2025-11-14T18:50:28-06:00 2024-12-31 201941244 HORNE LLP 661 SUNNYBROOK ROAD STE 100 RIDGELAND MS 39157 990 2024-01-01 383646817 LAFAYETTE GENERAL HEALTH SYSTEM INC LAFA 3372897398 920 W PINHOOK LAFAYETTE LA 70503 JIM MOLLOY OCF EVP, CFO, TREASURER 5048424097 2025-11-14 1 AMIE WHITTINGTON DEAN CPA P01082167 6013261000 2024 2025-03-06 01:10:19Z OCHSNER LAFAYETTE HEALTH SYSTEM PATRICK GANDY 920 W PINHOOK LAFAYETTE LA 70503 307006899 0 X HTTPS://WWW.OCHSNER.ORG X 2002 LA THE ORGANIZATION WAS ORGANIZED FOR THE BENEFIT AND SUPPORT OF ITS RELATED 501(C)(3) HEALTH CARE ENTITIES WHICH PROVIDE MEDICAL CARE TO RESTORE, MAINTAIN AND IMPROVE THE HEALTH OF THE COMMUNITY IN WHICH IT SERVES 20 13 0 11 310657 0 0 0 72753454 75542830 9234642 4643535 176343335 221242276 258331431 301428641 88072 213359 0 0 58762729 66844777 0 0 0 193151143 226143194 252001944 293201330 6329487 8227311 1189645345 1173185797 778561320 752739751 411084025 420446046 THE ORGANIZATION WAS ORGANIZED FOR THE BENEFIT AND SUPPORT OF ITS RELATED 501(C)(3) HEALTH CARE ENTITIES WHICH PROVIDE MEDICAL CARE TO RESTORE, MAINTAIN AND IMPROVE THE HEALTH OF THE COMMUNITY IN WHICH IT SERVES. 0 0 191540935 213359 66074859 LAFAYETTE GENERAL HEALTH SYSTEM, INC. THE PARENT ENTITY OF LAFAYETTE GENERAL MEDICAL CENTER, INC., ST. MARTIN HOSPITAL, INC., UNIVERSITY HOSPITAL AND CLINICS, ACADIA GENERAL HOSPITAL, LAFAYETTE HEALTH VENTURES, INC., LAFAYETTE GENERAL FOUNDATION, AND KAPLAN GENERAL HOSPITAL PROVIDED SUPPORT OF THE MISSIONS OF THESE 501(C)(3) ORGANIZATIONS AND THIER RELATED ORGANIZATIONS DURING THE YEAR. THESE HOSPITALS PROVIDE NEEDED MEDICAL CARE TO THE COMMUNITY. THE HEALTH SYSTEMS ALSO PROVIDES MANAGEMENT SUPPORT FOR THESE ORGANIZATIONS. THE REVENUE RECORDED IS THE ORGANIZATIONS SHARE OF ITS SUBSIDIARIES' EARNINS FOR THE YEAR, AS WELL AS MANAGEMENT FEES PAID BY THE OTHER ORGANIZATION TO THE HEALTH SYSTEM. 56409789 223258636 COMMUNITY MEDICAL CARE PROVIDER. THE ORGANIZATION PROVIDES NEEDED MEDICAL CARE TO THE PARISH REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDE INPATIENT AND OUTPATIENT CARE IN FURTHERANCE OF THE ORGANIZATION'S HEALTHCARE MISSION.PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL DURING FYE 12/31/24 WERE: 47 LICENSED BEDS, 8,2211 TOTAL PATIENT DAYS, 14,781 EMERGENCY ROOM VISITS, 450 INPATIENT SURGERIES AND 1,113 OUTPATIENT SURGERIES. 247950724 1 0 0 1 0 0 0 0 0 0 1 1 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 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 20 13 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 CASEY HOYT TRUSTEE 1.00 2.00 X 0 67 67 CHRIS RADER TRUSTEE 1.00 1.00 X 0 69 69 CLAY ALLEN EMERITUS TRUSTEE NON-VOTING 1.00 1.00 X 0 0 0 DAVID WILSON TRUSTEE 1.00 6.00 X 0 64643 64643 EDWARD YERGER TRUSTEE 1.00 49.00 X 0 1076882 33156 FRANK WALKER TREASURER 1.00 1.00 X X 0 2093 2093 JARED S QUOYESER TRUSTEE & CHAIRMAN 1.00 7.00 X X 0 66668 66668 JENNIFER JACKSON EDD TRUSTEE (END 1/2024) 1.00 1.00 X 0 0 0 JERRY VASCOCU TRUSTEE 1.00 2.00 X 0 0 0 JULIE BROUSSARD MD CHIEF OF STAFF, TRUSTEE (END 12/24) 1.00 49.00 X 0 903262 28003 MARY ELLEN HENRY TRUSTEE & SECRETARY 1.00 1.00 X X 0 67 67 MICHAEL HULEFELD TRUSTEE 1.00 49.00 X 0 3695085 510933 MOLLY B THOMAS MD TRUSTEE 1.00 49.00 X 0 817757 35489 PEGGY GIGLIO TRUSTEE 1.00 3.00 X 0 67 67 PETE NOVEMBER TRUSTEE (END 3/2024) 1.00 49.00 X 0 6112385 899128 RAMESH KOLLURU TRUSTEE 1.00 1.00 X 0 67 67 RESHMA BHANUSHALI MD TRUSTEE 1.00 49.00 X 0 372554 6973 RICKY MINIEX TRUSTEE (END 2/2025) 1.00 1.00 X 0 67 67 ROBERT HART MD TRUSTEE 1.00 49.00 X 0 4182299 556267 WAYNE CESTIA MD TRUSTEE 1.00 1.00 X 0 0 0 COREY JACK TRUSTEE (BEGIN 02/2024) 1.00 1.00 X 0 1860 1860 MATTHEW BLOCK TRUSTEE (BEGIN 03/2024) 1.00 49.00 X 0 856282 28426 JENNIFER EAST TRUSTEE (BEGIN 02/2024) 1.00 1.00 X 0 0 0 PATRICK W GANDY EVP,CEO LGHS, PRESIDENT 0.00 50.00 X 0 1109496 109051 AMANDA C LOGUE MD SVP/REGIONAL MEDICAL DIRECTOR 0.00 50.00 X 0 707490 62215 ROGER MATTKE SVP/CHIEF FINANICAL OFFICER - LGHS 0.00 50.00 X 0 691835 77561 DAVID L CALLECOD FORMER OFFICER AND TRUSTEE 0.00 0.00 X 0 919789 2213 ZIAD ASHKAR TRUSTEE (BEGIN 02/2024) 1.00 49.00 X 0 764494 26050 ADAM KENNEDY MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 1156352 26549 BRIAN E ETIER JR FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 1299715 36456 MOHAMAD A ALLAM FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 3197542 36440 PAUL BUZHARDT FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 1145341 35890 VICTOR E TEDESCO FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 481975 10639 0 29626203 2657107 0 1 1 0 0 PATIENT SERVICE REVENUE 621110 76261186 76016060 245126 EQUITY INCOME - JOINT VENTURE 523000 -718356 -781667 63311 75542830 3770917 3770917 4768595 0 4768595 4768595 4768595 872618 0 872618 872618 872618 7876260 5578258 2298002 2298002 ADMINISTRATIVE SUPPORT 561000 214101322 214099102 2220 LEGAL CLAIM SETTLEMENT 900099 74357 74357 214175679 301428641 289333495 310657 11784489 213359 213359 56245808 45336853 10908955 1276609 1028838 247771 5867470 4729327 1138143 3454890 2762853 692037 112717072 112716773 299 137001 8471 128530 37756 37756 123097 123097 22372882 20277223 2095659 48665 -31728 80393 5112925 4857448 255477 4900596 4443267 457329 15040245 11950264 3089981 274348 136782 137566 210790 77454 133336 13302803 9772118 3530685 32149313 16425090 15724223 5387132 21716 5365416 MED SUPPL, ORGANS, DRUG 7529893 7511859 18034 BLDG EQUIPMENT RPR MAIN 4917511 4188733 728778 LICENSES AND TAXES 1317528 1174854 142674 MBERSHIPS & SUBSCRIPTIO 326146 31933 294213 237491 194140 43351 293201330 247950724 45250606 0 3047320 929366 13511808 19721132 1304578 1640416 4181942 1343796 458609632 107733057 371018052 350876575 33611631 35406445 125959377 131079335 18125551 16451551 618885086 615737181 1189645345 1173185797 9436236 5800634 5757387 69476 763367697 746869641 778561320 752739751 X 411084025 420446046 411084025 420446046 1189645345 1173185797 8227311 2423308 -1288598 0 X X 0 1 X 1 0 X X 6 UNIVERSITY HOSPITAL AND CLINICS INC 462605366 3 1 29033679 0 ACADIA GENERAL HOSPITAL INC 464958152 3 1 9705018 0 KAPLAN GENERAL HOPSITAL INC 472540179 3 1 4946096 0 ST MARTIN HOSPITAL INC 264626264 3 1 7194781 0 LAFAYETTE GENERAL MEDICAL CENTER INC 720535375 3 1 107266449 0 LAFAYETTE HEALTH VENTURES INC 721006966 3 1 6885049 0 6 165031072 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 0 0 0 0 0 0 247950724 1182126283 247950724 1182126283 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 48325 48325 250000 250000 250000 250000 1000000 1500000 48325 48325 12308250 12308250 344676253 55820210 288856043 4511021 1039371 3471650 72655225 39106050 33549175 24458883 11767426 12691457 350876575 INVESTMENT IN HIF 2 1285001 C POOLED INVESTMENTS 129794334 C 131079335 INVESTMENT IN LAFAYETTE HEALTH VENTURES -46583142 INVESTMENT IN LAFAYETTE GENERAL MEDICAL CENTER 563985811 INVESTMENT IN UNIVERSITY HEALTH & CLINICS -16900477 INVESTMENT IN ACADIA GENERAL HOSPITAL 6881469 INVESTMENT IN LAFAYETTE FOUNDATION 6047342 INVESTMENT IN ABROM KAPLAN MEMORIAL HOSPITAL 13001496 INVESTMENT IN ST. MARTIN HOSPITAL 34414241 INVESTMENT IN MTS - LGHS -2008976 NET RIGHT OF USE OPERATING LEASE ASSETS 36440139 DEPOSITS 24167 CSV OF EXEC-KEY LIFE INSURANCE 600186 INVEST IN TRANSDELTA LLC 103332 ROU FIN EQUIP LEASES 228998 RIGHT OF USE ASSET 416538 ROU FIN REAL ESTATE LEASES 18228251 LONG TERM LEASE RECEIVABLE 5986 MEDICAID SETTLEMENT 851820 615737181 DUE TO RELATED PARTY 687953264 RIGHT OF USE 58068724 POST RETIREMENT 330312 457F DEFERRED COMP PLAN 517341 746869641 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 2021 THROUGH 2024 IN OCHSNER'S MAIN TAX JURISDICTIONS. 1 1 1 X 0 1 0 1 1 817982 817982 0.00280 817982 817982 0.00280 272158 272158 0.00090 1261420 727962 533458 0.00180 101551 280 101271 0.00030 1635129 728242 906887 0.00300 2453111 728242 1724869 0.00580 1 2531093 9134003 11378687 -2244684 X 1 1 1 1 OCHSNER AMERICAN LEGION HOSPITAL 1634 ELTON ROAD JENNINGS LA 70546 2203785368 X X X OCHSNER AMERICAN LEGION HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE STATEMENT X 1 24 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 OCHSNER AMERICAN LEGION HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY-WIDE SURVEYS, FOCUS GROUPS, AND INTERVIEWS. OVERALL, ROUGHLY 486 COMMUNITY MEMBERS CONTRIBUTED FROM MAY 1 - MAY 30, 2024. THE 2024 JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY UNITED WAY OF ACADIANA, A NONPROFIT WORKING ON HEALTH, EDUCATION, AND FINANCIAL STABILITY IN THE REGION. COMMUNITY STAKEHOLDERS THAT CONTRIBUTED INCLUDED HEALTHCARE COMMUNITY ADVOCATES, NONPROFITS, LOCAL GOVERNMENT AND PUBLIC HEALTH OFFICIALS, COMMUNITY-BASED ORGANIZATIONS, HEALTHCARE PROVIDERS, AND COMMUNITY HEALTH CENTERS. EXAMPLES INCLUDE BLACK CATHOLIC MINISTRIES OF DIOCESE OF LAFAYETTE, THE FAMILY TREE, BEACON COMMUNITY CONNECTIONS, AND UNITED WAY SOUTHWEST LOUISIANA. THESE INCLUDED MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SUCH AS LOCAL TRIBES. HEALTH DATA WAS ALSO SOURCE FROM THE LOUISIANA HEALTH STATE ASSESSMENT. THE CHNA WAS APPROVED BY THE BOARD IN DECEMBER 2024. THE LATEST IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD DECEMBER 2022. OCHSNER AMERICAN LEGION HOSPITAL 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, OUT LADY OF LOURDES WOMEN'S & CHILDREN HOSPITAL, AND PARK PLACE SURGICAL CENTER.THERE IS A JOINT COMMUNITY HEALTH NEEDS ASSESSEMMENT AND IMPLEMENTATION STRATEGY. OCHSNER AMERICAN LEGION HOSPITAL PART V, SECTION B, LINE 6B: YES, THE CHNA WAS CONDUCTED BY A NON-PROFIT CONTRACTOR.UNITED WAY OF ACADIANA OCHSNER AMERICAN LEGION HOSPITAL PART V, SECTION B, LINE 11: 2024 UPDATE ON 2022 JOINT COMMUNITY HEALTH IMPLEMENTATION PLANALL SIGNIFICANT NEEDS WERE ADDRESSED THROUGH THE JOINT IMPLEMENTATION PLAN.PRIORITY AREA 1 & 2. ACCESS TO PRIMARY CARE & RURAL HEALTH:*FINANCIAL COUNSELORS ASSISTED COMMUNITIES WITH MEDICAID ENROLLMENT. * ISSUED MEDIA TO EMPHASIZE PRIMARY CARE. BEGAN ONLINE SCHEDULING (ACHIEVED GOAL OF 6% IN 2024.)* COMMUNITY HEALTH WORKERS ASSISTED AT RURAL FACILITIES WITH DISEASE MANAGEMENT IN CONJUNCTION WITH GRANT. PRIORITY AREA 2 & 3. CANCER & DIABETES: *9 HEALTH FAIRS ACROSS THE REGION PROVIDING OVER 250 SCREENINGS TO BOOST PREVENTION. *TELEHEALTH SERVICES AT FOR FACILITIES WITHOUT SPECIALISTS IN HOSPITAL MEDICINE/PSYCHIATRY/CARDIOLOGY/ NEPHROLOGY/NICU. PRIORITY AREA 4 & 5. HEALTH EDUCATION/LITERACY & HEALTH DISPARITIES:* 27 REGIONAL COMMUNITY EVENTS EDUCATING 5,933 ATTENDEES. * 110 SPEAKING ENGAGEMENTS IMPACTING AN AUDIENCE OVER 6,000 PEOPLE REGIONALLY. * REGIONAL EMPLOYEES VOLUNTEERED 41 HOURS TO HELP WITH FOOD DRIVES AND FOOD SECURITY EVENTS. *UPON BIRTH DISTRIBUTED LITERACY, LEARNING BAGS AND EDUCATION TO FAMILIES TO TRACK DEVELOPMENT.PRIORITY AREA 6 & 7. HEART DISEASE AND STROKE & WEIGHT STATUS AND NUTRITION (OBESITY):*HEALTHY OPTIONS PROVIDED IN CAFETERIAS AND VENDING MACHINES TO PROMOTE BETTER NUTRITION. (ALL)*GREW DIGITAL MEDICINE AROUND CHRONIC HEART DISEASE AND STROKE IN PARTNERSHIP WITH CARDIOVASCULAR INSTITUTE OF THE SOUTH.PRIORITY AREA 8 & 9. MATERNAL AND CHILD HEALTH & MENTAL/BEHAVIORAL HEALTH: *ADDRESSED SOCIAL DETERMINANTS OF HEALTH IN ASSESSMENT PROCESSES FOR IP AND OP CLINIC PATIENTS AND MADE REFERRALS TO PARTNER BEACON TO ASSIST AT-RISK LOW-INCOME COMMUNITY MEMBERS WITH ANCILLARY SERVICES TO DECREASE STRESSORS/RISK FACTORS FOR POOR MENTAL HEALTH OUTCOMES. *REFERRALS TO BEACON FOR AT-RISK LOW-INCOME INDIVIDUALS FOR SERVICES TO DECREASE STRESSORS/RISK FACTORS FOR POOR MENTAL HEALTH OUTCOMES. *HOSTED MULTIPLE MENTAL HEALTH COMMUNITY EVENTS REGARDING SUBSTANCE ABUSE DISORDER.*EDUCATED STUDENTS AND FACULTY ON SUBSTANCE ABUSE DISORDER, OPIOID ADDICTION AND MENTAL HEALTH.*EXPANDED WOMEN'S SERVICES. OCHSNER AMERICAN LEGION HOSPITAL 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. OCHSNER AMERICAN LEGION HOSPITAL PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. OCHSNER AMERICAN LEGION HOSPITAL PART V, SECTION B, LINE 16J: THE POLICY IS INCLUDED IN PATIENT BILLING STATEMENTS. 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, LINE 9 COMMUNITY HEALTH IMPLEMENTATION PLAN THE COMMUNITY HEALTH IMPLEMENTATION PLAN WAS INADVERTENTLY ADOPTED LATE. THE ERROR WAS CORRECTED 5/20/2024, WHICH WAS PRIOR TO THE DISCOVERY OF THE ERROR, AT THE REGULARLY SCHEDULED BOARD MEETING SUBSEQUENT TO THE COMPLETION OF THE CHIP. THE CHIP WAS PREPARED, AND THE DEADLINE FOR BOARD ADOPTION WAS COMMUNICATED TO THE HOSPITAL MANAGEMENT, BUT AN ADMINISTRATIVE ERROR RESULTED IN LATE ADOPTION. THE ORGANIZATION HAS PUT IN PLACE A STANDARD OPERATING PROCEDURE (SOP) FOR THE DEADLINE THAT THE CHIP MUST BE APPROVED, WHICH WILL BE COMMUNICATED WITH THE HOSPITAL CEO AND SENIOR LEADERSHIP INVOLVED IN THE CHNA PROCESS, AND WILL BE FOLLOWED GOING FORWARD. THE ORGANIZATION IS COMMITTED TO COMPLIANCE WITH SECTION 501(R), AND HAS CONSISTENTLY COMPLETED THE CHNAS AND IMPLEMENTATION STRATEGIES ON TIME. ITS LATE COMPLETION OF THE CHNA IMPLEMENTATION PLAN WAS A ADMINISTRATIVE OVERSIGHT, AND ONLY RESULTED IN A VERY BRIEF DELAY IN APPROVAL. 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. 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. ADDITIONALLY AMERICAN LEGION CREDENTIALED ADDITIONAL PROVIDERS AND RECRUITED FOR AN ADDITIONAL OB/GYN. LACTATION CONSULTANTS EDUCATED PATIENTS ON NURSING WHICH IS OFTEN KNOWLEDGE FURTHER SHARED THROUGHOUT FAMILIES AND COMMUNITIES. SIMILARLY, A CLINICAL DIETICIAN ENGAGES WITH PATIENTS TO PROVIDE SUPPORT AND EDUCATION REGARDING NUTRITION THAT SUPPORTS OPTIMAL HEALTH WHICH ALSO IS OFTEN COMMUNICATED THROUGHOUT FAMILIES AND EMPOWERS EVERYONE TOWARDS A HEALTHIER LIFESTYLE. FINALLY AMERICAN LEGION PARTICIPATED IN REGIONAL HEALTH FAIRS COMMUNICATING HEALTHY CHOICES TO FAMILIES. ALSO PARTICIPATING IN THE PREVENTION AND RECOVERY PROGRAM FOR OVERDOSE VICTIMS THAT PRESENT TO OUR EMERGENCY DEPARTMENT WITH LABRIDGE. THEY PROVIDE NAVIGATORS TO THE PATIENTS THAT PRESENT TO OUR SERVICES WITH ADDICTION PROBLEMS. THERE IS ALSO A PRIMARY CARE CLINIC OWNED BY OALH THAT PROVIDES TREATMENT FOR MAT/OPIOID PATIENTS. CURRENTLY PARTNERED WITH BEACON TO DESIGN A 24/7 COMMUNITY OUTREACH FOR FAMILIES AND PATIENTS WITH ADDICTION DISORDER. 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 THUS REDUCE 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 AMERICAN LEGION HOSPITAL* GEOGRAPHICAL REGION: JENNINGS, LA; JEFFERSON DAVIS PARISH* NUMBER OF BEDS: 49* APPROXIMATE POPULATION: 31,436* SERVICE AREA TYPE: RURAL* MEDIAN HOUSEHOLD INCOME: $56,500* PERCENTAGE OF PERSONS WITHOUT HEALTH INSURANCE: 8.3%* 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. * PARTNERING WITH UNITED WAY OF ACADIANA TO INCREASE EDUCATION ON EARLY BRAIN DEVELOPMENT.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.* DEEPENING PARTNERSHIP WITH BEACON TO ADDRESS MENTAL HEALTH SERVICE AND RESOURCE ACCESS.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. 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. * RECRUITING FOR OB/GYN AND MENTAL HEALTH PROVIDERS. CREDENTIALED PROVIDERS. 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 1,700 BOARD CERTIFICATIONS IN APPROXIMATELY 90 SPECIALTIES, TRAINS OVER 1,100 MEDICAL RESIDENTS AND FELLOWS ANNUALLY. IN 2024, MORE THAN 1.4 MILLION PEOPLE FROM ALL 50 STATES AND 63 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. 1 DISCOVER LAFAYETTE LLC 201 EAST VERMILION STREET LAFAYETTE LA 70501 462587625 501(C)(6) 30000 0 GENERAL ASSISTANCE ONE ACADIANA INC PO BOX 51307 LAFAYETTE LA 705051307 720232780 501(C)(6) 23000 0 GENERAL ASSISTANCE BEACON COMMUNITY CONNECTIONS INC 2600 JOHNSON STREET SUITE 330 LAFAYETTE LA 70503 831455134 501(C)(3) 10000 0 GENERAL ASSISTANCE HOSPICE OF ACADIANA INC 2600 JOHNSTON STREET SUITE 200 LAFAYETTE LA 705033269 720966231 501(C)(3) 10000 0 GENERAL ASSISTANCE OIL CENTER RENAISSANCE ASSOCIATION 304 AUDUBON BLVD SUITE 133 LAFAYETTE LA 70503 721257087 501(C)(4) 10000 0 GENERAL ASSISTANCE MADDIE'S FOOTPRINTS 234 RUE BEAUREGARD LAFAYETTE LA 70508 271874830 501(C)(3) 10000 0 GENERAL ASSISTANCE ON TRACK BY 5 ALLIANCE 326 GAUTHIER ROAD LAFAYETTE LA 70501 726000625 501(C)(6) 10000 0 GENERAL ASSISTANCE COEURS D'ACADIAN FUND 130 E KALISTE SALOOM RD LAFAYETTE LA 70508 872564519 501(C)(3) 9720 0 GENERAL ASSISTANCE UNIV OF LOUISIANA AT LAFAYETTE FOUNDATION INC PO DRAWER 44290 ULL LAFAYETTE LA 70504 726023836 501(C)(4) 7500 0 GENERAL ASSISTANCE HEALING HOUSE 160 SOUTH BEADLE DR LAFAYETTE LA 70508 721314590 501(C)(3) 5500 0 GENERAL ASSISTANCE 5 5 PART I, LINE 2: CHARITABLE DONATIONS ARE MADE TO LOCAL NON-PROFIT ORGANIZATIONS THAT PARALLEL OUR HEALTH MISSION IN THE COMMUNITY. THESE CHARITIES MUST ALSO BETTER THE SOCIETY BY LEADING WITH PURPOSE AND SERVING WITH PASSION. USE OF GRANT FUNDS IS MONITORED BY THE NORMAL ACCOUNTS PAYABLE PROCESS THAT THE ORGANIZATION HAS IN PLACE. IN ADDITION, THE ORGANIZATION IDENTIFIES PRIORITY GRANTS THROUGH ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND THERE IS A COMMITTEE TO ENSURE GRANTS ARE BEING AWARDED ACCORDING TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. 1 1 1 0 0 0 0 0 0 0 PETE NOVEMBER TRUSTEE (END 3/2024) 0 2082283 0 3910000 0 120102 0 866860 0 32268 0 7011513 0 0 ROBERT HART MD TRUSTEE 0 1312705 0 2200000 0 669594 0 205550 0 23717 0 4411566 0 327000 MICHAEL HULEFELD TRUSTEE 0 1536541 0 2100000 0 58544 0 481963 0 28970 0 4206018 0 0 MOHAMAD A ALLAM FORMER HIGHEST COMPENSATED 0 1269948 0 1500 0 1926094 0 6800 0 29640 0 3233982 0 0 BRIAN E ETIER JR FORMER HIGHEST COMPENSATED 0 1258571 0 1500 0 39644 0 6800 0 29656 0 1336171 0 0 PATRICK W GANDY EVP,CEO LGHS, PRESIDENT 0 714166 0 290309 0 105021 0 80362 0 28689 0 1218547 0 0 ADAM KENNEDY MD FORMER HIGHEST COMPENSATED 0 1139714 0 1500 0 15138 0 6800 0 19749 0 1182901 0 0 PAUL BUZHARDT FORMER HIGHEST COMPENSATED 0 1111697 0 1500 0 32144 0 6800 0 29090 0 1181231 0 0 EDWARD YERGER TRUSTEE 0 1007285 0 43600 0 25997 0 6800 0 26356 0 1110038 0 0 JULIE BROUSSARD MD CHIEF OF STAFF, TRUSTEE (END 12/24) 0 866378 0 1500 0 35384 0 3400 0 24603 0 931265 0 0 DAVID L CALLECOD FORMER OFFICER AND TRUSTEE 0 58790 0 0 0 860999 0 0 0 2213 0 922002 0 0 MATTHEW BLOCK TRUSTEE (BEGIN 03/2024) 0 803215 0 0 0 53067 0 0 0 28426 0 884708 0 0 MOLLY B THOMAS MD TRUSTEE 0 805657 0 1500 0 10600 0 6800 0 28689 0 853246 0 0 ZIAD ASHKAR TRUSTEE (BEGIN 02/2024) 0 758821 0 1500 0 4173 0 6800 0 19250 0 790544 0 0 AMANDA C LOGUE MD SVP/REGIONAL MEDICAL DIRECTOR 0 486837 0 176362 0 44291 0 32138 0 30077 0 769705 0 0 ROGER MATTKE SVP/CHIEF FINANICAL OFFICER - LGHS 0 503295 0 131943 0 56597 0 48210 0 29351 0 769396 0 0 VICTOR E TEDESCO FORMER HIGHEST COMPENSATED 0 326606 0 0 0 155369 0 6800 0 3839 0 492614 0 0 RESHMA BHANUSHALI MD TRUSTEE 0 360239 0 1500 0 10815 0 6800 0 173 0 379527 0 0 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 2024, PURSUANT TO THE TERMS OF A SEPARATION AGREEMENT: * DAVID L CALLECOD, FORMER OFFICER, IN THE AMOUNT OF $859,942 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 2024: * PETER C NOVEMBER, CHIEF EXECUTIVE OFFICER; NO DISTRIBUTION. * MICHAEL F HULEFELD, PRESIDENT AND CHIEF OPERATING OFFICER; NO DISTRIBUTION 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 2024: * PATRICK GANDY; $69,949 * AMANDA LOGUE; $24,446 * ROGER MATTKE; $40,541 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 PREDETERMINED ANNUAL AMOUNT AND SUBJECT TO A SPECIFIED VESTING SCHEDULE FOR EACH PARTICIPANT. FOLLOWING IS A LIST OF PARTICIPANTS AND ANY DISTRIBUTIONS MADE IN 2024: * MOHAMED ALLAM; $1,900,000 SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN LAFAYETTE GENERAL'S CHIEF FINANCIAL OFFICER, ROGER MATTKE, IS PROVIDED WITH A LIFE INSURANCE POLICY WHEREBY PREMIUMS ARE PAID BY THE EMPLOYER, AND PREMIUMS WILL BE RECOVERED AT DEATH OR TERMINATION OF THE AGREEMENT. THE PREMIUMS ARE INCLUDED AS TAXABLE COMPENSATION. TAXATION IS DETERMINED UNDER THE "ECONOMIC BENEFIT" REGIME, UNDER THE "GRANDFATHERING" RULES SET FORTH IN IRS NOTICE 2002-8. 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 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 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 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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