2024-11-14T10:17:27-06:00 2023-12-31 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 1000 RIDGELAND MS 39157 990 2023-01-01 720535375 LAFAYETTE GENERAL MEDICAL CENTER INC LAFA 3372897398 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 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 LAFAYETTE GENERAL MEDICAL CENTER AL PATIN 1214 COOLIDGE BOULEVARD LAFAYETTE LA 70503 696382241 0 X HTTPS://WWW.OCHSNER.ORG X 1911 LA TO RESTORE, MAINTAIN, AND IMPROVE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 21 11 0 105 3557278 1256627 225942 2585 559401788 671951462 45653 109 538449 9919280 560211832 681873436 105610 113404 0 0 223516737 242609848 0 0 52 347873310 389813482 571495657 632536734 -11283825 49336702 682046797 709029379 69868509 47975574 612178288 661053805 TO RESTORE, MAINTAIN, AND IMPRIVE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 602573522 113404 623565596 PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL DURING FYE 12/31/23 WERE: 489 LICENSED BEDS, 125,820 TOTAL PATIENT DAYS, 62,239 EMERGENCY ROOM VISITS, 6,072 INPATIENT SURGERIES AND 11,303 OUTPATIENT SURGERIES. 602573522 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 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 21 11 1 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 BRAD BROUSSARD MD TRUSTEE (END 2/2023) 1.00 1.00 X 0 40198 0 CASEY HOYT TRUSTEE 1.00 2.00 X 0 198 0 CHRIS RADER TRUSTEE (BEG 2/2023) 1.00 1.00 X 0 0 0 CLAY ALLEN EMERITUS TRUSTEE NON-VOTING 1.00 1.00 X 0 0 0 DAVID WILSON TRUSTEE 1.00 6.00 X 0 56192 0 EDWARD YERGER TRUSTEE (BEG 2/2023) 1.00 49.00 X 0 2490432 1557826 FRANK WALKER TREASURER 1.00 1.00 X X 0 508 0 JARED S QUOYESER TRUSTEE & CHAIRMAN 1.00 7.00 X X 0 55410 0 JENNIFER JACKSON EDD TRUSTEE 1.00 1.00 X 0 0 0 JERRY VASCOCU TRUSTEE 1.00 2.00 X 0 0 0 JOHN P SCHUTTE MD TRUSTEE & VICE CHAIR 1.00 49.00 X X 0 478530 29981 JULIE BROUSSARD MD CHIEF OF STAFF, TRUSTEE (BEG 1/2023) 1.00 49.00 X 0 773709 24362 JUSTIN BACK TRUSTEE (BEG 2/2023) 1.00 1.00 X 0 0 0 MARY ELLEN HENRY TRUSTEE & SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL HULEFELD TRUSTEE 1.00 49.00 X 0 3305352 483357 MOLLY B THOMAS MD TRUSTEE 1.00 49.00 X 0 770610 34783 PEGGY GIGLIO TRUSTEE 1.00 3.00 X 0 515 0 PETE NOVEMBER TRUSTEE 1.00 49.00 X 0 4183651 852128 RAMESH KOLLURU TRUSTEE 1.00 1.00 X 0 489 0 RESHMA BHANUSHALI MD TRUSTEE (BEG 2/2023) 1.00 49.00 X 0 360086 6973 RICKY MINIEX TRUSTEE 1.00 1.00 X 0 830 0 ROBERT HART MD TRUSTEE 1.00 49.00 X 0 2701841 213244 WAYNE CESTIA MD TRUSTEE 1.00 1.00 X 0 198 0 WILLIAM H FENSTERMAKER EMERITUS TRUSTEE NON-VOTING 1.00 1.00 X 0 0 0 AL J PATIN EVP - CEO LGMC 0.00 50.00 X 0 626587 56713 KIM L HEBERT CHIEF FINANCIAL OFFICER - LGMC 0.00 50.00 X 0 320926 6973 DAVID L CALLECOD FORMER TRUSTEE 0.00 0.00 X 0 931604 0 BRADLEY J CHASTANT MD FORMER CHIEF OF STAFF, TRUSTEE 0.00 50.00 X 0 394210 20335 PATRICK W GANDY CHIEF EXECUTIVE OFFICER-LGHS 0.00 50.00 X 0 999885 101516 DAMON E PATTERSON FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 875433 17240 JAMIE JOSEPH MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 844900 7057 JASON A BREAUX MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 885072 103630 MEGAN E DAIGLE FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 872628 15573 MICHAEL S CAIN MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 879668 28292 0 22849662 3559983 0 1 1 0 0 2585 2585 PATIENT REVENUE 621990 671951462 621503808 2958542 47489112 671951462 109 109 200874 0 200874 200874 200874 14508805 -14508805 -14508805 MANAGEMENT SERVICES REVENUE 541610 21581252 148932 21432320 EQUITY INCOME - JOINT VENTURES 523000 2511592 2061788 449804 ADMINISTRATIVE SUPPORT 561000 132356 132356 2011 2011 24227211 681873436 623565596 3557278 54747977 113404 113404 205217914 199613966 5603948 4463224 4283762 179462 19876474 19058945 817529 13052236 12657240 394996 126737444 126220011 517433 77903 69758 8145 60663568 47011037 13652531 151010 148577 2433 7070162 6872015 198147 642373 593326 49047 13324775 7967933 5356842 111017 107918 3099 148711 140533 8178 20834 1633531 -1612697 8128784 6086293 2042491 563 563 MED SUPPL, ORGANS, DRUG 157544725 157323799 220926 UBIT -39235 -39235 BLDG EQUIPMENT RPR MAIN 6657865 5316597 1341220 48 LICENSES AND TAXES 4249655 4272280 -22625 4323328 3082597 1240727 4 632536734 602573522 29963160 52 443136 1003366 78455813 72157055 233964 213743 20875776 20580376 1523701 987292 67410399 27781233 25165384 39629166 5356929 5341509 492434 492434 549499660 568624438 682046797 709029379 35915470 24511394 2836096 0 7089274 5290569 24027669 18173611 69868509 47975574 X 612178288 661053805 612178288 661053805 682046797 709029379 X 49336702 -61 -461124 X X 0 1 X 1 0 X X 0 0 0 0 0 0 602573522 1100520028 602573522 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 PART II-A, LINE 1A ALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH THE AMERICAN HOSPITAL ASSOCIATION AND THE LOUISIANA HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THESE TWO ORGANIZATIONS ARE USED. 15049937 1641967 13407970 150300 72480 77820 49182208 26066786 23115422 3027954 3027954 39629166 DUE FROM RELATED PARTIES 526749064 COST REPORT ASSETS 21031103 RIGHT OF USE ASSETS 20275473 OTHER LONG TERM ASSETS 568798 568624438 EMBEDDED LEASE ASSETS 4463710 LONG TERM FINANCE REAL ESTATE 646854 LONG TERM LIABILITY EQUIPMENT 9877574 CONSTRUCTION RETENTION 75707 A/R GENERAL RESERVES 3109766 18173611 X PART X, LINE 2: THE MAJORITY OF OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(A) AND ARE DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND 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 STATUTE OF LIMITATIONS REMAINS OPEN FOR TAX YEARS 2020 THROUGH 2023 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 1 X 0 1 0 1 1 4884391 4884391 0.00770 4884391 4884391 0.00770 3529070 3065260 463810 0.00070 24478463 3133165 21345298 0.03370 41000 41000 0.00010 28048533 6198425 21850108 0.03450 32932924 6198425 26734499 0.04220 1 6166883 125500936 130406908 -4905972 X 1 1 3 1 LAFAYETTE GENERAL MEDICAL CENTER INC 1214 COOLDGE BLVD LAFAYETTE LA 70503 207 X X X X A 2 LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL 2810 AMBASSADOR CAFFERY PARKWAY LAFAYETTE LA 70506 X X A 3 LAFAYETTE GENERAL SURGICAL HOSPITAL LLC 1000 W PINHOOK RD LAFAYETTE LA 70503 X A FACILITY REPORTING GROUP A 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 PART 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 V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: LAFAYETTE GENERAL MEDICAL CENTER INC., - FACILITY 2: LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL, - FACILITY 3: LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC FACILITY REPORTING GROUP A 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 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, BOYS AND GIRLS CLUBS OF ACADIANA AND UNITED WAY OF ACADIANA. THESE INCLUDED MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE CHNA WAS ADOPTED BY ITS BOARD IN OCTOBER 2021 AND THE RELATED IMPLEMENTATION STRATEGY WAS ADOPTED BY THE BOARD IN AUGUST 2022. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: OCHSNER ABROM KAPLAN MEMORIAL HOSPITAL, OCHSNER ACADIA GENERAL 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, OUT LADY OF LOURDES WOMEN'S & CHILDREN HSOPITAL, AND PARK PLACE SURGICAL CENTER.THERE IS A JOINT COMMUNITY HEALTH NEEDS ASSESSEMMENT AND IMPLEMENTATION STRATEGY. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: 2023 UPDATE ON 2022 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.* EXPLORING OPTIONS FOR ADDITIONAL SATELLITE CLINICS.* 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.PRIORITY AREA 2 & 3. CANCER & DIABETES: * PARTNERED AND RECRUITED TO EXPAND HEMATOLOGY ONCOLOGY, GYN ONCOLOGY, BREAST, HEAD AND NECK, AS WELL AS RADIOLOGY PROVIDERS.* RESEARCHED ADDITIONAL OPTIONS FOR SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILY MEMBERS. PRIORITY AREA 4 & 5. HEALTH EDUCATION/LITERACY & HEALTH DISPARITIES:* COLLABORATING WITH HEALTHY STATE, OCHSNER LAFAYETTE GENERAL TRAINED INDIVIDUALS AND FURTHERED HEALTH EQUITY THROUGH DIVERSITY, EQUITY AND INCLUSION TRAINING PROGRAM AND REGIONAL DEI COUNCIL.* ADDRESSING SOCIAL DETERMINANTS OF HEALTH IN ASSESSMENT PROCESSES FOR IP AND OP CLINIC PATIENTS.* OCHSNER ACTIVELY PARTICIPATING WITH THE LOCAL LAFAYETTE GOVERNMENT AND CATHOLIC CHARITIES FOR THE HOMELESS TO HOUSED PROJECT.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.* EXPANDED REFERRALS BETWEEN SLEEP SPECIALISTS AS WELL AS WITH PRIMARY CARE PROVIDERS.* EXPANDED HEALTHY MEAL CHOICES ON CAMPUS PROVIDED TO EMPLOYEES AND VISITORS, INCLUDING HEALTHY GRAB AND GO MEAL OPTIONS UNTIL 10PM.PRIORITY AREA 8 & 9. MATERNAL AND CHILD HEALTH & MENTAL/BEHAVIORAL HEALTH: * WOMEN'S HEALTH SERVICE EXPANSION TO CROWLEY.* SUCCESSFULLY LAUNCHED "RESOURCES FOR DEVELOPING MINDS" ON JUNE 1, 2023. WILL BE ABLE TO DISTRIBUTE AN ESTIMATED 3550 BAGS YEAR 1 TO OLGMC FAMILIES.* PARTICIPATION IN PANELS TO ADDRESS SUD/OUD STIGMA AT THE LDH REGION 4 AND WOMEN'S FOUNDATION EVENTS.* INCREASED TRAINING ON RESOURCES FOR TREATING OPIOID 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.* COMMUNITY BENEFITS AD HOC COMMITTEE INCLUDING LAW ENFORCEMENT LEADERS AND MENTAL HEALTH PROVIDERS TO ADDRESS FIRST RESPONDERS' MENTAL HEALTH NEEDS. FACILITY REPORTING GROUP A 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. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: THE POLICY IS INCLUDED IN PATIENT BILLING STATEMENTS. 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 7B MEDICAID. DIRECT OFFSETTING REVENUE IS MEDICAID REIMBURSEMENT FOR CLINIC LOCATIONS. COMMUNITY BENEFIT EXPENSE IS THE MEDICAID REVENUE MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE CLINICS, TO APPROXIMATE THE COST TO PROVIDE MEDICAID SERVICES. MEDICAID NET REVENUE IS THE DIRECT OFFSETTING REVENUE.LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONSINCLUDES DIRECT EXPENSE INCLUDING EMPLOYEE PAYROLL FOR COMMUNITY INITIATIVES.LINE 7F EDUCATION AND LINE 7H RESEARCHCALCULATED FROM THE STATEMENT OF PROFIT & LOSS FOR EACH DIVISION. RESEARCH INCLUDES ONLY THE PUBLIC RESEARCH CONDUCTED.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. PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER LAFAYETTE GENERAL PLAYED A VITAL ROLE STRENGTHENING COMMUNITY AND GOVERNMENT PARTNERSHIPS ACROSS LOUISIANA AND THE NATION. 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. OCHSNER IMPROVED COMMUNITY HEALTH AND FOSTERED INCLUSIVITY IN MANY WAYS INCLUDING ROBUST WORK TO COMBAT OPIOID ADDICTION AND ABUSE IN RURAL COMMUNITIES.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 WITH AN IMPRESSIVE 29% AVERAGE WASTE DIVERSION RATE AT OCHSNER LAFAYETTE GENERAL MEDICAL CENTER. 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 LAFAYETTE GENERAL MEDICAL CENTERGEOGRAPHICAL REGION: ACADIA, EVANGELINE, IBERIA, JEFFERSON DAVIS, LAFAYETTE, ST. LANDRY, ST. MARTIN, ST. MARY, AND VERMILION PARISHESNUMBER OF BEDS: 435 (INCLUDING THOSE AT SATELLITE BEHAVIORAL HEALTH UNIT)APPROXIMATE POPULATION: 688,852SERVICE AREA TYPE: PARTIALLY RURALAVERAGE INCOME OF POPULATION: $44,312.78PERCENTAGE OF PATIENTS UNINSURED OR MEDICAID RECIPIENTS: 10% AVERAGED BETWEEN PARISHESDESIGNATED MEDICALLY UNDERSERVED AREA: YES ALL PARISHES ARE MEDICALLY UNDERSERVED WITH RATINGS RANGING FROM 34.1-61.3 IMU, INCLUDING LOW INCOME AND HIGH NEEDS DESIGNATIONS PART VI, LINE 5: IMPROVING COMMUNITY HEALTH AND FOSTERING INCLUSIVITY* OCHSNER LAFAYETTE GENERAL CONTINUED DEVELOPMENT OF COMMUNITY HEALTH CENTERS IN UNDERSERVED AREAS ACROSS LOUISIANA.* DEI TEAM DEEPENED EMPLOYEE ENGAGEMENT AROUND DEI GOALS & OBJECTIVES, AND EXPANDED TRAINING PROGRAMS, INCLUDING FURTHER DEEPENING OF SOCIAL DETERMINANTS OF HEALTH INTO ASSESSMENTS. * 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. * LEAD COMMUNITY IN NUTRITION EDUCATION BY BEING AN EXAMPLE OF A BUSINESS WITH HEALTH MENU OPTIONS ACROSS CAMPUSES AND INCORPORATED EAT FIT OPTIONS INTO LOCAL RESTAURANT MENUS.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. * OLGMC CONVENED AD HOC COMMITTEE COMPRISED OF A BROAD RANGE OF LAW ENFORCEMENT LEADERS AND MENTAL HEALTH PROVIDERS TO BEGIN TO ADDRESS FUNDING FOR MENTAL HEALTH FOR FIRST RESPONDERS. * 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. * RECRUITED FOR SPECIALIZED MEDICAL PERSONNEL SUPPLYING THE DEMAND FOR ADVANCED CAREERS IN THE REGION AS WELL AS THE TRICKLE-DOWN ECONOMIC BENEFITS TO THE COMMUNITY THAT COME FROM EDUCATION AND FAMILY INCOME.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. 0 AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA GA 30303 131788491 501(C)3 25000 0 DONATION LAFAYETTE YOUTH SOCCER ASSOCIATION INC 200 SONNY ROY LANE LAFAYETTE LA 705075906 581902571 501(C)3 65000 0 DONATION MILES PERRET CANCER SERVICES 2130 KALISTE SALLOM ROAD LAFAYETTE LA 70508 753023211 501(C)3 12000 0 DONATION 3 0 X X X X 1 1 1 1 0 0 0 0 0 0 0 PETE NOVEMBER TRUSTEE 0 1986279 0 2130600 0 66772 0 824717 0 27411 0 5035779 0 0 MICHAEL HULEFELD TRUSTEE 0 1464426 0 1790000 0 50926 0 459105 0 24252 0 3788709 0 0 ROBERT HART MD TRUSTEE 0 1241890 0 1375000 0 84951 0 194300 0 18944 0 2915085 0 0 EDWARD YERGER TRUSTEE (BEG 2/2023) 0 898304 0 37333 0 1554795 0 6800 0 22054 0 2519286 0 1528972 PATRICK W GANDY CHIEF EXECUTIVE OFFICER-LGHS 0 691421 0 277384 0 31080 0 77533 0 23983 0 1101401 0 0 JASON A BREAUX MD FORMER HIGHEST COMPENSATED 0 841476 0 1500 0 42096 0 82668 0 20962 0 988702 0 0 DAVID L CALLECOD FORMER TRUSTEE 0 0 0 0 0 931604 0 0 0 0 0 931604 0 0 MICHAEL S CAIN MD FORMER HIGHEST COMPENSATED 0 876135 0 1500 0 2033 0 6800 0 21492 0 907960 0 0 DAMON E PATTERSON FORMER HIGHEST COMPENSATED 0 789276 0 1500 0 84657 0 6800 0 10440 0 892673 0 0 MEGAN E DAIGLE FORMER HIGHEST COMPENSATED 0 756421 0 1500 0 114707 0 6800 0 8773 0 888201 0 0 JAMIE JOSEPH MD FORMER HIGHEST COMPENSATED 0 830486 0 1500 0 12914 0 6800 0 257 0 851957 0 0 MOLLY B THOMAS MD TRUSTEE 0 748298 0 1500 0 20812 0 6800 0 27983 0 805393 0 0 JULIE BROUSSARD MD CHIEF OF STAFF, TRUSTEE (BEG 1/2023) 0 731478 0 4833 0 37398 0 3400 0 20962 0 798071 0 0 AL J PATIN EVP - CEO LGMC 0 439629 0 160423 0 26535 0 29718 0 26995 0 683300 0 0 JOHN P SCHUTTE MD TRUSTEE & VICE CHAIR 0 457597 0 1500 0 19433 0 6800 0 23181 0 508511 0 0 BRADLEY J CHASTANT MD FORMER CHIEF OF STAFF, TRUSTEE 0 382937 0 1500 0 9773 0 3400 0 16935 0 414545 0 0 RESHMA BHANUSHALI MD TRUSTEE (BEG 2/2023) 0 344595 0 1500 0 13991 0 6800 0 173 0 367059 0 0 KIM L HEBERT CHIEF FINANCIAL OFFICER - LGMC 0 249291 0 64375 0 7260 0 6800 0 173 0 327899 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 4 BOARD MEMBERS AND OFFICERS, AND 2 OF THE KEY 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, 5 EXECUTIVES RECEIVED THIS ALLOWANCE. 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 $931,604.18 SCHEDULE J PART I, LINE 4B THE FOLLOWING PEOPLE PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH IS PART OF THE TERMS AND CONDITIONS OF THEIR EMPLOYMENT CONTRACTS WITH OCHSNER CLINIC FOUNDATION AND IS BASED ON A TARGETED REPLACEMENT OF A SET PERCENTAGE OF THEIR SALARY AT AGE 65. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THIS BENEFIT IS FUNDED IN A TRUST ACCOUNT WITH HANCOCK WHITNEY BANK. FOLLOWING IS A LIST OF PARTICIPANTS, THEIR TITLE WITH THE SPONSORING ORGANIZATION, AND ANY DISTRIBUTIONS MADE IN 2023: * PETER C NOVEMBER, CHIEF EXECUTIVE OFFICER; NO DISTRIBUTION. * MICHAEL F HULEFELD, PRESIDENT AND CHIEF OPERATING OFFICER; NO DISTRIBUTION. GBR LLC BRAD BROUSSARD, CHIEF OF STAFF, IS AN OWNER OF GBR LLC 3455792 LAFAYETTE GENERAL MEDICAL CENTER, INC. HAS ENTERED INTO A CONTRACT WITH INTERESTED PERSON TO PROVIDE INTESIVISTS SERVICES, LUNG MASS CLINIC MANAGEMENT SERVICES, PULMONARY COVERAGE SERVICES AND TO PROVIDE FACULATY FOR GRADUATE MEDICAL EDUCATION PROGRAM 0 ACADIANA ORTHOPEDIC PROPERTIES LLC JOHN SCHUTTE MD IS A TRUSTEE OF LGHS AND IS A MEMBER OF AOP, LLC 121907 LAFAYETTE GENERAL MEDICAL CENTER, INC HAS ENTERED INTO A LEASE AGREEMENT WITH INTERESTED PERSON TO PROVIDE OFFICE BUILDING SPACE.LAFAYETTE MEDICAL CENTER, INC HAS ENTERED INTO A LEASE AGREEMENT WITH INTERESTED PERSON TO PROVIDE OFFICE BUILDING SPACE. 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES, CLAY ALLEN AND DAVID WILSON ARE INVOLVED IN SEPARATE BUSINESS VENTURES TOGETHER THAT ARE WHOLLY UNRELATED TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A 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, LINE 1A PAYMENTS TO THE PHYSICIANS THAT SERVE AS TRUSTEES WERE REPORTED ON A 1099-MISC IN BOX 6 OR A W-2. ALL SUCH PAYMENTS WERE IN CONSIDERATION FOR PROVIDING CALL COVERAGE IN OUR EMERGENCY ROOM OR SERVING AS MEDICAL DIRECTORS FOR VARIOUS HOSPITAL DEPARTMENTS. NO PAYMENTS WERE MADE IN THEIR CAPACITY AS TRUSTEE. FORM 990, PART XI, LINE 9: MERGER OF OIL CENTER SURGICAL PLAZA -461,124. 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. 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