4A (Expenses $ 316870361 including grants of $ 909327) (Revenue $ 499095131)
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES PRIMARILY TO RESIDENTS OF SOUTH LOUISIANA. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION OF MEETING THE HEALTHCARE NEEDS OF THE PEOPLE OF GOD, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. THE MEDICAL CENTER PROVIDED SERVICES FOR 97,535 PATIENT DAYS, 16,124 INPATIENT DISCHARGES, AND 99,494 EMERGENCY ROOM VISITS IN THE YEAR ENDED JUNE 30, 2022. SEE SCHEDULE O FOR FURTHER EXPLANATION.

4B (Expenses $ 42811274 including grants of $ 0) (Revenue $ 35290035)
OUR LADY OF LOURDES RMC'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.

PART V, SECTION B, LINE 5:
OUR LADY OF LOURDES RMC & PARK PLACE SURGERY CENTER: THE ORGANIZATION ENGAGED KEY COMMUNITY PARTNERS THROUGH PERSONAL INTERVIEWS, SURVEYS AND SEVERAL FOCUS GROUPS (RURAL ACADIANA, MEDICAID ENROLLEES, MINORITY COMMUNITY AND VACCINE HESITANCY/HEALTH INFORMATION) DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNING PROCESS. THE GROUP CONSIDERED INPUT FROM THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWING DR. TINA STEFANSKI, REGIONAL MEDICAL DIRECTOR FOR THE LOUISIANA DEPARTMENT OF HEALTH'S (LDH) OFFICE OF PUBLIC HEALTH IN ACADIANA (REGION 4) IN THE PRIOR AND CURRENT CHNA PROCESSES. ADDITIONALLY, THE GROUP CONSIDERED INPUT FROM THOSE WHO REPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OF POPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLY UNDERSERVED, CHRONIC DISEASE NEEDS AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIAL DETERMINANTS OF HEALTH.

PART V, SECTION B, LINE 6A:
OUR LADY OF LOURDES RMC & PARK PLACE SURGERY CENTER: LOURDES REGIONAL MEDICAL CENTER ADOPTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH OCHSNER LAFAYETTE (5 FACILITIES), UNITED WAY OF ACADIANA, AND PARK PLACE SURGERY CENTER.

PART V, SECTION B, LINE 11:
LATE IN FYE 6/30/2022, OUR LADY OF LOURDES REGIONAL MEDICAL CENTER AND PARK PLACE SURGICAL HOSPITAL WORKED WITH OTHERS TO CONDUCT A NEW COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IDENTIFIED TEN (10) SIGNIFICANT HEALTH NEEDS: ACCESS TO PRIMARY CARE, CANCER, HEALTH EDUCATION/LITERACY, HEART DISEASE & STROKE, WEIGHT STATUS/NUTRITION (OBESITY), MENTAL HEALTH/BEHAVIORAL HEALTH, MATERNAL & CHILD HEALTH, RURAL HEALTH, DIABETES, & HEALTH DISPARITIES. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER HAS CHOSEN IN THEIR IMPLEMENTATION STRATEGY TO ADDRESS THE TOP FOUR IDENTIFIED NEEDS (ACCESS TO PRIMARY CARE, HEALTH DISPARITIES, MATERNAL AND CHILD HEALTH, AND CANCER), AND WILL NOT DIRECTLY ADDRESS THE REMAINING SIX NEEDS LISTED ABOVE. HOWEVER, AS LOURDES RMC IMPLEMENTS STRATEGIES IN EACH OF THE FOUR SELECTED PRIORITY AREAS, INDIRECT BENEFITS ARE EXPECTED FOR THE SIX HEALTH CONCERNS THAT WERE NOT TARGETED. LOURDES RMC WILL NOT ADDRESS THE IDENTIFIED NEEDS OF HEALTH EDUCATION/LITERACY, HEART DISEASE & STROKE, WEIGHT STATUS/NUTRITION (OBESITY), MENTAL/BEHAVIORAL HEALTH, RURAL HEALTH, AND DIABETES BECAUSE: 1) THOSE NEEDS HAVE A LESSER AMOUNT OF WORK THAT STILL NEEDS TO TAKE PLACE TO SEE A POSITIVE IMPACT; 2) THOSE NEEDS WERE MENTIONED LESS FREQUENTLY DURING THE CHNA DEVELOPMENT PROCESS; AND 3) THE SELECTED NEEDS HAVE A MORE NOTEWORTHY INFLUENCE ON VULNERABLE COMMUNITY POPULATIONS THAT, IF BROUGHT UNDER CONTROL, COULD HAVE A DEEPER, MORE LASTING IMPACT ON THE PEOPLE AFFECTED.PARK PLACE SURGICAL HOSPITAL HAS CHOSEN TO DIRECTLY ADDRESS ACCESS TO CARE BY FUNDING A NURSE PRACTITIONER AS IN PRIOR YEARS. PARK PLACE SURGICAL HOSPITAL WILL NOT DIRECTLY ADDRESS ANY OF THE OTHER NEEDS IDENTIFIED; HOWEVER, IT WILL INDIRECTLY IMPACT THESE NEEDS BY ITS CONTINUING WORK WITH LOURDES RMC.BECAUSE THE UPDATED CHNA WAS ADOPTED LATE IN THE FISCAL YEAR, LOURDES RMC AND PARK PLACE FOCUSED ON THE NEEDS IDENTIFIED IN THE PRIOR CHNA FOR MOST OF THIS YEAR. AS SUCH, THE NEEDS FOCUSED ON WERE: HEART DISEASE & STROKE, CANCER, MENTAL/BEHAVIORAL HEALTH, ACCESS TO HEALTH CARE, NUTRITION & WEIGHT STATUS AND MATERNAL & CHILD HEALTH. WITH REGARD TO THESE NEEDS, THE HOSPITALS DID THE FOLLOWING:HEART DISEASE & STROKELOURDES ST. BERNADETTE'S CLINIC (SBC)LOURDES'ST. BERNADETTE'S CLINIC (SBC) FOR THE HOMELESS AND UNINSURED, AS PART OF THE TRIAGE OF NEW PATIENTS, CONTINUED TO SCREEN OVER 50% OF ALL PATIENTS FOR ABNORMAL GLUCOSE AND CHOLESTEROL LEVELS. HIGH RISK PATIENTS WERE REFERRED TO THEIR PRIMARY CARE PHYSICIAN. IF A HOMELESS PATIENT DID NOT HAVE ACCESS TO A PRIMARY CARE PHYSICIAN, SBC TREATED THE PATIENT UNTIL SBC WAS ABLE TO FIND A PRIMARY CARE PHYSICIAN FOR THE PATIENT.OUR LADY OF LOURDES HEART HOSPITAL CONTINUED TO OFFER FREE OR DISCOUNTED CARDIAC SCREENINGS FOR 50-75 LOW-INCOME, UNINSURED, OR MEDICAID PATIENTS ANNUALLY. HHL AND SBC CONTINUED THEIR PARTNERSHIP HHL AND OFFERED (20) FREE CAROTID SCREENINGS QUARTERLY TO THE UNINSURED/UNDER-INSURED POPULATION WE SERVE. LHH HELD A FREE HEART HEALTH SCREENING EVENT FOR THE COMMUNITY IN MAY 2022.PARK PLACE SURGICAL HOSPITAL(PPSH) CONTINUED TO FUND A FULL-TIME NURSE PRACTITIONER AT SBC WHO PROVIDES SERVICE TO THE INDIGENT, UNINSURED AND UNDER-RESOURCED POPULATION. SBC PROVIDED OVER 1,500 MEDICAL VISITS FOR FISCAL YEAR. MANY OF OUR HOMELESS PATIENTS WERE HOUSED IN HOTELS SINCE THEY COULD NOT BE HOUSED AT THE SHELTERS ADJACENT TO SBC DUE TO COVID (SOCIAL DISTANCING GUIDELINES. NURSE PRACTITIONER WENT TO THE HOTELS WHERE THE HOMELESS SHELTER PATIENTS WERE BEING HOUSED TO PROVIDE CARE FOR THEM AND THEY ARE CURRENTLY BEING TRANSITIONED BACK INTO THE HOMELESS SHELTER NEXT TO SBC SO WE CAN CONTINUE THE MEDICAL AND MENTAL/BEHAVIORAL HEALTH CARE.CANCERLOURDES HOSPITALTHE LOURDES CANCER NETWORK OFFERS A FULL RANGE OF ONCOLOGY SERVICES AND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER. OLOL PROVIDES PERSONALIZED NURSE NAVIGATION, SURGICAL ONCOLOGY PROCEDURES, AND AN ON-SITE INFUSION CENTER. FREE OR LOW-COST CANCER SCREENINGS ARE PROVIDED THROUGH LOURDES' VARIOUS OUTREACH PROGRAMS EMBEDDED WITHIN THE COMMUNITY. THE LOURDES CLINIC ALSO HAS A SURVIVORSHIP PROGRAM FOR PATIENTS IN REMISSION.LOURDES PARTNERS WITH MILES PERRET CANCER SERVICES THAT OFFERS A COMPREHENSIVE RESOURCE CENTER HELPING THOSE IN ACADIANA FIGHT, SURVIVE, AND LIVE WITH CANCER. COMMUNITY LEADERS INDICATED THAT THE MILES PERRET MOBILE MILES PROGRAM AND WELLNESS CENTER ARE A STRENGTH OF THE COMMUNITY. A RECENT PARTNERSHIP WITH HOSPICE OF ACADIANA HAS ENABLED MILES PERRET TO PROVIDE A TRANSITION PROGRAM THAT HELPS FAMILIES ESTABLISH RAPPORT WITH HOSPICE PROVIDERS. KOMEN ACADIANA PROMOTES AWARENESS AND ALSO REGULARLY AWARDS LOCAL GRANTS TO SUPPORT BREAST CANCER SCREENINGS, PATIENT EDUCATION, AND PATIENT NAVIGATION SERVICES FOR MEDICAID AND MEDICARE PATIENTS WITHIN THE COMMUNITY. WITH OUR PARTNERSHIP WITH LEVY CANCER FOUNDATION, WE SERVE PATIENTS PRIMARILY IN RURAL VERMILION PARISH STRUGGLING WITH CANCER DIAGNOSES. THE LEUKEMIA AND LYMPHOMA SOCIETY WHICH WE SUPPORT ALSO OFFERS SERVICES TO PATIENTS WITH THOSE DIAGNOSES. LOURDES ALSO SUPPORTS THE LOUISIANA CAMPAIGN FOR TOBACCO-FREE LIVING CONTINUES TO WORK ON LOCAL HEALTH POLICIES ACROSS THE REGION. THE CAMPAIGN ALSO PROVIDES LOCAL RESIDENTS ACCESS TO TOBACCO CESSATION SUPPORT ALONG WITH LOURDES HEART HOSPITAL THAT PROVIDES A SMOKING CESSATION PROGRAM.LOURDES SBC TO PROVIDE EARLY DETECTION, SBC SCREENED FOR CANCER AND PROVIDED TOBACCO SCREENINGS TO OVER 90% OF ALL PATIENTS. ANTI-CRAVING MEDICATIONS WERE PROVIDED TO 90% OF THOSE PATIENTS THAT WERE NOT REFERRED TO A SMOKING CESSATION PROGRAM. SBC ALSO DID TB SKIN TEST AND PROVIDED MAMMOGRAMS AND PAP SMEARS TO HOMELESS WOMEN, SOME OF WHICH HAD NEVER HAD THESE SERVICES. OUR LADY OF LOURDES HEART HOSPITALPATIENTS WERE REFERRED TO LOURDES HEART HOSPITAL'S SMOKING CESSATION PROGRAMNUTRITION & WEIGHT STATUSLOURDES SBC REFERRED 50% OF ALL IDENTIFIED PATIENTS WITH A BMI OF 30 AND ABOVE TO OUR NUTRITIONIST FOR COUNSELING AND EDUCATION. THE REFERRALS FOR THOSE PATIENTS WERE NOTED IN THE PATIENTS' CHARTS AT SBC. EVERY PATIENT AT LOURDES' NORTHSIDE SCHOOL- BASED HEALTH CENTER (NSBHC) WAS SCREENED FOR BMI IDENTIFYING THOSE STUDENTS WITH A BMI AT OR ABOVE THE 90TH PERCENTILE OF THE SAME AGE AND SEX; THOSE STUDENTS WERE ALSO REFERRED TO THE COMMUNITY SERVICES DIETITIAN AT SBC FOR WEIGHT COUNSELING. NSBHC CONTINUED EDUCATION AND COUNSELING TO 100% OF ALL STUDENTS IDENTIFIED AT OR ABOVE THE 90TH PERCENTILE OF BMI FOR THE SAME AGE AND SEX. THE KID'S HEALTHY HEART PROGRAM WAS CONTINUED AT ONE CHURCH PARTNER THAT EMPHASIZES THE 3-E'S (EXERCISE, EDUCATION, AND EATING HABITS), SERVING AN AVERAGE OF 50-75 YOUTHS (VIRTUALLY DUE TO COVID). THE PROGRAM IS SCHEDULED TO RESUME IN-PERSON IN THE UPCOMING YEAR.MENTAL/BEHAVIORAL HEALTH:LOURDES SBC COMMUNITY PARTNERSHIPS WITH 232-HELP AND THE FAMILY TREE TO CREATE COMMUNITY CRISIS CONNECTION (CCC) TO PROVIDE TELEPHONIC AND IN-PERSON MENTAL AND BEHAVIORAL HEALTH SERVICES TO THE HOMELESS AND UNINSURED POPULATION THROUGH AN FMF GRANT. SBC APPLIED AND RECEIVED A GRANT FROM THE FRANCISCAN MISSIONARY FUND TO PROVIDE MENTAL/BEHAVIORAL HEALTH SERVICE TO THE PATIENTS THAT WERE SCREENED AND REFERRED FOR SERVICES. THESE SERVICES AT SBC IS PROVIDED BY AN NURSE PRACTITIONER THAT IS CERTIFIED IN PSYCH AND UNDER THE SUPERVISION OF A PSYCHIATRIST. THIS PROGRAM HAS BEEN VERY SUCCESSFUL IN ALLOWING THIS HOMELESS/UNINSURED POPULATION TO BE SEEN BY A MENTAL HEALTH PROVIDER SINCE THESE OUTPATIENTS SERVICES ARE SCARCE IN OUR COMMUNITY.NSBHCAT LOURDES NSBHC, THE SCHOOL'S SOCIAL WORKER CONDUCTED OVER 25 GROUP SESSIONS/PRESENTATIONS (MANY VIRTUALLY DUE TO COVID) DURING THE SCHOOL YEAR ON WARNING SIGNS AND CRISIS INTERVENTIONS TO HELP A PERSON AT RISK. ALSO, AS PART OF OFFICE OF PUBLIC HEALTH (OPH)REQUIREMENTS, ALL STUDENTS SEEN AT THE NHS HEALTH CENTER HAD A RISK ASSESSMENT DONE BY NURSING PERSONNEL AND WERE REFERRED TO NSBHC'S LICENSED CLINICAL SOCIAL WORKER. THE NSBHC SOCIAL WORKER ALSO IMPLEMENTED THE PLAY2PREVENT PROGRAM AT NORTHSIDE SBHC TO THE FACULTY AND STUDENTS. PLAYSMART IS A NEW VIDEO GAME INTERVENTION TO PROMOTE MENTAL HEALTH AND TO PREVENT OPIOID MISUSE IN ADOLESCENTS.

PART V, SECTION B, LINE 11 CONTINUED:
MATERNAL & CHILD HEALTHOUR LADY OF LOURDES - WOMEN'S & CHILDREN'S HOSPITAL (WCC)THERE IS STRONG EVIDENCE THAT BREASTFEEDING PROMOTION PROGRAMS INCREASE INITIATION, DURATION AND EXCLUSIVITY OF BREASTFEEDING. WCC PROMOTED AND FACILITATED BREASTFEEDING PROMOTION PROGRAMS TO THE COMMUNITY AND TO THEIR PATIENTS, MANY OF WHICH ARE LOW-INCOME AND ARE 80% MEDICAID. WITHIN THIS POPULATION, HIGH RISK INDIVIDUALS AT BOTH THE MATERNAL AND NEONATAL/PEDIATRIC POPULATION EXIST. UNDERSERVED CHILDREN, INCLUDING UNDER-REPRESENTED MINORITIES, ARE MORE LIKELY TO EXPERIENCE HIGH INTENSITY IN OF LIFE CARE, INCLUDING IN-HOSPITAL DEATH. WCC IDENTIFIED A NEED FOR A PEDIATRIC PALLIATIVE NURSE PRACTITIONER (NP)TO ASSIST PARENTS AND SIBLINGS WITH RESOURCES, EDUCATION AND SUPPORT IN HELPING WITH POTENTIAL DEATH OR LONG-TERM CARE DECISIONS. WCC APPLIED AND RECEIVED A FMF GRANT TO FUND A PEDIATRIC PALLIATIVE NURSE PRACTITIONER TO HELP THESE LOW-INCOME FAMILIES WITH THE BENEFIT OF PALLIATIVE CARE TO THESE FAMILIES WITH INDIVIDUALIZED SYMPTOM MANAGEMENT, IMPROVED COMMUNICATION AND SUPPORT IN MAKING THESE DIFFICULT DECISIONS.WCC ALSO PROVIDED THE NECESSITY SPECIAL FORMULA SUPPORT AND SPECIALIZED TRANSPORTATION BEDS, WHEN OTHER OPTIONS ARE UNAVAILABLE OR NOT IN PLACE AT TIME OF DISCHARGE IS DETRIMENTAL IN THE OVERALL HEALTH AND WELFARE OF THE NEONATE/INFANT/CHILD. LACK OF PROPER NUTRITION AND APPROPRIATE SPECIALIZED EQUIPMENT UTILIZED FOR TRANSPORTATION FOR THE NEONATE/INFANT INCREASES THE RISK OF MALNUTRITION, FUTURE HEALTH ISSUES, AND POSSIBLY DEATH. SPECIALIZED CAR BEDS FOR NEWBORNS ARE UTILIZED WHEN THEY CANNOT TOLERATE A CAR SEAT UPON DISCHARGE AND CAN CAUSE AN INCREASED RISK OF SUFFOCATION. IN FY 2022, WCC ASSISTED OVER 450 NEWBORNS AND THEIR FAMILIES (OFTEN FROM DISCHARGE TO WIC APPOINTMENTS FOR THEIR SUPPORT). 1,500 CANS OF FORMULA WERE ALSO DISTRIBUTED AND 150 OF THE SPECIALIZED TRANSPORTATION BEDS WERE GIVEN OUT TO LOW-INCOME FAMILIES. THEY PARTNERED WITH THE JR. LEAGUE THAT PROVIDED DIAPERS TO LOW-INCOME FAMILIES. ALSO, THEY WERE ABLE TO PARTNER WITH LOCAL HOTELS NEAR WCC TO HOUSE LOW-INCOME PARENTS THAT LIVE OUT OF TOWN THAT HAVE NEWBORNS IN THE NICU AND HAVE NO PLACE TO STAY NEAR THEIR VERY ILL NEW-BORN. THEY HAD A GENEROUS DONOR THAT FUNDED THIS PROGRAM STARTING WITH 50 NIGHTS STAY FOR THE YEAR.ACCESS TO HEALTH CAREOUR LADY OF LOURDES RMC PARTNERED LAFAYETTE CONSOLIDATED GOVERNMENT-LCG (MAYOR'S OFFICE) TO ESTABLISH A COMMUNITY COVID-19 SCREENING/VACCINE CLINIC TO GIVE THE COMMUNITY EASY ACCESS TO COVID-19 TESTING AND VACCINES. LOURDES DIRECTOR OF COMMUNITY SERVICES WAS SELECTED AND CURRENTLY SERVES AS A MEMBER OF THE LCG HEALTH EQUITY TASK FORCE TO CONTINUE TO PROVIDE COVID-19 TESTING/VACCINE SITES IN THE COMMUNITY, STUDY THE ADVERSE EFFECTS OF THE CORONAVIRUS ON LOW-INCOME/MINORITY POPULATIONS AND TO LOOK INTO THE SOCIAL DETERMINATES OF HEALTH (SDOH) AFFECTING POOR HEALTH OUTCOMES IN TARGETED LOW-INCOME POPULATIONS IN THE COMMUNITY.LOURDES PHYSICIAN GROUP (LPG)LOURDES PHYSICIAN GROUP IS COMPRISED OF 46 DEDICATED PHYSICIANS AND NURSE PRACTITIONERS PRACTICING IN OVER 16 LOCATIONS THROUGHOUT LAFAYETTE, LA AND THE SURROUNDING AREAS INCLUDING RURAL AREAS SUCH AS ERATH AND BREAUX BRIDGE, LA. TELEHEALTH/VIDEO VISITS ARE PERFORMED BY LOCAL, BOARD-CERTIFIED LOURDES PHYSICIAN GROUP PROVIDERS, WHICH HAS GIVEN THE COMMUNITY ADDITIONAL OPPORTUNITIES TO GET PCP SERVICES. ANY NECESSARY FOLLOW-UP CAN BE DONE LOCALLY AND PROVIDERS WILL DETERMINE IF ADDITIONAL IN-PERSON TESTING IS NEEDED. LPG RECENTLY OPENED A NEW OUTPATIENT MEDICAID CLINIC TO HELP WITH THE MAJOR ISSUE THEY HAVE BEEN EXPERIENCING WITH NOT HAVING ENOUGH MEDICAID PROVIDERS IN THE COMMUNITY.NSBHCLOURDES ALSO OPERATES A SCHOOL BASED HEALTH CENTER OF THE CAMPUS OF NORTHSIDE HIGH SCHOOL WHERE THEY OFFER THE FOLLOWING:- WELL-CARE /PREVENTIVE-CARE- SICK VISITS- IMMUNIZATIONS- DISEASE PREVENTION- HEALTH EDUCATION- BEHAVIORAL HEALTH COUNSELING - NUTRITION COUNSELING- COVID 19 VACCINE SITELOURDES SBC APPLIED AND BECAME A MEDICAID ENROLLMENT CENTER FOR EASIER ACCESS TO MEDICAID APPLICATIONS FOR THE LOW-INCOME POPULATION NEAR THE CLINIC WITH LITTLE MEANS OF TRANSPORTATION. SBC ALSO OPERATES A FREE DENTAL CLINIC FOR TOOTH EXTRACTIONS ON FRIDAY MORNINGS ONLY WITH WAITING LIST OF 12 MONTHS. THEY WERE ABLE TO GET 2 GENEROUS DONORS TO DONATE FUNDS AND VOLUNTEER DENTISTS TO HELP EXPAND THE DENTAL CLINIC (HOMELESS-UNINSURED PATIENTS) TO ANOTHER DAY DURING THE WEEK AND OFFER MORE SERVICES TO INCLUDE, PREVENTATIVE AND RESTORATIVE SERVICES IN THE FUTURE. THE DENTAL CLINIC ALSO PARTNERS WITH 232-HELP WHO HAS A PARTNERSHIP WITH ORTHODONTISTS THAT HELP PROVIDE DENTURES AT A LOW-DISCOUNTED COST. LOURDES SBC BECAME A COVID-19 TESTING/VACCINE SITE TO SERVE AS A CENTRAL LOCATION FOR THE HOMELESS POPULATION AND THOSE WITH LITTLE OR NO ACCESS TO TRANSPORTATION. CITY BUS PASSES ARE PROVIDED TO THE HOMELESS PATIENTS TO GET TO/FROM CLINIC, GET THEIR MEDICATIONS AND GET TO/FROM OTHER MEDICAL APPOINTMENTS. A MEN'S VETERAN HOMELESS SHELTER IS ADJACENT TO THE SBC THAT USES THE CLINIC FOR THEIR HEALTH NEEDS (MEDICAL, VISION, DENTAL EXTRACTIONS DENTURES). HOWEVER, THESE PATIENTS WERE HOUSED IN HOTELS DUE TO COVID RESTRICTIONS OF SOCIAL DISTANCING. SBC DOES NOT BILL FOR ANY OF THEIR SERVICES TO THE HOMELESS, UNINSURED, UNDER-RESOURCED POPULATION. AS THIS POPULATION TRANSITIONS BACK INTO THE SHELTER, SBC IS IN THE PROCESS OF EVALUATING THEIR MEDICAL/MENTAL HEALTH NEEDS AND MANAGING THEIR CARE.

PART V, SECTION B, LINE 7A
OUR LADY OF LOURDES RMC:THE CHNA CAN BE FOUND AT LOURDESRMC.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPARK PLACE SURGERY CENTER LLC:THE CHNA CAN BE FOUND AT HTTPS://PARKPLACESURGERY.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE/

PART V, SECTION B, LINE 16A,B&C
OUR LADY OF LOURDES RMC:THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://FMOLHS.ORG/FINANCIAL-ASSISTANCE-POLICY/PARK PLACE SURGERY:THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: HTTPS://WWW.PARKPLACESURGERY.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE

PART V, SECTION B, LINE 16J:
OUR LADY OF LOURDES RMC & PARK PLACE SURGICAL CENTER'S REGISTRATION PERSONNEL REFER UNINSURED, UNDERINSURED, AND LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.

PART V, SECTION B, LINE 13H FOR OUR LADY OF LOURDES RMC:
FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.

PART I LINE 3C:
FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.PART I, LINE 7:THE COST-TO-CHARGE RATIO IS UTILIZED AS THE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN PART I LINES 7A-7D AND IS BASED ON THE JUNE 30, 2022 MEDICARE COST REPORT DATA. FOR PART I LINES 7E, 7F, 7H AND 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT WHERE APPLICABLE. FOR PART I LINE 7G, COST FIGURES WERE CALCULATED FROM DEPARTMENTAL COSTS LESS DIRECT OFFSETTING REVENUE.PART I, LINE 7G:OUR LADY OF LOURDES PROVIDES SUBSIDIZED HEALTH SERVICES INCLUDING HEALTH CARE CLINICS. ST. BERNADETTE'S CLINIC, WHICH PROVIDES FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED POPULATION, IS INCLUDED. THE COSTING METHODOLOGY USED FOR SUBSIDIZED HEALTH SERVICES WAS ACTUAL EXPENSES INCURRED IN PROVIDING THE SERVICES LESS DIRECT OFFSETTING REVENUE. ST. BERNADETTE CLINIC $424,018.PART I, LINE 7F:FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN F, FUNCTIONAL EXPENSES WERE USED WHICH DID NOT INCLUDE BAD DEBT EXPENSE.PART III, SECTION A, LINE 2:THIS AMOUNT REPRESENTS THE ACTUAL CUSTOMER AMOUNTS DUE TO OUR LADY OF LOURDES REGIONAL MEDICAL CENTER THAT WERE WRITTEN OFF BECAUSE THEY WERE UNCOLLECTIBLE.PART III, LINE 4:THE BAD DEBT FOOTNOTE IS ON PAGES 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.PART III, LINE 8:THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENT AND GUIDELINES. THE MEDICARE COST REPORT (MCR) IS AN ANNUAL REPORT REQUIRED OF ALL INSTITUTIONS PARTICIPATING IN THE MEDICARE PROGRAM. THE MCR RECORDS EACH INSTITUTION'S TOTAL COSTS AND CHARGES ASSOCIATED WITHPROVIDING SERVICES TO ALL PATIENTS, THE PORTION OF THOSE COSTS AND CHARGES ALLOCATED TO MEDICARE PATIENTS, AND THE MEDICARE PAYMENTS RECEIVED.

PART VI, LINE 2:
"NEEDS ASSESSMENTTHE COMMUNITY SERVICES DEPARTMENT AT OUR LADY OF LOURDES REGIONAL MEDICAL CENTER WAS FORMED NUMEROUS YEARS AGO TO ASSESS THE COMMUNITY NEEDS. IT HAS GROWN INTO 5 DISTINCT SERVICE AREAS WHICH PROVIDES HEALTHCARE TO NEEDY RESIDENTS IN THE ACADIANA AREA. IN TAKING ""HEALTHCARE TO THE HIGHEST POWER"", THE DEPARTMENT REACHES OUT TO THOSE MOST IN NEED, SPECIFICALLY, THE UNINSURED AND UNDERINSURED. IN PURSUING THE MISSION TO IMPROVE THE HEALTH STATUS OF ACADIANA'S POOREST RESIDENTS, THE DEPARTMENT HAS STRATEGICALLY PLACED ACCESSIBLE SERVICES THROUGHOUT THE COMMUNITY. COMMUNITY SERVICES' CATHOLIC IDENTITY IS MADE TANGIBLE IN THE COMMUNITY THROUGH THESE UNIQUE SERVICES. THE DEPARTMENT STEWARDS ITS RESOURCES BY ENGAGING COMMUNITY MEMBERS, FORMING PARTNERSHIPS, AND ESTABLISHING COLLABORATIVE RELATIONSHIPS. THESE UNIQUE SERVICES CLEARLY DISTINGUISH OUR LADY OF LOURDES FROM OTHER HEALTHCARE FACILITIES IN ACADIANA. THE MEDICAL CENTER DOES EXTENSIVE RESEARCH REGARDING COMMUNITY ISSUES AND NEEDS WITHIN ITS SERVICE AREAS. THE RESEARCH IS CONDUCTED IN AN EFFORT TO DETERMINE IF ITS COMMUNITY BENEFIT PROGRAMS ARE STILL APPROPRIATE AND TO DETERMINE IF OTHER PROGRAMS ARE NEEDED. THE SENIOR EXECUTIVE TEAM DETERMINES THE FOCUS GROUPS TO BETTER UNDERSTAND WHAT THE PEOPLE WITHIN THE REGION CONSIDER TO BE THE MAJOR COMMUNITY NEEDS. THE FOCUS GROUP INCLUDES COMMUNITY LEADERS, RELIGIOUS LEADERS, COMMUNITY SERVICE EMPLOYEES, LOW WAGE EMPLOYEES AND CLIENTS FROM CLINICS. SOME OF THERESULTS OF THE MEDICAL CENTER'S NEEDS ASSESSMENT INCLUDE:ST. CLARE'S CLINICST. BERNADETTE'S COMMUNITY CLINICNORTHSIDE HIGH SCHOOL BASED HEALTH CENTERCONGREGATIONAL HEALTH SERVICES"

PART III, LINE 9B:
"PATIENTS WITH NO MEANS OF PAYMENT MAY APPLY FOR FINANCIAL ASSISTANCE. APPROVAL WILL BE BASED ON INCOME, ASSETS, AND MEDICAL EXPENSES AS SET FORTH IN THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS MAY ALSO BE FULLY DISCOUNTED BASED ON A PRESUMPTIVE CHARITY SCORING SYSTEM WHICH IS SIMILAR TO CREDIT SCORING. TO THE EXTENT APPROPRIATE AND PERMITTED BY LAW, FINANCIAL COUNSELING AND SCREENINGS ARE CONDUCTED AT THE TIME OF ENCOUNTER TO ASSIST IN IDENTIFYING PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THESE PROCESSES HELP IDENTIFY (EARLY IN THE PROCESS) PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS HELPS KEEP QUALIFYING PATIENTS OUT OF THE HOSPITAL'S COLLECTION PROCESSES BECAUSE AMOUNTS COVERED BY FINANCIAL ASSISTANCE ARE NOT SUBJECT TO THE HOSPITAL'S COLLECTION PRACTICES. HOWEVER, IF IT IS DETERMINED THAT A PATIENT QUALIFIES FOR CHARITY CARE AFTER THE INDIVIDUAL'S ACCOUNT HAS BEEN SENT TO COLLECTIONS, THE DISCOUNTED AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE GIVEN THE MEDICAL CENTER'S PATIENT HANDBOOK WHERE THEY ARE REFERRED TO THE SECTION ENTITLED ""FINANCIAL INFORMATION - WHAT TO EXPECT"". FINANCIAL COUNSELORS ALSO MEET WITH THE PATIENTS AND EDUCATE THEM ABOUT THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCALGOVERNMENT PROGRAMS AND ALSO THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. FOR THE CONVENIENCE OF THE PATIENTS, THE MEDICAL CENTER ALSO OPERATES A MEDICAID ENROLLMENT CENTER TO ASSIST PATIENTS INTERESTED IN APPLYING FOR MEDICAID BENEFITS. THIS OFFICE IS OPEN MONDAY - FRIDAYFROM 8:00 A.M. - 4:00 P.M. A TELEPHONE NUMBER IS ALSO PROVIDED IN THE HANDBOOK.PART VI, LINE 4:COMMUNITY INFORMATIONOUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS A COMMUNITY BASED, NOT-FOR-PROFIT HOSPITAL THAT TREATS PATIENTS FROM ACROSS THE ACADIANA REGION. PURSUANT TO THE HOSPITAL'S LAST CHNA, OUR LADY OF LOURDES' PRIMARY AND SECONDARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 685,442. IT IS ESTIMATED THAT 16.6% OF THE POPULATION AND 23% OF THE CHILDREN OF LAFAYETTE PARISH (THE PRIMARY SERVICE AREA) IS LIVING IN POVERTY.THE PRIMARY SERVICE ARE INCLUDES THE FOLLOWING PARISH:LAFAYETTE PARISHTHE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING PARISHES:ACADIA PARISHEVANGELINE PARISHIBERIA PARISHJEFFERSON DAVID PARISHST. LANDRY PARISHST. MARTIN PARISHST. MARY PARISHVERMILLION PARISHPART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH:THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS COMPRISED OF INDIVIDUALS WITH A BROAD CROSS-SECTION OF HEALTH CARE AND BUSINESS EXPERIENCE. OUR LADY OF LOURDES REGIONAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM OUR LADY OF LOURDES REGIONAL MEDICAL CENTER IS NOT-FOR-PROFIT, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC.(FMOL HEALTH SYSTEM)IS THE SOLE MEMBER. OUR LADY OF LOURDES IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA. OUR LADY OF LOURDES RMC SERVES THE COMMUNITY IN LAFAYETTE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER, ST. ELIZABETH HOSPITAL, OUR LADY OF THE LAKE ASSUMPTION HOSPITAL, AND OUR LADY OF THE ANGELS HOSPITAL. AS OF JULY 1, 2019, ST. DOMINIC JACKSON MEMORIAL HOSPITAL IN MISSISSIPPI IS ALSO A RELATED HOSPITAL, DUE TO A SHARED MISSION AGREEMENT BETWEEN FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM AND ST. DOMINIC HEALTH SYSTEM."