW LOUISIANA LAW R.S.295, TESTIFIED IN BOTH THE HOUSE AND SENATE TRANSPORTATION COMMITTEES, AND PRODUCED EDUCATIONAL MATERIALS FOR DISSEMINATION STATEWIDE. THE LOUISIANA LAW HAS BEEN TITLED "BEST IN THE COUNTRY" BY NATIONAL TRAFFIC SAFETY EXPERTS. GOVERNOR JOHN BEL EDWARDS RECOGNIZED AND AWARDED THE PREVENTION NURSES IN NOVEMBER 2019 AT A STATE CONFERENCE FOR BUILDING A STRONGER, HEALTHIER, INJURY FREE SOCIETY. CAR FIT PROGRAM: THE PREVENTION NURSES EXPANDED SERVICES THIS YEAR INTO A GERIATRIC PREVENTION PROGRAM THROUGH THE DEVELOPMENT OF CAR FIT INSTRUCTORS AND COORDINATORS IN LOUISIANA. UMC PREVENTION NURSES PROVIDE THE LEADERSHIP FOR THE CAR FIT PROGRAM, INFRASTRUCTURE, DEVELOPMENT AND IMPLEMENTATION. 2023 INJURY PREVENTION CONFERENCE: UMC HOSTED THE CHILD PASSENGER SAFETY INJURY PREVENTION CONFERENCE. NATIONAL SPEAKERS JOINED THE PREVENTION NURSES TO LEAD LOUISIANA IN A 220-PERSON VIRTUAL CONFERENCE. UNIVERSITY MEDICAL CENTER CONDUCTS VARIOUS HEALTH SCREENINGS FOR THE COMMUNITY INCLUDING SKIN CANCER, HEAD AND NECK CANCER, AND AORTIC ANEURYSM.UMC PROVIDES PUBLIC EDUCATION THROUGH MONTHLY RADIO APPEARANCES BY PHYSICIANS COVERING VARIOUS HEALTH TOPICS AND THROUGH WEEKLY BLOGS WRITTEN BY PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION. LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, WEST JEFFERSON MEDICAL CENTER AND LCMC HEALTH HOLDINGS D/B/A EAST JEFFERSON GENERAL HOSPITAL.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S") ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.IN TAX YEAR 2023, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,326 MILLION. THIS AMOUNT REPRESENTED 42% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2023, $970 MILLION IN EXPENSE (31% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE &amp; MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2023, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $519.5 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S.</ExplanationTxt>
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          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 POYDRAS ST 2500 ENERGY CENTRE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>IN 2023, UMCMC DONATED $311,396 TO LCMC HEALTH WITH THE INTENTION OF FURTHING NURSING EDUCATION IN THE AREAS SERVED BY LCMC'S MEMBER HOSPITALS. THESE FUNDS ARE USED TO IDENTIFY FUTURE POTENTIAL NUSING STUDENTS, DEVELOP NURSING FACULTY, AND PROVIDE TUITION ASSISTANCE TO QUALIFIED STUDENTS OF THE LSU NURSING PROGRAM. THIS GRANT ALSO HELPED FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL.</PurposeOfGrantTxt>
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          <StateAbbreviationCd>LA</StateAbbreviationCd>
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        <CashGrantAmt>146165</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>IN 2023, UMCMC DONATED $146,165 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS HOSPITAL'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS.</PurposeOfGrantTxt>
      </RecipientTable>
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        <TotalCompensationRltdOrgsAmt>2270395</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN NICKENS NOV TERM START</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>376871</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7150</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11908</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12632</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1644756</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EMILY SEDGWICK THROUGH OCT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>208743</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>471722</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>67675</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22588</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>8416</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4784</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2505</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3212</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>657940</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID JANZ</PersonNm>
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        <BaseCompensationFilingOrgAmt>159316</BaseCompensationFilingOrgAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6462</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3369</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3569</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12311</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169891</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>471259</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM KILLINGER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>74038</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>403684</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1071</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8358</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>150</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13973</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169809</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>426015</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PUNEET FREIBOTT FEB-DEC 2023</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>263839</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4297</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8196</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2502</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>378</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3166</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217668</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>269507</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM SERVARY</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>107365</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>304487</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4375</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6048</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2401</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11550</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>115601</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA MIRANDA THROUGH FEBRUARY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>62970</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>271529</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>49821</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2542</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1332</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13547</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>68376</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>344526</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE M BOND</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>79693</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>246168</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3239</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9961</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1772</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7377</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>85354</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>308562</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM DENSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>68927</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>280583</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2339</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2761</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9909</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>237</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8831</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>74264</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>302506</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHOLA M PREVOST</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>451</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>5920</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2322</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>106902</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>267390</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCELYN RUELLO</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>233799</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>608</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3702</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6889</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>252</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2606</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>96899</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>243294</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLISON GUSTE OCT-DEC 2023</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>243656</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>50834</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1103</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10309</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15726</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>321628</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA GALLARDO MARCH-OCT 2023</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>60254</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>208982</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>956</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1706</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4111</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>169</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4712</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>88085</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>217805</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE DANNA THROUGH MARCH</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>67483</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>38139</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>183333</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2721</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6220</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1487</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4227</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>72463</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>231919</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLOTTE PARENT</PersonNm>
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        <OtherCompensationRltdOrgsAmt>4500</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>7966</DeferredCompRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER DEBLIEUX</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>3549</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>108619</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JYOTSNA FULORIA</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>1557</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>3142</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>3363</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>84546</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR UMC'S PRESIDENT / CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS UMCNO'S SOLE MEMBER. THE EXECUTIVE COMMITTEE IS A 9 VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, EMILY SEDGWICK RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $106,347, PETER DEBLIEUX RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $103,510, AND DENISE DANNA RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $183,333 DURING 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UMCNO HAS 15 VOTING MEMBERS OF THE BOARD OF DIRECTORS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>LCMC HEALTH IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AND RETAINS THE RIGHT OF ALL GOVERNANCE DECISIONS. THE GOVERNING BOARD IS APPOINTED UNDER THE REQUIREMENTS OF THE COOPERATIVE ENDEAVOR AGREEMENT WITH THE STATE OF LOUISIANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM BEFORE BEING REVIEWED AND APPROVED BY THE ORGANIZATION'S CFO AND ACCOUNTING STAFF. UPON APPROVAL, A DRAFT OF UMCNO'S FORM 990 IS PRESENTED TO ALL MEMBERS OF THE UMCNO BOARD OF DIRECTORS FOR REVIEW VIA AN EMAIL LINK TO A SECURE, ONLINE DROP BOX.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF HIRE, EACH MANAGER AND ABOVE REVIEWS THE CONFLICT OF INTEREST POLICY AND SIGNS A CONFLICT OF INTEREST CERTIFICATION STATING THAT THEY REVIEWED AND UNDERSTAND THE POLICY. THE AFFECTED INDIVIDUALS ARE REQUIRED TO REVIEW THE POLICY ANNUALLY. MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL OF THE LCMC'S PRESIDENT AND CEO, THE LCMC COMPENSATION COMMITTEE, AND LCMC EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS ARE ALSO POSTED ONLINE BY THE STATE OF LOUISIANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 155,242,067. MANAGEMENT AND GENERAL EXPENSES 30,369,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,611,779. ADMINISTRATIVE FEES - HEALTH AND DENTAL: PROGRAM SERVICE EXPENSES 12,148. MANAGEMENT AND GENERAL EXPENSES 25. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,173. LAB SERVICE FEES: PROGRAM SERVICE EXPENSES 65,410. MANAGEMENT AND GENERAL EXPENSES 455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,865. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 33,109,918. MANAGEMENT AND GENERAL EXPENSES 3,682,599. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,792,517. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 4,482,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,482,578. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 24,628,568. MANAGEMENT AND GENERAL EXPENSES 934,919. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,563,487. CONTRACT PHARMACY: PROGRAM SERVICE EXPENSES 19,633,471. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,633,471. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 722,402. MANAGEMENT AND GENERAL EXPENSES 29,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 751,472. RECRUITMENT EXPENSE: PROGRAM SERVICE EXPENSES 100,027. MANAGEMENT AND GENERAL EXPENSES 499,586. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,613. COMMUNICATION/TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 52,094. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,094. OUTSOURCED SERVICES: PROGRAM SERVICE EXPENSES 1,431,163. MANAGEMENT AND GENERAL EXPENSES 466,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,897,381. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 126,208. MANAGEMENT AND GENERAL EXPENSES 176,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,787. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 1,834. MANAGEMENT AND GENERAL EXPENSES 68,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,072. FREIGHT: PROGRAM SERVICE EXPENSES 435,701. MANAGEMENT AND GENERAL EXPENSES 517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 436,218. CORPORATE TRANSFERS - COVID: PROGRAM SERVICE EXPENSES 18,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,406.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>TOURO INFIRMARY FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1401 FOUCHER STREET</AddressLine1Txt>
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          <AddressLine1Txt>200 HENRY CLAY AVENUE</AddressLine1Txt>
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          <BusinessNameLine1Txt>CHILDRENS HOSPITAL ANESTHESIA CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 POYDRAS STREET 2500 ENERGY CEN</AddressLine1Txt>
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        <EIN>061587311</EIN>
        <PrimaryActivitiesTxt>PEDIATRIC HOSPITAL ANESTHESIA SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AUDUBON RETIREMENT VILLAGE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1100 POYDRAS STREET 2500 ENERGY CEN</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70163</ZIPCd>
        </USAddress>
        <EIN>842278120</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOUISIANA CHILDREN'S MEDICAL CENTER</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW ORLEANS PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1101 MEDICAL CENTER BLVD</AddressLine1Txt>
          <CityNm>MARRERO</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70072</ZIPCd>
        </USAddress>
        <EIN>464568405</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WEST JEFFERSON HOLDINGS LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WOLDENBERG VILLAGE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3701 BEHRMAN PLACE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70114</ZIPCd>
        </USAddress>
        <EIN>720540671</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE DELIVERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOURO INFIRMARY</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>METAIRIE PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1101 MEDICAL CENTER BLVD</AddressLine1Txt>
          <CityNm>METAIRIE</CityNm>
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        </USAddress>
        <EIN>461434300</EIN>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LCMC HEALTH HOLDINGS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL MEDICAL PRACTICE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>298 HENRY CLAY AVENUE</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70118</ZIPCd>
        </USAddress>
        <EIN>721318421</EIN>
        <PrimaryActivitiesTxt>PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHIDLREN'S HOSPITAL</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TIJV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1401 FOUCHER ST</AddressLine1Txt>
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          <StateAbbreviationCd>LA</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>IMAGING CENTER RENTAL</PrimaryActivitiesTxt>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CRESCENT CITY RESEARCH CONSORTIUM LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1111 MEDICAL CENTER BLVD STE N701</AddressLine1Txt>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY SERVICES COLLABORATIVE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1101 MEDICAL CENTER BLVD STE N-201</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EAST JEFFERSON SURGERY CENTER LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4320 HOUMA BLVD 5TH FLOOR</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <USAddress>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>650 POYDRAS STREET SUITE 1200</AddressLine1Txt>
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        <LegalDomicileStateCd>LA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>