TOURO INFIRMARY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TOURO INFIRMARY (EIN 72-0423659)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202233189349315228
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T15:48:42-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	721088864	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	LAPORTE APAC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 VETERANS MEMORIAL BLVD 600	AddressLine1Txt
City	METAIRIE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	700054958	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	720423659	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOURO INFIRMARY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TOUR	BusinessNameControlTxt
Phone	5048978344	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1Txt
City	NEW ORLEANS	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70115	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRAD SINCLAIR	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5048978568	PhoneNum
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BRAD	PersonFirstNm
Person Last	SINCLAIR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN S WILES CPA	PreparerPersonNm
PTIN	P01222673	PTIN
Phone	5048355522	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRAD SINCLAIR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1Txt
City	NEW ORLEANS	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70115	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$314,261,628	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TOURO.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1852	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HEALTHCARE SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2484	TotalEmployeeCnt
Total Volunteers	109	TotalVolunteersCnt
Total Gross UBI	$33,218	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,755,166	PYContributionsGrantsAmt
CY Contributions Grants	$11,324,095	CYContributionsGrantsAmt
PY Program Service Revenue	$257,508,636	PYProgramServiceRevenueAmt
CY Program Service Revenue	$281,090,192	CYProgramServiceRevenueAmt
PY Investment Income	$220,422	PYInvestmentIncomeAmt
CY Investment Income	$1,624,817	CYInvestmentIncomeAmt
PY Other Revenue	$10,903,971	PYOtherRevenueAmt
CY Other Revenue	$11,906,157	CYOtherRevenueAmt
PY Total Revenue	$303,388,195	PYTotalRevenueAmt
CY Total Revenue	$305,945,261	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,363,096	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,665,868	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$106,238,775	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,944,273	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,841,631	PYOtherExpensesAmt
CY Other Expenses	$183,097,354	CYOtherExpensesAmt
PY Total Expenses	$286,443,502	PYTotalExpensesAmt
CY Total Expenses	$308,707,495	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,944,693	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,762,234	CYRevenuesLessExpensesAmt
Total Assets BOY	$458,830,102	TotalAssetsBOYAmt
Total Assets EOY	$480,338,707	TotalAssetsEOYAmt
Total Liabilities BOY	$164,796,335	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$187,793,645	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$294,033,767	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$292,545,062	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TOURO 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$251,008,928	ExpenseAmt
Revenue	$287,783,510	RevenueAmt
Desc	THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH AND REHABILITATION SERVICES. THE HOSPITAL HAS 210 ADULT BEDS, 72 REHABILITATION BEDS, 22 ICU BEDS AND 48 OB BEDS FOR A TOTAL OF 352 LICENSED BEDS. THE HOSPITAL TREATED 11,249 INPATIENTS AND HAD 331,790 OUTPATIENT VISITS IN 2021. ALSO, IN 2021, TOURO HAD 7,909 SURGERIES (INPATIENT, OUTPATIENT AND AMBULATORY SURGERY CENTER), 27,855 EMERGENCY DEPARTMENT VISITS, AND 2,589 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 [CONT'D ON SCH. O] 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

Field	Value	IRS element (for citing)
Expense	$7,857,954	ExpenseAmt
Revenue	$1,089,710	RevenueAmt
Desc	TOURO INFIRMARY 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 745 STUDENTS, RESIDENTS AND FELLOWS IN 2021 IN THE SPECIALTIES OF ALLERGY, INTERNAL MEDICINE, EMERGENCY MEDICINE, 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. TOURO IS ALSO A CLINICAL TRAINING SITE FOR [CONT'D ON SCH O] 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), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). TOURO INFIRMARY CURRENTLY OFFERS TRAINING PROGRAMS TO STUDENTS IN RESPIRATORY, RADIOLOGY AND NURSING. IN 2021, TOURO INFIRMARY STAFF PROVIDED 9,898 HOURS OF SUPPORT TO THE 61 STUDENTS IN THESE PROGRAMS.IN 2021, TOURO REHABILITATION CENTER PROVIDED CLINICAL TRAINING TO PHYSICAL, OCCUPATIONAL, SPEECH THERAPY, REHAB COUNSELING 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), UNIVERSITY OF SOUTH ALABAMA (MOBILE, AL), UNIVERSITY OF TENNESSEE (KNOXVILLE TN), AND GRAMBLING STATE UNIVERSITY (GRAMBLING, LA). TOURO STAFF PROVIDED 8,680 HOURS OF SUPPORT TO 23 STUDENTS AND/OR TEACHING GROUPS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,335,450	ExpenseAmt
Desc	COMMUNITY 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 2021, TOURO INFIRMARY OFFERED OR PARTICIPATED IN 109 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 1,507 PEOPLE. THIS NUMBER AND LEVEL OF PARTICIPATION WAS SEVERELY DOWN IN 2021 DUE TO COVID-19 LIMITATIONS ON MEETINGS/GATHERINGS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$8,671,035	ExpenseAmt
Grant	$7,665,868	GrantAmt
Desc	DURING THE YEAR ENDED DECEMBER 31, 2021 TOURO PROVIDED $907,946 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 2021 TOURO DONATED $728,566 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS HOSPITAL'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS.IN 2021, TOURO DONATED $398,962 TO NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO 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 2021, TOURO DONATED $5,570,394 TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AS SUPPORT FOR THE HOSPITAL'S HEALTHCARE ACTIVITIES.OTHER COMMUNITY OUTREACH EXPENDITURES INCLUDED: CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $71,250 FOR SPONSORSHIPS. TOURO ALSO PROVIDES MEETING SPACE FREE OF CHARGE TO LOCAL NON-PROFITS AND OTHER ORGANIZATIONS FOR THE BENEFIT OF THE COMMUNITY. IN 2021, TOURO PROVIDED MEETING SPACE FOR 161 MEETINGS VALUED AT $65,750.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$8,671,035	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$7,665,868	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$269,873,367	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	218	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2484	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5048978344	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1Txt
City	NEW ORLEANS	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70115	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GREG FEIRN
SYSTEM PRESIDENT/CEO	1.00	54.00	Yes (X)	$0	$2,522,120	$34,515
ELLEN ZAKRIS MD
BOARD MEMBER	1.00	40.00	Yes (X)	$0	$1,111,685	$22,028
WILLIAM VON ALMEN MD
MEDICAL STAFF PRESIDENT	1.00	40.00	Yes (X)	$0	$250,641	$15,550
KNIGHT WORLEY MD
CHAIR	1.00		Yes (X)	$0	$0	$0
JILL ISRAEL
VICE CHAIR	1.00		Yes (X)	$0	$0	$0
HUGH LONG MBA PHD JD
SECRETARY/TREASURER	1.00		Yes (X)	$0	$0	$0
JOY BRAUN
IMMEDIATE PAST CHAIR	1.00		Yes (X)	$0	$0	$0
KIM BOYLE
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
MARA FORCE
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
STEVEN YELLIN MD
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
EDGAR DOOKY CHASE III
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
ANDREW JACOBS
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
MARCY NATHAN
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
KATHY LICHTENBERG
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
KATIE CROSBY
BOARD MEMBER	1.00		Yes (X)	$0	$0	$0
MANNY LINARES
PRESIDENT AND CEO	54.00	7.00	Yes (X)	$680,595	$0	$30,237	Yes (X)
CHRISTOPHER LEGE
CHIEF MEDICAL OFFICER	40.00			$556,917	$0	$17,778	Yes (X)
BRADLEY SINCLAIR
CHIEF FINANCIAL OFFICER	40.00			$404,548	$0	$16,029	Yes (X)
STEPHEN M BALDWIN
CHIEF OPERATING OFFICER	40.00			$366,728	$0	$23,133	Yes (X)
PATRICIA ROSENBERG
CHIEF NURSING OFFICER	40.00			$321,191	$0	$17,943	Yes (X)
CANDACE S ROBINSON
NOWH CHIEF MEDICAL OFFICER	40.00			$352,367	$0	$11,600		Yes (X)
GRETCHEN PENTON
EXEC VP OF CCPI	40.00			$337,481	$0	$23,276		Yes (X)
TROY BOND
AVP HUMAN RESOURCES	40.00			$276,342	$0	$29,533		Yes (X)
JEFFREY BROWN
VP REHABILITATION	40.00			$287,303	$0	$18,472		Yes (X)
GREGORY R BARKER
VICE PRESIDENT OPERATIONS	40.00			$264,026	$0	$17,526		Yes (X)
DONNA STEPHENS
VP QUALITY	40.00			$249,787	$0	$10,615		Yes (X)
COURTNEY J MARBLEY
NOEH-CHIEF NURSING OFFICER	40.00			$243,095	$0	$9,640		Yes (X)
DANIELLE WILLIS
NOEH CFO	40.00			$218,662	$0	$31,523		Yes (X)
BRANDON NGUYEN
NOEH DIR PHARMACY	40.00			$172,270	$0	$26,331		Yes (X)
MYLENE UPSON
CONTROLLER	40.00			$171,159	$0	$7,837		Yes (X)
TAKEISHA DAVIS
NOEH - PRESIDENT/CEO	40.00			$393,580	$0	$24,138		Yes (X)
KIMBERLY BROWN
VP ANESTHESIA AND PAIN MEDICINE	1.00	40.00		$299,212	$0	$29,937			Yes (X)
FE MEDINA
NOEH RN STAFF NURSE	40.00			$302,568	$0	$276			Yes (X)
KATHY HEBERT
PHYSICIAN	1.00	40.00		$271,650	$0	$24,686			Yes (X)
MONICA GANGE
RN	50.00			$258,843	$0	$28,978			Yes (X)
DIONA BETHUNE
RN	40.00			$251,940	$0	$16,305			Yes (X)
SUZANNE HAGGARD
LCMC CFO (TOURO CFO-FORMER	0.00	55.00		$0	$771,855	$23,472				Yes (X)
TANYA KENNEDY
LCMC CIO (FORMER)	0.00	55.00		$0	$551,928	$32,843				Yes (X)
CHAD COURREGE
LCMC-SVP (TOURO VP -FORMER	0.00	55.00		$0	$496,142	$36,003				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,680,264	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,704,371	TotReportableCompRltdOrgAmt
Total Other Compensation	$580,204	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MORRIS & DICKSON
410 KAY LN	SHREVEPORT	LA	71115	EQUIPMENT MAINTENANCE	$18,244,204
CARDINAL HEALTH 108 INC
1405 JEFFERSON HWY	NEW ORLEANS	LA	70121	HELATH AND DRUG SERVICES	$8,761,552
MEDLINE INDUSTRIES INC
149 NEW CAMELLIA BLVD	COVINGTON	LA	70433	OTHER RNI SERVICES	$8,463,955
ARAMARK
25271 NETWORK PL	CHICAGO	IL	60673	FOOD,HKPG&EQUIP MAINT	$7,862,279
LSUHSC - NEW ORLEANS
433 BOLIVAR STREET RM 619	NEW ORLEANS	LA	70112	RESIDENCY AFFILIATION	$6,185,527

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	170	CntrctRcvdGreaterThan100KCnt
Related Organizations	$480,195	RelatedOrganizationsAmt
Government Grants	$10,775,400	GovernmentGrantsAmt
All Other Contributions	$68,500	AllOtherContributionsAmt
Total Contributions	$11,324,095	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE	621400	$280,803,926	$280,803,926
NON-PATIENT SERVICE	621400	$286,266	$286,266

Field	Value	IRS element (for citing)
Total Program Service Revenue	$281,090,192	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$955,149	TotalRevenueColumnAmt
Exclusion	$955,149	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,520,160	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,520,160	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,520,160	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,619,896	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,900,264	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,986,035	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,316,367	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$669,668	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$669,668	TotalRevenueColumnAmt
Exclusion	$669,668	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
340B OP DRUG PROGRAM	621400	$4,230,336	$4,230,336
CAFETERIA/CATERING	621400	$1,086,582		$1,086,582
PARKING	812930	$1,039,729		$1,039,729

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,029,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$932,796	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$33,218	UnrelatedBusinessRevenueAmt
Exclusion	$63,336	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,385,997	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$305,945,261	TotalRevenueColumnAmt
Related Or Exempt Func Income	$288,873,220	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$33,218	UnrelatedBusinessRevenueAmt
Exclusion	$5,714,728	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,665,868	TotalAmt
Program Services	$7,665,868	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,191,948	TotalAmt
Program Services	$93,970,028	ProgramServicesAmt
Management And General	$6,221,920	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,535,609	TotalAmt
Program Services	$2,378,148	ProgramServicesAmt
Management And General	$157,461	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,663,136	TotalAmt
Program Services	$8,125,155	ProgramServicesAmt
Management And General	$537,981	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,553,580	TotalAmt
Program Services	$6,146,603	ProgramServicesAmt
Management And General	$406,977	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$23,673,188	TotalAmt
Program Services	$628,212	ProgramServicesAmt
Management And General	$23,044,976	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$246,482	TotalAmt
Program Services	$216,806	ProgramServicesAmt
Management And General	$29,676	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$163,826	TotalAmt
Management And General	$163,826	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$51,732,394	TotalAmt
Program Services	$45,754,360	ProgramServicesAmt
Management And General	$5,978,034	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$977,452	TotalAmt
Program Services	$859,767	ProgramServicesAmt
Management And General	$117,685	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,640,897	TotalAmt
Program Services	$2,555,364	ProgramServicesAmt
Management And General	$85,533	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$654,523	TotalAmt
Program Services	$577,089	ProgramServicesAmt
Management And General	$77,434	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,081,131	TotalAmt
Program Services	$5,502,458	ProgramServicesAmt
Management And General	$578,673	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,779	TotalAmt
Program Services	$22,675	ProgramServicesAmt
Management And General	$3,104	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$23,276	TotalAmt
Program Services	$20,474	ProgramServicesAmt
Management And General	$2,802	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$339,013	TotalAmt
Management And General	$339,013	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,424,639	TotalAmt
Program Services	$19,424,639	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,788,412	TotalAmt
Program Services	$1,788,412	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$62,224,647	$62,162,422	$62,225
TAXES & LICENSES	$6,154,005	$5,413,063	$740,942
SUPPLIES AND OTHER	$3,757,770	$3,602,142	$155,628
DUE & SUBSCRIPTIONS	$2,901,404	$2,884,286	$17,118

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$288,516	TotalAmt
Program Services	$175,396	ProgramServicesAmt
Management And General	$113,120	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$308,707,495	TotalAmt
Program Services	$269,873,367	ProgramServicesAmt
Management And General	$38,834,128	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$65,602,802	BOYAmt
EOY	$35,918,594	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,492,869	BOYAmt
EOY	$106,306,253	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$72,091,587	BOYAmt
EOY	$105,492,900	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$495,119	BOYAmt
EOY	$1,164,667	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$537,902,883	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$432,519,761	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$109,433,017	BOYAmt
EOY	$105,383,122	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,739,196	BOYAmt
EOY	$25,497,159	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,411,000	BOYAmt
EOY	$1,411,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$82,564,512	BOYAmt
EOY	$99,165,012	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$458,830,102	BOYAmt
EOY	$480,338,707	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,711,844	BOYAmt
EOY	$60,178,379	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$106,242	BOYAmt
EOY	$37,840,236	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,490,254	BOYAmt
EOY	$41,658,111	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,487,995	BOYAmt
EOY	$48,116,919	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,796,335	BOYAmt
EOY	$187,793,645	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$292,607,882	BOYAmt
EOY	$291,175,151	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,425,885	BOYAmt
EOY	$1,369,911	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$294,033,767	BOYAmt
EOY	$292,545,062	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$458,830,102	BOYAmt
EOY	$480,338,707	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,762,234	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$361,379	NetUnrlzdGainsLossesInvstAmt
Investment Expense	-$26,778	InvestmentExpenseAmt
Other Changes In Net Assets	$938,928	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$13,867	OtherActivitiesAmt
Total Lobbying Expenditures	$13,867	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	TOURO INFIRMARY PAID A PORTION OF DUES TO LOUISIANA HOSPITAL ASSOCIATION THAT WERE DEEMED TO BE FOR LOBBYING OR RELATED ACTIVITIES TOTALING $13,867 (16% OF DUES).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,656,436	BeginningYearBalanceAmt
Contributions	$61,841	ContributionsAmt
Other Expenditures	$2,000,000	OtherExpendituresAmt
End Year Balance	$5,718,277	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,651,280	BeginningYearBalanceAmt
Contributions	$5,156	ContributionsAmt
End Year Balance	$7,656,436	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$211,907,437	OtherCostOrOtherBasisAmt
Depreciation	$157,589,879	DepreciationAmt
Book Value	$54,317,558	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$306,746,013	OtherCostOrOtherBasisAmt
Depreciation	$273,037,031	DepreciationAmt
Book Value	$33,708,982	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,011,137	OtherCostOrOtherBasisAmt
Depreciation	$1,892,851	DepreciationAmt
Book Value	$5,118,286	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$105,383,122	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDesc	Book ValueBookValueAmt
LPFA DEBT SERVICE	$936,670
DEPOSITS	$210,103
MEDICAL SUPPLIES	$6,561,814
INVESTMENT IN TIJV	$57,241
INVESTMENT IN WOLDENBERG VILLAGE	$19,795,000
INVESTMENT IN TOURO FOUNDATION	$56,274,000
2015-99 BOND DSF	$1,605
RIGHT OF USE - LEASED ASSETS	$3,780,625
REAL ESTATE INVESTMENT PROJECT	$5,954
LANDS OF TOURO	$73
HEALTH CARE CASUALTY	$263,333
OTHER ASSETS - BOND FEES	$27,850
ENERGY ASSET DEPOSITS	$11,250,744

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$99,165,012	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
WOLDENBERG VILLAGE - A/R	$8,207,171
INVESTMENT IN CCPI	$19,823,383
PENSION LIABILITIES	$6,355,803
ACCRUES PAYROLL TAXES	$143,002
PROFESSIONAL LIABILITY	$7,872,774
WORKER'S COMP CLAIMS LIABILITY	$3,023,490
340B LIABILITY	$402,199
UTILITY DEPOSITS	$11,125
SWAP OBLIGATION	-$71,927
LEASED ASSET LIABILITIES - LT	$2,349,899

Field	Value	IRS element (for citing)
Total Liability	$48,116,919	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,242,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$276,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$965,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,879,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,334,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,121,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,610,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$965,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$149,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,664,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,883,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,781,458	NetCommunityBenefitExpnsAmt
Total Expense	0.03170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,834,922	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,834,922	NetCommunityBenefitExpnsAmt
Total Expense	0.02210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,649,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,883,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,766,174	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,770,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,494,053	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,731,839	NetCommunityBenefitExpnsAmt
Total Expense	0.05740	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,193,649	BadDebtExpenseAmt
Reimbursed By Medicare	$40,732,955	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,105,952	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,372,997	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 TIJV LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	IMAGING CENTER RENTAL	PrimaryActivitiesTxt
Org Profit Or Ownership	0.73000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.27000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOURO INFIRMARY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1Txt
City	NEW ORLEANS	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70115	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TOURO INFIRMARY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.TOURO.COM/ABOUT-TOURO/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.TOURO.COM/ABOUT-TOURO/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TOURO INFIRMARY	PART 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 HEALTH
TOURO INFIRMARY	PART 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 INFIRMARY	PART 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 INCORPORATE 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 PLANTS 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 INFIRMARY	PART 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 INFIRMARY	PART 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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - WOLDENBERG VILLAGE INC
3701 BEHRMAN PLACE	NEW ORLEANS	LA	70114	ASSISTED LIVING COMMUNITY & SKILLED NURSING FACILITY
2 - CRESCENT CITY PHYSICIANS INC
3600 PRYTANIA ST STE72	NEW ORLEANS	LA	70115	PHYSICIAN MEDICAL PRACTICES

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2021, TOURO RECEIVED UPL PAYMENTS OF APPROXIMATELY $37.2 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 2021 TO TOURO.IN ADDITION, EFFECTIVE WITH 2021, 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 $5.71 MILLION OF MANAGED CARE INCENTIVE PAYMENTS (MCIP) IN IT'S MEDICAID NET PATIENT SERVICE REVENUES FOR 2021 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 A 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 2021, TOURO INFIRMARY OFFERED OR PARTICIPATED IN 109 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 1,507 PEOPLE. THIS NUMBER AND LEVEL OF PARTICIPATION WAS SEVERELY DOWN IN 2021 DUE TO COVID-19 LIMITATIONS. 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.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 THE NEW ORLEANS SHERRIFF'S OFFICE HEALTH FAIR. 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, SUSAN G. KOMEN, MARCH OF DIMES, AND THE AMERICAN DIABETES ASSOCIATION. 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.EMPLOYEE HEALTH PROGRAMS: TOURO PARTICIPATES IN LOCAL EMPLOYER HEALTH FAIRS AND PROVIDES HEALTH INFORMATION, FREE SCREENINGS AND PHYSICIAN CONSULTATIONS. EXAMPLES OF EMPLOYER HEALTH EVENTS INCLUDE: PORT OF NEW ORLEANS, PROGRESSIVE, MARRIOTT EMPLOYER HEALTH FAIR, AND XAVIER UNIVERSITY OF LOUISIANA.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 A QUARTERLY EDUCATIONAL HEALTH SEMINAR OR SCREENING CUSTOMIZED TO MEET THE INFORMATION NEEDS OF THIS POPULATION. TOPICS HAVE INCLUDED: HEART HEALTH, HEALTHY EATING AND FITNESS, DIABETES PREVENTION, SENIOR WELLNESS AND MORE.THROUGHOUT 2021, 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.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: UNDERSTAND CANCER DIAGNOSIS EXPLORE TREATMENT OPTIONS ASSESS SUPPORTIVE CARE NEEDS LOCATE FINANCIAL RESOURCES PROVIDE SUPPORT AND ENCOURAGEMENT THROUGHOUT TREATMENT SERVE AS A "GO TO" RESOURCE WHEN NEEDEDPARKINSON'S DISEASE SUPPORT GROUP: TOURO'S OUTPATIENT REHABILITATION CENTER OFFERS A MONTHLY SUPPORT GROUP FOR THOSE LIVING WITH PARKINSON'S DISEASE AND THEIR CAREGIVERS. THE TOPICS CHANGE MONTHLY AND FEATURE A VARIETY OF GUEST SPEAKERS TO PROVIDE MEANINGFUL EDUCATION AND SUPPORT TO THOSE LIVING WITH THE DISEASE.
PART VI, LINE 6:	PART VI LINE 6 THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.TOURO INFIRMARY HAS THE FOLLOWING WHOLLY OWNED SUBSIDIARIES:- CRESCENT CITY PHYSICIANS, INC. OPERATES PHYSICIAN MEDICAL PRACTICES.TOURO INFIRMARY IS THE SOLE MEMBER OF THE FOLLOWING NOT-FOR-PROFIT ENTITIES:- TOURO INFIRMARY FOUNDATION PERFORMS THE FUND-RAISING FUNCTION FOR THE HOSPITAL. - WOLDENBERG VILLAGE, INC. OPERATES A 120-BED NURSING HOME, A 60-UNIT ASSISTED LIVING FACILITY, AND A 60-UNIT INDEPENDENT LIVING FACILITY.TOURO INFIRMARY AND WOLDENBERG VILLAGE OWN A 73% INTEREST IN TIJV, LLC (AS OF 12/31/2021), WHICH IS A REAL ESTATE JOINT VENTURE. TOURO INFIRMARY LEASES A BUILDING FROM TIJV, LLC IN WHICH IT OPERATES AN OFF-CAMPUS DIAGNOSTIC IMAGING CENTER.TOURO INFIRMARY IS A SUBSIDIARY OF LOUISIANA CHILDREN'S MEDICAL CENTER, WHICH IS ALSO THE PARENT ORGANIZATION FOR CHILDREN'S HOSPITAL AND WEST JEFFERSON MEDICAL CENTER AND THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION.IN TAX YEAR 2020, LCMC HEALTH HOLDINGS PURCHASED THE ASSETS OF EAST JEFFERSON GENERAL HOSPITAL AND BEGAN HOSPITAL OPERATIONS ON OCTOBER 1, 2020. LCMC HEALTH HOLDINGS, D/B/A EAST JEFFERSON GENERAL HOSPITAL SERVES THE EAST BANK OF JEFFERSON PARISH AND SURROUNDING COMMUNITIES.LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009, WITH ITS FOUNDING MEMBER BEING CHILDREN'S HOSPITAL (CHILDREN'S). THROUGH A HEALTH CARE SYSTEM AGREEMENT (SYSTEM AGREEMENT) BETWEEN LCMC, CHILDREN'S, TOURO INFIRMARY AND ITS SUBSIDIARIES (TOURO), AND COOPERATIVE ENDEAVOR AGREEMENTS (CEAS) WITH UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION (UMCMC), WEST JEFFERSON HOLDING, LLC (WEST JEFFERSON), AND EAST JEFFERSON GENERAL HOSPITAL, THESE PARTIES HAVE DETERMINED THAT TOGETHER THEY CAN PROVIDE A MULTI-HOSPITAL, NOT-FOR-PROFIT COMMUNITY-BASED, SYSTEM THAT WILL PROVIDE A CONTINUUM OF CARE TO THE FAMILIES OF THE GULF SOUTH REGION. LCMC, CHILDREN'S, TOURO, UMCMC, WEST JEFFERSON, AND EAST JEFFERSON ARE HEREINAFTER COLLECTIVELY REFERRED TO AS THE SYSTEM. LCMC FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES. ALL CORPORATE POWERS OF THE SYSTEM ARE VESTED IN THE BOARD OF TRUSTEES OF LCMC.CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY. UMCMC OPERATES UNIVERSITY MEDICAL CENTER IN NEW ORLEANS (UMC). UMCMC IS A PROVIDER OF CHARITY CARE FOR THE UNINSURED AND PLAYS A VITAL ROLE AS A STATEWIDE REFERRAL CENTER FOR PATIENTS IN NEED OF TERTIARY CARE. UMCMC ALSO PROVIDES MEDICAL AND ALLIED HEALTH TRAINING THROUGH ITS AFFILIATION WITH ACADEMIC INSTITUTIONS TO STRENGTHEN AND ENHANCE OPPORTUNITIES TO ACHIEVE THE STATE'S MEDICAL EDUCATION, CLINICAL CARE AND RESEARCH GOALS. LHAC WAS FORMED TO BECOME THE PRIMARY PROVIDER OF ANESTHESIA SERVICES TO HOSPITALS WITHIN THE SYSTEM. EJGH EXPANDED THE SYSTEM'S FOOTPRINT TO PROVIDE SERVIES TO THE EASTERN AREA OF JEFFERSON PARISH.IN TAX YEAR 2021, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $969.4 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 2021, $677.9 MILLION IN EXPENSE (31% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
LCMC HEALTH CLINICAL SERVICES DBA NOLA PHYSICIAN GROUP
1100 POYDRAS STREET 2500 ENERGY	CENTRE	NEW ORLEANS	LA	70163	823686098	501(C)(3)	$728,566	$0	DURING THE YEAR ENDED DECEMBER 31, 2021, TOURO DONATED $728,566 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.
NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC)
1100 POYDRAS STREET 2500 ENERGY	CENTRE	NEW ORLEANS	LA	70163	844985872	501(C)(3)	$398,962	$0	DURING THE YEAR ENDED DECEMBER 31, 2021, TOURO DONATED $398,962 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 ENERGY	CENTRE	NEW ORLEANS	LA	70163	943480131	501(C)(3)	$907,946	$0	AMOUNTS 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 STREET		NEW ORLEANS	LA	70112	251925187	501(C)(3)	$5,570,394	$0	DURING THE YEAR ENDED DECEMBER 31, 2021, TOURO DONATED $5,570,394 TO UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION AS SUPPORT FOR THE HOSPITAL'S HEALTHCARE ACTIVITIES.
BAYOU DISTRICT FOUNDATION
320 JULIA STREET		NEW ORLEANS	LA	70130	260833850	501(C)(3)	$60,000	$0	DURING THE YEAR ENDED DECEMBER 31, 2021, TOURO DONATED $60,000 TO BAYOU DISTRICT FOUNDATION TO OFFER SUPPORT FOR HOME HEALTH VISITS.

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	SINCE 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

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREG FEIRN
SYSTEM PRESIDENT/CEO	$0	$1,927,035	$0	$583,661	$0	$11,424	$0	$11,600	$0	$22,915	$0	$2,556,635	$0	$0
ELLEN ZAKRIS MD
BOARD MEMBER	$0	$798,452	$0	$312,147	$0	$1,086	$0	$11,600	$0	$10,428	$0	$1,133,713	$0	$0
WILLIAM VON ALMEN MD
MEDICAL STAFF PRESIDENT	$0	$243,260	$0	$6,603	$0	$778	$0	$9,757	$0	$5,793	$0	$266,191	$0	$0
MANNY LINARES
PRESIDENT AND CEO	$492,436	$0	$182,255	$0	$5,904	$0	$11,600	$0	$18,637	$0	$710,832	$0	$0	$0
CHRISTOPHER LEGE
CHIEF MEDICAL OFFICER	$443,046	$0	$110,375	$0	$3,496	$0	$11,600	$0	$6,178	$0	$574,695	$0	$0	$0
BRADLEY SINCLAIR
CHIEF FINANCIAL OFFICER	$310,276	$0	$91,669	$0	$2,603	$0	$9,851	$0	$6,178	$0	$420,577	$0	$0	$0
STEPHEN M BALDWIN
CHIEF OPERATING OFFICER	$280,828	$0	$83,497	$0	$2,403	$0	$11,600	$0	$11,533	$0	$389,861	$0	$0	$0
PATRICIA ROSENBERG
CHIEF NURSING OFFICER	$244,219	$0	$69,350	$0	$7,622	$0	$11,600	$0	$6,343	$0	$339,134	$0	$0	$0
CANDACE S ROBINSON
NOWH CHIEF MEDICAL OFFICER	$277,228	$0	$73,437	$0	$1,702	$0	$11,600	$0	$0	$0	$363,967	$0	$0	$0
GRETCHEN PENTON
EXEC VP OF CCPI	$264,675	$0	$65,876	$0	$6,930	$0	$10,586	$0	$12,690	$0	$360,757	$0	$0	$0
TROY BOND
AVP HUMAN RESOURCES	$216,472	$0	$56,013	$0	$3,857	$0	$11,308	$0	$18,225	$0	$305,875	$0	$0	$0
JEFFREY BROWN
VP REHABILITATION	$225,665	$0	$55,832	$0	$5,806	$0	$11,379	$0	$7,093	$0	$305,775	$0	$0	$0
GREGORY R BARKER
VICE PRESIDENT OPERATIONS	$209,412	$0	$52,284	$0	$2,330	$0	$10,581	$0	$6,945	$0	$281,552	$0	$0	$0
DONNA STEPHENS
VP QUALITY	$195,431	$0	$47,874	$0	$6,482	$0	$9,766	$0	$849	$0	$260,402	$0	$0	$0
COURTNEY J MARBLEY
NOEH-CHIEF NURSING OFFICER	$192,726	$0	$48,267	$0	$2,102	$0	$9,640	$0	$0	$0	$252,735	$0	$0	$0
DANIELLE WILLIS
NOEH CFO	$171,927	$0	$45,646	$0	$1,089	$0	$9,148	$0	$22,375	$0	$250,185	$0	$0	$0
BRANDON NGUYEN
NOEH DIR PHARMACY	$150,796	$0	$19,785	$0	$1,689	$0	$7,157	$0	$19,174	$0	$198,601	$0	$0	$0
MYLENE UPSON
CONTROLLER	$150,869	$0	$19,060	$0	$1,230	$0	$6,837	$0	$1,000	$0	$178,996	$0	$0	$0
TAKEISHA DAVIS
NOEH - PRESIDENT/CEO	$299,308	$0	$91,669	$0	$2,603	$0	$5,800	$0	$18,338	$0	$417,718	$0	$0	$0
KIMBERLY BROWN
VP ANESTHESIA AND PAIN MEDICINE	$259,731	$0	$39,100	$0	$381	$0	$11,600	$0	$18,337	$0	$329,149	$0	$0	$0
FE MEDINA
NOEH RN STAFF NURSE	$302,568	$0	$0	$0	$0	$0	$276	$0	$0	$0	$302,844	$0	$0	$0
KATHY HEBERT
PHYSICIAN	$223,069	$0	$48,025	$0	$556	$0	$11,096	$0	$13,590	$0	$296,336	$0	$0	$0
MONICA GANGE
RN	$235,396	$0	$23,119	$0	$328	$0	$10,641	$0	$18,337	$0	$287,821	$0	$0	$0
DIONA BETHUNE
RN	$196,788	$0	$54,779	$0	$373	$0	$10,127	$0	$6,178	$0	$268,245	$0	$0	$0
SUZANNE HAGGARD
LCMC CFO (TOURO CFO-FORMER	$0	$517,949	$0	$239,380	$0	$14,526	$0	$11,600	$0	$11,872	$0	$795,327	$0	$0
TANYA KENNEDY
LCMC CIO (FORMER)	$0	$434,143	$0	$109,073	$0	$8,712	$0	$11,600	$0	$21,243	$0	$584,771	$0	$0
CHAD COURREGE
LCMC-SVP (TOURO VP -FORMER	$0	$387,694	$0	$98,824	$0	$9,624	$0	$11,600	$0	$24,403	$0	$532,145	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	BASE 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	720895871	BondIssuerEIN
CUSIP	546395M35	CUSIPNum
Bond Issued	2015-04-24	BondIssuedDt
Issue Price	$40,500,000	IssuePriceAmt
Purpose	CURRENT REFUNDING OF SERIES 1999 BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$40,500,000	TotalProceedsAmt
Issuance Costs From Proceeds	$432,093	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$40,067,907	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2020	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	REUBEN CHRESTMAN MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	RADIOLOGIST AND FORMER BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$1,262,903	TransactionAmt
Transaction	FINANCIAL 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 Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	LOUISIANA 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 7A	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) HAS THE SOLE AUTHORITY TO APPOINT THE BOARD OF TOURO INFIRMARY.
FORM 990, PART VI, SECTION A, LINE 7B	LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) RESERVED THE POWER TO APPROVE THE DECISIONS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	AT 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 15	THE 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 19	ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 11,373,938. MANAGEMENT AND GENERAL EXPENSES 1,556,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,930,807. BUILDING & EQUIPMENT MAINTENANCE: PROGRAM SERVICE EXPENSES 6,580,728. MANAGEMENT AND GENERAL EXPENSES 900,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,481,501. CONTRACTED AS-NEEDED LABOR: PROGRAM SERVICE EXPENSES 4,029,448. MANAGEMENT AND GENERAL EXPENSES 266,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,296,245. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,915,058. MANAGEMENT AND GENERAL EXPENSES 946,536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,861,594. OTHER CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 15,803,458. MANAGEMENT AND GENERAL EXPENSES 2,163,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,966,642. OUTSIDE PATIENT SERVICES: PROGRAM SERVICE EXPENSES 30,862. MANAGEMENT AND GENERAL EXPENSES 4,224. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,086. TRANSFERS CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,020,230. MANAGEMENT AND GENERAL EXPENSES 139,650. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,159,880. CATERING: PROGRAM SERVICE EXPENSES 638. MANAGEMENT AND GENERAL EXPENSES 1. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 639.
FORM 990, PART XI, LINE 9:	BOOK/TAX DIFFERENCE ON INCOME FROM WOLDENBERG AND TOURO FOUNDATION 3,836,000. BOOK/TAX DIFFERENCE ON INCOME FROM CCPI -6,413,058. CHANGE IN RESTRICTED NET ASSETS -55,975. DIRECT NET ASSET ADJUSTMENT OF PENSION LIABILITIES 1,817,258. BOOK/TAX DIFFERENCE ON RENTAL INCOME FROM SUBSIDIARY 1,754,703.
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/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TOURO INFIRMARY FOUNDATION
1401 FOUCHER STREET	NEW ORLEANS	LA	70115	721169939	HEALTHCARE SUPPORT	LA	501(C)(3)	LINE 12A, I	TOURO INFIRMARY	Yes (1)
WOLDENBERG VILLAGE
3701 BEHRMAN PLACE	NEW ORLEANS	LA	70114	720540671	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	TOURO INFIRMARY	Yes (1)
LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
1100 POYDRAS STREET 2500 ENERGY CEN	NEW ORLEANS	LA	70119	943480131	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3		0
CHILDREN'S HOSPITAL
200 HENRY CLAY AVENUE	NEW ORLEANS	LA	70118	720467503	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3	LCMC	0
UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
2021 PERDIDO ST	NEW ORLEANS	LA	70112	251925187	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3	LCMC	0
LCMC HEALTH HOLDINGS DBA EJGH
200 HENRY CLAY AVENUE	NEW ORLEANS	LA	70118	843390470	FULL SERVICE COMMUNITY & TEACHING HOSPITAL	LA	501(C)(3)	LINE 3	LCMC	0
CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP
1100 POYDRAS STREET 2500 ENERGY CEN	NEW ORLEANS	LA	70163	061587311	ANESTHESIA SERVICES	LA	501(C)(3)	LINE 10	LCMC	0
AUDUBON RETIREMENT VILLAGE INC
1100 POYDRAS STREET 2500 ENERGY CEN	NEW ORLEANS	LA	70163	842278120	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	LCMC	0
NEW ORLEANS PHYSICIAN SERVICES INC
1101 MEDICAL CENTER BLVD	MARRERO	LA	70072	464568405	PHYSICIAN PRACTICES	LA	501(C)(3)	LINE 3	WEST JEFFERSON MEDICAL CENTER	0
CHILDREN'S HOSPITAL MEDICAL PRACTICE
298 HENRY CLAY AVENUE	NEW ORLEANS	LA	70118	721318421	PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE	LA	501(C)(3)	LINE 10	CHIDLREN'S HOSPITAL	0
METARIE PHYSICIAN SERVICES INC
1101 MEDICAL CENTER BLVD	ME	LA	70006	461434300	HEALTH SERVICES	LA	501(C)(3)	LINE 10	LCMC HEALTH HOLDINGS INC (DBA EJGH)	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
TIJV
1401 FOUCHER ST	NEW ORLEANS	LA	70115	261378361	IMAGING CENTER RENTAL	LA	TOURO INFIRMARY	RELATED	$108,403	$808,676	0	0	0.76000
CRESCENT CITY RESEARCH CONSORTIUM LLC
1111 MEDICAL CENTER BLVD STE N701	MARRERO	LA	70072	383880814	SCIENTIFIC RESEARCH	LA					0	0		N/A
COMMUNITY SERVICES COLLABORATIVE
1101 MEDICAL CENTER BLVD	MARRERO	LA	70072	364819943	MEDICAL COLLABORATION	LA					0	0		N/A
EAST JEFFERSON SURGERY CENTER LLC
4320 HOUMA BLVD 5TH FLOOR	METAIRIE	LA	70006	201425074	OUTPATIENT SURGERY	LA					0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CRESCENT CITY PHYSICIANS INC
3600 PRYTANIA STREET SUITE 72	NEW ORLEANS	LA	70115	721269878	HEALTHCARE	LA	TOURO INFIRMARY	C	-$6,413,058	$63,105,108	1.00000	Yes (1)
BUCKMAN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION
1401 FOUCHER STREET	NEW ORLEANS	LA	70115	721226687	REAL ESTATE	LA	TOURO INFIRMARY	C		$211,109	0.92000	0
PRYTANIA MEDICAL COMPLEX OWNERS ASSOCIATION
650 POYDRAS STREET SUITE 1200	NEW ORLEANS	LA	70130	720866121	REAL ESTATE	LA	TOURO INFIRMARY	C		$1,410,786	0.80000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TOURO INFIRMARY FOUNDATION
C	$392,695	CASH RECIEVED
TOURO INFIRMARY FOUNDATION
R	$1,232,422	CASH RECEIVED
WOLDENBERG VILLAGE
S	$3,834,140	CASH SENT
CRESCENT CITY PHYSICIANS INC
J	$1,762,434	FMV OF RENT
CRESCENT CITY PHYSICIANS INC
R	$2,484,653	CASH RECEIVED
WOLDENBERG VILLAGE
D	$794,324	LOAN BALANCE
CRESCENT CITY PHYSICIANS INC
D	$77,002,043	LOAN BALANCE
TIJV LLC
D	$116,995	LOAN BALANCE