TOURO INFIRMARY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: TOURO INFIRMARY (EIN 72-0423659)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201323179349304707
Schema version: 2012v2.1
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	2013-11-13T14:45:52-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	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	2013-11-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	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	286130415	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2023	TotalNbrEmployees
Total Nbr Volunteers	377	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	529851	ContributionsGrantsPriorYear
Contributions Grants Current Year	18695768	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	208316304	ProgramServiceRevenuePriorYear
Program Service Revenue CY	258338051	ProgramServiceRevenueCY
Investment Income Prior Year	-345886	InvestmentIncomePriorYear
Investment Income Current Year	930925	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7150012	OtherRevenuePriorYear
Other Revenue Current Year	7989861	OtherRevenueCurrentYear
Total Revenue Prior Year	215650281	TotalRevenuePriorYear
Total Revenue Current Year	285954605	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4231167	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	32252632	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	93657748	SalariesEtcPriorYear
Salaries Etc Current Year	98197382	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	116433162	OtherExpensePriorYear
Other Expenses Current Year	128825767	OtherExpensesCurrentYear
Total Expenses Prior Year	214322077	TotalExpensesPriorYear
Total Expenses Current Year	259275781	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1328204	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	26678824	RevenuesLessExpensesCY
Total Assets BOY	188540010	TotalAssetsBOY
Total Assets EOY	254094258	TotalAssetsEOY
Total Liabilities BOY	154475911	TotalLiabilitiesBOY
Total Liabilities EOY	185534778	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	34064099	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	68559480	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	201989501	Expense
Grants	32252632	Grants
Revenue	264527408	Revenue
Description	The hospital provides inpatient, outpatient, emergency and critical care, home health and rehabilitation services. The hospital has 261 adult 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 14,142 inpatients and had 266,864 outpatient visits in 2012. There were 6,760 surgeries (inpatient, outpatient and ambulatory surgery center), 32,991 emergency department visits and 3,069 babies delivered.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7002071	Expense
Revenue	1800504	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. Touro offered training programs to 310 students, residents and fellows in 2012 in the specialties of Cardiology, Gastroenterology, Infectious Disease, Internal Medicine, Medicine-Pediatrics, Neurology, OB/GYN, Otolaryngology, Orthopedics, Pediatrics, Plastic Surgery, Oral and Maxillofacial Surgery, PM&R, General-Surgery, Geriatrics, Vascular Surgery, Medicine-Emergency Med, Neonatology, NICU, Urogynecology and 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 9,740 hours of support to the 88 students in these programs.Touro Rehabilitation Center provides clinical training to physical, occupational, speech therapy and therapeutic recreation students from colleges around the country, including: LSU Health Sciences (New Orleans, LA and Shreveport, LA); Delgado Community College (New Orleans, LA); Grambling State University (Grambling, Louisiana); NOVA Southeastern (Fort Lauderdale); Ithaca College (New York); Medical University of South Carolina (MUSC); Old Dominion University (Norfolk, VA); St. Augustine University (Florida); University of Massachusetts Lowell; University of Mississippi Medical Center; University of SE Louisiana (Hammond); University of South Alabama (Mobile); Texas Woman's University (Denton, TX).	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	842372	Expense
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 2012, Touro participated in/offered 224 outreach events that were attended by 3,092 people. Touro provides meeting space free of charge to local non-profits and other organizations for the benefit of the community. In 2012, Touro provided meeting space for 187 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	9433914	Expense
Description	In 2012, The System consisting of Touro Infirmary and Children's Hospital collaborated with other healthcare providers to ensure the availability of, and to more cost effectively provide, quality healthcare services to low income and needy residents in the community. In order to best address the needs in the community, the collaborative Hospitals became members of four non-profit organizations, Louisiana Clinical Services, Inc. (LCS), Southern Louisiana Clinical Services, Inc. (SLCS), Eastern Louisiana Clinical Services, Inc. (ELCS), and Natchitoches Clinical Services, Inc. (NCS), (collectively, the Non-Profits). The Hospitals contributed funds to the Non-Profits, which were then used to support the provisions of hospital and clinical physician services, physician in-training services, physician assistant/nurse practitioner services, specialty physician services and other healthcare services. Touro officially withdrew from these collaborative agreements July 27, 2012.In November 2011 the System entered into a contract with Louisian Health Sciences Center (LSUHSC)and in July 2012 the System entered into multiple contracts with Louisian Health Sciences Center (LSUHSC) , Tulane University School of Medicine, and Van Meter and Associates to cover the cost of providing physician services to low income and needy patients at LSU interim hospital. Touro supported these System contracts by contributing $9,433,914 in order to provide healthcare services to low income and needy residents in the community.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	9433914	TotalOfOtherProgramServiceExp
Total Program Service Expense	219267858	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	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	290	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2023	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	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	0	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 (31 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
BOARD MEMBER	1.00	X	0	0	0
STEPHEN HKUPPERMAN
BOARD MEMBER	1.00	X	0	0	0
STEPHEN L SONTHEIMER
BOARD MEMBER	1.00	X	0	0	0
MICHAEL ADINOLFI MD
BOARD MEMBER	5.00	X	47546	0	0
RUTH KULLMAN
CHAIRMAN	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	235626	12251
HUGH W LONG
VICE CHAIRMAN	1.00	X	0	0	0
KNIGHT WORLEY MD
BOARD MEMBER	1.00	X	0	0	0
ELLY ZAKRIS MD
BOARD MEMBER	1.00	X	0	0	0
JOY BRAUN
TREASURER	1.00	X	0	0	0
STEVE WORLEY
BOARD MEMBER	1.00	X	0	1040368	384992
DAVID KUSHNER
BOARD MEMBER	1.00	X	0	0	0
LOUIS GOOD III
SECRETARY	1.00	X	0	0	0
JAMES MONTGOMERY
PRESIDENT	50.00	X	861671	0	220380	X
AWHITFIELD HUGULEYIV
BOARD MEMBER	1.00	X	0	0	0
SUSAN PITOSCIA
VP - CNO & COO	50.00		426930	0	21154	X
PENNY MENGE
CNO, VP PATIENT CARE SERVI	40.00		261404	0	20379	X
SUZANNE HAGGARD
CHIEF FINANCIAL OFFICER	50.00		378631	0	27908	X
LAWRENCE BALYEAT
SENIOR VP, CCPI	40.00		214181	0	21259	X
SCOTT C LANDRY
VP OF FACILITIES	43.00		220087	0	33339		X
CHAD COURREGE
VP OF HUMAN RESOURCES	40.00		261702	0	28668		X
FRANCIS D MERTENS
VP OF BUSINESS DEVELOPEMEN	40.00		247646	0	23808		X
JEANETTE RAY
VP - REHAB SERVICES	40.00		243760	0	25141		X
LAWRENCE METEVIER
PHYSICIST/DOSIMETRIST	40.00		182560	0	17020			X
LEE HANKINS
DIRECTOR PHARMACY	40.00		162165	0	11259			X
LAWRENCE CHINWUBA
PHARMACIST	51.00		182558	0	31057			X
DANIEL TOBIN
CONTROLLER	47.00		160743	0	20615			X
ALVIN STEWART
PHARMACIST	51.00		166755	0	14695			X
GARY STEIN
CEO/president - former	0.00		178648	860730	24632				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4196987	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2136724	TotalReportableCompFrmRltdOrgs
Total Other Compensation	938557	TotalOtherCompensation
Number Individuals GT100 K	71	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	10309994
LSUHSC - NEW ORLEANS
433 BOLIVAR STREET RM 619	NEW ORLEANS	LA	70112	AFFILIATION/RESIDENCY PROGRAM	5394405
PARISH ANESTHESIA OF NEW ORLEANS LLC
3510 N CAUSEWAY BLVD SUITE 404	METAIRIE	LA	70002	PHYSICIAN SERVICES	3235088
ARAMARK
24863 NETWORK PL	CHICAGO	IL	60673	HOUSKEEPING/CAFE/EQUIP MAINT	3225724
ENTERGY
PO BOX 8106	BATON ROUGE	LA	70891	ELECTRICITY	2956878

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	53	NumberOfContractorsGT100K
Federated Campaigns	2302632	FederatedCampaigns
All Other Contributions	16393136	AllOtherContributions
Total Contributions	18695768	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE	621400	255556857	255556857
NON-PATIENT SERVICE	621400	2781194	2781194

Field	Value	IRS element (for citing)
Total Program Service Revenue	258338051	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	462003	TotalRevenueColumn
Exclusion	$462,003	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3157310	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	3157310	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3157310	TotalRevenueColumn
Related Or Exempt Function Income	3157310	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	644732	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	175810	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	468922	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	468922	TotalRevenueColumn
Exclusion	$468,922	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
parking income	812930	1623995	1623995
cafeteria/catering	900099	1183940	1183940

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2024616	TotalRevenueColumn
Related Or Exempt Function Income	2024616	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4832551	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	285954605	TotalRevenueColumn
Related Or Exempt Function Income	266327912	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$930,925	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	32252632	Total
Program Services	32252632	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3538046	Total
Program Services	1167555	ProgramServices
Management And General	2370491	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	78978779	Total
Program Services	75957663	ProgramServices
Management And General	3021116	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3736984	Total
Program Services	3718982	ProgramServices
Management And General	18002	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5909114	Total
Program Services	5726043	ProgramServices
Management And General	183071	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6034459	Total
Program Services	5773070	ProgramServices
Management And General	261389	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	685390	Total
Program Services	685390	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	936299	Total
Program Services	392227	ProgramServices
Management And General	544072	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	254050	Total
Management And General	254050	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	46263216	Total
Program Services	34539764	ProgramServices
Management And General	11723452	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	532599	Total
Program Services	12969	ProgramServices
Management And General	519630	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8044669	Total
Program Services	4745058	ProgramServices
Management And General	3299611	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3250733	Total
Program Services	3250343	ProgramServices
Management And General	390	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4762785	Total
Program Services	4459779	ProgramServices
Management And General	303006	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	86981	Total
Program Services	64582	ProgramServices
Management And General	22399	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	135198	Total
Program Services	111568	ProgramServices
Management And General	23630	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2236689	Total
Management And General	2236689	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14936508	Total
Program Services	78072	ProgramServices
Management And General	14858436	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3627985	Total
Program Services	3627985	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	39186625	39141336	45289
Capital lease expense	3289744	3345500	-55756
dues & memberships	310720	123672	187048
Legal settlement	113137	1528	111609

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	172439	Total
Program Services	92140	ProgramServices
Management And General	80299	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	259275781	Total
Program Services	219267858	ProgramServices
Management And General	40007923	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1894110	BOY
EOY	37703453	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	42676547	BOY
EOY	56090074	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8427977	BOY
EOY	7594493	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4168664	BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1842276	BOY
EOY	1826475	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	400868113	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	281789323	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	113781985	BOY
EOY	119078790	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12308861	BOY
EOY	23338261	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3439590	BOY
EOY	8462712	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	188540010	BOY
EOY	254094258	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28402468	BOY
EOY	30169310	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	22239	BOY
EOY	70661	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	76452069	BOY
EOY	74593434	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	49599135	BOY
EOY	80701373	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	154475911	BOY
EOY	185534778	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	32801657	BOY
EOY	67286719	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1262442	BOY
EOY	1272761	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	34064099	BOY
EOY	68559480	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	188540010	BOY
EOY	254094258	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	26678824	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3846761	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-59871	ReconcilationPriorAdjustment
Reconcilation Other Changes	4029667	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

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
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
Contributions	-80096	Contributions
End Of Year Balance	7651280	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Current Year Minus4 Years CurrentYearMinus4Years

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	173512838	InvestmentCostOrOtherBasis
Depreciation	111284426	Depreciation
Book Value	62228412	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	211950194	InvestmentCostOrOtherBasis
Depreciation	169929052	Depreciation
Book Value	42021142	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3166785	InvestmentCostOrOtherBasis
Depreciation	575845	Depreciation
Book Value	2590940	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	119078790	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Charity Donation Due Children's Hospital	$30,490,188
other liabilities	$22,800
pension liability	$12,660,320
utility deposits	$23,825
due from restricted funds	$1,266,732
worker's comp claims	$1,918,052
professional liability claims	$7,271,605
retirement payable long term	$991,645
investment liability	$26,056,206

Field	Value	IRS element (for citing)
Total Of Amounts	80701373	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	288714350	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3846761	NetUnrealizedGainsInvestments
Other Revenues	1266081	OtherRevenues
Revenue Not Rptd F990	5112842	RevenueNotRptdF990
Revenue Subtotal	283601508	RevenueSubtotal
Other Revenues Not Included	2353097	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2353097	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	285954605	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	256973133	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-2302632	OtherExpensesIncluded
Expenses Not Rptd F990	-2302632	ExpensesNotRptdF990
Expenses Subtotal	259275765	ExpensesSubtotal
Other Expenses Not Included	16	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	16	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	259275781	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 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, Line 2:	FIN 48 FOOTNOTE Touro follows the provisions of the Accounting for Uncertainty in Income Taxes Topic of the FASB ASC. Touro 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. Touro's tax filings are subject to audit by various taxing authorities. Touro's open audit periods are 2009 through 2012. There are currently no returns under examination. Management evaluated Touro's tax positions and considered that Touro had taken no uncertain tax positions that require adjustments to the financial statements to comply with the provisions of this guidance.
Part XI, Line 2d - Other Adjustments:		RENT ALLOCATED TO SUBSIDIARY 1,266,086. CASH OVER & SHORT -5.
Part XI, Line 4b - Other Adjustments:		TIJV K1 plus HCCI form5147 50,465. Incoming Children's Hospital Donation for Charity Expenses 2,302,632.
Part XII, Line 2d - Other Adjustments:		Remove Incoming Children's Hospital Donation for Charity Expenses -2,302,632.
Part XII, Line 4b - Other Adjustments:		CASH OVER & SHORT 16.

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	5423246	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5423246	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43517705	TotalCommunityBenefitExpense
Direct Offsetting Revenue	85996428	DirectOffsettingRevenue
Net Community Benefit Expense	-42478723	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	354667	TotalCommunityBenefitExpense
Direct Offsetting Revenue	269106	DirectOffsettingRevenue
Net Community Benefit Expense	85561	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49295618	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86265534	DirectOffsettingRevenue
Net Community Benefit Expense	-36969916	NetCommunityBenefitExpense
Percent Of Total Expense	0.02120	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	842372	TotalCommunityBenefitExpense
Net Community Benefit Expense	842372	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7002071	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1800504	DirectOffsettingRevenue
Net Community Benefit Expense	5201567	NetCommunityBenefitExpense
Percent Of Total Expense	0.02010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9433914	TotalCommunityBenefitExpense
Net Community Benefit Expense	9433914	NetCommunityBenefitExpense
Percent Of Total Expense	0.03640	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17278357	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1800504	DirectOffsettingRevenue
Net Community Benefit Expense	15477853	NetCommunityBenefitExpense
Percent Of Total Expense	0.05970	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	66573975	TotalCommunityBenefitExpense
Direct Offsetting Revenue	88066038	DirectOffsettingRevenue
Net Community Benefit Expense	-21492063	NetCommunityBenefitExpense
Percent Of Total Expense	0.08090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$1,334,097	BadDebtExpenseAmount
Amount Reimbursed By Medicare	48585406	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	61616168	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13030762	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 (12 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.FA Percentage Income Below FPL Limit - 100% Below 200% - 90% Between 201-250% - 80% Between 251-300% - 70% Between 301-400% 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.FA Percentage Medical Credit Score - 100% Below 599 - 90% Between 601-649 - 80% Between 650-699 - 70% Above 699
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, using Worksheet 2 in the Schedule H instructions, is 23.17%.7e. Total community benefit expense: $842,372 Rehab Clinical Training and Community Outreach: $95,703 Community Outreach Program: $320,309 (community outreach, In Good Health newsletter and sponsorships) Healthcare Career Camp: $36,515 Respiratory, Radiology & Nursing Labor Expense: $307,670Part I, line 7b(d):As described in footnotes to the hospital's audited financial statements, Touro has collaborated with the State of Louisiana and with other units of government in Louisiana to ensure access to quality healthcare services for low income and needy residents in the community. Among other purposes, the UPL program also is helping to address historically low Medicaid hospital reimbursement, to stabilize hospitals that were affected by hurricane Katrina, and to offset reductions in Medicaid DSH resources. In Tax Year 2012, Touro received $52.5 million in UPL payments, which are included in direct offsetting revenue in Part I, Line 7b. Part I, Line 7i(c):In 2012, The System consisting of Touro Infirmary and Children's Hospital collaborated with other healthcare providers to ensure the availability of, and to more cost effectively provide, quality healthcare services to low income and needy residents in the community. In order to best address the needs in the community, the collaborative Hospitals became members of four non-profit organizations, Louisiana Clinical Services, Inc. (LCS), Southern Louisiana Clinical Services, Inc. (SLCS), Eastern Louisiana Clinical Services, Inc. (ELCS), and Natchitoches Clinical Services, Inc. (NCS), (collectively, the Non-Profits). The Hospitals contributed funds to the Non-Profits, which were then used to support the provisions of hospital and clinical physician services, physician in-training services, physician assistant/nurse practitioner services, specialty physician services and other healthcare services. Touro officially withdrew from these collaborative agreements July 27, 2012.In November 2011 the System entered into a contract with Louisiana Health Sciences Center (LSUHSC)and in July 2012 the System entered into multiple contracts with Louisiana Health Sciences Center (LSUHSC), Tulane University School of Medicine, and Van Meter and Associates to cover the cost of providing physician services to low income and needy patients at LSU interim hospital. Touro supported these System contracts by contributing $9,433,914 in order to provide healthcare services to low income and needy residents in the community.
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 9. 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, using Worksheet 2 in the Schedule H instructions, is 23.17%.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. There have been five subsequent reductions resulting in cummulative reimbursement reductions exceeding 23% by Fiscal Year 2012. The reductions have 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 Children's 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. There have been Five subsequent reductions resulting in cummulative reimbursement reductions exceeding 23% by Fiscal Year 2012. The reductions have 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 Children's 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, using Worksheet 2 in the Schedule H instructions, is 23.17%.
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 20d: 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 70% 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 organizations and other grassroots efforts. Touro's goal is to help residents learn how to access the care they need and to help them learn to manage their health conditions and live healthier lives.Community Need:Louisiana's overall health ranking consistently ranks among the worst states in the country. The 2012 America's health ranking (source: American's Health Rankings by the United Health Foundation http://www.americashealthrankings.org/LA/2012) ranks Louisiana 49th in overall state rankings, 49th for obesity, 45th for smoking, 49th for outcomes and 46th for diabetes. 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%. 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.Information from the hospital's needs assessment has shown several things. First, that addressing rates of diabetes and obesity, and the challenges associated with these conditions, are important in this community. In 2012, the Louisiana obesity rate exceeded 30% compared to 24% of the population 10 years ago. In 2012, nearly 1.2 million adults in Louisiana are obese. (source: American's Health Rankings by the United Health Foundation http://www.americashealthrankings.org/LA/2012) Reducing health disparities among ethnicities and socioeconomic groups in the New Orleans is also important.In Louisiana, obesity is more prevalent among non-Hispanic blacks at 41.6 percent than non-Hispanic whites at 29.3 percent and Hispanics at 28.9 percent (source: America's Health Rankings by the United Health Foundation http://www.americashealthrankings.org/LA/2012) Diabetes also varies by race and ethnicity in the state; 12.9 percent of non-Hispanic blacks have diabetes compared to 9.2 percent of non-Hispanic whites and 8.1 percent of Hispanics. Louisiana has the 2nd highest diabetes mortality rate in the nation and diabetes is the fifth leading cause for deaths among Louisiana residents. (source: Louisiana Department of Health and Hospitals Diabetes Prevention and Control program http://new.dhh.louisiana.gov/assets/oph/pcrh/diabetes/2012_Louisiana_Diabetes_Factsheet.pdf).Louisiana ranks 46th for cardiovascular deaths (source America's Health Rankings by the United Way Health Foundation http://www.americashealthrankings.org/LA). 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 those living in underserved areas of Orleans Parish without adequate health care. 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.Cancer rates: Louisiana ranks 48th in cancer deaths and has consistently had one of the highest cancer incidence rate and highest cancer mortality rate in the country. (source America's Health Rankings by the United Way Health Foundation http://www.americashealthrankings.org/LA). 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.Infant mortality: The state of Louisiana currently ranks 49th in infant mortality. (source America's Health Rankings by the United Way Health Foundation http://www.americashealthrankings.org/LA). New Orleans has a 7.3% infant mortality rate compared to the State of Louisiana rate of 8.5% (source: Louisiana Department of Health and Hospitals Bureau of Family Health Louisiana Child Death Review Report) and the U.S. rate of 6.15% (Source: CDC National Vital Statistics System http://www.cdc.gov/nchs/deaths.htm).New Orleans ranks 60th out of 64 Louisiana parishes in terms of health outcomes and 52nd in social and economic factors. (source: County Health Rankings and Roadmaps from the Robert Wood Johnson Foundation http://www.countyhealthrankings.org/app#/louisiana/2012/orleans/county/outcomes/overall/snapshot/by-rank)
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 informationGeographic service area:Touro 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 Truven Health Analytics.Demographics of community:The total population of the following parishes for 2012: Orleans Parish 366,360; Jefferson Parish 425,199 ; St. Bernard Parish 39,646; and Plaquemines Parish 24,267. Source: 2012 Nielson Company, Truven HealthPopulation of children by Parish (ages 0-17):Orleans Parish= 79,593; Jefferson Parish=98,204; St. Bernard Parish=10,685; Plaquemines Parish=6,728Income:Average household income for the parishes served by Touro is: Orleans Parish = $55,822; Jefferson Parish = $61,399; St. Bernard Parish = $49,614; Plaquemines Parish = $62,197.Median Earnings for Workers in 2011:New Orleans=$25,668; State of Louisiana=$23,853; Source: 2011 US Census QuickFacts Poverty Level:Percent of people living below the poverty level in 2012:New Orleans= 26.7%; Jefferson= 15.9%; Child Poverty Rates in 2012:New Orleans/Orleans Parish = 42%, Louisiana=27.3%, United States= 22% Source: National Center for Children in Poverty (NCCP) & Children's Defense Fund, Jan 2012Louisiana ranks 48th in the nation for the percent of children in poverty, 50th among states in percent of babies born at low birthweight, 44th among states in its infant mortality rate. SOURCE: Childrens Defense Fund, March 2013 press release and the 2012 Annie E Casey foundation Kids Count data center report.Uninsured by Parish:Percent of Uninsured Adults in December 2011:Orleans=20.7%; Jefferson= 19.9%; St. Bernard= 23.5%; Plaquemines=21.1% Source: Dec 2011 Louisiana Health Insurance Survey (sponsored by DHH)Percent of Uninsured Children (under 19) in December 2011:Orleans=5.2%; Jefferson= 3.9%; St. Bernard= 4.9%; Plaquemines=4.7% Source: Dec 2011 Louisiana Health Insurance Survey (sponsored by DHH) Louisiana ranks 5th in the nation for the number of people without health insurance. Source: Kaiser 2011 Health Insurance coverage of the total population. Health Outcomes: Source: United Healthcare 2012 Health RankingsLouisiana's ranking in the nation:49th for Outcomes Rank50th for Determinants Rank49th for Overall Rank46th for Diabetes Rank45th for Smoking Rank49th for prevalence of obesity49th for children in poverty45th for cases of infectious disease per 100,000 population46th for the number of cardiovascular deaths per 100,000 population49th for infant mortality (deaths per 1,000 live births)48th for cancer deaths per 100,000 population2012 Race/Ethnicity by Parish Orleans Parish: White/Non Hispanic = 114,011; Black/Non-Hispanic = 231,935; Hispanic = 20,566; Asian/Isl = 11,029; All Other = 6,819.Jefferson Parish: White/Non Hispanic = 231,481 Black/Non-Hispanic = 112,367; Hispanic = 56,538; Asian/Isl = 16,914; All Other = 7,899.St. Bernard Parish: White/Non Hispanic = 26,123; Black/Non-Hispanic = 7,590; Hispanic = 3,927; Asian/Isl = 800; All Other = 1,206.Plaquemines Parish: White/Non Hispanic = 16,415; Black/Non-Hispanic = 4,791; Hispanic = 1,255; Asian/Isl = 806; All Other = 1,000.Touro Infirmary's patient population by payor category for 2012: In-Patient Out-Patient Total %Medicare 2,740 19,661 22,401 19.21%Medicare HMO 2,074 17,696 19,770 16.95%Medicaid 5,541 18,345 23,886 20.48%Private Insurance 3,460 35,365 38,825 33.30%Self Pay 235 7,219 7,454 6.39%Touro Employee 117 4,163 4,280 3.67%Total 14,167 102,449 116,616 100.00%The other acute care hospitals serving the community are: Children's Hospital; Ochsner Medical Center, Ochsner Baptist Hospital, Ochsner Kenner Hospital, Ochsner Westbank Hospital, Tulane Medical Center, Interim Louisiana Hospital (LSU Hospital), East Jefferson General Hospital, West Jefferson Medical Center and St. Bernard Parish Hospital.In 2012, Touro was the main provider of health service in Orleans Parish with 10,403 discharges or 27% of the Orleans Parish market total.
Part VI, Line 5: In furtherance of its charitable purpose and mission, Touro provides a wide variety of benefits to the community which it serves. Benefits include social service programs, health screenings, in-home caregiver services, support counseling for patients and families, pastoral care, crisis intervention, the donation of space for use by community groups, health and wellness programs, classes about specific medical conditions, and telephone information services. In 2012, Touro offered or participated in 224 community outreach events, which were attended by 3,092 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, cancer, healthy aging, joint health, heart health, prostate health, driver safety and more.Touro's community outreach program offers a range of events. 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.The Touro Rehabilitation Center staff from a variety of disciplines, including the director of Inpatient Rehabilitation, occupation therapists, physical therapists and rehabilitation educator participated in free community events including home and driver safety for older adults, cognitive health, Sudden Impact Training for local high school students 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 Senior Center Expo, Dryades Family YMCA Health Fair and the Place Saint Charles Health 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 Programs: Touro participates in local employer health fairs and provides health information, free screenings and physician consultations. Examples of employer health events include: the W New Orleans Hotel, the Sheraton New Orleans Hotel, Harrah's Casino and 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, Cognitive Skills, Healthy Meal Planning, Aging in Place, Prostate Health Seminar, Incontinence, Hearing and 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 twelve 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 one CarFit event to seniors in 2012 as well as a seminar on Driver Safety for older adults and family caregivers. A special Teen CarFit presentation was also offered to participants in Touro's Health Career Camp.Throughout 2012, Touro offered several free health seminars on mature woman health issues including menopause and bladder control/incontinence. These seminars were open to the public and held either on-campus or at a restaurant near the hospital. The seminars included information on causes, management and treatment options from the most conservative to surgical options. Touro OB/GYNs and Urologists lead the seminars with time for questions following the presentations.Quit Smoking: Touro offers a monthly Smoking Cessation Program, "I Can Quit" open to the community. The four week support program is designed for those who are serious about quitting smoking.Childbirth Education Series: Nurse Educators from Touro's Family Birthing center offer free monthly childbirth education classes for expecting parents to help them prepare for childbirth, newborn care and breastfeeding. The classes are held on Touro's campus in the evenings or on weekends to accommodate a variety of schedules. The classes include: the four week child birth education series, sibling and lactation classes.Diabetes Support Group: Touro's Diabetes Center offers a free monthly support program for persons with diabetes entitled "Life Can Still Be Sweet." The class topics rotate each month, covering a variety of diabetes management topics from glucose monitoring, to medication management and diet to maintaining a healthy lifestyle.Supportive Cancer Care ProgramTouro's Supportive Cancer Care Center offers a number of free programs and services that are designed to meet the supportive care needs of individuals with cancer throughout the New Orleans community. Some of the supportive care offered to Touro patients and others within the New Orleans community include:Girl Talk: A gynecologic cancer support group for women who have been diagnosed with one of the gynecologic cancers. Whether a person is newly diagnosed, actively being treated or has completed treatment, this group can help. The meetings promote education and discussion about relevant topics.Support for Women with Cancer: As the name implies, this support group is open to any woman-regardless of cancer 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.Look Good, Feel Better Workshop: An 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. Information about wigs and other appearance issues are discussed.Supportive Care during Chemotherapy: As the name implies, this program is designed to help men and women while they are receiving chemotherapy treatment at Touro. A number of activities are available to patients to help them keep busy during treatment. iPads are provided to every patient who wants one to enable them to search the Internet, watch television shows or movies on Netflix, read the latest magazines, and participate in guided imagery. Volunteers-many of whom are cancer survivors-are present to assist patients with the activities or are there simply to talk.Caring for Caregivers: Caring 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.
Part VI, Line 5: 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 along with guided tours of the different cancer treatment centers at Touro. 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.Living a Better Life...after cancer treatment: A program for cancer survivors that helps them address specific issues associated with adjusting to life following treatment. Information is provided along with the support and encouragement of a clinical mental health counselor. A monthly meeting of women who have survived cancer is held to provide useful information on such topics as stress management, mental health, nutrition, and exercise. Integrative Health Coaching: A goal-oriented approach to helping former patients shift their focus from illness to wellness. A board certified health and wellness coach meets with former patients to change their health-related behavior involving eight areas of self-care. The purpose of this program is to help participants optimize their health and well-being following cancer treatment.
Part VI, Line 6: Part VI Line 6 the respective roles of the organization and its affiliates in promoting the health of the communities served.Touro Infirmary has the following wholly owned subsidiaries:- Crescent City Physicians, Inc. operates physician medical practices.Touro Infirmary is the sole member of the following not-for-profit entities:- Touro Infirmary Foundation performs the fund-raising function for the hospital. - Woldenberg Village, Inc. operates a 120-bed nursing home, a 60-unit assisted living facility, and a 60-unit independent living facility.Touro Infirmary and Woldenberg Village own a 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	32252632	AmountOfCashGrant
Purpose Of Grant	Touro elected to donate to Children's Hospital $32,252,632 during the year ended December 31, 2012. 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.	PurposeOfGrant

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	0	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)

TitleTitle	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
BOARD MEMBER	0	234090	0	0	0	1536	0	9000	0	3251	0	247877	0	0
STEVE WORLEY
BOARD MEMBER	0	827860	0	212508	0	0	0	317437	0	67555	0	1425360	0	0
JAMES MONTGOMERY
PRESIDENT	651086	0	201411	0	9174	0	12925	0	207455	0	1082051	0	0	0
SUSAN PITOSCIA
VP - CNO & COO	325497	0	92536	0	8897	0	14095	0	7059	0	448084	0	0	0
PENNY MENGE
CNO, VP PATIENT CARE SERVI	238725	0	17530	0	5149	0	12500	0	7879	0	281783	0	0	0
SUZANNE HAGGARD
CHIEF FINANCIAL OFFICER	291991	0	82542	0	4098	0	20349	0	7559	0	406539	0	0	0
LAWRENCE BALYEAT
SENIOR VP, CCPI	198975	0	9740	0	5466	0	10887	0	10372	0	235440	0	0	0
SCOTT C LANDRY
VP OF FACILITIES	175362	0	42551	0	2174	0	20523	0	12816	0	253426	0	0	0
CHAD COURREGE
VP OF HUMAN RESOURCES	208955	0	50528	0	2219	0	13453	0	15215	0	290370	0	0	0
FRANCIS D MERTENS
VP OF BUSINESS DEVELOPEMEN	194862	0	47655	0	5129	0	18585	0	5223	0	271454	0	0	0
JEANETTE RAY
VP - REHAB SERVICES	193983	0	47174	0	2603	0	12849	0	12292	0	268901	0	0	0
LAWRENCE METEVIER
PHYSICIST/DOSIMETRIST	180678	0	0	0	1882	0	12478	0	4542	0	199580	0	0	0
LEE HANKINS
DIRECTOR PHARMACY	156971	0	0	0	5194	0	7659	0	3600	0	173424	0	0	0
LAWRENCE CHINWUBA
PHARMACIST	181403	0	0	0	1155	0	12334	0	18723	0	213615	0	0	0
DANIEL TOBIN
CONTROLLER	157460	0	0	0	3283	0	11416	0	9199	0	181358	0	0	0
ALVIN STEWART
PHARMACIST	165850	0	0	0	905	0	5407	0	9288	0	181450	0	0	0
GARY STEIN
CEO/president - former	0	0	175456	860730	3192	0	19429	0	5203	0	203280	860730	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	--------------------- 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, Line 4b	Part I, Line 4B: Supplemental Nonqualified Retirement Plan: Gary Stein - $235,038 is the 2012 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 $105,055 on behalf of Mr. Francis Dale Mertens as of December 31, 2012. 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 VP of Business Development spending 40 hours per week in this role. Suzanne Haggard is the Chief Financial Officer 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. Dan Tobin is the Controller for Touro Infirmary. Additionally part of his duties include 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 9:	K-1 Income from TIJV LLC & Crescent City Research Consortium LLC -50,465. EARNINGS/(LOSSES) FROM SUBSIDIARIES -6,882,287. Change in Restricted Net Assets 10,319. PENSION NET ASSET ADJUSTMENT 1,184,229. Remove allocated rent to subsidiary 1,266,086. Elimination of Intercompany Fund Transfers 8,501,787. Affiliated Organization's Return of Investment Minor Rounding Difference -2.	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 (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
1 TIJV llc
1401 Foucher St	New Orleans	LA	70115	261378361	Imaging Center Rental	LA	Touro Infirmary	Related	40875	2698604	0	0	0.66000
2 Crescent City Research Consortium LLC
1111 Medical Center Blvd Ste N701	Marrero	LA	70072	383880814	Scientific Research	LA	Non Profit Hospital Consortium	Unrelated	9590	37239	0	0	0.09990

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
Crescent City Physicians Inc
3600 Prytania Street Suite 72	New Orleans	LA	70115	721269878	Healthcare	LA	C	-6882284	6090973	1.00000	0
Buckman Medical Office Building Condominium Association
1401 Foucher Street	New Orleans	LA	70115	721226687	Healthcare	LA	C		36219	0.92000	0
Prytania Medical Complex Owners Association
650 Poydras Street Suite 1200	New Orleans	LA	70130	720866121	Healthcare	LA	C		134250	0.80000	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
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 (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
TOURO INFIRMARY FOUNDATION
C	223915
TOURO INFIRMARY FOUNDATION
R	834179
Woldenberg Village
E	710873
Crescent City Physicians Inc
D	7095419
Crescent City Physicians Inc
A	1264826
TIJV LLC
A	114314
Louisiana Childrens Medical Center
M	797384
Children's Hospital
B	32252632
Children's Hospital
C	2302632
Children's Hospital
S	16000000
TIJV LLC
A	62851