4A (Expenses $ 756818793 including grants of $ 4000000) (Revenue $ 931401314)
TO PROVIDE HOSPITAL AND MEDICAL CARE TO THE RESIDENTS OF SHREVEPORT AND MONROE, LOUISIANA, AND THEIR SURROUNDING COMMUNITIES THROUGH THE OWNERSHIP AND OPERATION OF THREE SAFETY-NET HOSPITALS. THE SYSTEM SERVED 23,963 INPATIENTS RESULTING IN 135,425 PATIENT DAYS. EMERGENCY ROOM VISITS TOTALED 87,131. THE NUMBER OF BIRTHS TOTALED 5,064. OUTPATIENT HOSPITAL VISITS TOTALED 569,931. OCHSNER LSU HEALTH SYSTEM SERVES AS THE SAFETY NET PROVIDER FOR THE POOR AND UNDER SERVED RESIDING IN NORTH AND CENTRAL LOUISIANA. IN 2022, NEARLY 50% OF ALL PATIENT ENCOUNTERS IN THE HEALTH SYSTEM WERE MEDICAID RECIPIENTS. THE SYSTEM'S HOSPITALS INCLUDE THE ACADEMIC MEDICAL CENTER, A 395-HOSPITAL IN SHREVEPORT, LOUISIANA AND ONE OF THE NATION'S LARGEST INDEPENDENT ACADEMIC MEDICAL CENTERS; THE MONROE MEDICAL CENTER, A 244-BED HOSPITAL IN MONROE, LA AND THE ST. MARY MEDICAL CENTER, A 93-BED HOSPITAL IN SHREVEPORT, LOUISIANA. THE SYSTEM ALSO INCLUDES AN AMBULATORY SURGERY CENTER, OUTPATIENT CLINICS AND URGENT CARE FACILITIES LOCATED THROUGHOUT NORTH LOUISIANA, ALONG WITH A BEHAVIORAL HEALTH FACILITY THAT IS OPERATED AS PART OF A JOINT VENTURE BETWEEN OCHSNER LSU HEALTH SYSTEM AND A THIRD-PARTY PARTNER.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: OCHSNER LSU HEALTH SHREVEPORT, - FACILITY 2: OCHSNER LSU HEALTH MONROE

GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 5:
INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER.

GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 6A:
OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER

GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 11:
OCHSNER LSU HEALTH SHREVEPORT SHREVEPORT MEDICAL CENTERBEHAVIORAL HEALTHIN 2021 LOUISIANA BEHAVIORAL HEALTH-OCEANS HEALTHCARE BECAME A PART OF THE OCHSNER HEALTH SYSTEM, PROVIDING AN INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. INCREASE ACCESS TO CAREA SIGNIFICANT INVESTMENT WAS MADE TO COLLABORATE WITH THE LSU FOUNDATION TO INCREASE THE NUMBER OF PROVIDERS IN MEDICALLY UNDERSERVED AREAS. ADDITIONALLY, OCHSNER IS INVESTING IN THE LSU HEALTH SCIENCE CENTER MEDICAL SCHOOL IN SHREVEPORT TO INCREASE THE NUMBER OF PROVIDERS AVAILABLE. BOTH THESE INVESTMENTS ADDRESS THE LACK OF ACCESS TO PROVIDERS FOUND IN MORE RURAL AREAS OF NORTH LOUISIANA. ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED.

GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 13H:
FAMILY SIZE

GROUP A-FACILITY 1 -- OCHSNER LSU HEALTH SHREVEPORT PART V, SECTION B, LINE 15E:
THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES.

GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 5:
INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER.

GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 6A:
OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER

GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 11:
"OCHSNER LSU HEALTH SHREVEPORT MONROE MEDICAL CENTERACCESS TO CAREOLHS-MONROE WORKED TO IMPROVE ACCESS TO CARE BY REDUCING BARRIERS TO SCHEDULING APPOINTMENTS VIA OFFERING A CENTRALIZED CALL CENTER, MAKING PRIMARY CARE AVAILABLE SAME-DAY, SELF-SCHEDULING FOR MAMMOGRAPHY, AND INCREASING MY CHART UTILIZATION BY MAKING IT MORE ACCESSIBLE. TO ENSURE ALL COMMUNITY MEMBERS HAD ACCESS TO COVID-19 VACCINATIONS AND EDUCATION, OLHS-MONROE PROVIDED VACCINES REGULARLY AT PEDIATRIC AND FAMILY MEDICINE CLINICS, IMPLEMENTED A VACCINATION CALL CENTER TO INCREASE ACCESS TO COVID VACCINATION ALONG WITH WALK IN APPOINTMENTS AT VACCINE CENTERS, MASS VACCINE EVENTS, AND MOBILE STRIKE EVENTS, PARTICIPATED IN NEWS AND RADIO INTERVIEWS, HELD TOWN HALLS FOR EMPLOYEE EDUCATION ABOUT THE VACCINE, HELD 29 MOBILE VACCINE EVENTS AND 5 MASS VACCINATION EVENTS. TO ENHANCE TRUST AND EDUCATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY, OLHS-MONROE IMPLEMENTED SIGNAGE POSTED IN VARIOUS LANGUAGES REGARDING PATIENTS' RIGHTS PLACED THROUGHOUT THE HOSPITAL AND MADE INTERPRETER SERVICES AVAILABLE 24/7 FOR BOTH LANGUAGE AND HEARING IMPAIRED.HEALTH EDUCATIONOLHS-MONROE PROVIDED HEALTH EDUCATION WORKSHOPS AND SUPPORT GROUPS ON CHRONIC DISEASE MANAGEMENT BY PARTICIPATING IN COMMUNITY EVENTS WITH HEALTH EDUCATION AND SCREENING OPPORTUNITIES INCLUDING THE NELA AMERICAN HEART WALK, PROSTATE CANCER RUN, JONESVILLE JUNETEENTH CELEBRATION, AND COMMUNITY HEALTH AND WELLNESS EXPO. BREAST CANCER EDUCATION AND SCREENING WAS OFFERED THROUGH A ""WALK-IN MAMMOGRAM DAY"", EDUCATIONAL SESSIONS LEAD BY MAMMOGRAPHY TECHS, AND SCREENINGS AND EDUCATION OFFERED AT THE COMMUNITY HEALTH AND WELLNESS EXPO. OPHTHALMOLOGY TEAM ASSISTED WITH MULTIPLE GLAUCOMA SCREENING EVENTS IN THE COMMUNITY OFFERING GLAUCOMA SCREENINGS FOR COMMUNITY MEMBERS. PATIENT ENGAGEMENT AND BUILDING COMMUNITY PARTNERSHIPSOLHS-MONROE IMPROVED THE LOCAL HIRING PIPELINE AND WORKFORCE DEVELOPMENT THROUGH COLLABORATION WITH DELTA COMMUNITY COLLEGE, OUACHITA PARISH WORKFORCE DEVELOPMENT, AND NELA HEALTHCARE ALLIANCE TO OFFER WORKFORCE DEVELOPMENT AND TRAINING OPPORTUNITIES VIA COALITION BUILDING, INTERNSHIPS AND MA PROGRAMS. OLHS-MONROE WAS RESPONSIVE TO COMMUNITY NEEDS BY HAVING LEADERS SERVE ON COMMUNITY BOARDS FOR ENGAGEMENT AND INCLUSIVITY TO ADDRESS EVOLVING COMMUNITY NEEDS. FOOD INSECURITY WAS ADDRESSED VIA COLLABORATION WITH LOCAL UNIVERSITY, COMMUNITY COLLEGE AND CITY OF MONROE ON FOOD DESERTS IN THE ESTABLISHMENT OF THE ESTER GALLOWS COMMUNITY GARDEN.ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED."

GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 13H:
FAMILY SIZE

GROUP A-FACILITY 2 -- OCHSNER LSU HEALTH MONROE PART V, SECTION B, LINE 15E:
THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES.

PART V, SECTION B
FACILITY REPORTING GROUP C

FACILITY REPORTING GROUP C CONSISTS OF:
- FACILITY 3: OCHSNER LSU HEALTH SHREVEPORT- ST MARY MEDICAL

GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 5:
INFORMATION FROM THE PUBLIC WAS SOLICITED IN THREE WAYS: COMMUNITY INPUT SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE HOSPITAL IDENTIFIED KEY COMMUNITY STAKEHOLDERS, LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE AND/OR EXPERTISE IN PUBLIC HEALTH, AGENCIES WITH INFORMATION RELATIVE TO THE HEALTH NEEDS OF THE COMMUNITY AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY. SUCH PERSONS WERE INTERVIEWED, PARTICIPATED IN FOCUS GROUPS AND/OR WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. THE INTERVIEWS OFFERED COMMUNITY LEADERS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SUGGESTIONS ON SECONDARY DATA RESOURCES TO REVIEW AND EXAMINE, AND OTHER INFORMATION RELEVANT TO THE STUDY. AS PART OF THE CHNA PROJECT, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE CHANGING COMMUNITY HEALTH ENVIRONMENT. KEY INFORMANT INTERVIEWS WERE CONDUCTED IN NOVEMBER 2020 AND CONTINUED THROUGH JANUARY 2021. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTS, 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS, 4)GOVERNMENT LEADERS, AND 5) RELIGIOUS LEADERS. A COMMUNITY SURVEY WAS DISTRIBUTED ONLINE FROM JANUARY 2021 TO FEBRUARY 2021 AND INCLUDED QUESTIONS ABOUT HEALTH BEHAVIORS AND STATUS, SAFETY, EDUCATION, QUALITY OF LIFE, AND QUALITY OF HEALTHCARE. COMMUNITY BASED ORGANIZATIONS DISTRIBUTED THE SURVEY WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED. THE FOLLOWING IS A LIST OF COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: 318 LATINO MARKETING, CADDO JUVENILE COURT, CENTENARY COLLEGE, PARISH OF CADDO, SHREVEPORT PARKS & REC, MARY'S HOUSE, DESOTO PARISH POLICE JURY, BOSSIER HEAD START, NORTHWESTERN UNIVERSITY, CADDO PARISH SCHOOLS, NORTH CADDO MEDICAL CENTER, GOODWILL INDUSTRIES OF NORTH LOUISIANA, A TOUCH OF MERCY, TUBERCULOSIS CLINIC, SHREVEPORT BLACK NURSES ASSOCIATION, ST. REST BAPTIST CHURCH COMMUNITY GARDEN, LSU AGRICULTURE, LDH OFFICE OF PUBLIC HEALTH REGION 7, LOUISIANA DEPARTMENT OF HEALTH (LDH), NORTHWEST LOUISIANA HUMAN SERVICE DISTRICT, NORTHWEST LOUISIANA COMMUNITY COOPERATION, LOUISIANA HEALTHY COMMUNITIES COALITION, HEALTHY BIRTH AMBASSADORS, LOUISIANA HEALTHCARE CONNECTIONS, AMERIHEALTH CARITAS LOUISIANA, COMMUNITY OF COLORS NETWORK (SOUTHERN UNIVERSITY), COMPASSION FOR LIVES, CHILDREN'S COALITION OF NORTHEAST LA, CITY OF MONROE, EASTER SEALS/DESIRE STREET SHELTER, HUMAN SERVICES AUTHORITY, LA STATE REPRESENTATIVE, LIVING WELL FOUNDATION, LINCOLN HUT, LDH, BUREAU OF FAMILY HEALTH, LDH, OFFICE OF PUBLIC HEALTH, REGION 8, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), NELA SICKLE CELL ANEMIA FOUNDATION, REDDIX DENTAL CLINIC, SALVATION ARMY OF NELA, ST. JOHN MISSIONARY BAPTIST CHURCH, UNITED WAY OF NELA, UNIVERSITY OF LOUISIANA AT MONROE, WEST MONROE COMMUNITY CENTER AND SENIOR CENTER.

GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 6A:
OCHSNER LSU HEALTH SHREVEPORTOCHSNER LSU HEALTH MONROEOCHSNER LSU HEALTH SHREVEPORT - ST MARY MEDICAL CENTER

GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 11:
OCHSNER LSU HEALTH SHREVEPORT ST. MARY MEDICAL CENTERINCREASE HEALTH EDUCATIONOLHS-ST. MARY OFFERED A WIDE VARIETY OF FREE HEALTH EDUCATION OPPORTUNITIES OPEN TO THE COMMUNITY THROUGHOUT 2021 AND 2022. CLASSES OFFERED INCLUDED PROGRAMMING FOR NEW PARENTS AROUND BABY SAFETY, CHILDBIRTH EDUCATION, BREASTFEEDING, CPR, PUBERTY, AND NUTRITION. ADDITIONALLY, OLHS-ST. MARY INCREASED SAFETY PROGRAMMING FOR YOUTH INCLUDING PROTECT- A HOSPITAL VIOLENCE INTERVENTION PROGRAM FOR VICTIMS 17 AND UNDER AND CAR SEAT SAFETY INFORMATION FOR NEW PARENTS, INCLUDING CAR SEAT FITTINGS FOR VEHICLES. PROMOTION OF HEALTHY EATING AND PHYSICAL FITNESS WAS ACHIEVED THROUGH OFFERING FAN CLUB NUTRITION CLASSES FOR KIDS IN PARTNERSHIP WITH THE YMCA AND CADDO PUBLIC SCHOOLS, IMPLEMENTING HEALTHY FOOD OPTIONS IN CAFETERIA, AND BY HOLDING AN ANNUAL 5K RACE TO PROMOTE PHYSICAL FITNESS.EXPAND ACCESS & NAVIGATION OF WOMEN'S AND CHILDREN'S SERVICES WITH EMPHASIS ON PRENATAL CAREOLHS-ST. MARY EXPANDED ACCESS TO WOMEN'S AND CHILDREN'S SERVICES VIA THE OPENING OF A NEW WOMEN'S CLINIC AND PEDIATRIC SPECIALTY CLINIC IN 2022. ADDITIONALLY, A PERMANENT MATERNAL FETAL MEDICINE CLINIC WAS ADDED ONSITE. PATIENT ENGAGEMENT AND BUILDING COMMUNITY PARTNERSHIPSOLHS-ST. MARY HAS EXPANDED COMMUNITY PARTNERSHIPS BY DEVELOPING DEEPER PARTNERSHIPS WITH LOCAL COMMUNITY CLINICS INCLUDING CASSE AND MARY'S HOUSE. AT CASSE CLINICS, MATERIALS WERE DISTRIBUTED AT THE TWO CLINICS WHERE OCHSNER OBS ARE ON ROTATION. AT MARY'S HOUSE, QUARTERLY BABY SHOWERS ARE HELD FOR COMMUNITY MEMBERS THAT PROVIDE HEALTH EDUCATION AND RESOURCES ON SAFE SLEEP, BREASTFEEDING, AND OTHER REQUESTED TOPICS. ADDITIONALLY COMMUNITY EVENTS WERE HELD WITH A VARIETY OF PARTNERS TO PROMOTE HEALTH EDUCATION AND PROVIDE HEALTH SCREENINGS. PARTNERS INCLUDED: GINGERBREAD HOUSE CHILD ADVOCACY CENTER, TEEN ADVISORY COUNCIL FOR COMMUNITY FOUNDATION, VOLUNTEERS OF AMERICA, AND YMCA. ALL SIGNIFICANT NEEDS HAVE BEEN ADDRESSED.

GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 13H:
FAMILY SIZE

GROUP C-FACILITY 3 -- OCHSNER LSU HEALTH SHREVEPORT- ST MARY M PART V, SECTION B, LINE 15E:
THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST. FINANCIAL ASSISTANCE REQUESTS CAN BE MADE VIA TELEPHONE, EMAIL, FAX, WRITTEN CORRESPONDENCE OR IN PERSON BY VISITING THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT OLHS FACILITIES.

SCHEDULE H, PART V, SECTION B, LINE 7A - REPORTING GROUP A
HTTPS://WWW.OCHSNERLSUHS.ORG/WHO-WE-ARE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

SCHEDULE H, PART V, SECTION B, LINE 7A - REPORTING GROUP C
HTTPS://WWW.OCHSNERLSUHS.ORG/WHO-WE-ARE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

FACILITY REPORTING GROUP - A, PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

FACILITY REPORTING GROUP - C, PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

FACILITY REPORTING GROUP - A, PART V, LINE 16B, FAP APPLICATION WEBSITE:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

FACILITY REPORTING GROUP - C, PART V, LINE 16A, FAP APPLICATION WEBSITE:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

FACILITY REPORTING GROUP - A, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

FACILITY REPORTING GROUP - C, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:
HTTPS://WWW.OCHSNERLSUHS.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

SCHEDULE H, PART V, SECTION B, LINE 3E - REPORTING GROUP A
THE NEEDS IDENTIFIED IN THE CHNA WERE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY, AS PRIORITIZED BY THE COMMUNITY LEADERS.

SCHEDULE H, PART V, SECTION C, LINE 16H - REPORTING GROUP B
SEE PART VI FOR ADDITIONAL INFORMATION RELATED TO PART V, LINE 16H

PART I, LINE 3C:
WE IMPLEMENTED PARO'S PRESUMPTIVE CHARITY PROCESS 7/1/2019. THE MODEL UTILIZES PUBLIC RECORD DATA TO PREDICT THE LIKELIHOOD OF FINANCIAL NEED. THE MODEL TRIANGULATES CONSUMER CHARACTERISTICS, REGIONAL COST OF LIVING, AND COMMUNITY DEMOGRAPHICS TO DERIVE A PREDICTION OF ASSISTANCE QUALIFICATION. THIS ALLOWS US TO AVOID SENDING ACCOUNTS TO BAD DEBT, INSTEAD GRANTING ASSISTANCE TO THOSE IN NEED WHILE MEETING 501(R) REGULATORY REQUIREMENTS.PATIENTS WHOSE FAMILY INCOME EXCEEDS 250% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OLHS-NL. FOR EXCEPTIONS, DOCUMENTATION MAY BE REQUIRED TO QUALIFY FOR FINANCIAL ASSISTANCE. EXCEPTIONS INCLUDE, BUT ARE NOT LIMITED TO: EXPENSIVE MEDICATIONS; TERMINAL ILLNESS; OR MULTIPLE HOSPITALIZATIONS.

PART I, LINE 7:
LINE 7A FINANCIAL ASSISTANCE AT COST. OLHS-NL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. OLHS-NL DOES NOT PURSUE COLLECTIONS FOR THOSE QUALIFYING AS CHARITY CARE SO CHARGES ARE RECORDING WITH A CORRESPONDING ALLOWANCE OF 100% OF CHARGES. OLHS-NL ESTIMATES ITS COSTS OF CARE PROVIDED UNDER ITS CHARITY CARE PROGRAMS BY APPLYING A RATIO OF DIRECT AND INDIRECT COSTS TO CHARGES TO THE GROSS FORGONE CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. OLHS-NL'S GROSS CHARITY CARE CHARGES INCLUDE ONLY SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY AND QUALIFY UNDER OLHS-NL'S CHARITY CARE POLICIES. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON OLHS-NL'S TOTAL EXPENSES DIVIDED BY GROSS PATIENT REVENUE.LINE 7B MEDICAID. DIRECT OFFSETTING REVENUE IS MEDICAID REIMBURSEMENT FOR HOSPITAL AND CLINIC LOCATIONS ALONG WITH FMP AND DSH SUPPLEMENTAL ALLOCATED TO THE MEDICAID POPULATION. COMMUNITY BENEFIT EXPENSE IS THE GROSS MEDICAID REVENUE MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE MEDICAID SERVICES. MEDICAID NET REVENUE, FMP AND DHS SUPPLEMENTAL REVENUE IS THE DIRECT OFFSETTING REVENUE.LINE 7C COST OF OTHER MEANS TESTED GOVERNMENT PROGRAMS IS CALCUATED USING GROSS PATIENT REVENUE CHARGES RELATED TO THE DEPT OF CORRECTIONS PROGRAM MULTIPLIED BY THE COST TO CHARGE RATIO FOR THE HOSPITAL AND CLINICS, TO APPROXIMATE THE COST TO PROVIDE SERVICES. NET REVENUE PATIENT REVENUE RELATED TO THESE DEPT OF CORRECTIONS CHARGES IS THE DIRECT OFFSETTING REVENUE.LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDES DIRECT EXPENSE INCLUDING EMPLOYEE PAYROLL FOR COMMUNITY INITIATIVES.LINE 7F EDUCATION IS CALCUATED USING EXPENSES FOR INTERNS, RESIDENTS, AND FELLOWS AND OFFSETTING REVENUE FROM DIRECT GME.LINE 7G SUBSIDIZED HEALTH SERVICES. HOSPITAL AND CLINIC UNINSURED/SELF PAY POPULATIONS THAT DO NOT QUALIFY AS CHARITY CARE. REVENUE IS RECORDED FOR THE CLINIC LOCATION, LESS THE REIMBURSEMENT FOR THE UNINSURED WHICH IS THE DIRECT OFFSETTING REVENUE. COMMUNITY BENEFIT EXPENSE IS MADE UP OF THE UNREIMBURSED COST FOR THE UNINSURED BY APPLYING THE COST TO CHARGE RATIO TO THE GROSS UNINSURED/SELF PAY GROSS REVENUE.LINE 7I INCLUDES DIRECT CONTRIBUTIONS TO CHARITIES THAT MEET IDENTIFIED COMMUNITY NEEDS AS WELL AS CONTRIBUTIONS TO LSU FOUNDATION FOR MEDICAL EDUCATION BUILDING AND OCHSNER CLINIC FOUNDATION.

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 II, COMMUNITY BUILDING ACTIVITIES:
OCHSNER HEALTH PLAYS A VITAL ROLE IN THE HEALTH OF THE ENTIRE STATE OF LOUISIANA. ALONG WITH ITS NONPROFIT HOSPITALS AND OTHER FACILITIES, OCHSNER OPERATES MULTIPLE PUBLICLY-OWNED HOSPITALS, INCLUDING THE LSU TEACHING HOSPITALS IN SHREVEPORT AND MONROE, CHABERT MEDICAL CENTER IN HOUMA, ST. CHARLES PARISH HOSPITAL, AND ST. BERNARD PARISH HOSPITAL. PUBLIC OFFICIALS IDENTIFIED THE NEED FOR PROFESSIONAL MANAGEMENT OF THESE CRITICAL FACILITIES, AND OCHSNER STEPPED IN TO NOT ONLY STABILIZE BUT IMPROVE HEALTH SERVICES FOR LOUISIANANS ACROSS THE STATE, IN BOTH DENSELY POPULATED AND RURAL AREAS. WHILE THESE IMPACTFUL INVESTMENTS ARE NOT REFLECTED IN THE SCHEDULE H REPORT, THEY ARE AN IMPORTANT PART OF THE WAY OCHSNER PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE TO THE COMMUNITIES WHO NEED IT MOST. OCHSNER ENDEAVORS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH COMMUNITY BUILDING ACTIVITIES. OCHSNER COMMUNITY HOSPITALS PROMOTE ECONOMIC GROWTH IN THESE AREAS BY PARTNERING AND SUPPORTING ORGANIZATIONS LIKE GRACE PLACE, MONROE CHAMBER OF COMMERCE, FOOD BANK OF NORTHEAST LOUISIANA AND NORTHWEST LOUISIANA, LOCAL SCHOOLS, PROVIDENCE HOUSE, AND VETERAN'S ASSOCIATIONS.

PART III, LINE 2:
BAD DEBT EXPENSE IS ESTIMATED BASED ON MANAGEMENT'S ASSESSMENT OF COLLECTIBILITY, CURRENT ECONOMIC CONDITIONS, AND PRIOR EXPERIENCE.

PART III, LINE 3:
OLHS-NL DOES NOT CLASSIFY OR CONSIDER ANY OF ITS BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. BAD DEBT EXPENSE DOES NOT INCLUDE PATIENTS WHO ARE FOUND TO BE ELIGIBLE UNDER THE FAP. CHARGES FOR PATIENTS WHO HAVE NOT REQUESTED FINANCIAL ASSISTANCE OR QUALIFIED FOR THE FAP UNDER THE PRESUMPTIVE PROCESS COULD BE CONSIDERED COMMUNITY BENEFIT, BUT IT IS NOT FEASIBLE TO CALCULATE THE IMPACT.

PART III, LINE 4:
EFFECTIVE JULY 1, 2019, OLHS-NL RETROACTIVELY 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 9B:
UPON GRANTING APPROVAL FOR 100% ASSISTANCE, ALL COLLECTION EFFORTS FOR THAT ACCOUNT WILL CEASE, THE ACCOUNT WILL NOT BE TURNED OVER TO A COLLECTION AGENCY, AND OLHS-NL WILL NOT IMPOSE EXTRAORDINARY COLLECTION EFFORTS SUCH AS WAGE GARNISHMENTS OR LIENS.

SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT
THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

GROUP B - LOUISIANA BEHAVORIAL HEALTH, LLC - SCHEDULE H, PART V, LINE 16H
DUE TO THE RECENT OPENING OF THE LOUISIANA BEHAVIORAL HEALTH, LLC, THE REQUIREMENT OF MAKING ITS FAP WIDELY PUBLICIZED WITHIN THE COMMUNITY SERVED BY THE HOSPITAL DURING FISCAL YEAR ENDED JUNE 30, 2022, WAS NOT MET. IT WILL BE MET PRIOR TO THE FILING OF ITS NEXT FORM 990 FOR FISCAL YEAR ENDING JUNE 30, 2023. LOUISIANA BEHAVIORAL HEALTH, LLC, DURING THE CURRENT FISCAL YEAR ENDING JUNE 30, 2023, HAS INCORPORATED IN ITS COMMUNICATIONS TO THE COMMUNITY, BOTH IN PRINTED MATERIALS AND VERBALLY THAT FINANCIAL ASSISTANCE IS AVAILABLE, AND THE BENEFITS THAT ARE PROVIDED BY THE FINANCIAL ASSISTANCE POLICY TO ITS CURRENT PATIENTS AND FUTURE PATIENTS IN THE COMMUNITY.

PART III, LINE 8:
THE MEDICARE SHORTFALL, IF ANY, IS NOT CONSIDERED COMMUNITY BENEFIT. TOTAL REVENUE FROM MEDICARE AND MEDICARE ALLOWABLE COSTS WERE AGGREGATED FROM THE FISCAL YEAR COST REPORTS FILED WITH CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ALL HOSPITALS. THEY DO NOT INCLUDE MEDICARE ADVANTAGE OR PAYMENTS RELATED TO EDUCATION OR RESEARCH, IN COMPLIANCE WITH THE INSTRUCTIONS. TOTAL REVENUE FROM MEDICARE HAS BEEN TAKEN FROM THE E SERIES IN THE MEDICARE COST REPORTS. FOR MEDICARE ALLOWABLE COSTS, WORKSHEET D PART V LINE 202 COLUMN 5 WAS USED FOR OUTPATIENT COSTS AND WORKSHEET D-1 PART II LINE 49, AND WORKSHEET D-1 PART III LINE 86, AND WORKSHEET E PART A LINE 55 WAS USED FOR INPATIENT COSTS. OUTPATIENT FEE SCHEDULE COSTS WERE COMPUTED USING OUTPATIENT COST TO CHARGE OVERALL RATIO FROM THE WORKSHEET D SERIES WORKSHEET OF THE COST REPORT. THE COST REPORTS FOR OCHSNER LSU HEALTH SHREVEPORT (PROVIDER NO. 19-0098), OCHSNER LSU HEALTH MONROE (PROVIDER NO. 19-0011) AND OCHSNER LSU HEALTH SHREVEPORT-ST. MARY (PROVIDER NO. 19-0317) COVER THE PERIOD 07/1/2021 - 06/30/2022.

PART VI, LINE 3:
REPORTING GROUP AUNINSURED PATIENTS MAY BE SCREENED FOR MEDICAID. THIS PROCESS TAKES PLACE AT THE TIME OF SERVICE, INPATIENT ADMISSIONS, AND IF THE PATIENT IS NOT SCREENED AT THE TIME, THE PATIENT MAY BE CONTACTED AT HOME TO DETERMINE ELIGIBILITY. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEN THEY WILL BE EVALUATED UNDER THE FINANCIAL ASSISTANCE POLICY.INTERNAL CUSTOMER SERVICE DEPARTMENTS AND EXTERNAL PARTNERS INCLUDING COLLECTION AGENCIES PROVIDE PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS IF PATIENTS EXPRESS CONCERNS ABOUT THE INABILITY TO PAY OUTSTANDING BALANCES.REPORTING GROUP BA FINANCIAL COUNSELOR ATTEMPTS TO SPEAK TO ALL PATIENTS AS SOON AS THEY ARE STABILIZED AND/OR AN AUTHORIZED CONTACT SUCH AS A FAMILY MEMBER, SPOUSE, ETC. WHEN APPLICABLE. AS A BEHAVIORAL HEALTH HOSPITAL WHERE PATIENTS ARE ADMITTED BOTH VOLUNTARILY AND INVOLUNTARILY, THERE CAN BE A LOT OF VARIATION AS TO WHEN A PATIENT HAS BEEN STABILIZED TO A POINT WHERE A FINANCIAL COUNSELING CONVERSATION IS APPROPRIATE. THEREFORE, OUR FINANCIAL COUNSELORS WILL COORDINATE WITH NURSING STAFF ON A DAILY BASIS AS TO WHEN THE TIMING OF THAT CONVERSATION SHOULD BE DONE. THE GOALS OF OUR FINANCIAL COUNSELING CONVERSATION ARE AS FOLLOWS:1. FOR ALL PATIENTS -- VERIFY INFORMATION WE HAVE ON FILE AND INFORM THEM OF OPTIONS REGARDING THEIR BILL INCLUDING BUT NOT LIMITED TO FINANCIAL ASSISTANCE.2. FOR PATIENTS WITH INSURANCE COVERAGE -- MAKE SURE THE PATIENT UNDERSTANDS THEIR COVERAGE, THE ESTIMATED OUT OF POCKET LIABILITIES SUCH AS DEDUCTIBLES AND CO-INSURANCE AMOUNTS AND ALL THE VARIOUS OPTIONS THEY HAVE TO PAY THOSE OBLIGATIONS UP TO AND INCLUDING A 100% ADJUSTMENT UNDER OUR FINANCIAL ASSISTANCE POLICY. 3. FOR PATIENTS WITH NO INSURANCE COVERAGE -- MAKE SURE THE PATIENT IS INFORMED OF THEIR ABILITY TO APPLY FOR LOUISIANA MEDICAID BENEFITS. OUR HOSPITAL SITE IS AN APPROVED LOUISIANA MEDICAID APPLICATION CENTER. THESE PATIENTS WOULD ALSO BE INFORMED ABOUT THE PROCESS TO APPLY FOR FINANCIAL ASSISTANCE.4. FOR PATIENTS WITH NO INSURANCE COVERAGE THAT MAY NOT WANT TO APPLY FOR LOUISIANA MEDICAID OR MAY NOT QUALIFY FOR LOUISIANA MEDICAID -- WE INFORM THEM OF OUR FINANCIAL ASSISTANCE POLICY, HOW TO APPLY AND WHAT INFORMATION WE WOULD NEED. ITS AT THIS POINT PATIENTS ARE ALSO INFORMED THEY WILL BE CHARGED A DISCOUNTED PER DIEM RATE EQUAL TO THE AVERAGE NET INSURANCE PER DIEM RATE CALCULATED FROM THE PRIOR YEARS DATA (I.E. OUR DISCOUNTED CASH PRICE).

PART VI, LINE 4:
SHREVEPORT HOSPITALS AND ITS COMMUNITYTHE CORPORATION EXISTS TO PRESERVE AND ENHANCE SHREVEPORT HOSPITAL FOR THE SHREVEPORT HOSPITAL COMMUNITY. THE SHREVEPORT HOSPITAL COMMUNITY HAS TRADITIONALLY HAD A HIGHER UNEMPLOYMENT RATE THAN OTHER AREAS OF THE STATE, WITH MORE THAN TWENTY (20) PERCENT OF RESIDENTS IN THE SHREVEPORT HOSPITAL COMMUNITY LIVING BELOW THE FEDERAL POVERTY LIMIT. NOT SURPRISINGLY, THE SHREVEPORT HOSPITAL COMMUNITY HAS A HIGHER PERCENTAGE OF RESIDENTS WITHOUT INSURANCE THAN THE STATE OR THE UNITED STATES, RESULTING IN A GREATER DEPENDENCE ON MEDICAID WITHIN THE SHREVEPORT HOSPITAL COMMUNITY. RESIDENTS IN THE SHREVEPORT HOSPITAL COMMUNITY FACE OBSTACLES TO ACCESSING NEEDED HEALTHCARE SERVICES. MORE THAN EIGHTY (80) PERCENT OF RESIDENTS LIVE IN A HEALTH PROFESSIONAL SHORTAGE AREA, AND TWENTY FIVE (25) PERCENT OF RESIDENTS REPORT NOT HAVING A REGULAR PRIMARY CARE PHYSICIAN. THE LACK OF ADEQUATE HEALTH RESOURCES RESULTS IN POORER HEALTH FOR THE SHREVEPORT HOSPITAL COMMUNITY THAN WHEN COMPARED TO THE STATE OR THE UNITED STATES. FIVE OUT OF SIX PARISHES REPORT HIGHER INCIDENTS OF CANCER AND LUNG DISEASE THAN THE STATE OR NATIONAL AVERAGES, WHILE FOUR OUT OF SIX PARISHES HAVE HIGHER RATES OF HEART DISEASE. MONROE HOSPITAL AND ITS COMMUNITYTHE MONROE HOSPITAL COMMUNITY ALSO HAS A GREATER PERCENTAGE OF ITS RESIDENTS WITHOUT HEALTH INSURANCE THAN THE STATE AND NATIONAL AVERAGES, WITH MORE INDIVIDUALS DEPENDENT UPON MEDICAID. TWENTY FIVE (25) PERCENT OF RESIDENTS IN THE MONROE HOSPITAL COMMUNITY DO NOT HAVE A PRIMARY CARE PHYSICIAN, AND ALL RESIDENTS IN THE MONROE HOSPITAL COMMUNITY LIVE IN A HEALTH PROFESSIONAL SHORTAGE AREA. THESE STATISTICS BEAR THEMSELVES OUT IN A STARK REALITY FOR THE MONROE HOSPITAL COMMUNITY WHEN THE HEALTH CONDITION OF THE COMMUNITY IS CONSIDERED. FOR EXAMPLE, FOUR (4) OF THE PARISHES IN THE MONROE HOSPITAL COMMUNITY EXCEED THE STATE AND NATIONAL DEATH RATES FOR HEART DISEASE, WHILE THREE (3) EXCEED THE STATE AND NATIONAL DEATH RATES FOR CANCER, STROKE, MOTOR VEHICLE ACCIDENT AND SUICIDE. ALL PARISHES WITHIN THE MONROE HOSPITAL COMMUNITY HAVE HIGHER RATES OF PREMATURE DEATH THAN THE STATE OR THE NATION.

PART VI, LINE 5:
OCHSNER LSU HEALTH SYSTEM OF NORTH LOUISIANA IS COMPRISED OF THREE ACADEMIC MEDICAL HOSPITALS IN SHREVEPORT AND MONROE OPERATING UNDER A COOPERATIVE ENDEAVOR AGREEMENT BETWEEN OLHS-NL AND LOUISIANA STATE UNIVERSITY AND AGRICULTURAL AND MECHANICAL COLLEGE (LSU). THE PURPOSE OF THIS PUBLIC/PRIVATE PARTNERSHIP IS TO OPERATE THE HOSPITALS IN A MANNER THAT PROMOTES, ENHANCES, SUPPORTS AND IS CONSISTENT WITH THE STATE OF LOUISIANA'S AND LSU'S HISTORICAL COMMITMENT TO PROVIDING HIGH-QUALITY SAFETY NET SERVICES TO THE STATE'S MOST VULNERABLE POPULATIONS. OCHSNER LSU SHREVEPORT IS HOME TO STATE-DESIGNATED CENTERS OF EXCELLENCE INCLUDING THE FEIST-WEILLER CANCER CENTER AND CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY. THE MAIN CAMPUS HOUSES A CHILDREN'S HOSPITAL, A REGIONAL BURN CENTER AND AN ACS VERIFIED LEVEL I TRAUMA CENTER. IN APRIL 2020, WOMEN'S & CHILDREN'S INPATIENT SERVICES WAS RELOCATED TO THE ST. MARY MEDICAL CENTER, THEREBY CREATING SPACE FOR ITS ICU EXPANSION OF MORE THAN 100 ADDITIONAL BEDS TO ACCOMMODATE A POSSIBLE SURGE. BY RENOVATING ST. MARY MEDICAL CENTER TO ACCOMMODATE INPATIENT PEDIATRIC, LABOR AND DELIVERY, NEONATAL ICU AND PEDIATRIC ICU PATIENTS, MUCH-NEEDED SPACE WAS CREATED TO EXPAND ADULT INTENSIVE CARE CAPACITY BACK AT THE OCHSNER LSU HEALTH SHREVEPORT ACADEMIC MEDICAL CENTER HOSPITAL. THE ICU EXPANSION PROJECT FOLLOWED GUIDANCE FROM STATE PUBLIC OFFICIALS TO IMPROVE SURGE CAPACITY FOR COVID-19 PATIENTS AND REPRESENTED A CRITICAL STEP IN THE RE-OPENING OF NORTHWEST LOUISIANA.OCHSNER HEALTH WELCOMED 2020 WITH A NEW 10-YEAR VISION AND COMMITMENT TO CREATE A HEALTHY STATE. TOGETHER WITH STATE LEADERS, COMMUNITY PARTNERS, INSURERS, SCHOOLS, EMPLOYERS AND OTHERS, OCHSNER IS PLACING A DIRECT FOCUS ON THE HEALTH AND WELLNESS OF THE WHOLE PERSON AND ADDRESSING THE MOST CRITICAL HEALTH NEEDS IN LOUISIANA AND MISSISSIPPI COMMUNITIES. IN 2020, OCHSNER ANNOUNCED A $100 MILLION 10-YEAR INVESTMENT TO ADDRESS HEALTH INEQUITIES AND EXPAND LOUISIANA'S HEALTHCARE WORKFORCE AND COMMUNITY-BASED HEALTH SERVICES. THESE INVESTMENTS INCLUDE THE DEVELOPMENT OF 15 COMMUNITY HEALTH CENTERS IN UNDERSERVED AREAS ACROSS LOUISIANA, THE CREATION OF THE OCHSNER SCHOLARS PROGRAM TO ADDRESS CRITICAL PHYSICIAN SHORTAGES IN KEY AREAS, AND A PARTNERSHIP WITH XAVIER UNIVERSITY TO CREATE THE OCHSNER XAVIER INSTITUTE FOR HEALTH EQUITY AND RESEARCH (OXIHER). IN 2021, THOSE INVESTMENTS WERE EXPANDED BY TARGETING A BROADER ARRAY OF HEALTH, SOCIAL AND ECONOMIC FACTORS HAVING A MAJOR IMPACT ON THE HEALTH OF LOUISIANA. IN PARTNERSHIP WITH OXIHER AND BROAD-BASED STATEWIDE AND REGIONAL COALITIONS, THE HEALTHY STATE PARTNERSHIP WILL FOCUS ON THESE FIVE PILLARS OF A HEALTHY STATE: HEALTH OUTCOMES & INTERVENTIONS, COMMUNITY WELLNESS, SOCIAL DETERMINANTS, HEALTH ACCESS, WORKFORCE DEVELOPMENT & ADDRESSING ECONOMIC DISPARITIES.DUE TO THE LOCAL AND SYSTEM FOCUS ON ADDRESSING COVID-19, MANY PLANNED ACTIVITIES WERE DEFERRED TO MEET THE NEEDS OF THE COMMUNITY DURING THE COVID-19 PANDEMIC. IN BOTH SHREVEPORT AND MONROE AREAS COMMUNITY TESTING WAS OFFERED MULTIPLE TIMES PER WEEK IN A VARIETY OF LOCATIONS ACCESSIBLE TO COMMUNITY MEMBERS WITH A PARTICULAR FOCUS ON REACHING THE ELDERLY AND FAITH BASED COMMUNITIES. COMMUNITY VACCINES WERE OFFERED BEGINNING IN 2021 IN ACCORDANCE WITH STATE AND FEDERAL GUIDANCE. THROUGHOUT THE TIME PERIOD, FACE MASKS WERE DISTRIBUTED TO SCHOOLS AND HOMELESS SHELTERS FREE OF CHARGE.

PART VI, LINE 6:
"HOSPITAL SYSTEM & COMMUNITY WIDEOVER THE FIRST TWO YEARS OF THE PARTNERSHIP, OCHSNER LSU HEALTH SYSTEM HAS MADE ACCESS TO CARE A MAJOR FOCUS OF OUR EFFORTS. PROCESSES, PROCEDURES, AND PROTOCOLS HAVE BEEN STREAMLINED IN ALL CARE SETTINGS TO DRIVE GREATER EFFICIENCY AND HIGHER QUALITY. OLHS HAS MADE SIGNIFICANT INVESTMENTS IN NEW FACILITIES TO BRING CARE CLOSER TO WHERE PEOPLE LIVE AND WORK. THE HEALTH SYSTEM HAS ADDED INPATIENT AND OUTPATIENT FACILITIES, INCLUDING THE FEIST-WEILLER CANCER CENTER, A STATE DESIGNATED CENTER OF EXCELLENCE IN ARTHRITIS AND RHEUMATOLOGY, CHILDREN'S HOSPITAL AND REGIONAL BURN CENTER. ADDITIONALLY, SHREVEPORT HOSPITAL SERVES AS A MAJOR TRAUMA CENTER FOR NORTHERN LOUISIANA, EASTERN TEXAS AND SOUTHWEST ARKANSAS. IN ADDITION TO NEW CLINICS, THE HEALTH SYSTEM OPENED A NEW HOSPITAL CAMPUS, OCHSNER LSU ST. MARY MEDICAL CENTER, DURING THE SUMMER OF 2020. SHREVEPORT HOSPITALS AND ITS COMMUNITYOCHSNER LSU SHREVEPORT HOSPITAL IS A 395-BED SHORT TERM, ACUTE CARE HOSPITAL LOCATED AT 1541 KINGS HIGHWAY IN SHREVEPORT, LOUISIANA. SHREVEPORT HOSPITAL MAKES STATE-OF-THE ART TREATMENT, CLINICAL RESEARCH AND COMMUNITY EDUCATION AND PREVENTION PROGRAMS AVAILABLE TO THE RESIDENTS OF CADDO, BOSSIER, DE SOTO, OUCHITA, WEBSTER AND NATCHITOCHES PARISHES ACCESS TO ADVANCED OUTPATIENT IMAGING STUDIES SUCH AS CT AND MRI ROUTINELY TAKE LESS THAN THREE DAYS ONCE THEY ARE PREAUTHORIZED. OCHSNER LSU HEALTH SHREVEPORT- ST. MARY MEDICAL CENTER, OUR 93-BED HOSPITAL OFFERS A NUMBER OF SPECIALTY CARE CENTERS INCLUDING INPATIENT WOMEN'S AND CHILDREN CENTER, SURGERY CENTER, OB/GYN SERVICES.MONROE HOSPITAL AND ITS COMMUNITYMONROE HOSPITAL IS A 244-BED SHORT-TERM, ACUTE CARE HOSPITAL LOCATED AT 4864 JACKSON STREET IN MONROE, LOUISIANA. MONROE MEDICAL CENTER IS ALSO HOME TO THE FIRST HYBRID OPERATION ROOM IN NORTHEAST LOUISIANA. MONROE HOSPITAL MAKES STATE-OF-THE-ART HEALTHCARE SERVICES AVAILABLE TO THE RESIDENTS OF OUTCHITA, RICHLAND, MOREHOUSE, FRANKLIN AND MADISON PARISHES (THE ""MONROE HOSPITAL COMMUNITY""). THE SEGMENT OF THE MONROE HOSPITAL COMMUNITY THAT IS OVER THE AGE OF 65 IS EXPECTED TO INCREASE DRAMATICALLY IN THE NEXT FEW YEARS, INCREASING STRAIN ON THE HEALTH RESOURCES WITHIN THE MONROE HOSPITAL COMMUNITY. ADDITIONALLY, EACH PARISH WITHIN THE MONROE HOSPITAL COMMUNITY HAS PER CAPITA INCOME RATES BELOW THE STATE AND NATIONAL AVERAGE, WITH TRADITIONALLY HIGHER UNEMPLOYMENT RATES THAN THE STATE OR THE NATION. AS A RESULT, TWENTY-FIVE (25) PERCENT OF THE RESIDENTS IN THE MONROE HOSPITAL COMMUNITY LIVE BELOW THE FEDERAL POVERTY LIMIT, WITH ONE THIRD (1/3) LIVING IN AN AREA WITHOUT ACCESS TO HEALTHY FOOD SOURCES."