2025-02-03T12:00:59-06:00 2023-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2023-01-01 720423659 TOURO INFIRMARY TOUR 5048978344 1401 FOUCHER STREET NEW ORLEANS LA 70115 JOANN KUNKEL CFO 5048978568 2025-01-31 1 0 JOHN S WILES CPA P01222673 5048355522 2025-01-31 2023 2025-03-06 01:10:19Z JAY PENNISSON 1401 FOUCHER STREET NEW ORLEANS LA 70115 351254360 0 X WWW.TOURO.COM X 1852 LA PROVISION OF HEALTHCARE SERVICES 27 23 1937 98 71652 0 3578541 3275256 322185550 325024766 1580210 983881 14970714 13755419 342315015 343039322 25242993 3439261 0 0 120151530 126374656 0 0 0 205358961 233344806 350753484 363158723 -8438469 -20119401 438593980 391460215 172312100 151037405 266281880 240422810 X 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. 0 0 263165169 328994940 FOUNDED IN 1852, TOURO INFIRMARY (TOURO) IS NEW ORLEANS' ONLY COMMUNITY BASED, NON-PROFIT, FAITH-BASED HOSPITAL. SINCE 2009, TOURO HAS BEEN A PART OF LCMC HEALTH. FOR MORE THAN 165 YEARS, TOURO HAS HAD A SPECIAL PLACE IN THE HEART OF THE COMMUNITY, PROVIDING HIGH QUALITY, COMPASSIONATE HEALTHCARE TO THE NEW ORLEANS COMMUNITY. AS A FULL-SERVICE HOSPITAL, TOURO OFFERS MEDICAL, SURGICAL, INTENSIVE CARE, OBSTETRIC, SKILLED NURSING INPATIENT SERVICES, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, AND A 24-HOUR EMERGENCY DEPARTMENT. AS AN ADULT, ACUTE CARE HOSPITAL, TOURO OFFERS COMPREHENSIVE HEALTHCARE SERVICES AT EVERY STAGE OF LIFE, FROM DELIVERING THE SECOND MOST BABIES IN THE STATE FOR ANY SINGLE HOSPITAL TO PROVIDING CARDIAC, CANCER, AND REHABILITATION CARE IN A WARM AND HEALING (CONT'D ON SCH. O) ENVIRONMENT.THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH AND REHABILITATION SERVICES. THE HOSPITAL HAS 210 ADULT BEDS, 61 REHABILITATION BEDS, 22 ICU BEDS AND 48 OB BEDS FOR A TOTAL OF 341 LICENSED BEDS. THE HOSPITAL TREATED 8,799 INPATIENTS AND HAD 235,130 OUTPATIENT VISITS IN 2023. ALSO, IN 2023, TOURO HAD 7,864 SURGERIES (INPATIENT, OUTPATIENT AND AMBULATORY SURGERY CENTER), 29,259 EMERGENCY DEPARTMENT VISITS, AND 2,317 DELIVERIES. LCMC HEALTH IS A NEW ORLEANS-BASED, NON-PROFIT HEALTH SYSTEM ON A MISSION TO PROVIDE THE BEST POSSIBLE CARE FOR EVERY PERSON AND PARISH IN LOUISIANA AND BEYOND, AND BRING A LITTLE MORE HEART AND SOUL TO HEALTH CARE ALONG THE WAY. ORIGINALLY FOUNDED BY LOUISIANA'S ONLY FREESTANDING CHILDREN'S HOSPITAL, THEY'VE GROWN INTO A HEALTHCARE SYSTEM THAT IS BUILT TO SERVE THE NEEDS OF OUR COMMUNITIES. TODAY, LCMC HEALTH OFFERS EIGHT HOSPITAL LOCATIONS. PLUS, THEY ALSO HAVE A SERIES OF PARTNERSHIPS THAT HELP PROVIDE THE MOST COMPREHENSIVE CARE, INCLUDING AGREEMENTS WITH CRESCENT CITY SURGICAL CENTRE, AN URGENT CARE PARTNERSHIP WITH PREMIER HEALTH, AND AN INVESTMENT IN A RETIREMENT AND REHAB COMMUNITY. 11608446 3114019 TOURO 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 401 STUDENTS, 320 RESIDENTS, AND 44 FELLOWS IN 2023 IN THE SPECIALTIES OF ALLERGY, INTERNAL MEDICINE, EMERGENCY MEDICINE, COLON & RECTAL, CARDIOLOGY, NEUROLOGY, GENERAL SURGERY, GASTROENTEROLOGY, NICU, OB/GYN, GENERAL VASCULAR SURGERY, OMFS, MED/PEDS, NEONATOLOGY, PEDIATRICS, PLASTIC SURGERY, OPHTHALMOLOGY, PM&R, PAIN MANAGEMENT, PULMONARY, ORTHOPEDICS, OTOLARYNGOLOGY, AND UROLOGY. TOURO IS ALSO A CLINICAL TRAINING SITE FOR (CONT'D ON SCH O) NURSING AND ALLIED HEALTH PROGRAMS FOR VARIOUS METRO NEW ORLEANS COLLEGES INCLUDING LOUISIANA STATE UNIVERSITY (NEW ORLEANS, LA), DELGADO COMMUNITY COLLEGE (NEW ORLEANS, LA), DILLARD UNIVERSITY (NEW ORLEANS, LA). HOLY CROSS UNIVERSITY (NEW ORLEANS, LA), FLETCHER TECHNICAL COMMUNITY COLLEGE (SCHIVER, LA), CHAMBERLAIN UNIVERSITY (NEW ORLEANS, LA), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). TOURO CURRENTLY OFFERS TRAINING PROGRAMS TO STUDENTS IN RESPIRATORY, RADIOLOGY AND NURSING. IN 2023, TOURO STAFF PROVIDED 8,191 HOURS OF SUPPORT TO THE 111 STUDENTS IN THESE PROGRAMS.IN 2023, TOURO REHABILITATION CENTER PROVIDED CLINICAL TRAINING TO PHYSICAL, OCCUPATIONAL, AND THERAPEUTIC RECREATION STUDENTS FROM COLLEGES AROUND THE COUNTRY, INCLUDING: LSU HEALTH SCIENCES (NEW ORLEANS, LA AND SHREVEPORT, LA), FRANCISCAN UNIVERSITY (BATON ROUGE, LA), UNIVERSITY OF TENNESSEE (CHATTANOOGA, TN), WASHINGTON UNIVERSITY (ST. LOUIS, MO), UNIVERSITY OF ST. AUGUSTINE (AUSTIN, TX), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). PLUS, TOURO STAFF PROVIDED 184 HOURS OF MENTOR SUPPORT FOR SIX HIGH SCHOOL STUDENTS WISHING TO EXPLORE REHABILITATION THERAPY AS A CAREER CHOICE. IN ALL, TOURO STAFF PROVIDED 6424 HOURS OF SUPPORT TO 29 THERAPY INTERNS AND/OR TEACHING GROUPS. 355193 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 2023, TOURO OFFERED OR PARTICIPATED IN 210 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 2,708 PEOPLE.TOURO PROVIDES MEETING SPACE FREE OF CHARGE TO LOCAL NON-PROFITS AND OTHER ORGANIZATIONS FOR THE BENEFIT OF THE COMMUNITY. IN 2023, TOURO PROVIDED MEETING SPACE FOR 218 MEETINGS. 3439261 3439261 DURING THE YEAR ENDED DECEMBER 31, 2023 TOURO PROVIDED $1,456,598 TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THE GRANT WAS ALSO USED TO FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL.IN 2023, TOURO DONATED $1,414,706 TO NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL SUPPORT TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.DURING THE YEAR ENDED DECEMBER 31, 2023, TOURO DONATED $531,957 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.TOURO ALSO GAVE FUNDS THROUGHOUT THE YEAR TO LOCAL AREA CHARITIES TO HELP FURTHER THEIR MISSION. 3439261 3439261 278568069 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 127 0 1 1937 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 27 23 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X THE ORGANIZATION 5048978344 1401 FOUCHER STREET NEW ORLEANS LA 70115 GREG FEIRN SYSTEM PRESIDENT/CEO 1.00 54.00 X 0 2239340 31055 WILLIAM VON ALMEN MD MEDICAL STAFF DIRECTOR 1.00 40.00 X 0 286976 22733 KNIGHT WORLEY MD BOARD MEMBER 1.00 X X 0 0 0 JILL ISRAEL IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 KIM BOYLE CHAIR 1.00 X X 0 0 0 MARA FORCE VICE CHAIR 1.00 X X 0 0 0 STEVEN YELLIN MD BOARD MEMBER 1.00 X 0 0 0 MARCY NATHAN BOARD MEMBER 1.00 X 0 0 0 KATHY LICHTENBERG SECRETARY/TREASURER 1.00 X 0 0 0 CRYSTAL MCDONALD BOARD MEMBER 1.00 X 0 0 0 JULIE SILBERT BOARD MEMBER 1.00 X 0 0 0 JULIAN GOOD BOARD MEMBER 1.00 X 0 0 0 SHEA SOLL BOARD MEMBER 1.00 X 0 0 0 MANNY LINARES PRESIDENT AND CEO 48.00 7.00 X X 144848 819659 31901 AUSTIN MARKS BOARD MEMBER 1.00 X 0 0 0 STUART KOTTLE BOARD MEMBER 1.00 X 0 0 0 THOMAS MIMS MD BOARD MEMBER 1.00 X 0 0 0 JASMINE BROWN DEROUSSELLE BOARD MEMBER 1.00 X 0 0 0 TED LECLERCQ BOARD MEMBER 1.00 X 0 0 0 BROOKE BISSINGER DAVIS BOARD MEMBER 1.00 X 0 0 0 ROBIN GIARRUSSO BOARD MEMBER 1.00 X 0 0 0 CAROLINE GOOD BOARD MEMBER 1.00 X 0 0 0 LARRY LOVELL BOARD MEMBER 1.00 X 0 0 0 JOHN SILLARS BOARD MEMBER 1.00 X 0 0 0 RUTH KULLMAN LCMC BOARD CHAIR 1.00 X 0 0 0 CHRISTOPHER LEGE CHIEF MEDICAL OFFICER 50.00 X 124196 422044 23064 STEPHEN M BALDWIN CHIEF OPERATING OFFICER 50.00 X 81307 277967 24929 PATRICIA ROSENBERG CHIEF NURSING OFFICER 50.00 X 71003 237052 24238 PAUL DU TREIL MD MEDICAL STAFF PRESIDENT 40.00 X 0 0 0 JAY PENNISSON CFO (BEGAN 2ND QTR 2023) 50.00 1.00 X 0 391739 29697 TAKEISHA DAVIS NOEH - PRESIDENT/CEO 50.00 X 90757 315241 18424 GRETCHEN PENTON EXEC VP OF CCPI 50.00 X 76222 247367 26423 CANDACE S ROBINSON NOWH CHIEF MEDICAL OFFICER 50.00 X 73631 251525 28898 TROY BOND AVP HUMAN RESOURCES 50.00 X 60151 197151 25682 GREGORY R BARKER VICE PRESIDENT OPERATIONS 50.00 X 58115 187985 13926 COURTNEY J MARBLEY NOEH-CHIEF NURSING OFFICER 50.00 X 56180 191493 18351 DANIELLE WILLIS NOEH CFO 50.00 X 53855 191343 11819 MYLENE UPSON CONTROLLER 50.00 X 46234 128936 9074 BRANDON NGUYEN NOEH DIR PHARMACY 50.00 X 43584 129375 22232 FE MEDINA NOEH RN STAFF NURSE 50.00 X 63244 142664 10750 CRAIG EDRINGTON CLINICAL SUPERVISOR 50.00 X 60897 127513 10943 JOHN RICHERT PHYSICIAN 50.00 X 53994 147739 14657 TARA MONTGOMERY DIRECTOR OF PHARMACY SERVI 5.00 X 50484 152603 16333 KIMBERLY BROWN VP ANESTHESIA AND PAIN MED 1.00 50.00 X 89449 200656 12440 BRADLEY SINCLAIR FORMER OFFICER 0.00 50.00 X 0 453617 18231 SUZANNE HAGGARD FORMER OFFICER 0.00 55.00 X 0 680336 20514 TANYA KENNEDY FORMER OFFICER 0.00 55.00 X 0 407273 21473 CHAD COURREGE FORMER OFFICER 0.00 55.00 X 0 519971 36058 1298151 9347565 523845 330 1 1 0 ARAMARK 25271 NETWORK PL CHICAGO IL 60673 DIETARY & HOUSEKEEPING 9746348 LSUHSC - NEW ORLEANS 433 BOLIVAR STREET RM 619 NEW ORLEANS LA 70112 RESIDENCY AFFILIATION 9431025 TRIMEDX 5451 LAKEVIEW PKWY DR S INDIANAPOLIS IN 46268 HEALTHCARE LOGISTICS 5308307 SCOTT MOULEDOUS CONSTRUCTION 1600 JUSTIN RD METAIRIE LA 70001 CONSTRUCTION SERVICES 1309097 DELTA PATHOLOGY GROUP 1305 W CAUSEWAY APPRACH MANDEVILLE LA 70471 CLINICAL SERVICES 1269134 65 384123 2132154 758979 3275256 NET PATIENT SERVICE 621400 318572580 318572580 340B OP DRUG PROGRAM 621400 6452186 6452186 325024766 643437 643437 8678625 0 8678625 8678625 5068272 3610353 8183403 372079 8215038 0 -31635 372079 340444 340444 OTHER OPERATING REVENUE 621400 2003593 2003593 CAFETERIA/CATERING 621400 1450905 1450905 INSURANCE REIMBURSEMENTS 900099 940607 940607 681689 12328 71652 597709 5076794 343039322 332108959 71652 7583455 X 3439261 3439261 5277518 1994511 3283007 100001665 92273007 7728658 3180656 3042411 138245 10448214 9751925 696289 7466603 6750255 716348 31874211 1704291 30169920 573455 129528 443927 15917 15917 50036 23312 26724 49600864 35088501 14512363 1120612 1120612 3154690 2905123 249567 1091943 985724 106219 21622374 10320205 11302169 47272 15915 31357 23488 18547 4941 3812715 3812715 21214194 7417063 13797131 2889589 2889589 MEDICAL SUPPLIES 64551438 64446504 104934 PHARMACEUTICAL SUPPLIES 21352680 21352680 TAXES & LICENSES 9454878 9429350 25528 OTHER EXPENSES 1035586 714728 320858 -141136 47007 -188143 363158723 278568069 84590654 0 14598960 1 61354 109428404 37427000 75333103 379971 36845 7105833 1070150 2228138 590911630 460646448 137302373 130265182 22274419 23442272 1411000 1411000 77138726 189139464 438593980 391460215 41603879 22628908 47950520 44357459 36883354 33734843 45874347 50316195 172312100 151037405 X 264929565 239000314 1352315 1422496 266281880 240422810 438593980 391460215 X -20119401 1804053 798989 -8342711 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16044 16044 0 PART II-B, LINE 1: TOURO INFIRMARY PAID A PORTION OF DUES TO LOUISIANA HOSPITAL ASSOCIATION THAT WERE DEEMED TO BE FOR LOBBYING OR RELATED ACTIVITIES TOTALING $16,044 (18% OF DUES). 5767407 5801 5761606 5761845 5562 5767407 5811632 49787 5761845 5806347 5285 5811632 5718277 88070 5806347 1.00000 0 1 1 12198343 12198343 328830443 234224182 94606261 8000 8000 206608277 183776300 22831977 43266567 42645966 620601 130265182 RIGHT OF USE - LEASED ASSETS 479835 OTHER ASSETS 210104 INTERCOMPANY RECEIVABLES 116801563 INVESTMENT IN CONSOLIDATED SUBSIDIARIES 71647962 189139464 PENSION LIABILITIES 3101805 WORKER'S COMP CLAIMS LIABILITY 2324425 LEASED ASSET LIABILITIES 472211 OTHER LIABILITIES 122838 GENERAL LIABILITY 5949999 INTEREST RECEIVABLES - SWAPS 127691 INVESTMENT IN SUBSIDIARIES 38217226 50316195 X PART V, LINE 4: THESE ENDOWMENT FUNDS ARE ADMINISTERED BY TOURO INFIRMARY FOUNDATION AND WOLDENBERG VILLAGE, WHICH ARE CONTROLLED BY TOURO INFIRMARY. THESE FUNDS ARE INTENDED TO BE USED FOR TOURO INFIRMARY'S AND WOLDENBERG VILLAGE'S EXEMPT PURPOSES. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IS HAS APPROPRIATE SUPPORT FOR ANY POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 1 X 1 X 250.000000000000 1 X 1 1 0 0 2404883 2404883 0.00660 86083930 81592435 4491495 0.01240 88488813 81592435 6896378 0.01900 355193 355193 0.00100 11608446 3114019 8494427 0.02340 3403261 3403261 0.00940 15366900 3114019 12252881 0.03380 103855713 84706454 19149259 0.05280 1 1218320 35674648 52264832 -16590184 X 1 1 1 TIJV LLC IMAGING CENTER RENTAL 0.79000 0.21000 1 1 TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS LA 70115 197 X X X X TOURO INFIRMARY 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LCMCHEALTH.ORG/TOURO/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 21 1 HTTPS://WWW.LCMCHEALTH.ORG/TOURO/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 250.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X 1 X 0 0 TOURO INFIRMARY PART V, SECTION B, LINE 5: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE PARTICIPATING HOSPITALS.FOR THIS ASSESSMENT, MHCNO PARTICIPANTS DEFINED THEIR COMMUNITY AS THE PARISHES WHERE MOST OF THEIR PATIENTS RESIDE, WHICH INCLUDE JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES.LPHI USED A COLLABORATIVE MIXED METHODS APPROACH TO DETERMINE SIGNIFICANT NEEDS AND CONCERNS IN THE COMMUNITY. THE REPORT CONTAINS SECONDARY DATA FROM NATIONAL SOURCES AND INPUT FROM DOZENS OF KEY STAKEHOLDERS IN THE GNO AREA, PARTICULARLY THOSE WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH, THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL, AND/OR VULNERABLE POPULATIONS IN THE COMMUNITIES SERVED BY THE HOSPITAL. COMMUNITY INPUT WAS GATHERED THROUGH INTERVIEWS, FOCUS GROUPS, AND AN ELECTRONIC SURVEY DISTRIBUTED TO HEALTH SYSTEM PATIENTS AND COMMUNITY MEMBERS. COMMUNITY INPUT DROVE THE DETERMINATION OF SIGNIFICANT CONCERNS FOR THIS CHNA AND THEREFORE THE PRIORITIES.PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 3000 SURVEYS, EIGHT FOCUS GROUPS, AND TALKED TO 37 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS AND CONCLUDED IN DECEMBER 2021. THE COMMUNITY NEEDS ASSESSMENT (CHNA) WAS ASSISTED WITH PROJECT MANAGEMENT AND CONSULTATION BY LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI).THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. HEALTH PROVIDER SURVEYS WERE COLLECTED TO CAPTURE THOUGHTS AND OPINIONS REGARDING HEALTH PROVIDERS' COMMUNITY REGARDING THE CARE AND SERVICES THEY PROVIDE. COMMUNITY REPRESENTATIVES AND STAKEHOLDERS ATTENDED A COMMUNITY FORUM FACILITATED BY LPHI TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A ROBUST REGIONAL PROFILE (SECONDARY DATA PROFILE) WAS ANALYZED. THE REGIONAL PROFILE CONTAINED LOCAL, STATE, AND FEDERAL DATA/STATISTICS PROVIDING INVALUABLE INFORMATION ON A WIDE-ARRAY OF HEALTH AND SOCIAL TOPICS. FURTHERMORE, DIFFERENT SOCIOECONOMIC CHARACTERISTICS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS WERE REVIEWED AND DISCUSSED WITH MEMBERS OF THE CHNA WORKING GROUP AND LPHI.AS A RESULT OF THE CHNA PROCESS, TOURO INFIRMARY IDENTIFIED THREE SIGNIFICANT COMMUNITY HEALTH NEEDS AS THEIR TOP PRIORITIES WHICH ARE:1) ACCESS TO AND CONTINUITY OF CARE; 2) HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE; AND3) MENTAL AND BEHAVIORAL HEALTHAFTER THE CHNA WAS COMPLETED AND THE PRIORITIES WERE SET, TOURO THEN DEVELOPED A CHIP IN 2022. TOURO INFIRMARY TOOK INTO CONSIDERATION, THE ABILITY TO ADDRESS THE REGION'S IDENTIFIED NEEDS AND VIEWED THE OVERALL SHORT AND LONG-TERM EFFECTS OF UNDERTAKING THE TASK. TOURO INFIRMARY WILL:1. ADDRESS THE IDENTIFIED NEEDS AND VIEW THEM AS POSITIVE AND ENCOURAGING CHANGES.2. WILL COMPLETE THE NECESSARY ACTION AND IMPLEMENTATION STEPS FOR NEWLY FORMED ACTIVITIES OR REVISE STRATEGIES TO ASSIST THE COMMUNITY'S UNDERSERVED AND DISENFRANCHISED RESIDENTS.3. CONTINUE TO DEVELOP FUTURE COMMUNITY PARTNERSHIPS AND COLLABORATIONS WITH OTHER HEALTH INSTITUTIONS, ORGANIZATIONS, INVOLVEMENT FROM GOVERNMENT LEADERS, CIVIC ORGANIZATIONS, AND STAKEHOLDERS WITH THE GOAL OF ADDRESSING THE REGION'S NEEDS.THE AVAILABLE RESOURCES AND THE ABILITY TO TRACK PROGRESS RELATED TO THE IMPLEMENTATION STRATEGIES WILL BE MANAGED BY TOURO AND LCMC HEALTH TO MEET THE REGION'S NEEDS. TACKLING THE REGION'S NEEDS IS A CENTRAL FOCUS AND HOSPITAL LEADERSHIP WILL CONTINUE TO MEASURE DURING THE CHIP TIMEFRAME OF 2022 THRU 2024. TOURO WILL CONTINUE TO WORK CLOSELY WITH COMMUNITY PARTNERS, AS THIS IMPLEMENTATION STRATEGY PLANNING REPORT IS THE FIRST STEP TO AN ONGOING PROCESS TO REDUCING THE GAPS OF HEALTH DISPARITIES AND ENSURING ALL RESIDENTS HAVE ACCESS TO THE HIGH-QUALITY HEALTH CARE RESOURCES AVAILABLE IN THE REGION. TOURO INFIRMARY PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: CHILDRENS HOSPITAL NEW ORLEANS EAST JEFFERSON GENERAL HOSPITAL NEW ORLEANS EAST HOSPITAL OCHSNER MEDICAL CENTER - NEW ORLEANS OCHSNER BAPTIST - A CAMPUS OF OCHSNER MEDICAL CENTER OCHSNER MEDICAL CENTER - WEST BANK CAMPUS OCHSNER MEDICAL CENTER - KENNER OCHSNER REHABILITATION HOSPITAL RIVER PLACE BEHAVIORAL HEALTH HOSPITAL TOURO INFIRMARY UNIVERSITY MEDICAL CENTER NEW ORLEANS WEST JEFFERSON MEDICAL CENTER TOURO INFIRMARY PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY TOURO ARE MENTAL AND BEHAVIORAL HEALTH, HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARE, AND ACCESS TO AND CONTINUITY OF CARE. TOURO INFIRMARY PROVIDES PROGRAMS AND SERVICES TO MANY IN THE PARISH AND SURROUNDING REGIONS. BEHAVIORAL HEALTH WAS IDENTIFIED AS A TOP NEED THROUGH THE 2021 CHNA. WHILE TOURO INFIRMARY IS NOT THE ONLY HEALTH CARE INSTITUTION IN THE REGION, THE FOLLOWING STRATEGIES WERE IDENTIFIED AND REVEALED TO ADDRESS THE GROWING ISSUE. TOURO INFIRMARY, IN PARTNERSHIP AND COLLABORATING WITH OTHER REGIONAL HEALTH CARE ORGANIZATIONS, WILL CONTINUE TO CAPITALIZE ON THE COMMUNITIES' EXISTING RESOURCES TO TACKLE AND CONFRONT THE NEEDS OF THE REGION.MENTAL AND BEHAVIORAL HEALTHTOURO'S GOAL IS TO PROVIDE INPATIENT AND OUTPATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES BY IMPLEMENTING 4 NEW STRATEGIES. STRATEGY 1 IS TO INTEGRATE BEHAVIORAL HEALTH INTO MEDICAL, CLINICAL, OBSTETRIC SITES THOUGH CONTRACTING WITH OCEANS BEHAVIORAL HEALTH TO (1) SEE OUTPATIENTS AS NEEDED AND UPON DISCHARGE AND (2) CONSULT ON INPATIENTS AND WITH ER PATIENTS WHEN NEEDED. STRATEGY 2 IS TO INCREASE PROGRAMS CONNECTING PATIENTS WITH APPROPRIATE HEALTH PROFESSIONALS BY IMPLEMENTING EPIC EMR IN ED AND THE CLINICS WITH IMPROVED, VALIDATED SUICIDE SCREENING TOOL AND MADE INFORMATION AVAILABLE VIA EMR FOR ACCESS BY BEHAVIORAL HEALTH PROFESSIONAL AND PRIMARY CARE PROVIDERS. TOURO WILL ALSO OFFER PARKINSON'S SUPPORT GROUP MEETINGS WITH MEDICAL PROFESSIONALS WITH A GOAL OF 12 MEETINGS PER YEAR. STRATEGY 3 IS TO ACTIVELY ENGAGE AS MEMBERS OF THE CITY OF NEW ORLEANS BEHAVIORAL HEALTH COUNCIL BY (1) ATTENDING AND PARTICIPATING IN THE RELEVANT SECTOR WORK GROUP MEETINGS THAT ARE HELD 9-10 TIMES PER YEAR AND (2) ATTENDING, PARTICIPATING, AND SPONSORING THE ANNUAL HEALTH FORUM THAT IS OPEN TO THE PUBLIC WHEN HELD WITH THE GOAL OF 12 FORUMS PER YEAR. STRATEGY 4 IS TO ACTIVELY ENGAGE AS MEMBERS OF THE CITY OF NEW ORLEANS OPIOID TASK FORCE BY (1) ATTENDING AND PARTICIPATING IN TASK FORCE MEETINGS AS SCHEDULED WITH THE ANTICIPATED CADENCE OF MEETINGS WILL BE EVERY 3 MONTHS AND (2) SHARING DE-IDENTIFIED DATA AND TRENDING INFORMATION TO THE TASK FORCE WHEN AVAILABLE AND REQUESTED.HEALTH EQUITY AND DISCRIMINATION IN HEALTHCARETOURO'S GOAL IS TO BREAK DOWN BARRIERS IN DISCRIMINATION (AND INEQUITIES) IN HEALTH CARE THROUGH 3 NEW STRATEGIES. STRATEGY 1 IS TO DEVELOP EXPANDED AND REGULAR EDUCATION TO LEADERS AND STAFF ON IDENTIFYING AND BREAKING DOWN BARRIERS RELATED TO DISCRIMINATION AND IMPROVING HEALTH EQUITY. TOURO HAS IMPLEMENTED AT THE H.E.L.M. (HEALTH EQUITY LEADERSHIP MATTERS) TRAINING FOR ALL LCMC SENIOR LEADERS (AVPS AND ABOVE). THIS YEAR LONG TRAINING WAS DESIGNED TO: A) EDUCATE, ENLIGHTEN AND EMPOWER SENIOR LEADERSHIP WITH KNOWLEDGE AND TOOLS TO LEAD DIVERSE TEAMS B) CREATE EQUITABLE AND INCLUSIVE WORK ENVIRONMENTS C) CREATE CULTURALLY COMPETENT AND MEANINGFUL CARE FOR ALL PATIENTS. D) GOAL IS 100% SENIOR LEADER PARTICIPATION/TRAINING OVER THREE YEARS. THE THREE YEAR TRAINING WILL CASCADE FROM: A) SENIOR LEADERS - YEAR 1 B) DIRECTORS & MANAGERS - YEAR 2 I) GOAL IS 100% OF DIRECTORS AND MANAGERS TRAINED C) FRONTLINE WORKERS - YEAR 3. I) GOAL IS 80% OF WORKERS TRAINED. TOURO IS ALSO DEVELOPING A HEALTH EQUITY LEARNING SERIES WHICH WILL INCLUDE SESSIONS TO ADDRESS CONTRIBUTING FACTORS REGARDING THESE TOPICS. TOURO HAS IMPLEMENTED A DIVERSITY & SOCIAL RESPONSIBILITY PRESENTATION WHICH IS INCORPORATED INTO CURRENT NEW LEADER TRAINING AND WILL OFFER EXECUTIVE COACHING/LEADERSHIP TRAINING TO MINORITY FEMALE LEADERS LED BY A CONSULTANT THAT SPECIALIZES IN THAT TARGET AUDIENCE. STRATEGY 2 IS TO CREATE IMPROVED ACCESS FOR CERTAIN DISADVANTAGED PATIENTS THROUGH CHANGED LANGUAGE SERVICES VENDORS TO ENSURE OPTIMAL QUALITY OF COMMUNICATION AND PATIENT SAFETY FOR OUR LEP (LIMITED ENGLISH PROFICIENCY) AND HEARING-IMPAIRED PATIENTS. STRATEGY 3 IS TO CREATE STAFF TRAINING THAT DECREASES POSSIBLE RACIAL BIAS IN HEALTHCARE. TOURO WILL PROVIDE TRAINING OF ALL PATIENT ACCESS STAFF THROUGHOUT THE SYSTEM ON THE STANDARDIZED METHODOLOGY FOR COLLECTION OF RACE ETHNICITY AND LANGUAGE (REAL) DATA. TOURO IS CURRENTLY DEVELOPING TRAINING FOR CLINICAL STAFF ON THE STANDARDIZED METHODOLOGY FOR THE COLLECTION OF SEXUAL ORIENTATION GENDER IDENTITY (SOGI) DATA. TRAININGS WILL ASSIST US IN OBTAINING PATIENT SELF-REPORTED DATA WHICH ENABLES ACCURATE DISAGGREGATION OF OUR DATA SET, OPPORTUNITIES TO IDENTIFY DISPARITIES IN CARE AND THE CREATION OF STRATEGIES TO ENSURE HEALTH EQUITY. TOURO'S FINAL GOAL FOR STRATEGY 3 IS HAVE ALL CAREGIVERS COMPLETE IMPLICIT BIAS TRAINING PROVIDED BY A 3RD PARTY VENDOR STARTING WITH L&D STAFF & PROVIDERS WITH GOAL OF 100% PARTICIPATION. ACCESS TO AND CONTINUITY OF CARETOURO'S GOAL IS TO REDUCE BARRIERS TO CARE AND ENSURE ACCESS TO PRIMARY CARE SERVICES FOR THE UNDERSERVED POPULATIONS CONTINUES THROUGH THE FOLLOWING 5 STRATEGIES. STRATEGY 1 IS TO CONNECT UNDERSERVED PATIENTS TO APPROPRIATE HEALTH CARE SERVICES IN THE REGION. TOURO WILL HIRE THREE (3) MORE OB PROVIDERS AND THREE (3) MORE PRIMARY CARE NPS TO INCLUDE AND NP IN NEW ORLEANS EAST AND WILL ALSO CREATE COMPREHENSIVE SENIOR CARE PROGRAM TO PROVIDE THE BEST CARE AND ACCESS TO REGIONS ELDERLY (AGE 65+) POPULATION A) GEDA ACCREDITED SENIOR ER B) NICHE CERTIFIED IP UNIT C) AMAZING AGERS PROGRAM- OFFERING 12 EVENTS PER YEAR D) SENIOR VIP ACCESS PROGRAM. VIA THE TOURO INFIRMARY FOUNDATION, TOURO WILL CONTINUE TO MATCH A $5,000 GRANT FROM AMERICAN CANCER SOCIETY TO PROVIDE FREE UBER RIDES TO CANCER PATIENTS WHO CANNOT AFFORD OR DO NOT HAVE ACCESS TO TRANSPORTATION. GOAL IS FREE TRANSPORTATION FOR 1,000 PATIENT CARE VISITS PER YEAR. TOURO ALSO PLANS TO HIRE A NEW SPANISH-SPEAKING OB/GYN PROVIDER IN A NEW CLINIC SO TO INCREASE SPANISH-SPEAKING PATIENT ACCESS TO INCLUDE A FOUNDATION SPONSORED CLINIC FOR RECENT IMMIGRANTS. FINALLY, TOURO WILL RESTART HEALTH SCREENINGS DISCONTINUED DURING COVID-19 PANDEMIC WITH AN EMPHASIS ON THE MINORITY COMMUNITY AND WITH A GOAL OF 20 SCREENINGS AND 500 PARTICIPANTS TO INCLUDE: A) PROSTATE CANCER B) BREAST CANCER C) DIABETES D) PUBLIC SCHOOL HEALTH FAIRS. STRATEGY 2 IS INCREASE THE NUMBER OF PHYSICIANS TRAINED IN THE TOURO INFIRMARY COMMUNITY BY: (1) INTRODUCING RESIDENTS AND YOUTH TO CAREERS IN HEALTHCARE THROUGH: A) HEALTHCARE CAREER CAMP B) JUNIOR VOLUNTEER PROGRAM AND (2) SERVING AS A TEACHING HOSPITAL TO PROVIDE TRAINING AND EDUCATION FOR PHYSICIANS IN A VARIETY OF SPECIALTIES THROUGH: A) CLINICAL ROTATIONS OF AT LEAST 300 MEDICAL STUDENTS PER YEAR B) GRADUATE MEDICAL EDUCATION CLINICAL TRAINING TO AT LEAST 300 RESIDENTS AND 30 FELLOWS PER YEAR C) ACTIVE PHYSICIAN RECRUITMENT OF GRADUATING RESIDENTS/FELLOWS. STRATEGY 3 IS TO CONTINUE TO PROVIDE CLINICAL TRAINING OPPORTUNITIES TO ALLIED HEALTH STUDENTS ENROLLED IN HEALTHCARE PROVIDER PROGRAMS THROUGHOUT THE HOSPITAL SYSTEM. TOURO WILL IMPLEMENT THIS STRATEGY BY (1) CREATING AN ACCREDITED CLINICAL PHARMACIST RESIDENCY PROGRAM IN PARTNERSHIP WITH XAVIER UNIVERSITY WITH THE GOAL OF INCREASING PHARMACISTS' EXPOSURE TO HOSPITALS WITH A GOAL TO TRAIN 2 RESIDENTS PER YEAR (2) CONTINUE TO PARTNER WITH XAVIER UNIVERSITY TO OFFER PHARMACY INTERN TRAINING WITH A GOAL WITH TRAINING 6 INTERNS PER YEAR (3) INCREASING TRAINING ACCESS TO RN CLINICAL TRAINING WITH A GOAL TO TRAIN AT LEAST 24 RN INTERNS PER YEAR. STRATEGY 4 IS TO OFFER INFORMATION AND ASSISTANCE RELATED TO THE AFFORDABILITY OF HEALTH SERVICES. THIS WILL BE ACHIEVED THROUGH (1) PROVIDING ASSISTANCE IN NAVIGATING THE HEALTHCARE PAYMENT SYSTEM, INCLUDING MEDICAID ENROLLMENT (2) PROVIDING PATIENT NAVIGATION THROUGH CASE MANAGERS AND SOCIAL WORKERS TO HELP WITH A) TRANSPORTATION ASSISTANCE B) HOUSING ASSISTANCE C) ASSISTED LIVING & NURSING ROOM PLACEMENT D) SKILLED NURSING PLACEMENT E) HOME HEALTH ASSISTANCE AND (3) PROVIDING DISCOUNTS IN BILLING FOR THE UNINSURED TO INCLUDING WORKING WITH HOSPITAL-BASED PROVIDERS PROVIDE DISCOUNTS IN BILLING FOR THE UNINSURED TO INCLUDING WORKING WITH HOSPITAL-BASED PROVIDERS. STRATEGY 5 IS TO INCREASE ACCESS TO MATERNAL HEALTH SERVICES. THIS WILL BE ACHIEVED BY (1) OFFERING A COMPREHENSIVE, INDIVIDUALIZED AND POSITIVE APPROACH TO BIRTH PREPARATION, LABOR AND DELIVERY AND POSTPARTUM CARE INCLUDING THE FOLLOWING: A) IMPROVED ON-LINE SCHEDULING B) BABY SCRIPTS PROGRAM C) WEB RESOURCES (EDUCATIONAL MATERIAL, CLASSES, ETC.) D) ONSITE, INTERNET AND COMMUNITY-BASED CLASSES TO IMPROVE MATERNAL AND CHILD HEALTH- GOAL IS 100+ CLASSES WITH 1000+ PARTICIPANTS PER YEAR I) INFANT CPR II) BABY FOOD CLASSES III) UNDERSTANDING FATHERHOOD IV) GRANDPARENTING 101 V) SIBLING CLASSES VI) HEALTH MOMHEALTH BABY SEMINAR AND (2) IMPROVING BIRTH OUTCOMES FOR PATIENTS SERVED BY TOURO INFIRMARY THROUGH LACTATION EDUCATION INCLUDING A) USE OF NURSING NEST VAN B) BABY CAFES' C) PRENATAL BREASTFEEDING CLASS. THE GOAL IS 12 CLASSES PER YEAR. TOURO INFIRMARY PART V, SECTION B, LINE 13B: >IF PATIENT IS HOMELESS THEY WILL AUTOMATICALLY QUALIFY>IF THE PATIENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID PROGRAM THEY WILL AUTOMATICALLY QUALIFY>INDIVIDUAL OR FAMILY NET WORTH, UTILIZING THE PATIENT'S INDIVIDUAL OR FAMILY INCOME, EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE ARE CONSIDERED >MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 25% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND TOURO INFIRMARY PART V, SECTION B, LINE 13H: INFORMATION FROM A PREDICTIVE MODEL MAY BE USED BY TOURO INFIRMARY TO DETERMINE PRESUMPTIVE ELIGIBILITY IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. 2 1 - WOLDENBERG VILLAGE INC 3701 BEHRMAN PLACE NEW ORLEANS LA 70114 ASSISTED LIVING COMMUNITY & SKILLED NURSING FACILITY 2 - CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA ST STE72 NEW ORLEANS LA 70115 PHYSICIAN MEDICAL PRACTICES PART I, LINE 3C: PART VI LINE 1: FOR PART I LINE 3C.DESCRIBE IN PART VI THE INCOME BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. INCLUDE IN THE DESCRIPTION WHETHER THE ORGANIZATION USES AN ASSET TEST OR OTHER THRESHOLD, REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.THE FOLLOWING FACTORS ARE CONSIDERED WHEN DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE FOR WHICH A PATIENT IS ELIGIBLE BASED ON RESOURCES:> IF PATIENT IS HOMELESS THEY WILL AUTOMATICALLY QUALIFY;> IF THE PATIENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID PROGRAM THEY WILL AUTOMATICALLY QUALIFY;> INDIVIDUALS OR FAMILY NET WORTH, UTILIZING THE PATIENT'S INDIVIDUAL OR FAMILY INCOME,EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE; > MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 25% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND; > INFORMATION FROM A PREDICTIVE MODEL MAY BE USED BY TOURO INFIRMARY TO DETERMINE PRESUMPTIVE ELIGIBILITY IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. PART I, LINE 7: TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.PART I, LINE 7B(D):TOURO AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO FEDERAL UPPER PAYMENT LIMITS (UPL). EACH STATE'S UPL METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. PART III, LINE 2: TOURO RECORDS IMPLICIT PRICING CONCESSIONS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. TOURO ESTIMATES THE IMPLICIT PRICING CONCENSSIONS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ESTIMATES ASSOCIATED WITH ITS RECEIVABLES. PART III, LINE 4: FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS IN ACCORDANCE WITH THE SYSTEM'S POLICIES, AND IMPLICIT PRICE CONCESSIONS PROVIDED FOR UNCOLLECTIBLE AMOUNTS. ESTIMATES OF EXPLICIT PRICE CONCESSIONS, WHICH REPRESENT ADJUSTMENTS AND DISCOUNTS, ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE BY PAYOR GROUPS. IMPLICIT PRICE CONCESSIONS ARE PRIMARILY BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. GENERALLY, THE SYSTEM BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY, AND PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE SYSTEM RECEIVING INPATIENT ACUTE CARE SERVICES OR PETIENTS RECEIVING SERVICES IN ITS OUTPATIENT CENTERS. PART III, LINE 8: TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 9B: TOURO INFIRMARY PURSUES NORMAL COLLECTION ACTIONS AGAINST PATIENTS FOUND INELIGIBLE FOR FINANCIAL ASSISTANCE, OR PATIENTS WHO ARE NO LONGER COOPERATING IN GOOD FAITH TO PAY THE REMAINING DISCOUNTED BALANCE. PART VI, LINE 2: LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. DUE TO SAFETY PROTOCOLS DURING THE COVID-19 PANDEMIC, ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED VIRTUALLY DURING JUNE, JULY, AND AUGUST 2021.HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. COMMUNITY HEALTH ASSESSMENT PLANNING: A SERIES OF MEETINGS WAS FACILITATED BY THE CONSULTANTS AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM TOURO INFIRMARY AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS. THIS PROCESS LASTED FROM MAY 2021 UNTIL DECEMBER 2021.SECONDARY DATA: COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO?ECONOMIC ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS OF THE TOURO INFIRMARY COMMUNITY WAS COMPLETED FROM EXISTING DATA SOURCES TO INCLUDE:AMERICAN COMMUNITY SURVEY, 2021COUNTY HEALTH RANKINGS, 2021CARES HQ, 2021ALICE PARISH PROFILES, 2021CDC PLACES, 2021CDC WONDERNATIONAL CANCER INSTITUTELOUISIANA DEPT OF HEALTH, COVID-19 DATA DASHBOARDLOUISIANA OFFICE OF PUBLIC HEALTHTHIS PROCESS LASTED FROM MAY 2021 UNTIL DECEMBER 2021.COMMUNITY SURVEY: BETWEEN JULY 13 AND AUGUST 23, 2021, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH SOCIAL MEDIA AS WELL AS THROUGH CLINICS, WAITING AREAS, AND COVID TESTING/VACCINATION SITES. LPHI AND LDH DISTRIBUTED THE TOOL THROUGH VIRTUAL NETWORKS SERVING THE GNO AREA. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDH'S STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE.FOCUS GROUPS: LPHI FACILITATED EIGHT FOCUS GROUPS IN AUGUST 2021 WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUPS LASTED APPROXIMATELY 60-90 MINUTES AND WERE CONDUCTED VIA ZOOM. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS: THIRTY-SEVEN INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA VIA ZOOM BETWEEN JUNE 24 AND AUGUST 24, 2021. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED:- PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERS- LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIES- LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS.QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITY: BY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM14 PUBLIC HEALTH EXPERTS2 WORKING FOR STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND32 MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO:504 HEALTHNETAMERICAN CANCER SOCIETYBAYOU DISTRICT FOUNDATIONBOYS AND GIRLS CLUB WESTBANKCANCER ASSOCIATION OF GREATER NEW ORLEANSCHILDREN'S HOSPITALCITY OF KENNERCITY OF NEW ORLEANS HEALTH DEPARTMENTCOVENANT HOUSECRESCENT CITY FAMILY SERVICESDELGADO COMMUNITY COLLEGEEAST NEW ORLEANS NEIGHBORHOOD ADVISORY COMMISSIONGOLDEN OPPORTUNITYJEFFERSON CHAMBER OF COMMERCEJEFFERSON PARISH GOVERNMENTJEFFERSON PARISH SCHOOLSJEWISH COMMUNITY CENTERKENNER DISCOVERY HEALTH SCIENCES ACADEMYLCMC HEALTHLOUISIANA DEPARTMENT OF HEALTHMETROPOLITAN HUMAN SERVICES DISTRICTNEW ORLEANS COUNCIL ON AGINGNEW ORLEANS FAMILY JUSTICE CENTERNEW ORLEANS HEALTH DEPARTMENTNOLA BABY CAFNOLA PUBLIC SCHOOLSNOLA VILLAGEOCHSNER HEALTH (INCLUDING RESOURCE GROUPS)OCHSNER HEALTHY SCHOOLSODYSSEY HOUSESOCIAL HEALTH BRIDGE / OPERATION PATHWAYSST. JOHN THE BAPTIST PARISH JUSTICE COURTSTEM NOLATHE PARENTING CENTERTULANE SCHOOL OF MEDICINEVAYLAYOU NIGHTTHE NEW ORLEANS COMMUNITY IS VERY DIVERSE, FROM THE NINTH WARD TO NEW ORLEANS EAST AND THE GARDEN DISTRICT. THE HEALTH RISKS ASSOCIATED WITH CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE PARTICULARLY HIGH AMONG OUR GROWING, MEDICALLY UNDERSERVED AFRICAN-AMERICAN, HISPANIC AND VIETNAMESE POPULATIONS. TOURO PERFORMS COMMUNITY OUTREACH TO THESE GROUPS THROUGH OUR OWN HEALTH PROGRAMS, PARTICIPATION IN COMMUNITY HEALTH FAIRS, PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS AND OTHER GRASSROOTS EFFORTS. TOURO'S GOAL IS TO HELP RESIDENTS LEARN HOW TO ACCESS THE CARE THEY NEED AND TO HELP THEM LEARN TO MANAGE THEIR HEALTH CONDITIONS AND LIVE HEALTHIER LIVES. PART VI, LINE 3: PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETOURO INFIRMARY IS COMMITTED TO WIDELY PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITIES IT SERVES. FINANCIAL COUNSELORS HAVE THE PLAIN LANGUAGE SUMMARIES OF THE POLICY AVAILABLE FOR ALL PATIENTS AND ARE TRAINED IN THE APPLICATION PROCESS.TOURO INFIRMARY OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.INHOUSE SELF PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR OTHER THIRD PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE.ALL SELF PAY PATIENTS WHO ARE NOT SCREENED RECEIVE A NOTICE THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT TOURO INFIRMARY TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. REGISTRATION STAFF, FINANCIAL COUNSELORS AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES. PART VI, LINE 4: PART VI LINE 4 COMMUNITY INFORMATION:WITH RESPECT TO TOURO INFIRMARY HOSPITAL, THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, UMC SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATE WIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM TOURO'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2021. IN 2021, THE TOTAL POPULATION OF TOURO'S SERVICE AREA IS 1,267,777. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY UMC, WERE 390,845 AND 434,850, RESPECTIVELY. THE OVERALL 2021 POPULATION OF THE STATE OF LOUISIANA WAS 4,664,362. TOURO'S POPULATION IS COMPRISED 48% MALES AND 52% FEMALES. THE AGE DISPERSION FOR TOURO'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 22%, 18 - 64: 63%, 65+: 15%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN UMC'S SERVICE AREA. IN ORLEANS PARISH, 30.7% OF THE POPULATION IS WHITE/NON-HISPANIC, 58.9% IS BLACK/NON-HISPANIC, AND 5.5% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 52.6%, 26.4%, AND 14.5%. IN PLAQUEMINES PARISH, 63.9% OF THE POPULATION IS WHITE/NON-HISPANIC, 19.9% IS BLACK/NON- HISPANIC, AND 7.3% IS HISPANIC. ST. BERNARD PARISH IS COMPRISED OF 62.3% WHITE/NON-HISPANIC, 22.7% BLACK/NON-HISPANIC, AND 10.1% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 65.1% WHITE/NON-HISPANIC, 26.3% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. ST. JAMES PARISH IS COMPRISED OF 48.2% WHITE/NON-HISPANIC, 49.6% BLACK/NON- HISPANIC, AND 1.7% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 34.3% WHITE/NON-HISPANIC, 56.1% BLACK/NON- HISPANIC, AND 6.1% HISPANIC. IN ST. TAMMANY PARISH, 78.6% OF THE POPULATION IS WHITE/NON- HISPANIC, 12.0% IS BLACK/NON-HISPANIC, AND 5.6% IS HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 58.7% WHITE/NON-HISPANICS, 32.0% BLACK/NON-HISPANIC, AND 5.1% HISPANICS.THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ORLEANS PARISH IS $45,092. THE AVERAGE HOUSEHOLD INCOME FOR JEFFERSON PARISH IS $55,909. THE AVERAGE FOR THE STATE OF LOUISIANA AS A WHOLE IS $51,108. INTERNATIONAL AND NATIONAL RESEARCH CONNECTS POVERTY TO ILL-HEALTH. QUALITATIVE PARTICIPANTS AND SURVEY RESPONDENTS INDICATED THAT ECONOMIC DIVIDES AS WELL AS A LACK OF ECONOMIC OPPORTUNITY ARE KEY FACTORS DRIVING ADVERSE HEALTH OUTCOMES. QUALITATIVE PARTICIPANTS DESCRIBED PEOPLE STRUGGLING TO FIND EMPLOYMENT, WORKING MINIMUM WAGE JOBS, AND WORKING MULTIPLE JOBS JUST TO MAKE ENDS MEET. THIS IS SUPPORTED BY SECONDARY DATA, WHICH SHOWS THAT 42-59% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 59%, ORLEANS PARISH 57%, PLAQUEMINES PARISH 54%, ST. JOHN THE BAPTIST PARISH 50%, JEFFERSON PARISH, 48%, ST. JAMES PARISH 45%, ST. TAMMANY PARISH 43%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 51%. FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2020 AMERICA'S HEALTH RANKING REPORT. PART VI, LINE 5: IN FURTHERANCE OF ITS CHARITABLE PURPOSE AND MISSION, TOURO PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY WHICH IT SERVES. BENEFITS INCLUDE SOCIAL SERVICE PROGRAMS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS, HEALTH AND WELLNESS PROGRAMS, CLASSES ABOUT SPECIFIC MEDICAL CONDITIONS AND TELEPHONE INFORMATION SERVICES.IN 2023, TOURO INFIRMARY OFFERED OR PARTICIPATED IN 210 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 2,708 PEOPLE. THIS NUMBER AND LEVEL OF PARTICIPATION WAS UP IN 2023 VS 2022 AS COVID-19 LIMITATIONS WERE RELAXED. OUTREACH EVENTS COVER A WIDE VARIETY OF HEALTH TOPICS THAT ADDRESS THE HEALTH INFORMATION NEEDS OF THE COMMUNITY TOURO SERVES, INCLUDING NUTRITION, DIABETES MANAGEMENT, CANCER, CHILDBIRTH AND PARENTING, WOMEN'S HEALTH, HEALTHY AGING, HEART HEALTH, PROSTATE HEALTH, AND MORE.TOURO'S COMMUNITY OUTREACH PROGRAM OFFERS A WIDE RANGE OF EVENTS, INCLUDING TOURO-LED CLASSES, SEMINARS, SUPPORT GROUPS AND HEALTH SCREENINGS. TOURO PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS PROVIDE INFORMATIVE SEMINARS AND OFFER FREE SCREENINGS ON A VARIETY OF TOPICS. THESE EVENTS ARE TYPICALLY HOSTED ON THE HOSPITAL'S CAMPUS AND ARE COORDINATED BY TOURO STAFF. SCREENINGS INCLUDE: PROSTATE CANCER, HEAD & NECK CANCER, AND DIABETES A1C.THE TOURO REHABILITATION CENTER STAFF FROM A VARIETY OF DISCIPLINES, INCLUDING OCCUPATION THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS AND A REHABILITATION EDUCATOR, RECREATION THERAPIST AND OFFICE PERSONNEL PARTICIPATED IN FREE COMMUNITY EVENTS INCLUDING SUDDEN IMPACT TRAINING FOR LOCAL HIGH SCHOOL STUDENTS, BRAIN INJURY SPECIALTY TRAINING AND THE BISCIS (BRAIN INJURY/SPINAL CORD INJURY) PROGRAM, WHICH PROVIDES RECREATION (BASEBALL LEAGUE/BOWLING LEAGUE) FOR THAT POPULATION.NON-PROFIT EVENTS: TOURO REGULARLY PARTNERS WITH LOCAL NON-PROFIT ORGANIZATIONS AT COMMUNITY HEALTH EVENTS AND SCREENINGS. THESE EVENTS ARE HOSTED AT LOCATIONS THROUGHOUT THE COMMUNITY. TOURO PROVIDES FREE SCREENINGS, HEALTH INFORMATION AND CLINICAL STAFF TO ADMINISTER THE SCREENINGS AND PROVIDE CLINICAL CONSULTATIONS. EXAMPLES OF EVENTS INCLUDE: BACK TO SCHOOL HEALTH FAIR AND AUDUBON ZOO. SPONSORSHIP EVENTS: AS PART OF THE LCMC HEALTH SYSTEM OF HOSPITALS, TOURO SPONSORS AND PARTICIPATES IN HEALTHCARE-RELATED ORGANIZATIONS AND EVENTS IN THE GREATER NEW ORLEANS COMMUNITY, SUCH AS THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, MARCH OF DIMES, BRIDGE HOUSE/GRACE HOUSE, AND THE WALK TO END ALZHEIMER'S. PARTICIPATION IN THESE EVENTS ENTAILS STAFFING THE EVENT, PROVIDING HEALTH EDUCATION MATERIALS TO ATTENDEES AND OFFERING FREE SCREENINGS (AS REQUESTED) TO ATTENDEES. ALL EVENTS ARE OPEN TO THE PUBLIC.AMAZING AGERS: TOURO OFFERS FREE EVENTS AND PROGRAMS DESIGNED TO HELP THE AGING POPULATION IN THE COMMUNITY LIVE HEALTHY AND INDEPENDENT LIVES. THE TOURO AMAZING AGERS PROGRAM IS A FREE PROGRAM DESIGNED TO HELP ADULTS AGE 55 YEARS AND OLDER LEAD A HEALTHY AND ACTIVE LIFESTYLE. THIS PROGRAM INCLUDES TEN (10) EDUCATIONAL HEALTH SEMINARS CUSTOMIZED TO MEET THE INFORMATION NEEDS OF THIS POPULATION. TOPICS FOR 2023 INCLUDED: LUNG CANCER, HEALTHY EATING AND FITNESS, DIABETES PREVENTION, SENIOR WELLNESS AND MORE.THROUGHOUT 2023, TOURO OFFERED SEVERAL FREE HEALTH SEMINARS AND SPECIAL EVENTS ON WOMAN'S HEALTH ISSUES FROM WOMEN OF CHILDBEARING AGE TO MATURE WOMEN TOPICS. THESE SEMINARS WERE OPEN TO THE PUBLIC AND HELD EITHER ON-CAMPUS OR AT AN OFFSITE LOCATION NEAR THE HOSPITAL. THE SEMINAR TOPICS WERE FOCUSED ON WOMEN'S HEALTH AND WELLNESS. TOURO PHYSICIANS LEAD THE SEMINARS WITH TIME FOR QUESTIONS FOLLOWING THE PRESENTATIONS.CHILDBIRTH EDUCATION SERIES: NURSE EDUCATORS FROM TOURO'S FAMILY BIRTHING CENTER OFFER FREE MONTHLY CHILDBIRTH EDUCATION CLASSES FOR EXPECTING PARENTS TO HELP THEM PREPARE FOR CHILDBIRTH, NEWBORN CARE AND BREASTFEEDING. THE CLASSES ARE HELD ON TOURO'S CAMPUS IN THE EVENINGS OR ON WEEKENDS TO ACCOMMODATE A VARIETY OF SCHEDULES. IN 2023, THE FAMILY BIRTHING CENTER OFFERED A TOTAL OF NINETY-TWO (92) CLASSES/SERIES, INCLUDING A CHILDBIRTH EDUCATION SERIES, LACTATION CLASSES, PARENTING CLASS, INFANT/CHILD CPR, ONLINE CHILDBIRTH EDUCATION CLASSES AND MORE. DIABETES SUPPORT GROUP: TOURO'S DIABETES CENTER OFFERS A FREE MONTHLY SUPPORT PROGRAM FOR PERSONS WITH DIABETES ENTITLED "LIFE CAN STILL BE SWEET." THE CLASS TOPICS ROTATE EACH MONTH, COVERING A VARIETY OF DIABETES MANAGEMENT TOPICS FROM GLUCOSE MONITORING, TO MEDICATION MANAGEMENT AND DIET TO MAINTAINING A HEALTHY LIFESTYLE. SUPPORTIVE CANCER CARE PROGRAM: TOURO'S SUPPORTIVE CANCER CARE CENTER OFFERS A NUMBER OF FREE PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH CANCER THROUGHOUT THE GREATER NEW ORLEANS COMMUNITY. GIRL TALK: A GYNECOLOGIC CANCER SUPPORT GROUP FOR WOMEN WHO HAVE BEEN DIAGNOSED WITH ONE OF THE GYNECOLOGIC CANCERS. WHETHER A PERSON IS NEWLY DIAGNOSED, ACTIVELY BEING TREATED OR HAS COMPLETED TREATMENT, THIS GROUP CAN HELP. THE MEETINGS PROMOTE EDUCATION AND DISCUSSION ABOUT RELEVANT TOPICS.CANCER SURVIVOR SUPPORT GROUP: TOURO OFFERS A MONTHLY CANCER SURVIVORSHIP SUPPORT GROUP WHERE VARIOUS HEALTH TOPICS ARE DISCUSSED. THE MEETINGS ALSO PROVIDE A FORUM TO PATIENTS AT VARIOUS STAGES OF THE CANCER JOURNEY TO CONNECT AND SUPPORT ONE ANOTHER EMOTIONALLY AS THEY HEAL AND MOVE BEYOND TREATMENT. TOURO HELD ELEVEN (11) SUPPORT GROUPS IN 2023.SURVIVORSHIP SERVICE: CANCER SURVIVORS ARE ABLE TO MEET WITH THE SURVIVORSHIP COORDINATOR TO DEVELOP AN INDIVIDUALIZED SURVIVORSHIP CARE PLAN THAT HIGHLIGHTS SPECIFIC MEDICAL AND SUPPORTIVE CARE SERVICES NEEDED FOLLOWING THE COMPLETION OF PRIMARY CANCER TREATMENT. TOURO HELD SIXTEEN (16) SURVIVORSHIP SUPPORT GROUPS IN 2023.SMOKING CESSATION SUPPORT GROUP: IN 2023, TOURO OFFERED TWENTY-TWO (22) SMOKING CESSATION CLASSES AND PARTICIPATED IN THE GREAT AMERICAN SMOKE-OUT.PATIENT NAVIGATION: PATIENT NAVIGATION HELPS OVERCOME BARRIERS TO MAKING INFORMED DECISIONS ABOUT CANCER CARE. THIS PROGRAM, OFFERED THROUGH THE SUPPORTIVE CANCER CARE CENTER, IS AVAILABLE TO TOURO PATIENTS AT NO COST. SOME WAYS PATIENTS ARE NAVIGATED INCLUDE: O UNDERSTAND CANCER DIAGNOSIS O EXPLORE TREATMENT OPTIONS O ASSESS SUPPORTIVE CARE NEEDS O LOCATE FINANCIAL RESOURCES O PROVIDE SUPPORT AND ENCOURAGEMENT THROUGHOUT TREATMENT O SERVE AS A "GO TO" RESOURCE WHEN NEEDEDMOBILE NURSING NEST: IN 2022, TOURO PURCHASED AND OUTFITTED A LARGE CARGO VAN TO SERVE AS A MOBILE "NEST" FOR WHICH NURSING MOTHERS CAN NURSE THEIR BABIES IN COMFORT AND PRIVACY. THE COST OF THE VAN AND OUTFITTING WAS $94,355. THIS VAN WAS USED IN SEVEN (7) EVENTS IN 2023 WITH 60 TOTAL PARTICIPANTS PART VI, LINE 6: TOURO INFIRMARY IS PART OF LCMC HEALTH IS A NEW ORLEANS-BASED, NON-PROFIT HEALTH SYSTEM ON A MISSION TO PROVIDE THE BEST POSSIBLE CARE FOR EVERY PERSON AND PARISH IN LOUISIANA AND BEYOND, AND BRING A LITTLE MORE HEART AND SOUL TO HEALTH CARE ALONG THE WAY. ORIGINALLY FOUNDED BY LOUISIANA'S ONLY FREESTANDING CHILDREN'S HOSPITAL, THEY'VE GROWN INTO A HEALTHCARE SYSTEM THAT IS BUILT TO SERVE THE NEEDS OF OUR COMMUNITIES. TODAY, LCMC HEALTH OFFERS SIX HOSPITAL LOCATIONS. PLUS, THEY ALSO HAVE A SERIES OF PARTNERSHIPS THAT HELP PROVIDE THE MOST COMPREHENSIVE CARE, INCLUDING AGREEMENTS WITH CRESCENT CITY SURGICAL CENTRE, AN URGENT CARE PARTNERSHIP WITH PREMIER HEALTH, AND AN INVESTMENT IN A RETIREMENT AND REHAB COMMUNITY.IN TAX YEAR 2023, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,326 MILLION. THIS AMOUNT REPRESENTED 42% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2023, $970 MILLION IN EXPENSE (31% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2023, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $519.5 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S. 1 AMERICAN CANCER SOCIETY INC 3380 CHASTAIN MEADOWS PARKWAY NW SUITE 200 KENNESAW GA 30144 131788491 501(C)(3) 5000 0 SHUCK CANCER SPONSORSHIP OF $5,000 MARCH OF DIMES INC 1550 CRYSTAL DRIVE SUITE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 5000 0 SIGNATURE CHEFS: FEEDING MOTHERHOOD SPONSORSHIP OF $5,000 AUDUBON NATURE INSTITUTE INC 6500 MAGAZINE STREET NEW ORLEANS LA 70118 510157624 501(C)(3) 12000 0 DONATION OF $4,000 TO AUDUBON'S BREAST CANCER CATERING AND $8,000 TO AUDUBON AQUARIUM AND AUDUBON INSECTARIUM NURSING NEST SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 7500 0 DONATION OF $2,500 TO HEARTWALK EVENT AND $5,000 TO SE-GRFW EVENT NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC) 1100 POYDRAS STREET 2500 ENERGY CENTRE NEW ORLEANS LA 70163 844985872 501(C)(3) 1414706 0 DURING THE YEAR ENDED DECEMBER 31, 2023, TOURO DONATED $1,414,706 TO LCMC NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY. LCMC HEALTH CLINICAL SERVICES DBA NOLA PHYSICIAN GROUP 1100 POYDRAS STREET 2500 ENERGY CENTRE NEW ORLEANS LA 70163 823686098 501(C)(3) 531957 0 DURING THE YEAR ENDED DECEMBER 31, 2023, TOURO DONATED $531,957 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY. LOUISIANA CHILDREN'S MEDICAL CENTER 1100 POYDRAS STREET 2500 ENERGY CENTRE NEW ORLEANS LA 70163 943480131 501(C)(3) 1456698 0 AMOUNTS PROVIDED WERE TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THESE FUNDS WERE ALSO USED TO FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL. 5 PART I, LINE 2: SINCE THIS GRANT WAS GIVEN TO RELATED PARTIES OF WHICH TOURO'S PARENT, LCMC IS ALSO THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED. 1 X X X X 1 0 0 0 0 0 0 0 0 GREG FEIRN SYSTEM PRESIDENT/CEO 0 1734424 0 497116 0 7800 0 13200 0 17855 0 2270395 0 0 MANNY LINARES PRESIDENT AND CEO 143291 407050 0 412609 1557 0 5819 7381 3569 15132 154236 842172 0 0 SUZANNE HAGGARD FORMER OFFICER 0 249493 0 427843 0 3000 0 13200 0 7314 0 700850 0 0 CHRISTOPHER LEGE CHIEF MEDICAL OFFICER 123253 342429 0 79615 943 0 4984 8216 1787 8077 130967 438337 0 0 CHAD COURREGE FORMER OFFICER 0 415763 0 98208 0 6000 0 13200 0 22858 0 556029 0 0 BRADLEY SINCLAIR FORMER OFFICER 0 400435 0 53182 0 0 0 13200 0 5031 0 471848 0 0 TANYA KENNEDY FORMER OFFICER 0 293028 0 110745 0 3500 0 13200 0 8273 0 428746 0 0 TAKEISHA DAVIS NOEH - PRESIDENT/CEO 90060 253894 0 61347 697 0 1827 4773 2448 9376 95032 329390 0 0 JAY PENNISSON CFO (BEGAN 2ND QTR 2023) 0 334562 0 56940 0 237 0 13200 0 16497 0 421436 0 0 STEPHEN M BALDWIN CHIEF OPERATING OFFICER 80652 230085 0 47882 655 0 3277 9923 2435 9294 87019 297184 0 0 CANDACE S ROBINSON NOWH CHIEF MEDICAL OFFICER 73158 213630 0 37895 473 0 3011 10189 3526 12172 80168 273886 0 0 GRETCHEN PENTON EXEC VP OF CCPI 73896 210439 0 36928 2326 0 2150 7757 2448 14068 80820 269192 0 0 PATRICIA ROSENBERG CHIEF NURSING OFFICER 68876 196224 0 40828 2127 0 2780 9312 1498 10648 75281 257012 0 0 WILLIAM VON ALMEN MD MEDICAL STAFF DIRECTOR 0 229791 0 56573 0 612 0 9220 0 13513 0 309709 0 0 KIMBERLY BROWN VP ANESTHESIA AND PAIN MED 72650 173956 16700 26700 99 0 3625 6671 2144 0 95218 207327 0 0 TROY BOND AVP HUMAN RESOURCES 58636 166149 0 29634 1515 1368 2430 7954 2724 12574 65305 217679 0 0 COURTNEY J MARBLEY NOEH-CHIEF NURSING OFFICER 55589 153341 0 38152 591 0 2254 7428 250 8419 58684 207340 0 0 GREGORY R BARKER VICE PRESIDENT OPERATIONS 57489 55863 0 28951 626 103171 2365 4769 1675 5117 62155 197871 0 0 DANIELLE WILLIS NOEH CFO 53542 159094 0 32249 313 0 2142 7614 238 1825 56235 200782 0 0 TARA MONTGOMERY DIRECTOR OF PHARMACY SERVI 49951 139328 0 13275 533 0 2034 6150 1637 6512 54155 165265 0 0 FE MEDINA NOEH RN STAFF NURSE 47227 120161 16000 22503 17 0 722 5073 754 4201 64720 151938 0 0 JOHN RICHERT PHYSICIAN 53715 147739 0 0 279 0 2172 5946 1422 5117 57588 158802 0 0 CRAIG EDRINGTON CLINICAL SUPERVISOR 53913 116363 6900 11150 84 0 2510 5165 3268 0 66675 132678 0 0 BRANDON NGUYEN NOEH DIR PHARMACY 43110 119006 0 10369 474 0 1822 5414 3396 11600 48802 146389 0 0 MYLENE UPSON CONTROLLER 45803 117335 0 11601 431 0 1844 5143 194 1893 48272 135972 0 0 PART I, LINE 3 BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR TOURO'S PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS TOURO'S PARENT. THE EXECUTIVE COMMITTEE IS A NINE VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE. PART I, LINE 4A DURING 2023, GREGORY BARKER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $103,171. A LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT) 720895871 546395M35 2015-04-24 40500000 CURRENT REFUNDING OF SERIES 1999 BONDS 0 0 0 A 6410000 40500000 432093 40067907 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2020 REUBEN CHRESTMAN MD RADIOLOGIST AND FORMER BOARD MEMBER 918299 FINANCIAL SUBSIDY (1/7TH) FOR RADIOLOGIST SERVICES PAID TO REGIONAL RADIOLOGY LLC GROUP VIA CONTRACT WITH TOURO FOR HOSPITAL BASED SERVICES. THE AMOUNT REPORTED ON SCHEDULE L IS THE ENTIRE AMOUNT PAID TO REGIONAL RADIOLOGY LLC AND NOT SPECIFICALLY TO DR. CHRESTMAN. 0 FORM 990, PART VI, SECTION A, LINE 6 LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF TOURO INFIRMARY. FORM 990, PART VI, SECTION A, LINE 7A LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) HAS THE SOLE AUTHORITY TO APPOINT THE BOARD OF TOURO INFIRMARY. FORM 990, PART VI, SECTION A, LINE 7B LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) RESERVED THE POWER TO APPROVE THE DECISIONS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO PREPARE ITS FORM 990. UPON COMPLETION THE FORM 990 WAS PRESENTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD FOR REVIEW VIA EMAIL LINK TO A SECURE DROPBOX. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE, EACH EMPLOYEE REVIEWS THE CONFLICT OF INTEREST FORM, HAS AN OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY, AND SIGNS A DOCUMENT STATING THAT THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THIS IS A PART OF THE EMPLOYEES' PERMANENT RECORD, AND APPLIES TO ALL EMPLOYEES. SENIOR MANAGEMENT (DIRECTORS, VICE PRESIDENTS, CEO) AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION RELIES ON COMPARABLE DATA FROM UNRELATED ENTITIES TO DETERMINE THE AMOUNT OF COMPENSATION FOR ITS EXECUTIVES, AND DOCUMENTATION IS MAINTAINED REGARDING THE DETERMINATION OF THESE AMOUNTS. THE FINAL DECISION REGARDING THE AMOUNT OF COMPENSATION IS SUBJECT TO THE APPROVAL OF THE LCMC EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 32,531,640. MANAGEMENT AND GENERAL EXPENSES 14,234,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,765,910. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,556,861. MANAGEMENT AND GENERAL EXPENSES 278,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,834,954. FORM 990, PART XI, LINE 9: BOOK LOSS FROM CONTROLLED SUBSIDIARIES -9,807,191. DIRECT NET ASSET ADJUSTMENT OF PENSION LIABILITIES 1,536,132. BOOK/TAX DIFFERENCE ON PASSTHROUGH INVESTMENT INCOME -71,652. FORM 990, PART XII, LINE 2C: LCMC'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF ITS SUBSIDIARIES' FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS HAS NOT CHANGED FROM THE PREVIOUS YEAR. IN ADDITION TO THE LCMC FINANCE COMMITTEE, THE TOURO FINANCE COMMITTEE HAS BEEN DELEGATED TO ASSIST WITH MONITORING OF THE TOURO FINANCIAL STATEMENTS AND ITS SUBSIDIARIES TO INCLUDED CCPI, WOLDENBERG VILLAGE, AND THE TOURO FOUNDATION. 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