SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
OCHSNER CLINIC FOUNDATION
 
Employer identification number

72-0502505
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
No
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    47,981,343   47,981,343 0.74 %
b Medicaid (from Worksheet 3, column a) . . . . .         0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 47,981,343 0 47,981,343 0.74 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,770,862 980,686 790,176 0.01 %
f Health professions education (from Worksheet 5) . . .     42,021,812 30,662,588 11,359,224 0.18 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     15,716,902 8,545,701 7,171,201 0.11 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     272,918   272,918 0 %
j Total. Other Benefits . . 0 0 59,782,494 40,188,975 19,593,519 0.30 %
k Total. Add lines 7d and 7j . 0 0 107,763,837 40,188,975 67,574,862 1.05 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     6,364   6,364 0 %
2 Economic development     24,894   24,894 0 %
3 Community support     68,132   68,132 0 %
4 Environmental improvements     236   236 0 %
5 Leadership development and
training for community members		     7,147   7,147 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     21,753   21,753 0 %
8 Workforce development     50,150   50,150 0 %
9 Other         0 0 %
10 Total 0 0 178,676 0 178,676 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
30,737,234
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
294,204,994
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
292,294,530
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,910,464
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?4
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 OCHSNER MEDICAL CENTER
1516 JEFFERSON HIGHWAY
NEW ORLEANS,LA70121
https://www.ochsner.org/locations/ochsner-medical-center/
163 		X X   X   X X     A
2 OCHSNER MEDICAL CENTER-BATON ROUGE
17000 MEDICAL CENTER BLVD
BATON ROUGE,LA70816
https://www.ochsner.org/locations/ochsner-medical-center-baton-rouge/
555 		X X         X     A
3 OCHSNER MEDICAL CENTER-NORTH SHORE
100 MEDICAL CENTER DR
SLIDELL,LA70461
https://www.ochsner.org/locations/ochsner-medical-center-north-shore/
678 		X X   X     X     A
4 OCHSNER ST ANNE GENERAL HOSPITAL
4608 HIGHWAY 1
RACELAND,LA70394
https://www.ochsner.org/locations/ochsner-st-anne/
594 		X       X   X     A
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.ochsner.org/patients-visitors/billing-and-financial-services/financial-assistance/
b
https://www.ochsner.org/patients-visitors/billing-and-financial-services/financial-assistance/
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 7
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Ochsner Clinic Foundation Reporting Group A (All Hospitals). Information from the public was solicited in two ways: interview of Key Community Stakeholders and surveys of vulnerable populations. 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 surveyed as part of the needs assessment planning process. The surveys of vulnerable populations were generally administered by local community-based organizations providing services to vulnerable populations in the hospitals' service areas, at their locations. The surveys were 32 questions offered in English, Spanish, and Vietnamese. Vulnerable populations were identified by the CHNA oversight committee and through stakeholder interviews. Vulnerable populations targeted by the surveys were residents that were: seniors, low-income (including families), uninsured, Latino, chronically ill, had a mental health history, homeless, literacy challenged, limited English speaking, women of child bearing age, diabetic, and residents with special needs. Input was received from all of these targeted groups. Multiple attempts were made to contact the key community stakeholders identified. To increase representation, local community based organizations were trained to administer the survey in person at their locations. Top community health needs were identified and prioritized by community leaders during a regional community health needs identification forum held in August 2015. Consultants presented to community leaders the CHNA findings from analyzing secondary data, key stakeholder interviews, and surveys. Community leaders discussed the data presented, shared their visions and plans for community health improvement in their communities, and identified and prioritized the top community health needs in the community. The following is a list of community organizations that participated in the regional community health needs assessment process: * Acadian Ambulance * ARC of St. Charles * ARC of St. Tammany * Baton Rouge Community College * Boys and Girls Club Westbank * BREC * Baton Rouge Division of Human Development and Services * Cancer Association of Greater New Orleans (CAGNO) * Catholic Charities * Chief - HIV Division of Infectious Disease * Children's Special Health Services * City of Kenner * City of New Orleans * City of Slidell * COAST - Slidell Senior Center * Community Service Center * Covington Police Department * Daughters of Charity - N.O * Delgado Community College * Director - Medical Student Clerkship * Division of Human Development & Services * EQ Health Solutions * Fifth District Savings and Loan * First Baptist Church * Greater New Orleans Foundation * Healthy Start New Orleans * Healthy Baton Rouge Initiative * Humana Louisiana * Institute of Women and Ethnic Studies * Jefferson Business Council * Jefferson Parish * Jefferson Parish Commissioner * Jewish Community Center * Kenner Council on Aging and Parks and Recreation * Kingsley House * Local Businessman * Louisiana Office of Public Health * Louisiana Public Health Institute * LSU Health Science Center, Allied Health * LSUIH-HIV Outpatient Clinic * McFarland Institute * Methodist Health Foundation * NAMI * NAMI St. Tammany * New Wine Fellowship * NO/AIDS Task Force * Nouveau Marc Residential Retirement Living * Ochsner Health System * PACE Greater New Orleans * Pickering and Cotogno * Plaquemines Community CARE * Plaquemines Parish Community Action Agency * Prevention Research Center at Tulane University * Raceland Raw Sugar * S.A.L.T * Second Harvest Food Bank * SMH Foundation Board * Southeast La. Legal Services * St. Tammany EDF * St. Tammany Outreach for the Prevention of Suicide (STOPS) * St. Tammany Parish Fire District 4 * STPH Community Wellness Center * Susan G. Komen, New Orleans * The Good Samaritan Ministry * The McFarland Institute * Travelers Aid Society of GNO * Tulane University School of Medicine * United way 211 help line (VIALink) * VIET * Watson Memorial Teaching Ministries * West Jefferson Civic Coalition * Workforce Commission * YMCA BR * Youth Service Bureau- Slidell Client Services and CASA
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Ochsner Clinic Foundation Reporting Group A (All Hospitals). The CHNA was conducted with a number of other hospital facilities. * Ochsner Medical Center Kenner * St. Charles Parish Hospital * Children's Hospital of New Orleans * Touro Infirmary * University Medical Center New Orleans * East Jefferson General Hospital * West Jefferson Medical Center * Slidell Memorial Hospital * St. Tammany Parish Hospital
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - A-1 Ochsner Medical Center (including Ochsner Baptist - A Campus of Ochsner Medical Center and Ochsner Medical Center - West Bank Campus). 2015 update on 2013 Community Health Needs Assessment Significant needs identified and measures taken and resources available to address those needs Need: Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Provided medical services in neighborhoods across region (Metairie, Lakeview, Elmwood, Mid-city, Algiers, Lapalco, Belle Chasse, Gretna, Marrero) including Infectious Disease (HIV/AIDs) at Jefferson Hwy facility * Increased available healthcare providers by providing clinical training opportunities to students from the University of Queensland, Loyola, Our Lady of Holy Cross and Delgado * Engaged and prepared K-12 students in STEM and health career exploration through Field Trips, Girl Scout programs and Job Shadows * Provided access to healthcare through School based health centers at Bonnabel HS (2409 visits) and Ehret HS (2585 visits) * Developed and offered High Performance Network to insurers and businesses -enrollment increased 135% * Assisted community members and patients with the Medicaid application process and payment plans. OMC is an approved Medicaid application center. Increased approved applications by 30%; number of patients funded increased 21% and total dollars funded increased 23%. * Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records-430,000 records received system-wide * Improved access to critical care expertise across LA utilizing telemedicine E-ICU to connect 6 hospitals including OMC, Baptist and Westbank to centralized monitoring services * Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program with 31 sites including OMC, Baptist and Westbank * Provided interpretation services at all locations: face to face, online, and via devices. The number of patients served increased by 9.4% for the integrated health system. * Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program * Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including OMC. 1200 families enrolled system wide. * Raised awareness in healthcare field for the unemployed and underemployed members of the community, preparing participants with life skills (financial education, job readiness, basic literacy and computer skills) - MA NOW and MA YOST program in Orleans and Jefferson Parish Need: Access to community/support services to sustain a healthy environment And Need: Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Provided education on chronic health conditions through community education, screenings and nurse consultations (Freret Street Fest, Lakeside Expo, Men's Health event) * Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner at Belle Chasse YMCA, Boys Club/Girls Club, Communities in School * Encouraged education about healthy lifestyles and improve student and teacher wellness at Jefferson parish public schools. * Partnered with employers to improve the health and wellness of their employees. System-wide, 16,310 employees were screened at 72 events at worksites. * Partnered with community organizations to improve the health and wellness of the community providing Eat Fit NOLA to over 60 local restaurants. * Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools in Jefferson and Orleans parishes * Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees. Calendar views by unique patients increased system wide to over 43,000. * Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. System-wide, 1121 indviduals attended 41 in person sessions, and 19 sessions were broadcast live on WLAE. * Offered free cost smoking cessation clinics for adults at 8 sites in the OMC region. * Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide. * Participated in state-wide efforts to decrease premature birth rates and improve birth outcomes All identified significant needs were addressed.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A-2 Ochsner Medical Center-Baton Rouge. 2015 update on 2013 Community Health Needs Assessment Significant needs identified and measures taken and resources available to address those needs Need: Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Increased medical services in neighborhoods across region (Denham Springs, Hammond, Prairieville) - adding clinic and freestanding ED in Iberville Parish (Plaquemine) * Utilized telemedicine to assess and improve triage of mental health patients in the ED in Baton Rouge (partnership with OMC Jefferson Highway) * Increased available healthcare providers by providing clinical training opportunities to students from Baton Rouge Community College, LSU, Our Lady of the Lake. * Engaged and prepared K-12 students in STEM and health career exploration through Field Trips and Job Shadows. * Developed and offered High Performance Network to insurers and businesses -enrollment increased 135% * Assisted community members and patients with the Medicaid application process and payment plans. Baton Rouge is an approved Medicaid application center. Increased approved applications by 11%; number of patients funded increased 38% and total dollars funded increased 63%. * Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records-430,000 records received system-wide * Improved access to critical care expertise across LA utilizing telemedicine E-ICU to connect 6 hospitals including Baton Rouge to centralized monitoring services * Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program with 31 sites including Baton Rouge. * Provided interpretation services at all locations: face to face, online, and via devices. The number of patients served increased by 9.4% for the integrated health system. * Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program * Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baton Rouge. 1200 families enrolled system-wide. Need: Access to community/support services to sustain a healthy environment and Need: Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Participated in community events that encourage healthy activities and lifestyles (Adopt a schools, community walks and Mayor's Healthy City committee) * Provided education on chronic health conditions through community education * Partnered with employers to improve the health and wellness of their employees. screened 16,310 employees, System-wide, and held 72 events at worksites. * Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees. Calendar views by unique patients increased system-wide to over 43,000. * Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. System-wide, 1121 indviduals attended 41 in person sessions, and 19 sessions were broadcast live on WLAE. * Offered free cost smoking cessation clinics for adults at 5 sites in Baton Rouge region. * Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system-wide. * Participated in state-wide efforts to decrease premature birth rates and improve birth outcomes Need not addressed due to limited availability of specialized clinical resources Prevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center-Baton Rouge does not currently offer HIV/AIDS services on site. They continue to work with the Mayor's Healthy Baton Rouge initiative to identify ways that all Baton Rouge hospitals can impact HIV/AIDs rates in the community
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - A-3 Ochsner Medical Center-North Shore. 2015 update on 2013 Community Health Needs Assessment Significant needs identified and measures taken and resources available to address those needs Need: Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Provided medical services in neighborhoods across region (Covington, Mandeville, Pearl River, Abita Springs and Slidell) * Utilized telemedicine to assess and improve triage of mental health patients in the ED in North Shore (partnership with OMC Jefferson Highway) * Increased available healthcare providers by providing clinical training opportunities to students from Loyola, Delta College and Delgado. * Engaged and prepared K-12 students in STEM and health career exploration through Field Trips, Girl Scout programs and Job Shadows. * Developed and offered High Performance Network to insurers and businesses -enrollment increased 135% * Assisted community members and patients with the Medicaid application process and payment plans. North Shore is an approved Medicaid application center. Increased approved applications by 63%; number of patients funded increased 9% and total dollars funded increased 13%. * Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records- 430,000 records received system-wide * Improved access to critical care expertise across LA utilizing telemedicine E-ICU to connect 6 hospitals including North Shore to centralized monitoring services * Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program with 31 sites including North Shore. * Provided interpretation services at all locations: face to face, online, and via devices. The number of patients served increased by 9.4% for the integrated health system. * Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program * Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including North Shore. 1200 families enrolled system-wide. Need: Access to community/support services to sustain a healthy environment And Need: Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Provided education on chronic health conditions through community education, screenings and nurse consultations: 7 health screenings (446 attendees); 47 support groups (1069 attendees); 1152 sports physicals; 10 seminars (226 attendees) * Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees. Calendar views by unique patients increased system-wide to over 43,000. * Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. System-wide, 1121 indviduals attended 41 in person sessions, and 19 sessions were broadcast live on WLAE. * Partnered with employers to improve the health and wellness of their employees. System-wide screened 16,310 employees and held 72 events at worksites. * Offered free cost smoking cessation clinics for adults at 2 sites in North Shore region. * Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system-wide. * Participated in state-wide efforts to decrease premature birth rates and improve birth outcomes Need not addressed due to limited availability of specialized clinical resources Prevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center-North Shore does offer HIV/AIDS services on site however they do not provide specific outreach education on this topic
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - A-4 Ochsner St Anne General Hospital. 2015 update on 2013 Community Health Needs Assessment Significant needs identified and measures taken and resources available to address those needs Need: Access to healthcare and medical services (i.e., primary, preventive, and specialty) * Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne * Ensured continuation of medical services at Chabert Hospital by providing management services- safety net services for uninsured and underinsured in the region. Clinic visits increased 5% and ED visits increased 19%. * Provided Job Shadow opportunities to Hahnville High School students. * Provided interpretation services at all locations: face to face, online, and via devices. The number of patients served increased by 9.4% for the integrated health system. * Assisted community members and patients with Medicaid application process and payment plans. St. Anne is an approved Medicaid application center, increased approved applications by 36% and number of patients funded increased 25%. * Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records- 430,000 records received system-wide * Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program with 31 sites, including St. Anne * Provided inpatient and outpatient mental health services at Ochsner St Anne. Need: Access to community/support services to sustain a healthy environment * Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, Larose, Bayou Blue, Raceland, Gheens, Lockport), Community Health Fair, Women's Expo, Men's Expo, diabetes classes with Certified Diabetes Educator and the Dietician, prenatal classes, breastfeeding classes, sibling classes, CPR and First Aid classes, Hello Health Seminars, and Nutritional Seminars. 2150 attendees for the educational presentations and 2808 participants, over the age of 18, received free health screenings. * Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through newspaper advertisement and flyers. * Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger Shipyards, Raceland Sugarmill, SLECA) * Provided 548 Free Flu vaccines to community members, over the age of 18. Need: Residents Health and Wellness (specific to chronic disease) * Participated in community events that encourage healthy activity and lifestyles (Race for the Cure, Relay For Life, Bayou Bell Ringers 5K, Raceland Upper Elementary 5K, LOPA 5K American Heart Association 5K) * Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger, Lafourche Parish Sheriff's Department, Raceland Sugarmill) * Offered free smoking cessation clinics for adults at St. Anne hospital * Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide. * Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. System-wide, 1121 indviduals attended 41 in person sessions, and 19 sessions were broadcast live on WLAE. All identified significant needs were addressed.
Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - OCHSNER CLINIC FOUNDATION REPORTING GROUP A (ALL HOSPITALS). The FAP application is provided to the patient or their representative immediately upon request.
Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - OCHSNER CLINIC FOUNDATION REPORTING GROUP A (ALL HOSPITALS). The policy is included in patient billing statements.
Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - OCHSNER CLINIC FOUNDATION REPORTING GROUP A (ALL HOSPITALS). A discount is applied to gross charges and represents the average payor yield by reviewing Medicare and the majority of commercial actual and expected payments (including the patient portion) over a year period. In no event are gross charges billed to a patient approved for financial assistance.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Page 8
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?78
Name and address Type of Facility (describe)
1 Ochsner Medical Center-Clinic
1512-16 Jefferson Highway
New Orleans,LA70121 		Clinic
2 Ochsner Baptist Medical Center (Magnolia Building) (formerly NOSHI)
2626 Napoleon Ave
New Orleans,LA70115 		Clinic
3 Ochsner Health Center-Covington
1000 Ochsner Boulevard
Covington,LA70433 		Clinic
4 Ochsner Health Center - Baton Rouge (Summa Ave)
9001 Summa Ave
Baton Rouge,LA70809 		Clinic
5 The Gayle and Tom Benson Cancer Center
1514 Jefferson Highway
New Orleans,LA70121 		Clinic
6 Ochsner Health Center - Baptist McFarland Medical Plaza
4429 Clara Street
New Orleans,LA70115 		Clinic
7 Ochsner Health Center-Slidell
2750 E Gause Blvd
Slidell,LA70461 		Clinic
8 Ochsner Orthopedic Health Center - Slidell (Neuroscience Institute)
104 Medical Center Drive
Slidell,LA70461 		Clinic
9 Ochsner Health Center-Slidell (Medical Center Dr)
103 Medical Center Drive
Slidell,LA70461 		Clinic
10 Ochsner Health Center For Children - New Orleans
1315 Jefferson Highway
New Orleans,LA70121 		Clinic
11 Ochsner Health Center - Baton Rouge (Medical Center Dr)
16777 17000 17050 Medical Center Dr
1759 1770 Physicians Park Dr
Baton Rouge,LA70816 		Clinic
12 Ochsner Health Center-Metairie
2005 Veterans Blvd
Metairie,LA70002 		Clinic
13 Elmwood Fitness Center-Elmwood
1200 S Clearview Pkwy
New Orleans,LA70123 		Fitness Center
14 Leonard J Chabert Medical Center (Clinics)
1978 Industrial Blvd
Houma,LA70363 		Clinic
15 Ochsner Health Center-Kenner (West Esplanade)
180-200 West Esplanade Ave
Kenner,LA70065 		Clinic
16 Ochsner Health Center for Primary Care and Wellness
1401 Jefferson Hwy Rear Bldg
New Orleans,LA70121 		Clinic
17 Ochsner Health Center-Lapalco
4225 Lapalco Blvd
Marrero,LA70072 		Clinic
18 Ochsner Health Center-Driftwood
2120 Driftwood Blvd
Kenner,LA70065 		Clinic
19 Ochsner Lieselotte Tansey Breast Center
1319 Jefferson Highway
New Orleans,LA70121 		Clinic
20 Ochsner Health Center - Baptist Napoleon Medical Plaza & Imaging Center
2800-2820 Napoleon Ave
New Orleans,LA70115 		Clinic
21 Ochsner Therapy & Wellness - Veterans
850 Veterans Memorial Blvd
Metairie,LA70005 		Clinic
22 Ochsner Speciality Health Center-Slidell
1850 E Gause Blvd
Slidell,LA70458 		Clinic
23 Ochsner Womens & Children's Health Center - Covington
101 E Judge Tanner Blvd
Covington,LA70433 		Clinic
24 Ochsner Health Center-Central
11424-2 Sullivan Rd
Central,LA70818 		Clinic
25 Ochsner Children's Health Center-Metairie
4901 Veterans Memorial Blvd
Metairie,LA70001 		Clinic
26 Ochsner Health Center - Tangipahoa
41676 Veterans Ave
Hammond,LA70403 		Clinic
27 Ochsner Health Center For Children-Slidell
2370 E Gause Blvd
Slidell,LA70461 		Clinic
28 Ochsner Health Center-Prairieville
16222 Airline Hwy Ste A
Prairieville,LA70769 		Clinic
29 Ochsner Family Doctor Clinic - Mathews
111 Acadia Dr
Raceland,LA70394 		Clinic
30 Ochsner Health Center-West Bank (Meadowcrest)
120 Meadowcrest St
Gretna,LA70056 		Clinic
31 Ochsner Womens Health Center - Raceland
104 Acadia Park Dr
Raceland,LA70394 		Clinic
32 Ochsner Health Center-Denham Springs
30819 LA Hwy 16
Denham Springs,LA70726 		Clinic
33 Ochsner Health Center-Baton Rouge Jefferson Place
8150 Jefferson Hwy
Baton Rouge,LA70809 		Clinic
34 Ochsner Specialty Health Center - Raceland
141 Twin Oaks
Raceland,LA70394 		Clinic
35 Ochsner Health Center-Luling
1057 Paul Maillard Rd
Luling,LA70070 		Clinic
36 Ochsner Health Center-Belle Chasse
7772 Belle Chasse Hwy
Belle Chasse,LA70037 		Clinic
37 Ochsner Health Center - Lakeview
101 West Robert E Lee Suite 201
New Orleans,LA70124 		Clinic
38 Ochsner Health Center-Algiers
3401 Behrman Place
Algiers,LA70114 		Clinic
39 Ochsner Health Center-Raceland
106 Cypress St
Raceland,LA70394 		Clinic
40 Ochsner Health Center-Mandeville
2810 East Causeway Approach
Mandeville,LA70448 		Clinic
41 Ochsner Health Center - Laplace Medical
735 W 5th St
LaPlace,LA70068 		Clinic
42 Ochsner Children's Health Center-Destrehan
1970 Ormond Boulevard
Destrehan,LA70047 		Clinic
43 Ochsner St Anne General Behavioral Health Center
4608 Hwy 1
Raceland,LA70394 		Clinic
44 Ochsner Health Center-Mid-City
411 N Carrollton Ave Ste 4
New Orleans,LA70119 		Clinic
45 Ochsner Health Center-Abita Springs
22070 Highway 59 Suite C
Abita Springs,LA70420 		Clinic
46 Ochsner Health Center - Baptist Napoleon Medical Building
2633 Napoleon Ave
New Orleans,LA70115 		Clinic
47 Ochsner Total Health Solutions
3211 N Causeway Blvd
Metairie,LA70002 		Home Medical Equipment
48 Ochsner Health Center-Gretna
441 Wall Blvd
Gretna,LA70056 		Clinic
49 Ochsner Health Center - Sherwood
170 McGehee
Baton Rouge,LA70815 		Clinic
50 Ochsner Health Center - Lockport
1015 Crescent Ave
Lockport,LA70374 		Clinic
51 Ochsner Medical Complex - Iberville
25455 LA Hwy 1
Plaquemine,LA70764 		Clinic
52 Elmwood Fitness Center-Metairie (at Heritage Plaza)
111 Veterans Blvd
Metairie,LA70005 		Fitness Center
53 Ochsner Health Center - West Bank (Medical Center)
111 Medical Center Blvd
Marrero,LA70072 		Clinic
54 Ochsner Heart and Vascular Health Center-Hammond
16045 Doctors Blvd
Hammond,LA70403 		Clinic
55 Destrehan Family Clinic
159 Longview Dr
Destrehan,LA70047 		Clinic
56 Elmwood Fitness Center-Downtown
701 Poydras Street Annex
New Orleans,LA70139 		Fitness Center
57 Ochsner Health Center - Pearl River
64629 LA 41
Pearl River,LA70452 		Clinic
58 Elmwood Gymnastics Academy Elmwood Fitness Center
700 Elmwood Park Blvd
New Orleans,LA70123 		Fitness Center
59 Ochsner Health Center - St James
1731 Lutcher Ave
Lutcher,LA70071 		Clinic
60 Ochsner Womens Children's and Specialty Health Center - Slidell
105 Medical Center Drive
Slidell,LA70461 		Clinic
61 Ochsner Health Center - River Parishes
502 Rue de Sante
LaPlace,LA70068 		Clinic
62 Ochsner Specialty Health Center - Cedar Lake
1721 Medical Park Dr
Biloxi,MS39532 		Clinic
63 Elmwood Fitness Center-Kenner
200 West Esplanade Suite 112
Kenner,LA70065 		Fitness Center
64 Ochsner Health Center - Elmwood
1201 1221 S Clearview Pkwy
New Orleans,LA70121 		Clinic
65 Ochsner Health Center - Uptown
3423 St Charles Ave
New Orleans,LA70115 		Clinic
66 Ochsner Health Center-Harding
7855 Howell Place Blvd
Baton Rouge,LA70807 		Clinic
67 Elmwood Fitness Center-West Bank
2220 Constitution St
New Orleans,LA70114 		Fitness Center
68 Ochsner Specialty Health Center - Hancock Medical Center
149 Drinkwater Blvd
Bay St Louis,MS39520 		Clinic
69 Ochsner Health Center-Denham Springs South
139 Veterans
Denham Springs,LA70726 		Clinic
70 Elmwood Fitness Center-Brent House
1512 Jefferson Hwy
New Orleans,LA70121 		Fitness Center
71 St Tammany Parish Hospital
1202 S Tyler St
Covington,LA70433 		Clinic
72 Ochsner Specialty Health Center - Cut Off
102 West 112th St
Cut Off,LA70345 		Clinic
73 Ochsner Research and Academics
1401 Jefferson Hwy Front Bldg
New Orleans,LA70121 		Clinic
74 Ochsner Health Center-Slidell West
2104 Gause Blvd West
Slidell,LA70460 		Clinic
75 Physical Therapy Building
506 Rue de Sante
LaPlace,LA70068 		Clinic
Schedule H (Form 990) 2015
Page 9
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c Factors other than FPG for eligibility determination A Payment Advisor Score (PAS) is taken into consideration during the presumptive financial assistance process; however if a patient requests financial assistance, the PAS is not considered. The PAS is provided by a third party tool.
Schedule H, Part VI, Line 7 State filing of community benefit report The organization does not file a community benefit report with any state.
Schedule H, Part V, Section A Ochsner Medical Center Campuses - Facility Reporting Group A Ochnser Medical Center is a multi-campus hospital facility. The satellite locations were listed separately on the 2014 Form 990, Sch H, Part V, Facility Information. As they operate under the same license, they have been combined on this form in compliance with the instructions and the section 501(r) regulations. In addition to the campus on 1514 Jefferson Hwy., Ochsner Medical Center has the following satellite locations: * Ochsner Baptist-A Campus of Ochsner Medical Center, 2700 Napoleon Ave., New Orleans, LA 70115, https://www.ochsner.org/locations/ochsner-baptist/ * Ochsner Medical Center-West Bank Campus, 2500 Belle Chasse Hwy., Gretna, LA 70056, https://www.ochsner.org/locations/ochsner-medical-center-west-bank-campus/ * Ochsner Medical Ctr-Elmwood Campus, 1221 S. Clearview Parkway, Jefferson, LA 70121, https://www.ochsner.org/locations/ochsner-health-center-elmwood/
Schedule H, Part I, Line 6a Community benefit report prepared by related organization The community benefit report prepared by Ochsner Health System is representative of the entire health system, including Ochsner Clinic Foundation. The amounts reported in Schedule H are those amounts that are either directly incurred by Ochsner Clinic Foundation or those that have been allocated to Ochsner Clinic Foundation as a reimbursement to another organization. Related organizations are Ochsner Health System (EIN 20-5296918) and Ochsner Community Hospitals (EIN 20-5297040).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 85144144
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance OCF provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Records of charges forgone for services and supplies furnished under the charity care policy are maintained to identify and monitor the level of charity care provided. Because OCF does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. OCF 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. OCF's gross charity care charges include only services provided to patients who are unable to pay and qualify under OCF's charity care policies. The ratio of cost to charges is calculated based on OCF's total expenses divided by gross patient revenue.
Schedule H, Part II Community Building Activities 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 Greater New Orleans Inc, Jefferson Economic Development Corporation, New Orleans Chamber Foundation, St. Tammany West Chamber of Commerce, United Negro College Fund, and local neighborhood associations and child development programs like the Girl Scouts of America and the Greater New Orleans Immunization Network. It also aims to engage and inspire high school students to pursue further education and careers in science and medicine through its STAR ("Science, Technology, Academics and Research") program, a free, five-week summer program that provides qualified high school students with a unique opportunity to work in a student healthcare laboratory setting and BEST! Science which offers science teachers the opportunity to bring students to Ochsner's iLab where they can perform experiments designed by our PhD scientists. One of the guiding principles of Ochsner community outreach is to partner with others for success. As the largest private employer in the region, Ochsner maintains strong relationships with the business and government sector as well as state and local community agencies. Its strong partnerships help address issues such as the high unemployment and underemployment rates in New Orleans. Ochsner is working with the City of New Orleans and Delgado Community College to train employees for the many positions needed in our industry and give residents a career path to stable employment. The MA Now (Medical assistant training) program and the Impact (Immediate Post Concussion Assessment and Cognitive Testing) program also include life skills lessons that prepare participants for success in their field. Ochsner provides programs to the communities we serve to increase their knowledge of healthy foods, through our CHOP (Cooking Healthy Options and Portions) after school cooking program at local schools and community centers and through Eat Fit NOLA, a free program which assists local restaurants to develop healthy menu items.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense at cost is calculated by applying the ratio of patient care cost to charges to the bad debt expense calculated using the following methodology. OHS recognizes revenue on the basis of its standard rates of services provided (or on the basis of discounted rates, if negotiated or provided by policy). Based on historical experience, a significant portion of OHS's uninsured and underinsured patients will be incapable or reluctant to pay for the services provided. Therefore, OHS records a significant provision for bad debts in the period services are provided related to patient receivables and deductibles, copayments, or other amounts due from individual patients that have been deemed unwilling to pay.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology Ochsner 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The footnote in the organization's financial statement that describes bad debt expense is described in the section entitled "Managed Care", beginning on page 27 of the attached Financial Statements. "OCF recognizes net patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients who are not eligible for charity care, OCF recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). Based on historical experience, a significant portion of OCF's uninsured and underinsured patients will be incapable or reluctant to pay for the services provided. Therefore, OCF records a significant provision for bad debts in the period the services are provided related to patient receivables and deductibles, co-payments, or other amounts due from individual patients who have been deemed unwilling to pay."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Total revenue from Medicare and Medicare Allowable Costs were aggregated from the fiscal year cost reports filed with the 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. The cost reports for Ochsner Clinic Foundation (Provider No. 19-0036) and Ochsner Bayou LLC (Provider No. 19-1324) cover the period 1/1/2015 - 12/31/2015. The cost report for Ochsner Medical Center - Baton Rouge (Provider No. 19-0202) covers the period 10/1/2014 - 9/30/2015. The cost report for Ochsner Medical Center - North Shore (Provider No. 19-0204) covers the period 4/1/2015 - 3/31/2016.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 Ochsner will not impose extraordinary collection efforts such as wage garnishments or liens.
Schedule H, Part V, Section B, Line 16a FAP website A - OCHSNER MEDICAL CENTER: Line 16a URL: https://www.ochsner.org/patients-visitors/billing-and-financial-services/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - OCHSNER MEDICAL CENTER: Line 16b URL: https://www.ochsner.org/patients-visitors/billing-and-financial-services/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - OCHSNER MEDICAL CENTER: Line 16c URL: https://www.ochsner.org/patients-visitors/billing-and-financial-services/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment Ochsner serves the needs of the various communities throughout Southeast Louisiana through its commitment to exemplary patient care, medical research and education. Ochsner Clinic Foundation is part of Ochsner Health System, which comprises a total of eight hospitals (including three satellite locations) and approximately 60 health centers throughout Southeast Louisiana. Ochsner Health System is Louisiana's largest non-profit, academic, healthcare system. In order to identify the needs of the community, Ochsner reviews local and state publicly available data regarding the health status and issues in its region. Ochsner works with community organizations that collect information on their areas of focus to identify trends and areas where Ochsner has expertise that can make an impact. Ochsner collaborates with multiple community stakeholders to identify specific community needs in its regions. Ochsner then reviews these needs and determines where it can best use its resources and expertise to affect those needs. One of Ochsner's main focuses is to develop partnerships to address root causes of issues. Examples of Ochsner's commitment to the community can be found in Part VI, Line 5.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance All uninsured patients are 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 is 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. Ochsner also offers zero interest payment plan options with payment terms ranging from six to 60 months.
Schedule H, Part VI, Line 4 Community information Ochsner Clinic Foundation is a multi-specialty healthcare delivery system consisting of seven hospitals (including three satellite locations) and approximately 60 health centers in Southeast Louisiana. Ochsner Clinic Foundation is part of Ochsner Health System, southeast Louisiana's largest non-profit, academic, multi-specialty, healthcare delivery system with eight hospitals (including three satellite locations) and approximately 60 health centers. Ochsner employs approximately 1,000 physicians in over 90 medical specialties and subspecialties. Ochsner Clinic Foundation's patients vary in age, gender, and race due to the multi-specialty nature of the system. As of 2015, Ochsner Clinic Foundation's service area includes 2.5 million of Louisiana's 4.7 million people. At 19.6%, Louisiana has the third highest poverty level in the nation and about 35% of the population receives Medicaid or is uninsured. Approximately 965,000 or 20.7% receive Medicaid and approximately 593,000 or 14.2% are uninsured. The original Ochsner facility, Ochsner Medical Center, is located in Jefferson Parish, LA, approximately 1 mile from the western boundary of the city of New Orleans. Ochsner Medical Center, a 564 bed hospital, includes acute and sub-acute facilities. Ochsner Centers of Excellence include the Ochsner Cancer Institute, Ochsner Multi-Organ Transplant Center and Ochsner Heart and Vascular Institute. Ochsner Hospital-Elmwood is a satellite of Ochsner Medical Center, providing inpatient rehabilitation services. Ochsner Baptist Medical Center, which was leased from Ochsner Community Hospitals beginning in March 2013, is a 102-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care; an all-new Women's Pavilion offering full scope services for women of all ages and their newborns; imaging; and laser vision services. Ochsner Medical Center-West Bank Campus is a 165-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care, emergency services and obstetrics, and is located on the West Bank of the Mississippi River within minutes of downtown New Orleans. OMC West Bank is easily accessible to three major parishes: Jefferson, Orleans and Plaquemines. Ochsner Medical Center and its three satellite hospitals serve the New Orleans Metropolitan Standard Area, which includes eight parishes surrounding New Orleans. The Metropolitan Standard Area population is approximately 1.3 million and about 38% of the population receives Medicaid or is uninsured. The poverty rate in the New Orleans Metro area is 18%, 27.7% in New Orleans itself. Approximately 316,000 or 25% receive Medicaid and approximately 158,000 or 12.5% are uninsured. Ochsner Medical Center-Baton Rouge is a 150-bed hospital located in the city of Baton Rouge within East Baton Rouge parish. East Baton Rouge parish has a population of about 819,000 people, of which about 92,000 were uninsured and about 155,000 received Medicaid. Ochsner Medical Center-North Shore is a 157-bed acute care facility located in Slidell, LA and serving the north shore of Lake Pontchartrain, north of New Orleans, LA. The population of its service area is approximately 526,000 people of which about 60,000 were uninsured and about 100,000 received Medicaid. Ochsner St. Anne General Hospital is a 35-bed acute care hospital that serves Lafourche parish, where it is located, and the surrounding parishes. The bayou region has a population of about 262,000 people, of which about 30,000 were uninsured and about 53,000 received Medicaid.
Schedule H, Part VI, Line 5 Promotion of community health Having a diverse representation of the community in the governing boards is an important part of making sure all aspects of the community Ochsner serves are being touched by the mission and vision of the organization. The by-laws of both Ochsner Clinic Foundation and Ochsner Health System call for 10 members of the total 19 board members to be community members. The Chief Executive Officer serves on the Board by virtue of his or her office; however, a majority of Board members are prominent multi-disciplinary business and community leaders. The remaining board members are senior physician employees of Ochsner Clinic Foundation elected by their peers in accordance with Ochsner Clinic Foundation by-laws. Since 1944, academics have been an integral component of the mission, vision and strategy of the Ochsner organization. Operating one of the nation's largest independent academic medical centers, OCF trains over 275 residents and fellows annually in 23 independent OCF-sponsored accredited residency training programs. Ochsner partners with the Louisiana State University and Tulane University Medical Schools, in addition to a consortium relationship with Our Lady of Holy Cross College for allied health and nursing programs. In 2009, Ochsner opened the Ochsner Clinical School through an international partnership with the University of Queensland, Australia which allows US citizens to complete the first two years of Medical School in Australia and the second two years of Medical School at Ochsner. Ochsner's focus on research includes approximately 500 open clinical research trials in almost every specialty. Ochsner operates six basic science/transitional research laboratories and Ochsner scientists publish over 300 journal articles and book chapters each year. Donations and grants do not cover all of the research related costs. In addition to supplying the community's future healthcare providers and providing research to improve medical outcomes, Ochsner is also focused on improving the lifestyle of the patients it serves. Research has proven that many chronic health problems, such as diabetes, obesity and hypertension, are primarily caused by lifestyle choices. In order to reduce chronic disease in the community, Ochsner needs to change the choices and behaviors through exercise, nutrition and promotion of preventative health behaviors. Ochsner's community outreach strategy, led by the commitment of our board of directors and executive team, deploys institutional resources of time, expertise and funding to encourage and support individual and community wellness, focusing on root causes of preventable deaths and chronic disease. Ochsner has been at the forefront of population health management, developing strategies and providing support and education where people live, work, learn and play. Recognizing that good health happens outside our hospitals and clinics, Ochsner has developed partnerships with schools, churches, local sports teams, community centers and restaurants to encourage healthy behaviors. Ochsner has embarked on an ambitious project to transform the health and wellness of its community, using schools as the focal point. Change the Kids, Change the Future(TM) is an overarching philosophy to alleviate the cause instead of the symptom. The goal is to teach children how to make good lifestyle choices to affect meaningful, lasting change for the health and wellness of the community. Ochsner currently provides for two nurse practitioners at local high schools that staff fully functional clinics that see students through scheduled appointments and walk in visits. They also work with the schools to help educate the students about healthy choices. Ochsner also targets childhood obesity through a program at its fitness center, EFC On the Move - Driving to Fight Childhood Obesity, where children ages 9-13 learn about health and fitness in a non-competitive environment via Elmwood Fitness Center's Mobile Fitness Unit. The mobile unit provides fitness classes and weight training equipment. Licensed dieticians provide healthy nutrition information and the staff performs pre- and post- program measurements and exercise performance assessments. In 2013, Ochsner implemented an after school cooking program (CHOP) for middle school students in Jefferson parish public schools. Knowledge and behavioral improvement has been promising and the program will be expanded to other venues. Ochsner is also an advocate for the health and wellness of adults. Ochsner provided various free health screenings, such as glucose, blood pressure and total cholesterol, and health information to over 2,000 people at public health fairs. Ochsner's community outreach programs directly impacted over 105,000 individuals across our regions and reached over 374,000 people through our participation in community events. Ochsner educates people about the benefits of smart food and lifestyle choices through health fairs and cooking demonstrations. Ochsner also helps people stop smoking with its Tobacco Control & Prevention Program by attending corporate wellness events and partnering with area schools to provide educational materials and support. Ochsner offers 20 cessation clinic sites that provide free smoking cessation services to patients who are eligible for the Tobacco Trust program. Ochsner's nutritionists developed and implemented Eat Fit NOLA which offers a free service to local restaurants to offer healthy menu items, either by evaluating existing recipes or assisting in the development of new ones. Over 85 restaurants have signed up to participate in the program. The team developed a smartphone app for Eat Fit NOLA so that community members can find restaurants nearby that offer these items and see nutrition information. Ochsner works locally to improve the health of communities: Ochsner is an active participant with Healthy BR, Baton Rouge's mayor's initiative to improve the health of Baton Rouge residents. Ochsner is a key participant in the City of New Orleans Fit NOLA program which has developed partnerships aimed at improving the quality of life for all New Orleans residents. Ochsner and four other health care providers have formed 14 nonprofit organizations with the purpose to create a vehicle to provide services to low-income and needy patients. Ochsner contributed over $50 million to fund the organizations in 2015.
Schedule H, Part VI, Line 6 Affiliated health care system Ochsner Health System is the supporting organization to Ochsner Clinic Foundation and Ochsner Community Hospitals, all related 501(c)(3) corporations. While each of the eight hospitals within the System promote the health within the separate geographical communities that they service, many overall community health initiatives are coordinated by Ochsner Health System, which is then reimbursed by the respective entities.
Schedule H (Form 990) 2015
Additional Data


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