4A (Expenses $ 1067190504 including grants of $ 74752946) (Revenue $ 1401647143)
THE MEDICAL CENTER PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 209,051 PATIENT DAYS, 203,326 EMERGENCY ROOM VISITS AND 35,947 INPATIENT DISCHARGES. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES.

4B (Expenses $ 241003414 including grants of $ 0) (Revenue $ 282483445)
OUR LADY OF THE LAKE HOSPITAL'S PHYSICIAN PRACTICE PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITIES.

OUR LADY OF THE LAKE HOSPITAL
PART V, SECTION B, LINE 5: OUR LADY OF THE LAKE HOSPITAL (OLOL) AND SURGICAL SPECIALTY CENTER(SSC) OF BATON ROUGE: OLOL & SSC JOINED THE MAYOR'S HEALTHY CITYINITIATIVE AND SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPENCOLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGECOMMUNITY. THE MAYOR'S HEALTHY CITY INITIATIVE WORKED WITH HEALTHY BRAND MEDBR TO COMPLETE THE COMMUNITY NEEDS ASSESSMENT. AMONG THESEGROUPS, THERE WERE REPRESENTATIVES FROM NUMEROUS BUSINESSES, HOSPITALS, GOVERNMENT ORGANIZATIONS INCLUDING THE OFFICE OF PUBLIC HEALTH,NONPROFIT ORGANIZATIONS AND SCHOOLS.THE LOCAL HOSPITALS PARTICIPATINGWERE WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER, OUR LADY OFTHE LAKE REGIONAL MEDICAL CENTER, LANE REGIONAL MEDICAL CENTER,SURGICAL SPECIALTY CENTER OF BATON ROUGE, AND OCHSNER MEDICAL CENTERBATON ROUGE.

LAKE SURGICAL HOSPITAL (SLIDELL), LLC
PART V, SECTION B, LINE 5: THE ORGANIZATION ENGAGED KEY COMMUNITYPARTNERS THROUGH PERSONAL INTERVIEWS, A REGIONAL FOCUS GROUP, AND SURVEYSDURING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANNINGPROCESS. LAKE SURGICAL HOSPITAL (SLIDELL) CONSIDERED INPUT FROM THOSEWITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH BY INTERVIEWINGGINA LAGARDE, MD, MBA, REGIONAL MEDICAL DIRECTOR/ADMINISTRATOR, REGION 9,LOUISIANA OFFICE OF PUBLIC HEALTH, IN THE PROCESS OF CONDUCTING ITS NEXTCOMMUNITY HEALTH NEEDS ASSESSMENT AND DETERMINING THE SIGNIFICANT NEEDS OFTHE COMMUNITY. ADDITIONALLY, SLIDELL CONSIDERED INPUT FROM THOSE WHOREPRESENT BROAD INTERESTS IN THE COMMUNITY AND INCLUDED REPRESENTATIVES OFPOPULATIONS IN CATEGORIES SUCH AS LOW-INCOME, MINORITY, MEDICALLYUNDERSERVED, AND THOSE EXPERIENCING BARRIERS DUE TO OTHER SOCIALDETERMINANTS OF HEALTH.

OUR LADY OF THE LAKE HOSPITAL
PART V, SECTION B, LINE 6A: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGEGENERAL MEDICAL CENTER, OSCHNER MEDICAL CENTER BATON ROUGE, SURGICAL SPECIALTY CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THEMAYOR'S HEALTHY CITY INITIATIVE.

SURGICAL SPECIALTY CTR OF BATON ROUGE
PART V, SECTION B, LINE 6A: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGEGENERAL MEDICAL CENTER, OUR LADY OF THE LAKE HOSPITAL AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE.

LAKE SURGICAL HOSPITAL (SLIDELL), LLC
PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS A JOINT CHNA CONDUCTED WITH OUR LADY OF THE ANGELS HOSPITAL IN BOGALUSA.

OUR LADY OF THE LAKE HOSPITAL
"PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE HOSPITAL IN 2021 PARTICIPATED IN THE DEVELOPMENT OF A JOINT CHNA WITH OTHER AREA HOSPITALS STRENGTHENING PARTNERSHIPS AND BUILDING CAPACITY TO BEST SERVE THE COMMUNITY. COMMUNITY NEEDS/PRIORITY AREAS IDENTIFIED DURING THE 2021 CHNA PROCESS THAT OLOL WILL ADDRESS:1. SEXUALLY TRANSMITTED INFECTIONS AND HIV2. HEALTHY LIVING/LIFESTYLE3. MATERNAL AND INFANT HEALTH4. MENTAL AND BEHAVIORAL HEALTH5. HEALTH EQUITY AND RACIAL DISPARITIES1. SEXUALLY TRANSMITTED INFECTIONS AND HIVOLOL CONTINUES TO FINALIZE PLANS IN RESPONSE TO THE 2006 CDC GUIDELINES FOR ENDING HIV ACROSS THE NATION. AT THE LOCAL LEVEL, THE EAST BATON ROUGE PARISH MAYOR'S OFFICE IN PARTNERSHIP WITH THE RYAN WHITE CITY COUNCIL HAS IMPLEMENTED ""ENDING THE HIV EPIDEMIC (EHE): A PLAN FOR AMERICA."" OUR EHE OBJECTIVES ALIGN WITH THESE GUIDELINES AND INCLUDE TESTING, LINKAGE TO CARE AND TREATING NEWLY DIAGNOSED OR RETURN TO CARE CLIENTS WITH HIV WITHIN A RAPID START PROGRAM. THIS WILL FURTHER EXPAND ACCESS TO HIV MEDICAL CARE/TREATMENT AND WILL FOCUS ON 1) ACCELERATING ACCESS TO MEDICAL VISITS TO A HIV PROVIDER; 2) INCREASING POINT OF CARE HIV TESTING IN THE BROADER COMMUNITY; 3) ENGAGING AND EDUCATING NEW COMMUNITY PROVIDERS AS A RESOURCE OF TESTING AND REFERRAL TO TREATMENT SERVICES.THROUGHOUT THE FISCAL YEAR WE HAVE BEEN WORKING TO DEVELOP A TEAM TO IMPROVE ENGAGEMENT IN CARE AND EDUCATION. OUR GOAL IS TO INCREASE COMMUNITY TESTING BY PROVIDING INCENTIVES. THE EHE TEAM WILL ALLOW FOR FASTER ENTRY TO CARE AND HIV/STI PREVENTION SERVICES BY PROVIDING IMPROVED RAPID TESTING WITH ONSITE RESULTS, IMMEDIATE SCHEDULING OF NEWLY IDENTIFIED AND RETURNING TO CARE CLIENTS WITH THE FIRST AVAILABLE APPOINTMENT WITH AN EIC PROVIDER.2. HEALTHY LIVING OUR CANCER INSTITUTE PROVIDED THE FOLLOWING CARE: 793 PATIENTS NAVIGATED 134 PATIENTS ENROLLED ON CLINICAL TRIALS SCREENING EVENTS: 337 PATIENTS, 41 OUTREACH EVENTS, 4 PATIENTS DIAGNOSED WITH BREAST CANCER LUNG CANCER SCREENING: 1,437 LDCT SCANS, 50 PATIENTS DIAGNOSED WITH LUNG CANCERGEAUX GET HEALTHY CONTINUED TO SERVE PERSONS SCREENED FOR FOOD INSECURITY BY OFFERING COOKING CLASSES, GROCERY STORE TOURS, AND CLASSES WITH A DIETICIAN. 60 PERSONS SCREENED FOR FOOD INSECURITY 42 PEOPLE ENROLLED IN GGH 10 PARTICIPANTS MADE IMPROVEMENTS IN FOOD INSECURITY BY 1 LEVEL 8 PARTICIPANTS MADE IMPROVEMENTS IN METABOLIC METRIC 4 PARTICIPANTS MADE IMPROVEMENTS IN DEPRESSION SCORES NUMBERS ARE LOWER DUE TO PROGRAM IMPROVEMENT AND EXPANSION OVER THE SUMMER. THE PROGRAM EXPANSION INCLUDED 2 COMMUNITY HEALTH WORKERS, 2 REGISTERED DIETICIANS, 1 PROGRAM MANAGER AND 1 PROGRAM DIRECTOR. PROGRAM RECEIVED FUNDS OF $15K FROM CAPITAL AREA UNITED WAY TO EXPAND TO A SECOND LOCATION.DURING THIS SAME PERIOD OF TIME THE DIABETES & NUTRITION PROGRAM ENABLED 97 PATIENTS TO SUCCESSFULLY COMPLETE THE COMPREHENSIVE DIABETES PROGRAM CONSISTING OF INDIVIDUAL APPOINTMENTS AND GROUP CLASSES. THE AVERAGE A1C REDUCTION WAS 2.65%, THIS IS BETTER THAN NATIONAL BENCHMARK OF ~2.2%.3. MATERNAL AND INFANT HEALTHTHE EBR MATERNAL AND INFANT HEALTH COALITION BEGAN MEETING IN 2021 AND ADOPTED THE CDC HEAR HER CAMPAIGN SEEKING TO RAISE AWARENESS OF URGENT MATERNAL WARNING SIGNS DURING AND AFTER PREGNANCY AND IMPROVE COMMUNICATION BETWEEN PATIENTS AND THEIR HEALTHCARE PROVIDERS. OLOL IS WORKING WITH OTHER COALITION MEMBERS TO: LAUNCH A PUBLIC HEALTH CAMPAIGN AND TO PROVIDE TOOLS FOR WOMEN AND PROVIDERS TO BETTER ENGAGE IN LIFE-SAVING CONVERSATION.4. MENTAL AND BEHAVIORAL HEALTH1- IN 2022 THE ADOLESCENT UNIT AT THE TAU CENTER INCREASED BED CAPACITY FROM 19 TO 21 TO BETTER MEET THE DEMAND FOR THAT AGE GROUP.2- THE CAMS PROGRAM CONTINUES. IN 2022 505 CAMS BRIEF INTERVENTIONS WERE DELIVERED ON THE THREE MENTAL AND BEHAVIORAL HEALTH ADULT IP UNITS AND 18 PATIENTS COMPLETED THE CAMS PROGRAM IN THE LSU GME RESIDENT CLINIC.3- LSU HEALTH MAINTAINED THE BEHAVIORAL HEALTH/PRIMARY CARE PROGRAM. 4- TRANSCRANIAL MAGNETIC STIMULATION (TMS) CONTINUES AT FAMILY CENTER O'DONOVAN. PATIENTS ADMITTED FOR TREATMENT HAS INCREASED FROM THE FIRST YEAR (2021) AND THE PROGRAM HAS EXPERIENCED POSITIVE PATIENT OUTCOMES WHO BEFORE WERE NOT SEEING RESULTS FROM DRUG TREATMENT. 5- KETAMINE TREATMENT FOR DEPRESSION, WHICH STARTED AT THE FAMILY CENTER O'DONOVAN CLINIC IN 2021, IS CURRENTLY AT CAPACITY. PLANNING IS UNDERWAY TO EXPAND CAPACITY TO MEET THE DEMAND. 6- IN LATE 2021 OLOL APPLIED FOR AND WAS AWARDED A GRANT TO PROVIDE EVIDENCE-BASED SUBSTANCE USE THERAPY IN THE LSU EIC (HIV) CLINIC. THE PLANNING PHASE FOR TREATMENT BEGAN IN EARLY 2022 FOR JULY/AUGUST 2022 GO LIVE DATE. THE PROGRAM WILL BE LED AND SUPERVISED BY DR. RAY TUCKER AND THE PSYCHOLOGY INTERNS WILL PROVIDE THE EVIDENCE-BASED THERAPY. 7- IN JANUARY 2022 WE BEGAN A HYBRID COLLABORATIVE CARE PROGRAM IN THE PALLIATIVE CARE CLINIC WITH THE PSYCHOLOGY INTERNS AS THE BEHAVIORAL HEALTH PROVIDERS AND SUPERVISED BY DR. RAY TUCKER.8- OLOL WORKED WITH RURAL SISTER FACILITY OUR LADY OF ANGELS TO PROVIDE PSYCHIATRIC COVERAGE ON THEIR BEHAVIORAL HEALTH INPATIENT UNIT, EMERGENCY DEPARTMENT, AND PSYCH CONSULTS ON THE MEDICAL FLOOR. THE COVERAGE BEGAN IN JANUARY 2022 AND COVERAGE PROVIDED IS TWO DAYS/WEEK WITH A PSYCHIATRIST ON SITE AND TELE-HEALTH FIVE DAYS/WEEK. 9- IN EARLY 2022 OLOL STARTED PLANNING FOR COLLABORATIVE CARE EXPANSION IN TWO MORE PRIMARY CARE CLINICS. 10- IN FISCAL YEAR 2022, THE COPE TEAM PERFORMED 8,618 CRISIS ASSESSMENTS IN THE EMERGENCY DEPARTMENT AND WORKED WITH THE EMERGENCY MDS AND PSYCHIATRISTS ON CRISIS PLANNING FOR DISCHARGE AND/OR DISPOSITION TO A HIGHER LEVEL OF CARE. 11- TO OPEN ACCESS TO CARE FOR MEDICAID PATIENTS, TWO MORE MEDICAID MCOS CONTRACTED WITH THE LSU PSYCH RESIDENCY CLINIC SO THAT PATIENTS DO NOT HAVE TO PAY CASH TO BE SEEN BY A PSYCHIATRIST. THIS BRINGS THE MEDICAID MCO CONTRACTS TO FOUR. 12- OLOL WAS APPROVED BY THE ACGME TO HAVE A CHILD AND ADOLESCENT FELLOWSHIP PROGRAM. RECRUITING AND HIRING FOR STARTUP IS UNDERWAY."

SURGICAL SPECIALTY CTR OF BATON ROUGE
"PART V, SECTION B, LINE 11: SURGICAL SPECIALITY CENTER OF BATON ROUGESSC IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE JOINT COMMUNITY HEALTH NEEDS ASSESSMENT ALONG SIDE OLOL. SSC IS ADDRESSING HEALTH EQUITY AND RACIAL DISARITIES BY PROVIDING SERVICES TO THOSE WITH MEDICAID COVERAGE AND PROVIDED CHARITY CARE. THE EAR, NOSE AND THROAT DOCTORS AT SSC ARE ONE OF TWO ENT PRACTICES IN EAST BATON ROUGE PARISH WHO ACCEPT MEDICAID. THEY ARE SENT REFERRALS FOR PATIENT LIVING OUTSIDE OF EBR AS WELL. DURING THIS TIME PERIOD, AFTER THE SPIKE OF COVID, SSCBR WAS AVAILABLE TO THE OCMMUNITY TO PROVIDE SURGICAL CARE TO THOSE PATIENTS WITH ""TIME SENSITIVE"" SURGICAL NEEDS AS THE LARGER COMMUNITY HOSPITALS WERE LIMITING SURGICAL SERVICES. ADDITIONALLY, SSCBR HAS EXPERIENCED GROWTH IN ITS TOTAL JOINT PROGRAM AS MORE ELECTIVE CASES MOVED FROM LARGER HOSPITAL TO SSCBR. SSCBR WILL NOT ADDRESS THE FOLLOWING NEEDS AS THEY ARE OUTSIDE OF THE SCOPE OF SSCBR: BEHAVORIAL HEALTH, HEALTH LIVING/LIFESTYLE, MATERNAL AND INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS AND HIV, CHRONIC DISEASE, PEDIATRIC AND ADOLESCENT HEALTH, PUBLIC HEALTH EMERGENCY PREPAREDNESS, SOCIAL DETERMINANTS OF HEALTH, AND VIOLENCE PREVENTION."

LAKE SURGICAL HOSPITAL (SLIDELL), LLC
PART V, SECTION B, LINE 11: LAKE SURGICAL HOSPITAL (SLIDELL), LLCOUR LADY OF THE LAKE SURGICAL HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS IN THE FY22 CHNA: ELIMINATING BARRIER TO CARE, HEALTH LITERACY, ECONOMY/POVERTY, RACISM, OBESITY, EDUCATION, MENTAL HEALTH, SUBSTANCE ABUSE, TRANSPORTATION, JOBS, AND SPECIALTY CARE.DURING THE FISCAL YEAR, OUR LADY OF THE LAKE SURGICAL HOSPITAL WAS STILL ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2018 CHNA. OUR LADY OF THE LAKE SURGICAL HOSPITAL ADDRESSED ALL OF THE THREE IDENTIFIED HEALTH NEEDS: OBESITY, ACCESS TO HEALTH SERVICES AND SPECIFIC ORTHOPEDIC LINE ACCESS.OBESITY - PROVIDES NUTRITIONAL INFORMATION TO OLDER ADULTS AND SENIOR CITIZENS THROUGH OUTREACH SEMINARS AND VIRTUAL AND FACE TO FACE MEETINGS WITH DIETITIANS. ONLINE RESOURCES ARE ALSO MADE AVAILABLE. BARIATRIC MEDICAID CASE VOLUME FOR YTD 2022 WAS 71.ACCESS TO HEALTH SERVICES - THE FACILITY CONTINUES TO ADVERTISE ITS SERVICES THROUGHOUT THE BROADER COMMUNITY THROUGH MULTIPLE MEDIA PLATFORMS; AND CONTINUES TO ACCEPT MEDICAID. MEDICAID CASE VOLUME FOR YTD 2022 WAS 226.ORTHOPEDICS - THE GREATEST CHANGE HAS BEEN THE ADDITION OF A LOCAL ORTHOPEDIC OFFICE ALLOWING LSH TO PROVIDE ORTHOPEDIC SERVICES TO THE MEDICAID AND UNINSURED POPULATION IN OUR COMMUNITY. WE HAVE SET UP A PROCESS FOR THOSE IN NEED TO BE ABLE TO RECEIVE SURGICAL SERVICES AND SURGICAL FOLLOW UP. SO, IN SHORT WE ARE EXPANDING OUR OUTREACH OF ORTHOPEDIC SERVICES IN THE COMMUNITY WITHIN THE UNDER INSURED AND UNINSURED POPULATIONS. ORTHOPEDIC CASE VOLUME FOR YTD 2022 WAS 689 CASES; OF THAT 14 WERE MEDICAID.

PART V, SECTION B, LINE 11: OUR LADY OF THE LAKE HOSPITAL CONTINUATION:
5. HEALTH EQUITY AND RACIAL DISPARITIESAS A COMMITMENT TO UNDERSTANDING OUR PATIENT'S NEEDS, WE BEGAN SCREENING FOR SDOH IN OCTOBER 2021. OUR SCREENING INCLUDES THE FOLLOWING DOMAINS: FOOD INSECURITY, FINANCIAL INSECURITY, TRANSPORTATION INSECURITY, HOUSING INSECURITY, SUBSTANCE ABUSE AND DOMESTIC VIOLENCE AND BEGAN PLANNING FOR EFFORTS TO CONNECT OUR PATIENTS TO THE RESOURCES THEY NEED BASED ON THE RESULTS OF THE SCREENING. WE ALSO BEGAN DEVELOPING OUR TECHNOLOGY PLATFORM TO BE USED ACROSS OUR HEALTH SYSTEM TO CAPTURE PATIENTS: RACE, ETHNICITY, LANGUAGE, AND SEXUAL ORIENTATION/IDENTITY.OLOL WILL NOT ADDRESS THE FOLLOWING NEEDS AS IT FEELS THERE ARE OTHER ORGANIZATIONS/HOSPITALS THAT ARE ALREADY ADDRESSING THESE NEEDS AND ITS RESOURCES ARE BEST DIRECTED TOWARDS THE FIVE NEEDS MENTIONED ABOVE:SOCIAL DETERMINANTS OF HEALTH VIOLENCE PREVENTIONPEDIATRIC AND ADOLESCENT HEALTHPUBLIC HEALTH EMERGENCY PREPAREDNESSCHRONIC DISEASE

PART V, SECTION B, QUESTION 6:
OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: A JOINT CHNA WAS CONDUCTED IN COLLABORATION WITH WOMAN'S HOSPITAL, BATON ROUGE GENERAL MEDICAL CENTER AND LANE REGIONAL MEDICAL CENTER THROUGH THE MAYOR'S HEALTHY CITY INITIATIVE.

PART V, SECTION B, QUESTION 7:
OUR LADY OF THE LAKE HOSPITAL AND SURGICAL SPECIALTY CENTER: THE JOINT CHNA CAN BE FOUND AT THE FOLLOWING WEBSITES: HTTPS://OLOLRMC.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTP://WWW.HEALTHYBR.COM/BE-SMART/COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTPS://WWW.SSCBR.COM/ABOUT-US/

PART V, SECTION B, QUESTION 13H:
OUR LADY OF THE LAKE HOSPITALPRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE 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. PATIENTS' 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 V, SECTION B, QUESTION 16A, B, & C:
OUR LADY OF THE LAKE HOSPITAL: 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/SURGICAL SPECIALTY CENTER OF BATON ROUGE: THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://WWW.SSCBR.COM/FINANCIAL-ASSISTANCE/LAKE SURGICAL HOSPITAL (SLIDELL): THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND A PLAIN-LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTP://OLOLSH.COM/FOR-PATIENTS/

PART V, SECTION B, QUESTION 16J:
OUR LADY OF THE LAKE HOSPITAL, SURGICAL SPECIALTY CENTER OF BATON ROUGE, LAKE SURGICAL HOSPITAL (SLIDELL): REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.

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 COST ACCOUNTING SYSTEM OF THE ORGANIZATION. 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 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 HOPSITAL;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 III, LINE 4:
THE BAD DEBT FOOTNOTE IS ON PAGE 18 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 REQUIREMENTS AND GUIDELINES.

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 AMOUNT IS IMMEDIATELY REMOVED FROM THE COLLECTIONS PROCESS.

PART III, SECTION A, QUESTION 2:
THE HOSPITAL ACCOUNTS FOR BAD DEBTS BASED ON THE AGING OF THE ACCOUNTS AND BASED ON THE HISTORICAL COLLECTION ASSOCIATED WITH THE VARIOUS AGING CATEGORIES. ON A PERIODIC BASIS, THE ORGANIZATION CONDUCTS A RETROSPECTIVE REVIEW TO DETERMINE THE APPROPRIATENESS OF THE COLLECTION PERCENTAGES UTILIZED IN ESTIMATED BAD DEBT EXPENSE. CHARITY AND DISCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS SUBSEQUENT TO BEING CONSIDERED BAD DEBT ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE.

PART VI, LINE 2:
"NEEDS ASSESSMENT: RESPONDING TO THE HEALTH NEEDS OF OUR COMMUNITY, ESPECIALLY TO THOSE MOST IN NEED, IS PRIMARY TO THE HOSPITAL'S MISSION. AS SUCH, OUR LADY OF THE LAKE HOSPITAL JOINED THE MAYOR'S HEALTHY CITY INITIATIVE IN 2007. STILL TODAY, OLOL SITS AMONG OTHER LOCAL AREA HOSPITALS IN AN OPEN COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF THE BATON ROUGE COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS JUST ONE OF MANY JOINT EFFORTS THAT OLOL HAS PARTICIPATED IN ALONGSIDE OTHER HOSPITALS AND ORGANIZATIONS.IN MAY OF 2008, BATON ROUGE MAYOR-PRESIDENT MELVIN L. ""KIP"" HOLDEN COMMISSIONED THE MAYOR'S HEALTHY CITY INITIATIVE TO ENCOURAGE BATON ROUGE RESIDENTS TO ADOPT A HEALTHIER AND MORE ACTIVE LIFESTYLE. IN 2017 THERE WAS A CHANGE IN ADMINISTRATION, AND THE NEW MAYOR; SHARON WESTON BROOM COMMITTED TO AND CONTINUES THE WORK OF THE MAYOR'S HEALTHY CITY INITIATIVE. BOTH MAYORS ENVISION A PROGRAM THAT WOULD PROMOTE AND IDENTIFY RESOURCES AVAILABLE IN THE COMMUNITY FOR RESIDENTS TO LIVE HEALTHIER LIVES FREE OF CHRONIC DISEASE.IN LOUISIANA, ALMOST HALF OF OUR CHILDREN ARE CONSIDERED OVERWEIGHT OR OBESE, PUTTING THEM AT A MUCH GREATER RISK OF OBESITY-RELATED HEALTH PROBLEMS LIKE DIABETES, HEART DISEASE, STROKE, CANCER AND ASTHMA. NATIONWIDE THE NUMBER OF CHILDREN WHO ARE CONSIDERED OVERWEIGHT OR OBESE HAS NEARLY TRIPLED OVER THE PAST 30 YEARS. TO TACKLE THIS PROBLEM, THE MAYOR SUBDIVIDED THE INITIATIVE INTO 2 SEPARATE BUT COMPATIBLE PARTS: HEALTHY BR - A FOCUS ON HEALTHIER EATING AND A MORE ACTIVE LIFESTYLE MEDBR - A FOCUS ON ACCESS TO CARE AND HEALTH OUTCOMES EACH SUBGROUP ENGAGES A VARIETY OF PARTNER ORGANIZATIONS IN A COOPERATIVE EFFORT BETWEEN LOCAL AND STATE GOVERNMENTS, AREA HOSPITALS, PUBLIC HEALTH, AND LOCAL HEALTH ORGANIZATIONS AND NONPROFITS.OLOL IS A MAJOR SUPPORTER AND CONTRIBUTOR OF THE MAYOR'S HEALTHY CITY INITIATIVE. THE MAYOR'S HEALTHY CITY INITIATIVE SERVED AS A COMMON PLATFORM, ALLOWING FOR IN-DEPTH ROUNDTABLE DISCUSSIONS AMONG LOCAL AREA HOSPITALS. THE OLOL COMMUNITY ADVOCACY TEAM FACILITATED THOSE DISCUSSIONS AND PROCESSES FOR COMPLETING THE CHNA REPORT.OLOL ALSO WORKS SEPARATELY WITH COMMUNITY ORGANIZATIONS (ON THE CHNA IMPLEMENTATION PLAN) SUCH AS UNITED WAY, PUBLIC HEALTH, AMERICAN HEART ASSOCIATION, BREC, BRAC, AND MANY OTHER ORGANIZATIONS TO DEFINE COMMUNITY NEEDS AND TO CONSOLIDATE EFFORTS TO MEET THOSE COMMUNITY NEEDS. FOR EXAMPLE, PARISH NURSING, HEALTH SCREENING FOR DIABETES, SKIN CANCER, PROSTATE CANCER AND BREAST CANCER ARE PROMOTED IN VARIOUS COMMUNITY SETTINGS TO IMPROVE OVERALL COMMUNITY HEALTH. OLOL HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT ADDRESS THE 4 SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA."

PART VI, LINE 4:
COMMUNITY INFORMATION: OUR LADY OF THE LAKE HOSPITAL (OLOL) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN BATON ROUGE, LOUISIANA THAT SERVES EAST BATON ROUGE PARISH AND PORTIONS OF THE SURROUNDING PARISHES. PURSUANT TO THE HOSPITAL'S LAST CHNA, EAST BATON ROUGE HAS A POPULATION OF APPROXIMATELY 440,059 RESIDENTS. THE POPULATION IS RELATIVELY YOUNG, A MEDIAN AGE OF 34. THE SENIOR POPULATION COMPRISES ABOUT 15% OF THE TOTAL POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $54,948. 17.7% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 4.4%.

PART VI, LINE 6:
AFFILIATED HEALTH CARE SYSTEM: OUR LADY OF THE LAKE HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL, NON-STOCK, MEMBER CORPORATION OF WHICH FRANCISCIAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOL HEALTH SYSTEM) IS THE SOLE MEMBER. OUR LADY OF THE LAKE HOSPITAL IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITALS AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATE OF LOUISIANA, AND ONE IN MISSISSIPPI. OUR LADY OF THE LAKE HOSPITAL SERVES THE COMMUNITY IN EAST BATON ROUGE PARISH AND SURROUNDING PARISHES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE:OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITALOUR LADY OF THE ANGELS HOSPITAL RELATED HOSPITAL IN MISSISSIPPI:ST. DOMINIC JACKSON MEMORIAL HOSPITAL

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PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INDIVIDUALS ARE EDUCATED ABOUT ELIGIBILITY FOR ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AT VARIOUS STAGES OF THE ENCOUNTER WITH OUR LADY OF THE LAKE HOSPITAL. PATIENTS ARE INFORMED THROUGH A PATIENT HANDBOOK THAT CONTAINS INFORMATION ON THE FINANCIAL POLICIES OF THE HOSPITAL. ADDITIONALLY, SYSTEMS AND TOOLS ARE UTILIZED TO CONDUCT HIGH LEVEL FINANCIAL SCREENING TO ASSIST IN IDENTIFYING PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. WHEN AND WHERE APPROPRIATE, FINANCIAL COUNSELORS VISIT PATIENTS AT THE TIME OF THE ENCOUNTER AND EXPLAIN THE ASSISTANCE OPTIONS AVAILABLE. FINANCIAL COUNSELORS WORK WITH PATIENTS TO ASSIST WITH ENROLLMENT FOR MEDICAID FOR THOSE WHO ARE ELIGIBLE AS WELL AS TO ASSIST THOSE WHO QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE.

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PROMOTION OF COMMUNITY HEALTH: OUR LADY OF THE LAKE HOSPITAL PARTICIPATES IN COMMUNITY IMPROVEMENT ACTIVITIES BECAUSE IT UNDERSTANDS THAT IMPROVEMENTS TO A COMMUNITY HAVE A DIRECT LINK TO THE IMPROVED HEALTH OF COMMUNITY RESIDENTS. COMMUNITY IMPROVEMENT ACTIVITIES INCLUDE THE FOLLOWING: OUR LADY OF THE LAKE ESTABLISHED CLINICS LOCATED IN AREAS WITHIN UNDER-INSURED/LOW INCOME AREAS. THIS ALLOWS INDIVIDUALS TO ACCESS HEALTH CARE SERVICE THAT WOULD BE FOREGONE OR POSTPONED THEREBY CREATING A COMMUNITY AREA WITH MORE INTENSE HEALTH ISSUES/PROBLEMS. OUR LADY OF THE LAKE PROVIDES OVERSIGHT OF COMMUNITY PROGRAMS AND ACTIVITIES AND COORDINATED HEALTH CARE SCREENING FOR VARIOUS HEALTH ISSUES.OUR LADY OF THE LAKE BECAME A TEACHING HOSPITAL THROUGH AFFILIATION WITH LOUISIANA STATE UNIVERSITY MEDICAL SCHOOL TO INSURE THE STATE OF LOUISIANA MAINTAIN AN ADEQUATE SUPPLY OF PHYSICIANS. IN 2011 OUR LADY OF THE LAKE RECEIVED ACCREDITATION APPROVAL FOR A PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAM.THE MAJORITY OF THE GOVERNING BODY OF OUR LADY OF THE LAKE IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION.OLOL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL 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.