The recipient entity's physical address:
           920 W. Pinhook Road
Lafayette, LA 70503

The recipient entity's mailing address (if different):
           920 W. Pinhook Road
Lafayette LA 70503

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          James G. Thaw

The last four digits of the entity's taxpayer ID number:  6817

What is the dollar amount of the request?  $27,840,000

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           Chief Executive Officer, Patrick W. Gandy, 117 Cove Circle, Lafayette, LA 70508
Martin K. Bech, 303 Girard Park Dr., Lafayette, LA 70503
Brad Alan Broussard, MD, 113 Southwark Dr., Lafayette, LA 70508
Wayne Cestia, MD, 618 Elysian Fields, Dr., Lafayette, LA 70508
Peggy Giglio, 301 Ducharme Lane, Lafayette, LA 70503
Robert Hart, MD, 3721 St. Charles Ave., Unit A, New Orleans, LA, 70115
Board Secretary, Mary Ellen Henry, 125 Riverview Rd., Lafayette, LA 70503
Michael Hulefeld, 26 Newcomb Blvd., New Orleans, LA 70118
Jennifer Jackson, PH.D, 101 Vinemont Dr., Lafayette, LA 70501
Rickey Miniex, 216 Waterford Dr., Lafayette, LA 70503
Board Chair, Jared Quoyeser, 160 Greenbriar Circle, Lafayette, LA 70503
Board Vice Chair, John Schutte, MD, 201 Lakewood Dr., Lafayette, LA 70503
Molly Thomas, MD, 309 Lakeside Dr., Lafayette, LA 70508
Warner Thomas, 199 Audubon Blvd., New Orleans, LA 70118
Board Treasurer, Frank Walker, P.O. Box 52584, Lafayette, LA 70505
David Wilson, P.O. Box 80337, Lafayette, LA 70598
Joseph Zanco, CPA, 119 Hamlet Lane, Lafayette, LA 70508

Provide a summary of the project or program:
           This capital outlay funding request will provide relocation and much needed upgrades to the operating rooms and other procedure rooms at University Hospital & Clinics in Lafayette, LA. Existing space has not been modified since the original construction in 1977 and needs to be brought up to existing building code and FGI Guidelines. Anticipated new construction space of 16,500 s.f. and renovation of approximately 3,500 s.f. This space will greatly enhance the GME (Graduate Medical Education) educational experience for medical students and residents in training. Additionally, this newly reconfigured space will allow for more efficient patient throughput and access to care.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $27,840,000
          Operating Services. . . . $0
          Other Charges. . . . . . . $0

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The public purpose to be served by the use of state monies will be to greatly enhance the state-owned facility's operating room's and procedural room's environment by which healthcare services are delivered to residents of our state. These much needed upgrades to the operating rooms and other procedure rooms at University Hospital & Clinics in Lafayette, LA will provide a better learning environment for GME (Graduate Medical Education)residents in training, the physician faculty that oversees their training and provision of higher quality care and outcomes to patients who are treated at this facility. By enticing more medical residents to train here, it is much easier to recruit and place physicians in our region and our state. The existing operating room space has not been modified since the original construction in 1977 and needs to be brought up to existing building code and FGI Guidelines. Anticipated new construction space of 16,500 s.f. and renovation of approximately 3,500 s.f. This space will greatly enhance the GME (Graduate Medical Education) educational experience for medical students and residents in training. Additionally, this newly reconfigured space will allow for more efficient patient throughput and access to care.

What are the goals and objectives for achieving such purpose?
          Patients from our state will benefit by having greater access to services with the long term benefit to our region and state being more medical students will be attracted to train in an environment that is more conducive to learning. It is a fact that ~70% of residents choose to remain and practice within a 75 mile radius of where they complete their residency program. Additionally, another goal is to have greater patient throughput for our operating rooms and procedural areas to allow for more access to care which is a constant challenge for our population. Lastly, the newly constructed and renovated environment will allow for ease of infection prevention with state of the art interior finishes.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           30 months

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 n/a
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 n/a

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 n/a

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  n/a

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               n/a

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               n/a

          Provide the name, address, and office of the official to whom the person is related:
                n/a

          What is the nature of the relationship?  n/a

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 n/a

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               n/a


Contact Information
name:  Paul Molbert 
                                       address:  920 W. Pinhook Road
Lafayette, LA 70503
                                       phone:  337-344-8386
                                       fax:  337-289-8995
                                       e-mail:  paul.molbert@ochsner.org
                                       relationship to entity:  Vice President, Network Development & Governmental Relations