TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Allan BISSINGER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(2) STEPHEN HKUPPERMAN........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(3) STEPHEN L SONTHEIMER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(4) MICHAEL ADINOLFI MD........................................................................ BOARD MEMBER	5.00 .......................	X		47,546	0	0
(5) RUTH KULLMAN........................................................................ CHAIRMAN	1.00 .......................	X		0	0	0
(6) KIM BOYLE........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(7) PETER GLASER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(8) JACK JACOBS........................................................................ BOARD MEMBER	1.00 .......................	X		0	235,626	12,251
(9) HUGH W LONG........................................................................ VICE CHAIRMAN	1.00 .......................	X		0	0	0
(10) KNIGHT WORLEY MD........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(11) ELLY ZAKRIS MD........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(12) JOY BRAUN........................................................................ TREASURER	1.00 .......................	X		0	0	0
(13) STEVE WORLEY........................................................................ BOARD MEMBER	1.00 .......................	X		0	1,040,368	384,992
(14) DAVID KUSHNER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(15) LOUIS GOOD III........................................................................ SECRETARY	1.00 .......................	X		0	0	0
(16) JAMES MONTGOMERY........................................................................ PRESIDENT	50.00 .......................	X	X	861,671	0	220,380
(17) AWHITFIELD HUGULEYIV........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SUSAN PITOSCIA........................................................................ VP - CNO & COO	50.00 .......................	X				426,930	0	21,154
(19) PENNY MENGE........................................................................ CNO, VP PATIENT CARE SERVI	40.00 .......................	X				261,404	0	20,379
(20) SUZANNE HAGGARD........................................................................ CHIEF FINANCIAL OFFICER	50.00 .......................	X				378,631	0	27,908
(21) LAWRENCE BALYEAT........................................................................ SENIOR VP, CCPI	40.00 .......................	X				214,181	0	21,259
(22) SCOTT C LANDRY........................................................................ VP OF FACILITIES	43.00 .......................		X			220,087	0	33,339
(23) CHAD COURREGE........................................................................ VP OF HUMAN RESOURCES	40.00 .......................		X			261,702	0	28,668
(24) FRANCIS D MERTENS........................................................................ VP OF BUSINESS DEVELOPEMEN	40.00 .......................		X			247,646	0	23,808
(25) JEANETTE RAY........................................................................ VP - REHAB SERVICES	40.00 .......................		X			243,760	0	25,141
(26) LAWRENCE METEVIER........................................................................ PHYSICIST/DOSIMETRIST	40.00 .......................			X		182,560	0	17,020
(27) LEE HANKINS........................................................................ DIRECTOR PHARMACY	40.00 .......................			X		162,165	0	11,259
(28) LAWRENCE CHINWUBA........................................................................ PHARMACIST	51.00 .......................			X		182,558	0	31,057
(29) DANIEL TOBIN........................................................................ CONTROLLER	47.00 .......................			X		160,743	0	20,615
(30) ALVIN STEWART........................................................................ PHARMACIST	51.00 .......................			X		166,755	0	14,695
(31) GARY STEIN........................................................................ CEO/president - former	0.00 .......................				X	178,648	860,730	24,632

(A) Name and business address	(B) Description of services	(C) Compensation
SIEMENS MEDICAL SOLUTIONSC/O MELLON BANK POBOX120001 DEPT 07DALLASTX75312	INFORMATION TECHNOLOGY	10,309,994
LSUHSC - NEW ORLEANS433 BOLIVAR STREET RM 619NEW ORLEANSLA70112	AFFILIATION/RESIDENCY PROGRAM	5,394,405
PARISH ANESTHESIA OF NEW ORLEANS LLC3510 N CAUSEWAY BLVD SUITE 404METAIRIELA70002	PHYSICIAN SERVICES	3,235,088
ARAMARK24863 NETWORK PLCHICAGOIL60673	HOUSKEEPING/CAFE/EQUIP MAINT	3,225,724
ENTERGYPO BOX 8106BATON ROUGELA70891	ELECTRICITY	2,956,878
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 53

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	32,252,632	32,252,632
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,538,046	1,167,555	2,370,491
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	78,978,779	75,957,663	3,021,116
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,736,984	3,718,982	18,002
9	Other employee benefits .......	5,909,114	5,726,043	183,071
10	Payroll taxes ...........	6,034,459	5,773,070	261,389
11	Fees for services (non-employees):
a	Management ......	685,390	685,390
b	Legal .........	936,299	392,227	544,072
c	Accounting ...........	254,050		254,050
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	46,263,216	34,539,764	11,723,452
12	Advertising and promotion ....	532,599	12,969	519,630
13	Office expenses .......	8,044,669	4,745,058	3,299,611
14	Information technology ......	3,250,733	3,250,343	390
15	Royalties ..
16	Occupancy ...........	4,762,785	4,459,779	303,006
17	Travel ............	86,981	64,582	22,399
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	135,198	111,568	23,630
20	Interest ...........	2,236,689		2,236,689
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	14,936,508	78,072	14,858,436
23	Insurance ..............	3,627,985	3,627,985
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	39,186,625	39,141,336	45,289
b	Capital lease expense	3,289,744	3,345,500	-55,756
c	dues & memberships	310,720	123,672	187,048
d	Legal settlement	113,137	1,528	111,609
e	All other expenses	172,439	92,140	80,299
25	Total functional expenses. Add lines 1 through 24e	259,275,781	219,267,858	40,007,923	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	1,894,110	1	37,703,453
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	42,676,547	4	56,090,074
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	8,427,977	7	7,594,493
8	Inventories for sale or use ..............	4,168,664	8
9	Prepaid expenses and deferred charges ..........	1,842,276	9	1,826,475
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	400,868,113
b	Less: accumulated depreciation .....	10b	281,789,323	113,781,985	10c	119,078,790
11	Investments—publicly traded securities ..........	12,308,861	11	23,338,261
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	3,439,590	15	8,462,712
16	Total assets. Add lines 1 through 15 (must equal line 34)......	188,540,010	16	254,094,258
	17	Accounts payable and accrued expenses .........	28,402,468	17	30,169,310
18	Grants payable .................		18
19	Deferred revenue ................	22,239	19	70,661
20	Tax-exempt bond liabilities .............	76,452,069	20	74,593,434
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	49,599,135	25	80,701,373
26	Total liabilities. Add lines 17 through 25.........	154,475,911	26	185,534,778
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	32,801,657	27	67,286,719
28	Temporarily restricted net assets ...........	1,262,442	28	1,272,761
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	34,064,099	33	68,559,480
34	Total liabilities and net assets/fund balances ........	188,540,010	34	254,094,258

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization TOURO INFIRMARY

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization TOURO INFIRMARY

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
TOURO INFIRMARY

Employer identification number

72-0423659

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	7,731,376	7,731,376	7,688,116	7,688,116	7,683,614
b	Contributions ........	-80,096		43,260		4,502
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	7,651,280	7,731,376	7,731,376	7,688,116	7,688,116

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,238,296		12,238,296
b	Buildings ................	173,512,838	111,284,426	62,228,412
c	Leasehold improvements ............
d	Equipment ................	211,950,194	169,929,052	42,021,142
e	Other .................	3,166,785	575,845	2,590,940
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				119,078,790

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		80,701,373
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	288,714,350
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	3,846,761
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	1,266,081
e	Add lines 2a through 2d .....................			2e	5,112,842
3	Subtract line 2e from line 1.....................			3	283,601,508
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	2,353,097
c	Add lines 4a and 4b.......................			4c	2,353,097
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	285,954,605

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	256,973,133
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-2,302,632
e	Add lines 2a through 2d......................			2e	-2,302,632
3	Subtract line 2e from line 1.....................			3	259,275,765
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	16
c	Add lines 4a and 4b.......................			4c	16
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	259,275,781

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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 D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	5,423,246	0	5,423,246	2.090 %
b	Medicaid (from Worksheet 3, column a) ....	43,517,705	85,996,428	-42,478,723	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	354,667	269,106	85,561	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs .	49,295,618	86,265,534	-36,969,916	2.120 %
Other Benefits		842,372		842,372	0.320 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	842,372		842,372	0.320 %
f	Health professions education (from Worksheet 5) ..	7,002,071	1,800,504	5,201,567	2.010 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	9,433,914		9,433,914	3.640 %
j	Total. Other Benefits ..	17,278,357	1,800,504	15,477,853	5.970 %
k	Total. Add lines 7d and 7j .	66,573,975	88,066,038	-21,492,063	8.090 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,334,097

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

48,585,406

Enter Medicare allowable costs of care relating to payments on line 5.....

61,616,168

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-13,030,762

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 TIJV LLC	IMAGING CENTER RENTAL	66.000 %	34.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS,LA70115	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Touro Infirmary
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15		No
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	Woldenberg Village Inc 3701 Behrman Place New Orleans,LA70114	Assisted living community & skilled nursing facility
2	Crescent City Physicians Inc 3600 Prytania St STE72 New Orleans,LA70115	Physician Medical Practices
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
		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)
Touro Infirmary		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.
		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 H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
TOURO INFIRMARY

Employer identification number
72-0423659

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Children's Hospital 200 Henry Clay Ave New Orleans,LA70118	72-0467503	501(c)(3)	32,252,632	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.

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Procedure for Monitoring Grants in the U.S.:	Part I, Line 2:	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.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)JACK JACOBSBOARD MEMBER	(i) (ii)	0 234,090	0 0	0 1,536	0 9,000	0 3,251	0 247,877	0 0
(2)STEVE WORLEYBOARD MEMBER	(i) (ii)	0 827,860	0 212,508	0 0	0 317,437	0 67,555	0 1,425,360	0 0
(3)JAMES MONTGOMERYPRESIDENT	(i) (ii)	651,086 0	201,411 0	9,174 0	12,925 0	207,455 0	1,082,051 0	0 0
(4)SUSAN PITOSCIAVP - CNO & COO	(i) (ii)	325,497 0	92,536 0	8,897 0	14,095 0	7,059 0	448,084 0	0 0
(5)PENNY MENGECNO, VP PATIENT CARE SERVI	(i) (ii)	238,725 0	17,530 0	5,149 0	12,500 0	7,879 0	281,783 0	0 0
(6)SUZANNE HAGGARDCHIEF FINANCIAL OFFICER	(i) (ii)	291,991 0	82,542 0	4,098 0	20,349 0	7,559 0	406,539 0	0 0
(7)LAWRENCE BALYEATSENIOR VP, CCPI	(i) (ii)	198,975 0	9,740 0	5,466 0	10,887 0	10,372 0	235,440 0	0 0
(8)SCOTT C LANDRYVP OF FACILITIES	(i) (ii)	175,362 0	42,551 0	2,174 0	20,523 0	12,816 0	253,426 0	0 0
(9)CHAD COURREGEVP OF HUMAN RESOURCES	(i) (ii)	208,955 0	50,528 0	2,219 0	13,453 0	15,215 0	290,370 0	0 0
(10)FRANCIS D MERTENSVP OF BUSINESS DEVELOPEMEN	(i) (ii)	194,862 0	47,655 0	5,129 0	18,585 0	5,223 0	271,454 0	0 0
(11)JEANETTE RAYVP - REHAB SERVICES	(i) (ii)	193,983 0	47,174 0	2,603 0	12,849 0	12,292 0	268,901 0	0 0
(12)LAWRENCE METEVIERPHYSICIST/DOSIMETRIST	(i) (ii)	180,678 0	0 0	1,882 0	12,478 0	4,542 0	199,580 0	0 0
(13)LEE HANKINSDIRECTOR PHARMACY	(i) (ii)	156,971 0	0 0	5,194 0	7,659 0	3,600 0	173,424 0	0 0
(14)LAWRENCE CHINWUBAPHARMACIST	(i) (ii)	181,403 0	0 0	1,155 0	12,334 0	18,723 0	213,615 0	0 0
(15)DANIEL TOBINCONTROLLER	(i) (ii)	157,460 0	0 0	3,283 0	11,416 0	9,199 0	181,358 0	0 0
(16)ALVIN STEWARTPHARMACIST	(i) (ii)	165,850 0	0 0	905 0	5,407 0	9,288 0	181,450 0	0 0
(17)GARY STEINCEO/president - former	(i) (ii)	0 0	175,456 860,730	3,192 0	19,429 0	5,203 0	203,280 860,730	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	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 J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Identifier	Return Reference	Explanation
	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.
HOURS WORKED FOR RELATED ORGANIZATIONS	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).
Changes in Net Assets or Fund Balances:	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.
	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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Touro Infirmary Foundation 1401 Foucher Street new orleans,LA70115 72-1169939	healthcare support	LA	501(c)(3)	509(a)(3)		Yes
(2) Woldenberg Village 3701 Behrman place new orleans,LA70114 72-0540671	healthcare delivery	LA	501(c)(3)	509(a)(2)		Yes
(3) LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) 200 Henry Clav Ave new orleans,LA70118 94-3480131	healthcare delivery	LA	501(c)(3)	509(a)(3)			No
(4) CHILDREN'S HOSPITAL 200 Henry Clav Ave New orleans,LA70118 72-0467503	healthcare delivery	LA	501(c)(3)	170(B)(1)(A)(iii)			No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 1 TIJV llc 1401 Foucher St New Orleans,LA70115 26-1378361	Imaging Center Rental	LA	Touro Infirmary	Related	40,875	2,698,604		No			No	66.000 %
(2) 2 Crescent City Research Consortium LLC 1111 Medical Center Blvd Ste N701 Marrero,LA70072 38-3880814	Scientific Research	LA	Non Profit Hospital Consortium	Unrelated	9,590	37,239		No			No	9.990 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Crescent City Physicians Inc 3600 Prytania Street Suite 72 New Orleans,LA70115 72-1269878	Healthcare	LA		C	-6,882,284	6,090,973	100.000 %		No
(2) Buckman Medical Office Building Condominium Association 1401 Foucher Street New Orleans,LA70115 72-1226687	Healthcare	LA		C		36,219	92.000 %		No
(3) Prytania Medical Complex Owners Association 650 Poydras Street Suite 1200 New Orleans,LA70130 72-0866121	Healthcare	LA		C		134,250	80.000 %		No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved
(1) TOURO INFIRMARY FOUNDATION	C	223,915
(2) TOURO INFIRMARY FOUNDATION	R	834,179
(3) Woldenberg Village	E	710,873
(4) Crescent City Physicians Inc	D	7,095,419
(5) Crescent City Physicians Inc	A	1,264,826
(6) TIJV LLC	A	114,314
(7) Louisiana Childrens Medical Center	M	797,384
(8) Children's Hospital	B	32,252,632
(9) Children's Hospital	C	2,302,632
(10) Children's Hospital	S	16,000,000
(11) TIJV LLC	A	62,851

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: provision of healthcare services
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	2,023
6	Total number of volunteers (estimate if necessary) .............	6	377
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	529,851	18,695,768
9	Program service revenue (Part VIII, line 2g) .........	208,316,304	258,338,051
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-345,886	930,925
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,150,012	7,989,861
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	215,650,281	285,954,605
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,231,167	32,252,632
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	93,657,748	98,197,382
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	116,433,162	128,825,767
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	214,322,077	259,275,781
19	Revenue less expenses. Subtract line 18 from line 12.......	1,328,204	26,678,824
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	188,540,010	254,094,258
21	Total liabilities (Part X, line 26).............	154,475,911	185,534,778
22	Net assets or fund balances. Subtract line 21 from line 20.....	34,064,099	68,559,480

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 201,989,501 including grants of $ 32,252,632 ) (Revenue $ 264,527,408 )
	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.

4b	(Code: ) (Expenses $ 7,002,071 including grants of $ ) (Revenue $ 1,800,504 )
	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).

4c	(Code: ) (Expenses $ 842,372 including grants of $ ) (Revenue $ 0 )
	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.

	(Code: ) (Expenses $ 9,433,914 including grants of $ ) (Revenue $ )
	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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 9,433,914 including grants of $ ) (Revenue $ )
4e	Total program service expenses219,267,858

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,196,987	2,136,724	938,557

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		2,302,632
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		16,393,136

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			18,695,768
			Business Code
2a	NET PATIENT SERVICE		621400	255,556,857	255,556,857
b	NON-PATIENT SERVICE		621400	2,781,194	2,781,194
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			258,338,051
3	Investment income (including dividends, interest, and other similar amounts).......			462,003			462,003
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	3,157,310
b	Less: rental expenses	0
c	Rental income or (loss)	3,157,310
d	Net rental income or (loss).......			3,157,310	3,157,310
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		644,732
b	Less: cost or other basis and sales expenses		175,810
c	Gain or (loss)		468,922
d	Net gain or (loss)..........			468,922			468,922
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	parking income		812930	1,623,995	1,623,995
b	cafeteria/catering		900099	1,183,940	1,183,940
c
d	All other revenue ....			2,024,616	2,024,616
e	Total. Add lines 11a–11d ......			4,832,551
12	Total revenue. See Instructions......			285,954,605	266,327,912	0	930,925


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			1,894,110	1	37,703,453
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			42,676,547	4	56,090,074
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			8,427,977	7	7,594,493
8	Inventories for sale or use ..............			4,168,664	8
9	Prepaid expenses and deferred charges ..........			1,842,276	9	1,826,475
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	400,868,113
b	Less: accumulated depreciation .....	10b	281,789,323	113,781,985	10c	119,078,790
11	Investments—publicly traded securities ..........			12,308,861	11	23,338,261
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			3,439,590	15	8,462,712
16	Total assets. Add lines 1 through 15 (must equal line 34)......			188,540,010	16	254,094,258
17	Accounts payable and accrued expenses .........			28,402,468	17	30,169,310
18	Grants payable .................				18
19	Deferred revenue ................			22,239	19	70,661
20	Tax-exempt bond liabilities .............			76,452,069	20	74,593,434
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			49,599,135	25	80,701,373
26	Total liabilities. Add lines 17 through 25.........			154,475,911	26	185,534,778
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			32,801,657	27	67,286,719
28	Temporarily restricted net assets ...........			1,262,442	28	1,272,761
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			34,064,099	33	68,559,480
34	Total liabilities and net assets/fund balances ........			188,540,010	34	254,094,258