2018-05-14T13:39:27-05:00 2017-06-30 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2016-07-01 721304948 LOUISIANA STATE UNIVERSITY SCHOOL OF MED IN NEW ORLEANS FACULTY GROUP PRACTICE LOUI 5044121836 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 J CHRISTIAN WINTERS CEO 5044121818 2018-05-14 1 JOHN S WILES CPA P01222673 5048355522 2016 2022-09-23 18:48:47Z LSU HEALTHCARE NETWORK J CHRISTIAN WINTERS 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 138136911 0 X N/A X 1995 LA SEE STATEMENTPRIVATE, TAX-EXEMPT FACULTY GROUP PRACTICE THAT WAS ESTABLISHED TO SUPPORT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MISSIONS OF THE LSU HEALTH SCIENCES CENTER IN NEW ORELANS, PARTICULARLY AS THEY RELATE TO ITS SCHOOLS OF MEDICINE, ALLIED HEALTH PROFESSIONS, DENTISTRY, NURSING, AND PUBLIC HEALTH, IN THEIR CLINICAL PRACTICE FUNCTIONS. 15 8 224 0 -6729 -6729 278638 195215 116717463 131510434 -9645 2162782 0 0 116986456 133868431 0 0 0 0 9002181 8575132 0 0 0 103512122 123328940 112514303 131904072 4472153 1964359 45165663 48318060 16675281 17617264 28490382 30700796 THE PATIENT-CENTERED HEALTHCARE TEAM OF THE LSU HEALTHCARE NETWORK WILL PROVIDE THE HIGHEST QUALITY, COMPREHENSIVE MEDICAL CARE WITH COMPASSION AND PROFESSIONALISM, WHILE MAINTAINING OUR COMMITMENT TO ACADEMIC EXCELLENCE 0 0 129802084 131517163 ENHANCEMENT FUND PAYMENTS PAID TO THE LA STATE UNIVERSITY HEALTH SCIENCES CENTER HELPED SUSTAIN FACULTY TEACHING PROGRAMS, RESIDENT TRAINING, AND MEDICAL RESEARCH. THE FACULTY GROUP PRACTICE ALSO MANAGES COMMUNITY OUTREACH CLINICS SUCH AS THE NEW ORLEANS MUSICIAN'S CLINIC THAT PROVIDES DISCOUNTED CARE TO THE CITY'S MUSICIANS, BASED ON NEED. CLINICAL CARE TO THE COMMUNITY IS PROVIDED WITHOUT REGARD TO THE ABILITY TO PAY OR THE POSSESSION OF INSURANCE. DURING THE YEAR ENDED JUNE 30, 2017, CHARITY CHARGES ENTERED INTO THE BILLING SYSTEM AND ADJUSTED OFF TOTALED APPROXIMATELY $16 MILLION WHICH REPRESENTS 12% OF THE TOTAL GROSS CHARGES FOR THE FISCAL YEAR. 129802084 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 43 0 1 224 1 0 0 0 0 0 0 0 0 0 0 X 15 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X J CHRISTIAN WINTERS MD 5044121836 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 STEVE NELSON MD PRESIDENT 0.50 40.00 X X 0 652635 96992 MARK H TOWNSEND MD LSUHSC REPRESENTATIVE 0.50 40.00 X 0 286936 40579 ROBERT D ZURA LSUHSC REPRESENTATIVE 0.50 40.00 X 0 740136 77704 FRANK SMART MD LSUHSC REPRESENTATIVE 0.50 40.00 X 0 578315 57203 JAYNE S WEISS MD LSUHSC REPRESENTATIVE 0.50 40.00 X 0 623245 73110 JACK CHRISTIAN WINTERS MD LSUHSC REPRESENTATIVE 0.50 40.00 X 0 456242 81920 DOREEN BRASSEAUX LSU SYSTEM 0.50 0.50 X 0 0 0 E JOHANN BULTMAN COMMUNITY MEMBER 0.50 0.50 X 0 0 0 JOHN FINAN JR COMMUNITY MEMBER 0.50 0.50 X 0 0 0 COREY HEBERT MD COMMUNITY MEMBER 0.50 0.50 X 0 0 0 MICHAEL MANES COMMUNITY MEMBER 0.50 0.50 X 0 0 0 HENRY MILLER COMMUNITY MEMBER 0.50 0.50 X 0 0 0 STEVE PERRY LSU BOARD MEMBER 0.50 0.50 X 0 0 0 SAMUEL STAGG MD COMMUNITY MEMBER 0.50 0.50 X 0 0 0 CAROL SUGGS COMMUNITY MEMBER 0.50 0.50 X 0 0 0 CINDY BRENNAN-DAVIS COMMUNITY MEMBER 0.50 0.50 X 0 0 0 LANA GEE DIRECTOR OF HEALTH INFORMATION TECHOLOGY 40.00 X 112426 0 12293 ALLISON GUSTE DIRECTOR OF OPERATIONS 40.00 X 116926 0 15245 ATARA MCAVOY DIRECTOR OF FINANCE 40.00 X 106668 0 7049 336020 3337509 462095 3 0 1 0 ACS - ACADEMIC COMPUTER SYSTEMS PO BOX 60670 LAFAYETTE LA 70596 BILLING 5928426 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70015 RENT 1666503 AETNA PO BOX 804735 CHICAGO IL 606804108 HEALTHCARE SERVICES 749621 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 ELECTRONIC MEDICAL RECORDS 601033 COVENTRY HEALTHCARE OF LA INC PO BOX 51158 LOS ANGELES CA 90051 HEALTHCARE SERVICES 363043 20 195215 195215 PATIENT SERVICE REVENUE 621110 113025380 113025380 CAPITATION REVENUE 621110 18485054 18491783 -6729 131510434 2154247 2154247 4244793 32222 4257765 10715 -12972 21507 8535 8535 133868431 131517163 -6729 2162782 215671 187634 28037 6789106 5906522 882584 266246 231634 34612 751510 653814 97696 552599 480761 71838 110898 96481 14417 175272 152487 22785 29121 25335 3786 7894511 7781067 113444 63324 55092 8232 859778 748007 111771 346644 301580 45064 2663036 2316841 346195 2814 2448 366 24863 21631 3232 560348 487503 72845 302552 263220 39332 NET REVENUES RETURNED T 80684510 80684510 MEDICAL CLAIMS EXPENSE 17525464 17525464 BAD DEBT EXPENSE 9154882 9154882 MEDICAL SUPPLIES 1566802 1566802 1364121 1158369 205752 131904072 129802084 2101988 0 18167049 12578243 17339571 13676540 105000 145815 845003 1062327 5307906 4916347 690784 391559 4852861 17205259 2531213 2531213 400806 495228 233376 231876 45165663 48318060 3541150 3866692 13134131 13750572 16675281 17617264 X 28490382 30700796 28490382 30700796 45165663 48318060 1964359 246056 0 X X 0 1 X 1 0 X X 1 LSU HEALTH SCIENCES CENTER - NEW ORLEANS 726087770 6 1 80506264 0 1 80506264 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X SCHEDULE A, PART I, LINE 11, COLUMN V THE TOTAL AMOUNT OF MONETARY SUPPORT OF $80,506,264 IS FOR THE REIMBURSEMENT OF CLINICAL AND ADMINISTRATIVE SERVICES AND LEASED FACULTY EXPENSE PROVIDED BY LSU HEALTH SCIENCE CENTER - NEW ORLEANS TO LSU SCHOOL OF MEDICINE FACULTY GROUP. IT ALSO INCLUDES THE LSU SCHOOL OF MEDICINE FACULTY GROUP SUPPORT PAYMENT TO LSU HEALTH SCIENCE CENTER'S MEDICAL SCHOOL ENHANCEMENT FUND. PART IV, SECTION A, LINE 2: THE SUPPORTED ORGANIZATION IS LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER WHICH IS A COMPONENT OF THE LOUISIANA STATE UNIVERSITY SYSTEM AND AS A RESULT IS NOT REQUIRED TO RECEIVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1) OR (2). THE UNIVERSITY SYSTEM IS CONSIDERED A GOVERNMENTAL ENTITY OF THE STATE OF LOUISIANA. PART IV, SECTION D, LINE 3: THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE (LSUHN) IS A SUPPORTING ORGANIZATION OF LSU HEALTH SCIENCES CENTER - NEW ORLEANS (LSUHSC). ITS PURPOSE IS TO PROVIDE MEDICAL, EDUCATIONAL, AND RESEARCH FUNCTIONS FOR LSUHSC. IF IT DID NOT ENGAGE IN THESE ACTIVITIES, LSUHSC WOULD HAVE TO PROVIDE THEM ITSELF. LSUHN'S FINANCE AND EXECUTIVE COMMITTEES ARE CONTROLLED BY LSUHSC AND THIS ENABLES LSUHSC TO HAVE A SIGNIFICANT VOICE IN THE OPERATIONS OF LSUHN. AS SUCH, THESE COMMITTEES CONTROL THE USE OF THE INCOME AND ASSETS OF LSUHN AND PAYMENTS MADE TO LSUHSC. IN ADDITION, THE FINANCE COMMITTEE SETS THE INVESTMENT POLICIES OF LSUHN. LSUHN IS CONSIDERED A BLENDED COMPONENT UNIT OF THE UNIVERSITY SYSTEM AND IS INCLUDED IN THE LOUISIANA STATE UNIVERSITY SYSTEM FINANCIAL STATEMENTS. THE COMPONENT UNIT IS INCLUDED IN THE REPORTING ENTITY BECAUSE OF THE SIGNIFICANCE OF ITS OPERATIONAL AND FINANCIAL RELATIONSHIPS WITH THE LSU SYSTEM AND THE LSUHSC. THIS BLENDING PROVIDES THE LSU SYSTEM AND LSUHSC WITH FULL KNOWLEDGE OF THE FINANCIAL MATTERS OF LSUHN. PART IV, SECTION E, LINE 1C: THE SUPPORTED ORGANIZATION IS THE LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (LSUHSC), WHICH IS A COMPONENT OF THE LOUISIANA STATE UNIVERSITY SYSTEM, AND IS CONSIDERED A GOVERNMENTAL ENTITY OF THE STATE OF LOUISIANA. THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE (LSUHN) IS A PRIVATE ENTITY THAT SUPPORTS THIS GOVERNMENTAL ENTITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 824935 764000 60935 4482971 4152347 330624 391559 INVESTMENT IN PH HOLDINGS, LLC 2531213 C 2531213 DUE TO HEALTH SCIENCES CENTER - NEW ORLEANS 13750572 13750572 X 124930483 246056 246056 124684427 29121 9154882 9184003 133868430 122720069 0 122720069 29121 9154882 9184003 131904072 PART X, LINE 2: LSUHN IS A NON-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA. IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AND QUALIFIES AS A SUPPORT ORGANIZATION, AS DEFINED IN SECTION 501(A) OF THE CODE. LSUHN'S BLENDED COMPONENT UNIT, UNIVERSITY MEDICAL GROUP, LLC, HOLDS A MINORITY OWNERSHIP INVESTMENT IN PH HOLDINGS, LLC, WHICH IS A HOLDING COMPANY FORMED IN NOVEMBER 2011 THAT ELECTED TO BE AN S CORPORATION EFFECTIVE JANUARY 1, 2012. AS A RESULT OF THIS ELECTION, ANY NET INCOME DERIVED FROM THIS INVESTMENT WILL BE SUBJECT TO TAX FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2017, LSUHN'S SHARE IN THE EARNINGS OF PH HOLDINGS, LLC WAS A LOSS; THEREFORE, NO UNRELATED BUSINESS INCOME WAS GENERATED AND NO TAXES WERE PAID OR ACCRUED. FOR THE YEAR ENDED JUNE 30, 2016, LSUHN'S SHARE IN THE EARNINGS OF PH HOLDINGS, LLC WAS INCOME. HOWEVER, THERE WERE SUFFICIENT PASSIVE ACTIVITY LOSSES TO OFFSET ANY TAXES OWED. LSUHN REQUESTED AND RECEIVED A PRIVATE LETTER RULING FROM THE INTERNAL REVENUE SERVICE WHICH CONFIRMED ITS MINORITY INTEREST IN THIS S CORPORATION, THROUGH ITS BLENDED COMPONENT UNIT, WILL NOT AFFECT ITS TAX-EXEMPT STATUS. LSUHN AND ITS BLENDED COMPONENT UNITS BELIEVE THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN OPERATING EXPENSES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 9,154,882. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 9,154,882. X X X 0 0 0 0 0 0 0 0 0 STEVE NELSON MD PRESIDENT 0 652635 0 0 0 0 0 86449 0 10543 0 749627 0 0 MARK H TOWNSEND MD LSUHSC REPRESENTATIVE 0 286936 0 0 0 0 0 36349 0 4230 0 327515 0 0 ROBERT D ZURA LSUHSC REPRESENTATIVE 0 740136 0 0 0 0 0 68918 0 8786 0 817840 0 0 FRANK SMART MD LSUHSC REPRESENTATIVE 0 578315 0 0 0 0 0 46660 0 10543 0 635518 0 0 JAYNE S WEISS MD LSUHSC REPRESENTATIVE 0 623245 0 0 0 0 0 66368 0 6742 0 696355 0 0 JACK CHRISTIAN WINTERS MD LSUHSC REPRESENTATIVE 0 456242 0 0 0 0 0 71701 0 10219 0 538162 0 0 FORM 990, PART I LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE, DBA LSU HEALTH NETWORK (LSUHN), ASSISTS THE LSU HEALTH SCIENCES CENTER - NEW ORLEANS (LSUHSC) IN CARRYING OUT ITS MEDICAL, EDUCATIONAL, AND RESEARCH FUNCTIONS. LSUHN HELPS LSUHSC ATTAIN ITS MISSION AND GOALS AS THEY RELATED TO THE LSUHSC-NO SCHOOLS OF MEDICINE, ALLIED HEALTH PROFESSIONS, DENTISTRY, NURSING AND PUBLIC HEALTH (COLLECTIVELY, THE HEALTH PROFESSIONAL SCHOOLS) IN THEIR CLINICAL PRACTICES. LSUHN PROVIDES HEALTH CARE TO THE GENERAL PUBLIC INCLUDING, BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS. LSUHN'S ACTIVITIES INCLUDE SERVICES PROVIDED IN BOTH THE PUBLIC HOSPITALS AND THE PRIVATE CLINICS BY LSUHSC. LSUHN CONTINUES TO PROVIDE CARE TO PATIENTS FORMERLY SEEN IN THE PUBLIC HOSPITAL SYSTEM IN NEW ORLEANS, BATON ROUGE, AND LAFAYETTE, WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. LSUHN RECEIVES COMPENSATION FOR THESE SERVICES FROM THE MEDICARE AND MEDICAID PROGRAMS, CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS AND DIRECTLY FROM PATIENTS. HOWEVER, DURING THE YEAR ENDED JUNE 30, 2017, CHARITY CHARGES ENTERED INTO THE BILLING SYSTEM AND ADJUSTED OFF TOTALED OVER $16 MILLION. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FINAL DRAFT OF FORM 990, A COPY OF THE DRAFT IS SENT TO MEMBERS OF THE EXECUTIVE/FINANCE COMMITTEE. THE COMBINED COMMITTEE IS THEN CONVENED WITH REPRESENTATIVES OF THE OUTSIDE CPA FIRM TO DISCUSS THE FORM. AFTER ACCEPTANCE BY THE COMMITTEE, THE FORM IS THEN REVIEWED BY THE BOARD OF DIRECTORS. WHEN THIS REVIEW IS COMPLETE, THE FORM IS FILED WITH THE APPLICABLE AGENCIES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES AND TRUSTEES TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATIONS WHICH COULD BE PERCEIVED AS A CONFLICT OF INTEREST. ALL TRUSTEES ARE REQUIRED, AT A MINIMUM, TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATION WHICH MAY BE A CONFLICT OF INTEREST ON FORMS PROVIDED TO THEM. EMPLOYEES ARE REQUIRED TO DISCLOSE SUCH CONFLICTS WHEN HIRED AND ARE AN ON-GOING REQUIREMENT OF EMPLOYMENT. NEW TRUSTEES AND EMPLOYEES ARE ALSO REQUIRED TO ATTEND AN ORIENTATION WHERE THIS SPECIFIC TOPIC IS DICUSSED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF THE ORGANIZATION DOES NOT DETERMINE OR APPROVE THE SALARIES FOR THE RELATED ORGANIZATION EMPLOYEES THAT PARTICIPATE ON THE ORGANIZATION'S BOARD. THE ORGANIZATION IS ALLOCATED A PORTION OF THE CEO AND THE MEDICAL DIRECTOR SALARIES FROM THE RELATED ORGANIZATION FOR THEIR TIME ATTRIBUTED TO THEIR ROLE AT THE ORGANIZATION. SENIOR MANAGEMENT COMPENSATION IS COMPARED TO SURVEYS FOR SIMILAR ORGANIZATIONS IN OUR REGION AND APPROVED BY THE PRESIDENT AND CEO AND REPORTED TO THE EXECUTIVE/FINANCE COMMITTEE AND BOARD. THE EXECUTIVE/FINANCE COMMITTEE AND THE BOARD ARE ALSO NOTIFIED OF CHANGES IN KEY POSITIONS AT THE ORGANIZATION AND THIS IS DOCUMENTED AT ITS MEETINGS IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES THIS FORM AS WELL AS VARIOUS POLICIES TO THE THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, LINE 16 LSUHN HAS AN OWNERSHIP INTEREST IN AND A CONTRACT WITH A FOR PROFIT ENTITY AS PART OF ITS CHARITABLE MISSION. LSUHN SUBMITTED A REQUEST FOR A PRIVATE LETTER RULING AND THE IRS CONCLUDED THAT THIS ARRANGEMENT WOULD HAVE NO EFFECT ON ITS TAX EXEMPT STATUS AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). IN ADDITION, THE IRS CONCLUDED THAT THE INCOME EARNED WOULD BE SUBJECT TO UNRELATED BUSINESS TAX, WHICH HAS BEEN REPORTED ON FORM 990-T. UNIVERSITY MEDICAL GROUP LLC 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 721424889 PHYSICIAN HEALTH CARE SERVICES LA 851656 11253537 LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSUHN BILLING LLC 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 261531455 BILLING COMPANY LA -2529246 3914590 LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSUHN VASCULAR LAB LLC 2025 GRAVIER STREET 6TH FLOOR NEW ORLEANS LA 70112 271244610 VASCULAR LABORATORY LA LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE LSU HEALTH SCIENCES CENTER - NEW ORLEANS 433 BOLIVAR STREET 401C NEW ORLEANS LA 70112 726087770 HEALTHCARE LA 501(C)(3) 170(B)(I)(A)(II) N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0