2024-02-14T08:48:42-06:00 2022-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2022-01-01 251925187 UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION UNIV 5047024380 2000 CANAL STREET NEW ORLEANS LA 70112 CHRISTINE BOND CHIEF FINANCIAL OFFICER 5047024380 2024-02-07 1 CHRISTINE BOND XXX-XX-XXXX 0 JOHN S WILES CPA P01222673 5048355522 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z UNIVERSITY MEDICAL CENTER NEW ORLEANS JOHN NICKENS 2000 CANAL STREET NEW ORLEANS LA 70112 811203021 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. 15 12 3433 146 0 0 47017612 86049539 717809721 691861733 -16059 -73951 30609753 33291749 795421027 811129070 1079949 596745 0 0 220415961 220964859 0 0 0 577088737 590238165 798584647 811799769 -3163620 -670699 516096899 502575321 729725200 716874321 -213628301 -214299000 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 122515641 38100692 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 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 50 DIFFERENT MEDICAL SPECIALTIES. UMCNO ALSO PARTNERS WITH MANY OTHER ACADEMIC INSTITUTIONS SUCH AS DELGADO, XAVIER, DILLARD, NICHOLS STATE AND SOUTHERN UNIVERSITY TO TRAIN OVER 3,700 FUTURE HEALTH CARE PROVIDERS ANNUALLY. 432732346 651817222 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 2022, 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 (CONT'D ON SCH. O) 78 SPECIALTIES AND AMBULATORY CARE IN OVER 90 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 12,172 INPATIENTS AND 381,081 OUTPATIENTS. 24617410 33631390 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 2022, 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. 596745 596745 DURING THE YEAR ENDED DECEMBER 31, 2022 UMC PROVIDED $266,292 TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES.ALSO IN 2022 UMC DONATED $330,453 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. 596745 596745 580462142 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 1 235 0 1 3433 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 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 D BERGER BOARD MEMBER 1.00 X 0 0 0 GREGORY C FEIRN BOARD MEMBER 1.00 54.00 X 0 2439917 33804 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 COLLINS BOARD MEMBER 1.00 X 0 0 0 RUTH KULLMAN BOARD MEMBER 1.00 X 0 0 0 STEPHEN SONTHEIMER BOARD MEMBER 1.00 X 0 0 0 ALDEN MCDONALD BOARD MEMBER 1.00 X 0 0 0 DONALD T BOLLINGER CHAIRPERSON 1.00 X X 0 0 0 DANIEL FOLEY VICE CHAIR 1.00 X X 0 0 0 JACK ANDONIE MD SECRETARY/TREASURER 1.00 X X 0 0 0 TERRIE STERLING INTERIM CEO (1/01/22-08/01/22) 50.00 X X 602000 0 0 EMILY SEDGWICK CEO 50.00 X X 363454 0 14464 PAUL GLADDEN MD BOARD MEMBER 1.00 X 0 0 0 PETER DEBLIEUX CHIEF EXPERIENCE OFFICER 50.00 X 423935 0 12632 CHRISTINE M BOND CHIEF FINANCIAL OFFICER 50.00 X 320538 0 22499 NIRAV PATEL CHIEF MEDICAL OFFICER 50.00 X 317177 0 22986 DENISE DANNA CHIEF NURSING OFFICER 50.00 X 279359 0 18292 LISA MIRANDA CHIEF OPERATING OFFICER 50.00 X 360966 0 19316 JYOTSNA FULORIA VP CLINICAL RESEARCH 50.00 X 366781 0 32408 CHARLOTTE PARENT VP OF BUSINESS DEVELOPMENT 50.00 X 255381 0 10194 ANTHONY TAULLIE CRNA 40.00 X 321998 0 31038 SHOLA M PREVOST CRNA 40.00 X 360923 0 25150 DAVID JANZ PHYSICIAN 40.00 X 529864 0 32356 MARCELYN RUELLO CRNA 40.00 X 328083 0 13100 KIM SERVARY CRNA 40.00 X 387238 0 27340 DANNY HARDMAN FORMER CEO 0.00 0.00 X 0 371532 12336 5217697 2811449 327915 284 1 1 0 LSU HEALTH SCIENCES CENTER 433 BOLIVAR STREET NEW ORLEANS LA 70112 GME & OTHER CLINICAL SERVICES 106962236 MORRIS & DICKSON CO 410 KAY LANE SHREVEPORT LA 71115 PHARMACEUTICALS 43081346 TULANE UNIVERSITY 6823 ST CHARLES AVE NEW ORLEANS LA 70118 GME & OTHER CLINICAL SERVICES 35853984 CENTRIO ENERGY SOUTH LLC 1661 GRAVIER ST NEW ORLEANS LA 70112 ENERGY SERVICES 17890895 CARDINAL HEALTH 233 MASON ROAD LA VERGNE TN 37086 MEDICAL PRODUCTS 14203949 192 75575357 10474182 86049539 NET PATIENT SERVICE REVENUE 622110 671313850 671313850 NON-PATIENT SERVICE REVENUE 622110 20547883 20547883 691861733 225975 0 225975 225975 225975 73951 -73951 -73951 -73951 OP PHARMACY 622110 31687571 31687571 PARKING 622110 1378203 1378203 33065774 811129070 723549304 0 1530227 X 596745 596745 3442380 2709153 733227 189315887 148991603 40324284 4524249 3560584 963665 11924719 9384754 2539965 11757624 9253250 2504374 50321535 50321535 566655 566655 590904 590904 180464038 180464038 617023 617023 6745375 4026989 2718386 3033686 1453439 1580247 101821123 73397931 28423192 118507 36832 81675 205395 12796 192599 22527437 34980 22492457 29966544 29966544 2860741 2860741 MEDICAL SUPPLIES 134064597 133354055 710542 OTHER CONTRACTUAL SERVI 41140404 5586867 35553537 FRANCHISE AND SALES TAX 9314303 3834699 5479604 OUTSIDE PATIENT SERVICE 2657888 1094252 1563636 3222010 2669175 552835 811799769 580462142 231337627 0 59744319 11645362 645390 1277535 82606033 86775326 12991587 12565020 238816583 226643795 141737513 54352782 84109289 87384731 37183698 76283552 516096899 502575321 180894986 180568582 51516973 4957402 281049562 281134526 216263679 250213811 729725200 716874321 X -213628301 -214299000 -213628301 -214299000 516096899 502575321 -670699 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 27718 27718 0 PART II-B, LINE 1: UNIVERSITY MEDICAL CENTER PAID DUES TO LOUISANA HOSPITAL ASSOCIATION DURIGN THE YEAR. ACCORDING TO THE ISSUED DUES STATEMENT, 18% OF THE YEARLY DUES SHOULD BE ALLOCATED TO LOBBYING EXPENSE. DURING THE YEAR, UMCMC PAID $153,987 OF DUES TO THE LOUISIANA HOSPITAL ASSOCIATION AND $27,718 OF THOSE DUES SHOULD BE ALLOCATED TO LOBBYING. 12900866 12900866 128836647 54352782 74483865 87384731 MISCELLANEOUS REVENUE RECEIVABLE 3610269 MISCELLANEOUS PAYROLL RECEIVABLE 47621 BAD DEBT RESERVES -75989 RIGHT OF USE - LEASED ASSETS 401844 ACCUM DEPR EXPENSE - LEASED ASSETS -166785 DUE FR (TO) NOEH 324378 SPECIALTY HOSPITAL A/R 424254 DEFERRED REVENUE - DSH 71717960 76283552 SELF-INSURANCE LIABILITY 4119162 LEASED ASSETS LIABILITY 240003 DUE TO TOURO INFIRMARY -9366857 DUE TO LCMC 263481424 DUE TO LCMC HEALTH CLINIC -2461 DUE TO NEW ORLEANC CLINIC 42387 DUE TO WJ ALLOCATIONS 641522 DUE TO NOPS -152458 DUE TO EJGH 7626012 DUE TO CCPI 82175 DUE TO LCMC ANESTHESIA 5296 DUE TO CH -16502394 250213811 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 MANAGEMENT HAS DETERMINED THAT 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 46047816 46047816 211438306 242415148 0 0.00000 0 0 257486122 288462964 0 0.00000 3860427 1943819 1916608 0.00240 139452387 19568598 119883789 0.14770 2101651 2101651 0.00260 596745 596745 0.00070 146011210 21512417 124498793 0.15340 403497332 309975381 124498793 0.15340 1 15697113 46605333 47653116 -1047783 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 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/ABOUT-US/C X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/ABOUT-US/C 0 1 X 250.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION X SEE SCHEDULE H SUPPLEMENTAL INFORMATION 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 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. 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 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 UNIVERSITY MEDICAL CENTER NEW ORLEANS PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY UMC ARE ACCESS TO AND CONTINUITY OF CARE, EDUCATION AND HEALTH LITERACY, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, HEALTH RELATED IMPACTS OF VIOLENCE, AND MENTAL AND BEHAVIORAL HEALTH. TO ADDRESS THE NEED OF INCREASED ACCESS TO AND CONTINUITY OF CARE, UMC WILL OFFER ACCESSIBLE SERVICES FOR PATIENTS AND DECREASE BARRIERS TO SERVICES AT UNIVERSITY MEDICAL CENTER NEW ORLEANS. THESE SERVICES INCLUDE PROVIDING INPATIENT AND OUTPATIENT HEALTH SERVICES, OPTIMIZING TELEHEALTH SERVICES AS APPROPRIATE TO ENSURE ABILITY TO ACCESS SERVICES THROUGH CELL PHONES AND PROVIDE EDUCATION ON UTILIZATION OF SERVICES THROUGH MYCHART CAPACITY, ASSESSING AND EXPANDING SERVICES ON EVENINGS/WEEKEND AS DICTATED BY PATIENT NEEDS/DATA, ASSESSING AND EVALUATING EXPANDING SERVICES OFF THE IMMEDIATE UMC CAMPUS, INCREASING THE NUMBER OF PROVIDERS AS INDICATED BY VOLUME CHANGES, INCREASING TRANSPORTATION OPTIONS FOR PATIENT ACCESS TO SERVICES BY IDENTIFYING AND IMPLEMENTING RIDE SHARE OPTIONS AND DEVELOPING PROCESSES TO ID PATIENTS IN NEED OF TRANSPORTATION SERVICES. UMC WILL ALSO ADVOCATE FOR REVISIONS TO THE MEDICAID TRANSPORTATION PROGRAM (MORE RIDESHARE, TIMELINESS OF SERVICE UTILIZATION).TO ADDRESS THE NEED OF MENTAL AND BEHAVIORAL HEALTH, UMC WILL OFFER BEHAVIORAL HEALTH SERVICES TO PATIENTS IN THE HOSPITAL SERVICE AREA AND PARTNER WITH LOCAL PUBLIC HEALTH LEADERS TO PROVIDE OUTREACH FOR MENTAL HEALTH FIRST AID CITYWIDE PROJECT. THESE SERVICES INCLUDE PROVIDING INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES BY IP BEHAVIORAL HEALTH SERVICES, INTEGRATED HEALTH SERVICES, OUTPATIENT BH SERVICES, INTENSIVE OUTPATIENT THERAPIES FOR BH AND SUBSTANCE USE, OP SERVICES FOR SPECIFIC POPULATIONS INCLUDING TRAUMA AND WOMEN'S, DEVELOPING A SERVICE AWARENESS CAMPAIGN OF AVAILABLE SERVICES AND ACCESSIBILITY, AND DEVELOPING AN OUTREACH PLAN WITH PARTNERS RE: CITYWIDE MENTAL HEALTH FIRST AID TRAINING. TO ADDRESS THE NEED FOR INCREASED HEALTH EDUCATION AND HEALTH LITERACY, UMC WILL GROW LANGUAGE AND CULTURAL SERVICES PROGRAMMATIC INITIATIVES, INCLUDING INTERPRETATION SERVICES, APPROPRIATE EDUCATIONAL AND LITERACY LEVEL MATERIALS AND CULTURALLY APPROPRIATE SPIRITUAL SUPPORT. UMC WILL ENSURE INITIAL ACCESS TO SERVICES ARE PROVIDED FOR THE PATIENT IN THE LANGUAGE NEEDED TO HAVE THEIR NEEDS MET, ENSURE EASY ACCESS TO TRANSLATION SERVICES DURING PATIENT ENCOUNTERS, ASSESS AND REVIEW PATIENT EDUCATION MATERIALS THROUGH A PATIENT'S EYE FOR EASE OF UNDERSTANDING, PROVIDE EMPLOYEES WITH EDUCATIONAL OPPORTUNITIES RELATED TO PATIENT EDUCATION, CHANGE WAY FINDING SIGNAGE TO INCLUDE PROMINENT LANGUAGES AT UNIVERSITY MEDICAL CENTER (ENGLISH, HISPANIC, VIETNAMESE), AND EDUCATE UMC EMPLOYEES ON CULTURAL COMPETENCY AND SPIRITUAL SUPPORT FOR PATIENTS AND FAMILIES. TO ADDRESS THE NEED FOR REDUCED DISCRIMINATION IN HEALTHCARE AND INCREASED EQUITABLE HEALTHCARE OUTCOMES, UMC WILL RECRUIT A DIVERSE EMPLOYEE POOL THROUGH TRAININGS, RECRUITMENT PROGRAMS, AND COMMUNITY PARTNERSHIPS BY OBTAINING UMC DEMOGRAPHIC DATA ON EMPLOYEES BY RACE/ETHNICITY/JOB LEVEL TO INFORM FURTHER ACTIONS. UMC WILL OFFER HEALTH EQUITY LEADERSHIP MATTERS TRAINING TO ALL STAFF THROUGH LCMC OVER THE NEXT 3 YEARS, DEVELOP A HEALTH EQUITY SERIES FOR ALL PATIENT ACCESS STAFF FOR COLLECTION OF RACE ETHNICITY AND LANGUAGE DATA, AND IMPLEMENT A DIVERSITY & SOCIAL RESPONSIBILITY PRESENTATION FOR NEW LEADERS.TO RETAIN A DIVERSE WORKFORCE THROUGH AUTHENTIC EMPLOYEE CULTURE AND ENGAGEMENT, UMC WILL ENSURE THAT MINORITY CANDIDATES ARE BROUGHT FORWARD FOR INTERVIEWS AND CONSIDERATION, PARTNER WITH MINORITY PROFESSIONAL ORGANIZATIONS FOR RELATIONSHIPS/NETWORKING FOR QUALIFIED INDIVIDUALS FOR RECRUITMENT, AND PARTNER WITH HBCU'S FOR NEEDED PROFESSIONALS FOR RECRUITMENT BY PROVIDING MENTORSHIP AND LEARNING OPPORTUNITIES (IT, ACCOUNTING, HEALTHCARE, ETC.)IN CLINICAL INTERACTIONS, UMC WILL INCREASE EQUITABLE PATIENT QUALITY OUTCOMES BY STRATIFYING QUALITY DATA BY RACE, ETHNICITY, GENDER, AGE AND SOCIAL VULNERABILITY, DETERMINE CAUSES FOR DIFFERENCES THROUGH PROVEN QUALITY METHODS, SUCH AS ROOT CAUSE ANALYSIS, CONDUCT PATIENT INTERVIEWS FOR THEIR LIKES/DISLIKES REGARDING TREATMENTS, DEVELOP AND IMPLEMENT TOOLS TO SCREEN FOR SOCIAL NEEDS DURING HEALTHCARE INTERACTIONS, DEVELOP ACTIONS BASED ON FINDINGS AND MEASURE RESULTS, CREATE MECHANISMS TO CONNECT PATIENT TO IDENTIFIED SERVICES TO ADDRESS THE NEED, AND CREATE A PATIENT FEEDBACK LOOP REGARDING BIASES AND ADDRESS INEQUALITIES. TO REDUCE DISCRIMINATION IN COMMUNITY ENGAGEMENT, UMC WILL BUILD PARTNERSHIPS WITH THE COMMUNITY TO ADDRESS ISSUES OF EQUITABLE HEALTHCARE AND ESTABLISH UMC AS AN ANCHOR INSTITUTION. UMC WILL IDENTIFY COMMUNITY LEADERS THAT INCLUDE MARGINALIZED POPULATIONS, COMMUNITY BUSINESSES AND UMC EMPLOYEES WHO ARE COMMITTED TO ADDRESSING HEALTH EQUITY. UMC WILL DEVELOP STRATEGIES THAT IDENTIFY AND IMPLEMENT HEALTHCARE SERVICES, EMPLOYMENT OPPORTUNITIES, AND PURCHASED SERVICES WITHIN THE TARGETED UNDERSERVED ZIP CODES (CLAIBORNE CORRIDOR, TREME NEIGHBORHOOD), AND CREATE OPPORTUNITIES WITH COMMUNITY AND OTHER MEDICAL PARTNERS TO ENGAGE WITH UMC THROUGH OUTREACH ACTIVITIES AND OTHER COLLABORATIVE EVENTS TO BUILD RELATIONSHIPS. TO ADDRESS THE NEEDS OF HEALTH RELATED IMPACTS OF VIOLENCE, UMC WILL PROVIDE SERVICES AT THE HOSPITAL THAT ADDRESS THE IMMEDIATE CONSEQUENCES OF VIOLENCE (VIOLENCE INTERRUPTION, SANE SERVICES, TRAUMA INFORMED CARE) AND PROVIDE COMMUNITY EDUCATION/TRAININGS FOR TRAUMATIC INCIDENCES. THESE SERVICES INCLUDE OPPORTUNITIES TO INFORM COMMUNITY AND UMC STAFF ABOUT VARIOUS SERVICES AND INTERVENTIONS ACCESSIBLE AT UMC FOR TRAUMA RELATED EVENTS, ENSURE ACCESSIBILITY TO THE SERVICES BY UMC PATIENTS UPON ADMISSION TO THE ED AND THEN THRU OUTPATIENT SERVICES, COORDINATE REFERRALS TO OTHER COMMUNITY RESOURCES FOR CONTINUED ACCESS. UMC WILL ALSO COLLABORATE WITH COMMUNITY PARTNERS AND LEADERS TO COORDINATE AND OFFER TRAININGS WHERE THOSE GROUPS GATHER/MEET. UNIVERSITY MEDICAL CENTER NEW ORLEANS 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. SCHEDULE H, PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.LCMCHEALTH.ORG/UNIVERSITY-MEDICAL-CENTER-NEW-ORLEANS/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ 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 SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO PATIENTS IN ACCORDANCE WITH POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO PATIENTS. EXPLICIT PRICE CONCESSIONS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. IMPLICIT PRICE CONCESSIONS REPRESENT DIFFERENCES BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR PATIENT RESPONSIBILITY BALANCES, INCLUDING DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY EXPLICIT PRICE CONCESSIONS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. 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 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. PART VI, LINE 5: 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 20 YEARS AGO BY UMC INJURY PREVENTION COORDINATORS AND HAS EXPANDED TO 16 HOSPITALS IN 9 REGIONS OF THE STATE. DURING THE 2021-2022 SCHOOL YEAR, THE SUDDEN IMPACT PROGRAM REACHED 16,249 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 22 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 3,800 CHILDREN WERE ASSISTED IN 2021-2022. 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 100 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. 2020 INJURY PREVENTION CONFERENCE: UMC HOSTED THE CHILD PASSENGER SAFETY INJURY PREVENTION CONFERENCE. NATIONAL SPEAKERS JOINED THE PREVENTION NURSES TO LEAD LOUISIANA IN A 200-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. PART VI, 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. 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 2020, LCMC HEALTH HOLDINGS PURCHASED THE ASSETS OF EAST JEFFERSON GENERAL HOSPITAL AND BEGAN HOSPITAL OPERATIONS ON OCTOBER 1, 2020. LCMC HEALTH HOLDINGS, D/B/A EAST JEFFERSON GENERAL HOSPITAL SERVES THE EAST BANK OF JEFFERSON PARISH AND SURROUNDING COMMUNITIES.IN TAX YEAR 2022, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,064 MILLION. THIS AMOUNT REPRESENTED 45% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2022, $762 MILLION IN EXPENSE (33% 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 2022, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $337.9 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S. 0 LOUISIANA CHILDREN'S MEDICAL CENTER 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 943480131 501(C)(3) 266292 0 AMOUNTS PROVIDED WERE TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THESE FUNDS WERE ALSO USED TO FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL. NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC) 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS LA 70163 844985872 501(C)(3) 330453 0 DURING THE YEAR ENDED DECEMBER 31, 2022, UMCMC DONATED $330,453 TO LCMC HEALTH CLINICAL SERVICES NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS UMCMC'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) HOPSITAL AND THE SOLE MEMBER OF UMCMC. 2 X X X 1 0 0 0 0 0 0 0 0 GREGORY C FEIRN BOARD MEMBER 0 2035199 0 393303 0 11415 0 12200 0 21604 0 2473721 0 0 TERRIE STERLING INTERIM CEO (1/01/22-08/01/22) 602000 0 0 0 0 0 0 0 0 0 602000 0 0 0 EMILY SEDGWICK CEO 265843 0 75000 0 22611 0 9081 0 5383 0 377918 0 0 0 PETER DEBLIEUX CHIEF EXPERIENCE OFFICER 382583 0 32835 0 8517 0 12200 0 432 0 436567 0 0 0 CHRISTINE M BOND CHIEF FINANCIAL OFFICER 292615 0 25419 0 2504 0 12200 0 10299 0 343037 0 0 0 NIRAV PATEL CHIEF MEDICAL OFFICER 274375 0 41560 0 1242 0 12200 0 10786 0 340163 0 0 0 DENISE DANNA CHIEF NURSING OFFICER 249868 0 21687 0 7804 0 10946 0 7346 0 297651 0 0 0 LISA MIRANDA CHIEF OPERATING OFFICER 326565 0 28568 0 5833 0 12200 0 7116 0 380282 0 0 0 JYOTSNA FULORIA VP CLINICAL RESEARCH 347271 0 13615 0 5895 0 12200 0 20208 0 399189 0 0 0 CHARLOTTE PARENT VP OF BUSINESS DEVELOPMENT 227338 0 16272 0 11771 0 9762 0 432 0 265575 0 0 0 ANTHONY TAULLIE CRNA 320721 0 0 0 1277 0 12200 0 18838 0 353036 0 0 0 SHOLA M PREVOST CRNA 359346 0 0 0 1577 0 12200 0 12950 0 386073 0 0 0 DAVID JANZ PHYSICIAN 527731 0 0 0 2133 0 12200 0 20156 0 562220 0 0 0 MARCELYN RUELLO CRNA 326002 0 0 0 2081 0 12200 0 900 0 341183 0 0 0 KIM SERVARY CRNA 382403 0 0 0 4835 0 12200 0 15140 0 414578 0 0 0 DANNY HARDMAN FORMER CEO 0 0 0 0 0 371532 0 12200 0 136 0 383868 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 9 VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. PART I, LINE 4A DURING 2022, DANNY HARDMAN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $371,532 FROM A RELATED ORGANIZATION. 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 12 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 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. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL OF THE LCMC'S PRESIDENT AND CEO, THE LCMC COMPENSATION COMMITTEE, AND LCMC EXECUTIVE COMMITTEE. 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 OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 694,666. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 694,666. GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 179,677,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,677,127. TRANSFERS: PROGRAM SERVICE EXPENSES 92,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,245. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 943480131 HEALTHCARE DELIVERY LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70118 720423659 HEALTHCARE DELIVERY LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 TOURO INFIRMARY FOUNDATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721169939 HEALTHCARE SUPPORT LA 501(C)(3) LINE 12A, I TOURO INFIRMARY 0 CHILDREN'S HOSPITAL INC 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 720467503 HEALTHCARE DELIVERY LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 CHILDRENS HOSPITAL ANESTHESIA CORPORATION 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 061587311 PEDIATRIC HOSPITAL ANESTHESIA SERVICES LA 501(C)(3) LINE 10 LOUISIANA CHILDREN'S MEDICAL CENTER 0 AUDUBON RETIREMENT VILLAGE INC 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS LA 70163 842278120 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LOUISIANA CHILDREN'S MEDICAL CENTER 0 LCMC HEALTH HOLDINGS DBA EJGH 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 843390470 HEALTHCARE DELIVERY LA 501(C)(3) LINE 3 LOUISIANA CHILDREN'S MEDICAL CENTER 0 NEW ORLEANS PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO LA 70072 464568405 PHYSICIAN PRACTICES LA 501(C)(3) LINE 10 WEST JEFFERSON HOLDINGS LLC 0 WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS LA 70114 720540671 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 TOURO INFIRMARY 0 METAIRIE PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD METAIRIE LA 70006 461434300 HEALTHCARE DELIVERY LA 501(C)(3) LINE 10 LCMC HEALTH HOLDINGS 0 CHILDREN'S HOSPITAL MEDICAL PRACTICE 298 HENRY CLAY AVENUE NEW ORLEANS LA 70118 721318421 PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE LA 501(C)(3) LINE 10 CHIDLREN'S HOSPITAL 0 TIJV LLC 1401 FOUCHER ST NEW ORLEANS LA 70115 261378361 IMAGING CENTER RENTAL LA N/A 0 0 CRESCENT CITY RESEARCH CONSORTIUM LLC 1111 MEDICAL CENTER BLVD STE N701 MARRERO LA 70072 383880814 SCIENTIFIC RESEARCH LA N/A 0 0 COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD STE N-201 MARRERO LA 70072 364819943 MEDICAL COLLABORATION LA N/A 0 0 EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE LA 70006 201425074 OUTPATIENT SURGERY LA N/A 0 0 CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA STREET SUITE 72 NEW ORLEANS LA 70115 721269878 HEALTHCARE LA N/A C 0 BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION 1401 FOUCHER STREET NEW ORLEANS LA 70115 721226687 HEALTHCARE LA N/A C 0 PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION 650 POYDRAS STREET SUITE 1200 NEW ORLEANS LA 70130 720866121 REAL ESTATE LA N/A C 0 0 1 1 1 1 0 0 0 0 1 0 1 1 1 1 0 0 1 0