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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
 
Employer identification number

72-0423889
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
Yes
 
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
 
No
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
Yes
 
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) . . . 		    496,000 0 496,000  
b Medicaid (from Worksheet 3, column a) . . . . .     18,547,000 20,949,000 -2,402,000  
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 19,043,000 20,949,000 -1,906,000 0 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     6,734,000   6,734,000  
f Health professions education (from Worksheet 5) . . .     3,034,000 5,007,000 -1,973,000  
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . . 0 0 9,768,000 5,007,000 4,761,000 0 %
k Total. Add lines 7d and 7j . 0 0 28,811,000 25,956,000 2,855,000 0 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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            
2 Economic development            
3 Community support     28,164,000 27,918,000 247,000  
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 0 0 28,164,000 27,918,000 247,000 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 Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
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
524,000
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
18,744,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
18,298,000
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
446,000
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 %
1University Healthcare System
  		Operation of a hospital facility 17.25 % 0 % 0 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?3Name, 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 Tulane University Hospital System
1415 Tulane Avenue
New Orleans,LA70112 		X X   X     X     A
2 Tulane-Lakeside
4700 S I-10 Service Road
Metairie,LA70001 		X X   X     X     A
3 Tulane-Lakeview
95 Judge Tanner Road
Covington,LA70433 		X X   X     X     A
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 19
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 Yes  
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://tulanehealthcare.com/util/documents/2020/2019-Tulane-Health-System-ISP-Report.pdf
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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://tulanehealthcare.com/patients-and-visitors/pay-your-bill.dot
b
https://tulanehealthcare.com/patients-and-visitors/pay-your-bill.dot
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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-Group A The hospital worked with Tripp Umbach, a private healthcare consulting firm headquartered in Pittsburg, Pennsylvania. Mr. Umbach completed the CHNA for the Metropolitan Hospital Council of Greater New Orleans in 2018. The CHNA for the Metropolitan area served as the foundation for the Tulane Health System Assessment.
Schedule H, Part V, Section B, Line 5-Group A Tulane University Hospital System The hospital worked with Tripp Umbach, a private healthcare consulting firm headquartered in Pittsburgh, Pennsylvania. Mr. Umbach completed the CHNA for the Metropolitan Hospital Council of Greater New Orleans in 2018. The CHNA for the Metropolitan area served as the foundation for the Tulane Health System Assessment.
Schedule H, Part V, Section B, Line 6a-Group A East Jefferson General Hospital, LCMC Health, Tulane Health System, Ochsner Health System, Slidell Memorial Hospital and St Tammany Parish Hospital - project managed by Tripp Umbach - see prior question response.
Schedule H, Part V, Section B, Line 6a-Group A Tulane University Hospital System Tripp Umbach, a private healthcare consulting firm from Pittsburgh, PA was contracted by Metropolitan Hospital Council of New Orleans (MHCNO) to conduct a CHNA for East Jefferson Hospital, Tulane Health System (Tulane Medical Center, Tulane Lakeside Hospital, and Lakeview Regional Medical Center, LCMC Health, Ochsner Health System, Slidell Memorial Hospital and St Tammany Parish Hospital.
Schedule H, Part V, Section B, Line 6b-Group A Competed with Metropolitan Hospital Council of Greater New Orleans
Schedule H, Part V, Section B, Line 6b-Group A Tulane University Hospital System Metropolitan Hospital Council of New Orleans
Schedule H, Part V, Section B, Line 11-Group A Strategies/action plans prepared. Presented and approved by board and posted on hospital external website. Please see link in response to 10a.
Schedule H, Part V, Section B, Line 11-Group A Tulane University Hospital System Strategies/action plans prepared. Presented and approved by board and posted on hospital external website. Please see link in 10a
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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 2 "Part I, Line 2 - The following additional information was provided last year - this issue was cleared during FY 2020, however, keeping this note for one more year as additional information. During April 2017, Lakeview Hospital was transferred to University Healthcare System, L.C.("University"), a joint venture between Tulane University and an affiliate of HCA Healthcare, Inc. Prior to joining University, Lakeview Hospital was wholly-owned and operated by an affiliate of HCA Healthcare, Inc. The patient accounts receivable billing and collection processes are performed by a patient account service center operated by a wholly-owned affiliate of HCA Healthcare, Inc. The same patient accounts service center provides patient accounts receivable billing and collection processes for the hospitals owned and operated by University. With respect to the hospitals operated by University, the billing and collection processes conform to the requirements of IRC Section 501(r). Prior to joining University certain billing and collection processes that were used for Lakeview's patient accounts receivables did not conform to the billing and collection processes required by IRC Section 501(r) as the hospital was not required to meet those requirements. Upon Lakeview Hospital joining University, these certain billing and collection processes were inadvertently not updated to treat Lakeview similarly to hospitals being operated by University. Specifically, certain patient accounts were held by the patient account service center's collections department for approximately 60 days (instead of 120 days from the first billing statement) prior to being sent to primary collection agencies. Once at primary collection agencies, the patient accounts could have been reported to credit bureaus which is an extraordinary collection activity under 501(r) ("ECA"). A subsequent review indicated that approximately 197 patient accounts were reported to a credit bureau agency prior to 120 days from the first billing statement. This credit bureau reporting has been reversed. Additionally, certain accounts were not routed to receive verbal attempts or final notices at least 30 days prior to closing from the patient account service center's collections department. This process has been updated and patient accounts are receiving the verbal attempts before sending final notices of payment due. Additionally, the patient billing statements sent from the patient account service center did not contain language regarding the availability of financial assistance, the phone number for obtaining more information, or the URL for obtaining the Financial Assistance Policy, Financial Assistance Application or Plain Language Summary for Lakeview accounts as required by 501(r). This process issue has been corrected and the required information is being included on patients' billing statements. Any patient accounts that may have been adversely impacted by these issues have been corrected. "
Schedule H, Part I, Line 7 Part I, Line 7 a Cost for Charity Care was derived using a cost-to-charge ratio from Schedule H, Worksheet 2 applied in Worksheet 1. Patient revenue is based on GAAP and bad debt is not included in this calculation. No extraordinary items are included in this calculation.
Schedule H, Part II As described in Section H, Part VI, TUHC works in partnership with the Tulane University School of Medicine by staffing and supporting a number of community services. Examples of these are provided in that narrative. The dollar amounts in the table are an approximate representation of the direct costs and offsetting revenues of these activities.
Schedule H, Part III, Section A, Line 4 Part III, Section A, Line 4 : Excerpt from audited financial statements related to provision for doubtful accounts - The amount of the provision for doubtful accounts is based upon management's assessment of historical and expected net collections, business and economic condition, trends in federal and state governmental health coverage, and other collection indicators. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to amounts due directly from patients. Management relies on the results of detailed reviews of historical write-offs and recoveries as a primary source of information to utilize in estimating the collectability of the Company's accounts receivable. The results of the detailed reviews of historical write-offs and recoveries, adjusted for changes in trends and conditions, are used to estimate the allowance for doubtful accounts for the current period. Adverse changes in general economic conditions, business office operations, payer mix, or trends in federal or state governmental health care coverage could affect the Company's collection of accounts receivable, cash flows, and results of operations.
Schedule H, Part III, Section B, Line 8 Part III, Section B, Line 8. Even though the amount reported for Medicare activity in Section B reflects a surplus for the year, it should be noted that the amount of patient care costs do not include Medicare non-allowable expenses. The amounts reported on Part III, Lines 5-7, have been determined by aggregating the information from the individual facility cost report.
Schedule H, Part III, Section C, Line 9b Part III, Section, C, Line 9b. Collection of outstanding receivables from third-party payers (Medicare, managed care payers, etc.) is the Hospitals' primary source of cash and is critical to our ability to fund operations. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance carrier has paid the amounts covered by the applicable agreement, but patient responsibility amounts (deductibles and copayments) remain outstanding. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to amounts due directly from patients. An estimated allowance for doubtful accounts is recorded for all uninsured accounts, regardless of the aging of those accounts. Accounts are written off when all reasonable internal and external collections efforts have been performed. Our collection policies include a review of all accounts against certain standard collection criteria, upon completion of our internal collection efforts. Accounts determined to possess positive collectability attributes are forwarded to a secondary external collections agency and the other accounts are written off. The accounts that are not collected by the secondary external collection agency are written off when they are returned to us by the collection agency (usually within 12 months). Write-offs are based upon specific identification and the write-off process requires a write-off adjustment entry to the patient accounting system. We do not pursue collection of amounts related to patients that meet our guidelines to qualify as charity care. The methodology to determine the bad debt expense reported at cost on Part III, Line 2 is to take the ratio of patient care costs to gross patient charges and multiply this resulting ratio by the gross charges for bad debt accounts. See note Part 1, line 2.
Schedule H, Part VI, Line 2 A comprehensive Community Health Needs Assessment (CHNA) process was performed for Tulane Medical Center. Tulane Lakeside Hospital, and Lakeview Regional Medical Center and published in October of 2018. It included the collection of primary and secondary data. Community organizations and leaders within the six-parish region were engaged to distinguish the needs of the community. Civic and social organizations, government agencies, educational systems, and health and human services entities were engaged throughout the CHNA. The comprehensive primary data collection phase resulted in the contribution of over 100 community stakeholders/leaders, organizations, and community groups. During the CHNA process, data was collected and analyzed individually for each of the three health facilities due to their distinct geographic regions. The primary data collection consisted of several project component pieces. Community stakeholder interviews were conducted with individuals who represented a) broad interests of the community, b) populations of need or c) person with specialized knowledge in public health. Health provider surveys were collected to capture thoughts and opinions regarding health providers' community regarding the care and services they provide. Community representatives and stakeholders attended a community forum facilitated by Tripp Umbach to prioritize health needs, which will assist in the implementation and planning phase. A resource inventory was generated to highlight available programs and services within the service area. The resource inventory identifies available organizations and agencies that serve the region within each of the priority needs. A robust regional profile (secondary data profile) was analyzed. The regional profile contained local, state and federal data/statistics providing invaluable information on a wide-array of health and social topics. Different socioeconomic characteristics, health outcomes, and health factors that affect residents' behaviors; specifically, the influential factors that impact the health of residents were reviewed and discussed with members of the working group and Tripp Umbach.
Schedule H, Part VI, Line 3 In order to ensure that all patients are adequately informed about this policy, Tulane has undertaken the following - "Information about the Financial Assistance Policy, a plain language summary of the policy, and the Financial Assistance Application and instructions for completion are available on the THS website in English, Spanish and Vietnamese at: http://tulanehealthcare.com/patients-and-visitors/pay-your-bill.dot. The financial assistance application is available at the facilities and by mail. Patient brochures are available and distributed explaining the billing process and providing information on the availability of charity discounts and alternatives for uninsured patients. Tulane will provide a descriptive notice of the uncompensated care policy to any individual inquiring about the provision of uncompensated services. Notices highlighting the provision of uncompensated care will be posted prominently in the admission area, business office, outpatient registration sites and the emergency room. Finally, Tulane continues to educate and inform individuals about the uncompensated care policy during the collections process by including a notice of the policy on billing statements.
Schedule H, Part VI, Line 4 Tulane services the local and regional community through downtown and suburban clinics located within its geographic area, which includes New Orleans, Metairie, New Orleans East, Northshore, as well as 15 Louisiana parishes and two Mississippi counties. This large geographic area was broken into six regional areas to aid comparison and analysis of primary and secondary data through a regional approach. Tulane Medical Center was included in the New Orleans Regional Profile, Tulane Lakeside Hospital was included in the Jefferson Regional Profile and Lakeview Regional Medical Center was included in the North Shore Regional Profile. Key areas assessed are quality of health care, social and economic determinants, environmental conditions, individual behaviors, heredity, and education. National ratios fo physician/service needs by population volume and age group are used to determine underserved areas.
Schedule H, Part VI, Line 6 The 3 hospitals under Tulane Health System work in partnership with the Tulane University School of Medicine under a joint venture with Hospital Corporation of America (HC). The School's faculty staffs and supports the 3 facilities as well as a number of community services. Examples of these ongoing community services include: Fleur de Vie Student Clinic (indigent care); Bridge House Clinic (indigent care for addicts), a Community Health Center servicing indigent clients in a patient focused medical home model; a pediatric/adolescent drop in clinics, and several school based and community based clinics; Ryan White HIV clinics, a training program for community health workers and physician coverage to local, inner city public high schools' sporting events. Over the past few years, Tulane Medical School sponsored a teaching kitchen bringing free classes on health eating to the community. Tulane Health System serves over 280,000 patients per year and has several institutes and centers of excellence that provide advance care to not only Louisianians but also out-of-state residents seeking the latest developments in clinical care.
Schedule H (Form 990) 2019
Additional Data


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