TOURO INFIRMARY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: TOURO INFIRMARY (EIN 72-0423659)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-12-11
IRS object ID: 201233469349300628
Schema version: 2011v1.2
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 D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-12-11T16:33:48-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	720423659	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	TOUR	NameControl
Phone	5048978344	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1
City	NEW ORLEANS	City
State	LA	State
ZIP Code	70115	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Suzanne Haggard	Name
Title	CFO	Title
Phone	5048978568	Phone
Date Signed	2012-12-11	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Suzanne Haggard	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1
City	NEW ORLEANS	City
State	LA	State
ZIP Code	70115	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	216213895	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.touro.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1852	YearFormation
State Legal Domicile	LA	StateLegalDomicile
Activity Or Mission Description	provision of healthcare services	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2010	TotalNbrEmployees
Total Nbr Volunteers	445	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	32674257	ContributionsGrantsPriorYear
Contributions Grants Current Year	529851	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	193118827	ProgramServiceRevenuePriorYear
Program Service Revenue CY	208316304	ProgramServiceRevenueCY
Investment Income Prior Year	416421	InvestmentIncomePriorYear
Investment Income Current Year	-345886	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6400059	OtherRevenuePriorYear
Other Revenue Current Year	7150012	OtherRevenueCurrentYear
Total Revenue Prior Year	232609564	TotalRevenuePriorYear
Total Revenue Current Year	215650281	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4231167	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	93568667	SalariesEtcPriorYear
Salaries Etc Current Year	93657748	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	112564106	OtherExpensePriorYear
Other Expenses Current Year	116433162	OtherExpensesCurrentYear
Total Expenses Prior Year	206132773	TotalExpensesPriorYear
Total Expenses Current Year	214322077	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	26476791	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1328204	RevenuesLessExpensesCY
Total Assets BOY	196083962	TotalAssetsBOY
Total Assets EOY	188540010	TotalAssetsEOY
Total Liabilities BOY	160237938	TotalLiabilitiesBOY
Total Liabilities EOY	154475911	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	35846024	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	34064099	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	168875266	Expense
Grants	0	Grants
Revenue	211739177	Revenue
Description	The hospital provides inpatient, outpatient, emergency and critical care, home health and rehabilitation services. The hospital has 261 adult and pediatric beds, 77 rehabilitation beds, 22 ICU beds, 16 NICU beds, and 20 nursery beds for a total of 360 licensed beds (excluding NICU and Nursery). The hospital treated 14,198 inpatients and 111,633 outpatients with a total of 243,373 outpatient visits in 2011. There were 6,215 surgeries (inpatient, outpatient and ambulatory surgery center), 30,903 emergency department visits and 2,938 babies deliveries. The total number of patients treated in 2011 was 125,831; 50.3% were Medicare patients; 17.7% were Medicaid, 4.1%uninsured or discounted patients; 27.9% had private insurance.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6997857	Expense
Grants	0	Grants
Revenue	3727139	Revenue
Description	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. Tour offered training programs to 234 students in 2011 in the specialties of Cardiology, Gastroenterology, Infectious Disease, Internal Medicine, Medicine-Pediatrics, Neurology, OB/GYN, Otolaryngology, Pediatrics, Plastic Surgery, Oral Maxillary Surgery, PM&R, General-Surgery, Geriatrics, Medicine- Emergency Med, & Urology.Touro is also a clinical training site for allied health programs for various metro New Orleans colleges, including Louisiana State University, Delgado Community College, Dillard University, Holy Cross College and William Carey University. Touro currently offers training programs to students in respiratory, radiology and nursing. Touro staff provided 3,128 hours of support to the 124 students in these programs.Touro Rehabilitation Center provides clinical training to physical, occupational and speech therapy students from colleges around the country, including: LSU Health Sciences (New Orleans, LA and Shreveport, LA); Delgado Community College (New Orleans, LA; NOVA Southeastern (Fort Lauderdale); Old Dominion University (Norfolk, VA); St. Augustine University (Florida); University of Massachusetts; University of Mississippi ; University of SE Louisiana (Hammond); University of South Alabama (Mobile); Texas Woman's University (Denton, TX); and Washington University (St. Louis, MO).	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	979862	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	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 2011, Touro participated in 203 outreach events that were attended by 3,037 people. Touro provides meeting space free of charge to local non-profits and other organizations for the benefit of the community. In 2011, Touro provided meeting space for 164 meetings. Touro offers a Health Career Camp, a five-day program that allows high school students to gain hands-on experience in the medical field. The program is an initiative that Touro hopes will encourage students to actively consider a career in medicine in New Orleans. Participants come from across the metro area and emphasis is placed on recruiting students from underserved areas who may not otherwise have the opportunity and exposure to healthcare careers.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	4267456	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	Touro elected to donate to Children's Hospital approximately $4,231,167 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit ("UPL") funds received by Touro, to assist Children's with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Additional programs include: Mobile Dental Program, Inpatient Behavioral Health Program, the Parenting Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	4267456	TotalOfOtherProgramServiceExp
Total Program Service Expense	181120441	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	172	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2010	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	1	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	5048978344	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1
City	NEW ORLEANS	City
State	LA	State
ZIP Code	70115	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Allan BISSINGER
CHAIRMAN	1.00	X	0	0	0
STEPHEN HKUPPERMAN
BOARD MEMBER	1.00	X	0	0	0
STEPHEN L SONTHEIMER
BOARD OFFICER	1.00	X	0	0	0
MICHAEL ADINOLFI
BOARD MEMBER	5.00	X	41246	0	0
RUTH KULLMAN
BOARD OFFICER	1.00	X	0	0	0
KIM BOYLE
BOARD MEMBER	1.00	X	0	0	0
PETER GLASER
BOARD MEMBER	1.00	X	0	0	0
JACK JACOBS
BOARD MEMBER	1.00	X	0	283853	13561
HUGH W LONG
BOARD MEMBER	1.00	X	0	0	0
KNIGHT WORLEY
BOARD MEMBER	1.00	X	0	0	0
ELLEN ZAKRISMD
BOARD MEMBER	1.00	X	0	0	0
JOAN BRAUN
BOARD MEMBER	1.00	X	0	0	0
STEVE WORLEY
BOARD MEMBER	1.00	X	0	960528	356595
FRANCIS VILLERE
BOARD MEMBER	1.00	X	0	0	0
LOUIS GOOD III
BOARD MEMBER	1.00	X	0	0	0
JAMES MONTGOMERY
PRESIDENT	50.00	X	823698	0	186055	X
SUSAN PITOSCIA
VP - CNO & COO	50.00		430146	0	23289	X
PENNY MENGE
CNO, VP PATIENT CARE SERVICES	40.00		110819	0	898	X
SUZANNE HAGGARD
CHIEF FINANCIAL OFFICER	50.00		288592	0	24459	X
LAWRENCE BALYEAT
SENIOR VP, CCPI	40.00		31105	0	831	X
SCOTT C LANDRY
VP OF FACILITIES	43.00		210345	0	14331		X
CHAD COURREGE
VP OF HUMAN RESOURCES	40.00		254160	0	27544		X
FRANCIS D MERTENS
VP OF BUSINESS DEVELOPEMENT	40.00		243392	0	22933		X
JEANETTE RAY
VP - REHAB SERVICES	40.00		234225	0	23289		X
LAWRENCE METEVIER
PHYSICIST/DOSIMETRIST	40.00		175410	0	16803			X
LEE HANKINS
DIRECTOR PHARMACY	40.00		158275	0	10999			X
NORMAN A STITELER
DIR. COMPLIANCE/INTERNAL A	40.00		154074	0	16717			X
HENRY ALEXANDER
PHARMACIST	51.00		154837	0	10518			X
DANIEL TOBIN
CONTROLLER	47.00		155994	0	18593			X
GARY STEIN
CEO/president - former	0.00		175179	590275	17068				X
ROBERT FICKEN
CFO-FORMER	0.00		135945	0	4904				X
WILLA DIXON
CNO-FORMER	40.00		209121	0	5812				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3986563	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1834656	TotalReportableCompFrmRltdOrgs
Total Other Compensation	795199	TotalOtherCompensation
Number Individuals GT100 K	55	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIEMENS MEDICAL SOLUTIONS
C/O MELLON BANK POBOX120001 DEPT 07	DALLAS	TX	75312	INFORMATION TECHNOLOGY	9795254
GIBBS CONSTRUCTION LLC
PO BOX 23730	NEW ORLEANS	LA	70183	CONSTRUCTION	7196238
LSUHSC - NEW ORLEANS
433 BOLIVAR STREET RM 619	NEW ORLEANS	LA	70112	AFFILIATION/RESIDENCY PROGRAM	4819132
ARAMARK
24863 NETWORK PL	CHICAGO	IL	60673	HOUSKEEPING/CAFE/EQUIP MAINT	3161497
PARISH ANESTHESIA OF NEW ORLEANS LLC
3510 N CAUSEWAY BLVD SUITE 404	METAIRIE	LA	70002	PHYSICIAN SERVICES	2933735

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
All Other Contributions	529851	AllOtherContributions
Total Contributions	529851	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE	621400	206213302	206213302
NON-PATIENT SERVICE	621400	2103002	2103002

Field	Value	IRS element (for citing)
Total Program Service Revenue	208316304	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	-111426	TotalRevenueColumn
Exclusion	-$111,426	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	237	TotalRevenueColumn
Exclusion	$237	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2483028	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2483028	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2483028	TotalRevenueColumn
Related Or Exempt Function Income	2483028	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	328917	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	563614	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-234697	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-234697	TotalRevenueColumn
Exclusion	-$234,697	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
parking income	812930	1482079	1482079
cafeteria/catering	900099	1299745	1299745

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1885160	TotalRevenueColumn
Related Or Exempt Function Income	1885160	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4666984	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	215650281	TotalRevenueColumn
Related Or Exempt Function Income	215466316	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$345,886	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4231167	Total
Program Services	4231167	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3214625	Total
Program Services	1060826	ProgramServices
Management And General	2153799	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	75356860	Total
Program Services	72682652	ProgramServices
Management And General	2674208	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2943259	Total
Program Services	2890755	ProgramServices
Management And General	52504	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6268474	Total
Program Services	6051528	ProgramServices
Management And General	216946	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5874530	Total
Program Services	5601188	ProgramServices
Management And General	273342	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	689320	Total
Program Services	689320	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1018101	Total
Program Services	231424	ProgramServices
Management And General	786677	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	258209	Total
Management And General	258209	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36652152	Total
Program Services	33337776	ProgramServices
Management And General	3314376	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1124233	Total
Program Services	21100	ProgramServices
Management And General	1103133	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7747873	Total
Program Services	4645069	ProgramServices
Management And General	3102804	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2963738	Total
Program Services	2961078	ProgramServices
Management And General	2660	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4679893	Total
Program Services	4370447	ProgramServices
Management And General	309446	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	61373	Total
Program Services	56765	ProgramServices
Management And General	4608	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	142296	Total
Program Services	125313	ProgramServices
Management And General	16983	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3920360	Total
Management And General	3920360	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14706215	Total
Program Services	78072	ProgramServices
Management And General	14628143	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2303060	Total
Program Services	2303060	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	35904133	35904133
Capital lease expense	3827790	3676137	151653
dues & memberships	202911	92411	110500
Legal settlement	55857	4165	51692

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	175648	Total
Program Services	106055	ProgramServices
Management And General	69593	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	214322077	Total
Program Services	181120441	ProgramServices
Management And General	33201636	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5143185	BOY
EOY	1894110	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37553954	BOY
EOY	42676547	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9494634	BOY
EOY	8427977	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4134775	BOY
EOY	4168664	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2163031	BOY
EOY	1842276	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	381107657	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	267325672	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	107471296	BOY
EOY	113781985	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	26992449	BOY
EOY	12308861	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3130638	BOY
EOY	3439590	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	196083962	BOY
EOY	188540010	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27367380	BOY
EOY	28402468	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3507970	BOY
EOY	22239	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	87064776	BOY
EOY	76452069	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	42297812	BOY
EOY	49599135	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	160237938	BOY
EOY	154475911	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	34666916	BOY
EOY	32801657	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1179108	BOY
EOY	1262442	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	35846024	BOY
EOY	34064099	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	196083962	BOY
EOY	188540010	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1328204	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3110130	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7731376	BeginningOfYearBalance
End Of Year Balance	7731376	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7688116	BeginningOfYearBalance
Contributions	43260	Contributions
End Of Year Balance	7731376	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7688116	BeginningOfYearBalance
End Of Year Balance	7688116	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7683614	BeginningOfYearBalance
Contributions	4502	Contributions
End Of Year Balance	7688116	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	12238296	InvestmentCostOrOtherBasis
Book Value	12238296	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	163309776	InvestmentCostOrOtherBasis
Depreciation	117122734	Depreciation
Book Value	46187041	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	201773459	InvestmentCostOrOtherBasis
Depreciation	149620421	Depreciation
Book Value	52153038	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3786126	InvestmentCostOrOtherBasis
Depreciation	582517	Depreciation
Book Value	3203610	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	113781985	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
interest rate swap	$3,077,463
other liabilities	$4,171,784
pension liability	$11,447,231
utility deposits	$23,825
due from restricted funds	$1,256,415
worker's comp claims	$2,008,806
professional liability claims	$6,517,358
retirement payable long term	$923,009
lease obligations	$999,325
investment liability	$19,173,919

Field	Value	IRS element (for citing)
Total Of Amounts	49599135	TotalOfAmounts
Total Revenue	215650281	TotalRevenue
Total Expenses	214322077	TotalExpenses
Excess Or Deficit For Year	1328204	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3566977	NetUnrealizedGLOnInvestments
Other	-$6,677,107	OtherAmount
Total Adjustments	-3110130	TotalAdjustments
Excess Or Deficit Per FS	-1781926	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	228832142	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3566977	NetUnrealizedGainsInvestments
Other Revenues	197554	OtherRevenues
Revenue Not Rptd F990	3764531	RevenueNotRptdF990
Revenue Subtotal	225067611	RevenueSubtotal
Other Revenues Not Included	-9417330	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-9417330	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	215650281	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	222947791	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	9480505	OtherExpensesIncluded
Expenses Not Rptd F990	9480505	ExpensesNotRptdF990
Expenses Subtotal	213467286	ExpensesSubtotal
Other Expenses Not Included	854790	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	854790	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	214322076	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	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.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	FIN 48 FOOTNOTE For the year ended December 31, 2009, the System adopted the provisions of the Accounting for Uncertainty in Income Taxes Topic of the FASB ASC. The System recognizes a threshold and measurement process for financial statement recognition of uncertain tax positions taken or expected to be taken in a tax return. The interpretation also provides guidance on recognition, derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The System's tax filings are subject to audit by various taxing authorities. The System's open audit periods are 2006 through 2009. There are currently no returns under examination. Management evaluated the System's tax positions and considered that the System had taken no uncertain tax positions that require adjustments to the financial statements to comply with the provisions of this guidance.
Part XI, Line 8 - Other Adjustments:		TIJV, LLC -RENTAL -31,985. EARNINGS/(LOSSES) FROM SUBSIDIARIES -2,830,279. Restatement of Prior Year Income 670,455. Change in Restricted Net Assets 83,334. PENSION NET ASSET ADJUSTMENT -5,620,981. RETURN OF INVESTMENT ON AFFILIATED ENTITY Remove allocated rent to subsidiary 1,052,349. HCCI Form5147 Schedule F Income Affiliated Organization's Return of Investment Total to Schedule D, Part XI, Line 8: -6,677,107.
Part XII, Line 2d - Other Adjustments:		EXPENSE FOR INDIGENT CARE IN OTHER NON-OPERATING INCOME & LOSSES ON AFS -855,000. RENT ALLOCATED TO SUBSIDIARY 1,052,349. CASH OVER & SHORT 205.
Part XII, Line 4b - Other Adjustments:		TIJV K1 plus HCCI form5147 31,985. PROVISION FOR DOUBTFUL ACCOUNTS -9,580,720. Incoming Children's Hospital Donation for Charity Expenses 100,215. Donations not included in Company on Audited Financial Statement 31,190.
Part XIII, Line 2d - Other Adjustments:		PROVISION FOR DOUBTFUL ACCOUNTS 9,580,720. EXPENSES FOR SUBSIDIARY DISSOLUTION YEAR Incoming Children's Hospital Donation for Charity Expenses -100,215.
Part XIII, Line 4b - Other Adjustments:		CASH OVER & SHORT -210. Non-Opeating Expense for Indigent Care in Non-operating Rev & Expense 855,000.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	0	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5718542	TotalCommunityBenefitExpense
Direct Offsetting Revenue	80498	DirectOffsettingRevenue
Net Community Benefit Expense	5638044	NetCommunityBenefitExpense
Percent Of Total Expense	0.02630	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38903906	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41420654	DirectOffsettingRevenue
Net Community Benefit Expense	-2516748	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	69191	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8956	DirectOffsettingRevenue
Net Community Benefit Expense	60235	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44691639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41510108	DirectOffsettingRevenue
Net Community Benefit Expense	3181531	NetCommunityBenefitExpense
Percent Of Total Expense	0.02660	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	979862	TotalCommunityBenefitExpense
Net Community Benefit Expense	979862	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6997857	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3727139	DirectOffsettingRevenue
Net Community Benefit Expense	3270718	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	855000	TotalCommunityBenefitExpense
Net Community Benefit Expense	855000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4267456	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100215	DirectOffsettingRevenue
Net Community Benefit Expense	4167241	NetCommunityBenefitExpense
Percent Of Total Expense	0.01940	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13100175	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3827354	DirectOffsettingRevenue
Net Community Benefit Expense	9272821	NetCommunityBenefitExpense
Percent Of Total Expense	0.04330	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57791814	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45337462	DirectOffsettingRevenue
Net Community Benefit Expense	12454352	NetCommunityBenefitExpense
Percent Of Total Expense	0.06990	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$1,930,091	BadDebtExpenseAmount
Amount Reimbursed By Medicare	47671569	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	54515321	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6843752	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 TIJV LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	IMAGING CENTER RENTAL	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.66000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.34000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	1401 FOUCHER STREET	AddressLine1
City	NEW ORLEANS	City
State	LA	State
ZIP Code	70115	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Woldenberg Village Inc
3701 Behrman Place	New Orleans	LA	70114	Assisted living community & skilled nursing facility
Crescent City Physicians Inc
3600 Prytania St STE72	New Orleans	LA	70115	Physician Medical Practices

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation	IdentifierIdentifier
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.>>>>>>>>>>>>>>>>>Financial Assistance and discounted care include services provided to:- Uninsured or underinsured low-income patients who do not have the ability to pay all or part of their bill as determined by the financial guidelines - Insured patients whose coverage is inadequate to cover a catastrophic situation- Emergency patients, because the hospital does not assess a patient's financial situation before rendering services- Persons whose income is sufficient to pay for basic living costs but not medical care, and also those persons with generally adequate incomes who are suddenly faced with catastrophically large medical bills- Patients deemed medically indigent by virtue of their documented eligibility for Medicaid benefits There will be two ways that a patient may qualify for Financial Assistance:Financial Assistance based on resourcesFinancial Assistance based on presumptive eligibility.PROCEDURE for Financial Assistance Based on Resources:The following factors should be considered when determining the amount of financial assistance service for which a patient is eligible based on resources:A patient must submit an application for Financial Assistance.The patient should reside in the United States.If the patient is Homeless they will automatically qualify for financial assistance. If the patient is already deemed medically indigent and receives benefits from any Medicaid program they will automatically qualify for financial assistance.Individual or family net worth, utilizing the patients 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 other patients. If the total outstanding medical bills for the patient exceed $100,000.00 and/or 50% of total assets, the medical indigent classification will apply and the patient will receive charity care.All other resources must be applied first, including third-party payers, Victims of Crime (i.e., a state-level program for crime victims to recover some hospital costs), and Medicaid. If a patient does not have Medicaid but would qualify, he or she must cooperate with the application process in order to receive financial assistance. Elective procedures are not covered under the financial assistance policy.Methodology: The Hospital uses the "Sliding Scale Method" to determine the dollar amount to be considered as financial assistance for eligible patients. A sliding scale fee schedule will be used to determine financial assistance percentages. The minimum financial assistance approval begins with incomes at 400% of the federal poverty level and continues to increase discounts as the family income reaches 200% of the federal poverty level. As indicated above, any guarantor at or below 200% of the federal poverty level, as adjusted for family size will be entitled to financial assistance sponsorship for the full amount of hospital charges related to appropriate hospital-based medical services that are not covered by private or public third-party sponsorship.Income Below FPL Limit FA Percentage-Below 200% 100%-Between 201-250% 90%-Between 251-300% 80%-Between 301-350% 70%-Between 351-400% 68%PROCEDURE for Financial Assistance Based on Presumptive Eligibility:Presumptive Charity- Touro realizes that there may be circumstances where a patient does not seek financial assistance due to cultural barriers, education barriers or a lack of understanding the process for applying for financial assistance. To meet the needs of this group of patients, Touro will apply a process of presumptive charity based on the criteria in Procedure #1. To validate that the patient meets the necessary criteria Touro will do the following:On admission or as soon as reasonably possible the Admit staff or Patient Financial Services staff will calculate a Medical Credit Score using the Mede Analytical tool. If a patients Medical Credit Score is below 599 the patient will be granted presumptive financial assistance. A Medical Credit Score greater than 599 will be used to calculate a sliding scale based on the criteria below.If the response returned by the Mede Analytical tool shows coverage for any Medicaid program the patient will be granted 100% financial assistance should that program not cover the services provided by the hospital.For supporting documentation for approval the Admit staff or Patient Financial Services representative will complete the first two lines of the Financial Assistance form and detail the previous accounts to be considered under this approval on page three. The Admit or Patient Financial Services representative should also print a copy of the information received from the Mede Analytical tool. One attempt will be made to contact the patient or their representative to inform them that they have been approved for financial assistance. The call will be documented on the application then the account adjusted based on the medical credit score and the approved percentage.This process may be applied to any patient balance, even if the hospital has received a payment from another source such as Medicare or another third party payor.Charges for non-covered services provided to patients eligible for Medicaid or other indigent programs (including charges for days exceeding a length of stay limit) may be included for purposes of financial assistance. Based on the Medical credit score calculated by the Mede Analytical Tool listed a patient may receive financial assistance according to the following percentages.-Medical Credit Score FA Percentage-Below 599 100%-Between 601-649 90%-Between 650-699 80%-Above 699 68%
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 Bad Debt Expense. The Ratio of Adjusted Cost to Gross Patient Charges is 22.66% for 2011.7e. Total community benefit expense: $979,862 Rehab Clinical Training and Community Outreach: $356,489 Community Outreach Program: $323,953 Healthcare Career Camp: $36,427 Respiratory, Radiology & Nursing Labor Expense: $262,9937g. In 2011, Touro Infirmary and Children's Hospital have collaboratedwith other healthcare providers to ensure the availability of, and tomore cost effectively provide, quality healthcare services to low incomeand needy residents in the community. In order to best address theneeds in the community, the collaborative hospitals became members offour non-profit organizations, Louisiana Clinical Services, Inc. (LCS),Southern Louisiana Clinical Services, Inc. (SLCS), Eastern LouisianaClinical Services, Inc. (ELCS), and Natchitoches Clinical Services, Inc.(NCS), collectively, the Non-Profits. The hospitals contribute funds to the Non-Profits, which are then usedto support the provisions of the hospital and clinical physicianservices, specialty physician services and other healthcare services.Touro contributed $855,000 to these non-profit organizations in 2011.7i. 7i(c)Touro elected to donate to Children's Hospital approximately $4,231,167 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit ("UPL") funds received by Touro, to assist Children's with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services. Additional programs include: Mobile Dental Program, Inpatient Behavioral Health Program, the Parenting Center, Ventilator Assisted Care Program, Safe Kids Coalition, Greater New Orleans Immunization Network, Ambulatory Clinical and Nutritional Support Services and the Miracle League.Cash and in-kind contributions to other community groups: $36,2897i(d)Children's Hospital elected to donate to Touro approximately $100,215 during the year ended December 31, 2011. The donation relates to a sharing of Upper Payment Limit ("UPL") funds received by Children's, to assist Touro with its activities and programs to support the metropolitan community including, but not limited to, financial assistance and discounted care to uninsured and underinsured low income patients and providing a multitude of community outreach programs and health screenings.
Part III, Line 4: Part VI Line 1: for Part III, line 4 The text of the footnote to the organization's financial statements that describes bad debts expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including other bad debt amounts in community benefit.>>>>>>>>>>>>>>>>>>Note 8. Concentrations of Credit Risk. "Touro maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. Touro uses a balance sheet approach to value the allowance account based on historical write-offs and the aging of the accounts. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowances associated with its receivables."Costing methodology>>>>>>>>>>>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 Bad Debt Expense. The Ratio of Adjusted Cost to Gross Patient Charges is 22.66% for 2011.Rationale for including other bad debt amounts in community benefit:>>>>>>>>>>>>>>>>>>As one of the main hospitals in the heart of the City of New Orleans, Touro sustained devastating operating losses during the five years following Hurricane Katrina in 2005. These losses were due in part to significant bad debt losses in the years immediately following Katrina. Prior to 2005, Touro was a large financially stable hospital serving the metropolitan New Orleans area. The operating losses sustained following Hurricane Katrina were insurmountable and prevented ongoing investment in facilities and equipment to ensure a state of the art facility which could remain competitive in the healthcare market. Additionally, the State of Louisiana Medicaid Program began imposing dramatic reimbursement reductions starting in February 2009. These have continued with five subsequent reductions resulting in a cumulative 19.7% reimbursement reductions by Fiscal Year 2011. The reductions have only partially been mitigated by the receipt of Medicaid Upper Payment Limit (UPL) funding, which is not guaranteed prospectively. In the post-Katrina environment without the affiliation with Louisiana Childrens Medical Center to provide capital resources, the viability of Touro was in jeopardy. Thus, controlling all sources of operational losses is a paramount concern for management in maintaining our financial viability. Our mission as established by Judah Touro 160 years ago, when he created this non-profit institution, was to provide this community and its population with readily available, quality healthcare. The increases in bad debt losses are of such a magnitude as to preclude Touro from voluntarily seeking out and creating other Touro branded community benefit programs. An institution created for the public benefit cannot otherwise sustain it's financial viability to perform the mission if it cannot generate income and cash flows. Cash resources are needed on an ongoing basis to provide for reinvestment into its facilities and clinical equipment infrastructure in order to ensure the delivery of quality clinical services. We therefore, as a matter of our financial survival, have to manage our Bad Debt losses, a significant component of our operating performance, as one of the contributors to the total community benefit we are able to provide; this is based on the recognition that much of our population is unable to afford the care they need.
Part III, Line 8: Part VI Line 1: for Part III, line 8. The extent to which any shortfall reported in line 7 should be treated as community benefit. Also describe the costing methodology or source used to determine the amount reported on line 6.>>>>>>>>>>>>>>>The reason the financial shortfall of treating Medicare patients should be treated as a community benefit.>>>>>>>>>>>>>>Since Hurricane Katrina devastated the city of New Orleans in 2005 Touro has sustained dramatic cumulative net asset losses that have to be mitigated before the hospital can attain a sustainable level of financial stability. These losses were in large part due to the shortfall in Medicare payments needed to cover our fully allocated cost. Prior to 2005, Touro was a large financially stable hospital serving the metropolitan New Orleans area. The operating losses sustained following Hurricane Katrina were insurmountable and prevented ongoing investment in facilities and equipment to ensure a state of the art facility which could remain competitive in the healthcare market. Additionally, the State of Louisiana Medicaid Program began imposing dramatic reimbursement reductions starting in February 2009. These have continued with five subsequent reductions resulting in a cumulative 19.7% reimbursement reductions by Fiscal Year 2011. The reductions have only partially been mitigated by the receipt of Medicaid Upper Payment Limit (UPL) funding, which is not guaranteed prospectively. The Medicare patient population has been doubly challenging to serve since Katrina devastated the healthcare system in 2005. Each year since then, as our community ages and the governmental budgetary challenges become more significant, Touro is faced with even greater financial challenges in serving them knowing that these services are being provided at an overall financial loss to Touro. In the post-Katrina environment, without the affiliation with Louisiana Childrens Medical Center to provide capital resources, the viability of Touro was in jeopardy. Thus, controlling all sources of operational losses is a paramount concern for management in maintaining our financial viability. Our mission as established by Judah Touro 160 years ago, when he created this non-profit institution, was to provide this community and its needy population with readily available, quality healthcare. The Medicare losses are of such a magnitude as to preclude Touro from voluntarily seeking out and creating other Touro branded community benefit programs. An institution created for the public benefit cannot otherwise sustain it's financial viability to perform the mission if it cannot generate income and cash flows. Cash resources are needed on an ongoing basis to provide for reinvestment into its facilities and clinical equipment infrastructure in order to ensure the delivery of quality clinical services. We therefore, as a matter of our financial survival, have to manage our Medicare losses, a significant component of our operating performance, as one of the contributors to the total community benefit we are able to provide; this is based on the recognition that much of the service we provide are to the Medicare population.Costing methodology>>>>>>>>>>>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 Bad Debt Expense. The Ratio of Adjusted Cost to Gross Patient Charges is 22.66% for 2011.
Part III, Line 9b: Part VI Line 1: for Part III, line 9b. Does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance?>>>>>>>>>>>>>>>>>>>The Hospital does not pursue collection of amounts determined to qualify as charity care, and these amounts are not reported as revenue. The Hospital also waives collection of charges for patients who have demonstrated economic hardship and inability to pay. (From the Audited financial statements Footnote #1)
Part V, Section B, Line 19d: The hospital has a self pay discounting policy that provides patients whom have no insurance coverage to have the charges on their bills reduced by 68% which represents rates collected from some of our lower tiered managed care contracted partners.	Touro Infirmary
Part VI, Line 2: Part VI Line 2 Needs assessment:Needs Assessment: The 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 churches, local community organization 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.Community Need:Louisiana consistently ranks among the worst states in the country for obesity, cancer, and infant mortality. Many health problems are concentrated in poor, urban neighborhoods such as New Orleans and can be traced to unhealthy diets and lack of physical activity. The 2011 America's health ranking (source: United Health) ranks Louisiana 49th in overall state rankings, 42nd for obesity, 44th for smoking, 48th for outcomes and 41st for diabetes. Touro conducts an internal community needs assessment regularly, collaborating with local agencies such as the Louisiana Public Health Initiative, the Louisiana Department of Health and Hospitals and various community groups. This information helps Touro determine the hospital's short and long-term priorities, as well as strategies for improving community health.The Hospital's needs assessment has shown that: - Addressing rates of diabetes and obesity, and the challenges associated with these conditions, are important in this community. In 2011, the Louisiana obesity rate exceeded 30%. Nearly 1.1 million adults in Louisiana are obese, 316,000 more individuals than 10 years ago. - Reducing health disparities among ethnicities and socioeconomic groups in the New Orleans is also important. The latest U.S. Census data shows Orleans Parish (New Orleans) with 24% of its residents living below the poverty level compared to the state average of 18.1%. In Louisiana, obesity is more prevalent among non-Hispanic blacks at 39.5 percent than non-Hispanic whites at 28.4 percent and Hispanics at 29.3 percent (Source:United Health Foundation: America's Health Rankings 2011). Diabetes also varies by race and ethnicity in the state; 13.4 percent of non-Hispanic blacks have diabetes compared to 9.4 percent of non-Hispanic whites and 9.5 percent of Hispanics (Source: State Health Department website).- Louisiana ranks 45th for cardiovascular deaths (Source: 2011 America's Health Ranking, United Healthcare). Reducing deaths from circulatory-system diseases is another community need. Touro is working with New Orleans EMS to deliver critical cardiac care and stroke services to these patients.- Ensuring easier access to primary care physicians, particularly for those living in underserved areas of Orleans Parish without adequate healthcare. As New Orleans has recovered, the issue of health care access is critical especially in neighborhoods far from the main uptown and downtown hospitals, like New Orleans East, Gentilly, and Lakeview which have started to repopulate. Touro has addressed this need by establishing primary care clinics in these neighborhoods. - Addressing high cancer rates in "Cancer Alley". Louisiana ranks 47th in cancer deaths and has consistently had one of the highest cancer incidence rate and highest cancer mortality rate in the country (Source: 2011 America's Health Ranking, United Healthcare). To address this need, Touro has created a comprehensive cancer care program, including a supportive cancer care program providing free support groups and a nurse navigator to help cancer patients and their loved ones in the community free of charge.Addressing infant mortality. The state of Louisiana currently ranks 48th in infant mortality. New Orleans has a 7.6% infant mortality rate compared to the U.S. rate of 6.6% (Source: 2011 America's Health Ranking, United Healthcare).New Orleans ranks 60th out of 64 Louisiana parishes in terms of health outcomes and 63rd in social and economic factors (Source: 2011 The Nielsen Company, 2012 Thomson Reuters).
Part VI, Line 3: Part VI Line 3 Patient education of eligibility for assistancePrior to receipt of services, patients are provided the Hospital's "Patient Rights and Responsibilities," which clearly outline the Hospital's payment expectations. 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- Geographic service areaTouro Infirmary and its subsidiaries are located in South East Louisiana, and serve the populations of Orleans, Jefferson, St. Bernard, and Plaquemines Parishes. Source for this information is The Nielsen Company and Thomson Reuters.- Demographics of the communityo Population. The total population of the following parishes for 2011:- Orleans Parish 376,005- Jefferson Parish 445,117- St. Bernard Parish 43,576- Plaquemines Parish 21,139Source: 2012 The Nielsen Company, 2012 Thomson ReutersPopulation of children by Parish for 2011:Orleans Parish= 79,582Jefferson Parish= 98,209St. Bernard Parish= 10,722Plaquemines Parish= 6,686Source: 2012 The Nielsen Company, 2012 Thomson ReutersAverage Household Income in 2011:Orleans Parish $56,168Jefferson Parish $61,561St Bernard Parish $50,116Plaquemines Parish $61,754Source: 2012 The Nielsen CompanyMedian Household Income 2006-2010:New Orleans= $37,468Jefferson= $48,175St.Bernard= $39,200SOURCE: U.S. Census Bureau, 2011 Quick FactsPoverty Level:Percent of people living below the poverty level in 2011:New Orleans= 29%Jefferson= 18%Source: American Community Survey 2011Child Poverty Rates in 2011:Orleans= 42%Jefferson= 29%Source: American Community Survey 2011 Louisiana ranks 49th in the nation for the percent of children in poverty. Source: 2011 Kids Count Data BookUninsured by Parish:Percent of Uninsured Adults in December 2010:Orleans= 20.7%Jefferson= 19.8%St. Bernard= 23.5%Plaquemines= 21.0%Source: DHH/Louisiana Health Insurance Report, June 2011Percent of Uninsured Children (Age 0 - 19) in December 2010:Orleans= 5.3%Jefferson= 4.0%St. Bernard= 5.2%Plaquemines= 4.6%Source: DHH/Louisiana Health Insurance Report, June 2011 Louisiana ranks 36th in the nation for the number of people without health insurance. Source: 2011 America's Health Ranking, United HealthcareHealth Outcomes:Louisiana's ranking in the nation:49th for Overall Rank50th for Determinants Rank41st for Diabetes Rank44th for Smoking Rank42nd for prevalence of obesity49th for children in poverty48th for cases of infectious disease per 100,000 population45th for the number of cardiovascular deaths per 100,000 population48th for infant mortality (deaths per 1,000 live births)47th for cancer deaths per 100,000 populationSource: 2011 America's Health Ranking, United Healthcare2011 Race/Ethnicity by Parish (Source: 2012 The Nielsen Company, 2012 Thomson Reuters):Parish White Black/Non-Hispanic Hispanic Asian/Pac. Islander OtherOrleans 112,487 227,426 18,467 11,181 6,444 Jefferson 254,382 119,452 45,099 16,130 10,054 St Bernard 30,405 7,038 3,881 906 1,301 Plaquemines 14,243 4,358 940 601 997 Touro Infirmary's patient population by payor category for 2011: In-Patient Out-Patient Total %Medicare 2,912 19,520 22,432 19.67%Medicare HMO 2,112 17,379 19,491 17.09%Medicaid 5,518 17,032 22,550 19.78%Private Insurance 3,313 35,358 38,671 33.91%Self Pay 219 6,276 6,495 5.70%Touro Employee 124 4,269 4,393 3.85%Total 14,198 99,834 114,032 100.00%- Number of other acute care hospitals serving the community:Children's HospitalOchsner Foundation Hospital, Ochsner Baptist, Ochsner Kenner, Ochsner WestbankTulane Medical CenterLSU HospitalEast Jefferson General HospitalWest Jefferson General Hospital
Part VI, Line 5: Part VI Line 5 Information to describe how the hospital furthers its exempt purpose by promoting the health of the community- The hospital has a governing board composed of prominent civic leaders.- Maintains an emergency room open to all persons requiring emergency care, without regard to ability to pay.- Provides hospital care for all persons in the community otherwise unable to pay the cost of medical services either directly or through third party reimbursement.- Maintains a board of directors drawn from the community.- Uses surplus receipts over disbursements to improve the quality of patient care, expand and update hospital facilities and equipment, and advance medical training, and education programs.- Maintains an open medical staff.- Actively provides community health education & screening programs as noted below:In the furtherance of its charitable purpose, 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 2011, Touro participated in 203 community outreach events, which were attended by 3,037 attendees.Outreach events cover a wide variety of health topics that address the health information needs of the community Touro serves, including nutrition, diabetes management, prostate cancer, healthy aging, joint health, heart health, prostate health and fall prevention.Touro's community outreach program offers a range of events including:- Touro-led Seminars and 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.- Tour Rehabilitation Center staff from a variety of disciplines, including director of Inpatient Rehabilitation, occupation therapists, physical therapists and rehabilitation educator participated in free community events including Fall Prevention Seminars, Sudden Impact Training and brain injury specialty training.- Non-Profit Events: Touro regularly partners with 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 these events include: the Jefferson Parish YMCA Silver Sneakers Health Fair; the National Safety Council Safety Fair; the Jefferson Parish Senior Expo; and the Get Healthy Hollygrove community heath fair.- Sponsorship Events: Touro sponsors healthcare-related organizations and events in the greater New Orleans community, such as the American Heart Association, Susan G. Komen Race For the Cure 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 Screenings: Touro participates in local employer health fairs and provides health information, free screenings and consultations. Examples of employer health events include: the W New Orleans Hotel, the Sheraton New Orleans Hotel, and the Marriott New Orleans.- Healthy Aging Programs: Touro offers free events and programs designed to help the aging population in the community live healthy and independent lives. The Touro Prime Years Program is a free program designed to help adults age 55 years of age and older lead a healthy and active lifestyle. The Prime Years program includes a monthly educational health seminar or screening customized to meet the information needs of this population. Topics have included: Heart Health for Women; Foot Care and Diabetes; Women's Health in Your Prime Years; Sharpen Your Cognitive Skills; Prostate Health Seminar and Traveling with Diabetes.- Touro is the only hospital in the community to offer a unique program called CarFit, in partnership with local AARP and AAA chapters. Developed in collaboration with the American Society on Aging, AAA, AARP and the American Occupational Therapy Association, CarFit is the first program to offer older adults the opportunity to check how their personal car "fits" them. People over age 65 are the fastest-growing population in the U.S. Because of their fragility, seniors have the highest crash death rate per mile of any age group except teenagers. Trained professionals lead drivers through a 12 point checklist with their vehicle, recommend car adjustments and adaptations and offer resources and activities that could make their car "fit" better or enhance their safety. An Occupational Therapist provides information to older drivers on how to maintain and strengthen driving health. Participants receive a one-on-one consultation with the OT and a summary of the checklist. Touro offered two CarFit screenings in 2011.- Touro also offered a fall prevention program to the community. One of the most common health threats to a senior's health is also one of the most overlooked-falls. More than one third of adults 65 or older fall each year, and among older adults, falls are the leading cause of injury, hospital admissions, trauma and death. Touro offered a fall prevention program to address this issue. The free program pairs aging and healthcare experts with seniors to help them become more aware of fall hazards and learn how to reduce the risk of falling. This community-based workshop met once a week for five weeks and covered a variety of topics designed to help seniors prevent falls. Topics included: exercises for strength and balance; pedestrian safety; and medication interaction and falls. Supportive Cancer Care Program Touro's supportive cancer care program offers several support groups that are free and open to the community to meet the oncology needs of the New Orleans community. Support groups include:- Girl Talk: Gynecologic Cancer Support GroupA support group for women who have been diagnosed with one of the gynecologic cancers. Whether a person is newly diagnosed, actively being treated, or have completed treatment, this group can help. The meetings promote education and discussion about relevant topics.- Support for Women with Cancer As the name implies, this group is open to any woman -- no matter what the diagnosis -- who is interested in receiving and giving support to other women with cancer. The group meetings are designed to be informative and promote the sharing of thoughts and feelings. Daytime and evening meeting times are offered.- Look Good - Feel Better WorkshopAn American Cancer Society program that teaches beauty techniques to women who are in active treatment "to help them combat the appearance-related side effects of cancer treatment." Free skin care products are supplied by well-known cosmetic manufacturers. Additionally, information about wigs and other appearance issues are discussed.- Caring for CaregiversCaring for a loved one with cancer can be challenging. This program provides caregivers with information, resources and support via one on one sessions with a support counselor.- Peer Support: Women Helping Women with Cancer For many women diagnosed with breast cancer, not knowing what to expect presents the biggest challenge. This program provides one-on-one support from another woman who has survived breast cancer.- Peer Support: Men Helping Men with CancerFor men with cancer, coping can be difficult. Men are taught to take care of their problems. But a disease like cancer can be tough to handle. This program provides one-on-one support from another man who has survived cancer.- Kids Konnected Support Program: When a parent has cancer, the whole family is affected. Kids can feel sad, angry, alone, and disconnected. Kids Konnected is a support program for children whose parents have cancer. The program provides helpful information and a monthly support group for kids, along with guided tours of the different cancer treatment centers at Touro. Kids and parents can meet Touro staff, ask questions, and connect with other families. The program is free of charge and open to anyone in the community.- Cancer Transitions Program: This is a free six-week LIVESTRONG program designed to help people make the transition from patient to survivor. Experts from Touro's Supportive Cancer Care Center lead conversations about nutrition, survivorship, emotional well-being and more.
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:- Metrolab, Inc. operates a commercial clinical laboratory (Closed during 2011). - 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 66% interest in TIJV, LLC, 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 Henry Clay Ave	AddressLine1
City	New Orleans	City
State	LA	State
ZIP Code	70118	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	720467503	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	4231167	AmountOfCashGrant
Purpose Of Grant	Touro elected to donate to Childrens Hospital $4,231,167 during the year ended December 31, 2011. The donations relate to a sharing of Upper Payment Limit (UPL) funds received by Touro, to assist Childrens with its activities and programs to support the metropolitan community. These activities are sponsored with the knowledge that they are not self-supporting or financially viable, and include financial assistance programs to increase health care to the indigent and uninsured for pediatric primary care services.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: Members of Touro's Governing Board participate in the Louisiana Children's Medical Center (Touro's parent corporation,also a 501(c)(3) corporation) quarterly community benefit board committee meeting to review established community benefit programs, including patient volume, funding sources and net unreimbursed program cost. Touro's donation to Children's Hospital(a sister 501(c)(3)organization)is intended to assist with Children's total unreimbursed community benefit costs.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JACK JACOBS
0	185591	0	96722	0	1540	0	1500	0	12061	0	297414	0	0
STEVE WORLEY
0	683411	0	216203	0	60914	0	294076	0	62519	0	1317123	0	0
JAMES MONTGOMERY
516665	0	297972	0	9061	0	12459	0	13971	0	850128	0	0	0
SUSAN PITOSCIA
332165	0	91763	0	6218	0	12118	0	11171	0	453435	0	0	0
SUZANNE HAGGARD
278117	0	6789	0	3686	0	17150	0	7309	0	313051	0	0	0
SCOTT C LANDRY
169708	0	38825	0	1812	0	0	0	14331	0	224676	0	0	0
CHAD COURREGE
202234	0	50107	0	1819	0	12973	0	14571	0	281704	0	0	0
FRANCIS D MERTENS
194140	0	43915	0	5337	0	17911	0	5022	0	266325	0	0	0
JEANETTE RAY
188807	0	42893	0	2525	0	12118	0	11171	0	257514	0	0	0
LAWRENCE METEVIER
174049	0	0	0	1361	0	11781	0	5022	0	192213	0	0	0
LEE HANKINS
151398	0	0	0	6877	0	7399	0	3600	0	169274	0	0	0
NORMAN A STITELER
150189	0	0	0	3885	0	3580	0	13137	0	170791	0	0	0
HENRY ALEXANDER
153874	0	0	0	963	0	10323	0	195	0	165355	0	0	0
DANIEL TOBIN
152949	0	0	0	3045	0	10891	0	7702	0	174587	0	0	0
GARY STEIN
0	0	171987	590275	3192	0	17068	0	0	0	192247	590275	0	0
ROBERT FICKEN
135945	0	0	0	0	0	2073	0	2831	0	140849	0	0	0
WILLA DIXON
180456	0	27256	0	1409	0	3832	0	1980	0	214933	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	--------------------- Three employees were reimbursed for moving expenses/housing expenses associated with relocation expenditures. One employee was reimbursed for accounting/tax consulting fees with taxes withheld.
Part I, Line 1b	Part I, Line 3--------------- Touro's President Base compensation, incentive compensation and all other reportable and non-reportable compensation 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 10 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. Incentive bonuses are based on 25% Revenue Growth, 30% Operating Income, and 45% Board discretion based on overall performance, quality initiatives, and accreditation, etc.
Part I, Lines 4a-b	Part I, Lines 4a-b: Severance Payment or Change of control Payment: Kevin Jordan...Severence Payment...$65,903 Robert A Ficken...Severence Payment..$135,945 Part I, Line 4B: Supplemental Nonqualified Retirement Plan: Gary Stein - $261,624 is the 2011 distribution from the Trust. In 1997 Crescent City Physician, Inc. (CCPI) created a Trust under the Gary M Stein Deferred Compensation Agreement. The Trust is a grantor trust under the Internal Revenue Code. CCPI, as grantor is deemed to own all items of Income and deduction on the Trust. Income from the Trust is to be reported by CCPI. The assets of the Trust are subject to any claims of CCPI creditors. CCPI receives monthly accountings of all Trust assets. The Deferred Compensation Agreement is a non-qualified deferred compensation plan under which Mr. Stein was allowed to defer a portion of his salary to be paid in the future. The Trust was funded by bonuses paid to Mr. Stein. Retirement benefits commenced on June 1, 2007 over a period of ten years (1/10 each year) based on the value of the fund as determined by Allegheny Investments. The payments are authorized by the Trustee and are disbursed by the Allegheny Financial Group. Crescent City Physician Inc.'s (CCPI's) Supplemental Executive Retirement Plan (SERP) has a balance of $102,144 on behalf of Mr. Francis Dale Mertens as of December 31, 2011 Effective April 1, 2008 CCPI adopted the SERP plan on Mr. Francis Dale Mertens behalf. The SERP is not maintained soley for the purpose of providing benefits in excess of the limits in Code Section 415 and the Plan is intended to be covered by ERISA. The plan is intended to comply with Internal Revenue Code Section 409A regulations. The assets of the SERP are subject to any claims of CCPI creditors. The Plan is intended to constitute an unfunded plan that is maintained by CCPI primarily for the purpose of providing deferred compensation for Mr. Francis Dale Mertens within the meaning of ERISA section 201(2). Mr. Francis Dale Mertens is an active employee. Therefore, benefits have not commenced. Benefits will commence when one of the following occurs; death, disability, change of control, or termination of employment.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	Louisiana Children's Medical Center (LCMC) will act as a System Parent and it is the sole member of Touro Infirmary and of Children's Hospital.
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 11	A draft of the Organization's Form 990 will be presented at a monthly board of directors meeting. During this meeting the tax return will be reviewed and discussed for accuracy and completeness.
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 ORGANIZATION RELIES ON COMPARABLE DATA FROM unrelated entities TO DETERMINE THE AMOUNT OF COMPENSATION for its executives, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETEMINATION OF THESE AMOUNTS. the final decision regarding the amount of compensation is subject to the approval of the board of directors. In 2007, the organization's compensation committee engaged an outside consultant to assist in the development, analysis and independent review of compensation for the organization's executives. The analysis consisted of a review of a third party compensation survey. Executive Benchmarks were established to positions of similar sized hospitals. After the review, recommendations were provided to the president/ceo and the vice president of human resources.
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 VII, Column B	James Montgomery is the President for Touro Infirmary. Additionally part of his duties include serving as a Board Member of the Touro Infirmary Foundation (1 hours/week); a Board Member of Woldenberg Village (1 hours/week); a Board Member of Crescent City Physicians (4 hours/week); a Board Momber of TIJV (.5 hours/week). Chad Courrege is the VP of Human Resources for Touro Infirmary. Additionally part of his duties include management and oversight of Woldenberg Village (5 hours/week); management and oversight of Crescent City Physicians (4.5 hours/week); management and oversight of the Touro Infirmary Foundation (0.5 hours/week). Francis D. Mertens is the President & COO of CCPI & Board Member of CCPI spending 31 hours per week in this role. Additionally part of his duties include serving as VP of Physician Services for Touro (21 hours/week); management and oversight of Metrolab (1 hours/week); management and oversight of TIJV (0.5 hours/week). Suzanne Haggard is the Chief Financial Officer (from Dec) for Touro Infirmary. Additionally part of her duties include serving as a financial manager of the Touro Infirmary Foundation (2 hours/week); management and oversight of Woldenberg Village (8 hours/week); management and oversight of Crescent City Physicians (5 hours/week); management and oversight of TIJV (.5 hours/week); Board member of Prytania Medical Complex Owners Association (0.5 hours/week); Board member of Buckman Medical Office Building Condominium Association (0.25 hours/week). Scott C. Landry is the VP of Facilities for Touro Infirmary. Additionally part of his duties include management and oversight of Woldenberg Village (.5 hours/week); management and oversight of Crescent City Physicians (1 hours/week); Board member of Prytania Medical Complex Owners Association (0.5 hours/week); Board member of Buckman Medical Office Building Condominium Association (0.5 hours/week). Jeanette Ray is the VP of Rehab/Post Acute Services for Touro Infirmary. Additionally part of her duties include Board Member of Woldenberg Village (10 hours/week). Jack Jacob, M.D. is the Physician with Crescent City Physicians, Inc where he practices in excess of 40 hours/week. Norman A. Stiteler is the Corporate Compliance Officer for Touro Infirmary. Additionally part of his duties include serving as management and oversight of the Touro Infirmary Foundation (0 hours/week); management and oversight of Woldenberg Village (1 hours/week); management and oversight of Crescent City Physicians (1 hours/week). Dan Tobin is the Controller for Touro Infirmary. Additionally part of his duties include accounting services to Metrolab (.5 hours/week); accounting services to TIJV (1 hours/week). Steve Worley is the President and Chief Executive Officer for Louisiana Children's Medical Center and Children's Hospital where he splits his time 21 hours weekly for LCMC and 32 hours weekly devoted to Children's Hospital activities. Additionally part of his duties include serving as board member of the Touro Infirmary Foundation (1 hours/week).	HOURS WORKED FOR RELATED ORGANIZATIONS
Form 990, Part XI, line 5:	Net unrealized gains on investments: 3,566,977. TIJV, LLC -RENTAL -31,985. EARNINGS/(LOSSES) FROM SUBSIDIARIES -2,830,279. Restatement of Prior Year Income 670,455. Change in Restricted Net Assets 83,334. PENSION NET ASSET ADJUSTMENT -5,620,981. RETURN OF INVESTMENT ON AFFILIATED ENTITY Remove allocated rent to subsidiary 1,052,349. HCCI Form5147 Schedule F Income Affiliated Organization's Return of Investment Total to Form 990, Part XI, Line 5: -3,110,130.	Changes in Net Assets or Fund Balances:
FORM 990, PART XII, LINE 2C:	The Organization's committee that assumes responsibility for the oversight of the audit of its financial statements and selection of an independent auditor has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg
Touro Infirmary Foundation
1401 Foucher Street	new orleans	LA	70115	721169939	healthcare support	LA	501(c)(3)	509(a)(3)	1
Woldenberg Village
3701 Behrman place	new orleans	LA	70114	720540671	healthcare delivery	LA	501(c)(3)	509(a)(2)	1
LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC)
200 Henry Clav Ave	new orleans	LA	70118	943480131	healthcare delivery	LA	501(c)(3)	509(a)(3)	0
CHILDREN'S HOSPITAL
200 Henry Clav Ave	New orleans	LA	70118	720467503	healthcare delivery	LA	501(c)(3)	170(B)(1)(A)(iii)	0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	1 TIJV llc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1401 Foucher St	AddressLine1
City	new orleans	City
State	LA	State
ZIP Code	70115	ZIPCode

Field	Value	IRS element (for citing)
EIN	261378361	EIN
Primary Activity	Imaging Center Rental	PrimaryActivity
Legal Domicile State	LA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	related	PredominantIncomeType
Share Of Total Income	31985	ShareOfTotalIncome
Share Of EOY Assets	2453960	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.66000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets
metrolab inc
2633 napolean avenue	new orleans	LA	70115	721184791	healthcare	LA	C	1.00000
crescent city physicians inc
3600 prytania street suite 72	new orleans	LA	70115	721269878	healthcare	LA	C	1.00000	-2830279	4523210
buckman medical office building condominium association
1401 foucher street	new orleans	LA	70115	721226687	healthcare	LA	C	0.84900		38362
prytania medical complex owners association
650 poydras street suite 1200	new orleans	LA	70130	720866121	healthcare	LA	C	0.82460		78940

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
TOURO INFIRMARY FOUNDATION
Q	993002
metrolab inc
E	53419
woldenberg village
D	1642087
crescent city physicians inc
D	2822557
crescent city physicians inc
A	1052349
CHILDREN'S HOSPITAL
B	4231167
LOUISIANA CHILDREN'S MEDICAL CENTER
L	672373
TIJV LLC
A	120672
TIJV LLC
A	59871
CHILDREN'S HOSPITAL
C	100215