Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
LSU HEALTH SCIENCES CENTER - NEW ORLEANS |
726087770 | 6 | Yes | 105,690,564 | 0 | |
|
Total 1
|
105,690,564 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART I, LINE 11, COLUMN V | THE TOTAL AMOUNT OF MONETARY SUPPORT OF $105,690,564 INCLUDES THE REIMBURSEMENT OF CLINICAL AND ADMINISTRATIVE SERVICES AND LEASED FACULTY EXPENSE PROVIDED BY LSU HEALTH SCIENCE CENTER - NEW ORLEANS TO LSU SCHOOL OF MEDICINE FACULTY GROUP, FUNDS FOR THE RENOVATION AND DEVELOPMENT OF FACULTY OFFICES IN THE RENOVATED INTERIM LOUISIANA HOSPITAL, AND FUNDS TO ASSIST LSU HEALTH SCIENCES CENTER DURING THE CORONAVIRUS OUTBREAK. IT ALSO INCLUDES THE LSU SCHOOL OF MEDICINE FACULTY GROUP SUPPORT PAYMENT TO LSU HEALTH SCIENCE CENTER'S MEDICAL SCHOOL ENHANCEMENT FUND AS WELL AS GRANTS TO LSU HEALTH SCIENCE CENTER. |
| PART IV, SECTION A, LINE 2: | THE SUPPORTED ORGANIZATION IS LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER WHICH IS A COMPONENT OF THE LOUISIANA STATE UNIVERSITY SYSTEM AND AS A RESULT IS NOT REQUIRED TO RECEIVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1) OR (2). THE UNIVERSITY SYSTEM IS CONSIDERED A GOVERNMENTAL ENTITY OF THE STATE OF LOUISIANA. |
| PART IV, SECTION D, LINE 3: | THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE (LSUHN) IS A SUPPORTING ORGANIZATION OF LSU HEALTH SCIENCES CENTER - NEW ORLEANS (LSUHSC). ITS PURPOSE IS TO PROVIDE MEDICAL, EDUCATIONAL, AND RESEARCH FUNCTIONS FOR LSUHSC. IF IT DID NOT ENGAGE IN THESE ACTIVITIES, LSUHSC WOULD HAVE TO PROVIDE THEM ITSELF. LSUHN'S FINANCE AND EXECUTIVE COMMITTEES ARE CONTROLLED BY LSUHSC AND THIS ENABLES LSUHSC TO HAVE A SIGNIFICANT VOICE IN THE OPERATIONS OF LSUHN. AS SUCH, THESE COMMITTEES CONTROL THE USE OF THE INCOME AND ASSETS OF LSUHN AND PAYMENTS MADE TO LSUHSC. IN ADDITION, THE FINANCE COMMITTEE SETS THE INVESTMENT POLICIES OF LSUHN. LSUHN IS CONSIDERED A BLENDED COMPONENT UNIT OF THE UNIVERSITY SYSTEM AND IS INCLUDED IN THE LOUISIANA STATE UNIVERSITY SYSTEM FINANCIAL STATEMENTS. THE COMPONENT UNIT IS INCLUDED IN THE REPORTING ENTITY BECAUSE OF THE SIGNIFICANCE OF ITS OPERATIONAL AND FINANCIAL RELATIONSHIPS WITH THE LSU SYSTEM AND THE LSUHSC. THIS BLENDING PROVIDES THE LSU SYSTEM AND LSUHSC WITH FULL KNOWLEDGE OF THE FINANCIAL MATTERS OF LSUHN. |
| PART IV, SECTION E, LINE 1C: | THE SUPPORTED ORGANIZATION IS THE LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (LSUHSC), WHICH IS A COMPONENT OF THE LOUISIANA STATE UNIVERSITY SYSTEM, AND IS CONSIDERED A GOVERNMENTAL ENTITY OF THE STATE OF LOUISIANA. THE LSU SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE (LSUHN) IS A PRIVATE ENTITY THAT SUPPORTS THIS GOVERNMENTAL ENTITY. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GROUP PRACTICE, DBA LSU HEALTH NETWORK (LSUHN), ASSISTS THE LSU HEALTH SCIENCES CETNER (LSUHSC) IN CARRYING OUT ITS MEDICAL, EDUCATIONAL, AND RESEARCH FUNCTIONS. LSUHN HELPS LSUHSC ATTAIN ITS MISSION AND GOALS AS THEY RELATED TO THE LSUHSC-NO SCHOOLS OF MEDICINE, ALLIED HEALTH PROFESSIONS, DENTISTRY, NURSING AND PUBLIC HEALTH (COLLECTIVELY, THE HEALTH PROFESSIONAL SCHOOLS) IN THEIR CLINICAL PRACTICES. LSUHN PROVIDES HEALTH CARE TO THE GENERAL PUBLIC INCLUDING, BUT NOT LIMITED TO, THE DELIVERY OF PHYSICIAN MEDICAL SERVICES AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS. LSUHN'S ACTIVITIES INCLUDE SERVICES PROVIDED IN BOTH THE PUBLIC HOSPITALS AND THE PRIVATE CLINICS BY LSUHSC. LSUHN CONTINUES TO PROVIDE CARE TO PATIENTS FORMERLY SEEN IN THE PUBLIC HOSPITAL SYSTEM IN NEW ORLEANS, BATON ROUGE, AND LAFAYETTE, WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. LSUHN 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. HOWEVER, DURING THE YEAR ENDED JUNE 30, 2020, CHARITY CHARGES ENTERED INTO THE BILLING SYSTEM AND ADJUSTED OFF TOTALED OVER $10.3 MILLION. |
| FORM 990, PART VI, SECTION B, LINE 11B | UPON COMPLETION OF THE FINAL DRAFT OF FORM 990, A COPY OF THE DRAFT IS SENT TO MEMBERS OF THE EXECUTIVE/FINANCE COMMITTEE. THE COMBINED COMMITTEE IS THEN CONVENED WITH REPRESENTATIVES OF THE OUTSIDE CPA FIRM TO DISCUSS THE FORM. AFTER ACCEPTANCE BY THE COMMITTEE, THE FORM IS THEN REVIEWED BY THE BOARD OF DIRECTORS. WHEN THIS REVIEW IS COMPLETE, THE FORM IS FILED WITH THE APPLICABLE AGENCIES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES AND TRUSTEES TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATIONS WHICH COULD BE PERCEIVED AS A CONFLICT OF INTEREST. ALL TRUSTEES ARE REQUIRED, AT A MINIMUM, TO DISCLOSE ANY POTENTIAL PERSONAL OR BUSINESS ASSOCIATION WHICH MAY BE A CONFLICT OF INTEREST ON FORMS PROVIDED TO THEM. EMPLOYEES ARE REQUIRED TO DISCLOSE SUCH CONFLICTS WHEN HIRED AND ARE AN ON-GOING REQUIREMENT OF EMPLOYMENT. NEW TRUSTEES AND EMPLOYEES ARE ALSO REQUIRED TO ATTEND AN ORIENTATION WHERE THIS SPECIFIC TOPIC IS DICUSSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF THE ORGANIZATION DOES NOT DETERMINE OR APPROVE THE SALARIES FOR THE RELATED ORGANIZATION EMPLOYEES THAT PARTICIPATE ON THE ORGANIZATION'S BOARD. THE ORGANIZATION IS ALLOCATED A PORTION OF THE CEO AND THE MEDICAL DIRECTOR SALARIES FROM THE RELATED ORGANIZATION FOR THEIR TIME ATTRIBUTED TO THEIR ROLE AT THE ORGANIZATION. SENIOR MANAGEMENT COMPENSATION IS COMPARED TO SURVEYS FOR SIMILAR ORGANIZATIONS IN OUR REGION AND APPROVED BY THE PRESIDENT AND CEO AND REPORTED TO THE EXECUTIVE/FINANCE COMMITTEE AND BOARD. THE EXECUTIVE/FINANCE COMMITTEE AND THE BOARD ARE ALSO NOTIFIED OF CHANGES IN KEY POSITIONS AT THE ORGANIZATION AND THIS IS DOCUMENTED AT ITS MEETINGS IN THE MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES THIS FORM AS WELL AS VARIOUS POLICIES TO THE GENERAL PUBLIC UPON REQUEST. |
| PART X, COLUMN B | ON MAY 5, 2020, LSUHN OBTAINED A LOAN TOTALING $1,979,797 FROM A FINANCIAL INSTITUTION PURSUANT TO THE TERMS OF THE PPP AUTHORIZED BY THE CARES ACT. THE LOAN HAS A FIXED INTEREST RATE OF 1% AND MATURES ON MAY 15, 2022. NO PAYMENTS ARE DUE EFOR THE FIRST SIX MONTHS AND, AFTER TAKING INTO ACCOUNT ANY LOAN FORGIVENESS APPLICABLE TO THE LOAN PURSUANT TO THE PROGRAM, ANY REMAINING PRINCIPAL AND ACCRUED INTEREST WILL BE PAYABLE IN EQUAL MONTHLY INSTALLMENTS ON THE FIRST DAY OF EACH MONTH FOR THE REMAINING 18-MONTH TERM OF THE LOAN. THE CURRENT PORTION OF THIS NOTE PAYABLE AND NOT YET FORGIVEN AT JUNE 30, 2020 IS $779,582. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART VI, LINE 16 | LSUHN HAS AN OWNERSHIP INTEREST IN AND A CONTRACT WITH A FOR PROFIT ENTITY AS PART OF ITS CHARITABLE MISSION. LSUHN SUBMITTED A REQUEST FOR A PRIVATE LETTER RULING AND THE IRS CONCLUDED THAT THIS ARRANGEMENT WOULD HAVE NO EFFECT ON ITS TAX EXEMPT STATUS AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). IN ADDITION, THE IRS CONCLUDED THAT THE INCOME EARNED WOULD BE SUBJECT TO UNRELATED BUSINESS TAX, WHICH HAS BEEN REPORTED ON FORM 990-T. |
| Software ID: | |
| Software Version: |