Ochsner Health System

“The Articles of Incorporation provide that no action of the Board may be resolved unless a majority of the independent directors present approve the matter. Thus, even in situations where there is not an absolute majority of independent directors in office, those independent directors in office control Ochsner Health System's activities.”

“Dr. Quinlan and Mr. Suquet have a business relationship.”

“One or more members of senior management review the return. The return is also reviewed by Ernst & Young, LLP, the company's tax advisors. The Audit and Oversight Committee, which is comprised of independent directors, is then provided the return prior to the filing date and given the opportunity to review and discuss the return with management/staff. The meeting to review the 2014 return was held on October 26, 2015. A copy of the return is then provided to each member of the Board of Directors electronically and comments are solicited from the entire Board.”

“Officers, directors, trustees, and key employees of Ochsner Health System and its subsidiaries are required to complete a conflict of interest disclosure form annually, or within 40 days of becoming an employee, or if a current employee has a change in business circumstances not previously disclosed. The Conflict of Interest Program Administrator reviews disclosures and determines whether action is necessary or if the disclosure needs to be reviewed by the Conflict of Interest Steering Committee. Ochsner Health System requires annual certification that the relationships disclosed during a preceding calendar year are complete and accurate. In addition, employees that do not fall within the scope of the Conflict of Interest Disclosure policy annually complete Conflict of Interest training in compliance with the Conflict of Interest policy. The Conflict of Interest Steering Committee will make mitigation recommendations including, but not limited to, divestiture and termination of employment.”

“All CEO and officer compensation and benefits arrangements, including salary and bonus incentive plans, are reviewed and approved by the Executive and Senior Physician Compensation Committee of the Board of Directors (Compensation Committee). No substantive change to the compensation or benefits packages is made until Committee approval is granted in accordance with Intermediate Sanctions guidelines. The Compensation Committee is without conflicts of interest and uses an independent external consultant. Appropriate data is applied to determine the comparability of fair market value pay and all actions are appropriately documented. In order to meet the requirements of the IRS Intermediate Sanctions regulations, the Compensation Committee identified the "disqualified individuals" that are in a position to exercise substantial influence over the company's operations. These individuals are the members of the Executive Officers Committee (EOC), Regional Medical Directors, physician board members and Section Heads for key departments. For disqualified individuals, the compensation review also includes the cost of benefits such as the company portion of medical and dental benefits, malpractice insurance, payments for 401K matching and pension payments. Compensation for other non-physician key employees is reviewed by senior executives who take market value research into consideration when determining compensation levels.”

“Financial statements for Ochsner Health System are made available to the public quarterly via www.dacbond.com. All governing documents, conflict of interest policy, and financial statements are available upon written request to the Corporate Integrity Department.”

“ADDITIONAL COMPENSATION EXPLANATION COMPENSATION FROM RELATED ORGANIZATIONS Many of the individuals listed in Part VII and Schedule J hold positions with related 501(c)(3) organizations. For each of these individuals, the compensation listed is received from the related organization, and the compensation is for the individual's role with the related organization. The amount of time shown for each as "Average Hours Per Week Devoted To Position" consists primarily of his/her time spent on his/her role with Ochsner Health System. In reality, his/her time is spent on fulfilling responsibilities through their roles with the related organization and/or across all other organizations in the integrated health system, and may be more evenly distributed. The following is a list of the individuals with such circumstances, each person's title with the related organization, and the related organization that employs each individual. Bobby C Brannon; Exec VP & Treasurer; Ochsner Clinic Foundation Pedro Cazabon, MD; Assoc Medical Director, OMC-Jefferson Hwy / Section Head, General Internal Medicine; Ochsner Clinic Foundation F Ralph Dauterive, MD; VPMA, OMC-Baton Rouge / Section Head, Baton Rouge Obstetrics & Gynecology; Ochsner Clinic Foundation Richard Deichmann, MD; Deputy Head of the Clinical School, Students; Program Director, Internal Medicine; Ochsner Clinic Foundation Steven B Deitelzweig, MD; Medical Director Business Development and Service Line Leader Hospital Medicine; Ochsner Clinic Foundation Richard D Guthrie, Jr, MD; Chief Quality Officer; Ochsner Clinic Foundation Dennis Kay, MD; Service Line Leader, Department of Radiology; Ochsner Clinic Foundation George Loss, MD, PhD; Assoc RMD, Surgical Services / System Chairman, Department of Surgery / Chief, Multi-Organ Transplant Institute; Ochsner Clinic Foundation Ernest E Martin, Jr, MD; Reg Med Dir - N.S. Reg; Ochsner Clinic Foundation Richard Milani, MD; Vice Chairman, Department of Cardiology / Chief Clinical Transformation Officer; Ochsner Clinic Foundation William W Pinsky, MD; EVP/Chief Academic Officer; Ochsner Clinic Foundation Dawn Puente, MD; Reg Med Dir, NO Comm Hosp; Ochsner Community Hospitals Dana Smetherman, MD; Associate Chairman, Department of Radiology / Section Head, Breast Imaging; Ochsner Clinic Foundation David E Taylor, MD; Chairman, Department of Pulmonary Diseases/Critical Care; Ochsner Clinic Foundation Cristina R Wheat; Former Chief Counsel; Ochsner Clinic Foundation”

“ADDITIONAL COMPENSATION EXPLANATION COMPENSATION OF OFFICERS AND AVERAGE HOURS PER WEEK DEVOTED TO POSITION Compensation for Warner Thomas, Michael Hulefeld, Scott Posecai, Peter November, and Bobby Brannon include all compensation related to the Ochsner Health System, which includes Ochsner Health System (OHS, EIN 20-5296918), Ochsner Clinic Foundation (OCF, EIN 72-0502505) and Ochsner Community Hospitals (OCH, EIN 20-5297040), all related 501(c)(3) organizations. Other members of the Ochsner network are charged a portion of these amounts. The amount of time shown for Mr. Thomas, Mr. Hulefeld, Mr. November, and Mr. Posecai as "average hours per week devoted to position" on this form consists primarily of their role as an Officer of the integrated health system. Additional time spent on boards, committees and through fulfilling other responsibilities as Officer of the other Ochsner organizations is shown as a nominal amount, but in reality the time is more evenly distributed across all entities. Average hours worked for Mr. Brannon is shown as a nominal amount, with the majority of his time displayed on the OCF return, but in reality his time is more evenly distributed amongst all entities in fulfilling his duties.”

“ADDITIONAL COMPENSATION EXPLANATION COMPENSATION OF DIRECTORS AND AVERAGE HOURS PER WEEK DEVOTED TO POSITION Those directors listed as "Board Member Sr Phys" on the Form 990 for Ochsner Clinic Foundation (EIN 72-0502505) are compensated entirely due to their role as an employee of a member of the integrated health system. The amount of time shown for those Directors listed as "Board Member Sr Phys" as "average hours per week devoted to position" on the Form 990 for Ochsner Clinic Foundation (EIN 72-0502505) consists primarily of their role as an employee of Ochsner Clinic Foundation. Additional time spent on boards, committees and through fulfilling other responsibilities as a member of one or more Boards of the varied Ochsner organizations is shown as a nominal amount for Ochsner Health System and/or Ochsner Community Hospitals. As a Senior Physician Director of an integrated health system, these individuals devote their time to board activities of all 501(c)(3) members of the system to varying degrees including Ochsner Health System, Ochsner Clinic Foundation and Ochsner Community Hospitals. The amount of time shown for those Directors listed as "Community Directors" for "average hours per week devoted to position" on the Form 990 for Ochsner Clinic Foundation (EIN 72-0502505) includes time spent on boards, on committees and through fulfilling other responsibilities as a member of the Board of varied Ochsner organizations. Additional time spent on boards, committees and through fulfilling other responsibilities as a member of one or more Boards of the varied Ochsner organizations is shown as a nominal amount for Ochsner Health System and/or Ochsner Community Hospitals. As a Community Director of an integrated health system, each Community Director devotes time to all 501(c)(3) members of the system to varying degrees including Ochsner Health System, Ochsner Clinic Foundation and Ochsner Community Hospitals.”

“ADDITIONAL COMPENSATION EXPLANATION KEY EMPLOYEES COMPENSATED BY RELATED ORGANIZATIONS AND AVERAGE HOURS PER WEEK DEVOTED TO POSITION Dr. Richard Guthrie and Dr. William Pinsky were employed and compensated by Ochsner Clinic Foundation, 72-0502505, 501(c)(3), a related organization. Their time is split between the related organization and Ochsner Health System, but in all other respects they meet the requirements of a Key Employee of Ochsner Health System.”

“Consulting Services: Program service expenses 16,641,980. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,641,980. Medical Purchased Services: Program service expenses 452,563. Management and general expenses 0. Fundraising expenses 0. Total expenses 452,563. Other Purchased Services: Program service expenses 4,873,608. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,873,608.”

“Rounding 1.”

“The process regarding the committee responsible for the audit, review, or compilation of the organization's financial statements and selection of an independent accountant has not changed from the prior year.”