2025-05-13T12:57:40-05:00 2024-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST STE 600 FT WORTH TX 76102 990 2023-07-01 364774713 LSU HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE LSUH 3186758533 1541 KINGS HIGHWAY SHREVEPORT LA 71103 JOHN SHAUGHNESSY CFO 3186260990 2025-05-13 1 0 MELVA SCOTT P01207335 8173351900 2023 2025-03-06 01:10:19Z OCHSNER LSU PHYSICIAN GROUP DR KEITH WHITE 1541 KINGS HIGHWAY SHREVEPORT LA 71103 204817693 0 X N/A X 2013 LA SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT 8 5 0 0 0 0 0 0 207020717 201450829 0 3355065 0 0 207020717 204805894 10000 0 0 0 853562 775841 0 0 0 184276683 185990937 185140245 186766778 21880472 18039116 219897114 326126157 154745664 242935591 65151450 83190566 X NO BOARD APPROVED MISSION STATEMENT 0 0 151374882 201450829 LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE (LSUHSC-SFGP) IS THE HEALTHCARE PROVIDER ORGANIZATION FOR THE PUBLIC-PRIVATE PARTNERSHIP BETWEEN THE STATE OF LOUISIANA, LSU HEALTH SCIENCES CENTER-SHREVEPORT (LSUHSC-S) AND OCHSNER HEALTH. LSUHSC-S FGP IS A PHYSICIAN-LED GROUP PRACTICE OF GREATER THAN 400 PROVIDERS COMPRISED OF MORE THAN 60 SPECIALTIES AND SUB-SPECIALTIES WORKING TO ADVANCE THE CLINICAL MISSION OF THE ACADEMIC MEDICAL CENTER, AND ITS PARTNER HOSPITALS AND CLINICS, WITH A FOCUS ON IMPROVING COMMUNITY HEALTH THROUGH ALIGNMENT OF CARE GOALS. LSUHSC-S FGP PROVIDES PROFESSIONAL HEALTHCARE SERVICES RANGING FROM DIGITAL AND TELEHEALTH TO COMPLEX TRAUMATIC INJURY SURGICAL CARE FOR PATIENTS OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA, WHICH REPRESENTS THE ONLY LEVEL I AND LEVEL III TRAUMA CENTERS IN THE ARK-LA-TEX REGION. LSUHSC-S FGP FACILITATES COLLABORATION AMONG CLINICAL DEPARTMENTS AND PROVIDERS SO THAT RESOURCES CAN BE DIRECTED TOWARD QUALITY OUTCOMES AND PATIENT SAFETY. 151374882 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 1 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN SHAUGHNESSY 3186260990 1541 KINGS HIGHWAY SHREVEPORT LA 71103 CHARLES D DAIGLE DIRECTOR (END 10/31/2023) 1.00 5.00 X 0 0 0 CINDY RIVES DIRECTOR (END 06/30/2024) 0.00 5.00 X 0 0 0 KEITH WHITE MD CEO / BOARD CHAIR (BEG 10/11/23) 1.00 5.00 X X 0 0 0 CHARLES J FOX III MD CEO / BOARD CHAIR (END 10/11/23) 25.00 25.00 X X 0 0 0 VINCENT ADOLPH MD DIRECTOR 1.00 0.00 X 0 0 0 DAVID GUZICK DIRECTOR 1.00 5.00 X 0 0 0 JEFF REYNOLDS INTERIM CFO / DIRECTOR 1.00 49.00 X X 0 0 0 LEONARDO SEOANE DIRECTOR 1.00 5.00 X 0 0 0 CORWIN HARPER DIRECTOR 1.00 49.00 X 0 0 0 JOHN SHAUGHNESSY DIRECTOR 10.00 40.00 X 0 0 0 JEN KATZMAN DIRECTOR (BEG 06/30/2024) 5.00 0.00 X 0 0 0 MIKE HULEFELD DIRECTOR (END 10/2023) 0.00 5.00 X 0 0 0 PATRICK BICKNELL EXECUTIVE DIRECTOR / VP 50.00 0.00 X 0 226383 41884 SHELLEY S TYNAN SECRETARY 1.00 5.00 X 0 0 0 LAURI WALTON FORMER OFFICER 10.00 40.00 X 0 202055 32676 SHANNON PHAGAN FORMER HIGHEST COMP 50.00 0.00 X 0 147151 25292 0 575589 99852 0 1 1 0 0 PATIENT SERVICE REVENUE 621110 201450829 199086304 2364525 201450829 3366864 3366864 11799 -11799 -11799 -11799 204805894 199086304 0 5719590 X 676025 676025 56842 56842 42974 42974 4871141 4871141 179982563 149461808 30520755 604 604 174427 174427 279535 279535 186219 186219 177 177 81430 81430 250 250 RECRUITING 353625 353625 MEMBERSHIPS & SUBSCRIPT 26875 26875 LICENSES AND TAXES 1203 1203 32888 32888 186766778 151374882 35391896 0 1191205 1005009 41276881 28900000 12746624 7778156 854934 740396 195968 114538 164486436 288328454 219897114 326126157 1475454 1238769 65937 0 153204273 241696822 154745664 242935591 X 65151450 83190566 65151450 83190566 219897114 326126157 18039116 0 X X 0 1 X 1 0 X 1853443 1065702 2919145 103764401 141130722 184171414 207020717 201450829 837538083 105617844 141130722 185237116 207020717 201450829 840457228 0 0 0 840457228 91322 3366864 3458186 91322 3366864 3458186 105617844 141222044 185237116 207020717 204817693 843915414 0.99590 0.99990 0.00410 0.00010 X 551349 462562 88787 303585 277834 25751 114538 DUE FROM OLHSNL 288165751 ROU OPER REAL ESTATE LEASES 162703 288328454 DUE TO LSUHSC 12385635 LT LEASE LIABILITY RE 63494 CURRENT RE OPER LEASE LIAB 99121 DUE TO OLHSNL 229148572 241696822 X PART X, LINE 2: THE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: OLHS-NL QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PURSUANT TO LOUISIANA LAW, THIS EXEMPTION ALSO APPLIES TO LOUISIANA STATE INCOME AND FRANCHISE TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEET. 0 0 0 0 0 0 0 1 0 PATRICK BICKNELL EXECUTIVE DIRECTOR / VP 0 196532 0 29311 0 540 0 13015 0 28870 0 268268 0 0 LAURI WALTON FORMER OFFICER 0 175846 0 24956 0 1253 0 11839 0 20837 0 234731 0 0 SHANNON PHAGAN FORMER HIGHEST COMP 0 136321 0 10555 0 275 0 9233 0 16058 0 172442 0 0 PART I, LINE 7 THE INCENTIVE PLANS INCLUDE A SUBJECTIVE COMPONENT BASED ON PERSONAL PERFORMANCE, WHICH SLIGHTLY AFFECTS THE AMOUNT OF INCENTIVE PAYMENT. THERE IS DISCRETION AS TO THE AMOUNT OF INCENTIVE COMPENSATION FOR SENIOR MANAGEMENT. SCH J, PT I, LN 3 - ARRANGEMENT USED TO ESTABLISH TOP MGMT OFFICIAL'S COMP ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA'S CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM 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. PART I, LINE 1 LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE (LSUHSC-S FGP) PROVIDES HEALTHCARE TO THE GENERAL PUBLIC, INCLUDING, BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTHCARE SERVICES TO INDIVIDUALS. LSUHSC-S FGP RECEIVES COMPENSATION FOR THESE SERVICES FROM THE MEDICARE AND MEDICAID PROGRAMS, CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS AND DIRECTLY FROM PATIENTS. FORM 990, PART VI, SECTION A, LINE 3 THE CORPORATION HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH OLH OPERATIONAL MANAGEMENT COMPANY, LLC, A LOUISIANA LIMITED LIABILITY COMPANY. OCHSNER CLINIC FOUNDATION, AN EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF OLH OPERATIONAL MANAGEMENT COMPANY, LLC, AND OLH OPERATIONAL MANAGEMENT COMPANY, LLC IS DISREGARDED FOR FEDERAL TAX PURPOSES. OLH OPERATIONAL MANAGEMENT COMPANY LLC PROVIDES MANAGEMENT, BILLING AND COLLECTION, AND OTHER ADMINISTRATIVE SUPPORT. THE CORPORATION HAS ENTERED INTO AN ADMINISTRATIVE SUPPORT AGREEMENT WITH CLINICAL OPERATIONAL MANAGEMENT COMPANY, LLC, A LOUISIANA LIMITED LIABILITY COMPANY. OCHSNER CLINIC FOUNDATION, AN EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF CLINICAL OPERATIONAL MANAGEMENT COMPANY, LLC, AND CLINICAL OPERATIONAL MANAGEMENT COMPANY, LLC IS DISREGARDED FOR FEDERAL TAX PURPOSES. CLINICAL OPERATIONAL MANAGEMENT COMPANY PROVIDES PHYSICIAN PRACTICE MANAGEMENT AND RELATED ADMINISTRATIVE AND SUPPORT SERVICES TO PHYSICIAN PRACTICES SUCH AS THE FACULTY PRACTICE. THE DIRECTORS APPOINTED TO THE BOARD THAT ARE EMPLOYED AS EXECUTIVES AND PHYSICIANS BY OCHSNER CLINIC FOUNDATION DID NOT RECEIVE ANY ADDITIONAL COMPENSATION BY THE MANAGEMENT COMPANY FOR THEIR DUTIES. THE FOLLOWING INDIVIDUALS WERE COMPENSATED AS EXECUTIVES AND PHYSICIANS BY THE MANAGEMENT COMPANY: 1. CHARLES DAIGLE - $164,503 2. LEONARDO SEOANE - $0 3. CORWIN HARPER - $628,829 4. JOHN SHAUGHNESSY - $217,865 5. SHELLEY SULLIVAN TYNAN - $0 6. VINCENT ADOLPH - $0 7. JEFF REYNOLDS - $500,749 8. MIKE HULEFELD - $0 9. KEITH WHITE - $0 FORM 990, PART VI, SECTION A, LINE 6 LSU-HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE IS A WHOLLY OWNED SUBSIDIARY OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA, A RELATED 501(C)(3) ORGANIZATION, AND A SUPPORTED ORGANIZATION. LSU-HEALTH SCIENCES CENTER - SHREVEPORT FACULTY GROUP PRACTICE IS ORGANIZED ON A NON-STOCK MEMBERSHIP BASIS, AND AS OF OCTOBER 1, 2018 THE SOLE MEMBER OF THE CORPORATION IS OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA. FORM 990, PART VI, SECTION A, LINE 7B IN THE EVENT OF A FINAL VOTE THAT RESULTS IN A DEADLOCK, THE DIRECTORS MAY BRING THE MATTER BEFORE THE MEMBER AND THE BOARD OF DIRECTORS OF THE MEMBER WILL MAKE THE FINAL DETERMINATION ON THE MATTER, CONSISTENT WITH SECTION 4.14N OF THESE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO THE FULL BOARD OF DIRECTORS ONCE REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA AND ITS SUBSIDIARIES AND AFFILIATES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, OR WITHIN 40 DAYS OF BECOMING AN EMPLOYEE, OR IF A CURRENT EMPLOYEE HAS A CHANGE IN BUSINESS CIRCUMSTANCES NOT PREVIOUSLY DISCLOSED. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR REVIEWS DISCLOSURES AND DETERMINES WHETHER ACTION IS NECESSARY OR IF THE DISCLOSURE NEEDS TO BE REVIEWED BY THE CONFLICT OF INTEREST STEERING COMMITTEE. THE CONFLICT OF INTEREST PROGRAM ADMINISTRATOR, IN CONJUNCTION WITH THE CONFLICT OF INTEREST STEERING COMMITTEE, WILL MAKE MITIGATION RECOMMENDATIONS, INCLUDING, BUT NOT LIMITED TO, DIVESTITURE AND TERMINATION OF BUSINESS RELATIONSHIPS. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA REQUIRES ANNUAL CERTIFICATION THAT THE RELATIONSHIPS DISCLOSED DURING A PRECEDING CALENDAR YEAR ARE COMPLETE AND ACCURATE. FORM 990, PART VI, SECTION B, LINE 15 ALL OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA CEO AND OFFICER COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING SALARY AND BONUS INCENTIVE PLANS, ARE REVIEWED BY OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM UNDER ITS AGREEMENT TO PROVIDE MANAGEMENT SERVICES. OCHSNER CLINIC FOUNDATION'S EXECUTIVE TEAM 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. 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 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 220,170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,170. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 149,461,808. MANAGEMENT AND GENERAL EXPENSES 20,211,780. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,673,588. COLLECTION AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 343. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 343. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,088,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,088,462. FORM 990, PART XII, LINE 2C OVERSIGHT AND SELECTION PROCESS: THE PROCESS REGARDING THE COMMITTEE RESPONSIBLE FOR THE AUDIT, REVIEW, OR COMPILATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNT HAS NOT CHANGED FROM THE PRIOR YEAR. OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA 1541 KINGS HIGHWAY SHREVEPORT LA 71103 831605004 PATIENT CARE LA 501(C)(3) LINE 3 N/A 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA D 288165751 INTERCOMPANY BILLINGS - MKT VALUE OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA M 20211780 INTERCOMPANY BILLINGS - MKT VALUE OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA L 35825754 INTERCOMPANY BILLINGS - MKT VALUE OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA E -229148572 INTERCOMPANY BILLINGS - MKT VALUE