2025-11-14T15:42:54-06:00 2024-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2024-01-01 251925187 UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION UNIV 5047024380 2000 CANAL STREET NEW ORLEANS LA 70112 JOANN KUNKEL CHIEF FINANCIAL OFFICER 5047024380 2025-11-14 1 1 JOHN S WILES CPA P01222673 5048355522 2025-11-14 2024 2025-03-06 01:10:19Z UNIVERSITY MEDICAL CENTER NEW ORLEANS JOHN NICKENS 2000 CANAL STREET NEW ORLEANS LA 70112 792867500 0 X WWW.UMCNO.ORG X 2005 LA UNIVERSITY MEDICAL CENTER NEW ORLEANS WILL BE A LEADING WORLD-CLASS ACADEMIC (CONT'D ON SCH. O) MEDICAL CENTER AND THE DESTINATION OF CHOICE FOR EXCEPTIONAL HEALTHCARE. UNIVERSITY MEDICAL CENTER WILL PROVIDE EXCEPTIONAL PATIENT-CENTERED CARE AND A WORLD-CLASS ACADEMIC EXPERIENCE THROUGH ADVANCED RESEARCH, LEADING TECHNOLOGY AND INNOVATION. 16 13 3435 59 0 0 7438283 6079981 748195252 780615821 78334 305105 4255877 5866593 759967746 792867500 1479919 554152 0 0 202681034 240534630 0 0 0 647352193 623383976 851513146 864472758 -91545400 -71605258 441200429 502544650 747044829 879994308 -305844400 -377449658 X UNIVERSITY MEDICAL CENTER WILL PROVIDE EXCEPTIONAL PATIENT-CENTERED CARE AND A WORLD-CLASS ACADEMIC EXPERIENCE THROUGH ADVANCED RESEARCH, LEADING TECHNOLOGY AND INNOVATION. 0 0 127293605 40810794 RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMS: UNIVERSITY MEDICAL CENTER NEW ORLEANS (UMCNO) IS THE STATE OF LOUISIANA'S LARGEST TEACHING HOSPITAL AND A MAJOR TRAINING SITE FOR BOTH LSU AND TULANE UNIVERSITY SCHOOLS OF MEDICINE, AS WELL AS LSU SCHOOLS OF DENTISTRY, NURSING AND ALLIED HEALTH. MORE THAN 400 RESIDENT AND FELLOW FTE POSITIONS ACTIVELY ROTATE AT UMCNO ON A MONTHLY BASIS, THROUGH ROUGHLY 55 DIFFERENT MEDICAL SPECIALTIES. UMCNO ALSO PARTNERS WITH MANY OTHER ACADEMIC INSTITUTIONS SUCH AS DELGADO, XAVIER, DILLARD, NICHOLS STATE, SOUTHERN UNIVERSITY, AND CHAMBERLAIN UNIVERSITY TO TRAIN OVER 3,900 FUTURE HEALTH CARE PROVIDERS ANNUALLY. 572799709 704764628 PATIENT CARE: UMCNO PROVIDES CORE SAFETY NET SERVICES TO THE NEW ORLEANS REGION. THESE SERVICES INCLUDE THE OPERATION OF AN EMERGENCY ROOM, AN HIV OUTPATIENT CLINIC, ONCOLOGY SERVICES, MENTAL HEALTH SERVICES, A 16 BED BURN UNIT AND A LEVEL I TRAUMA CENTER. IN 2024, UMC CONTINUED ITS BEHAVIORAL HEALTH SERVICES WITH AN OUTPATIENT CLINIC LOCATION TO PROVIDE SERVICES SUCH AS ADDICTION PSYCH AND INTENSIVE OUTPATIENT THERAPY FOR GENERAL BEHAVIORAL AND SUBSTANCE ABUSE. UMC ALSO PROVIDED A BARIATRIC PROGRAM THAT OPERATED A WEIGHT MANAGEMENT CLINIC, PROVIDED SLEEP DISORDER SERVICES, AND PROVIDED OUTPATIENT DIALYSIS SERVICES TO THOSE PATIENTS WHO HAVE BEEN INVOLUNTARILY DISCHARGED FROM OUTPATIENT ESRD FACILITIES. UMCNO PROVIDES A WIDE RANGE OF MEDICAL SERVICES COVERING OVER 80 SPECIALTIES AND AMBULATORY (CONT'D ON SCH. O) CARE IN APPROXIMATELY 70 SPECIALTY CLINICS AND PROVIDES FREE AND REDUCED COST HEALTH CARE TO MEDICALLY INDIGENT AND UNINSURED PATIENTS, INCLUDING MEDICALLY COMPLEX AND OTHERWISE HIGH-RISK MEDICAID PATIENTS. IT ALSO PROVIDES MEDICALLY NECESSARY HEALTH CARE TO THE LOUISIANA DEPARTMENT OF CORRECTIONS POPULATION. THE HOSPITAL HAS 446 LICENSED BEDS AND TREATED 15,840 INPATIENTS AND 421,484 OUTPATIENTS. 26766095 35040399 COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS PROVIDE FREE HEALTH EDUCATION PROGRAMS AND SCREENINGS TO THE COMMUNITY. THESE PROGRAMS ARE DESIGNED TO FOCUS ON SOME OF THE MOST PREVALENT DISEASES IN THE NEW ORLEANS COMMUNITY, SUCH AS DIABETES, HEART DISEASE AND CANCER. THESE PROGRAMS ADDRESS PREVENTION, EARLY DETECTION, TREATMENT AND MAINTAINING HEALTHY LIFESTYLES. IN 2024, UNIVERSITY MEDICAL CENTER PARTICIPATED IN AND OFFERED NUMEROUS OUTREACH ACTIVITIES, INCLUDING FREE BREAST HEALTH LECTURES, FREE ONCOLOGY LECTURES, A FREE SKIN CANCER SCREENING, AND A FREE VASCULAR DISEASE SCREENING. THROUGH THE LEVEL 1 TRAUMA CENTER'S INJURY PREVENTION PROGRAM, UNIVERSITY MEDICAL CENTER PROVIDED EDUCATIONAL AND PREVENTION PROGRAMS INCLUDING SUDDEN IMPACT, WHICH EDUCATES HIGH SCHOOL STUDENTS ON THE (CONT'D ON SCH. O) CONSEQUENCES OF DISTRACTED AND IMPAIRED DRIVING; STOP THE BLEED, WHICH PROVIDES HEMORRHAGE CONTROL TRAINING TO LAW ENFORCEMENT PERSONNEL, ORGANIZATIONS, AND COMMUNITY MEMBERS; AND CHILD SAFETY SEAT CHECKS AND CAR SEAT DISTRIBUTION EVENTS. ADDITIONALLY, UNIVERSITY MEDICAL CENTER IS PARTNERED WITH WALGREENS AND AVITA DRUGS TO DISPENSE MEDICATIONS UNDER THE 340(B) PRICING PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO NECESSARY PHARMACEUTICALS THAT MAY OTHERWISE NOT BE AVAILABLE TO THEM. 554152 554152 UMC DONATED IN 2024 $410,400 TO LCMC NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS UMC'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS.ALSO IN 2024, UMC DONATED $142,134 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 UMC'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. 554152 554152 727413561 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 12 0 1 3435 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRISTINE BOND 5047024380 2000 CANAL STREET NEW ORLEANS LA 70112 SANDRA BROWN BOARD MEMBER 1.00 X 0 0 0 DARRYL BERGER BOARD MEMBER 1.00 X 0 0 0 GREGORY C FEIRN BOARD MEMBER 1.00 54.00 X 0 2780273 954935 EDWARD HELM MD BOARD MEMBER 1.00 X 0 0 0 MARY WERNER BOARD MEMBER 1.00 X 0 0 0 ELAINE D ABELL BOARD MEMBER 1.00 X 0 0 0 JAIMME A COLLINS BOARD MEMBER 1.00 X 0 0 0 RUTH KULLMAN BOARD MEMBER 1.00 X 0 0 0 STEPHEN SONTHEIMER FINANCE COMMITTEE CHAIR 1.00 X X 0 0 0 ALDEN MCDONALD BOARD MEMBER 1.00 X 0 0 0 DONALD T BOYSIE BOLLINGER CHAIRPERSON 1.00 X X 0 0 0 DANIEL FOLEY VICE CHAIR 1.00 X X 0 0 0 JACK ANDONIE MD QUALITY COMMITTEE CHAIR 1.00 X X 0 0 0 MICHAEL G GRIFFIN BOARD MEMBER 1.00 X 0 0 0 PATRICK GREIFFENSTEIN MED STAFF PRESIDENT 1.00 X 0 0 0 JOHN NICKENS CEO 25.00 30.00 X X 0 2074968 454561 PAUL GLADDEN MD BOARD MEMBER 1.00 X 0 0 0 CHRISTINE M BOND CHIEF FINANCIAL OFFICER 50.00 X 0 453186 24680 WILLIAM KILLINGER CHIEF MEDICAL OFFICER 50.00 X 0 670060 32450 ALLISON GUSTE CHIEF NURSING OFFICER 50.00 X 0 437767 28440 CHARLOTTE PARENT VP OF BUSINESS DEVELOPMENT 50.00 X 0 292000 18772 TOM PATRIAS CHIEF OPERATING OFFICER 50.00 X 0 475133 31870 WILLIAM DENSON PHYSICIAN 40.00 X 0 384436 25522 DAVID JANZ PHYSICIAN 40.00 X 0 642497 55277 MARCELYN RUELLO CRNA 40.00 X 0 322661 14485 KIM SERVARY CRNA 40.00 X 0 367685 30168 ERIN BUJOL PHYSICIAN 40.00 X 0 340384 56596 LISA MIRANDA FORMER OFFICER 50.00 X 0 419089 27951 EMILY SEDGWICK FORMER CEO 50.00 X 0 682825 0 0 10342964 1755707 427 1 1 0 LSU HEALTH SCIENCES CENTER 1100 FLORIDA AVE NEW ORLEANS LA 70119 GME & OTHER CLINICAL SERVICES 109282103 TULANE UNIVERSITY 1430 TULANE AVE NEW ORLEANS LA 70112 GME & OTHER CLINICAL SERVICES 35715717 VAN METER MD & ASSOCIATES INC 1816 INDUSTRIAL BLVD HARVEY LA 70058 PHYSICIAN SERVICES 12285742 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 MEDICAL EQUIPMENT MANAGEMENT 9201804 ARAMARK CHICAGO LOCKBOX 27310 NETWORK PL CHICAGO IL 60673 CONTRACTED SERVICES - DIETARY & ENVIRONM 8266502 80 4526139 1553842 6079981 NET PATIENT SERVICE REVENUE 622110 738444401 738444401 340B REVENUE 622110 35040399 35040399 NON-PATIENT SERVICE REVENUE 622110 6842491 6842491 F&A RECOVERY 622110 288530 288530 780615821 243567 243567 241589 0 241589 241589 241589 61538 0 61538 61538 61538 CAFETERIA INCOME 622110 3985710 3985710 PARKING INCOME 622110 1639294 1639294 5625004 792867500 780615821 0 6171698 X 554152 554152 4432970 3951923 481047 207327821 184829503 22498318 4286671 3907223 379448 10744500 9576982 1167518 13742668 12363428 1379240 59238016 3749861 55488155 2662813 1845447 817366 204771 31667 173104 193390478 185081946 8308532 924054 67768 856286 5201946 4258623 943323 1973459 1319704 653755 107268351 81206066 26062285 158410 104047 54363 155350 135670 19680 24412306 24412306 35259 35259 31179698 15163922 16015776 4246754 4246754 MEDICAL & DIETARY FOOD 177482246 176704035 778211 PERMITS, LICENSES, & TA 12671710 12584844 86866 CAB/AMBULANCE PATIENT T 564180 564180 DUES & MEMBERSHIP 528210 147473 380737 1085965 570778 515187 864472758 727413561 137059197 0 -73481 -15094 1555134 2306465 74093836 110030380 13390163 16233546 199480193 190413672 153623309 72533149 82173785 81090160 70580799 102485521 441200429 502544650 77710771 99251686 424349 347636 281219490 281304453 387690219 499090533 747044829 879994308 X -305844400 -377449658 -305844400 -377449658 441200429 502544650 -71605258 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 31676 31676 0 PART II-B, LINE 1: UNIVERSITY MEDICAL CENTER PAID DUES TO LOUISANA HOSPITAL ASSOCIATION DURING THE YEAR. ACCORDING TO THE ISSUED DUES STATEMENT, 21% OF THE YEARLY DUES SHOULD BE ALLOCATED TO LOBBYING EXPENSE. DURING THE YEAR, UMCMC PAID $150,836 OF DUES TO THE LOUISIANA HOSPITAL ASSOCIATION AND $31,676 OF THOSE DUES SHOULD BE ALLOCATED TO LOBBYING. 68423452 16734495 51688957 82642257 54646604 27995653 2557600 1152050 1405550 81090160 RIGHT OF USE - LEASED ASSETS 70450 MCIP/MD UPL/SUPPLEMENTAL AR, DEFERRED REVENUE UPL 97008873 DUE FROM MANAGED COMPANIES 357156 CUSTOMER ACCOUNTS RECEIVABLES 1402685 OTHER RECEIVABLES 22796 340B A/R 3152712 CLINICAL RESEARCH AR 473026 RENTAL AR -2177 102485521 LEASED ASSETS LIABILITY 73334 RESERVE FOR GENERAL LIABILITY 7143646 RESERVE FOR W/C 1941201 WORKERS COMPENSATION CLAIMS 1694845 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS LIABILITY 86258698 INTERCOMPANY PAYABLES/RECEIVABLES 392302078 DUE TO MANAGED COMPANIES -1819151 ACCRUED INTEREST 4552102 HB PATIENT AR CREDIT BALANCES 3315015 EMPLOYEE COMP ACCRUAL 100880 OTHER LONG-TERM LIABILITIES 3391192 OTHER PAYABLES 136693 499090533 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 1 1 0 0 46618399 46618399 191756809 196266012 0 0.00000 238375208 242884411 0 0.00000 3501079 1709960 1791119 0.00210 145123452 20118852 125004600 0.14460 2627367 2627367 0.00300 554152 554152 0.00060 151806050 21828812 129977238 0.15030 390181258 264713223 129977238 0.15030 1 21422370 33400891 48066787 -14665896 X 1 1 1 1 UNIVERSITY MEDICAL CENTER NEW ORLEANS 2000 CANAL ST NEW ORLEANS LA 70112 LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENT 2203782408 X X X X X UNIVERSITY MEDICAL CENTER NEW ORLEANS 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/DOCUMENTS/UMC/GNO_CHNA_FINAL_12.13.24.PDF X 1 24 1 HTTPS://WWW.LCMCHEALTH.ORG/IMAGES/LCMC_UMC_CHIP2025_FINAL.PDF 0 1 X 250.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-V X HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-V X HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-V X X X X X X 1 X 0 X X X X 1 X 0 0 UNIVERSITY MEDICAL CENTER NEW ORLEANS PART V, SECTION B, LINE 5: DATA COLLECTION AND ANALYSISLPHI 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 ONLINE AND PAPER COMMUNITY SURVEYS. 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 SURVEY BETWEEN SEPTEMBER TO NOVEMBER 2024, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED ONLINE AND PAPER SURVEYS 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. THE SURVEY WAS DISTRIBUTED TO PATIENTS THROUGH PARTNER MAILING LISTS AND SOCIAL MEDIA, COMMUNITY EVENTS SUCH AS HEALTH FAIRS, TOWN HALLS, AND ASSISTANCE CENTERS AND CLINICS. 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 RESPONDENT'S 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, 1,400 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 FIVE FOCUS GROUPS WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, AND ST. BERNARD PARISHES. 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 THE 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 INTERVIEWSTWENTY INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA BETWEEN SEPTEMBER TO NOVEMBER 2024. 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 EXPERTS STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.INTERVIEWS 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 PUBLIC HEALTH EXPERTS STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND 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:VOLUNTEERS OF AMERICA (VOA) SOUTHEAST LOUISIANA, BRIDGE HOUSE/ GRACE HOUSE, COMMUNITY CENTER OF ST. BERNARD, SECOND HARVEST FOOD BANK, SON OF A SAINT, DEPAUL COMMUNITY HEALTH CENTERS,SOUTHEAST LOUISIANA LEGAL SERVICES, NEW ORLEANS FAMILY JUSTICE CENTER, JEFFERSON PARISH HUMAN SERVICES, FIRST 72+, NEW ORELANS RECREATION DEVELOPMENT (NORD) COMMISSION, ST. JOHN THE BAPTIST PARISH, LA VOZ DE LA COMUNIDAD, NOLA PRIDE CENTER, UNITED WAY OF SOUTHEAST LOUISIANA, GROW DAT YOUTH FARM, CRESCENT CARE, BELOW SEA LEVEL AID, BLUEPRINT FOR PROSPERITY PROGRAM, CAROLYN PARK ATTENDEES, COVENANT HOUSE, EDGARD LIBRARY, ZULU SOCIAL AID & PLEASURE CLUB, TULANE UNIVERSITY SCHOOL OF MEDICINE, LOUISIANA HEALTH SERVICES CENTER NEW ORLEANS, HISPANIC CHAMBER OF COMMERCE FOR LOUISIANA, JEFFERSON PARISH ADMINISTRATIVE OFFICIALS, JEFFERSON PARISH PRESITENT'S OFFICE, LOUISIANA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS, LOUISIANA DEPARTMENT OF HEALTH, NAMI SOUTHEAST LOUISIANA, NEW HOME MINISTRIES, NEW ORLEANS HEALTH DEPARTMENT, NUNEZ COMMUNITY COLLEGE, ST. JOHN KIWANIS CLUB, UNITED WAY OF ST. CHARLES, ST. JAMES, AND ST. JOHN, AND VOLUNTEER WITH CANCER ALLEY FENCELINE COMMUNITY ORGANIZATIONS. UNIVERSITY MEDICAL CENTER NEW ORLEANS 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 ORLEANSEAST JEFFERSON GENERAL HOSPITALNEW ORLEANS EAST HOSPITALOCHSNER MEDICAL CENTER - NEW ORLEANSOCHSNER MEDICAL CENTER - KENNEROCHSNER REHABILITATION HOSPITALTOURO INFIRMARYLAKESIDE HOSPITALUNIVERSITY MEDICAL CENTER NEW ORLEANSWEST JEFFERSON MEDICAL CENTER UNIVERSITY MEDICAL CENTER NEW ORLEANS PART V, SECTION B, LINE 11: : IN FURTHERANCE OF ITS CHARITABLE PURPOSE AND MISSION, UMC PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY WHICH IT SERVES. TO PROMOTE COMMUNITY HEALTH, UMC ADDRESSES THE TOP FOUR NEEDS IDENTIFIED BY THE CHNA. THOSE NEEDS WERE ACCESS CHRONIC DISEASE PREVENTION, CULTURAL COMPETENCY, BEHAVIORAL HEALTH, AND HEALTH LITERACY. CHRONIC DISEASE IS OF GREAT CONCERN IN THE NEW ORLEANS AREA. TO ADDRESS THIS CONCERN, UMC PARTNERED WITH OTHER COMMUNITY AND NATIONAL ORGANIZATIONS, IDENTIFIED FOUR (4) MAIN AREAS OF CONCERN; OBESITY, HYPERTENSION, DIABETES, AND CANCER. THREE GOALS WERE ESTABLISHED TO IMPROVE ACCESS TO CARE IN CANCER, CARDIOLOGY, AND DIABETIC SERVICES.GOAL 1: TO ADDRESS THE HIGH RATES OF CHRONIC DISEASES IN THE GREATER NEW ORLEANS AREA, UMC PARTNERED WITH LSU SCHOOL OF MEDICINE, TULANE SCHOOL OF MEDICINE, AREA FQHC PARTNERS, AND THE AMERICAN CANCER SOCIETY AND HAVE SET SEVERAL STRATEGIES TO INCREASE ACCESSIBLE CANCER CENTER SERVICES FOR PATIENTS AND DECREASE BARRIERS TO UNIVERSITY MEDICAL CENTER NEW ORLEANS BY 2027.STRATEGY 1: UMC WILL MAXIMIZE THE EXPANDED CANCER SPACE FOR PATIENT ACCESS BY INCREASING THE NUMBER OF APPOINTMENTS SCHEDULED AND HIRING ADDITIONAL HEME-ONCOLOGY PROVIDERS BY Q4 2026. STRATEGY 2: UMC WILL ALSO LAUNCH THE LUNG NODULE SCREENING PROGRAM AND HIRE A THORACIC SURGEON AS PART OF THE PROGRAM BY Q3 2025. STRATEGY 3: THEY WILL CONDUCT TWO (2) COMMUNITY OUTREACH EVENTS EACH QUARTER FOCUSED ON CANCER SERVICES.STRATEGY 4: UMC WILL IMPLEMENT A CANCER RISK CLINIC AND ASSESSMENT TOOL, AND ACTIVELY CONDUCT PHASE 1 CLINICAL TRIALS PROGRAM BY Q2 2025. GOAL 2: ALSO TO ADDRESS THE HIGH RATES OF CHRONIC DISEASES IN THE GREATER NEW ORLEANS AREA, UMC PARTNERED WITH LSU SCHOOL OF MEDICINE, TULANE SCHOOL OF MEDICINE, AMERICAN HEART ASSOCIATION, AMERICAN COLLEGE OF CARDIOLOGY, 504 HEALTHNET, AREA FQHC PARTNERS, THE U.S. ARMY COPS OF ENGINEERS, AND NEW ORLEANS AND COMPANY TO INCREASE ACCESSIBLE CARDIOLOGY SERVICES FOR PATIENTS AND DECREASE BARRIERS TO UNIVERSITY MEDICAL CENTER NEW ORLEANS BY 2027.STRATEGY 1: UMC WILL ADD NEW SUBSPECIALTY CLINICS FOR DEVICE/ REMOTE AND HEART FAILURE, VASCULAR, AND GENERAL CARDIOLOGY BY Q4 2026.STRATEGY 2: UMC WILL CONDUCT THREE (3) COMMUNITY OUTREACH EVENTS ANNUALLY TO PROMOTE CARDIOLOGY SERVICES.GOAL 3: TO FURTHER ADDRESS THE HIGH RATES OF CHRONIC DISEASES IN THE GREATER NEW ORLEANS AREA, UMC PARTNERED WITH LSU SCHOOL OF MEDICINE, TULANE SCHOOL OF MEDICINE, LOCAL 504 HEALTHNET, AREA FQHC PARTNERS, AMERICAN SOCIETY OF RETINA SPECIALIST, AMERICAN DIABETES ASSOCIATION, ASHE' CULTURAL ARTS CENTER, AND NEW ORLEANS EAST HOSPITAL AND HAVE SET FIVE (5) STRATEGIES TO INCREASE ACCESSIBLE DIABETIC SERVICES FOR PATIENTS AND DECREASE BARRIERS TO UNIVERSITY MEDICAL CENTER NEW ORLEANS BY 2027.STRATEGY 1: UMC PLANS TO EXPAND THE PODIATRY SERVICES AREA BY EMPLOYING ADDITIONAL PROVIDERS AND PROVIDING ADDITIONAL SURGERY SERVICES.STRATEGY 2: UMC WILL INCREASE THE NUMBER OF NURSING STAFF CERTIFIED IN DIABETIC FOOT CARE BY Q3 2026 THUS IMPROVING THE QUALITY OF CARE.STRATEGY 3: UMC PLANS TO PROVIDE DIABETIC RETINA CARE WITH SCREENINGS THRU PRIMARY CARE.STRATEGY 4: THEY WILL DEVELOP EDUCATIONAL MATERIAL TO SUPPORT PATIENTS POST VISIT BY Q4 2025 FOR DISTRIBUTION.STRATEGY 5: THROUGH THEIR PARTNERSHIP WITH THE ASHE CULTURAL CENTER HEALTH HUB PROJECT, UMC WILL INCREASE THEIR VISIBILITY AND ENGAGEMENT WITHIN THE COMMUNITY BY Q3 2025.MINIMIZING AND REMOVING POTENTIAL CULTURAL, RACIAL, AND SOCIAL, BARRIERS TO CARE WAS OF CONCERN TO THE CHNA PARTICIPANTS. OUTDATED MEDICAL PRACTICES RESULTED IN DIFFERENT CLINICAL THRESHOLDS FOR VARIOUS ETHNIC GROUPS WHICH CREATES BARRIERS TO CARE AND PREVENTS OR DETERS SOME PEOPLE FROM SEEKING OUT NECESSARY CARE. IN AN EFFORT TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN HEALTH CARE, UMC HAS PARTNERED WITH THE MEMBERS OF LCMC HEALTH'S COMMUNITY ADVISORY COUNCIL, MEMBERS OR THE HOSPITAL MOSAIC TEAM, AND PILOT HOSPITAL UNITS AND GROUPS TO IDENTIFY WHERE IMPROVEMENTS IN CULTURAL COMPETENCY FOR HEALTHCARE PROVIDERS AND TEAM MEMBERS WAS NEEDED TO INCREASE PATIENT TRUST AND SATISFACTION. FOUR (4) GOALS WERE DEVELOPED TO ACHIEVE THESE OBJECTIVES.GOAL 1: LED BY THE LCMC HEALTH SYSTEM OPPORTUNITY & SOCIAL RESPONSIBILITY DEPARTMENT, UMC WILL CREATE CULTURALLY TAILORED CONTENT FOCUSING ON LANGUAGE BARRIERS HEALTH DISPARITIES, HISTORICAL CONTEXT, AND HEALTHCARE ACCESS FOR AFRICAN AMERICAN, HISPANIC, AND VIETNAMESE COMMUNITIES BY DECEMBER 2025. TWO (2) STRATEGIES TO ACHIEVE THIS GOAL ARE:STRATEGY 1: CONDUCT A SURVEY AND FOCUS GROUPS TO IDENTIFY AND UNDERSTAND THE SPECIFIC CULTURAL CHALLENGES FACED BY EACH POPULATION.STRATEGY 2: PARTNER WITH CULTURAL EXPERTS, COMMUNITY LEADERS, OR ORGANIZATIONS TO ENSURE ACCURATE AND AUTHENTIC CONTENT.GOAL 2: DESIGN AND DELIVER CULTURALLY RELEVANT TRAINING PROGRAMS.STRATEGY 1: TOGETHER WITH MEMBERS OF LCMC HEALTH'S COMMUNITY ADVISORY COUNCIL AND UTILIZING INFORMATION GATHERED FROM SUBJECT MATER EXPERTS, UMC WILL DESIGN TRAINING WITH THE INITIAL PROGRAM DESIGN TO BE COMPLETED BY AUGUST 2025.STRATEGY 2: UMC WILL ENSURE ALL MATERIALS AND TRAINING ALIGN WITH NATIONAL CULTURAL COMPETENCY STANDARDS THAT ADDRESS KEY PATIENT DEMOGRAPHICS IN THE UMC HOSPITAL'S COMMUNITY WITH THE INFORMATION GATHERING PROCESS TO BE FINALIZED BY JUNE 2025.GOAL 3: WITH INPUT FROM MEMBERS OF LCMC HEALTH'S COMMUNITY ADVISORY COUNCIL, MEMBERS OR THE HOSPITAL MOSAIC TEAM, AND PILOT HOSPITAL UNITS AND GROUPS, UMC WILL LAUNCH THE TRAINING PROGRAM PILOT, OBTAIN, AND INTEGRATE FEEBACK AND COMPLETE REVISIONS BY OCTOBER 2025 UTILIZING THESE TWO (2) STRATEGIES.STRATEGY 1: PILOT THE TRAINING IN THREE (3) HIGH-DIVERSITY DEPARTMENTS (E.G., MATERNITY, EMERGENCY, AND PRIMARY CARE PHYSICIAN OFFICES).STRATEGY 2: PROVIDE PILOT TRAINING TO COMMUNITY ADVISORS, HOSPITAL CLINICAL STAFF AND EMPLOYED PHYSICIANS IN CULTURAL COMPETENCE, CULTURAL HUMILITY AND INCLUSIVE COMMUNICATION BY SEPTEMBER 2025, GATHERING FEEDBACK FOR REVISIONS.GOAL 4: UMC WILL CONDUCT AN ANALYSIS OF DATA, REFINE TRAINING, AND UPLOAD FINISHED PRODUCTS INTO THE LEARNING CENTER TO LAUNCH IN Q1 2026. THROUGH THE LCMC HEALTH LEARNING CENTER AND WITH THE ASSISTANCE OF PILOT GROUP RESPONDENTS THE FOLLOWING TWO (2) STRATEGIES WILL BE UTILIZED:STRATEGY 1: CONDUCT PRE- AND POST- IMPLEMENTATION PATIENT, CLINICAL STAFF, AND PHYSICIAN SURVEYS.STRATEGY 2: UPLOAD STAFF TRAINING MODULES IN LCMC HEALTH LEARNING CANTER TO LAUNCH Q1 2026.PROVIDING ACCESS TO BEHAVIORAL HEATH SERVICES WAS IDENTIFIED AS A NEED BY THE CHNA PARTICIPANTS. UMC WILL PROVIDE COMPETENT AND COMPASSIONATE OUTPATIENT AND INPATIENT BEHAVIORAL HEALTH SERVICES TO ADULTS AND ADOLESCENTS IN NEED OF SHORT- AND LONG-TERM INTERVENTION, ASSESSMENT, AND SYMPTOM STABILIZATION. TO ADDRESS THESE CONCERNS, UMC PARTNERED WITH LSU SCHOOL OF MEDICINE, TULANE SCHOOL OF MEDICINE, AREA FQHC'S, METROPOLITAIN HUMAN SERVICES DISTRICT, LOUISIANA DEPARTMENT OF HEALTH, CITY OF NEW ORLEANS DEPARTMENT OF HEALTH, SON OF A SAINT, CATHOLIC CHARITIES, LOCAL HOUSING SHELTERS, UNITED WAY CRIME VICTIM REPARATION, SOUTH LOUISIANA LEGAL SERVICES, UMBUTU, GNOF, AND THE OMAHA 360 GROUP AND SET THE GOAL TO INCREASE ACCESSIBLE BEHAVIORAL HEALTH SERVICES FOR PATIENTS AND DECREASE BARRIERS TO UNIVERSITY MEDICAL CENTER NEW ORLEANS BY 2027. TO ACCOMPLISH THIS GOAL, SEVERAL STRATEGIES WERE DETERMINED.STRATEGY 1: UMC WILL CONTINUE PROVIDING SERVICES TO VARIOUS SPECIALTY AREAS FOR BEHAVIORAL HEALTH INCLUDING: WOMEN'S SERVICES, TRAUMA RECOVERY CENTER, CANCER SERVICES, BARIATRICS, AND INTEGRATED MEDICINE.STRATEGY 2: UMC WILL HOLD AN ANNUAL BEHAVIORAL HEALTH SYMPOSIUM FOR COMMUNITY PROVIDERS.STRATEGY 3: ALIGN WITH NEW ORLEANS EAST HOSPITAL TO EXPAND BEHAVIORAL HEALTH SERVICES BY Q2 2026.STRATEGY 4: DEVELOP AND INITIATE BEHAVIORAL HEALTH CAMPAIGNS FOCUSED ON COMMUNITY NEEDS AND REQUESTS SUCH AS THE "VITAL SIGNS" CAMPAIGN AT LEAST ONCE ANNUALLY.STRATEGY 5: BLUEPRINT DEVELOPMENT CREATED TO EXPAND BEHAVIORAL HEALTH SERVICES INTO NEW ORLEANS PRIMARY SERVICE AREAS.STRATEGY 6: CONTINUED SUPPORT OF THE TRAUMA RECOVERY CENTER SERVING COMMUNITY MEMBERS EFFECTED BY GUN VIOLENCE OR TRAUMA.STRATEGY 7: FORMULATING DEDICATED SERVICES FOR EMERGENCY FIRST RESPONDERS STARTING WITH PRIMARY CARE ACCESS AND LINKAGES TO SUPPORT GROUPS.AS DETERMINED BY THE PARTICIPANTS OF THE CHNA, UTILIZING DIGITAL RESOURCES TO IMPROVE HEALTH LITERACY IS THE KEY TO MAINTAINING AND IMPROVING HEALTH BY MEANS OF INCREASING THE KNOWLEDGE OF HEALTH BEHAVIORS AND THE ABILITY TO UNDERSTAND AND SEEK ACCURATE HEALTH INFORMATION FROM DOCTORS OR OTHER SOURCES. UMC ENDEAVORS TO EMPOWER PATIENTS TO ACCESS, UNDERSTAND, AND USE HEALTH INFORMATION AND HEALTH SERVICES EFFECTIVELY. AS HEALTH LITERACY IMPROVES, PATIENTS ARE ABLE TO MAKE MORE INFORMED DECISIONS AND ACTIVELY PARTICIPATE IN MAINTAINING AND IMPROVING THEIR OWN HEALTH AND THE HEALTH OF THEIR COMMUNITIES. (SEE ADDITIONAL STATEMENT IN PART V SECTION C) UNIVERSITY MEDICAL CENTER NEW ORLEANS PART V, SECTION B, LINE 13B: MEDICAL HARDSHIP ASSISTANCE IS AVAILABLE FOR PATIENT/GUARANTORS WITH FAMILY INCOME GREATER THAN 400% FPL AT ALL FACILITIES IF THE OUT OF POCKET LIABILITIES ARE GREATER THAN 20% OF THE FAMILY INCOME OR 50% OF TOTAL ASSETS.LCMC HEALTH UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY LCMC HEALTH TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS:HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC;PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS;RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS;PATIENT DECEASED WITH NO KNOWN ESTATE;MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS.FINANCIAL ASSISTANCE MAY ALSO BE PROVIDED TO NON-LOUISIANA RESIDENTS WHO EXPERIENCE AN EMERGENCY MEDICAL CONDITION IN LOUISIANA AND REQUIRE IMMEDIATE MEDICAL TREATMENT.THIS INFORMATION WILL ENABLE LCMC HEALTH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN LCMC HEALTH BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNIVERSITY MEDICAL CENTER NEW ORLEANS PART V, SECTION B, LINE 13H: PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE UNABLE TO PAY THEIR BILLS WITHIN 30 DAYS OF THE INITIAL INVOICE.PATIENTS INELIGIBLE FOR FINANCIAL ASSISTANCE AND HAVING NO THIRD-PARTY COVERAGE FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES PROVIDED BY LCMC HEALTH WILL BE GRANTED A DISCOUNT EQUAL TO THAT OF THE AVERAGE AMOUNT GENERALLY BILLED. SCHEDULE H, PART V, LINE 16A, 16B, AND 16C, FAP WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ PART V, SECTION B, (LINE 11 CONTINUATION) TO ADDRESS THESE CONCERNS, UMC PARTNERED WITH OTHER COMMUNITY AND NATIONAL ORGANIZATIONS TO IDENTIFY THREE (3) GOALS TO HELP IMPROVE HEALTH LITERACY IN THE COMMUNITY. GOAL 1: IN A THREE-PRONGED APPROACH, LCMC HEALTH SYSTEM'S DIVERSITY & SOCIAL RESPONSIBILITY DEPARTMENT WILL ADDRESS THE TOPIC OF HEALTH LITERACY BY DEVELOPING EDUCATIONAL AND INFORMATIONAL TOOLS FOR CLINICAL STAFF AND PHYSICIANS. TO BE SUCCESSFUL, 80% OF PATIENTS WILL REPORT IMPROVED COMPREHENSION OF THEIR DIAGNOSES, TREATMENT PLANS, AND MEDICATION INSTRUCTIONS BY THE END OF Q4 2025. CLINICAL STAFF AND PHYSICIANS WILL THEN BE EQUIPPED WITH AN INCREASED AWARENESS AND SKILL SET TO ADRESS THE LITERACY NEEDS OF UMC'S PATIENT POPULATION BY ACHIEVING 80% IN POST-TEST SCORES BY THE END OF Q4 2025.STRATEGY 1: TO ACHIEVE THIS GOAL, LCMC HEALTH'S SYSTEM OFFICE OF SOCIAL RESPONSIBILITY (OSR) WILL DEVELOP AND EXPAND THE RANGE OF THEIR HEALTH LITERACY PROGRAM, "BE IN THE KNOW", TO ENCOMPASS A HEALTH LITERACY TOOL KIT AND TWO (2) LEARNING MODULES FOR STAFF.STRATEGY 2: ENSURE ALL MATERIALS ARE WRITTEN AT A 6TH-GRADE READING LEVEL OR LOWER AND INCLUDE VISUALS TO ACCOMMODATE DIVERSE PATIENT POPULATIONS BY JUNE 2025. GOAL 2: PILOT THE TOOLKIT TO THE COMMUNITY ADVISORY COUNCIL MEMBERS AND ACHIEVE AN EVALUATION SCORE OF 85% FROM COUNCIL MEMBERS ON EASE OF UNDERSTANDING AND EFFECTIVENESS OF PATIENT COMMUNICATION BY AUGUST 2025.STRATEGY 1: PILOT PATIENT TOOLKIT AND STAFF TRAINING MODULES AMONG A SELECT GROUPS OF CLINICAL EVALUATORS AND ACHIEVE AN EVALUATION SCORE OF AT LEAST 80% OF CLINICAL STAFF ON EFFECTIVE PATIENT COMMUNICATION AND HOW TO USE THE TOOLKIT BY AUGUST 2025.GOAL 3: OBTAIN FEEBACK AND MAKE IMPROVEMENTSSTRATEGY 1: EVALUATE ALL OF THE MATERIALS USING THE FOLLOWING PROCESSES: IDENTIFICATION OF PILOT GROUP MEMBERS, DISTRIBUTION OF MATERIALS WITH INSTRUCTIONS FOR EVALUATING AND SCORING PROCESS, COLLECTION OF EVALUATION TOOLS AND FEEDBACK, RECOMMENDATIONS FOR IMPROVEMENTS ARE TO BE INCORPORATED INTO TOOLS AND FINAL VERSIONS WILL BE CREATED BY MARKETING. THE FINAL VERSIONS WILL BE PREPARED FOR IMPLEMENTATION ON PILOT UNITS.GOAL 4: PILOT TOOL KIT TO THE IDENTIFIED PATIENT AND CLINICAL POPULATIONS BY SEPTEMBER 2025.STRATEGY 1: PILOT THE TOOLKIT IN THREE HIGH-TRAFFIC DEPARTMENTS (E.G., EMERGENCY, PRIMARY CARE, AND CARDIOLOGY) BY SEPTEMBER 2025, GATHERING FEEDBACK FOR IMPROVEMENTS FROM PATIENTS, STAFF AND PHYSICIANS.STRATEGY 2: PILOT THE TOOLKIT TO THE COMMUNITY ADVISORY COUNCIL MEMBERS AND ACHIEVE AN EVALUATION SCORE OF 85% FROM COUNCIL MEMBERS ON EASE OF UNDERSTANDING AND EFFECTIVENESS OF PATIENT COMMUNICATION BY AUGUST 2025.STRATEGY 3: NURSING LEADERSHIP APPROVAL WILL BE OBTAINED AND AN IN-SERVICE PRESENTATION WILL BE PROVIDED TO STAFF OF PILOT UNITS.STRATEGY 4: PILOTS WILL LAUNCH FOR 1-WEEK AT EACH LOCATION.GOAL 5: PILOT EDUCATION MODULES TO CLINICAL STAFF MEMBERS AND PHYSICIANS BY OCTOBER 2025.STRATEGY 1: PILOT STAFF AND PHYSICIAN EDUCATION MODULES WITH A SELECT GROUP OF CLINICAL STAFF FROM EACH UNIT.STRATEGY 2: NURSING LEADERSHIP APPROVAL WILL BE OBTAINED, AND AN IN-SERVICE PRESENTATION WILL BE PROVIDED TO STAFF OF PILOT UNITS.STRATEGY 3: PILOTS WILL LAUNCH FOR 1-WEEK AT EACH LOCATION.GOAL 6: LAUNCH AN INFORMAL CAMPAIGN IN PARTNERSHIP WITH ORGANIZATIONAL DEVELOPMENT TEAM IN THE LEARNING CENTER AND UPLOAD TRAINING MODULES IN LEARNING CENTER BY DECEMBER 2025.STRATEGY 1: IMPLEMENTATION OF BOTH THE HEALTH LITERACY TOOLKIT AND STAFF TRAINING MODULES WITH A "BE IN THE KNOW" CAMPAIGN IN COLLABORATION WITH OUR LOCAL & SYSTEM MARKETING DEPARTMENTS AND HOSPITAL MOSAIC TEAMS.ALL OF THE NEEDS IDENTIFIED IN THE CHNA HAVE AN IMPACT ON ONE ANOTHER AS THEY DRIVE HEALTH OUTCOMES. ALTHOUGH ALL OF THE NEEDS ADDRESSED IN THE CHNA ARE VALID, IMPORTANT CONCERNS, UNIVERSITY MEDICAL CENTER IS COMMITTED TO PRIORITIZING KEY CHALLENGES WHERE THEY CAN BE MOST IMPACTFUL. DUE TO A LACK OF RESOURCES, EXPERTISE, OR COMPETENCE, THE UMC LEADERSHIP DETERMINED THE FOLLOWING NEEDS WILL NOT BE EXPLICITLY PRIORITIZED AND ADDRESSED IN THE CHIP:SOCIOECONOMIC CHALLENGES: UMC HAS NO DIRECT IMPACT ON SUFFICIENT WAGES, POVERTY, OR COST OF LIVING WHICH FALLS OUTSIDE OF THE SCOPE OF HEALTHCARE DELIVERY.ENVIRONMENTAL HEALTH: DUE TO A LACK OF EXPERTISE OR COMPETENCIES TO EFFECTIVELY ADDRESS THE NEED, UMC WILL NOT FOCUS ON THIS NEED. UMC WILL RELY UPON OTHER FACILITIES AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THIS CONCERN.CRIME AND VIOLENCE: ALTHOUGH IT HAS NOT BEEN IDENTIFIED AS A HIGH PRIORITY, IT HAS BEEN IDENTIFIED IN THE PREVIOUS UMC 2021CHIP; THE WORK CONTINUES IN THIS AREA.MATERNAL & INFANT HEALTH SERVICES: THIS ISSUE FALLS OUTSIDE OF THE SCOPE OF HEALTHCARE DELIVERY, HOWEVER, OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED.SEXUAL HEALTH SERVICES: THIS CONCERN HAS BEEN IDENTIFIED IN THE PREVIOUS UMC 2021CHIP; THE WORK CONTINUES IN THIS AREA.AFFORDABILIY OF CARE: OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED. SCHEDULE H, PART V, LINE 7A AND 10A CHNA WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/DOCUMENTS/UMC/GNO_CHNA_FINAL_12.13.24.PDFCHIP WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/IMAGES/LCMC_UMC_CHIP2025_FINAL.PDF PART I, LINE 3C: 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. PART I, LINE 7: 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. PART III, LINE 2: 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. PART III, LINE 3: UMC HAS PROCEDURES THAT ASSURE THAT ALL SELF-PAY (UNINSURED) AND MEDICALLY INDIGENT PATIENTS IN HOUSEHOLDS UP TO 250% OF FPG RECEIVE FREE CARE. PART III, LINE 4: 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. IN ACCORDANCE WITH THE REQUIREMENTS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 326-20 FINANCIAL INSTRUMENTS - CREDIT LOSSES, MANAGEMENT DETERMINES THE IMPLICIT PRICING CONCESSIONS USING AN ESTIMATE OF EXPECTED CREDIT LOSSES, APPLIED TO CUSTOMER GROUPINGS WITH SIMILAR RISK CHARACTERISTICS, BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. THE SYSTEM RECORDS IMPLICIT PRICING CONCESSIONS FOR ESTIMATED LOSSES RESULTING FROM A PAYORS INABILITY TO MAKE PAYMENTS ON ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES.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 - INPATIENT AND OUTPATIENT SERVICES, INCLUDING PHYSICIAN SERVICES, ARE PAID AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN SERVICES ARE PAID BASED ON COST-REIMBURSEMENT METHODOLOGIES, SUBJECT TO CERTAIN LIMITS.MEDICAID - REIMBURSEMENTS FOR MEDICAID SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER. OTHER - PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, AND PREFERRED PROVIDER ORGANIZATIONS PROVIDE FOR PAYMENT USING PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES, AND PROSPECTIVELY DETERMINED DAILY RATES. PART III, LINE 8: 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. PART III, LINE 9B: 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. PART VI, LINE 2: 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. PART VI, LINE 3: 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. PART VI, LINE 4: 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 2024. IN 2024, THE TOTAL POPULATION OF UMC'S SERVICE AREA IS 966,230. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 362,701 AND 427,253, RESPECTIVELY. THE OVERALL 2024 POPULATION OF THE STATE OF LOUISIANA WAS 4,597,740. THE AGE DISPERSION FOR UMC'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 19.6%, 18 - 64: 37.9%, 65+: 15.9%. 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, 37% OF THE POPULATION IS WHITE/NON-HISPANIC, 59.3% IS BLACK/NON-HISPANIC, AND 5.7% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 63%, 28.8%, AND 15.1%. ST. BERNARD PARISH IS COMPRISED OF 71.3% WHITE/NON-HISPANIC, 25.8% BLACK/NON-HISPANIC, AND 10.6% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 70.7% WHITE/NON-HISPANIC, 24.7% BLACK/NON- HISPANIC, AND 6.6% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 37.7% WHITE/NON-HISPANIC, 58.6% BLACK/NON- HISPANIC, AND 7.3% HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 63.8% WHITE/NON-HISPANICS, 33.4% BLACK/NON-HISPANIC, AND 5.5% HISPANICS.SECONDARY DATA SHOWS THAT 42-54% 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 54%, ORLEANS PARISH 54%, ST. JOHN THE BAPTIST PARISH 47%, JEFFERSON PARISH, 47%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 50% FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2024 AMERICA'S HEALTH RANKING REPORT. PART VI, LINE 5: IN ADDITION TO THE NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, UMC HAS CONTINUED TO ADDRESS AREAS IDENTIFIED IN PREVIOUS CHNA REPORTS. UMC HAS CONTINUED TO PRIORTIZE THE FOLLOWING AREAS TO PROMOTE COMMUNITY HEALTH. PRIORITY 1: ACCESS TO AND CONTINUITY OF CAREGOAL(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.- 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 IN JUNE 2024.- STRENGTHENED THE RELATIONSHIP WITH COMMUNITY PROVIDERS BY IMPLEMENTING THE FOLLOWING:- ON-SITE TRAINING FOR EHR CONNECTIONS TO LCMC ORDERING AND REFERRALS, - OFFERING OPPORTUNITIES TO PARTNER AND JOIN THE LCMC HER NETWORK.- DEVELOPMENT OF A REFERRAL MANUAL THAT INCLUDES TESTS AND INFORMATION NEEDED FOR A SUCCESSFUL VISIT WITH THE SPECIALIST.- OPENED SELF-SCHEDULING TO PRIMARY CARE PATIENTS.- 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- ADDITION OF NOLA MED FOR TRANSPORTATION ACCESS FOR PATIENTS IN THE NEW ORLEANS AREA.- 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:- BEHAVIORAL HEALTH SYMPOSIUM HELD FOR THE COMMUNITY TO OUTLINE SERVICES AVAILABLE AT UMC.- PROVIDED SERVICES TO VARIOUS SPECIALTY AREAS FOR BEHAVIORAL HEALTH INCLUDING:- WOMEN'S SERVICES- TRAUMA RECOVERY COUNSELING - CANCER SERVICES- BARIATRICS- 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.- 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 CAFE" RADIO TALK SHOW DISCUSSIONS ON LOCAL AFRICAN AMERICAN RADIO STATION.PRIORITY 4: DISCRIMINATION IN HEALTH CAREGOAL(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 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- CONTINUES TO PROVIDE SUDDEN IMPACT TRAININGS TO HIGH SCHOOLS ACROSS THE STATE- 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 PART VI, LINE 6: LCMC HEALTH 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 UNIVERSITY HEALTHCARE SYSTEM, LC (UHS) D/B/A EAST JEFFERSON GENERAL HOSPITAL, LAKESIDE HOSPITAL, AND LAKEVIEW 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"). LCMC 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 2023, LCMC CREATED UNIVERSITY HEALTHCARE SYSTEMS, LC (UHS). UHS OPERATES EAST JEFFERSON GENERAL HOSPITAL (EJGH), TULANE MEDICAL CENTER (TMC), LAKESIDE HOSPITAL AND LAKEVIEW HOSPITAL PROVIDING ACUTE, PSYCHIATRIC AND REHABILITATION SERVICES, OUTPATIENT SERVICES, PHARMACIES, AND PHYSICIAN NETWORKS. UHS SUPPORTS PROGRAMS, FACILITIES AND RESEARCH, AND EDUCATIONAL OPPORTUNITIES OFFERED BY TULANE AND LSU.TO FURTHER ITS MISSION, LCMC HEALTH OFFERS CARE THROUGH LCMC HEALTH ANESTHESIA CORPORATION (LHAC), LCMC HEALTH CLINICAL SERVICES (LHCS), AND NEW ORLEANS CLINICAL SERVICES (NOCS). LCMC HEALTH FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES.IN TAX YEAR 2024, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,254 MILLION. THIS AMOUNT REPRESENTED 36% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2024, $876 MILLION IN EXPENSE (25% 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 & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2024, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $508.2 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S. 0 NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC) 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 844985872 501(C)(3) 410400 0 IN 2024, UMCMC DONATED $410,400 TO LCMC NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) ENTITY AND THE SOLE MEMBER OF UMCMC. LCMC HEALTH CLINICAL SERVICES DBA NOLA PHYSICIAN GROUP 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 823686098 501(C)(3) 142134 0 IN 2024, UMCMC DONATED $142,134 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. 1 X X X X 1 0 0 1 0 0 0 0 0 GREGORY C FEIRN BOARD MEMBER 0 1794145 0 978328 0 7800 0 935836 0 19099 0 3735208 0 0 JOHN NICKENS CEO 0 1531900 0 535268 0 7800 0 440345 0 14216 0 2529529 0 0 WILLIAM KILLINGER CHIEF MEDICAL OFFICER 0 352030 0 117071 0 200959 0 12415 0 20035 0 702510 0 0 DAVID JANZ PHYSICIAN 0 592497 0 50000 0 0 0 37659 0 17618 0 697774 0 0 EMILY SEDGWICK FORMER CEO 0 0 0 0 0 682825 0 0 0 0 0 682825 0 0 TOM PATRIAS CHIEF OPERATING OFFICER 0 409562 0 65571 0 0 0 13800 0 18070 0 507003 0 0 CHRISTINE M BOND CHIEF FINANCIAL OFFICER 0 372252 0 80934 0 0 0 13800 0 10880 0 477866 0 0 ALLISON GUSTE CHIEF NURSING OFFICER 0 345810 0 85457 0 6500 0 10840 0 17600 0 466207 0 0 LISA MIRANDA FORMER OFFICER 0 335960 0 83129 0 0 0 12120 0 15831 0 447040 0 0 WILLIAM DENSON PHYSICIAN 0 384436 0 0 0 0 0 13228 0 12294 0 409958 0 0 KIM SERVARY CRNA 0 367260 0 425 0 0 0 13800 0 16368 0 397853 0 0 ERIN BUJOL PHYSICIAN 0 330384 0 10000 0 0 0 36130 0 20466 0 396980 0 0 MARCELYN RUELLO CRNA 0 322441 0 220 0 0 0 10507 0 3978 0 337146 0 0 CHARLOTTE PARENT VP OF BUSINESS DEVELOPMENT 0 238378 0 47622 0 6000 0 11234 0 7538 0 310772 0 0 PART I, LINE 3 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 13 VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. PART I, LINE 4A EMILY SEDGWICK RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $682,825 AND WILLIAM KILLINGER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $200,959. PART I, LINE 5 THE LCMC HEALTH SYSTEM OFFERS AN INCENTIVE COMPENSATION PLAN FOR EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE. PAYOUTS ARE BASED ON A BALANCED SCORECARD OF OBJECTIVE MEASURES ACROSS THREE KEY AREAS: SERVICE AND PEOPLE, QUALITY, AND GROWTH AND PERFORMANCE IMPROVEMENT. EACH AREA INCLUDES SPECIFIC, MEASURABLE TARGETSSUCH AS FINANCIAL PERFORMANCE METRICS, CLINICAL AND QUALITY OUTCOMES, AND GROWTH INITIATIVESTHAT COLLECTIVELY DETERMINE OVERALL RESULTS. TARGETS ARE SET AT THE START OF EACH FISCAL YEAR, WITH FINAL PERFORMANCE ASSESSED AND PAYOUTS CALCULATED ONCE ALL RESULTS, INCLUDING FINANCIAL OUTCOMES, HAVE BEEN FINALIZED. FORM 990, PART V, LINE 2B THE ORGANIZATION UTILIZES LCMC HEALTH (EIN: 94-3480131) , THE SYSTEM PARENT, AS ITS DESIGNATED COMMON PAYMASTER FOR PAYROLL ADMINISTRATION, WAGE REPORTING, AND ALL EMPLOYMENT TAX COMPLIANCE FUNCTIONS. AS THE SYSTEM PARENT, LCMC HEALTH ADMINISTERS THESE COMPLIANCE FUNCTIONS ON BEHALF OF THE ENTIRE SYSTEM. ACCORDINGLY, THE 3435 EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENT THE NUMBER OF FORMS W-2 FILED BY ORGANIZATION A, AS COMMON PAYMASTER, ON BEHALF OF THIS ORGANIZATION FOR THE REPORTING YEAR. FORM 990, PART VI, SECTION A, LINE 6 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A UMCNO HAS 16 VOTING MEMBERS OF THE BOARD OF DIRECTORS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IS COMPILED BY THE LCMC CORPORATE COMPLIANCE DEPARTMENT. THOSE IDENTIFIED INDIVIDUALS ARE SENT A COMPLIANCE QUESTIONNAIRE TO IDENTIFY THE POTENTIAL FOR ANY CONFLICTS. CORPORATE COMPLIANCE MONITORS RESPONSES AND FOLLOWS UP WITH INDIVIDUALS AS NEEDED TO ENSURE COMPLETION OF THE QUESTIONNAIRE. THE RESULTS OF THESE ARE REVIEWED BY THE LCMC HEALTH CORPORATE COMPLIANCE DEPARTMENT TO ENSURE THAT ANY CONFLICTS ARE IDENTIFIED AND ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD'S EXECUTIVE COMMITTEE USING DATA FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE CONSIDERS MARKET COMPARABILITY, EXECUTIVE PERFORMANCE, AND ORGANIZATIONAL RESULTS, AND DOCUMENTS ITS DECISIONS TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS FOR REASONABLE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART IX, LINE 11G GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 113,062,701. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,062,701. GENERAL MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 1,094,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,094,095. ADMINISTRATIVE FEES - HEALTH AND DENTAL: PROGRAM SERVICE EXPENSES 600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 600. LAB SERVICE FEES: PROGRAM SERVICE EXPENSES 117,831. MANAGEMENT AND GENERAL EXPENSES 1,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,851. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 26,939,031. MANAGEMENT AND GENERAL EXPENSES 7,430,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,369,707. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 5,364,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,364,476. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,439,650. MANAGEMENT AND GENERAL EXPENSES 26,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,466,526. RECRUITMENT EXPENSE: PROGRAM SERVICE EXPENSES 31,376. MANAGEMENT AND GENERAL EXPENSES 16,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,445. COMMUNICATION/TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 2,344,746. MANAGEMENT AND GENERAL EXPENSES 170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,344,916. OUTSOURCED SERVICES: PROGRAM SERVICE EXPENSES 2,644,160. MANAGEMENT AND GENERAL EXPENSES 627,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,271,164. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 266,902. MANAGEMENT AND GENERAL EXPENSES 71,373. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 338,275. PRINTING SERVICES: PROGRAM SERVICE EXPENSES 7,384. MANAGEMENT AND GENERAL EXPENSES 124,849. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,233. FREIGHT: PROGRAM SERVICE EXPENSES 638,809. MANAGEMENT AND GENERAL EXPENSES 10,495. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 649,304. INSPECTION AND TESTING: PROGRAM SERVICE EXPENSES 13,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,424. GME - RESIDENTS: PROGRAM SERVICE EXPENSES 31,116,761. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,116,761. FORM 990, PART XII, LINE 2C: LCMC'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF ITS SUBSIDIARIES' FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS HAS NOT CHANGED FROM THE PREVIOUS YEAR. 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