TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DR WESLEY BRYAN...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(2) DR PATRICK GREIFFENSTEIN...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(3) DR PAUL DU TREIL...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(4) PINKI PRASAD MD...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(5) LEON J TREY REYMOND III...................................................................... EX-OFFICIO, PAST CHAIR	1.00 .................	X	X	0	0
(6) BOYSIE BOLLINGER...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(7) DR ROBERT MATHENEY...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(8) DR PAUL GLADDEN...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(9) JILL ISRAEL...................................................................... EX-OFFICIO	1.00 .................	X		0	0
(10) CINDY HOWSON WEINMANN...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(11) JULIE LIVAUDAIS GEORGE...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(12) KIM BOYLE...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(13) WILLIAM F VON ALMEN II MD...................................................................... BOARD MEMBER	1.00 ................. 40.00	X		286,976	22,733
(14) SHARONDA WILLIAMS...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(15) MONICA R SYLVAIN PHD...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(16) TERESA LAWRENCE...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(17) ALDEN MCDONALD...................................................................... BOARD MEMBER	1.00 .................	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) DR LEE HAMM........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(19) DOTTIE REESE........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(20) A WHITFIELD HUGULEY IV........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(21) STEPHEN HALES MD........................................................................ BOARD SECRETARY/TREASURER	1.00 .......................	X	X			0	0
(22) FRANK DIVENCENTI MD........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(23) ELWOOD F CAHILL JR........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(24) CHIP CAHILL........................................................................ EX-OFFICIO	1.00 .......................	X				0	0
(25) RALPH O BRENNAN........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(26) MIKE FITTS........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(27) PATRICK NORTON........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(28) KATIE ANDRY CROSBY........................................................................ BOARD MEMBER	1.00 .......................	X				0	0
(29) THEODORE TED LE CLERCQ........................................................................ BOARD VICE CHAIR	1.00 .......................	X	X			0	0
(30) RUTH KULLMAN........................................................................ BOARD CHAIRMAN	1.00 .......................	X	X			0	0
(31) JOHN HEATON MD........................................................................ PRESIDENT OF CLIN. AND SYS	55.00 .......................	X	X			1,083,579	31,962
(32) GREGORY C FEIRN........................................................................ PRESIDENT AND CEO	46.00 .......................9.00	X	X			2,239,340	31,055
(33) BENJAMIN RICHAUD........................................................................ CEO - LAKEVIEW HOSPITAL	1.00 .......................		X			367,518	12,544
(34) TOM PATRIAS........................................................................ CEO - TULANE UNIVERSITY MEDICAL CENTER	0.00 .......................		X			0	0
(35) MAURICE LAGARDE........................................................................ CHIEF OPERATING OFFICER	1.00 .......................		X			841,275	31,063
(36) JOHN NICKENS........................................................................ PRESIDENT OF HOSPITAL SERVICES & CHIEF EXECUTIVE O	1.00 .......................		X			1,620,216	24,540
(37) RICHARD TANZELLA........................................................................ CEO - EJGH	1.00 .......................		X			714,979	17,610
(38) GREGORY NIELSEN........................................................................ CEO -EAST JEFFERSON GENERAL HOSPITAL	55.00 .......................		X			909,345	30,205
(39) JOANN KUNKEL........................................................................ CHIEF FINANCIAL OFFICER	50.00 .......................5.00		X			1,121,644	20,607
(40) SUZZANE HAGGARD........................................................................ CHIEF REVENUE OFFICER	55.00 .......................		X			680,336	20,514
(41) ROBERT CALHOUN........................................................................ CEO - WEST JEFFERSON HOLDI	55.00 .......................			X		604,492	29,507
(42) ROBIN MCGOEY........................................................................ CHIEF ACADEMIC OFFICER	55.00 .......................			X		452,596	33,734
(43) AYAME DINKLER........................................................................ CHIEF ADMINISTRATIVE OFFICER	50.00 .......................5.00			X		302,989	18,943
(44) TANYA KENNEDY........................................................................ CHIEF INFORMATION OFFICER	55.00 .......................			X		407,273	21,473
(45) CHAD COURREGE........................................................................ SVP - HUMAN RESOURCES	55.00 .......................			X		519,970	36,058
(46) CHRISTINE ALBERT........................................................................ SVP - MARKETING & COMMUNICATIONS	55.00 .......................			X		611,599	22,329
(47) SCOTT C LANDRY........................................................................ SR. VP FAC MGT/SUP SVCS-LCMC	55.00 .......................			X		347,733	24,599
(48) JODY MARTIN........................................................................ SVP CHIEF LEGAL OFFICER	55.00 .......................			X		678,922	23,259
(49) ALA MOHSEN........................................................................ PHYSICIAN	40.00 .......................				X	894,336	29,457
(50) ABHINAV SAXENA........................................................................ PHYSICIAN	40.00 .......................				X	916,703	19,865
(51) JAMES PERRIEN........................................................................ PHYSICIAN	40.00 .......................				X	968,012	29,569
(52) RUSSELL RUSSO........................................................................ PHYSICIAN	40.00 .......................				X	958,311	18,817
(53) ORLANDO DEFFER........................................................................ PHYSICIAN	1.00 .......................				X	1,025,940	33,259

(A) Name and business address	(B) Description of services	(C) Compensation
THE LEMOINE COMPANY 300 LAFAYETTE ST 100 NEW ORLEANS,LA70130	CONSTRUCTION	82,033,909
VAYA WORKFORCE SOLUTIONS LLC PO BOX 713427 CHICAGO,IL60677	CONTRACT LABOR	28,664,490
THE ADMINISTRATORS OF THE TULANE EDUCATI 800 E COMMERCE RD SUITE 203 HARAHAN,LA70123	PROFESSIONAL FEES	28,239,826
DELOITTE CONSULTING LLC 701 POYDRAS ST 4200 NEW ORLEANS,LA70139	CONSULTING	22,963,260
ARAMARK SERVICES PO BOX 978839 DALLAS,TX75397	CONTRACTED SERVICES-DIETARY & EVS	14,871,551
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 376

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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 0.015 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 0.035	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization LOUISIANA CHILDREN'S MEDICAL CENTER

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization LOUISIANA CHILDREN'S MEDICAL CENTER		Employer identification number 94-3480131

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization LOUISIANA CHILDREN'S MEDICAL CENTER			Employer identification number 94-3480131
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	930,693
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	930,693
d	Other exempt purpose expenditures ...............................................................................	1,688,486,923
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	1,689,417,616
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	630,841	450,491	639,085	930,693	2,651,110

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	174,547				174,547

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	40,878,099		40,878,099
b	Buildings ....	263,583,976	46,817,415	216,766,561
c	Leasehold improvements	33,338,125	2,971,962	30,366,163
d	Equipment ....	253,818,514	188,320,654	65,497,860
e	Other .....	386,072,678	30,291,765	355,780,913
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				709,289,596

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)OTHER INVESTMENTS	18,294,696	C
(2)INVESTMENTS IN JOINT VENTURES	471,557	C
(3)INVESTMENTS IN SUBSIDIARIES	1,848,830,650	C
(4)INVESTMENT IN PREMIER CLASS A	1,538,010	F
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	1,869,134,913

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
EMPLOYEE BENEFITS	18,149,886
LT LIABILITY	24,299,999
CURRENT LIABILITIES	12,040,936
SELF-INSURANCE RESERVES	22,723,813
DUE TO/FROM RELATED ENTITIES	742,570,410
LT LIABILITY - LEASES	42,831,107



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	862,616,151
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	20,376,280		20,376,280	1.210 %
b	Medicaid (from Worksheet 3, column a) . . . . .	327,407,305	340,101,520	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	347,783,585	340,101,520	20,376,280	1.210 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	17,444,836		17,444,836	1.030 %
f	Health professions education (from Worksheet 5) . . .	35,995,035	27,154,374	8,840,661	0.520 %
g	Subsidized health services (from Worksheet 6) . . . .	1,121,957		1,121,957	0.070 %
h	Research (from Worksheet 7) .	255,120		255,120	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	17,368,263		17,368,263	1.030 %
j	Total. Other Benefits . .	72,185,211	27,154,374	45,030,837	2.670 %
k	Total. Add lines 7d and 7j .	419,968,796	367,255,894	65,407,117	3.880 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			150,000		150,000	0.010 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other			115,250		115,250	0.010 %
10	Total			265,250		265,250	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

86,114,919

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

130,953,625

Enter Medicare allowable costs of care relating to payments on line 5.....

207,066,389

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-76,112,764

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 WEST JEFFERSON INDUSTRIAL MEDICINE LLC	PHYSICIAN PRACTICE	50.000 %	50.000 %
22 WEST JEFFERSON MRI LLC	OUTPATIENT IMAGING FACILITY	50.000 %	50.000 %
33 EAST JEFFERSON SURGERY CENTER LLC	OUTPATIENT SURGERY CENTER	51.000 %	49.000 %
44 GULF SOUTH QUALITY NETWORK LLC	HOLDS PHYSICIAN PRACTICES	50.000 %	50.000 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO,LA70072 WWW.WJMC.ORG 1982090742	X	X		X
2	UNIVERSITY HEALTHCARE SYSTEM 4200 HOUMA BLVD METAIRIE,LA70006 WWW.EJGH.ORG 2203785741	X	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	WEST JEFFERSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/ABOUT-US/COMMUNITY

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WEST JEFFERSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.LCMCHEALTH.ORG/WEST-JEFFERSON-MEDICAL-CENTER/PATIENTS-VISITORS/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	WEST JEFFERSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	WEST JEFFERSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	UNIVERSITY HEALTHCARE SYSTEM
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/FINAL_CHNA_GNOHOSPITALS_12-2

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.LCMCHEALTH.ORG/SUB/59165/DOCUMENTS/EJGH-CHIP_WORKPLAN_2022-OVER

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	UNIVERSITY HEALTHCARE SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR

The FAP application form was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.LCMCHEALTH.ORG/EAST-JEFFERSON-GENERAL-HOSPITAL/PATIENTS-VISITOR

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	UNIVERSITY HEALTHCARE SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	UNIVERSITY HEALTHCARE SYSTEM
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
WEST JEFFERSON MEDICAL CENTER	PART V, SECTION B, LINE 5: DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM O 14 PUBLIC HEALTH EXPERTSO 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, ANDO 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT.
UNIVERSITY HEALTHCARE SYSTEM	PART V, SECTION B, LINE 5: IN 2023, LCMC PURCHASED UNIVERSITY HEALTHCARE SYSTEM, L.C. (UHS) TO FACILITATE THE PURCHASE OF UNIVERSITY HEALTHCARE SYSTEM WHICH INCLUDES TULANE MEDICAL CENTER, LAKESIDE HOSPITAL, AND LAKEVIEW HOSPITAL. SIMULTANEOUSLY ON JANUARY 1, 2023, LCMC HEALTH HOLDINGS, LLC D/B/A EAST JEFFERSON GENERAL HOSPITAL MERGED INTO UNIVERSITY HEALTHCARE SYSTEM, L.C. UHS IS CURRENTLY UNDERWAY WITH ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT BUT HAS FOLLOWED THE GOALS AND PLANS LAID OUT IN THE PRE-EXISTING COMMUNITY HEALTH IMPLEMENTATION PLAN OF LCMC HEALTH HOLDINGS. THE ORGANIZATION IS ANSWERING SCHEDULE H AS IT APPLIES TO THE PRE-EXISTING CHNA PLAN OF LCMC HEALTH HOLDINGS FOR 2023.DATA COLLECTION AND ANALYSIS LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDRENS HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES.COMMUNITY SURVEYBETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENTS PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 3,005 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTHIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED: O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS. QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM O 14 PUBLIC HEALTH EXPERTSO 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, ANDO 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO: 504 HEALTHNET, AMERICAN CANCER SOCIETY, BAYOU DISTRICT FOUNDATION, BOYS AND GIRLS CLUB WESTBANK, CANCER ASSOCIATION OF GREATER NEW ORLEANS, CHILDRENS HOSPITAL, CITY OF KENNER, CITY OF NEW ORLEANS HEALTH DEPARTMENT, COVENANT HOUSE, CRESCENT CITY FAMILY SERVICES, DELGADO COMMUNITY COLLEGE, EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION, GOLDEN OPPORTUNITY, JEFFERSON CHAMBER OF COMMERCE, JEFFERSON PARISH GOVERNMENT, JEFFERSON PARISH SCHOOLS, JEWISH COMMUNITY CENTER, KENNER DISCOVERY HEALTH SCIENCES ACADEMY, LCMC HEALTH, LOUISIANA DEPARTMENT OF HEALTH, METROPOLITAN HUMAN SERVICES DISTRICT, NEW ORLEANS COUNCIL ON AGING, NEW ORLEANS FAMILY JUSTICE CENTER, NEW ORLEANS HEALTH DEPARTMENT, NOLA BABY CAFE, NOLA PUBLIC SCHOOLS, NOLA VILLAGE, OCHSNER HEALTH (INCLUDING RESOURCE GROUPS), OCHSNER HEALTHY SCHOOLS, ODYSSEY HOUSE, SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS, ST. JOHN THE BAPTIST PARISH JUSTICE COURT, STEM NOLA, THE PARENTING CENTER, TULANE SCHOOL OF MEDICINE, VAYLA, AND YOU NIGHT.
WEST JEFFERSON MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:O CHILDRENS HOSPITAL NEW ORLEANSO EAST JEFFERSON GENERAL HOSPITALO NEW ORLEANS EAST HOSPITALO OCHSNER MEDICAL CENTER - NEW ORLEANSO OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTERO OCHSNER MEDICAL CENTER - WEST BANK CAMPUSO OCHSNER MEDICAL CENTER - KENNERO OCHSNER REHABILITATION HOSPITALO RIVER PLACE BEHAVIORAL HEALTH HOSPITALO TOURO INFIRMARYO UNIVERSITY MEDICAL CENTER NEW ORLEANSO WEST JEFFERSON MEDICAL CENTER
UNIVERSITY HEALTHCARE SYSTEM	PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE PRE-EXISTING CHNA FOR EAST JEFFERSON GENERAL HOSPITAL WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:CHILDRENS HOSPITAL NEW ORLEANSEAST JEFFERSON GENERAL HOSPITALNEW ORLEANS EAST HOSPITALOCHSNER MEDICAL CENTER - NEW ORLEANSOCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTEROCHSNER MEDICAL CENTER - WEST BANK CAMPUSOCHSNER MEDICAL CENTER - KENNEROCHSNER REHABILITATION HOSPITALRIVER PLACE BEHAVIORAL HEALTH HOSPITALTOURO INFIRMARYUNIVERSITY MEDICAL CENTER NEW ORLEANSWEST JEFFERSON MEDICAL CENTER
WEST JEFFERSON MEDICAL CENTER	PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY WEST JEFFERSON MEDICAL CENTER (WJMC) ARE HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, ACCESS TO AND CONTINUITY OF CARE, AND EDUCATION AND HEALTH LITERACY.TO ADDRESS THE NEED OF HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, WJMC WILL DEVELOP EXPANDED AND REGULAR EDUCATION TO LEADERS AND STAFF ON IDENTIFYING AND BREAKING DOWN BARRIERS RELATED TO DISCRIMINATION AND IMPROVING HEALTH EQUITY AND RECRUIT A DIVERSE EMPLOYEE POOL THROUGH TRAININGS, RECRUITMENTS AND COMMUNITY PARTNERSHIPS. THIS WILL BE DONE THROUGH IMPLEMENTING AND ATTENDING A SEMINAR NAMED, "AT THE HELM", FOR IDENTIFIED HEALTH SYSTEM LEADERSHIP (AVPS AND ABOVE INITIALLY WITH FUTURE EXPANSION TO ADDITIONAL LEADERSHIP). THE PROGRAM IS DESIGNED TO EDUCATE AND EMPOWER SENIOR LEADERSHIP WITH KNOWLEDGE AND TOOLS TO LEAD DIVERSE TEAMS, CREATE EQUITABLE AND INCLUSIVE WORK ENVIRONMENTS WHILE ACHIEVING 100% SENIOR LEADER ATTENDANCE, AND ESTABLISH/APPOINT WJMC LEADERS TO SERVE ON SYSTEM-SANCTIONED DIVERSITY ACTION TEAMS. HEALTH EQUITY LEADERSHIP MATTERS (HELM) 2022 REPORTTHIS LEARNING INTENSIVE PROGRAM IS THE RESULT LCMC HEALTH SENIOR LEADERS INTERVIEWS AND REQUESTS FOR DEI TRAINING OBTAINED DURING OUR ORGANIZATIONAL ASSESSMENT PERIOD'AT THE H.E.L.M.' (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED AS A QUARTERLY LEARNING INTENSIVE FOR ALL LCMC SYSTEM SENIOR LEADERSHIP INCLUSIVE OF AVPS AND ABOVE AND OPEN TO BOARD MEMBERS.DEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THREE OPTIONS ARE OFFERED TO ACCOMMODATE LEARNER'S SCHEDULES WITH A TOTAL OF 16 HRS ( 4HRS EACH QUARTER) THROUGHOUT THE YEAR.SESSIONS FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. SESSIONS 2-4 INCLUDE CULTURAL IMMERSION PRESENTATIONS FROM COMMUNITY LEADERS REPRESENTING OUR TOP-3 UNDERSERVED COMMUNITIES (AFRICAN AMERICAN, LATINO-HISPANIC & VIETNAMESE)THIS EVIDENCE-BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES.HEALTH EQUITY LEADERSHIP MATTERS (HELM) 2023 REPORTTHIS LEARNING INTENSIVE REPORT WAS DISSEMINATED TO 450 OF LCMC HEALTH MIDDLE MANAGEMENT (SENIOR DIRECTORS, DIRECTORS AND MANAGERS) AFTER TRAINING THEIR SENIOR LEADERS LAST YEAR.'AT THE H.E.L.M.' (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED AS A QUARTERLY LEARNING INTENSIVE FOR ALL THE TRAINING WAS ADJUSTED AND ALTERED FOR THIS COHORT OF LEADERSDEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THREE OPTIONS ARE OFFERED TO ACCOMMODATE LEARNER'S SCHEDULES WITH A TOTAL OF 9 HRS. (3HRS TO OCCUR IN 3 QUARTERS) THROUGHOUT THE YEAR.SESSIONS FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. THIS EVIDENCE-BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES.ALSO, WJMC WILL WORK TO RECRUIT A MORE DIVERSE EMPLOYEE POOL BY COMPLETING DUE DILIGENCE WITH JEFFERSON PARISH SCHOOL LEADERSHIP TO FINALIZE A PROGRAM STRUCTURE AND GENERAL FINANCIAL MODEL FOR IMPLEMENTATION OF A SCHOLARSHIP PROGRAM, AND HOSTING INTRODUCTORY MEETINGS WITH IDENTIFIED STUDENTS AND FAMILY MEMBERS. IN 2023, THE SR. DIRECTOR OF OPERATIONS AND THE DIRECTOR OF MARKETING AND COMMUNICATIONS SERVE ON SYSTEM SANCTIONED DIVERSITY ACTION TEAMS. TO ADDRESS THE NEEDS OF ACCESS TO AND CONTINUITY OF CARE, WJMC WILL PROVIDE CULTURALLY-APPROPRIATE CARE TO THE LATINO/HISPANIC POPULATIONS RESIDING IN THE WJMC PRIMARY SERVICE AREA VIA DEVELOPMENT OF THE CENTRO HISPANO DE LA SALUD, CONNECT UNDERSERVED PATIENTS WITHIN THE WJMC PSA TO APPROPRIATE HEALTH SERVICES WITHIN THE REGION BASED ON THE RESULTS OF THE HOSPITAL'S MOST RECENT COMMUNITY NEEDS ANALYSIS, AND OFFER INFORMATION AND ASSISTANCE RELATED TO THE AFFORDABILITY OF HEALTH SERVICES. WJMC OPENED THE CENTRO HISPANO DE LA SALUD CLINIC IN 4TH QUARTER FY 2022, LAUNCHED AND EXECUTED A TARGETED MARKETING CAMPAIGN WITH ASSISTANCE FROM JUAN GERSHANIK, MD, AND COMPILED SPANISH MARKETING COLLATERAL AND PATIENT EDUCATION MATERIALS. ALSO, WJMC WILL PROVIDE FINANCIAL ASSISTANCE, AS NEEDED, TO ELIGIBLE PATIENTS, UP TO AND INCLUDING ASSISTANCE WITH MEDICAID ENROLLMENT.DURING 2022 AND 2023, THE WJMC ALSO HIT SEVERAL OTHER ITEMS OF NOTE TOWARDS IS GOAL OF ADDRESSING THE NEEDS OF ACCESS TO AND CONTINUITY OF CARE:ESTABLISHMENT OF THE CENTRO HISPANO DE LA SALUD: CREATION OF THIS CLINIC WAS INITIALLY CONTEMPLATED AS PART OF THE 2021 WEST JEFFERSON MEDICAL CENTER PHYSICIAN BUSINESS PLANNING SESSION (MEETING BOOKLET ATTACHED'WJMC 2022 BUSINESS PLANNING SESSION; MEETING HELD JUNE 17, 2021) BY JUAN GERSHANIK, MD. AT THE CONCLUSION OF THIS SESSIONAND WITH FEEDBACK FROM THE WJMC MEDICAL STAFFOPERATIONAL DUE DILIGENCE BEGAN. WORK TO THIS POINT HAS BEEN FOCUSED ON THE FOLLOWING:O RECRUITMENT OF A PHYSICIAN LEADDR. MAGALY SOTRES BEGAN IN AUGUST 2022; CLINIC SERVICES WILL FORMALLY BEGIN IN THE 4TH QUARTER THEREAFTER.O BUILD-OUT OF DEDICATED CLINIC SPACE: RENOVATIONS WERE COMPLETED IN AUGUST 2022; CLINIC TO OPEN IN THE 4TH QUARTER (SOUTH POB, SUITE 650).O 3,408 CLINIC VISITS IN 2023A COROLLARY STUDY TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT IS THE 'COMMUNITY NEEDS ASSESSMENT'. THIS STUDYCOMPILED BY THE CARNAHAN GROUPINFORMS NOT JUST THE HOSPITAL'S EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS; IT LIKEWISE INFLUENCES THE HOSPITAL'S ANNUAL PHYSICIAN RECRUITMENT STRATEGY. FOR THE FISCAL YEAR THAT BEGAN JANUARY 1, 2022, WJMC HAS EFFORTED TO CONSISTENTLY RECRUIT AS MANY AS 3 PRIMARY CARE PHYSICIANS PER YEAR. IN ADDITION TO PRIMARY CARE, WJMC HAS LIKEWISE ACCOMPLISHED THE FOLLOWING IN FURTHERANCE OF ITS ALREADY ESPOUSED NEUROSCIENCE STRATEGY:O RECRUITMENT OF COLE LEWIS, MD WHO BEGAN PRACTICING IN AUGUST 2023; RECRUITMENT OF ADAM PODET WHO BEGAN PRACTICING IN SEPTEMBER 2023O COMMENCEMENT OF NEUROCRITICAL CARE FELLOWSHIP IN COLLABORATION WITH LSU; PROGRAM BEGAN JULY 1, 2022.O NEUROLOGY: WJMC IS ACTIVELY WORKING WITH LSU DEPARTMENT OF NEUROLOGY TO ESTABLISH A FULL-TIME ONSITE EPILEPSY PRACTICE BEGINNING IN EARLY 2023; TO THAT END, THE FOLLOWING HAS BEEN EXECUTED:AGREEMENT TO ESTABLISH CLINIC IN JANUARY/FEBRUARY 2023 IN COLLABORATION WITH PIOTR OLEJINCZAK, MD; ON A PARALLEL PATH, WJMC TO WORK WITH LSU DEPARTMENT OF NEUROLOGY TO IDENTIFY QUALIFIED CANDIDATES FOR THE FULL-TIME FACULTY POSITION. RECRUITMENT IS ACTIVELY UNDERWAY.WEST JEFFERSON MEDICAL CENTER REMAINS COMMITTED THROUGH OUR PARTNERSHIP WITH CONIFER HEALTH SOLUTIONS TO PROVIDE CARE TO THE COMMUNITY REGARDLESS OF SOMEONE'S ABILITY TO PAY. WE HAVE INCREASED THE NUMBER OF PATIENTS WHO WERE SCREENED WHILE HAVING THE SAME % ACCEPTED ULTIMATELY RESULTING IN MORE CONVERSIONS TO MEDICAID COVERAGE.A COROLLARY STUDY TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT IS THE 'COMMUNITY NEEDS ASSESSMENT'. THIS STUDY COMPILED BY THE CARNAHAN GROUPINFORMS NOT JUST THE HOSPITAL'S EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS; IT LIKEWISE INFLUENCES THE HOSPITAL'S ANNUAL PHYSICIAN RECRUITMENT STRATEGY. FOR THE FISCAL YEAR THAT BEGAN JANUARY 1, 2022, WJMC HAS EFFORTED TO CONSISTENTLY RECRUIT AS MANY AS 3 PRIMARY CARE PHYSICIANS PER YEAR. TO ADDRESS THE NEEDS OF EDUCATION AND HEALTH LITERACY, WJMC PROVIDED TARGETED POPULATIONS MORE EFFECTIVE COMMUNICATION PLATFORMS TO IMPROVE PATIENT ENGAGEMENT AND FACILITATE MORE PATIENT-CENTERED CARE. WJMC IMPLEMENTED A NEW LANGUAGE SERVICE PROGRAM TO ENSURE OPTIMAL QUALITY OF COMMUNICATION AND PATIENT SAFETY FOR WJMC'S LEP (LIMITED ENGLISH PROFICIENCY) AND HEARING-IMPAIRED PATIENT POPULATION(S), ENSURE IMPROVED ACCESS TO TRANSLATION SERVICES DURING PATIENT ENCOUNTERS, AND EDUCATED WJMC EMPLOYEES ON CULTURAL COMPETENCY AND SPIRITUAL SUPPORT FOR PATIENTS AND FAMILIES.WJMC WAS ABLE TO HIT THE FOLLOWING ADDITIONAL MILESTONES TOWARDS ADDRESSING THE NEEDS OF EDUCATION AND HEALTH LITERACY: THE MEDICAID ENTITLEMENT SPECIALISTS/MEDICAID APPLICATION CENTER, WAS RELOCATED IN Q4 OF 2022 TO ACCOMPLISH 2 OBJECTIVES: A) IMPROVE PATIENT WAYFINDING AND B) PREVENT PATIENTS FROM HAVING TO VISIT THE HOSPITAL CAMPUS UNNECESSARILY. NEW LANGUAGE LINE SERVICES: IN JANUARY 2022, LCMC HEALTH (TO INCLUDE WJMC) TRANSITIONED TO AMN HEALTHCARE (AS CONTRASTED TO CYRACOM). FEEDBACK FROM STAFF AND PATIENTS RE: THE NEW SERVICE PLATFORM HAS BEEN OVERWHELMINGLY POSITIVE. WJ NOTED POSITIVE CORRELATION BETWEEN UTILIZATION OF ENHANCED LANGUAGE LINE SOFTWARE AND COMMUNICATION.
UNIVERSITY HEALTHCARE SYSTEM	PART V, SECTION B, LINE 11: EAST JEFFERSON GENERAL HOSPITAL DEVELOPED THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) BASED ON THE RESOURCES AVAILABLE TO ADDRESS THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED IN DECEMBER 2021. AN INTERDISCIPLINARY TEAM OF KEY STAKEHOLDERS COLLABORATED TO IDENTIFY INITIATIVES TO ENHANCE THE HEALTH OUTCOMES OF THE COMMUNITY. THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY EAST JEFFERSON GENERAL HOSPITAL (EJGH) ARE ACCESS TO AND CONTINUITY OF CARE AND INFRASTRUCTURE, EDUCATION AND HEALTH LITERACY, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, AND INFRASTRUCTURE. ACCESS TO CARE HAS BEEN A NEED FOR SOUTHEASTERN LOUISIANA. FIRST, THE ONCOLOGY TEAM HAS PARTNERED WITH ACS HOPE LODGE TO PROVIDE FREE TRANSPORTATION TO PATIENTS LIVING OUTSIDE OF THE METAIRIE AREA THAT ARE RECEIVING CANCER CARE AT EAST JEFFERSON. THE INITIATIVE'S FOCUS IS TO ENSURE PATIENTS IN THE REGION HAVE EASY ACCESS TO CANCER CARE BY USING SOCIAL WORKERS TO EDUCATE ON THE HOPE LODGE RESOURCE DURING NEW PATIENT ORIENTATION. EJGH FOCUSED ON ELIGIBLE PATIENTS TRAVELING AN EXCESS OF FORTY MILES FOR CANCER TREATMENT THAT REQUEST ADDITIONAL HOUSING SUPPORT. THOSE INDIVIDUALS ARE ENROLLED IN THE HOPE LODGE PROGRAM WHICH PROVIDED 190 PATIENTS, 136 ROOM NIGHTS IN 2022 AND 406 PATIENTS, 347 NIGHTS IN 2023. TO INCREASE ACCESS TO CARE, EJGH SET A GOAL THROUGHOUT 2022 TO 2024 THAT A MINIMUM OF 50% OF NEW OUTPATIENT ONCOLOGY INFUSION PATIENTS AT EJGH WILL MEET WITH THE FINANCIAL NAVIGATOR PRIOR TO TREATMENT START. DURING 2022, EJGH PROVIDED 80 PATIENTS WITH $650,000 OF FINANCIAL AID ASSISTANCE AND 91 PATIENTS WITH $793,000 OF FINANCIAL ASSISTANCE IN 2023. EJGH PROVIDED HEART AND VASCULAR SUPPORT GROUPS TO 44 INDIVIDUALS IN 2022 AND 82 INDIVIDUALS IN 2023. EJGH'S STROKE SUPPORT GROUP HAD 31 ATTENDEES IN 2022 AND 65 ATTENDEES IN 2023. EJGH SET A GOAL TO INCREASE PATIENT POST-DISCHARGE TELEPHONIC CALLS WITHIN 48 HOURS OF DISCHARGE AND REACHED 70% OF PATIENTS WITHIN 48 HOURS IN 2022 AND 72% OF PATIENTS IN 2023. EJGH SET OUT TO INCREASE HEART FAILURE APPOINTMENT SCHEDULES AFTER DISCHARGES AND ARRANGED APPOINTMENTS FOR 83% OF THOSE DISCHARGED IN 2022 AND 87% OF THOSE DISCHARGED IN 2023. FINALLY, EJGH SET A GOAL TO IMPROVE ACCESS TO MEDICAL SERVICES TO UNINSURED AND UNDERINSURED PATIENTS. EJGH WAS ABLE TO INCREASE ITS MEDICAID INPATIENT/OUTPATIENTS POPULATION TO 11.5% INPATIENT AND 12.8% OUTPATIENT IN 2022 AND 12.1% INPATIENT IN 2023 AND 14.3% OUTPATIENT IN 2023. IN ADDITION TO ADDRESSING ACCESS TO CARE, EAST JEFFERSON COMMITS RESOURCES TO EDUCATING THE COMMUNITY IN ORDER TO IMPROVE HEALTHCARE OUTCOMES BY INCREASING ITS POPULATION'S HEALTH LITERACY AND EDUCATION. EJGH PLANNED TO HOST QUARTERLY CANCER SUPPORT GROUPS FOR ITS OUTPATIENT ONCOLOGY POPULATION. IN 2022, THIS PROGRAM WAS SUSPENDED DUE TO COVID BUT WAS REINSTATED IN OCTOBER OF 2023. EJGH HELD A MEETING IN OCTOBER WITH 4 ATTENDEES AND MEETING IN NOVEMBER FOR 6 ATTENDEES. EJGH ALSO COMMITTED TO HOSTING AN ANNUAL CANCER SCREENING EVENT. IN 2022, 50 ATTENDEES ATTENDED THE SCREENING AND THE 2023 HOSTED 88 ATTENDEES AT ITS THINK PINK MAMMOGRAM SCREENING EVENT. TO INCREASE AWARENESS OF EJGH'S CANCER PREVENTION GROUP PAGE, EJGH POSTED 20 SEPARATE TOPICS IN 2022 WHICH RECEIVED 919 PAGE VIEWS. EJGH PROVIDED HEART AND VASCULAR HEALTH SCREENING AND/OR EDUCATION EVENTS WITH COMMUNITY MEMBERS VIA ANNUAL EVENTS. BOTH THE 2022 AND 2023 EVENTS, EXCEEDED 2000 SENIOR ATTENDEES. FOR EJGH'S MATERNAL CHILD COMMUNITY, THE HOSPITAL OFFERED SUPPORT GROUPS EVERY MONTH. THE 2022 MONTHLY MEETINGS WERE ATTENDED BY 33 MOTHER BABY COUPLETS AND THE 2023 MEETINGS WERE ATTENDED BY 43 MOTHER BABY COUPLETS. EJGH ALSO OFFERED ITS MATERNAL CHILD COMMUNITY POPULATION, PRENATAL COMMUNITY CLASSES EVERY OTHER MONTH WHICH WERE ATTENDED BY 127 INDIVIDUALS IN 2022 AND 153 INDIVIDUALS IN 2023. EJGH OFFERED A BETTER BREATHERS CLUB WITH THE GOAL OF ASSISTING ITS POPULATION CEASE SMOKING. THESE ANNUAL MEETINGS WERE ATTENDED BY 21 INDIVIDUALS IN 2022 AND 2023 INDIVIDUALS IN 2023. LASTLY, EAST JEFFERSON HAS PARTNERED WITH LCMC CORPORATE TEAM TO ADDRESS HEALTHCARE EQUITY WITH ADDITIONAL EDUCATION TO EMPLOYEES OF THE ORGANIZATION. AT THE H.E.L.M. (HEALTH EQUITY LEADERSHIP MATTERS) WAS CREATED BASED ON SENIOR LEADER INTERVIEWS & REQUESTS FOR DEI TRAINING OBTAINED DURING THE ORGANIZATIONAL ASSESSMENT. THE PROGRAM WAS DEVELOPED TO EMPOWER AND EQUIP LEADERS TO OBTAIN THE STRATEGIC BENEFITS OF A DIVERSE WORKFORCE, ENSURE EQUITABLE EXPERIENCES FOR ALL PATIENTS AND EMPLOYEES AND CREATE INCLUSIVE ENVIRONMENTS. THESE SESSIONS WERE FACILITATED BY LCMC HEALTH DIVERSITY AND SOCIAL RESPONSIBILITY TEAM AND PROMINENT NATIONAL DIVERSITY PRACTITIONERS, TRAINERS, SUBJECT MATTER EXPERTS, AND EXECUTIVE COACHES. THIS EVIDENCE BASED LEARNING JOURNEY IS AN IN-DEPTH CURRICULUM ENCOMPASSING INSIGHTS, DISCOVERIES, AND IMPACTFUL ACTIVITIES CATERING TO ALL LEARNING STYLES. IN 2022, THE FIRST PHASE OF THE "AT THE H.E.L.M (HEALTH EQUITY LEADERSHIP MATTERS) PROVIDED 16 HOURS OF IN-PERSON DIVERSITY, EQUITY, AND INCLUSION TRAINING TO ALL SENIOR LEVEL EXECUTIVES OF LCMC. THE WOMEN AND CHILD SERVICE LINE ALSO PARTICIPATED IN MATERNAL HEALTH EQUITY TRAINING TO ENHANCE AWARENESS OF EQUITY CARE FOR MINORITY WOMEN. IN 2023, THE SESSIONS ENCOMPASSED 9 HOURS OF TRAINING WHICH WAS OPEN TO SENIOR LEADERS, DIRECTORS, AND MANAGERS AND FOCUSED ON CREATING INCLUSIVE ENVIRONMENTS. FRONTLINE STAFF DEI TRAINING IS PART OF EJGH'S ANNUAL MANDATORY COMPETENCY TRAINING VIA ITS LEARNING MANAGEMENT SYSTEM. ATTENDANCE FOR THE 2022 TRAINING WAS 93.6% AND ATTENDANCE FOR THE 2023 EVENT WAS 95.6%. THROUGHOUT 2022 AND 2023, EJGH REPORTED ANNUALLY ON AMN HEALTHCARE VIDEO REMOTE INTERPRETING DEVICE USAGE FOR NON-ENGLISH SPEAKING PATIENTS WITHIN THE OUTPATIENT ONCOLOGY INFUSION CENTER. IN 2022, 1693 MINUTES OF INTERPRETATION WAS PROVIDED AND IN 2023 25 ENCOUNTERS WERE PROVIDED WITH 13 IN SPANISH, 9 IN AMERICAN SIGN LANGUAGE, 2 IN CANTONESE AND 1 SESSION IN VIETNAMESE.
WEST JEFFERSON MEDICAL CENTER	PART V, SECTION B, LINE 13B: WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER. THIS ENABLES WEST JEFFERSON MEDICAL CENTER TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS.
UNIVERSITY HEALTHCARE SYSTEM	PART V, SECTION B, LINE 13B: UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, TO BE ELIGIBLE FOR A 100% REDUCTION OF CHARGES (I.E FULL WRITE OFF), THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPL) AND CRITERIA FOR THE LCMC FINANCIAL ASSISTANCE PROGRAM: VERIFIED 0-200% OF FPL FOR APPLICANT AND PROOF OF FAMILY INCOME. THE ADEQUACY OF THAT PROOF IS AT THE DISCRETION OF LCMC. UNCOMPENSATED CARE APPLICANTS WILL BE REQUIRED TO SUBMIT SUPPORTING FINANCIAL AND MEDICAL INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY. PATIENTS WHO DO NOT MEET THE CRITERIA FOR FREE CARE (I.E FULL WRITE OFF) BUT MEET FEDERAL POVERTY GUIDELINES, AND WITHOUT ANY SOURCE OF INSURANCE COVERAGE WILL BE ELIGIBLE FOR A SLIDING SCALE UNINSURED DISCOUNT.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	1 - NEW ORLEANS PHYSICIANS SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO,LA70072	PHYSICIAN PRACTICE
2	2 - NOLA PHYSICIANS GROUP LLC 200 HENRY CLAY AVE NEW ORLEANS,LA70018	PHYSICIAN PRACTICE
3	3 - CRESCENT CITY RESEARCH CONSORTIUM 1111 MEDICAL CENTRE BLVD MARRERO,LA70072	CLINICAL TRIALS
4	4 - COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD MARRERO,LA70072	MEDICAL COLLABORATION
5	5 - EAST JEFFERSON PHYSICIANS GROUP LLC 4200 HOUMA BLVD METAIRIE,LA70006	PHYSICIANS GROUP
6	6 - EAST JEFFERSON RADIATION ONCOLOGY LLC 4200 HOUMA BLVD METAIRIE,LA70006	RADIATION ONCOLOGY SERVICES
7	7 - EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE,LA70006	OUTPATIENT SURGERY CENTER
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	WEST JEFFERSON MEDICAL CENTER UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY WEST JEFFERSON MEDICAL CENTER TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: O HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC; O PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);O RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS; O RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS; O PATIENT DECEASED WITH NO KNOWN ESTATE: O MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR PATIENTS, OR THEIR GUARANTORS, WHO ARE NON-RESPONSIVE TO WEST JEFFERSON MEDICAL CENTER'S AND UNIVERSITY HEALTHCARE SYSTEM'S APPLICATION PROCESS, OTHER SOURCES OF INFORMATION MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS, UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM MAY USE A THIRD PARTY TO REVIEW A PATIENT'S, OR THE PATIENT'S GUARANTOR'S, INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIOECONOMIC AND FINANCIAL CAPABILITY SCORE. THE MODEL'S RULE SET IS DESIGNED TO ASSESS EACH PATIENT BASED UPON THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL FINANCIAL ASSISTANCE APPROVALS BY WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM. THIS ENABLES WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO ASSESS WHETHER A PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. WHEN THE MODEL IS UTILIZED, IT WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FAA PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN WEST JEFFERSON MEDICAL CENTER OR UNIVERSITY HEALTHCARE SYSTEM BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS.
PART I, LINE 7:	WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM ARE COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM USE THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ORGANIZATION GAVE $150,000 TO YOUTHFORCE NOLA. YOUTHFORCE NOLA IS AN "ENGINE FOR CAREER-CONNECTED LEARNING" SO NEW ORLEANS PUBLIC SCHOOL STUDENTS ARE READY FOR COLLEGE, CAREER, AND THE FUTURE THEY CHOOSE. CAREER-CONNECTED LEARNING EQUIPS NEW ORLEANS PUBLIC SCHOOL STUDENTS WITH THE SKILLS AND KNOW-HOW THEY NEED TO TAKE CHARGE OF THEIR FUTURES AND SUCCESSFULLY NAVIGATE THEIR NEXT STEPS IN LIFE. THE ORGANIZATION SPENT $115,420 ON VARIOUS PROGRAMS INCLUDING EMS SERVICES PROVIDED FOR LOCAL FUNCTIONS, EDUCATIONAL CLASSES FOR NEW PARENTS, AND BABYSITTERS.
PART III, LINE 2:	WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. WEST JEFFERSON MEDICAL CENTER USES A BALANCE SHEET APPROACH TO VALUE THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES.
PART III, LINE 4:	FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS IN ACCORDANCE WITH THE SYSTEM'S POLICIES, AND IMPLICIT PRICE CONCESSIONS PROVIDED FOR UNCOLLECTABLE AMOUNTS. ESTIMATES OF EXPLICIT PRICE CONCESSIONS, WHICH REPRESENT ADJUSTMENTS AND DISCOUNTS, ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE BY PAYOR GROUPS. IMPLICIT PRICE CONCESSIONS ARE PRIMARILY BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. GENERALLY, THE SYSTEM BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY, AND PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE SYSTEM RECEIVING INPATIENT ACUTE CARE SERVICES OR PATIENTS RECEIVING SERVICES IN ITS OUTPATIENT CENTERS.
PART III, LINE 8:	WEST JEFFERSON AND UNIVERSITY HEALTHCARE SYSTEM IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS WEST JEFFERSON'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCHEDULE H LINE 7J(C). WEST JEFFERSON USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 9B:	CHARITY CARE IS OFFERED TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION.
PART VI, LINE 2:	WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE IN SEVERAL WAYS. OUR GOAL IS TO PROVIDE AN OPEN FORUM AND MORE OPPORTUNITIES FOR PATIENTS, FAMILY MEMBERS,OUR HOSPITAL VISITORS AND COMMUNITY MEMBERS TO SPEAK FREELY OF THEIR HEALTH CONCERNS AND PROVIDE FEEDBACK THAT IS PERTINENT TO OUR DECISION MAKING AS A HEALTHCARE ORGANIZATION. THIS IS ACCOMPLISHED IN SEVERAL WAYS INCLUDING THE RECENT LAUNCH OF OUR PATIENT/FAMILY ADVISORY COUNCIL (FOCUS GROUP), THROUGH HEALTH-RELATED DATA PROVIDED BY THE LOUISIANA DEPARTMENT OF HEALTH OR LOUISIANA HOSPITAL ASSOCIATION, OR NRC HEALTH, THROUGH STAKEHOLDER MEETINGS WITH OUR HOSPITAL BOARD MEMBERS AND MEDICAL EXECUTIVE COMMITTEE AND COMMUNITY REPRESENTATIVES, THROUGH PATIENT-FOCUSED FOCUS GROUPS AND SURVEYS, AND PARTICIPATION IN LOCAL CHAMBERS AND ORGANIZATIONS. WE ALSO HAVE SEVERAL PATIENT FEEDBACK FORMS ON OUR WEBSITES AND WE WELCOME AMPLE DISCUSSION THROUGH OUR SOCIAL MEDIA PLATFORMS INCLUDING FACEBOOK, LINKEDIN TWITTER AND INSTAGRAM.
PART VI, LINE 3:	PRIOR TO RECEIPT OF SERVICES, PATIENTS ARE PROVIDED THE HOSPITAL'S "PATIENT RIGHTS BOOKLET", WHICH CLEARLY OUTLINES THE HOSPITAL'S PAYMENT EXPECTATIONS. IT ALSO STATES THAT FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE UPON REQUEST.WJMC AND UNIVERSITY HEALTHCARE SYSTEM OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.IN-HOUSE SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR AND/OR A CONIFER (ELIGIBILITY MANAGEMENT SERVICE) REPRESENTATIVE TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR THIRD-PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD-PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE. ALL SELF-PAY PATIENTS WHO ARE NOT SCREENED PRIOR TO BEING DISCHARGED RECEIVE A NOTICE FROM CONIFER THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT WEST JEFFERSON TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. DECO STAFF, REGISTRATION STAFF, FINANCIAL COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES, AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES.
PART VI, LINE 4:	WITH RESPECT TO WEST JEFFERSON MEDICAL CENTER (WJMC) AND UNIVERSITY HEALTHCARE SYSTEM(UHS), THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM WJMC'S AND EJGH'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF WJMC AND UHS' SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. WJMC AND UHS' POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR WJMC AND UHS' SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT.
PART VI, LINE 5:	IN 2022, WEST JEFFERSON MEDICAL CENTER DEMONSTRATED A STEADFAST COMMITMENT TO COMMUNITY WELL-BEING THROUGH A DIVERSE RANGE OF INITIATIVES. AMID THE ONGOING COVID-19 PANDEMIC, THE HOSPITAL ESTABLISHED A CONVENIENT DRIVE-UP TESTING SITE, ENSURING ACCESSIBILITY TO VITAL TESTING SERVICES FOR LOCAL RESIDENTS. MOREOVER, THE HOSPITAL HOSTED A SERIES OF THREE INFORMATIVE UROLOGY COMMUNITY HEALTH WEBINARS, EMPOWERING COMMUNITY MEMBERS WITH KNOWLEDGE ABOUT UROLOGICAL HEALTH. RECOGNIZING THE SIGNIFICANCE OF REGULAR BLOOD DONATIONS, WEST JEFFERSON ORGANIZED QUARTERLY BLOOD DRIVES, CONTRIBUTING SIGNIFICANTLY TO THE LOCAL BLOOD SUPPLY. THE HOSPITAL ALSO PLAYED AN ACTIVE ROLE IN COMMUNITY ENGAGEMENT THROUGH EVENTS LIKE GIVE NOLA DAY, FOSTERING A SPIRIT OF PHILANTHROPY. ADDRESSING A CRITICAL ASPECT OF COMMUNITY HEALTH, WEST JEFFERSON INTRODUCED WELLTHY FARMER'S MARKETS IN JUNE, OCTOBER, AND DECEMBER, WITH A SPECIAL FOCUS ON MEDICAID PATIENTS, THEREBY ENHANCING FOOD ACCESS AND OVERALL COMMUNITY WELLNESS. ADDITIONALLY, THE HOSPITAL ORGANIZED AN IN-PERSON COMMUNITY HEALTH TALK CENTERED ON ADVANCED CARE DIRECTIVES, ENCOURAGING VITAL CONVERSATIONS ABOUT HEALTHCARE PREFERENCES AND END-OF-LIFE DECISIONS. FURTHERMORE, WEST JEFFERSON ACTIVELY PARTICIPATED IN COMMUNITY UPLIFTMENT ENDEAVORS SUCH AS CAMPUS BEAUTIFICATION, JOINT PAIN SEMINARS, AND INITIATIVES LIKE THE MDSAVE PLATFORM, WHICH OFFERED DISCOUNTED MAMMOGRAMS, MAKING ESSENTIAL HEALTHCARE SERVICES MORE ACCESSIBLE. COLLABORATING WITH SERENITY HOSPICE SERVICE, WEST JEFFERSON EXTENDED SUPPORT TO THE COMMUNITY THROUGH BEREAVEMENT COUNSELING, AIDING INDIVIDUALS IN COPING WITH LOSS. THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH WAS FURTHER EXEMPLIFIED BY INITIATIVES LIKE DRIVE-UP FLU SHOTS AND THE GLADEWAVES PARTNERSHIP, WHICH COLLECTED FOOD DONATIONS TO PROVIDE NOURISHMENT DURING THE HOLIDAY SEASON, UNDERSCORING WEST JEFFERSON MEDICAL CENTER'S INVALUABLE CONTRIBUTIONS TO THE WELL-BEING OF THE COMMUNITY IN 2022.
PART VI, LINE 6:	WEST JEFFERSON HOLDING, LLC AND UNIVERSITY HEALTHCARE SYSTEM, L.C. ARE BOTH LOUISIANA LIMITED LIABILITY COMPANY WHOSE SOLE MEMBER IS LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC). LCMC IS ALSO THE PARENT ORGANIZATION OF TOURO INFIRMARY, CHILDREN'S HOSPITAL, AND UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S") ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.TO FURTHER ITS MISSION, LCMC HEALTH OFFERS CARE THROUGH LCMC HEALTH ANESTHESIA CORPORATION (LHAC), LCMC HEALTH CLINICAL SERVICES (LHCS), AND NEW ORLEANS CLINICAL SERVICES (NOCS). LCMC HEALTH FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES.

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number
94-3480131

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118	72-0467503	501(C)(3)	87,500	COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK(BLIND PROGRAM).
(2) TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS,LA70115	72-0423689	501(C)(3)	87,500	COKE SALES COMMISSIONS GO DIRECTLY TO THE LA REHAB WORK (BLIND PROGRAM).
(3) LSU FOUNDATION 3796 NICHOLSON DRIVE BATON ROUGE,LA70802	72-6020969	501(C)(3)	2,000,000	IN 2023 LCMC DONATED $2,000,000 TO LSU FOUNDATION WITH THE INTENTION OF FURTHING NURSING EDUCATION IN THE AREAS SERVED BY LCMC'S MEMBER HOSPITALS. THESE FUNDS ARE USED TO IDENTIFY FUTURE POTENTIAL NURSING STUDENTS, DEVELOP NURSING FACULTY, AND PROVIDE TUITION ASSISTANCE TO QUALIFIED STUDENTS OF THE LSU NURSING PROGRAM.
(4) YOUTHFORCE NOLA 1100 POYDRAS ST 1405 NEW ORLEANS,LA70163	26-3606930	501(C)(3)	150,000	GENERAL OPERATING SUPPORT
(5) XAVIER UNIVERSITY OF LOUISIANA 1 DREXEL DRIVE NEW ORLEANS,LA70125	72-0635884	501(C)(3)	750,000	GENERAL OPERATING SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	SINCE GRANTS WERE GIVEN TO RELATED PARTIES OF WHICH LCMC IS THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED.

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1GREGORY C FEIRN PRESIDENT AND CEO	(i) (ii)	1,734,424 ------------- 0	497,116 ------------- 0	7,800 ------------- 0	13,200 ------------- 0	17,855 ------------- 0	2,270,395 ------------- 0	0 ------------- 0
2JOHN NICKENS PRESIDENT OF HOSPITAL SERVICES & CHI	(i) (ii)	1,236,195 ------------- 0	376,871 ------------- 0	7,150 ------------- 0	11,908 ------------- 0	12,632 ------------- 0	1,644,756 ------------- 0	0 ------------- 0
3JOANN KUNKEL CHIEF FINANCIAL OFFICER	(i) (ii)	878,810 ------------- 0	235,634 ------------- 0	7,200 ------------- 0	13,200 ------------- 0	7,407 ------------- 0	1,142,251 ------------- 0	0 ------------- 0
4JOHN HEATON MD PRESIDENT OF CLIN. AND SYS	(i) (ii)	839,520 ------------- 0	236,259 ------------- 0	7,800 ------------- 0	13,200 ------------- 0	18,762 ------------- 0	1,115,541 ------------- 0	0 ------------- 0
5ORLANDO DEFFER PHYSICIAN	(i) (ii)	618,455 ------------- 0	407,485 ------------- 0	0 ------------- 0	13,200 ------------- 0	20,059 ------------- 0	1,059,199 ------------- 0	0 ------------- 0
6JAMES PERRIEN PHYSICIAN	(i) (ii)	573,956 ------------- 0	394,056 ------------- 0	0 ------------- 0	13,200 ------------- 0	16,369 ------------- 0	997,581 ------------- 0	0 ------------- 0
7RUSSELL RUSSO PHYSICIAN	(i) (ii)	482,833 ------------- 0	474,965 ------------- 0	513 ------------- 0	13,200 ------------- 0	5,617 ------------- 0	977,128 ------------- 0	0 ------------- 0
8GREGORY NIELSEN CEO -EAST JEFFERSON GENERAL HOSPITAL	(i) (ii)	694,218 ------------- 0	207,927 ------------- 0	7,200 ------------- 0	13,200 ------------- 0	17,005 ------------- 0	939,550 ------------- 0	0 ------------- 0
9ABHINAV SAXENA PHYSICIAN	(i) (ii)	464,229 ------------- 0	452,474 ------------- 0	0 ------------- 0	11,483 ------------- 0	8,382 ------------- 0	936,568 ------------- 0	0 ------------- 0
10ALA MOHSEN PHYSICIAN	(i) (ii)	542,878 ------------- 0	351,458 ------------- 0	0 ------------- 0	13,200 ------------- 0	16,257 ------------- 0	923,793 ------------- 0	0 ------------- 0
11MAURICE LAGARDE CHIEF OPERATING OFFICER	(i) (ii)	835,275 ------------- 0	0 ------------- 0	6,000 ------------- 0	13,200 ------------- 0	17,863 ------------- 0	872,338 ------------- 0	0 ------------- 0
12RICHARD TANZELLA CEO - EJGH	(i) (ii)	144,632 ------------- 0	66,207 ------------- 0	504,140 ------------- 0	13,200 ------------- 0	4,410 ------------- 0	732,589 ------------- 0	0 ------------- 0
13JODY MARTIN SVP CHIEF LEGAL OFFICER	(i) (ii)	558,526 ------------- 0	114,396 ------------- 0	6,000 ------------- 0	13,200 ------------- 0	10,059 ------------- 0	702,181 ------------- 0	0 ------------- 0
14SUZZANE HAGGARD CHIEF REVENUE OFFICER	(i) (ii)	249,493 ------------- 0	427,843 ------------- 0	3,000 ------------- 0	13,200 ------------- 0	7,314 ------------- 0	700,850 ------------- 0	0 ------------- 0
15ROBERT CALHOUN CEO - WEST JEFFERSON HOLDI	(i) (ii)	493,062 ------------- 0	111,193 ------------- 0	237 ------------- 0	13,200 ------------- 0	16,307 ------------- 0	633,999 ------------- 0	0 ------------- 0
16CHRISTINE ALBERT SVP - MARKETING & COMMUNICATIONS	(i) (ii)	497,572 ------------- 0	108,027 ------------- 0	6,000 ------------- 0	13,200 ------------- 0	9,129 ------------- 0	633,928 ------------- 0	0 ------------- 0
17CHAD COURREGE SVP - HUMAN RESOURCES	(i) (ii)	415,762 ------------- 0	98,208 ------------- 0	6,000 ------------- 0	13,200 ------------- 0	22,858 ------------- 0	556,028 ------------- 0	0 ------------- 0
18ROBIN MCGOEY CHIEF ACADEMIC OFFICER	(i) (ii)	384,363 ------------- 0	68,233 ------------- 0	0 ------------- 0	13,200 ------------- 0	20,534 ------------- 0	486,330 ------------- 0	0 ------------- 0
19TANYA KENNEDY CHIEF INFORMATION OFFICER	(i) (ii)	293,028 ------------- 0	110,745 ------------- 0	3,500 ------------- 0	13,200 ------------- 0	8,273 ------------- 0	428,746 ------------- 0	0 ------------- 0
20BENJAMIN RICHAUD CEO - LAKEVIEW HOSPITAL	(i) (ii)	247,518 ------------- 0	70,000 ------------- 0	50,000 ------------- 0	5,400 ------------- 0	7,144 ------------- 0	380,062 ------------- 0	0 ------------- 0
21SCOTT C LANDRY SR. VP FAC MGT/SUP SVCS-LCMC	(i) (ii)	277,047 ------------- 0	64,686 ------------- 0	6,000 ------------- 0	9,610 ------------- 0	14,989 ------------- 0	372,332 ------------- 0	0 ------------- 0
22AYAME DINKLER CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	213,112 ------------- 0	86,377 ------------- 0	3,500 ------------- 0	12,059 ------------- 0	6,884 ------------- 0	321,932 ------------- 0	0 ------------- 0
23WILLIAM F VON ALMEN II MD BOARD MEMBER	(i) (ii)	0 ------------- 229,791	0 ------------- 56,573	0 ------------- 612	0 ------------- 9,220	0 ------------- 13,513	0 ------------- 309,709	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE IS A SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE.

PART I, LINE 4A

IN 2023, RICHARD TANZELLA RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $504,140 FROM THE ORGANIZATION.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number
94-3480131

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395S96	08-15-2018	327,485,369	REMARKET TAX-EXEMPT DEBT PREVIOUSLY ISSUED FOR CAPITAL EXPENDITURES		X	X			X
B	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395V50	08-04-2020	101,954,720	ISSUED TO FINANCE CAPITAL PROJECTS		X	X			X
C	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395V66	08-04-2020	102,280,000	WORKING CAPITAL EXPENDITURES AND BOND ISSUANCE COSTS		X	X			X
D	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399RTS	06-23-2023	305,481,500	DEBT REFINANCING AND CAPITAL EXPENDITURES		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395W67	08-16-2023	125,205,959	DEBT REFINANCING		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395S88	06-01-2023	27,096,300	REMARKETING OF PREVIOUS BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	155,325,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	329,234,325		101,954,720		102,280,000		305,481,500
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,485,369		2,072,825		2,406,028		549,655
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			99,867,274				86,746,501
11 Other spent proceeds .............	325,000,000		27,096,300		99,873,972		200,000,000
12 Other unspent proceeds .............	94,515		14,621				18,185,344
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X			X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	4.200 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	4.200 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART II, LINE 3 COLUMN A	CUMULATIVE NET EARNINGS OF $1,748,955.99
SCHEDULE K, PART II, LINE 11, COLUMN A	OTHER SPENT PROCEEDS REPRESENT AMOUNTS PAID TO REFUND THE SERIES 2015A TAXABLE BONDS AND REFINANCE AMOUNTS AS TAX-EXEMPT.
SCHEDULE K, PART II, LINE 11 COLUMN B	THE SERIES 2017 DEBT WAS ISSUED TO FINANCE A PORTION OF THE ACQUISITION COSTS OF AN EXPANSION PROJECT OF CHILDREN'S HOSPITAL, A WHOLLY-OWNED SUBSIDIARY OF LCMC. WHILE THE DEBT IS REPORTED ON THE BOOKS OF LCMC, ALL UNSPENT PROCEEDS ARE RECORDED AND REPORTED WITHIN THE FINANCIAL STATEMENTS OF CHILDREN'S HOSPITAL.

Schedule K (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number
94-3480131

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395S96	08-15-2018	327,485,369	REMARKET TAX-EXEMPT DEBT PREVIOUSLY ISSUED FOR CAPITAL EXPENDITURES		X	X			X
B	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395V50	08-04-2020	101,954,720	ISSUED TO FINANCE CAPITAL PROJECTS		X	X			X
C	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395V66	08-04-2020	102,280,000	WORKING CAPITAL EXPENDITURES AND BOND ISSUANCE COSTS		X	X			X
D	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546399RTS	06-23-2023	305,481,500	DEBT REFINANCING AND CAPITAL EXPENDITURES		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395W67	08-16-2023	125,205,959	DEBT REFINANCING		X		X		X
	LOUISIANA PUBLIC FACILITIES AUTHORITY	72-0895871	546395S88	06-01-2023	27,096,300	REMARKETING OF PREVIOUS BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	155,325,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	329,234,325		101,954,720		102,280,000		305,481,500
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,485,369		2,072,825		2,406,028		549,655
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			99,867,274				86,746,501
11 Other spent proceeds .............	325,000,000		27,096,300		99,873,972		200,000,000
12 Other unspent proceeds .............	94,515		14,621				18,185,344
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X			X		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	4.200 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	4.200 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART II, LINE 3 COLUMN A	CUMULATIVE NET EARNINGS OF $1,748,955.99
SCHEDULE K, PART II, LINE 11, COLUMN A	OTHER SPENT PROCEEDS REPRESENT AMOUNTS PAID TO REFUND THE SERIES 2015A TAXABLE BONDS AND REFINANCE AMOUNTS AS TAX-EXEMPT.
SCHEDULE K, PART II, LINE 11 COLUMN B	THE SERIES 2017 DEBT WAS ISSUED TO FINANCE A PORTION OF THE ACQUISITION COSTS OF AN EXPANSION PROJECT OF CHILDREN'S HOSPITAL, A WHOLLY-OWNED SUBSIDIARY OF LCMC. WHILE THE DEBT IS REPORTED ON THE BOOKS OF LCMC, ALL UNSPENT PROCEEDS ARE RECORDED AND REPORTED WITHIN THE FINANCIAL STATEMENTS OF CHILDREN'S HOSPITAL.

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) GREGORY C FEIRN	CEO	SPLIT INTEREST LOAN		X	5,977,440	6,295,817		No	Yes		Yes



Total ............... $						6,295,817

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ELECTRICAL SALES CORPORATION	ELECTRICAL SALES CORPORATION	434,916	ELECTRICAL SALES CORPORATION IS A COMPANY OWNED BY A FORMER BOARD MEMBER'S SON. THE COMPANY PROVIDED TELECOMMINUCATION SERVICES TO LCMC BOTH DURING AND AFTER HIS TENURE AS A BOARD MEMBER.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART II	AN EXTERNAL PROFESSIONAL COMPENSATION AND BENEFITS CONSULTING FIRM CONDUCTS LCMC HEALTH'S EXECUTIVE COMPENSATION AND REASONABLENESS REVIEWS. THE FIRM'S BENEFITS DIVISION ASSISTED WITH THE DEVELOPMENT OF MR. FEIRN'S SPLIT DOLLAR BENEFIT. THE REVIEWS, WHICH INCLUDE THE SPLIT DOLLAR PROGRAM, ARE TRADITIONALLY CONDUCTED ON AN ANNUAL BASIS.

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Return Reference	Explanation
PART III, LINE 1	THE PRIMARY PURPOSE OF LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM, AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES. TO THAT END, THE EXECUTIVE MANAGEMENT OF THE SYSTEM AND THEIR SUPPORT STAFF AND SYSTEMS ARE CENTRALIZED AT LCMC. THE REVENUE OF LCMC IS DERIVED FROM PROVIDING PATIENT SERVICES AT WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM AND FROM MANAGEMENT FEES RECEIVED FROM THE SYSTEM ENTITIES. CHILDREN'S HOSPITAL AND ITS SUBSIDIARIES, TOURO INFIRMARY AND ITS SUBSIDIARIES, UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC), UNIVERSITY HEALTHCARE SYSTEM L.C. (UHS) AND WEST JEFFERSON HOLDINGS, LLC AND ITS SUBSIDIARIES ARE MEMBERS OF THE SYSTEM (LCMC). WHILE CHILDREN'S, TOURO, AND UMCMC ARE TAX-EXEMPT ORGANIZATIONS, SOME OF THE AFFILIATES AND/OR SUBSIDIARIES OF WJMC, UHS, AND TOURO ARE FOR-PROFIT ENTITIES. ANY SERVICES PROVIDED TO SUCH ENTITIES WILL BE AT THE EXPRESS DIRECTION AND FOR THE BENEFIT OF WJMC, UHS AND TOURO.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S FINANCE DIRECTOR AND ACCOUNTING STAFF ENGAGED AN INDEPENDENT CPA FIRM TO ASSIST IN PREPARATION OF THE FORM 990 IN 2023. ONCE THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM, THE ACCOUNTING STAFF REVIEWS THE COMPLETED 990 WITH THE ORGANIZATION'S CEO, CHAIRPERSON OF THE BOARD OF TRUSTEES, AND CHAIRPERSON OF THE FINANCE/AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. THE 990S ARE THEN DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND COMMENT.
FORM 990, PART VI, SECTION B, LINE 12C	AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEE'S PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO APPROVAL BY THE LCMC EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,960,527. MANAGEMENT AND GENERAL EXPENSES 64,174,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,134,541. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 72,628,448. MANAGEMENT AND GENERAL EXPENSES 12,173,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,802,392. CONSULTING & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,504,702. MANAGEMENT AND GENERAL EXPENSES 21,810,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,315,446. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 11,274. MANAGEMENT AND GENERAL EXPENSES 804,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 815,789. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 13,467,992. MANAGEMENT AND GENERAL EXPENSES 24,463. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,492,455. GENERAL MEDICAL: PROGRAM SERVICE EXPENSES 122,079,965. MANAGEMENT AND GENERAL EXPENSES 73,289,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,369,065.
FORM 990, PART XI, LINE 9:	NET ASSET ADJUSTMENT FROM MERGER - EJGH, EJASC 48,631,267. INCOME FROM CONSOLIDATED ENTITIES 72,368,347. YEAR 2 PERFORMANCE ADJUSTMENT ON EJ CONTINGENT CONSIDERATION 1,739,372. SPLIT DOLLAR 293,707. PHYSICIAN SUBSIDY AGREEMENT INTEREST 8,008. MONEY MARKET INTEREST 104,786. LHP -570. ROUNDING 3,789. AUDAX BOOK/TAX DIFFERENCE -170,230.
FORM 990, PART XIII, LINE 2C	THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LOUISIANA CHILDREN'S MEDICAL CENTER

Employer identification number

94-3480131

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) WEST JEFFERSON HOLDINGS LLC 1101 MEDICAL CENTER BLVD MARRERO,LA70072 47-2667968	FULL-SERVICE COMMUNITY HOSPITAL	LA	-6,846,336	378,529,525	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(2) LCMC HEALTHCARE SERVICES LLC DBA NOLA PHYSICIAN GROUP 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 82-3686098	PHYSICIAN PRACTICES	LA	0	2,968,017	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(3) LCMC HEALTHCARE PARTNERS LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 61-1813039	CLINICAL INTEGRATION NETWORK	LA	-5,619,945	1,031,745	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(4) LHP ACCOUNTABLE CARE LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 83-4543150	CLINICAL INTEGRATION NETWORK	LA			LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(5) LCMC HEALTH CLINICAL SUPPORT LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 85-3007356	CLINICAL SERVICES	LA	-4,638,980		LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(6) NEW ORLEANS CLINICAL SERVICES LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 84-4985872	PHYSICIAN PRACTICES	LA	0	0	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(7) LCMC HEALTH PHARMACY SERVICES LLC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 87-4521868	PHARMACEUTICAL SERVICES	LA	-652,994	4,334,981	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(8) UNIVERSITY HEALTHCARE SYSTEM LC 1100 POYDRAS ST 2500 ENERGY CENTRE NEW ORLEANS,LA70163 62-1596506	FULL-SERVICE COMMUNITY AND TEACHING HOSPITAL	LA	-98,822,494	253,774,466	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
(9) EAST JEFFERSON RADIATION ONCOLOGY LLC 4200 HOUMA BLVD METAIRIE,LA70006 20-4164536	ONCOLOGY SERVICES	LA	-587,594	1,268,843	UNIVERSITY HEALTHCARE SYSTEM
(10) EAST JEFFERSON PHYSICIANS GROUP LLC 4200 HOUMA BLVD METAIRIE,LA70006 20-3910769	PHYSICIANS SERVICES	LA	-33,361,447	13,286,398	UNIVERSITY HEALTHCARE SYSTEM
(11) GULF SOUTH QUALITY NETWORK NEW ORLEANS LLC 4405 N I-10 SERVICE ROAD W SUITE 10 METAIRIE,LA70006 90-0911137	PHYSICIANS SERVICES	LA			UNIVERSITY HEALTHCARE SYSTEM

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118 72-0467503	PEDIATRIC HOSPITAL	LA	501(C)(3)	LINE 3	LCMC	Yes
(2)TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS,LA70115 72-0423659	FULL-SERVICE COMMUNITY HOSPITAL	LA	501(C)(3)	LINE 3	LCMC	Yes
(3)UNIVERSITY MEDICAL CENTER MANAGEMENT 2021 PERDIDO STREET NEW ORLEANS,LA70112 25-1925187	FULL-SERVICE COMMUNITY & TEACHING HOSPITAL	LA	501(C)(3)	LINE 3	LCMC	Yes
(4)NEW ORLEANS PHYSICIAN SERVICES 1101 MEDICAL CENTER BLVD MARRERO,LA70072 46-4568405	PHYSICIAN PRACTICES	LA	501(C)(3)	LINE 10	WJMC	Yes
(5)CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118 06-1587311	ANESTHESIA SERVICES	LA	501(C)(3)	LINE 10	LCMC	Yes
(6)AUDUBON RETIREMENT VILLAGE INC 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS,LA70163 84-2278120	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	LCMC	Yes
(7)CHILDREN'S HOSPITAL MEDICAL PRACTICE 298 HENRY CLAY AVENUE NEW ORLEANS,LA70118 72-1318421	PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE	LA	501(C)(3)	LINE 10	CHILDREN'S HOSPITAL		No
(8)TOURO INFIRMARY FOUNDATION 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118 72-1169939	HEALTHCARE SUPPORT	LA	501(C)(3)	LINE 12A, I	TOURO		No
(9)WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS,LA70114 72-0540671	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	TOURO		No
(10)METAIRIE PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD METAIRIE,LA70006 46-1434300	HEALTH SERVICES	LA	501(C)(3)	LINE 10	UNIVERSITY HEALTHCARE SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD MARRERO,LA70072 36-4819943	MEDICAL COLLABORATION	LA	WEST JEFFERSON HOLDINGS	RELATED	5,002	147,435		No		Yes		50.000 %
(2) TIJV 1401 FOUCHER ST NEW ORLEANS,LA70115 26-1378361	IMAGING CENTER RENTAL	LA	TOURO	RELATED	361,782	1,898,699		No			No	79.000 %
(3) EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE,LA70006 20-1425074	OUTPATIENT SURGERY	LA	UNIVERSITY HEALTHCARE SYSTEM	RELATED	721,069	685,758		No			No	51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA STREET SUITE 72 NEW ORLEANS,LA70115 72-1269878	HEALTHCARE	LA	TOURO	C	-14,283,330	58,076,729	100.000 %	Yes
(2) BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION 1401 FOUCHER STREET NEW ORLEANS,LA70115 72-1226687	REAL ESTATE	LA	TOURO	C		148,355	92.000 %	Yes
(3) PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION 650 POYDRAS STREET SUITE 1200 NEW ORLEANS,LA70130 72-0866121	REAL ESTATE	LA	TOURO	C		118,777	80.000 %	Yes

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S HOSPITAL	B	87,500	CASH AMOUNT
(2) TOURO INFIRMARY	B	87,500	CASH AMOUNT
(3) CHILDREN'S HOSPITAL	C	1,700,821	CASH AMOUNT
(4) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	C	846,276	CASH AMOUNT
(5) TOURO INFIRMARY	C	3,079,966	CASH AMOUNT
(6) AUDUBON RETIREMENT VILLAGE	D	15,611,376	TRANSACTION AMOUNT
(7) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	D	325,049,595	TRANSACTION AMOUNT
(8) TOURO FOUNDATION	D	649,967	TRANSACTION AMOUNT
(9) CRESCENT CITY PHYSICIANS INC	D	13,531,286	TRANSACTION AMOUNT
(10) NEW ORLEANS PHYSICIAN SERVICES	D	133,928,019	TRANSACTION AMOUNT
(11) CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION	D	1,708,564	TRANSACTION AMOUNT
(12) CHILDREN'S HOSPITAL ANESTHESIA CORPORATION	D	20,458,051	TRANSACTION AMOUNT
(13) TOURO INFIRMARY	E	54,100,434	TRANSACTION AMOUNT
(14) CHILDREN'S HOSPITAL	E	655,325,748	TRANSACTION AMOUNT
(15) CHILDREN'S HOSPITAL	J	377,867	TRANSACTION AMOUNT
(16) NEW ORLEANS PHYSICIAN SERVICES	J	2,235,901	TRANSACTION AMOUNT
(17) CRESCENT CITY PHYSICIANS INC	J	683,017	TRANSACTION AMOUNT
(18) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	K	1,332,517	TRANSACTION AMOUNT
(19) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	L	70,397,984	TRANSACTION AMOUNT
(20) CRESCENT CITY PHYSICIANS INC	L	1,887,863	TRANSACTION AMOUNT
(21) TOURO INFIRMARY	L	42,618,965	TRANSACTION AMOUNT
(22) CHILDREN'S HOSPITAL	L	45,999,044	TRANSACTION AMOUNT
(23) CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION	L	80,830	TRANSACTION AMOUNT
(24) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	O	155,904,893	TRANSACTION AMOUNT
(25) TOURO FOUNDATION	O	152,435	TRANSACTION AMOUNT
(26) CRESCENT CITY PHYSICIANS INC	O	2,067,898	TRANSACTION AMOUNT
(27) CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION	O	12,357,819	TRANSACTION AMOUNT
(28) TOURO INFIRMARY	O	92,343,502	TRANSACTION AMOUNT
(29) CHILDREN'S HOSPITAL	O	158,353,621	TRANSACTION AMOUNT
(30) WOLDENBERG VILLAGE	O	7,906,276	TRANSACTION AMOUNT
(31) UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION	R	60,194,644	TRANSACTION AMOUNT
(32) TOURO INFIRMARY	R	26,448,899	TRANSACTION AMOUNT
(33) WOLDENBERG VILLAGE	R	151,515	TRANSACTION AMOUNT
(34) CRESCENT CITY PHYSICIANS INC	R	17,104,828	TRANSACTION AMOUNT
(35) CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION	R	3,839,858	TRANSACTION AMOUNT
(36) TOURO FOUNDATION	R	577,035	TRANSACTION AMOUNT
(37) TJIV	R	1,538	TRANSACTION AMOUNT
(38) CHILDREN'S HOSPITAL	S	205,419,477	TRANSACTION AMOUNT

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,723,051	15,090,610
9	Program service revenue (Part VIII, line 2g) .........	457,573,034	1,516,681,474
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	419,447	4,112,817
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	33,683,393	90,159,329
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	505,398,925	1,626,044,230
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,093,920	3,075,000
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	177,162,674	575,186,400
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	337,025,084	1,111,156,216
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	530,281,678	1,689,417,616
19	Revenue less expenses. Subtract line 18 from line 12.......	-24,882,753	-63,373,386
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,121,083,959	4,001,304,052
21	Total liabilities (Part X, line 26).............	1,431,970,959	2,253,383,529
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,689,113,000	1,747,920,523

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 22,255,381 including grants of $ 3,075,000 ) (Revenue $ 180,411,720 )
	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) IS A LOUISIANA NON-STOCK NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009, WITH ITS FOUNDING MEMBER BEING CHILDREN'S HOSPITAL (CHILDREN'S). THROUGH A HEALTH CARE SYSTEM AGREEMENT (SYSTEM AGREEMENT) BETWEEN LCMC, CHILDREN'S, TOURO INFIRMARY AND ITS SUBSIDIARIES (TOURO), UNIVERSITY HEALTHCARE SYSTEM L.C. (EJGH AND TULANE) AND COOPERATIVE ENDEAVOR AGREEMENTS (CEAS) WITH UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC) AND WEST JEFFERSON HOLDINGS, LLC (WEST JEFFERSON), THESE PARTIES HAVE DETERMINED THAT TOGETHER THEY CAN PROVIDE A MULTI-HOSPITAL, NOT-FOR-PROFIT COMMUNITY-BASED, SYSTEM THAT WILL PROVIDE A CONTINUUM OF CARE TO THE FAMILIES OF THE GULF SOUTH REGION. LCMC, CHILDREN'S, TOURO, UMCMC, EJGH AND WEST (CONTINUED ON SCHEDULE O) JEFFERSON ARE HEREINAFTER COLLECTIVELY REFERRED TO AS THE SYSTEM. LCMC FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. ALL CORPORATE POWERS OF THE SYSTEM ARE VESTED IN THE BOARD OF TRUSTEES OF LCMC. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FORMED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY. UMCMC OPERATES UNIVERSITY MEDICAL CENTER IN NEW ORLEANS (UMC). UMCMC IS A PROVIDER OF CHARITY CARE FOR THE UNINSURED AND PLAYS A VITAL ROLE AS A STATEWIDE REFERRAL CENTER FOR PATIENTS IN NEED OF TERTIARY CARE. UMCMC ALSO PROVIDES MEDICAL AND ALLIED HEALTH TRAINING THROUGH ITS AFFILIATION WITH ACADEMIC INSTITUTIONS TO STRENGTHEN AND ENHANCE OPPORTUNITIES TO ACHIEVE THE STATE'S MEDICAL EDUCATION, CLINICAL CARE, AND RESEARCH GOALS.IN TAX YEAR 2023, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,326 MILLION. THIS AMOUNT REPRESENTED 42% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2023, $970 MILLION IN EXPENSE (31% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2023, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $519.5 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S.

4b	(Code: ) (Expenses $ 983,852,949 including grants of $ ) (Revenue $ 1,444,450,775 )
	THE SYSTEM PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH, AND REHABILITATION SERVICES. THE SYSTEM HAS A TOTAL OF 895 LICENSED PATIENT BEDS. THE SYSTEM TREATED 36,259 INPATIENTS AND HAD 176,830 OUTPATIENT VISITS DURING 2023. THERE WERE 28,158 SURGERIES (INPATIENT, OUTPATIENT, AND AMBULATORY SURGERY CENTER), 157,128 EMERGENCY DEPARTMENT VISITS AND 4,133 BABIES DELIVERED. THE SYSTEM HAD 364,725 PRIMARY CARE AND SPECIALTY CLINIC VISTS IN 2023.

4c	(Code: ) (Expenses $ 26,982,613 including grants of $ ) (Revenue $ 1,181,735 )
	COMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS PROVIDE FREE HEALTH EDUCATION PROGRAMS AND SCREENINGS TO THE COMMUNITY. THESE PROGRAMS ARE DESIGNED TO FOCUS ON SOME OF THE MOST PREVALENT DISEASES WITHIN THE COMMUNITY, SUCH AS DIABETES, HEART DISEASE AND CANCER. THESE PROGRAMS ADDRESS PREVENTION, EARLY DETECTION, TREATMENT AND MAINTAINING HEALTHY LIFESTYLES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,033,090,943

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	18,267,108	286,976	583,702

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	5,627,064
e	Government grants (contributions)		1e	8,941,295

f	All other contributions, gifts, grants, and similar amounts not included above		1f	522,251

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		15,090,610

1	Briefly describe the organization’s mission or most significant activities: HEALTH, CARE, AND EDUCATION BEYOND EXTRAORDINARY. THE PRIMARY PURPOSE OF (CONT'D ON SCHEDULE O) LCMC IS TO CREATE, MAINTAIN, AND GROW HEALTH CARE SERVICES CONSISTENT WITH ITS OPERATION OF WEST JEFFERSON MEDICAL CENTER, UNIVERSITY HEALTHCARE SYSTEM AND THE CHARITABLE MISSION OF THE LCMC AFFILIATES. LCMC PROVIDES SUPPORT AND MANAGEMENT SERVICES TO THE SYSTEM ENTITIES SO THAT THE ENTITIES IN TURN CAN FOCUS THEIR EFFORTS ON CARRYING OUT THEIR EXEMPT PURPOSES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	33
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	31
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	15,696
6	Total number of volunteers (estimate if necessary) .............	6	259
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	170,230
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Business Code
2a	PATIENT SERVICES	621110	1,348,148,911	1,348,148,911
b	LCMC MANAGEMENT FEE	561000	162,112,739	162,112,739
c	POPULATION HEALTH	621110	6,419,824	6,419,824
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,516,681,474

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,051,373		170,230	3,881,143
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	16,874,277
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	16,874,277
d	Net rental income or (loss).......			16,874,277	16,874,277
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		61,444
b	Less: cost or other basis and sales expenses	7b		0
c	Gain or (loss)	7c		61,444
d	Net gain or (loss).........			61,444			61,444
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	PHARMACY AND 340B REVENUE		900099	58,417,634	58,417,634
b	LCMC OTHER REVENUE		900099	9,071,804	9,071,804
c	CAFETERIA INCOME		722514	4,661,552			4,661,552
d	All other revenue ....			1,134,062	1,134,062
e	Total. Add lines 11a–11d ......			73,285,052
12	Total revenue. See instructions.....			1,626,044,230	1,602,179,251	170,230	8,604,139

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,075,000	3,075,000
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	12,109,852		12,109,852
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	469,149,867	357,565,972	111,583,895
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,745,903	5,677,541	8,068,362
9	Other employee benefits .......	46,299,752	16,856,033	29,443,719
10	Payroll taxes ...........	33,881,026	23,776,986	10,104,040
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,055,976	78,791	5,977,185
c	Accounting ...........	2,100,525	493,059	1,607,466
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	38,938		38,938
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	417,929,688	245,652,908	172,276,780
12	Advertising and promotion ....	2,216,998	27,876	2,189,122
13	Office expenses .......	58,207,890	22,543,263	35,664,627
14	Information technology ......	41,256,307	1,842,789	39,413,518
15	Royalties ..
16	Occupancy ...........	47,579,672	7,947,654	39,632,018
17	Travel ............	1,701,195	993,735	707,460
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	326,022	222,988	103,034
20	Interest ...........	35,311,769	127,539	35,184,230
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	87,496,636	30,529,932	56,966,704
23	Insurance ...	13,556,592	2,119,096	11,437,496
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL & DIETARY FOOD	291,622,862	265,865,758	25,757,104
b	PERMITS,LICENSES, & TAX	27,632,338	1,410,721	26,221,617
c	REPAIRS & MAINTENANCE	27,039,413	16,014,554	11,024,859
d	COMMUNITY SUPPORT EXPEN	18,682,044	18,682,044
e	All other expenses	32,401,351	11,586,704	20,814,647
25	Total functional expenses. Add lines 1 through 24e	1,689,417,616	1,033,090,943	656,326,673	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			10,895,438	1	144,826,470
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			80,077,640	4	339,838,841
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				2,630,098	5	6,295,817
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			438,373,836	7	544,968,127
8	Inventories for sale or use ............			9,437,554	8	42,299,936
9	Prepaid expenses and deferred charges ......			195,913,361	9	190,516,561
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	977,691,392
b	Less: accumulated depreciation	10b	268,401,796	462,542,352	10c	709,289,596
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			1,889,115,404	13	1,869,134,913
14	Intangible assets ...............				14	79,355,745
15	Other assets. See Part IV, line 11 ...........			32,098,276	15	74,778,046
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,121,083,959	16	4,001,304,052

17	Accounts payable and accrued expenses .....	82,595,466	17	218,251,744
18	Grants payable ...		18
19	Deferred revenue .........	17,997,193	19	98,683,071
20	Tax-exempt bond liabilities .........	520,804,866	20	723,127,663
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	300,000,000	23	350,704,900
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	510,573,434	25	862,616,151
26	Total liabilities. Add lines 17 through 25..	1,431,970,959	26	2,253,383,529

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,689,025,997	27	1,747,812,522
28	Net assets with donor restrictions ...........	87,003	28	108,001
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,689,113,000	32	1,747,920,523
33	Total liabilities and net assets/fund balances ........	3,121,083,959	33	4,001,304,052