2024-11-14T10:17:27-06:00 2023-12-31 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 100 RIDGELAND MS 39157 990 2023-01-01 464958152 ACADIA GENERAL HOSPITAL INC ACAD 3377886404 1305 CROWLEY RAYNE HIGHWAY CROWLEY LA 70526 JIM MOLLOY OCF EVP, CFO, TREASURER 5048424097 2024-11-12 0 AMIE WHITTINGTON DEAN CPA P01082167 6013261000 2023 2024-10-15 13:58:12Z OCHSNER ACADIA GENERAL PATRICK GANDY 1214 COOLIDGE ST LAFAYETTE LA 70503 62640741 0 X HTTPS://WWW.OCHSNER.ORG X 2014 LA THE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. 3 2 0 2 183910 0 11969 0 47045610 56967787 4311 321 2615994 5672633 49677884 62640741 2472 13450 0 0 20896821 22647178 0 0 0 29506287 36496027 50405580 59156655 -727696 3484086 21593152 21828217 13083948 9834927 8509204 11993290 X THE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 42832073 13450 55499088 ACADIA GENERAL HOSPITAL PROVIDES A WIDE RANGE OF HEALTHCARE AND MEDICAL SERVICES TO INDIVIDUALS. AS A GENERAL ACUTE CARE HSOPITAL, ACADIA GENERAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES FOR PATIENTS. ACADIA GENERAL HOSPITAL PROVIDES MEDICAL SPECIALTIES OF FAMILY MEDICINE, INTERNAL MEDICINE, NEPHROLOGY, CARDIOLOGY, GASTROENTEROLOGY, GENERAL SURGERY, ORTHOPEDIC SURGERY, UROLOGY, OTOLARYNGOLOGY (ENT), GYNECOLOGY, ONCOLOGY, PEDIATRICS, AND OPHTHALMOLOGY. THE HOSPITAL PROVIDES GENERAL MEDICAL/SURGICAL INPATIENT BEDS, INTENSIVE CARE UNIT INPATIENT SERVICES, AND INPATIENT GYNECOLOGY SERVICES. IN ADDITION TO ITS INPATIENT SERVICES, ACADIA GENERAL HOSPITAL PROVIDES A VARIETY OF OUTPATIENT SERVICES, DIAGNOSTIC TESTING, AND THERAPY SERVICES. MANY OF THESE SERVICES ALSO PROVIDE SERVICES TO PATIENTS RECEIVING CARE IN OUR INPATIENT UNITS. ACADIA GENERAL HOSPITAL PROVIDES SURGERY SERVICES, A FULL-SERVICE LABORATORY AND PATHOLOGY SERVICES, A WIDE RANGE OF RADIOLOGICAL SERVICES (INCLUDING GENERAL DIAGNOSTIC, MAMMOGRAPHY, ULTRASOUND, COMPUTED TOMOGRAPHY (CT), NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING, ECHOCARDIOGRAPHY, AND BONE DENSITY), RESPIRATORY THERAPY, CARDIOLOGY (INCLUDING ELECTROCARDIOLOGY (EKG) AND STRESS EKG), ELECTROENCEPHALOGRAPHY (EEG), AUDIOLOGY SERVICES, SPEECH THERAPY SERVICES, PHYSICAL THERAPY SERVICES, WOUND CARE AND HYPERBARIC, VEIN THERAPY, AND CHEMOTHERAPY AND OTHER INFUSION THERAPY SERVICES. ACADIA GENERAL HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT PROVIDING ACUTE AND NON-ACUTE SERVICES TO THE RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL DURING FYE 12/31/23 WERE: 113 LICENSED BEDS, 7,955 TOTAL PATIENT DAYS, 16,836 EMERGENCY ROOM VISITS, 416 INPATIENT SURGERIES AND 1,489 OUTPATIENT SURGERIES. 42832073 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JIM MOLLOY 5048424097 1514 JEFFERSON HWY BH 546 NEW ORLEANS LA 70121 X JOSEPH J MITCHELL DIRECTOR/HOSPITAL CHIEF EXECUTIVE OFFICER 0.00 50.00 X 0 389081 4934 PATRICK W GANDY OLG CEO, OAGH CHAIRMAN OF THE BOARD 1.00 49.00 X X 0 999885 101516 STEPHEN A STEFANSKI DIRECTOR/SECRETARY-TREASURER 1.00 0.00 X X 0 0 0 ROBERT J AERTKER III MD DIRECTOR - NON VOTING 1.00 0.00 X 0 13000 0 MELINDA MALMAY DIRECTOR(BEGIN 4/2023) 1.00 0.00 X 0 0 0 DAVID L CALLECOD FORMER DIRECTOR 0.00 0.00 X 0 931604 0 CAROLINE G MARCEAUX FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 199031 23049 GARLAND YOUNG FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 151265 32605 GLENN E DAILEY FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 333403 6973 HOPE ROSINSKI FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 161451 18631 JOSEPH C BRIGNAC FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 169375 15104 0 3348095 202812 0 1 1 0 0 PATIENT REVENUE 621990 56967787 55499088 183910 1284789 56967787 321 321 193525 0 193525 193525 193525 MANAGEMENT SERVICES REVENUE 541610 5479108 5479108 5479108 62640741 55499088 183910 6957743 13450 13450 19018300 17120588 1897712 434534 388646 45888 1958277 1751478 206799 1236067 1093878 142189 11406567 527234 10879333 3755884 3682925 72959 10680 10680 462250 396578 65672 93090 92462 628 3506971 1463603 2043368 9269 6876 2393 8851 3967 4884 1954 1954 1029418 730210 299208 MEDICAL SUPPLIES, ORGAN 13664723 13664723 BLDG EQUIPMENT REPAIRS 864768 516331 348437 LICENSES AND TAXES 799218 745528 53690 FOOD 438465 437524 941 443919 183438 260481 59156655 42832073 16324582 0 16128 25652 6796789 6260278 8084 7455 1934965 2127085 224270 177354 7786373 2524694 5578701 5261679 7034215 7968714 21593152 21828217 2892073 2120371 23086 0 1330490 1090638 8838299 6623918 13083948 9834927 X 8500300 11984386 8904 8904 8509204 11993290 21593152 21828217 3484086 0 X X 0 1 X 1 0 X X 0 0 0 0 0 0 42832073 1100520028 42832073 1100520028 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 46181 48325 94506 250000 250000 250000 250000 1000000 1500000 46181 48325 94506 FORM 990, SCHEDULE C, PART II-A, LINE 1A ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH LOUISIANA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THIS ORGANIZATION IS USED. 525000 135137 389863 1487086 277411 1209675 5682809 2111982 3570827 91478 164 91314 5261679 RIGHT OF USE ASSETS 49511 LONG TERM RECEIVEABLES 10854 DEPOSITS 23270 ROU OPER REAL ESTATE LEASES 5529573 PAYOR SETTLEMENT 2355506 7968714 NONCURRENT RIGHT OF USE ASSETS 4525634 INTERCOMPANY PAYABLE 2098284 6623918 X PART X, LINE 2: THE MAJORITY OF OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER 501(A) AND ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THEREFORE ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ANY FEDERAL INCOME TAXES ASSOCIATED WITH THE FOR-PROFIT ENTITIES ARE NOT MATERIAL TO OCHSNER'S CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS. THE STATUE OF LIMIATIONS REMAINS OPEN FOR TAX YEARS 2020 THROUGH 2023 IN OCHNSER'S MAIN TAX JURISDICTIONS. 1 1 1 X 0 1 1 0 1 1 457135 457135 0.00770 457135 457135 0.00770 22438 22438 0.00040 2431833 595498 1836335 0.03100 2900 2900 0.00000 2457171 595498 1861673 0.03140 2914306 595498 2318808 0.03910 1340 1340 0.00000 1340 1340 0.00000 1 498852 17530422 20638218 -3107796 X 1 1 1 1 ACADIA GENERAL HOSPITAL INC 1305 CROWLEY RAYNE HWY CROWLEY LA 70526 2203782184 X X X ACADIA GENERAL HOSPITAL INC 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE STATEMENT X 1 22 1 SEE STATEMENT 0 1 X 200.000000000000 0.000000000000 X X X 1 1 X X X X 1 X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X X X 1 X 0 X X X X 1 X 0 0 ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY-WIDE SURVEYS, FOCUS GROUPS, AND INTERVIEWS. OVERALL, ROUGHLY 571 COMMUNITY MEMBERS PARTICIPATED FROM MARCH 16 THROUGH JUNE 15, 2021, IN THE INPUT PROCESS. COMMUNITY ORGANIZATIONS WERE ALSO CONSULTED INCLUDING LOCAL FOOD BANKS, HEALTH-CENTERED NON-PROFITS, RELIGIOUS ORGANIZATIONS, ADVOCACY GROUPS, AND MORE SUCH AS JUSTICE AND HEALTH COLLABORATIVE / BEACON, ONE ACADIANA, THE FAMILY TREE, WOMAN'S FOUNDATION, AND BOYS AND GIRLS CLUBS OF ACADIANA, UNITED WAY OF ACADIANA. THESE INCLUDED MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 6A: OCHSNER ABROM KAPLAN MEMORIAL HOSPITAL, OCHSNER ACADIA GENERAL HOSPITAL, OCHSNER AMERICAN LEGION HOSPITAL, OCHSNER LAFAYETTE GENERAL MEDICAL CENTER, OCHSNER ST. MARTIN HOSPITAL, OCHSNER UNIVERSITY HOSPITAL & CLINICS, HEART HOSPITAL OF LAFAYETTE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, OUR LADY OF LOURDES WOMEN'S & CHILDREN HOSPITAL, AND PARK PLACE SURGICAL CENTER.THERE IS A JOINT COMMUNITY HEALTH NEEDS ASSESSEMMENT AND IMPLEMENTATION STRATEGY. ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 11: ALL SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA HAVE BEEN ADDRESSED. THE HOSPITAL IS PRIORITIZING HEALTH NEEDS IN ITS COMMMUNITY AND PRIORITIZING SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET THESE NEEDS. PLEASE SEE INFORMATION CONTAINED IN THE HOSPITAL'S IMPLEMENTATION STRATEGY.2023 UPDATE ON 2022 CHIP IMPLEMENTATION PLAN.PRIORITY AREA 1 & 2. ACCESS TO PRIMARY CARE & RURAL HEALTH:* FINANCIAL COUNSELORS ASSISTED ELIGIBLE INDIVIDUALS WITH ENROLLMENT WITH INCREASING PREVALENCE OF MEDICAID ELIGIBILITY VERIFICATIONS AND SCREENINGS.* FURTHER DEVELOPMENT OF ONLINE SCHEDULING, TELEMEDICINE AND DIGITAL MEDICINE SERVICES.* RURAL FACILITIES PLANNED FOR COMMUNITY HEALTH WORKERS INTEGRATION TO ASSIST PATIENTS WITH SERVICES AND DISEASE MANAGEMENT.* PARTNERED WITH LBCHP & WISEWOMEN GRANTS WITH WELL-AHEAD LOUISIANA TO PROVIDE NO COST WOMEN'S SERVICES AND HEALTH ASSESSMENTS TO WOMEN MEETING THE ELIGIBILITY REQUIREMENTS IN REGION 4.* PROMOTED SATURDAY CLINICS TO ALLOW FOR BETTER ACCESS. CONSIDERING EXTENDING PHARMACY RETAIL HOURS.PRIORITY AREA 2 & 3. CANCER & DIABETES: * PROMOTED VIRTUAL VISIT OPTIONS AND INCREASED DIGITAL MEDICINE OPPORTUNITIES FOR HTN AND DIABETES.* IMPROVED THE DOCUMENTATION OF CANCER SURVIVORSHIP SURVEILLANCE WHICH INCLUDED SCREENINGS, NUTRITION AND BEHAVIORAL HEALTH SUPPORT. * PROVIDED DIABETIC EDUCATION WITH DIABETIC EDUCATORS AND NUTRITIONIST. MEETING DIABETES AMBULATORY QUALITY METRICS (FOR EXAMPLE HGA1C).* IMPLEMENTED THE 12 WEEK "FOOD IS MEDICINE" PROGRAM HELPING OUR PATIENTS RECEIVE THE TOOLS TO LIVE A MORE HEALTH LIFE. REVALUATING THE SUCCESS OF THE PROGRAM.PRIORITY AREA 4 & 5. HEALTH EDUCATION/LITERACY & HEALTH DISPARITIES:* COLLABORATED WITH HEALTHY STATE, OCHSNER LAFAYETTE GENERAL TRAINED INDIVIDUALS AND FURTHERED HEALTH EQUITY THROUGH DIVERSITY, EQUITY AND INCLUSION TRAINING PROGRAM AND REGIONAL DEI COUNCIL.* ADDRESSED SOCIAL DETERMINANTS OF HEALTH IN ASSESSMENT PROCESSES FOR IP AND OP CLINIC PATIENTS.* CONTINUED WITH INPATIENT MEDICATION TO BED PROGRAM SO PATIENTS HAVE MEDICATION PRIOR TO DISCHARGE. IMPLEMENTING AMBULATORY/CLINIC PHARMACIST CONSULTS FOR CHRONIC CONDITIONS STARTING WITH HIV AND HEART FAILURE TO ASSURE MEDICATION COMPLIANCE.* CONTINUED TO PROVIDE FINANCIAL SCREENING SERVICES AND ACCESS TO COVERAGE TO MEDICAID ELIGIBLE POPULATION.* PARTNERED WITH BEACON COMMUNITY CONNECTIONS FOR COMMUNITY RESOURCES.PRIORITY AREA 6 & 7. HEART DISEASE AND STROKE & WEIGHT STATUS AND NUTRITION (OBESITY):* PROMOTION OF PATHWAY TO WELLNESS WITH EMPLOYEES AND PARTICIPATION/ ENGAGEMENT IN REGIONAL HEALTH FAIRS.* SMOKING CESSATION PROGRAM IMPLEMENTED AT THE LAFAYETTE COMMUNITY HEALTH CLINIC.* CONTINUE TO MAINTAIN ACUTE STROKE READY FACILITY STATUS THROUGH LEARN.* EXPANDED HEALTHY MEAL CHOICES ON CAMPUS PROVIDED TO EMPLOYEES AND VISITORS.* PARTNERED WITH SECOND HARVEST AND IMPLEMENTED QUARTERLY MOBILE MARKET. WORKING TO IMPLEMENT A CERTIFIED FOOD PANTRY AT OUHC. WORKING TO CREATE AN INTERNAL MARKET WITH VOLUNTEERS GROWING VEGETABLES TO PURCHASE AT A REDUCED COST.PRIORITY AREA 8 & 9. MATERNAL AND CHILD HEALTH & MENTAL/BEHAVIORAL HEALTH: * WOMEN'S HEALTH SERVICE EXPANSION TO CROWLEY.* PARTICIPATION IN PANELS TO ADDRESS SUD/OUD STIGMA AT THE LDH REGION 4 AND WOMEN'S FOUNDATION EVENTS.* INCREASED TRAINING ON RESOURCES FOR TREATING OPIOD ADDITION INCLUDING EDUCATION FOR ED PROVIDERS REGARDING BUPHRENORPHINE AND POSSIBLE REFERRALS.* PLANNING FOR THE CONSTRUCTION OF A NEW FACILITY BY OCHSNER LAFAYETTE GENERAL AND OCEANS BEHAVIORAL HEALTH TO INCREASE MENTAL HEALTH AND SUBSTANCE ABUSE CARE IN THE ACADIANA REGION.* ADDED PSYCHIATRIST TO LAFAYETTE COMMUNITY HEALTH CLINIC TO IMPROVE BH ACCESS. ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, FOR EXAMPLE CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OCHSNER MANAGEMENT. ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. ACADIA GENERAL HOSPITAL, INC. PART V, SECTION B, LINE 16J: THE POLICY IS INCLUDED IN PATIENT BILLING STATEMENTS. T V, LINE 7A HOSPITAL FACILITY WEBSITE CHNA REPORT HTTPS://WWW.OCHSNER.ORG/GIVING/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE HTTPS://WWW.OCHSNER.ORG/GIVING/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 16 FINANCIAL ASSISTANCE WEBSITE HTTPS://WWW.OCHSNER.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE PART I, LINE 3C: A PAYMENT ADVISOR SCORE (PAS) IS TAKEN INTO CONSIDERATION DURING THE PRESUMPTIVE FINANCIAL ASSISTANCE PROCESS; HOWEVER IF A PATIENT REQUESTS FINANCIAL ASSISTANCE, THE PAS IS NOT CONSIDERED. THE PAS IS PROVIDED BY A THIRD PARTY TOOL.PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS, AT THE DISCRETION OF OCHSNER, FOR CATASTROPHIC ILLNESS ORMEDICAL INDIGENCE, WITH EXCEPTIONS SUCH AS EXPENSIVE MEDICATIONS, TERMINAL ILLNESS, OR MULTIPLE HOSPITALIZATIONS. PART I, LINE 7: LINE 7A FINANCIAL ASSISTANCE AT COST. OCF PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. RECORDS OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY ARE MAINTAINED TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. BECAUSE OCF DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. OCF ESTIMATES ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS BY APPLYING A RATIO OF DIRECT AND INDIRECT COSTS TO CHARGES TO THE GROSS FORGONE CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. OCF'S GROSS CHARITY CARE CHARGES INCLUDE ONLY SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY AND QUALIFY UNDER OCF'S CHARITY CARE POLICIES. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON OCF'S TOTAL EXPENSES DIVIDED BY GROSS PATIENT REVENUE.LINE 7F EDUCATIONCALCULATED FROM THE STATEMENT OF PROFIT & LOSS FOR EACH DIVISION. LINE 7G SUBSIDIZED HEALTH SERVICES.CLINICS THAT MET A DESIGNATED COMMUNITY NEED WERE INCLUDED. CLINIC BOOK REVENUE FOR THE CLINIC LOCATION, LESS THE MEDICARE REIMBURSEMENT, IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF CLINIC BOOK EXPENSES, ADJUSTED BY THE MEDICARE EXPENSE DESCRIBED ABOVE.LINE 7I CASH AND IN-KIND CONTRUBUTIONS FOR COMMUNITY BENEFIT INCLUDES DIRECT CONTRIBUTIONS TO CHARITIES THAT MEET IDENTIFIED COMMUNITY NEEDS. PART I, LINE 7G: THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G WHERE THERE WAS AN IDENTIFIED COMMUNITY NEED TO OFFER SUCH CLINICAL SERVICES. SCHEDULE H PART I LN 6 HTTPS://WWW.OCHSNER.ORG/OCHSNER-COMMUNITY-IMPACT PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER LAFAYETTE GENERAL PLAYED A VITAL ROLE STRENGTHENING COMMUNITY AND GOVERNMENT PARTNERSHIPS ACROSS LOUISIANA AND THE NATION AS WELL AS IMPROVED COMMUNITY HEALTH AND FOSTERED INCLUSIVITY. HONORED TO LEAD COLLABORATION ON THE HEALTHY STATE INITIATIVE, OCHSNER BROUGHT RESOURCES TO UNDERSERVED COMMUNITIES, REDUCED THE COVID VACCINE HESITANCY RATE IN MARGINALIZED POPULATIONS, RAISED AWARENESS AROUND COMMUNITY CHALLENGES, IMPROVED AIR QUALITY FROM REDUCING SMOKING, AND INCREASED ACCESS TO HEALTHIER FOOD. FURTHER ECONOMIC DEVELOPMENT AND OPPORTUNITY WORK INCLUDED OCHSNER'S LEADERSHIP IN MEDICAL TECHNOLOGY WHICH BUILT OUR COMMUNITY'S UNDERSTANDING OF, ACCESS TO AND SURROUNDING BUSINESS INNOVATION RELATED TO DIGITAL MEDICINE. ENVIRONMENTAL IMPACT INCLUDED BASIC MATERIAL RECYCLING AND SPECIALIZED MEDICAL DEVICE RECYCLING. OCHSNER PARTNERED TO PROVIDE LOCAL MANUFACTURING FOR PPE, MASKS, AND GLOVES WITH A RECYCLING PLANT FOR ALL UNUSED PRODUCTS. FINALLY, OCHSNER EDUCATED THE NEXT GENERATION AND TRAINED THE HEALTHCARE WORKFORCE INCLUDING DEVELOPING A NEW SURGICAL RESIDENCY PROGRAM AND AN ACCELERATED BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM WITH UNIVERSITY OF LOUISIANA AT LAFAYETTE. ADDITIONALLY, WORKFORCE DEVELOPMENT PROGRAMS AROUND SPECIALIZED APPRENTICESHIPS BUILT OUR COMMUNITY'S CAPACITY FOR ADVANCED CAREERS SUCH AS THE PAID APPRENTICESHIP OFFERED WHILE PURSUING AN ASSOCIATE OF SCIENCE IN RESPIRATORY CARE AT LSU EUNICE. PART III, LINE 2: OCHSNER RECOGNIZES NET PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT AND ARE SCREENED PRESUMPTIVELY FOR FINANCIAL ASSISTANCE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF OCHSNER'S UNINSURED AND UNDERINSURED PATIENTS WILL BE INCAPABLE OR RELUCTANT TO PAY FOR THE SERVICES PROVIDED. REMAINING CHARGES IN THE PERIOD THE SERVICES ARE PROVIDED RELATED TO PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS, OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS WHO HAVE BEEN DEEMED UNWILLING TO PAY MAY BE CONSIDERED BAD DEBT, AND THUSREDUCE PATIENT SERVICE REVENUE. ANY CHARGES RELATED TO BANKRUPTCY ARE WRITTEN OFF AS BAD DEBT EXPENSE. MOST OF THE BAD DEBT REDUCES NET PATIENT REVENUE.NOTE THAT BAD DEBT IS USUALLY THE DIFFERENCE BETWEEN PATIENT CHARGES, CONTRACTUAL OR UNISURED DISCOUNT, AND ANY INSURANCE PAYMENTS. THEREFORE, APPLYING THE COST TO CHARGE RATIO TO BAD DEBT WOULD NOT PROPERLY GET TO BAD DEBT AT COST, AS THERE IS NO RELATIONSHIP BETWEEN THE AMOUNT OF BAD DEBT AND THE COST TO PROVIDE CARE. THEREFORE, THE AMOUNT EXPRESSED HERE IS NOT EXPRESSED "AT COST." PART III, LINE 3: OCHSNER DOES NOT CLASSIFY OR CONSIDER ANY OF ITS BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. BAD DEBT EXPENSE DOES NOT INCLUDE PATIENTS WHO ARE FOUND TO BE ELIGIBLE UNDER THE FAP. CHARGES FOR PATIENTS WHO HAVE NOT REQUESTED FINANCIAL ASSISTANCE OR QUALIFIED FOR THE FAP UNDER THE PRESUMPTIVE PROCESS COULD BE CONSIDERED COMMUNITY BENEFIT, BUT IT IS NOT FEASIBLE TO CALCULATE THE IMPACT. PART III, LINE 4: EFFECTIVE JAN. 1, 2018, OCHSNER ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH OUTLINES A SINGLE COMPREHENSIVE MODEL FOR ENTITIES TO USE IN ACCOUNTING FOR REVENUE ARISING FROM CONTRACTS WITH CUSTOMERS. ASU 2014-09 SUPERSEDES MOST CURRENT REVENUE RECOGNITION GUIDANCE, INCLUDING INDUSTRY-SPECIFIC GUIDANCE, AND REQUIRES EXPANDED DISCLOSURES ABOUT REVENUE RECOGNITION TO ENABLE FINANCIAL STATEMENT USERS TO UNDERSTAND THE NATURE, TIMING, AMOUNT, AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM CONTRACTS WITH CUSTOMERS. BAD DEBT IS NO LONGER DISCLOSED IN THE NOTES TO THE FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED FOR LINE 6 IS THE STANDARD MEDICARE COST REPORT COSTING SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITAL'S FILED COST REPORT; THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. PART III, LINE 9B: UPON GRANTING APPROVAL FOR 100% ASSISTANCE, ALL COLLECTION EFFORTS FOR THAT ACCOUNT WILL CEASE, THE ACCOUNT WILL NOT BE TURNED OVER TO A COLLECTION AGENCY, AND OCHSNER WILL NOT IMPOSE EXTRAORDINARY COLLECTION EFFORTS SUCH AS WAGE GARNISHMENTS OR LIENS. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENTS, OCHSNER HEALTH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH: OCHSNER COMMUNITY PARTNERSHIPS: BECAUSE MANY OF THE COMMUNITIES' NEEDS AND CHALLENGES REQUIRED COLLABORATIVE SOLUTIONS, OCHSNER TEAMED UP WITH BUSINESSES, CHURCHES, SCHOOLS, COMMUNITY GROUPS, ATHLETIC ORGANIZATIONS, STATE AND LOCAL GOVERNMENT PARTNERS, AND OTHER HEALTHCARE ORGANIZATIONS TO IMPROVE THE PHYSICAL, MENTAL, EMOTIONAL, EDUCATIONAL, AND ECONOMIC HEALTH OF THE PEOPLE. THE NEEDS IDENTIFIED THROUGH THESE PARTNER ORGANIZATIONS WAS INVALUABLE GIVEN THE DEPTH OF REACH INTO THE COMMUNITY AND THE DIVERSE ARRAY OF STAKEHOLDERS. OCHSNER PARTNERED ON TOPICS INCLUDING MATERNAL HEALTH EQUITY, HUMAN TRAFFICKING, HOUSING, AND EDUCATION WITH ORGANIZATIONS LIKE LPHI, BCBS, UWA, AND ONE ACADIANA. COMMUNITY NEEDS WERE ALSO IDENTIFIED THROUGH THE OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM AS EMPLOYEES WORKED DIRECTLY WITH THE COMMUNITY DURING PAID COMMUNITY SERVICE TIME.OLG COMMUNITY BENEFITS SUB-COMMITTEE: A SUB-COMMITTEE COMPRISED OF BOARD MEMBERS WITH AN FOCUS ON COMMUNITY IMPACT. THE BOARD DIRECTED THE COMMUNITY WORK OF OCHSNER AND INVITED COMMUNITY LEADERS TO ATTEND BOARD MEETINGS TO SHARE THEIR EXPERIENCE AND INSIGHTS ON HOW OCHSNER COULD ACHIEVE ITS VISION OF INSPIRING HEALTHIER LIVES AND STRONGER COMMUNITIES. THIS COMMITTEE ALSO SUPPORTS BUILDING A ROADMAP FROM OUR OCHSNER HEALTHY STATE INITIATIVES TO OUR LOCAL COMMUNITIES. PART VI, LINE 3: ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID. THIS PROCESS TAKES PLACE AT THE TIME OF SERVICE, INPATIENT ADMISSIONS, AND IF THE PATIENT IS NOT SCREENED AT THE TIME, THE PATIENT IS CONTACTED AT HOME TO DETERMINE ELIGIBILITY. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEN THEY WILL BE EVALUATED UNDER THE FINANCIAL ASSISTANCE POLICY.INTERNAL CUSTOMER SERVICE DEPARTMENTS AND EXTERNAL PARTNERS INCLUDING COLLECTION AGENCIES PROVIDE PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS IF PATIENTS EXPRESS CONCERNS ABOUT THE INABILITY TO PAY OUTSTANDING BALANCES. OCHSNER ALSO OFFERS ZERO INTEREST PAYMENT PLAN OPTIONS WITH PAYMENT TERMS RANGING FROM SIX TO 60 MONTHS. PART VI, LINE 4: OCHSNER UNIVERSITY AND CLINICSGEOGRAPHICAL REGION: LAFAYETTE, LA; LAFAYETTE PARISHNUMBER OF BEDS: 116APPROXIMATE POPULATION: 244,390SERVICE AREA TYPE: NON-RURALAVERAGE INCOME OF POPULATION: $56,999PERCENTAGE OF PATIENTS UNINSURED OR MEDICAID RECIPIENTS: 9%DESIGNATED MEDICALLY UNDERSERVED AREA: YES PART VI, LINE 5: IMPROVING COMMUNITY HEALTH AND FOSTERING INCLUSIVITY* OCHSNER CONTINUED DEVELOPMENT OF COMMUNITY HEALTH CENTERS IN UNDERSERVED AREAS ACROSS LOUISIANA.DEI TEAM DEEPENED EMPLOYEE ENGAGEMENT AROUND DEI GOALS & OBJECTIVES, AND EXPANDED TRAINING PROGRAMS. * OCHSNER RESEARCH PROGRAM FOCUSED ON CLINICAL, BASIC SCIENCE, TRANSLATIONAL, NURSING AND HEALTH OUTCOMES RESEARCH COVERING NEARLY ALL MEDICAL SPECIALTIES. *TO IMPROVE THE HEALTH OF OUR COMMUNITY'S ENVIRONMENT, OCHSNER'S SUSTAINABILITY PROGRAM FURTHERED PROJECTS ACROSS THE SYSTEM TO REDUCE WASTE AND ENERGY CONSUMPTION, PROMOTE RESILIENCY AND CREATE A CULTURE OF ENVIRONMENTAL STEWARDSHIP. *SMOKING CESSATION FOCUS ENHANCING AIR QUALITY. DIABETIC NUTRITION EDUCATION AND INTRODUCING CONCEPTS LIKE FOOD IS MEDICINE IS CREATING HEALTHY HABITS FOR THE COMMUNITY AS A WHOLE AND THE NEXT GENERATION.STRENGTHENING COMMUNITY AND GOVERNMENT PARTNERSHIPS*OCHSNER PROVIDED FULL-TIME EMPLOYEES THE OPPORTUNITY TO WORK INSIDE OF THEIR COMMUNITIES THROUGH THE OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM WITH 8 HOURS OF PAID VOLUNTEER TIME. *THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL-SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS.ECONOMIC DEVELOPMENT AND OPPORTUNITY*TO ADDRESS CRITICAL WORKFORCE SHORTAGE FACING BOTH LOUISIANA AND THE NATION, OCHSNER CONTINUED TO CREATE OPPORTUNITIES TO DEVELOP AND SUPPORT HEALTHCARE PROFESSIONALS. *OCHSNER SCHOLARS PROGRAM ADDRESSED CRITICAL PHYSICIAN SHORTAGES IN KEY AREAS. *EXPANSION OF HOURS AND DAYS OF SERVICES EXPAND ECONOMIC ACTIVITY IN THE REGION.*EXPANDED USE OF DIGITAL INNOVATION AROUND DIABETES.EDUCATING THE NEXT GENERATION AND TRAINING HEALTHCARE WORKFORCE*EDUCATION AND HEALTHY SCHOOLS ARE AT THE FOREFRONT OF OCHSNER COMMUNITY OUTREACH. THE OCHSNER EDUCATION OUTREACH PROGRAM LED ACTIVITIES INCLUDING JOB SHADOWING, INTERNSHIPS, SUMMER YOUTH PROGRAMS, AND APPRENTICESHIPS FOR STUDENTS AS WELL AS WORKSHOPS FOR SCIENCE TEACHERS TO ENCOURAGE SCIENCE AND HEALTHCARE CAREERS. PART VI, LINE 6: OCHSNER HEALTH IS THE LARGEST NON-PROFIT, ACADEMIC, MULTI-SPECIALTY, INTEGRATED HEALTHCARE DELIVERY SYSTEM IN THE GULF COAST REGION. THE ORGANIZATION IS FOUNDED ON PROVIDING THE BEST PATIENT CARE, RESEARCH, AND EDUCATION. OCHSNER OPERATES 26 HOSPITALS AND IS AFFILIATED WITH 20 OTHER HOSPITALS ACROSS LOUISIANA, MISSISSIPPI, AND ALABAMA. OCHSNER EMPLOYS OVER 2,000 PHYSICIANS THAT HAVE OVER 1,600 BOARD CERTIFICATIONS IN APPROXIMATELY 90 SPECIALTIES, TRAINS OVER 900 MEDICAL RESIDENTS AND FELLOWS ANNUALLY. IN 2023, MORE THAN 1.5 MILLION PEOPLE FROM ALL 50 STATES AND 65 COUNTRIES VISITED OCHSNER. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. X X X X 1 1 1 1 0 0 0 0 0 0 0 PATRICK W GANDY OLG CEO, OAGH CHAIRMAN OF THE BOARD 0 691421 0 277384 0 31080 0 77533 0 23983 0 1101401 0 0 DAVID L CALLECOD FORMER DIRECTOR 0 0 0 0 0 931604 0 0 0 0 0 931604 0 0 JOSEPH J MITCHELL DIRECTOR/HOSPITAL CHIEF EXECUTIVE OF 0 145303 0 88992 0 154786 0 0 0 4934 0 394015 0 0 GLENN E DAILEY FORMER HIGHEST COMPENSATED 0 256090 0 54893 0 22420 0 6800 0 173 0 340376 0 0 CAROLINE G MARCEAUX FORMER HIGHEST COMPENSATED 0 172689 0 25028 0 1314 0 6401 0 16648 0 222080 0 0 JOSEPH C BRIGNAC FORMER HIGHEST COMPENSATED 0 165679 0 3557 0 139 0 6800 0 8304 0 184479 0 0 GARLAND YOUNG FORMER HIGHEST COMPENSATED 0 124230 0 20416 0 6619 0 5052 0 27552 0 183869 0 0 HOPE ROSINSKI FORMER HIGHEST COMPENSATED 0 156697 0 3557 0 1197 0 5552 0 13078 0 180081 0 0 PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL: OCHSNER'S BUSINESS TRAVEL POLICY OCCASIONALLY ALLOWS EMPLOYEES TO FLY FIRST-CLASS, SUCH AS WHEN OTHER SEATING IS NOT AVAILABLE OR FOR TRANS-ATLANTIC FLIGHTS. OCHSNER'S CEO, MEMBERS OF THE BOARD, MEMBERS OF MANAGEMENT, AND FAMILY MEMBERS ALSO FLEW ON CHARTER FLIGHTS. USE OF BUSINESS AIRCRAFT BY PERSONNEL OF OCHSNER CAN INCREASE PRODUCTIVITY, INCREASE FACE-TO-FACE BUSINESS CONTACT, FACILITATE TRAVEL TO LOCATIONS WITH INADEQUATE COMMERCIAL SERVICE, IMPROVE SECURITY AND FACILITATE OCHSNER'S ABILITY TO ALTER THE TRAVEL PLANS OF KEY EXECUTIVES, ON SHORT NOTICE, WHEN NECESSITATED BY BUSINESS EXIGENCIES. IN THE EVENT A FLIGHT IS USED FOR PERSONAL USE, OR A GUEST ATTENDS OTHER THAN FOR A BUSINESS PURPOSE, THESE FLIGHTS ARE INCLUDED IN TAXABLE WAGES. TRAVEL FOR COMPANIONS: OCHSNER HOSTS ITS BOARD OF DIRECTORS AND SENIOR MANAGEMENT AT A FEW DEVELOPMENTAL EVENTS. THE EVENTS PROVIDE THE DIRECTORS AND MANAGERS WITH INFORMATION AND TRAINING AS IT RELATES TO THEIR GOVERNANCE AT OCHSNER. AS THESE EVENTS ARE RELATIONSHIP-BUILDING EVENTS, THE ATTENDEES' SPOUSES ARE ENCOURAGED TO ATTEND. OCHSNER PROVIDED TRAVEL AND ACCOMMODATIONS FOR THE ATTENDING SPOUSES OF OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS. WITH SENIOR LEADERSHIP APPROVAL, OCCASIONALLY A FAMILY MEMBER TRAVELS WITH THE EMPLOYEE OR BOARD MEMBER FOR NON-BUSINESS REASONS, IN WHICH CASE THE COMPANION TRAVEL WOULD BE INCLUDABLE IN COMPENSATION OF THE EMPLOYEE OR BOARD MEMBER. TRAVEL FOR COMPANIONS WERE REPORTED AS TAXABLE COMPENSATION TO THE EMPLOYEES OR BOARD MEMBERS AND GROSSED UP. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: OCHSNER GROSSES UP NON-CASH COMPENSATION TO BOARD MEMBERS AND OFFICERS FOR THE FOLLOWING: * SPOUSAL TRAVEL TO THE BOARD AND MANAGEMENT DEVELOPMENTAL RETREATS. SPOUSES ARE ENCOURAGED TO ATTEND THESE EVENTS TO FURTHER THE RELATIONSHIPS WITHIN THE BOARD MEMBERS AND EXECUTIVE TEAM. * PARTICIPANT AND COMPANION ENTERTAINMENT AT BOARD AND MANAGEMENT DEVELOPMENTAL RETREATS. * HOLIDAY GIFTS TO THE BOARD MEMBERS AND EXECUTIVE TEAM. * SERVICE/EMPLOYEE ENGAGEMENT AWARD. THERE ARE 1 BOARD MEMBER AND OFFICERS, AND 1 OF THE FORMER HIGHEST COMPENSATED EMPLOYEES, RECEIVED GROSS-UP PAYMENTS IN 2023. DISCRETIONARY SPENDING ACCOUNT: MEMBERS OF EXECUTIVE TEAM MAY BE PROVIDED WITH AN AUTOMOBILE ALLOWANCE, WHICH IS INCLUDED IN TAXABLE INCOME. IN 2023, 1 EXECUTIVES RECEIVED THIS ALLOWANCE. 1 FORMER HIGHEST COMPENSATED EMPLOYEE RECEIVED GROSS-UP PAYMENTS RELATED TO EDUCATION BENEFIT. PART I, LINE 1B CHARTER AIRCRAFT USE AND TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE SUBJECT TO EXECUTIVE APPROVAL PART I, LINE 3 THE OFFICERS OF THE ORGANIZATION ARE NOT COMPENSATED BY THE ORGANIZATION, BUT ARE COMPENSATED BY RELATED ORGANIZATIONS FOR THEIR ROLES AS OFFICERS AND EXECUTIVES OF THE OCHSNER CLINIC FOUNDATION. THE METHODS USED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE. PART I, LINES 4A-B SCHEDULE J PART I, LINE 4A SEVERANCE PAYMENTS THE FOLLOWING SEVERANCE PAYMENT WAS MADE IN 2023, PURSUANT TO THE TERMS OF A SEPARATION AGREEMENT: * DAVID L CALLECOD, FORMER OFFICER, IN THE AMOUNT OF $931,604 SCHEDULE J PART I, LINE 4B THE FOLLOWING PEOPLE PARTICIPATE IN A 457(F) NON-QUALIFIED, UNFUNDED, DEFERRED COMPENSATION PLAN, WHICH WAS ADOPTED IN 2013. THE PLAN ALLOWS FOR ANNUAL FIXED CONTRIBUTIONS BASED ON A PERCENT OF BASE PAY AND SUBJECT TO A THREE-YEAR VESTING REQUIREMENT; AND ANNUAL DISCRETIONARY CONTRIBUTIONS BASED ON A PERCENT OF BASE PAY OR A FLAT-DOLLAR AMOUNT AND SUBJECT TO A THREE-YEAR VESTING REQUIREMENT. FOLLOWING IS A LIST OF PARTICIPANTS AND ANY DISTRIBUTIONS MADE IN 2023: * PATRICK GANDY; NO DISTRIBUTION FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY. FORM 990, PART VI, SECTION B, LINE 11B ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEW THE RETURN. THE RETURN IS ALSO REVIEWED BY HORNE, LLP, THE COMPANY'S TAX ADVISORS. A COPY OF THE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS ELECTRONICALLY AND COMMENTS ARE SOLICITED FROM THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF AN INDIVIDUAL HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST TEAM REVIEWS DISCLOSURES AND DETERMINES WHETHER RISK MITIGATION ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST STEERING COMMITTEE WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, RECUSAL IN DECISION MAKING, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER CLINIC FOUNDATION REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. IN ADDITION, EMPLOYEES THAT DO NOT FALL WITHIN THE SCOPE OF THE CONFLICT OF INTEREST DISCLOSURE POLICY COMPLETE NEW HIRE OR RISK-BASED CONFLICT OF INTEREST TRAINING IN ALIGNMENT WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF THE ORGANIZATION ARE NOT COMPENSATED BY THE CORPORATION, BUT ARE COMPENSATED BY RELATED ORGANIZATIONS FOR THEIR ROLES AS OFFICERS AND EXECUTIVES OF THE OCHSNER CLINIC FOUNDATION. 15A - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL: ALL CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED AND APPROVED BY THE EXECUTIVE AND SENIOR PHYSICIAN COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMPENSATION COMMITTEE). NO SUBSTANTIVE CHANGE TO THE COMPENSATION OR BENEFITS PACKAGES IS MADE UNTIL COMMITTEE APPROVAL IS GRANTED IN ACCORDANCE WITH INTERMEDIATE SANCTIONS GUIDELINES. THE COMPENSATION COMMITTEE IS WITHOUT CONFLICTS OF INTEREST AND USES AN INDEPENDENT EXTERNAL CONSULTANT. APPROPRIATE DATA IS APPLIED TO DETERMINE THE COMPARABILITY OF FAIR MARKET VALUE PAY AND ALL ACTIONS ARE APPROPRIATELY DOCUMENTED. IN ORDER TO MEET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS, THE COMPENSATION COMMITTEE IDENTIFIED THE "DISQUALIFIED INDIVIDUALS" THAT ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE COMPANY'S OPERATIONS. THESE INDIVIDUALS ARE THE MEMBERS OF THE EXECUTIVE OFFICERS COMMITTEE (EOC), REGIONAL MEDICAL DIRECTORS, PHYSICIAN BOARD MEMBERS AND SECTION HEADS FOR KEY DEPARTMENTS. FOR DISQUALIFIED INDIVIDUALS, THE COMPENSATION REVIEW ALSO INCLUDES THE COST OF BENEFITS SUCH AS THE COMPANY PORTION OF MEDICAL AND DENTAL BENEFITS, MALPRACTICE INSURANCE, PAYMENTS FOR 401K MATCHING AND PENSION PAYMENTS. 15B - PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES: PT VI LN 15A DESCRIBES THE COMPENSATION PROCESS FOR MANY OF THE OFFICERS, KEY EMPLOYEES, AND SR PHYSICIAN BOARD MEMBERS. A DIFFERENT REVIEW PROCESS IS USED FOR PHYSICIANS. ANNUALLY, THE PHYSICIAN COMPENSATION DEPARTMENT REVIEWS THE COMPENSATION OF EACH EMPLOYED PHYSICIAN. THIS REVIEW INCLUDES A COMPARISON OF PHYSICIAN SALARIES AGAINST NATIONAL SURVEY DATA FOR THEIR SPECIALTY. THE PHYSICIAN COMPENSATION DEPARTMENT COMPILES THE COMPENSATION DATA FOR EACH PHYSICIAN INCLUDING BASE SALARY, STIPENDS, ON-CALL PAY, ETC. EACH PHYSICIAN'S COMPENSATION AS WELL AS THE TOTAL WORK RELATIVE VALUE UNITS (RVUS) ARE COMPARED TO THE SURVEY DATA. COMPENSATION FOR OTHER NON-OFFICER AND NON-PHYSICIAN KEY EMPLOYEES IS REVIEWED BY SENIOR EXECUTIVES WHO TAKE MARKET VALUE RESEARCH INTO CONSIDERATION WHEN DETERMINING COMPENSATION LEVELS. MANAGEMENT JOBS ARE ASSIGNED TO PAY RANGES WHERE THE MIDPOINT IS ALIGNED TO THE 50TH PERCENTILE OF SALARY SURVEY DATA. UPON HIRE, MANAGEMENT SALARIES ARE BASED UPON APPLICABLE SKILLS AND EXPERIENCE RELEVANT TO THE JOB AND PAY RANGE. MERIT INCREASES ARE AWARDED ANNUALLY THEREAFTER BASED UPON PERFORMANCE. OFF-CYCLE ADJUSTMENTS MAY BE PROVIDED DUE TO MARKET MOVEMENT TO ENSURE ALIGNMENT WITH THE COMPETITIVE MARKET. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORMS 990 AND 990-T ARE AVAILABLE UPON WRITTEN REQUEST TO THE CHIEF FINANCIAL OFFICER OF OCHSNER CLINIC FOUNDATION. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE AUDIT SERVICES DEPARTMENT OF OCHSNER CLINIC FOUNDATION. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) - ADDITIONAL COMP: COMPENSATION FROM INTEGRATED HEALTH SYSTEM EACH OF THE OFFICERS/DIRECTORS LISTED IN PART VII AND SCHEDULE J HOLD POSITIONS WITH RELATED 501(C)(3) ORGANIZATIONS. FOR EACH OF THESE INDIVIDUALS, THE COMPENSATION LISTED IS RECEIVED FROM THE RELATED ORGANIZATION. THE AMOUNT OF TIME SHOWN FOR EACH AS "AVERAGE HOURS PER WEEK" IN PART VII, SECTION A, LINE 1A, COLUMN (B), CONSISTS PRIMARILY OF EACH OFFICER'S TIME SPENT ON THE OFFICER'S ROLE WITH THE ORGANIZATION. THE REMAINDER OF EACH OFFICER'S TIME IS SPENT FULFILLING RESPONSIBILITIES THROUGH THEIR ROLES WITH THE RELATED ORGANIZATION AND/OR IS MORE EVENLY DISTRIBUTED ACROSS ALL ORGANIZATIONS IN THE INTEGRATED HEALTH SYSTEM. FORM 990, PART VI, LINE 14 - WRITTEN DOCUMENTATION RETENTION & DESTRUCTION: THERE ARE DOCUMENT RETENTION POLICIES FOR VARIOUS DEPARTMENTS, THOUGH A SINGLE DOCUMENT RETENTION POLICY APPLICABLE TO THE SYSTEM AS A WHOLE DOES NOT EXIST. FORM 990, PART XII, LINE 2C THE ORGANIZATION IS A SUBSIDIARY OF OCHSNER CLINIC FOUNDATION (TIN# 72-0502505), AND IS THUS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF OCHSNER CLINIC FOUNDATION. OCHSNER CLINIC FOUNDATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. IN ADDITION, OCHSNER CLINIC FOUNDATION HAS A COMMITTEE FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. ACADIA GENERAL HOSPITAL INC OCHSNER ACADIA GENERAL HOSPITAL 1305 CROWLEY RAYNE HWY CROWLEY LA 70526 464958152 HOSPITAL LA 501(C)(3) LINE 3 LAFAYETTE GENERAL HEALTH SYSTEM INC OCHSNER LAFAYETTE GENERAL 1 BRENT HOUSE CORPORATION 1512 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 720872457 RENTS HOTEL ROOMS TO PATIENTS/GUESTS OF OCHSNER FACILITIES. LA 501(C)(3) LINE 12A, I OCHSNER CLINIC FOUNDATION 1 CAMP BON COEUR INC (END 082023) 300 RIDGE ROAD STE K LAFAYETTE LA 70506 581710741 CAMP FOR PEDIATRIC CARDIOVASCULAR PATIENTS LA 501(C)(3) LINE 7 LAFAYETTE GENERAL HEALTH SYSTEM INC OCHSNER LAFAYETTE GENERAL 1 EBR MEDICAL FACILITIES INC 1514 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 471267935 REAL ESTATE TITLE HOLDING COMPANY DE 501(C)(3) OCHSNER CLINIC FOUNDATION 1 KAPLAN GENERAL HOSPITAL INC ABROM KAPLAN MEMORIAL HOSPITAL 1214 COOLIDGE BLVD LAFAYETTE LA 70503 472540179 HOSPITAL LA 501(C)(3) LINE 3 LAFAYETTE GENERAL HEALTH SYSTEM INC OCHSNER LAFAYETTE GENERAL 1 KEMPER CAH INC OCHSNER STENNIS HOSPITAL 1314 19TH AVENUE MERIDIAN MS 39301 271757642 PROVIDING HEALTH CARE SERVICES MS 501(C)(3) LINE 3 RUSH HEALTH SYSTEMS INC OCHSNER RUSH HEALTH 1 LAFAYETTE GENERAL FOUNDATION INC OCHSNER LAFAYETTE GENERAL FOUNDATION 1214 COOLIDGE BLVD LAFAYETTE LA 70503 371766778 FOUNDATION LA 501(C)(3) LINE 12A, I LAFAYETTE GENERAL HEALTH SYSTEM INC OCHSNER 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