4A (Expenses $ 480866535 including grants of $ 27727) (Revenue $ 497311419)
PROGRAM SERVICES STATISTICS RELATED TO PROVIDING COMMUNITY MEDICAL CARE FOR THE HOSPITAL:TOTAL ACUTE PATIENT DAYS WERE 107,379, TOTAL NURSERY DAYS WERE 6,659, TOTAL REHAB DAYS WERE 5,084 AND TOTAL MENTAL HEALTH DAYS WERE 5,259. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 70,893 EMERGENCY ROOM VISITS, 13,382 SURGERIES (INPATIENT AND OUTPATIENT), AND 3,384 DELIVERIES.DURING THE YEAR THE FOLOWING DESIGNATIONS WERE EARNED:OCHSNER LAFAYETTE GENERAL MEDICAL CENTER EARNS BLUE DISTINCTION CENTERDESIGNATION FOR QUALITY AND COST-EFFICIENCY IN KNEE AND HIP REPLACEMENTAND SPINE SURGERIES.OCHSNER LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL EARNS BLUE DISTINCTION CENTER DESIGNATION FOR QUALITY IN KNEE AND HIP REPLACEMENT SURGERYTHE ORGANIZATION PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY. SERVICES INCLUDED INPATIENT AND OUTPATIENT CARE IN FURTHERANCE OF THE ORGANIZATION'S HEALTHCARE MISSION.LAFAYETTE GENERAL MEDICAL CENTER (LGMC) SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED ACADIANA WITH 433 STAFFED BEDS (INCLUDING 25 NURSERY BEDS) AND 2,275 EMPLOYEES. LGMC REMAINS THE AREA'S LARGEST, FULL SERVICE, ACUTE-CARE MEDICAL CENTER.OUR HOSPITAL MISSION IN THE COMMUNITIES THAT WE SERVE IS TO RESTORE, MAINTAIN, AND IMPROVE HEALTH. WE ARE A COMMUNITY-OWNED AND LOCALLY MANAGED HOSPITAL THAT STAYS TRUE TO OUR MISSION BY DEDICATING SIGNIFICANT RESOURCES TO COMPENSATE A COMPASSIONATE, HIGHLY SKILLED STAFF; ACQUIRE ADVANCED TECHNOLOGY; AND DEVELOP SERVICE IMPROVEMENTS EACH YEAR.IN LINE WITH OUR GOAL OF BUILDING A REGIONAL HEALTH CARE SYSTEM, LAFAYETTE GENERAL MEDICAL CENTER HAS ESTABLISHED CLINICAL AFFILIATIONS WITH OUTLYING HOSPITALS, EXTENDING OUR BEST PRACTICES IN CANCER TREATMENTS, CARDIOLOGY, AND NEUROSCIENCE SUPPORT TO OUTLYING PARISHES. WE ALSO ENABLED PATIENTS TO PARTICIPATE MORE IN THEIR HEALTH CARE BY OFFERING AN ONLINE PATIENT PORTAL.ON JULY 1, 2013, AFTER LAFAYETTE GENERAL HEALTH TOOK OVER MANAGEMENT OF UNIVERSITY HOSPITAL & CLINICS (FORMERLY UNIVERSITY MEDICAL CENTER) WHEN IT WAS RUN BY THE STATE OF LOUISIANA, THE RESIDENCY PROGRAM WAS EXPANDED TO LAFAYETTE GENERAL MEDICAL CENTER. THESE TWO HOSPITALS SHARE IN A SYNERGISTIC RELATION, WHERE RESIDENTS BASED OUT OF LSU'S NEW ORLEANS AND BATON ROUGE CAMPUSES ROTATE THROUGHOUT EACH OF THESE HOSPITALS. THESE RESIDENTS SPAN A WIDE RANGE OF SERVICE LINES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, OTOLARYNGOLOGY (EAR, NOSE AND THROAT), OPHTHALMOLOGY, GENERAL SURGERY, OBSTETRICS/GYNECOLOGY, ANESTHESIOLOGY AND ORTHOPEDICS. FELLOWSHIPS (SPECIFIC MEDICAL TRAINING AVAILABLE TO THOSE WHO HAVE COMPLETED A RESIDENCY PROGRAM) ARE AVAILABLE IN CARDIOLOGY, GERIATRICS, RETINA AND UROGYNECOLOGY.LAFAYETTE GENERAL HEALTH ALSO EXPANDED EDUCATION OPPORTUNITIES OFFERED TO OTHER HEALTHCARE PROFESSIONALS IN ACADIANA BY STARTING THE FIRST EVIDENCE-BASED CURRICULUM NURSE RESIDENCY PROGRAM (NRP) IN LOUISIANA. LAFAYETTE GENERAL HEALTH RECOGNIZED THE NURSING SHORTAGE AFFECTINGHOSPITALS ACROSS THE COUNTRY, ESPECIALLY IN ACADIANA. THE NURSE RESIDENCY PROGRAM (NRP) HELPS TRAIN GRADUATE NURSES ENTERING THEIR PROFESSIONAL FIELD. THE ONE-YEAR PROGRAM FOCUSES ON PATIENT OUTCOMES, LEADERSHIP AND QUALITY. LGMC'S FIRST NRP COHORT IN JANUARY 2016 CONSISTED OF 11 NURSES. THE THIRD AND FOURTH COHORTS STARTED IN FISCAL YEAR 2017 AND CONSISTED OF 34 AND 35 NURSE RESIDENTS RESPECTIVELY.LAFAYETTE GENERAL CONTINUES TO EXPAND ITS SERVICES AND FACILITIES IN ORDER TO MEET THE GROWING NEEDS OF OUR COMMUNITY. THREE OF THE MORE RECENT RENOVATIONS AND EXPANSION TO OUR FACILITIES ARE DETAILED BELOW.LAFAYETTE GENERAL MEDICAL CENTER COMPLETED A $52.5 MILLION EMERGENCY DEPARTMENT AND OPERATING ROOM EXPANSION AND RENOVATION PROJECT. THE EXPANSION INCREASED THE EMERGENCY DEPARTMENT BED CAPACITY FROM 31 BEDS TO 45 AND ADDED TWO NEW TRAUMA ROOMS. A NEW TRAUMA ELEVATOR ADDED DIRECT ACCESS FROM THE EMERGENCY HELIPAD LANDING AREA TO THE ER, ICU, AND SURGERY AREAS BELOW. THIS EXPANSION ALSO INCLUDED A 343 SPACE PARKING GARAGE.LAFAYETTE GENERAL SOUTHWEST (LGSW) IS THE NEWEST ADDITION IN NOVEMBER 2015 TO LAFAYETTE GENERAL HEALTH (LGH). LGSW SERVES AS AN EXTENSION OF LAFAYETTE GENERAL MEDICAL CENTER'S MAIN CAMPUS IN THE OIL CENTER. LGSW IS A FULL-SERVICE, ACUTE CARE HOSPITAL. THE ADDITION OF BEDS AND AN EMERGENCY DEPARTMENT ALLOWED LGH TO EXPAND SERVICES AND SERVE MORE PEOPLE IN AND AROUND THE LAFAYETTE COMMUNITY. THE ADDITION HELPED EASE LGMC'S INTAKE OF TRANSFERRED PATIENTS. WITH THE ACQUISITION OF THE NEW HOSPITAL, LGSW UNDERWENT UPDATES AND A SMALL RENOVATION. THE FOURTH FLOOR OF LGSW RECEIVED A TOTAL MAKEOVER TO TRANSFER THE INPATIENT REHABILITATION DEPARTMENT FROM LGMC. THE MOVE RESULTED IN MORE REHABILITATION BEDS FOR LAFAYETTE GENERAL PATIENTS THAN EVER BEFORE.IN MARCH 2016 LGMC ADDED 19 NEW BEDS AND AN EXTRA 11,000 SQUARE FEET TO LABOR & DELIVERY, MOTHER/BABY AND THE NEONATAL INTENSIVE CARE UNIT (NICU).LAFAYETTE GENERAL MEDICAL CENTER (LGMC) IS CURRENTLY CLASSIFIED AS A LEVEL II TRAUMA PROGRAM AND IS WORKING TO BECOME AN ACS VERIFIED ADULT LEVEL II TRAUMA CENTER. THIS DESIGNATION ELEVATES LGMC AS THE REGION'S REFERREDDESTINATION FOR TRAUMA PATIENTS, PROVIDING RESOURCES AND STAFFING TO HANDLE MAJOR EMERGENCIES.LAFAYETTE GENERAL MEDICAL CENTER ASSUMES THE ROLE OF A COMMUNITY PARTNER IN A VARIETY OF WAYS. THROUGH FINANCIAL CONTRIBUTIONS WE WORK TO PRESERVE THE PROSPERITY OF OUR COMMUNITY, FURTHER MEDICAL EDUCATION AND RESEARCH AND HELP OUR CONSTITUENTS ACCESS THE MEDICAL CARE THEY NEED. WE COORDINATE EVENTS AND SCREENINGS FREE OF CHARGE TO MAINTAIN THE HEALTH OF THE LOCAL PUBLIC, INCLUDING SUDDEN IMPACT, A PROGRAM TEACHING YOUNG DRIVERS THE HAZARDS OF IMPAIRED, DISTRACTED AND UNRESTRAINED DRIVING, AND DISTRIBUTED FREE COLORECTAL SCREENING KITS.WE ALSO EXTEND OUR WORKFORCE BEYOND THEIR DAILY RESPONSIBILITIES TO PARTICIPATE IN ACTIVITIES THAT PROVIDE FOR THE SAFETY AND BETTERMENT OF OUR COMMUNITY.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: LAFAYETTE GENERAL MEDICAL CENTER INC., - FACILITY 2: LAFAYETTE GENERAL ORTHOPEDIC HOSPITAL, - FACILITY 3: LAFAYETTE GENERAL SURGICAL HOSPITAL, LLC

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:
MORE THAN FIFTEEN INTERVIEWS WERE CONDUCTED FROM MARCH 16 THROUGH JUNE 15, 2021. INTERVIEWS REQUIRED APPROXIMATELY 45 MINUTES TO COMPLETE. INTERVIEWERS FOLLOWED THE SAME PROCESS FOR EACHINTERVIEW. THE FOLLOWING COMMUNITY-FOCUSED QUESTIONS WERE USED AS THE BASIS FOR DISCUSSION:- WHAT ARE SOME STRENGTHS OF YOUR COMMUNITY?- WHAT HEALTH CONCERNS ARE AFFECTING YOUR COMMUNITY?- WHAT BARRIERS MAKE IT HARD FOR COMMUNITY MEMBERS TO REMAIN HEALTHY?- WHICH HEALTH RESOURCES DO YOU FEEL ARE MOST NEEDED WITHIN YOURCOMMUNITY?- ARE THERE ANY SUBPOPULATIONS THAT YOU FEEL ARE MEDICALLY UNDERSERVED?- WHAT COULD BE DONE TO IMPROVE THE HEALTH OF YOUR COMMUNITY?- ARE THERE ANY EMERGING HEALTH NEEDS THAT WE HAVE NOT TOUCHED UPON?- IS THERE ANYTHING ELSE YOU THINK IS IMPORTANT FOR ME TO KNOW ABOUTHEALTHCARE DELIVERY IN THE COMMUNITY?

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:
OCHSNER ABROM KAPLAN MEMORIAL HOSPITAL, OCHSNER ACADIA GENERAL HOSPITAL, OCHSNER LAFAYETTE GENERAL MEDICAL CENTER, OCHSNER ST. MARTIN HOSPITAL, OCHSNER UNIVERSITY HOSPITAL & CLINICS, HEART HOSPITAL OF LAFAYETTE, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, OUT LADY OF LOURDES WOMEN'S & CHILDREN HSOPITAL, AND PARK PLACE SURGICAL CENTER.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:
THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITSMOST RECENTLY CONDUCTED NEEDS ASSESSMENT BY:-ADOPTION OF AN IMPLEMENTATION STRATEGY TO ADDRESS THE HEALTH NEEDS OF THE HOSPITAL FACILITY'S COMMUNITY-EXECUTION OF THE IMPLEMENTATION STRATEGY-PARTICIPATION IN THE DEVELOPMENT OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN-PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE COMMUNITY BENEFIT PLAN-INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS-ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE NEEDS ASSESSMENT-PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY-PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J:
THE POLICY IS DESCRIBED IN OUR PATIENT INFORMATION PACKETS PROVIDED DURING THE ADMISSION PROCESS.

PART V, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE
HTTPS://WWW.OCHSNER.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

PART I, LINE 7:
THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.PART I, LINE 7B, MEDICAID: LGMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS TO ASSIST IN OFFSETTING THE COSTS OF PROVIDING GRADUATE MEDICAL EDUCATION PROGRAMS AT BOTH LGMC AND UNIVERSITY HOSPITAL AND CLINICS. THE PAYMENTS ARE PROVIDED THROUGH A COLLABORATIVE ENDEAVOR AGREEMENT CREATING A PUBLIC PRIVATE PARTNERSHIP WITH LGMC, UHC, LOUISIANA STATE UNIVERSITY AND THESTATE OF LOUISIANA.PART 1, LINE 7, COLUMN FTHE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25 WHICH EXCLUDED BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7 THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.LINE 7G SUBSIDIZED HEALTH SERVICES. CLINICS THAT MET A DESIGNATED COMMUNITY NEED WERE INCLUDED. CLINIC BOOK REVENUE FOR THE CLINIC LOCATION, LESS THE MEDICARE REIMBURSEMENT, IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF CLINIC BOOK EXPENSES, ADJUSTED BY THE MEDICARE EXPENSE DESCRIBED ABOVE.

PART I, LINE 7G:
THE ORGANIZATION INCLUDED COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G WHERE THERE WAS AN IDENTIFIED COMMUNITY NEED TO OFFER SUCH CLINICAL SERVICES.

PART III, LINE 4:
EFFECTIVE JAN. 1, 2018, OCHSNER ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH OUTLINES A SINGLE COMPREHENSIVE MODEL FOR ENTITIES TO USE IN ACCOUNTING FOR REVENUE ARISING FROM CONTRACTS WITH CUSTOMERS. ASU 2014-09 SUPERSEDES MOST CURRENT REVENUE RECOGNITION GUIDANCE, INCLUDING INDUSTRY-SPECIFIC GUIDANCE, AND REQUIRES EXPANDED DISCLOSURES ABOUT REVENUE RECOGNITION TO ENABLE FINANCIAL STATEMENT USERS TO UNDERSTAND THE NATURE, TIMING, AMOUNT, AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM CONTRACTS WITH CUSTOMERS. BAD DEBT IS NO LONGER DISCLOSED IN THE NOTES TO THE FINANCIAL STATEMENTS.

PART III, LINE 8:
THE COSTING METHODOLOGY USED FOR LINE 6 WAS THE STANDARD MEDICARE COST REPORT COST SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITALS FILED COST REPORT. THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE HOSPITAL DID NOT INCLUDE THE MEDICARE SHORTFALL IN OUR COMMUNITY BENEFIT CALCULATIONS REPORTED ON PART I, LINE 7.

PART III, LINE 9B:
WE SEEK TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE THIRD PARTY COVERAGE OR ASSIST THEM IN APPLYING FOR FEDERAL ASSISTANCE. IF THEY DO NOT HAVE THIRD PARTY COVERAGE OR CANNOT QUALIFY FOR FEDERAL ASSISTANCE, WE THEN SCREEN TO SEE IF THEY MEET QUALIFICATIONS FOR OUR CHARITY CARE PROGRAM. THOSE NOT QUALIFYING FOR CHARITY CARE ,WE TRY TO COLLECT OR MAKE MONTHLY PAYMENT ARRANGEMENTS, IF THEY DO NOT COMPLY WE WILL REFER TO OUR COLLECTION AGENCY.

PART VI, LINE 2:
A FORMAL NEEDS ASSESSMENT WAS UNDERTAKEN FOR THE YEAR ENDING 09/30/19. WE ENGAGED THE CARNAHAN GROUP TO COMPLETE OUR COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2019. THIS ASSESSMENT INCLUDES USING NATIONAL DATA, INTERVIEWS WITH HEALTHCARE PROVIDERS IN THE COMMUNITY AND FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY CITIZENS. IN ADDITION, THE HOSPITAL DOES HAVE A BOARD OF TRUSTEES AND MEMBERS OF THE CORPORATION COMPRISED OF INDIVIDUALS FROM THE LOCAL COMMUNITY, WHICH ARE INDEPENDENTLY AWARE OF THE MEDICAL NEEDS OF THE COMMUNITY. SURPLUS RECEIPTS OVER DISBURSEMENTS ARE INVESTED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES AND EQUIPMENT, ADVANCE MEDICAL TRAINING AND EDUCATION. THE HOSPITAL ALSO MAINTAINS AN OPEN MEDICAL STAFF.

PART VI, LINE 3:
THE HOSPITAL COMPLIES WITH FEDERAL AND JACHO REQUIREMENTS OF POSTING NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS. HANDOUTS ARE INCLUDED WITH THE ADMISSION PACKAGE THAT INFORMS THE PATIENT OF CONTACT INFORMATION TO DISCUSS PAYMENT OPTIONS. THE HOSPITAL IS A MEDICAID ENROLLMENT FACILITY, AND AS SUCH, THE HOSPITAL OFFERS SCREENING SERVICES FOR ELIGIBILITY FOR MEDICAID AND POSSIBLE CHARITY CARE ASSISTANCE. HOSPITAL PERSONNEL ALSO SCREEN LARGER ACCOUNTS AFTER THE ORIGINAL BILL IS ISSUED, AND CONTACT THE PATIENT TO DETERMINE QUALIFICATIONS FOR CHARITY CARE POLICY.

PART VI, LINE 4:
THE HOSPITAL SERVES THE NINE PARISHES IN LOUISIANA DESIGNATED AS ACADIANA AS THE LARGEST, FULL SERVICE, ACUTE CARE MEDICAL CENTER. APPROXIMATELY ONE THIRD OF THE HOSPITAL'S DISCHARGES COME FROM LAFAYETTE PARISH. THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE.

PART VI, LINE 5:
THE HOSPITAL DOES MAINTAIN AN OPEN MEDICAL STAFF THUS ALLOWING IT TO OFFER A VARIETY OF SPECIALISTS, AND CONTINUES TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE THAT THE HOSPITAL WILL CONTINUE TO BE THE FULL SERVICE HEALTHCARE PROVIDER THAT THE COMMUNITY EXPECTS. THE HOSPITAL JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS TO PROVIDE HEALTHCARE SCREENINGS AND TESTAT LOCAL EVENTS.