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TOURO INFIRMARY: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TOURO INFIRMARY (EIN 72-0423659)
Tax period
2022-01-01 to 2022-12-31
Filed
2024-02-14
IRS object ID
202440459349300609
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-02-14T08:54:27-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721088864PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LAPORTE APACBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 VETERANS MEMORIAL BLVD 600AddressLine1Txt
CityMETAIRIECityNm
State AbbreviationLAStateAbbreviationCd
ZIP700054958ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720423659EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TOURO INFIRMARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTOURBusinessNameControlTxt
Phone5048978344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 FOUCHER STREETAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70115ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAY PENNISSONPersonNm
Person TitleCFOPersonTitleTxt
Phone5048978568PhoneNum
Signature2024-02-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAYPersonFirstNm
Person LastPENNISSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN S WILES CPAPreparerPersonNm
PTINP01222673PTIN
Phone5048355522PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAY PENNISSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 FOUCHER STREETAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70115ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$354,453,625GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TOURO.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1852FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPROVISION OF HEALTHCARE SERVICESActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2400TotalEmployeeCnt
Total Volunteers101TotalVolunteersCnt
Total Gross UBI$165,456TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,324,095PYContributionsGrantsAmt
CY Contributions Grants$3,578,541CYContributionsGrantsAmt
PY Program Service Revenue$281,090,192PYProgramServiceRevenueAmt
CY Program Service Revenue$322,185,550CYProgramServiceRevenueAmt
PY Investment Income$1,624,817PYInvestmentIncomeAmt
CY Investment Income$1,580,210CYInvestmentIncomeAmt
PY Other Revenue$11,906,157PYOtherRevenueAmt
CY Other Revenue$14,970,714CYOtherRevenueAmt
PY Total Revenue$305,945,261PYTotalRevenueAmt
CY Total Revenue$342,315,015CYTotalRevenueAmt
PY Grants And Similar Paid$7,665,868PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$25,242,993CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$117,944,273PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$120,151,530CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,097,354PYOtherExpensesAmt
CY Other Expenses$205,358,961CYOtherExpensesAmt
PY Total Expenses$308,707,495PYTotalExpensesAmt
CY Total Expenses$350,753,484CYTotalExpensesAmt
PY Revenues Less Expenses-$2,762,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,438,469CYRevenuesLessExpensesAmt
Total Assets BOY$480,338,707TotalAssetsBOYAmt
Total Assets EOY$438,593,980TotalAssetsEOYAmt
Total Liabilities BOY$187,793,645TotalLiabilitiesBOYAmt
Total Liabilities EOY$172,312,100TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$292,545,062NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$266,281,880NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTOURO INFIRMARY IS DEDICATED TO IMPROVING THE HEALTH STATUS AND WELL BEING OF THE PEOPLE IT SERVES THROUGH THE PROVISION OF EFFECTIVE, EFFICIENT AND COMPASSIONATE HEALTHCARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$270,828,066ExpenseAmt
Revenue$329,362,090RevenueAmt
DescFOUNDED IN 1852, TOURO INFIRMARY (TOURO) IS NEW ORLEANS' ONLY COMMUNITY BASED, NON-PROFIT, FAITH-BASED HOSPITAL. SINCE 2009, TOURO HAS BEEN A PART OF LCMC HEALTH. FOR MORE THAN 165 YEARS, TOURO HAS HAD A SPECIAL PLACE IN THE HEART OF THE COMMUNITY, PROVIDING HIGH QUALITY, COMPASSIONATE HEALTHCARE TO THE NEW ORLEANS COMMUNITY. AS A FULL-SERVICE HOSPITAL, TOURO OFFERS MEDICAL, SURGICAL, INTENSIVE CARE, OBSTETRIC, SKILLED NURSING INPATIENT SERVICES, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, AND A 24-HOUR EMERGENCY DEPARTMENT. AS AN ADULT, ACUTE CARE HOSPITAL, TOURO OFFERS COMPREHENSIVE HEALTHCARE SERVICES AT EVERY STAGE OF LIFE, FROM DELIVERING THE SECOND MOST BABIES IN THE STATE FOR ANY SINGLE HOSPITAL TO PROVIDING CARDIAC, CANCER, AND REHABILITATION CARE IN A WARM AND HEALING (CONT'D ON SCH. O) ENVIRONMENT. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH AND REHABILITATION SERVICES. THE HOSPITAL HAS 210 ADULT BEDS, 61 REHABILITATION BEDS, 22 ICU BEDS AND 48 OB BEDS FOR A TOTAL OF 341 LICENSED BEDS. THE HOSPITAL TREATED 8,702 INPATIENTS AND HAD 221,997 OUTPATIENT VISITS IN 2022. ALSO, IN 2022, TOURO HAD 7,982 SURGERIES (INPATIENT, OUTPATIENT AND AMBULATORY SURGERY CENTER), 27,326 EMERGENCY DEPARTMENT VISITS, AND 2,550 DELIVERIES. LCMC HEALTH IS A NEW ORLEANS-BASED, NON-PROFIT HEALTH SYSTEM ON A MISSION TO PROVIDE THE BEST POSSIBLE CARE FOR EVERY PERSON AND PARISH IN LOUISIANA AND BEYOND, AND BRING A LITTLE MORE HEART AND SOUL TO HEALTH CARE ALONG THE WAY. ORIGINALLY FOUNDED BY LOUISIANA'S ONLY FREESTANDING CHILDREN'S HOSPITAL, THEY'VE GROWN INTO A HEALTHCARE SYSTEM THAT IS BUILT TO SERVE THE NEEDS OF OUR COMMUNITIES. TODAY, LCMC HEALTH OFFERS SIX HOSPITAL LOCATIONS. PLUS, THEY ALSO HAVE A SERIES OF PARTNERSHIPS THAT HELP PROVIDE THE MOST COMPREHENSIVE CARE, INCLUDING AGREEMENTS WITH CRESCENT CITY SURGICAL CENTRE, AN URGENT CARE PARTNERSHIP WITH PREMIER HEALTH, AND AN INVESTMENT IN A RETIREMENT AND REHAB COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,183,647ExpenseAmt
Revenue$2,095,134RevenueAmt
DescTOURO IS A TEACHING HOSPITAL OFFERING MEDICAL STUDENT AND POST GRADUATE MEDICAL TRAINING. IT HAS ACADEMIC AFFILIATIONS WITH LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER AND TULANE UNIVERSITY HEALTH SCIENCE CENTER. TOURO OFFERED TRAINING PROGRAMS TO 398 STUDENTS, 320 RESIDENTS, AND 44 FELLOWS IN 2022 IN THE SPECIALTIES OF ALLERGY, INTERNAL MEDICINE, EMERGENCY MEDICINE, COLON & RECTAL, CARDIOLOGY, NEUROLOGY, GENERAL SURGERY, GASTROENTEROLOGY, NICU, OB/GYN, GENERAL VASCULAR SURGERY, OMFS, MED/PEDS, NEONATOLOGY, PEDIATRICS, PLASTIC SURGERY, OPHTHALMOLOGY, PM&R, PAIN MANAGEMENT, PULMONARY, ORTHOPEDICS, OTOLARYNGOLOGY, AND UROLOGY. (CONT'D ON SCH O)TOURO IS ALSO A CLINICAL TRAINING SITE FOR NURSING AND ALLIED HEALTH PROGRAMS FOR VARIOUS METRO NEW ORLEANS COLLEGES INCLUDING LOUISIANA STATE UNIVERSITY (NEW ORLEANS, LA), DELGADO COMMUNITY COLLEGE (NEW ORLEANS, LA), DILLARD UNIVERSITY (NEW ORLEANS, LA). HOLY CROSS UNIVERSITY (NEW ORLEANS, LA), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). TOURO CURRENTLY OFFERS TRAINING PROGRAMS TO STUDENTS IN RESPIRATORY, RADIOLOGY AND NURSING. IN 2022, TOURO STAFF PROVIDED 7,767 HOURS OF SUPPORT TO THE 94 STUDENTS IN THESE PROGRAMS.IN 2022, TOURO REHABILITATION CENTER PROVIDED CLINICAL TRAINING TO PHYSICAL, OCCUPATIONAL, AND THERAPEUTIC RECREATION STUDENTS FROM COLLEGES AROUND THE COUNTRY, INCLUDING: LSU HEALTH SCIENCES (NEW ORLEANS, LA AND SHREVEPORT, LA), DELGADO COMMUNITY COLLEGE (NEW ORLEANS, LA), WASHINGTON UNIVERSITY (ST. LOUIS, MO), UNIVERSITY OF ST. AUGUSTINE (AUSTIN, TX), AND TEXAS WOMAN'S UNIVERSITY (DENTON, TX). PLUS, TOURO STAFF PROVIDED 146 HOURS OF MENTOR SUPPORT FOR HIGH SCHOOL STUDENTS WISHING TO EXPLORE REHABILITATION THERAPY AS A CAREER CHOICE. IN ALL, TOURO STAFF PROVIDED 7,806 HOURS OF SUPPORT TO 28 THERAPY INTERNS AND/OR TEACHING GROUPS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$318,568ExpenseAmt
DescCOMMUNITY HEALTH SERVICES AND COMMUNITY BENEFIT OPERATIONS PROVIDE FREE HEALTH EDUCATION PROGRAMS AND SCREENINGS TO THE COMMUNITY. THESE PROGRAMS ARE DESIGNED TO FOCUS ON SOME OF THE MOST PREVALENT DISEASES IN THE NEW ORLEANS COMMUNITY, SUCH AS DIABETES, HEART DISEASE AND CANCER. THESE PROGRAMS ADDRESS PREVENTION, EARLY DETECTION, TREATMENT AND MAINTAINING HEALTHY LIFESTYLES. IN 2022, TOURO OFFERED OR PARTICIPATED IN 152 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 2,445 PEOPLE. TOURO DID SEE AN INCREASE ATTENDANCE AS COVID-19 LIMITATION ON MEETING/GATHERINGS WERE RELAXED IN 2022. TOURO PROVIDES MEETING SPACE FREE OF CHARGE TO LOCAL NON-PROFITS AND OTHER ORGANIZATIONS FOR THE BENEFIT OF THE (CONT'D ON SCH. O) COMMUNITY. IN 2022, TOURO PROVIDED MEETING SPACE FOR 216 MEETINGS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$25,242,993ExpenseAmt
Grant$25,242,993GrantAmt
DescDURING THE YEAR ENDED DECEMBER 31, 2022 TOURO PROVIDED $969,151 TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THE GRANT WAS ALSO USED TO FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL.IN 2022, TOURO DONATED $1,223,988 TO NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL SUPPORT TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.IN 2022, TOURO DONATED $22,926,354 TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AS SUPPORT FOR THE HOSPITAL'S HEALTHCARE ACTIVITIES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$25,242,993TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$25,242,993TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$308,573,274TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document216IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2400EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5048978344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 FOUCHER STREETAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70115ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GREG FEIRN
SYSTEM PRESIDENT/CEO1.0054.00Yes (X)$0$2,439,917$33,804
ELLEN ZAKRIS MD
BOARD MEMBER1.0040.00Yes (X)$0$1,081,150$16,618
WILLIAM VON ALMEN MD
MEDICAL STAFF PRESIDENT1.0040.00Yes (X)$0$251,428$17,671
KNIGHT WORLEY MD
IMMEDIATE PAST CHAIR1.00Yes (X)$0$0$0Yes (X)
JILL ISRAEL
CHAIR1.00Yes (X)$0$0$0Yes (X)
KIM BOYLE
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
MARA FORCE
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
STEVEN YELLIN MD
BOARD MEMBER1.00Yes (X)$0$0$0
MARCY NATHAN
BOARD MEMBER1.00Yes (X)$0$0$0
KATHY LICHTENBERG
BOARD MEMBER1.00Yes (X)$0$0$0
REYNOLD VERRET PHD
BOARD MEMBER1.00Yes (X)$0$0$0
CRYSTAL MCDONALD
BOARD MEMBER1.00Yes (X)$0$0$0
JULIE SILBERT
BOARD MEMBER1.00Yes (X)$0$0$0
JULIAN GOOD
BOARD MEMBER1.00Yes (X)$0$0$0
SHEA SOLL
BOARD MEMBER1.00Yes (X)$0$0$0
MANNY LINARES
PRESIDENT AND CEO54.007.00Yes (X)$676,040$0$32,276Yes (X)
CHRISTOPHER LEGE
CHIEF MEDICAL OFFICER40.00$556,371$0$22,224Yes (X)
BRADLEY SINCLAIR
CHIEF FINANCIAL OFFICER40.00$393,711$0$22,264Yes (X)
STEPHEN M BALDWIN
CHIEF OPERATING OFFICER40.00$361,408$0$24,642Yes (X)
PATRICIA ROSENBERG
CHIEF NURSING OFFICER40.00$316,357$0$19,042Yes (X)
TAKEISHA DAVIS
NOEH - PRESIDENT/CEO40.00$396,831$0$24,057Yes (X)
GRETCHEN PENTON
EXEC VP OF CCPI40.00$333,356$0$25,888Yes (X)
CANDACE S ROBINSON
NOWH CHIEF MEDICAL OFFICER40.00$315,313$0$31,975Yes (X)
TROY BOND
AVP HUMAN RESOURCES40.00$262,217$0$26,802Yes (X)
GREGORY R BARKER
VICE PRESIDENT OPERATIONS40.00$256,292$0$17,908Yes (X)
COURTNEY J MARBLEY
NOEH-CHIEF NURSING OFFICER40.00$238,579$0$9,106Yes (X)
DANIELLE WILLIS
NOEH CFO40.00$218,173$0$22,052Yes (X)
MYLENE UPSON
CONTROLLER40.00$193,879$0$8,483Yes (X)
BRANDON NGUYEN
NOEH DIR PHARMACY40.00$171,940$0$28,256Yes (X)
DONNA STEPHENS
VP QUALITY40.00$266,783$0$10,932Yes (X)
FE MEDINA
NOEH RN STAFF NURSE40.00$187,872$0$4,756Yes (X)
CRAIG EDRINGTON
CLINICAL SUPERVISOR40.00$209,585$0$26,904Yes (X)
JOHN RICHERT
PHYSICIAN40.00$204,395$0$14,902Yes (X)
TARA MONTGOMERY
DIRECTOR OF PHARMACY SERVICES40.00$202,776$0$15,873Yes (X)
KIMBERLY BROWN
VP ANESTHESIA AND PAIN MED1.0040.00$311,802$0$24,698Yes (X)
SUZANNE HAGGARD
LCMC CHIEF REVENUE OFFICER (TOURO CFO-FORMER0.0055.00$0$737,638$23,958Yes (X)
TANYA KENNEDY
LCMC CIO (FORMER)0.0055.00$0$551,027$34,378Yes (X)
CHAD COURREGE
LCMC-SVP (TOURO VP -FORMER0.0055.00$0$492,272$38,321Yes (X)
JEFFREY BROWN
VP REHABILITATION40.00$168,740$0$10,890Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,242,420TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,553,432TotReportableCompRltdOrgAmt
Total Other Compensation$588,680TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K192IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRIS & DICKSON
410 KAY LNSHREVEPORTLA71115PHARMACEUTICAL DISTRIBUTOR$19,218,197
CARDINAL HEALTH
1405 JEFFERSON HWYNEW ORLEANSLA70121HEALTH AND DRUG SERVICES$14,405,776
LSUHSC - NEW ORLEANS
433 BOLIVAR STREET RM 619NEW ORLEANSLA70112RESIDENCY AFFILIATION$9,731,942
ARAMARK
25271 NETWORK PLCHICAGOIL60673DIETARY & HOUSEKEEPING$8,637,364
OWENS & MINOR
310 JAMES DR E SUITE 100ST ROSELA70087HEALTHCARE LOGISTICS$7,476,437
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K174CntrctRcvdGreaterThan100KCnt
Related Organizations$87,500RelatedOrganizationsAmt
Government Grants$2,850,549GovernmentGrantsAmt
All Other Contributions$640,492AllOtherContributionsAmt
Total Contributions$3,578,541TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE621400$320,901,029$320,901,029
NON-PATIENT SERVICE621400$1,284,521$1,284,521
FieldValueIRS element (for citing)
Total Program Service Revenue$322,185,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$647,190TotalRevenueColumnAmt
Exclusion$647,190ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,853,560RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,853,560RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,853,560TotalRevenueColumnAmt
Related Or Exempt Func Income$4,781,541RelatedOrExemptFuncIncomeAmt
Exclusion$3,072,019ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,071,630SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,138,610SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$933,020SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$933,020TotalRevenueColumnAmt
Exclusion$933,020ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
340B OP DRUG PROGRAM621400$3,835,232$3,835,232
CAFETERIA/CATERING621400$1,310,304$1,310,304
PARKING812930$1,063,305$1,063,305

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$908,313TotalRevenueColumnAmt
Related Or Exempt Func Income$654,901RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$165,456UnrelatedBusinessRevenueAmt
Exclusion$87,956ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,117,154OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$342,315,015TotalRevenueColumnAmt
Related Or Exempt Func Income$331,457,224RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$165,456UnrelatedBusinessRevenueAmt
Exclusion$7,113,794ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$25,242,993TotalAmt
Program Services$25,242,993ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,385,711TotalAmt
Program Services$96,027,558ProgramServicesAmt
Management And General$6,358,153ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,378,381TotalAmt
Program Services$2,230,684ProgramServicesAmt
Management And General$147,697ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,704,178TotalAmt
Program Services$8,163,649ProgramServicesAmt
Management And General$540,529ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,683,260TotalAmt
Program Services$6,268,230ProgramServicesAmt
Management And General$415,030ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$25,359,585TotalAmt
Program Services$809,573ProgramServicesAmt
Management And General$24,550,012ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$61,794TotalAmt
Program Services$54,354ProgramServicesAmt
Management And General$7,440ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$122,442TotalAmt
Management And General$122,442ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$59,811,007TotalAmt
Program Services$53,206,941ProgramServicesAmt
Management And General$6,604,066ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$889,713TotalAmt
Program Services$767,722ProgramServicesAmt
Management And General$121,991ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,914,015TotalAmt
Program Services$2,809,668ProgramServicesAmt
Management And General$104,347ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$472,227TotalAmt
Program Services$415,371ProgramServicesAmt
Management And General$56,856ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,784,912TotalAmt
Program Services$6,132,358ProgramServicesAmt
Management And General$652,554ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,943TotalAmt
Program Services$67,679ProgramServicesAmt
Management And General$9,264ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,233TotalAmt
Program Services$37,148ProgramServicesAmt
Management And General$5,085ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,060,863TotalAmt
Management And General$1,060,863ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,049,887TotalAmt
Program Services$19,049,887ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,761,293TotalAmt
Program Services$1,761,293ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$70,074,608$70,004,533$70,075
TAXES & LICENSES$9,507,941$8,363,185$1,144,756
SUPPLIES AND OTHER$4,204,937$4,042,694$162,243
LEASED EQUIPMENT$2,918,833$2,901,612$17,221

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$245,728TotalAmt
Program Services$216,142ProgramServicesAmt
Management And General$29,586ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$350,753,484TotalAmt
Program Services$308,573,274ProgramServicesAmt
Management And General$42,180,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,918,594BOYAmt
EOY$14,598,960EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$106,306,253BOYAmt
EOY$109,428,404EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$105,492,900BOYAmt
EOY$75,333,103EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$36,845EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,164,667BOYAmt
EOY$1,070,150EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$584,308,560LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$447,006,187LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,383,122BOYAmt
EOY$137,302,373EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,497,159BOYAmt
EOY$22,274,419EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,411,000BOYAmt
EOY$1,411,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$99,165,012BOYAmt
EOY$77,138,726EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$480,338,707BOYAmt
EOY$438,593,980EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,178,379BOYAmt
EOY$41,603,879EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,840,236BOYAmt
EOY$47,950,520EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,658,111BOYAmt
EOY$36,883,354EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,116,919BOYAmt
EOY$45,874,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$187,793,645BOYAmt
EOY$172,312,100EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$291,175,151BOYAmt
EOY$264,929,565EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,369,911BOYAmt
EOY$1,352,315EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$292,545,062BOYAmt
EOY$266,281,880EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$480,338,707BOYAmt
EOY$438,593,980EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$8,438,469ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,769,085NetUnrlzdGainsLossesInvstAmt
Investment Expense-$26,033InvestmentExpenseAmt
Other Changes In Net Assets-$13,029,595OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,378OtherActivitiesAmt
Total Lobbying Expenditures$13,378TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTOURO INFIRMARY PAID A PORTION OF DUES TO LOUISIANA HOSPITAL ASSOCIATION THAT WERE DEEMED TO BE FOR LOBBYING OR RELATED ACTIVITIES TOTALING $13,378 (18% OF DUES).ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,761,845BeginningYearBalanceAmt
Investment Earnings Or Losses$5,562InvestmentEarningsOrLossesAmt
End Year Balance$5,767,407EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,811,632BeginningYearBalanceAmt
Other Expenditures$49,787OtherExpendituresAmt
End Year Balance$5,761,845EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,806,347BeginningYearBalanceAmt
Contributions$5,285ContributionsAmt
End Year Balance$5,811,632EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,718,277BeginningYearBalanceAmt
Contributions$88,070ContributionsAmt
End Year Balance$5,806,347EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,656,436BeginningYearBalanceAmt
Contributions$61,841ContributionsAmt
Other Expenditures$2,000,000OtherExpendituresAmt
End Year Balance$5,718,277EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,238,296OtherCostOrOtherBasisAmt
Book Value$12,238,296BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$231,319,894OtherCostOrOtherBasisAmt
Depreciation$171,914,879DepreciationAmt
Book Value$59,405,015BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,746,012OtherCostOrOtherBasisAmt
Depreciation$273,476,999DepreciationAmt
Book Value$33,269,013BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,004,358OtherCostOrOtherBasisAmt
Depreciation$1,614,309DepreciationAmt
Book Value$32,390,049BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$137,302,373TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDescBook ValueBookValueAmt
LPFA DEBT SERVICE$453,336
DEPOSITS$210,103
MEDICAL SUPPLIES$6,915,273
INVESTMENT IN TIJV$32,968
INVESTMENT IN WOLDENBERG VILLAGE$17,876,033
INVESTMENT IN TOURO FOUNDATION$48,309,483
2015-99 BOND DSF$1,931
RIGHT OF USE - LEASED ASSETS$1,513,988
REAL ESTATE INVESTMENT PROJECT$5,954
LANDS OF TOURO$73
HEALTH CARE CASUALTY$263,333
OTHER ASSETS - BOND FEES$11,117
ENERGY ASSET DEPOSITS$1,562,253
BERNHARD-$17,119
FieldValueIRS element (for citing)
Total Book Value Other Assets$77,138,726TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
WOLDENBERG VILLAGE - A/R$5,416,735
INVESTMENT IN CCPI$23,593,149
PENSION LIABILITIES$4,910,910
ACCRUES PAYROLL TAXES$390,552
PROFESSIONAL LIABILITY$7,591,442
WORKER'S COMP CLAIMS LIABILITY$3,261,426
340B LIABILITY$283,997
SWAP OBLIGATION-$46,075
LEASED ASSET LIABILITIES - LT$472,211
FieldValueIRS element (for citing)
Total Liability$45,874,347TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THESE ENDOWMENT FUNDS ARE ADMINISTERED BY TOURO INFIRMARY FOUNDATION AND WOLDENBERG VILLAGE, WHICH ARE CONTROLLED BY TOURO INFIRMARY. THESE FUNDS ARE INTENDED TO BE USED FOR TOURO INFIRMARY'S AND WOLDENBERG VILLAGE'S EXEMPT PURPOSES.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IS HAS APPROPRIATE SUPPORT FOR ANY POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,602,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$138,413DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,464,097NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,383,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$118,332,171DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,986,205TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$118,470,584DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,464,097NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$318,658TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$318,658NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,183,647TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,095,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,088,513NetCommunityBenefitExpnsAmt
Total Expense0.02880TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,343,266TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,343,266NetCommunityBenefitExpnsAmt
Total Expense0.06940TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,845,571TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,095,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,750,437NetCommunityBenefitExpnsAmt
Total Expense0.09910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,831,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$120,565,718DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,214,534NetCommunityBenefitExpnsAmt
Total Expense0.10610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,501,170BadDebtExpenseAmt
Reimbursed By Medicare$39,406,708ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$49,666,479CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,259,771MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 TIJV LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesIMAGING CENTER RENTALPrimaryActivitiesTxt
Org Profit Or Ownership0.79000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.21000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TOURO INFIRMARYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 FOUCHER STREETAddressLine1Txt
CityNEW ORLEANSCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70115ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TOURO INFIRMARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.TOURO.COM/ABOUT-TOURO/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.TOURO.COM/ABOUT-TOURO/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
TOURO INFIRMARYPART V, SECTION B, LINE 5: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE PARTICIPATING HOSPITALS.FOR THIS ASSESSMENT, MHCNO PARTICIPANTS DEFINED THEIR COMMUNITY AS THE PARISHES WHERE MOST OF THEIR PATIENTS RESIDE, WHICH INCLUDE JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES.LPHI USED A COLLABORATIVE MIXED METHODS APPROACH TO DETERMINE SIGNIFICANT NEEDS AND CONCERNS IN THE COMMUNITY. THE REPORT CONTAINS SECONDARY DATA FROM NATIONAL SOURCES AND INPUT FROM DOZENS OF KEY STAKEHOLDERS IN THE GNO AREA, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITAL. COMMUNITY INPUT WAS GATHERED THROUGH INTERVIEWS, FOCUS GROUPS, AND AN ELECTRONIC SURVEY DISTRIBUTED TO HEALTH SYSTEM PATIENTS AND COMMUNITY MEMBERS. COMMUNITY INPUT DROVE THE DETERMINATION OF SIGNIFICANT CONCERNS FOR THIS CHNA AND THEREFORE THE PRIORITIES.PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 3000 SURVEYS, EIGHT FOCUS GROUPS, AND TALKED TO 37 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS AND CONCLUDED IN DECEMBER 2021. THE COMMUNITY NEEDS ASSESSMENT (CHNA) WAS ASSISTED WITH PROJECT MANAGEMENT AND CONSULTATION BY LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI).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) PERSONS 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 LPHI 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. FURTHERMORE, 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 CHNA WORKING GROUP AND LPHI.AS A RESULT OF THE CHNA PROCESS, TOURO INFIRMARY IDENTIFIED THREE SIGNIFICANT COMMUNITY HEALTH NEEDS AS THEIR TOP PRIORITIES WHICH ARE:1) ACCESS TO AND CONTINUITY OF CARE; 2) HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE; AND3) MENTAL AND BEHAVIORAL HEALTHAFTER THE CHNA WAS COMPLETED AND THE PRIORITIES WERE SET, TOURO THEN DEVELOPED A CHIP IN 2022. TOURO INFIRMARY TOOK INTO CONSIDERATION, THE ABILITY TO ADDRESS THE REGION'S IDENTIFIED NEEDS AND VIEWED THE OVERALL SHORT AND LONG-TERM EFFECTS OF UNDERTAKING THE TASK. TOURO INFIRMARY WILL:1. ADDRESS THE IDENTIFIED NEEDS AND VIEW THEM AS POSITIVE AND ENCOURAGING CHANGES.2. WILL COMPLETE THE NECESSARY ACTION AND IMPLEMENTATION STEPS FOR NEWLY FORMED ACTIVITIES OR REVISE STRATEGIES TO ASSIST THE COMMUNITY'S UNDERSERVED AND DISENFRANCHISED RESIDENTS.3. CONTINUE TO DEVELOP FUTURE COMMUNITY PARTNERSHIPS AND COLLABORATIONS WITH OTHER HEALTH INSTITUTIONS, ORGANIZATIONS, INVOLVEMENT FROM GOVERNMENT LEADERS, CIVIC ORGANIZATIONS, AND STAKEHOLDERS WITH THE GOAL OF ADDRESSING THE REGION'S NEEDS.THE AVAILABLE RESOURCES AND THE ABILITY TO TRACK PROGRESS RELATED TO THE IMPLEMENTATION STRATEGIES WILL BE MANAGED BY TOURO AND LCMC HEALTH TO MEET THE REGION'S NEEDS. TACKLING THE REGION'S NEEDS IS A CENTRAL FOCUS AND HOSPITAL LEADERSHIP WILL CONTINUE TO MEASURE DURING THE CHIP TIMEFRAME OF 2022 THRU 2024. TOURO WILL CONTINUE TO WORK CLOSELY WITH COMMUNITY PARTNERS, AS THIS IMPLEMENTATION STRATEGY PLANNING REPORT IS THE FIRST STEP TO AN ONGOING PROCESS TO REDUCING THE GAPS OF HEALTH DISPARITIES AND ENSURING ALL RESIDENTS HAVE ACCESS TO THE HIGH-QUALITY HEALTH CARE RESOURCES AVAILABLE IN THE REGION.
TOURO INFIRMARYPART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: CHILDRENS HOSPITAL NEW ORLEANS EAST JEFFERSON GENERAL HOSPITAL NEW ORLEANS EAST HOSPITAL OCHSNER MEDICAL CENTER - NEW ORLEANS OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTER OCHSNER MEDICAL CENTER - WEST BANK CAMPUS OCHSNER MEDICAL CENTER - KENNER OCHSNER REHABILITATION HOSPITAL RIVER PLACE BEHAVIORAL HEALTH HOSPITAL TOURO INFIRMARY UNIVERSITY MEDICAL CENTER NEW ORLEANS WEST JEFFERSON MEDICAL CENTER
TOURO INFIRMARYPART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY TOURO ARE MENTAL AND BEHAVIORAL HEALTH, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, AND ACCESS TO AND CONTINUITY OF CARE. TOURO INFIRMARY PROVIDES PROGRAMS AND SERVICES TO MANY IN THE PARISH AND SURROUNDING REGIONS. BEHAVIORAL HEALTH WAS IDENTIFIED AS A TOP NEED THROUGH THE 2021 CHNA. WHILE TOURO INFIRMARY IS NOT THE ONLY HEALTH CARE INSTITUTION IN THE REGION, THE FOLLOWING STRATEGIES WERE IDENTIFIED AND REVEALED TO ADDRESS THE GROWING ISSUE. TOURO INFIRMARY, IN PARTNERSHIP AND COLLABORATING WITH OTHER REGIONAL HEALTH CARE ORGANIZATIONS, WILL CONTINUE TO CAPITALIZE ON THE COMMUNITIES' EXISTING RESOURCES TO TACKLE AND CONFRONT THE NEEDS OF THE REGION.MENTAL AND BEHAVIORAL HEALTHTOURO'S GOAL IS TO PROVIDE INPATIENT AND OUTPATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES BY IMPLEMENTING 4 NEW STRATEGIES. STRATEGY 1 IS TO INTEGRATE BEHAVIORAL HEALTH INTO MEDICAL, CLINICAL, OBSTETRIC SITES THOUGH CONTRACTING WITH OCEANS BEHAVIORAL HEALTH TO (1) SEE OUTPATIENTS AS NEEDED AND UPON DISCHARGE AND (2) CONSULT ON INPATIENTS AND WITH ER PATIENTS WHEN NEEDED. STRATEGY 2 IS TO INCREASE PROGRAMS CONNECTING PATIENTS WITH APPROPRIATE HEALTH PROFESSIONALS BY IMPLEMENTING EPIC EMR IN ED AND THE CLINICS WITH IMPROVED, VALIDATED SUICIDE SCREENING TOOL AND MADE INFORMATION AVAILABLE VIA EMR FOR ACCESS BY BEHAVIORAL HEALTH PROFESSIONAL AND PRIMARY CARE PROVIDERS. TOURO WILL ALSO OFFER PARKINSON'S SUPPORT GROUP MEETINGS WITH MEDICAL PROFESSIONALS WITH A GOAL OF 12 MEETINGS PER YEAR. STRATEGY 3 IS TO ACTIVELY ENGAGE AS MEMBERS OF THE CITY OF NEW ORLEANS BEHAVIORAL HEALTH COUNCIL BY (1) ATTENDING AND PARTICIPATING IN THE RELEVANT SECTOR WORK GROUP MEETINGS THAT ARE HELD 9-10 TIMES PER YEAR AND (2) ATTENDING, PARTICIPATING, AND SPONSORING THE ANNUAL HEALTH FORUM THAT IS OPEN TO THE PUBLIC WHEN HELD WITH THE GOAL OF 12 FORUMS PER YEAR. STRATEGY 4 IS TO ACTIVELY ENGAGE AS MEMBERS OF THE CITY OF NEW ORLEANS OPIOID TASK FORCE BY (1) ATTENDING AND PARTICIPATING IN TASK FORCE MEETINGS AS SCHEDULED WITH THE ANTICIPATED CADENCE OF MEETINGS WILL BE EVERY 3 MONTHS AND (2) SHARING DE-IDENTIFIED DATA AND TRENDING INFORMATION TO THE TASK FORCE WHEN AVAILABLE AND REQUESTED.HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARETOURO'S GOAL IS TO BREAK DOWN BARRIERS IN DISCRIMINATION (AND INEQUITIES) IN HEALTH CARE THROUGH 3 NEW STRATEGIES. STRATEGY 1 IS TO DEVELOP EXPANDED AND REGULAR EDUCATION TO LEADERS AND STAFF ON IDENTIFYING AND BREAKING DOWN BARRIERS RELATED TO DISCRIMINATION AND IMPROVING HEALTH EQUITY. TOURO HAS IMPLEMENTED AT THE H.E.L.M. (HEALTH EQUITY LEADERSHIP MATTERS) TRAINING FOR ALL LCMC SENIOR LEADERS (AVPS AND ABOVE). THIS YEAR LONG TRAINING WAS DESIGNED TO: A) EDUCATE, ENLIGHTEN AND EMPOWER SENIOR LEADERSHIP WITH KNOWLEDGE AND TOOLS TO LEAD DIVERSE TEAMS B) CREATE EQUITABLE AND INCLUSIVE WORK ENVIRONMENTS C) CREATE CULTURALLY COMPETENT AND MEANINGFUL CARE FOR ALL PATIENTS. D) GOAL IS 100% SENIOR LEADER PARTICIPATION/TRAINING OVER THREE YEARS. THE THREE YEAR TRAINING WILL CASCADE FROM: A) SENIOR LEADERS - YEAR 1 B) DIRECTORS & MANAGERS - YEAR 2 I) GOAL IS 100% OF DIRECTORS AND MANAGERS TRAINED C) FRONTLINE WORKERS - YEAR 3. I) GOAL IS 80% OF WORKERS TRAINED. TOURO IS ALSO DEVELOPING A HEALTH EQUITY LEARNING SERIES WHICH WILL INCLUDE SESSIONS TO ADDRESS CONTRIBUTING FACTORS REGARDING THESE TOPICS. TOURO HAS IMPLEMENTED A DIVERSITY & SOCIAL RESPONSIBILITY PRESENTATION WHICH IS INCORPORATED INTO CURRENT NEW LEADER TRAINING AND WILL OFFER EXECUTIVE COACHING/LEADERSHIP TRAINING TO MINORITY FEMALE LEADERS LED BY A CONSULTANT THAT SPECIALIZES IN THAT TARGET AUDIENCE. STRATEGY 2 IS TO CREATE IMPROVED ACCESS FOR CERTAIN DISADVANTAGED PATIENTS THROUGH CHANGED LANGUAGE SERVICES VENDORS TO ENSURE OPTIMAL QUALITY OF COMMUNICATION AND PATIENT SAFETY FOR OUR LEP (LIMITED ENGLISH PROFICIENCY) AND HEARING-IMPAIRED PATIENTS. STRATEGY 3 IS TO CREATE STAFF TRAINING THAT DECREASES POSSIBLE RACIAL BIAS IN HEALTHCARE. TOURO WILL PROVIDE TRAINING OF ALL PATIENT ACCESS STAFF THROUGHOUT THE SYSTEM ON THE STANDARDIZED METHODOLOGY FOR COLLECTION OF RACE ETHNICITY AND LANGUAGE (REAL) DATA. TOURO IS CURRENTLY DEVELOPING TRAINING FOR CLINICAL STAFF ON THE STANDARDIZED METHODOLOGY FOR THE COLLECTION OF SEXUAL ORIENTATION GENDER IDENTITY (SOGI) DATA. TRAININGS WILL ASSIST US IN OBTAINING PATIENT SELF-REPORTED DATA WHICH ENABLES ACCURATE DISAGGREGATION OF OUR DATA SET, OPPORTUNITIES TO IDENTIFY DISPARITIES IN CARE AND THE CREATION OF STRATEGIES TO ENSURE HEALTH EQUITY. TOURO'S FINAL GOAL FOR STRATEGY 3 IS HAVE ALL CAREGIVERS COMPLETE IMPLICIT BIAS TRAINING PROVIDED BY A 3RD PARTY VENDOR STARTING WITH L&D STAFF & PROVIDERS WITH GOAL OF 100% PARTICIPATION. ACCESS TO AND CONTINUITY OF CARETOURO'S GOAL IS TO REDUCE BARRIERS TO CARE AND ENSURE ACCESS TO PRIMARY CARE SERVICES FOR THE UNDERSERVED POPULATIONS CONTINUES THROUGH THE FOLLOWING 5 STRATEGIES. STRATEGY 1 IS TO CONNECT UNDERSERVED PATIENTS TO APPROPRIATE HEALTH CARE SERVICES IN THE REGION. TOURO WILL HIRE THREE (3) MORE OB PROVIDERS AND THREE (3) MORE PRIMARY CARE NPS TO INCLUDE AND NP IN NEW ORLEANS EAST AND WILL ALSO CREATE COMPREHENSIVE SENIOR CARE PROGRAM TO PROVIDE THE BEST CARE AND ACCESS TO REGIONS ELDERLY (AGE 65+) POPULATION A) GEDA ACCREDITED SENIOR ER B) NICHE CERTIFIED IP UNIT C) AMAZING AGERS PROGRAM- OFFERING 12 EVENTS PER YEAR D) SENIOR VIP ACCESS PROGRAM. VIA THE TOURO INFIRMARY FOUNDATION, TOURO WILL CONTINUE TO MATCH A $5,000 GRANT FROM AMERICAN CANCER SOCIETY TO PROVIDE FREE UBER RIDES TO CANCER PATIENTS WHO CANNOT AFFORD OR DO NOT HAVE ACCESS TO TRANSPORTATION. GOAL IS FREE TRANSPORTATION FOR 1,000 PATIENT CARE VISITS PER YEAR. TOURO ALSO PLANS TO HIRE A NEW SPANISH-SPEAKING OB/GYN PROVIDER IN A NEW CLINIC SO TO INCREASE SPANISH-SPEAKING PATIENT ACCESS TO INCLUDE A FOUNDATION SPONSORED CLINIC FOR RECENT IMMIGRANTS. FINALLY, TOURO WILL RESTART HEALTH SCREENINGS DISCONTINUED DURING COVID-19 PANDEMIC WITH AN EMPHASIS ON THE MINORITY COMMUNITY AND WITH A GOAL OF 20 SCREENINGS AND 500 PARTICIPANTS TO INCLUDE: A) PROSTATE CANCER B) BREAST CANCER C) DIABETES D) PUBLIC SCHOOL HEALTH FAIRS. STRATEGY 2 IS INCREASE THE NUMBER OF PHYSICIANS TRAINED IN THE TOURO INFIRMARY COMMUNITY BY: (1) INTRODUCING RESIDENTS AND YOUTH TO CAREERS IN HEALTHCARE THROUGH: A) HEALTHCARE CAREER CAMP B) JUNIOR VOLUNTEER PROGRAM AND (2) SERVING AS A TEACHING HOSPITAL TO PROVIDE TRAINING AND EDUCATION FOR PHYSICIANS IN A VARIETY OF SPECIALTIES THROUGH: A) CLINICAL ROTATIONS OF AT LEAST 300 MEDICAL STUDENTS PER YEAR B) GRADUATE MEDICAL EDUCATION CLINICAL TRAINING TO AT LEAST 300 RESIDENTS AND 30 FELLOWS PER YEAR C) ACTIVE PHYSICIAN RECRUITMENT OF GRADUATING RESIDENTS/FELLOWS. STRATEGY 3 IS TO CONTINUE TO PROVIDE CLINICAL TRAINING OPPORTUNITIES TO ALLIED HEALTH STUDENTS ENROLLED IN HEALTHCARE PROVIDER PROGRAMS THROUGHOUT THE HOSPITAL SYSTEM. TOURO WILL IMPLEMENT THIS STRATEGY BY (1) CREATING AN ACCREDITED CLINICAL PHARMACIST RESIDENCY PROGRAM IN PARTNERSHIP WITH XAVIER UNIVERSITY WITH THE GOAL OF INCREASING PHARMACISTS' EXPOSURE TO HOSPITALS WITH A GOAL TO TRAIN 2 RESIDENTS PER YEAR (2) CONTINUE TO PARTNER WITH XAVIER UNIVERSITY TO OFFER PHARMACY INTERN TRAINING WITH A GOAL WITH TRAINING 6 INTERNS PER YEAR (3) INCREASING TRAINING ACCESS TO RN CLINICAL TRAINING WITH A GOAL TO TRAIN AT LEAST 24 RN INTERNS PER YEAR. STRATEGY 4 IS TO OFFER INFORMATION AND ASSISTANCE RELATED TO THE AFFORDABILITY OF HEALTH SERVICES. THIS WILL BE ACHIEVED THROUGH (1) PROVIDING ASSISTANCE IN NAVIGATING THE HEALTHCARE PAYMENT SYSTEM, INCLUDING MEDICAID ENROLLMENT (2) PROVIDING PATIENT NAVIGATION THROUGH CASE MANAGERS AND SOCIAL WORKERS TO HELP WITH A) TRANSPORTATION ASSISTANCE B) HOUSING ASSISTANCE C) ASSISTED LIVING & NURSING ROOM PLACEMENT D) SKILLED NURSING PLACEMENT E) HOME HEALTH ASSISTANCE AND (3) PROVIDING DISCOUNTS IN BILLING FOR THE UNINSURED TO INCLUDING WORKING WITH HOSPITAL-BASED PROVIDERS PROVIDE DISCOUNTS IN BILLING FOR THE UNINSURED TO INCLUDING WORKING WITH HOSPITAL-BASED PROVIDERS. STRATEGY 5 IS TO INCREASE ACCESS TO MATERNAL HEALTH SERVICES. THIS WILL BE ACHIEVED BY (1) OFFERING A COMPREHENSIVE, INDIVIDUALIZED AND POSITIVE APPROACH TO BIRTH PREPARATION, LABOR AND DELIVERY AND POSTPARTUM CARE INCLUDING THE FOLLOWING: A) IMPROVED ON-LINE SCHEDULING B) BABY SCRIPTS PROGRAM C) WEB RESOURCES (EDUCATIONAL MATERIAL, CLASSES, ETC.) D) ONSITE, INTERNET AND COMMUNITY-BASED CLASSES TO IMPROVE MATERNAL AND CHILD HEALTH- GOAL IS 100+ CLASSES WITH 1000+ PARTICIPANTS PER YEAR I) INFANT CPR II) BABY FOOD CLASSES III) UNDERSTANDING FATHERHOOD IV) GRANDPARENTING 101 V) SIBLING CLASSES VI) HEALTH MOMHEALTH BABY SEMINAR AND (2) IMPROVING BIRTH OUTCOMES FOR PATIENTS SERVED BY TOURO INFIRMARY THROUGH LACTATION EDUCATION INCLUDING A) USE OF NURSING NEST VAN B) BABY CAFES' C) PRENATAL BREASTFEEDING CLASS. THE GOAL IS 12 CLASSES PER YEAR.
TOURO INFIRMARYPART V, SECTION B, LINE 13B: >IF PATIENT IS HOMELESS THEY WILL AUTOMATICALLY QUALIFY>IF THE PATIENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID PROGRAM THEY WILL AUTOMATICALLY QUALIFY>INDIVIDUAL OR FAMILY NET WORTH, UTILIZING THE PATIENT'S INDIVIDUAL OR FAMILY INCOME, EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE ARE CONSIDERED >MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 25% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND
TOURO INFIRMARYPART V, SECTION B, LINE 13H: INFORMATION FROM A PREDICTIVE MODEL MAY BE USED BY TOURO INFIRMARY TO DETERMINE PRESUMPTIVE ELIGIBILITY IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - WOLDENBERG VILLAGE INC
3701 BEHRMAN PLACENEW ORLEANSLA70114ASSISTED LIVING COMMUNITY & SKILLED NURSING FACILITY
2 - CRESCENT CITY PHYSICIANS INC
3600 PRYTANIA ST STE72NEW ORLEANSLA70115PHYSICIAN MEDICAL PRACTICES

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:PART VI LINE 1: FOR PART I LINE 3C.DESCRIBE IN PART VI THE INCOME BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. INCLUDE IN THE DESCRIPTION WHETHER THE ORGANIZATION USES AN ASSET TEST OR OTHER THRESHOLD, REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.THE FOLLOWING FACTORS ARE CONSIDERED WHEN DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE FOR WHICH A PATIENT IS ELIGIBLE BASED ON RESOURCES:> IF PATIENT IS HOMELESS THEY WILL AUTOMATICALLY QUALIFY;> IF THE PATIENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID PROGRAM THEY WILL AUTOMATICALLY QUALIFY;> INDIVIDUALS OR FAMILY NET WORTH, UTILIZING THE PATIENT'S INDIVIDUAL OR FAMILY INCOME,EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE; > MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 25% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND; > INFORMATION FROM A PREDICTIVE MODEL MAY BE USED BY TOURO INFIRMARY TO DETERMINE PRESUMPTIVE ELIGIBILITY IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT.
PART I, LINE 7:TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.PART I, LINE 7B(D):TOURO AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO FEDERAL UPPER PAYMENT LIMITS (UPL). EACH STATE'S UPL METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2022, TOURO RECEIVED UPL PAYMENTS OF APPROXIMATELY $54.9 MILLION WHICH IS INCLUDED IN "DIRECT OFFSETTING REVENUE" ON PART I, LINE 7B. TO ENSURE CONTINUED ACCESS TO UNINSURED, UNDERINSURED AND MEDICAID PATIENTS, THE STATE OF LOUISIANA MADE SIGNIFICANT PAYMENTS IN 2022 TO TOURO.IN ADDITION, EFFECTIVE WITH 2022, TOURO ENTERED INTO AN AGREEMENT WITH LOUISIANA QUALITY NETWORK TO FACILITATE PAYMENTS UNDER THE STATE OF LOUISIANA'S MEDICAID MANAGED CARE QUALITY INCENTIVE PROGRAM TO INCLUDE QUALITY-BASED PERFORMANCE MEASURE AND OUTCOMES. THROUGH THIS PROGRAM TOURO HAS RECOGNIZED $12.1 MILLION OF MANAGED CARE INCENTIVE PAYMENTS (MCIP) IN IT'S MEDICAID NET PATIENT SERVICE REVENUES FOR 2022 WHICH IS INCLUDED IN "DIRECT OFFSETTING REVENUE" ON PART I, LINE 7B.
PART III, LINE 2:TOURO RECORDS IMPLICIT PRICING CONCESSIONS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. TOURO ESTIMATES THE IMPLICIT PRICING CONCENSSIONS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ESTIMATES ASSOCIATED WITH ITS RECEIVABLES.
PART III, LINE 4:FROM NOTE 2 OF THE AUDIT REPORT: TOURO DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO PATIENTS IN ACCORDANCE WITH POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO PATIENTS. EXPLICIT PRICE CONCESSIONS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. IMPLICIT PRICE CONCESSIONS REPRESENT DIFFERENCES BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION TOURO EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR PATIENT RESPONSIBILITY BALANCES, INCLUDING DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. TOURO ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS.
PART III, LINE 8:TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 9B:TOURO INFIRMARY PURSUES NORMAL COLLECTION ACTIONS AGAINST PATIENTS FOUND INELIGIBLE FOR FINANCIAL ASSISTANCE, OR PATIENTS WHO ARE NO LONGER COOPERATING IN GOOD FAITH TO PAY THE REMAINING DISCOUNTED BALANCE.
PART VI, LINE 2:LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021.HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. COMMUNITY HEALTH ASSESSMENT PLANNING: A SERIES OF MEETINGS WAS FACILITATED BY THE CONSULTANTS AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM TOURO INFIRMARY AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS. THIS PROCESS LASTED FROM MAY 2021 UNTIL DECEMBER 2021.SECONDARY DATA: COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO?ECONOMIC ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS OF THE TOURO INFIRMARY COMMUNITY WAS COMPLETED FROM EXISTING DATA SOURCES TO INCLUDE:" AMERICAN COMMUNITY SURVEY, 2021" COUNTY HEALTH RANKINGS, 2021" CARES HQ, 2021" ALICE PARISH PROFILES, 2021" CDC PLACES, 2021" CDC WONDER" NATIONAL CANCER INSTITUTE" LOUISIANA DEPT OF HEALTH, COVID-19 DATA DASHBOARD" LOUISIANA OFFICE OF PUBLIC HEALTHTHIS PROCESS LASTED FROM MAY 2021 UNTIL DECEMBER 2021.COMMUNITY SURVEY: BETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDH'S STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE.FOCUS GROUPS: LPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS: THIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED:O PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERSO LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIESO LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS.QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITY: BY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM" 14 PUBLIC HEALTH EXPERTS" 2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND" 32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO:" 504 HEALTHNET" AMERICAN CANCER SOCIETY" BAYOU DISTRICT FOUNDATION" BOYS AND GIRLS CLUB WESTBANK" CANCER ASSOCIATION OF GREATER NEW ORLEANS" CHILDREN'S HOSPITAL" CITY OF KENNER" CITY OF NEW ORLEANS HEALTH DEPARTMENT" COVENANT HOUSE" CRESCENT CITY FAMILY SERVICES" DELGADO COMMUNITY COLLEGE" EAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSION" GOLDEN OPPORTUNITY" JEFFERSON CHAMBER OF COMMERCE" JEFFERSON PARISH GOVERNMENT" JEFFERSON PARISH SCHOOLS" JEWISH COMMUNITY CENTER" KENNER DISCOVERY HEALTH SCIENCES ACADEMY" LCMC HEALTH" LOUISIANA DEPARTMENT OF HEALTH" METROPOLITAN HUMAN SERVICES DISTRICT" NEW ORLEANS COUNCIL ON AGING" NEW ORLEANS FAMILY JUSTICE CENTER" NEW ORLEANS HEALTH DEPARTMENT" NOLA BABY CAF" NOLA PUBLIC SCHOOLS" NOLA VILLAGE" OCHSNER HEALTH (INCLUDING RESOURCE GROUPS)" OCHSNER HEALTHY SCHOOLS" ODYSSEY HOUSE" SOCIAL HEALTH BRIDGE / OPERATION PATHWAYS" ST. JOHN THE BAPTIST PARISH JUSTICE COURT" STEM NOLA" THE PARENTING CENTER" TULANE SCHOOL OF MEDICINE" VAYLA" YOU NIGHTTHE NEW ORLEANS COMMUNITY IS VERY DIVERSE, FROM THE NINTH WARD TO NEW ORLEANS EAST AND THE GARDEN DISTRICT. THE HEALTH RISKS ASSOCIATED WITH CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE PARTICULARLY HIGH AMONG OUR GROWING, MEDICALLY UNDERSERVED AFRICAN-AMERICAN, HISPANIC AND VIETNAMESE POPULATIONS. TOURO PERFORMS COMMUNITY OUTREACH TO THESE GROUPS THROUGH OUR OWN HEALTH PROGRAMS, PARTICIPATION IN COMMUNITY HEALTH FAIRS, PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS AND OTHER GRASSROOTS EFFORTS. TOURO'S GOAL IS TO HELP RESIDENTS LEARN HOW TO ACCESS THE CARE THEY NEED AND TO HELP THEM LEARN TO MANAGE THEIR HEALTH CONDITIONS AND LIVE HEALTHIER LIVES.
PART VI, LINE 3:PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETOURO INFIRMARY IS COMMITTED TO WIDELY PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITIES IT SERVES. FINANCIAL COUNSELORS HAVE THE PLAIN LANGUAGE SUMMARIES OF THE POLICY AVAILABLE FOR ALL PATIENTS AND ARE TRAINED IN THE APPLICATION PROCESS.TOURO INFIRMARY OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.INHOUSE SELF PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR OTHER THIRD PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE.ALL SELF PAY PATIENTS WHO ARE NOT SCREENED RECEIVE A NOTICE THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT TOURO INFIRMARY TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. REGISTRATION STAFF, FINANCIAL COUNSELORS AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES.
PART VI, LINE 4:PART VI LINE 4 COMMUNITY INFORMATION:WITH RESPECT TO TOURO INFIRMARY HOSPITAL, THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM TOURO'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF TOURO'S SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. TOURO'S POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR TOURO'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT.
PART VI, LINE 5:IN FURTHERANCE OF ITS CHARITABLE PURPOSE AND MISSION, TOURO PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY WHICH IT SERVES. BENEFITS INCLUDE SOCIAL SERVICE PROGRAMS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS, HEALTH AND WELLNESS PROGRAMS, CLASSES ABOUT SPECIFIC MEDICAL CONDITIONS AND TELEPHONE INFORMATION SERVICES.IN 2022, TOURO INFIRMARY OFFERED OR PARTICIPATED IN 152 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 2,445 PEOPLE. THIS NUMBER AND LEVEL OF PARTICIPATION WAS UP IN 2022 VS 2021 AS COVID-19 LIMITATIONS WERE RELAXED. OUTREACH EVENTS COVER A WIDE VARIETY OF HEALTH TOPICS THAT ADDRESS THE HEALTH INFORMATION NEEDS OF THE COMMUNITY TOURO SERVES, INCLUDING NUTRITION, DIABETES MANAGEMENT, CANCER, CHILDBIRTH AND PARENTING, WOMEN'S HEALTH, HEALTHY AGING, HEART HEALTH, PROSTATE HEALTH, AND MORE.TOURO'S COMMUNITY OUTREACH PROGRAM OFFERS A WIDE RANGE OF EVENTS, INCLUDING TOURO-LED CLASSES, SEMINARS, SUPPORT GROUPS AND HEALTH SCREENINGS. TOURO PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS PROVIDE INFORMATIVE SEMINARS AND OFFER FREE SCREENINGS ON A VARIETY OF TOPICS. THESE EVENTS ARE TYPICALLY HOSTED ON THE HOSPITAL'S CAMPUS AND ARE COORDINATED BY TOURO STAFF. SCREENINGS INCLUDE: PROSTATE CANCER, HEAD & NECK CANCER, AND DIABETES A1C.THE TOURO REHABILITATION CENTER STAFF FROM A VARIETY OF DISCIPLINES, INCLUDING OCCUPATION THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS AND A REHABILITATION EDUCATOR, RECREATION THERAPIST AND OFFICE PERSONNEL PARTICIPATED IN FREE COMMUNITY EVENTS INCLUDING SUDDEN IMPACT TRAINING FOR LOCAL HIGH SCHOOL STUDENTS, BRAIN INJURY SPECIALTY TRAINING AND THE BISCIS (BRAIN INJURY/SPINAL CORD INJURY) PROGRAM, WHICH PROVIDES RECREATION (BASEBALL LEAGUE/BOWLING LEAGUE) FOR THAT POPULATION.NON-PROFIT EVENTS: TOURO REGULARLY PARTNERS WITH LOCAL NON-PROFIT ORGANIZATIONS AT COMMUNITY HEALTH EVENTS AND SCREENINGS. THESE EVENTS ARE HOSTED AT LOCATIONS THROUGHOUT THE COMMUNITY. TOURO PROVIDES FREE SCREENINGS, HEALTH INFORMATION AND CLINICAL STAFF TO ADMINISTER THE SCREENINGS AND PROVIDE CLINICAL CONSULTATIONS. EXAMPLES OF EVENTS INCLUDE: BACK TO SCHOOL HEALTH FAIR AND AUDUBON ZOO. SPONSORSHIP EVENTS: AS PART OF THE LCMC HEALTH SYSTEM OF HOSPITALS, TOURO SPONSORS AND PARTICIPATES IN HEALTHCARE-RELATED ORGANIZATIONS AND EVENTS IN THE GREATER NEW ORLEANS COMMUNITY, SUCH AS THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, MARCH OF DIMES, BRIDGE HOUSE/GRACE HOUSE, AND THE WALK TO END ALZHEIMER'S. PARTICIPATION IN THESE EVENTS ENTAILS STAFFING THE EVENT, PROVIDING HEALTH EDUCATION MATERIALS TO ATTENDEES AND OFFERING FREE SCREENINGS (AS REQUESTED) TO ATTENDEES. ALL EVENTS ARE OPEN TO THE PUBLIC.AMAZING AGERS: TOURO OFFERS FREE EVENTS AND PROGRAMS DESIGNED TO HELP THE AGING POPULATION IN THE COMMUNITY LIVE HEALTHY AND INDEPENDENT LIVES. THE TOURO AMAZING AGERS PROGRAM IS A FREE PROGRAM DESIGNED TO HELP ADULTS AGE 55 YEARS AND OLDER LEAD A HEALTHY AND ACTIVE LIFESTYLE. THIS PROGRAM INCLUDES SEVEN (7) EDUCATIONAL HEALTH SEMINARS CUSTOMIZED TO MEET THE INFORMATION NEEDS OF THIS POPULATION. TOPICS FOR 2022 INCLUDED: LUNG CANCER, HEALTHY EATING AND FITNESS, DIABETES PREVENTION, SENIOR WELLNESS AND MORE.THROUGHOUT 2022, TOURO OFFERED SEVERAL FREE HEALTH SEMINARS AND SPECIAL EVENTS ON WOMAN'S HEALTH ISSUES FROM WOMEN OF CHILDBEARING AGE TO MATURE WOMEN TOPICS. THESE SEMINARS WERE OPEN TO THE PUBLIC AND HELD EITHER ON-CAMPUS OR AT AN OFFSITE LOCATION NEAR THE HOSPITAL. THE SEMINAR TOPICS WERE FOCUSED ON WOMEN'S HEALTH AND WELLNESS. TOURO PHYSICIANS LEAD THE SEMINARS WITH TIME FOR QUESTIONS FOLLOWING THE PRESENTATIONS.CHILDBIRTH EDUCATION SERIES: NURSE EDUCATORS FROM TOURO'S FAMILY BIRTHING CENTER OFFER FREE MONTHLY CHILDBIRTH EDUCATION CLASSES FOR EXPECTING PARENTS TO HELP THEM PREPARE FOR CHILDBIRTH, NEWBORN CARE AND BREASTFEEDING. THE CLASSES ARE HELD ON TOURO'S CAMPUS IN THE EVENINGS OR ON WEEKENDS TO ACCOMMODATE A VARIETY OF SCHEDULES. THE FAMILY BIRTHING CENTER OFFERS 12 CLASSES/SERIES, INCLUDING A CHILDBIRTH EDUCATION SERIES, LACTATION CLASSES, PARENTING CLASS, INFANT/CHILD CPR, ONLINE CHILDBIRTH EDUCATION CLASSES AND MORE. DIABETES SUPPORT GROUP: TOURO'S DIABETES CENTER OFFERS A FREE MONTHLY SUPPORT PROGRAM FOR PERSONS WITH DIABETES ENTITLED "LIFE CAN STILL BE SWEET." THE CLASS TOPICS ROTATE EACH MONTH, COVERING A VARIETY OF DIABETES MANAGEMENT TOPICS FROM GLUCOSE MONITORING, TO MEDICATION MANAGEMENT AND DIET TO MAINTAINING A HEALTHY LIFESTYLE. SUPPORTIVE CANCER CARE PROGRAM: TOURO'S SUPPORTIVE CANCER CARE CENTER OFFERS A NUMBER OF FREE PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH CANCER THROUGHOUT THE GREATER NEW ORLEANS COMMUNITY. GIRL TALK: A GYNECOLOGIC CANCER SUPPORT GROUP FOR WOMEN WHO HAVE BEEN DIAGNOSED WITH ONE OF THE GYNECOLOGIC CANCERS. WHETHER A PERSON IS NEWLY DIAGNOSED, ACTIVELY BEING TREATED OR HAS COMPLETED TREATMENT, THIS GROUP CAN HELP. THE MEETINGS PROMOTE EDUCATION AND DISCUSSION ABOUT RELEVANT TOPICS.CANCER SURVIVOR SUPPORT GROUP: TOURO OFFERS A MONTHLY CANCER SURVIVORSHIP SUPPORT GROUP WHERE VARIOUS HEALTH TOPICS ARE DISCUSSED. THE MEETINGS ALSO PROVIDE A FORUM TO PATIENTS AT VARIOUS STAGES OF THE CANCER JOURNEY TO CONNECT AND SUPPORT ONE ANOTHER EMOTIONALLY AS THEY HEAL AND MOVE BEYOND TREATMENT. SURVIVORSHIP SERVICE: CANCER SURVIVORS ARE ABLE TO MEET WITH THE SURVIVORSHIP COORDINATOR TO DEVELOP AN INDIVIDUALIZED SURVIVORSHIP CARE PLAN THAT HIGHLIGHTS SPECIFIC MEDICAL AND SUPPORTIVE CARE SERVICES NEEDED FOLLOWING THE COMPLETION OF PRIMARY CANCER TREATMENT.SMOKING CESSATION SUPPORT GROUP: IN 2022, TOURO OFFERED SEVEN (7) SMOKING CESSATION CLASSES AND PARTICIPATED IN THE GREAT AMERICAN SMOKE-OUT.PATIENT NAVIGATION: PATIENT NAVIGATION HELPS OVERCOME BARRIERS TO MAKING INFORMED DECISIONS ABOUT CANCER CARE. THIS PROGRAM, OFFERED THROUGH THE SUPPORTIVE CANCER CARE CENTER, IS AVAILABLE TO TOURO PATIENTS AT NO COST. SOME WAYS PATIENTS ARE NAVIGATED INCLUDE:O UNDERSTAND CANCER DIAGNOSIS O EXPLORE TREATMENT OPTIONSO ASSESS SUPPORTIVE CARE NEEDS O LOCATE FINANCIAL RESOURCESO PROVIDE SUPPORT AND ENCOURAGEMENT THROUGHOUT TREATMENTO SERVE AS A "GO TO" RESOURCE WHEN NEEDEDMOBILE NURSING NEST: IN 2022, TOURO PURCHASED AND OUTFITTED A LARGE CARGO VAN TO SERVE AS A MOBILE "NEST" IN WHICH NURSING MOTHERS CAN NURSE THEIR BABIES IN COMFORT AND PRIVACY. THE COST OF THE VAN AND OUTFITTING WAS $94,355. THIS VAN WAS USED IN FOUR (4) EVENTS IN 2022
PART VI, LINE 6:TOURO INFIRMARY IS PART OF LCMC HEALTH IS A NEW ORLEANS-BASED, NON-PROFIT HEALTH SYSTEM ON A MISSION TO PROVIDE THE BEST POSSIBLE CARE FOR EVERY PERSON AND PARISH IN LOUISIANA AND BEYOND, AND BRING A LITTLE MORE HEART AND SOUL TO HEALTH CARE ALONG THE WAY. ORIGINALLY FOUNDED BY LOUISIANA'S ONLY FREESTANDING CHILDREN'S HOSPITAL, THEY'VE GROWN INTO A HEALTHCARE SYSTEM THAT IS BUILT TO SERVE THE NEEDS OF OUR COMMUNITIES. TODAY, LCMC HEALTH OFFERS SIX HOSPITAL LOCATIONS. PLUS, THEY ALSO HAVE A SERIES OF PARTNERSHIPS THAT HELP PROVIDE THE MOST COMPREHENSIVE CARE, INCLUDING AGREEMENTS WITH CRESCENT CITY SURGICAL CENTRE, AN URGENT CARE PARTNERSHIP WITH PREMIER HEALTH, AND AN INVESTMENT IN A RETIREMENT AND REHAB COMMUNITY.IN TAX YEAR 2022, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,064 MILLION. THIS AMOUNT REPRESENTED 45% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2022, $762 MILLION IN EXPENSE (33% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2022, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $337.9 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC)
1100 POYDRAS STREET 2500 ENERGYCENTRENEW ORLEANSLA70163844985872501(C)(3)$1,223,988$0DURING THE YEAR ENDED DECEMBER 31, 2022, TOURO DONATED $1,223,988 TO LCMC NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.
LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
1100 POYDRAS STREET 2500 ENERGYCENTRENEW ORLEANSLA70163943480131501(C)(3)$969,151$0AMOUNTS PROVIDED WERE TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL, RESEARCH, AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THIS GRANT ALSO HELPED FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL.
UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
2000 CANAL STREETNEW ORLEANSLA70112251925187501(C)(3)$22,926,354$0DURING THE YEAR ENDED DECEMBER 31, 2022, TOURO DONATED $22,926,354 TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AS SUPPORT FOR THE HOSPITAL'S HEALTHCARE ACTIVITIES.
AMERICAN CANCER SOCIETY INC
3380 CHASTAIN MEADOWS PARKWAY NWSUITE 200KENNESAWGA30144131788491501(C)(3)$15,000$0SHUCK CANCER SPONSORSHIP OF $15,000
MARCH OF DIMES INC
1550 CRYSTAL DRIVE SUITE 1300ARLINGTONVA22202131846366501(C)(3)$15,000$0MARCH FOR BABIES SPONSORSHIP OF $15,000
JEWISH COMMUNITY CENTER
5342 ST CHARLES AVENUENEW ORLEANSLA70115720408937501(C)(3)$22,500$0DONATION OF $20,000 TO JCC'S LACTATION LOUNGE AND $2,500 FOR JCC'S CELEBRATION EVENT
AUDUBON NATURE INSTITUTE INC
6500 MAGAZINE STREETNEW ORLEANSLA70118510157624501(C)(3)$15,000$0DONATION OF $10,000 TO AUDUBON'S MOTHER'S DAY EVENT
THE LOUISIANA PHILHARMONIC ORCHESTRA
2533 COLUMBUS STREET SUITE 202NEW ORLEANSLA70119721189023501(C)(3)$15,000$0DONATION OF $15,000 TO LPO'S SWING IN THE OAKS EVENT
FRENCH QUARTER FESTIVAL INC
400 N PETERS STREET SUITE 205NEW ORLEANSLA70130721046163501(C)(3)$31,000$0FIRST AID STATIONS AT FRENCH QUARTER FEST AND SATCHMO FEST
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALLASTX75231135613797501(C)(3)$10,000$0DONATION OF $2,500 FO GO RED FOR WOMEN EVENT, $5,000 TO HEART BALL EVENT, AND $2,500 TO HEART WALK EVENT
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSINCE THIS GRANT WAS GIVEN TO RELATED PARTIES OF WHICH TOURO'S PARENT, LCMC IS ALSO THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREG FEIRN
SYSTEM PRESIDENT/CEO$0$2,035,199$0$393,303$0$11,415$0$12,200$0$21,604$0$2,473,721$0$0
ELLEN ZAKRIS MD
BOARD MEMBER$0$648,126$0$429,206$0$3,818$0$10,625$0$5,993$0$1,097,768$0$0
WILLIAM VON ALMEN MD
MEDICAL STAFF PRESIDENT$0$165,029$0$80,787$0$5,612$0$9,951$0$7,720$0$269,099$0$0
MANNY LINARES
PRESIDENT AND CEO$519,381$0$150,764$0$5,895$0$12,200$0$20,076$0$708,316$0$0$0
CHRISTOPHER LEGE
CHIEF MEDICAL OFFICER$474,302$0$78,454$0$3,615$0$12,200$0$10,024$0$578,595$0$0$0
BRADLEY SINCLAIR
CHIEF FINANCIAL OFFICER$319,426$0$70,768$0$3,517$0$12,200$0$10,064$0$415,975$0$0$0
STEPHEN M BALDWIN
CHIEF OPERATING OFFICER$294,417$0$64,483$0$2,508$0$12,200$0$12,442$0$386,050$0$0$0
PATRICIA ROSENBERG
CHIEF NURSING OFFICER$252,751$0$55,705$0$7,901$0$12,200$0$6,842$0$335,399$0$0$0
TAKEISHA DAVIS
NOEH - PRESIDENT/CEO$321,332$0$72,830$0$2,669$0$6,100$0$17,957$0$420,888$0$0$0
GRETCHEN PENTON
EXEC VP OF CCPI$271,117$0$50,874$0$11,365$0$12,200$0$13,688$0$359,244$0$0$0
CANDACE S ROBINSON
NOWH CHIEF MEDICAL OFFICER$262,599$0$50,905$0$1,809$0$12,200$0$19,775$0$347,288$0$0$0
TROY BOND
AVP HUMAN RESOURCES$214,626$0$41,946$0$5,645$0$10,564$0$16,238$0$289,019$0$0$0
GREGORY R BARKER
VICE PRESIDENT OPERATIONS$213,936$0$39,978$0$2,378$0$10,281$0$7,627$0$274,200$0$0$0
COURTNEY J MARBLEY
NOEH-CHIEF NURSING OFFICER$200,999$0$35,389$0$2,191$0$9,106$0$0$0$247,685$0$0$0
DANIELLE WILLIS
NOEH CFO$183,365$0$33,612$0$1,196$0$8,984$0$13,068$0$240,225$0$0$0
MYLENE UPSON
CONTROLLER$162,317$0$30,256$0$1,306$0$7,733$0$750$0$202,362$0$0$0
BRANDON NGUYEN
NOEH DIR PHARMACY$157,311$0$12,837$0$1,792$0$7,177$0$21,079$0$200,196$0$0$0
DONNA STEPHENS
VP QUALITY$132,846$0$62,050$0$71,887$0$10,219$0$713$0$277,715$0$0$0
FE MEDINA
NOEH RN STAFF NURSE$153,272$0$34,600$0$0$0$0$0$4,756$0$192,628$0$0$0
CRAIG EDRINGTON
CLINICAL SUPERVISOR$177,164$0$32,100$0$321$0$7,825$0$19,079$0$236,489$0$0$0
JOHN RICHERT
PHYSICIAN$203,283$0$0$0$1,112$0$8,218$0$6,684$0$219,297$0$0$0
TARA MONTGOMERY
DIRECTOR OF PHARMACY SERVICES$182,120$0$18,631$0$2,025$0$8,209$0$7,664$0$218,649$0$0$0
KIMBERLY BROWN
VP ANESTHESIA AND PAIN MED$259,308$0$52,100$0$394$0$12,200$0$12,498$0$336,500$0$0$0
SUZANNE HAGGARD
LCMC CHIEF REVENUE OFFICER (TOURO CF$0$529,071$0$194,050$0$14,517$0$12,200$0$11,758$0$761,596$0$0
TANYA KENNEDY
LCMC CIO (FORMER)$0$452,576$0$89,748$0$8,703$0$12,200$0$22,178$0$585,405$0$0
CHAD COURREGE
LCMC-SVP (TOURO VP -FORMER$0$400,256$0$80,121$0$11,895$0$12,200$0$26,121$0$530,593$0$0
JEFFREY BROWN
VP REHABILITATION$15,440$0$43,067$0$110,233$0$6,812$0$4,078$0$179,630$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR TOURO'S PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS TOURO'S PARENT. THE EXECUTIVE COMMITTEE IS A NINE VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE.
PART I, LINE 4ADURING 2022, DONNA STEPHENS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $67,644. JEFFREY BROWN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $109,556.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN720895871BondIssuerEIN
CUSIP546395M35CUSIPNum
Bond Issued2015-04-24BondIssuedDt
Issue Price$40,500,000IssuePriceAmt
PurposeCURRENT REFUNDING OF SERIES 1999 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$40,500,000TotalProceedsAmt
Issuance Costs From Proceeds$432,093IssuanceCostsFromProceedsAmt
Other Spent Proceeds$40,067,907OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2020ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonREUBEN CHRESTMAN MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionRADIOLOGIST AND FORMER BOARD MEMBERRelationshipDescriptionTxt
Transaction$1,204,187TransactionAmt
TransactionFINANCIAL SUBSIDY (1/7TH) FOR RADIOLOGIST SERVICES PAID TO REGIONAL RADIOLOGY LLC GROUP VIA CONTRACT WITH TOURO FOR HOSPITAL BASED SERVICES. THE AMOUNT REPORTED ON SCHEDULE L IS THE ENTIRE AMOUNT PAID TO REGIONAL RADIOLOGY LLC AND NOT SPECIFICALLY TO DR. CHRESTMAN.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF TOURO INFIRMARY.
FORM 990, PART VI, SECTION A, LINE 7ALOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) HAS THE SOLE AUTHORITY TO APPOINT THE BOARD OF TOURO INFIRMARY.
FORM 990, PART VI, SECTION A, LINE 7BLOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) RESERVED THE POWER TO APPROVE THE DECISIONS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO PREPARE ITS FORM 990. UPON COMPLETION THE FORM 990 WAS PRESENTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD FOR REVIEW VIA EMAIL LINK TO A SECURE DROPBOX.
FORM 990, PART VI, SECTION B, LINE 12CAT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEES' PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO THE APPROVAL OF THE LCMC EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GGENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,808,672. MANAGEMENT AND GENERAL EXPENSES 1,753,256. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,561,928. BUILDING & EQUIPMENT MAINTENANCE: PROGRAM SERVICE EXPENSES 6,380,839. MANAGEMENT AND GENERAL EXPENSES 873,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,254,251. CONTRACTED AS-NEEDED LABOR: PROGRAM SERVICE EXPENSES 9,607,094. MANAGEMENT AND GENERAL EXPENSES 636,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,243,196. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,400,695. MANAGEMENT AND GENERAL EXPENSES 1,013,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,413,705. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 16,376,545. MANAGEMENT AND GENERAL EXPENSES 2,241,628. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,618,173. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 56,511. MANAGEMENT AND GENERAL EXPENSES 7,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,246. TRANSFERS CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 576,585. MANAGEMENT AND GENERAL EXPENSES 78,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,508.
FORM 990, PART XI, LINE 9:BOOK/TAX DIFFERENCE ON INCOME FROM CCPI -3,769,766. BOOK/TAX DIFFERENCE ON INCOME FROM WOLDENBERG AND TOURO FOUNDATION -9,883,484. DIRECT NET ASSET ADJUSTMENT OF PENSION LIABILITIES 969,591. RESTRICTED NET ASSET INVESTMENT INCOME -17,592. NET ADJUSTMENT ADJUSTMENT OF FEMA GRANTS -328,344.
FORM 990, PART XII, LINE 2C:LCMC'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF ITS SUBSIDIARIES' (INCLUDING TOURO) FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS HAS NOT CHANGED FROM THE PREVIOUS YEAR. IN ADDITION TO THE LCMC FINANCE COMMITTEE, THE TOURO FINANCE COMMITTEE HAS BEEN DELEGATED TO ASSIST WITH MONITORING OF THE TOURO FINANCIAL STATEMENTS AND ITS SUBSIDIARIES TO INCLUDED CCPI, WOLDENBERG VILLAGE, AND THE TOURO FOUNDATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
TOURO INFIRMARY FOUNDATION
1401 FOUCHER STREETNEW ORLEANSLA70115721169939HEALTHCARE SUPPORTLA501(C)(3)LINE 12A, ITOURO INFIRMARYYes (1)
WOLDENBERG VILLAGE
3701 BEHRMAN PLACENEW ORLEANSLA70114720540671HEALTHCARE DELIVERYLA501(C)(3)LINE 10TOURO INFIRMARYYes (1)
LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
1100 POYDRAS STREET 2500 ENERGY CENNEW ORLEANSLA70119943480131HEALTHCARE DELIVERYLA501(C)(3)LINE 30
CHILDREN'S HOSPITAL
200 HENRY CLAY AVENUENEW ORLEANSLA70118720467503HEALTHCARE DELIVERYLA501(C)(3)LINE 3LCMC0
UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
2021 PERDIDO STNEW ORLEANSLA70112251925187HEALTHCARE DELIVERYLA501(C)(3)LINE 3LCMC0
LCMC HEALTH HOLDINGS DBA EJGH
200 HENRY CLAY AVENUENEW ORLEANSLA70118843390470FULL SERVICE COMMUNITY & TEACHING HOSPITALLA501(C)(3)LINE 3LCMC0
CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP
1100 POYDRAS STREET 2500 ENERGY CENNEW ORLEANSLA70163061587311ANESTHESIA SERVICESLA501(C)(3)LINE 10LCMC0
AUDUBON RETIREMENT VILLAGE INC
1100 POYDRAS STREET 2500 ENERGY CENNEW ORLEANSLA70163842278120HEALTHCARE DELIVERYLA501(C)(3)LINE 10LCMC0
NEW ORLEANS PHYSICIAN SERVICES INC
1101 MEDICAL CENTER BLVDMARREROLA70072464568405PHYSICIAN PRACTICESLA501(C)(3)LINE 3WEST JEFFERSON MEDICAL CENTER0
CHILDREN'S HOSPITAL MEDICAL PRACTICE
298 HENRY CLAY AVENUENEW ORLEANSLA70118721318421PEDIATRIC PRIMARY CARE PHYSICIAN SERVICELA501(C)(3)LINE 10CHIDLREN'S HOSPITAL0
METARIE PHYSICIAN SERVICES INC
1101 MEDICAL CENTER BLVDMELA70006461434300HEALTH SERVICESLA501(C)(3)LINE 10LCMC HEALTH HOLDINGS INC (DBA EJGH)0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
TIJV
1401 FOUCHER STNEW ORLEANSLA70115261378361IMAGING CENTER RENTALLATOURO INFIRMARYINVESTMENT$127,683$801,088000.79000
CRESCENT CITY RESEARCH CONSORTIUM LLC
1111 MEDICAL CENTER BLVD STE N701MARREROLA70072383880814SCIENTIFIC RESEARCHLA00N/A
COMMUNITY SERVICES COLLABORATIVE
1101 MEDICAL CENTER BLVDMARREROLA70072364819943MEDICAL COLLABORATIONLA00N/A
EAST JEFFERSON SURGERY CENTER LLC
4320 HOUMA BLVD 5TH FLOORMETAIRIELA70006201425074OUTPATIENT SURGERYLA00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CRESCENT CITY PHYSICIANS INC
3600 PRYTANIA STREET SUITE 72NEW ORLEANSLA70115721269878HEALTHCARELATOURO INFIRMARYC-$3,040,906$62,250,6991.00000Yes (1)
BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION
1401 FOUCHER STREETNEW ORLEANSLA70115721226687REAL ESTATELATOURO INFIRMARYC$216,7550.920000
PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION
650 POYDRAS STREET SUITE 1200NEW ORLEANSLA70130720866121REAL ESTATELATOURO INFIRMARYC$205,3320.800000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TOURO INFIRMARY FOUNDATION
C$38,231CASH RECEIVED
TOURO INFIRMARY FOUNDATION
R$982,688CASH RECEIVED
WOLDENBERG VILLAGE
R$2,773,317CASH RECEIVED
CRESCENT CITY PHYSICIANS INC
J$2,108,147FMV OF RENT
CRESCENT CITY PHYSICIANS INC
R$788,051CASH RECEIVED
TOURO INFIRMARY FOUNDATION
D$1,043,920LOAN BALANCE
CRESCENT CITY PHYSICIANS INC
D$79,898,243LOAN BALANCE
TIJV LLC
D$84,457LOAN BALANCE
TIJV LLC
S$138,572DISTRIBTION AMOUNT
WOLDENBERG VILLAGE
E$5,416,735LOAN BALANCE
TOURO INFIRMARY FOUNDATION
M$415,146EXPENSE INCURRED