TY 2024 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/1099-NEC)
(1) GREG FEIRN...................................................................... SYSTEM PRESIDENT/CEO	1.00 ................. 54.00	X		2,780,273	954,935
(2) WILLIAM VON ALMEN MD...................................................................... MEDICAL STAFF DIRECTOR	50.00 ................. 0.00	X		208,269	27,972
(3) KNIGHT WORLEY MD...................................................................... BOARD MEMBER	1.00 .................	X	X	0	0
(4) JILL ISRAEL...................................................................... IMMEDIATE PAST CHAIR	1.00 .................	X	X	0	0
(5) KIM BOYLE...................................................................... CHAIR	1.00 .................	X	X	0	0
(6) MARA FORCE...................................................................... VICE CHAIR	1.00 .................	X	X	0	0
(7) KATHY LICHTENBERG...................................................................... SECRETARY/TREASURER	1.00 .................	X	X	0	0
(8) CRYSTAL MCDONALD...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(9) JULIE SILBERT...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(10) CHRISTOPHER LEGE...................................................................... PRESIDENT AND CEO	53.00 ................. 2.00	X	X	686,854	125,592
(11) AUSTIN MARKS...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(12) STUART KOTTLE...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(13) THOMAS MIMS MD...................................................................... BOARD MEMBER	50.00 .................	X		424,463	25,619
(14) JASMINE BROWN DEROUSSELLE...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(15) TED LECLERCQ...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(16) BROOKE BISSINGER DAVIS...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(17) ROBIN GIARRUSSO...................................................................... BOARD MEMBER	1.00 .................	X		0	0

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CAROLINE GOOD........................................................................ BOARD MEMBER	1.00 .......................	X					0	0
(19) LARRY LOVELL........................................................................ BOARD MEMBER	1.00 .......................	X					0	0
(20) JOHN SILLARS........................................................................ BOARD MEMBER	1.00 .......................	X					0	0
(21) RUTH KULLMAN........................................................................ LCMC BOARD CHAIR	1.00 .......................	X					0	0
(22) PAUL DU TREIL MD........................................................................ MEDICAL STAFF PRESIDENT	50.00 .......................	X					999,703	25,592
(23) STEPHEN M BALDWIN........................................................................ CHIEF OPERATING OFFICER	50.00 .......................		X				416,325	28,238
(24) PATRICIA ROSENBERG........................................................................ CHIEF NURSING OFFICER	50.00 .......................		X				423,655	32,456
(25) JAY PENNISSON........................................................................ CFO	54.00 .......................1.00		X				434,583	40,378
(26) TAKEISHA DAVIS........................................................................ NOEH - PRESIDENT/CEO	50.00 .......................			X			454,322	21,338
(27) GRETCHEN PENTON........................................................................ EXEC VP OF CCPI	50.00 .......................			X			337,095	6,010
(28) CANDACE S ROBINSON........................................................................ NOEH CHIEF MEDICAL OFFICER	50.00 .......................			X			406,881	31,824
(29) TROY BOND........................................................................ AVP HUMAN RESOURCES	50.00 .......................			X			280,726	29,227
(30) COURTNEY J MARBLEY........................................................................ NOEH-CHIEF NURSING OFFICER	50.00 .......................			X			344,287	30,067
(31) DANIELLE WILLIS........................................................................ NOEH CFO	50.00 .......................			X			298,729	20,713
(32) CRAIG EDRINGTON........................................................................ CLINICAL SUPERVISOR	50.00 .......................				X		200,936	22,508
(33) JOHN RICHERT........................................................................ PHYSICIAN	50.00 .......................				X		206,299	15,765
(34) TARA MONTGOMERY........................................................................ DIRECTOR OF PHARMACY SERVI	50.00 .......................				X		213,691	18,060
(35) KIMBERLY BROWN........................................................................ VP ANESTHESIA AND PAIN MED	50.00 .......................0.00				X		289,091	19,807
(36) MONICA GANGE........................................................................ RN	50.00 .......................0.00				X		229,685	21,942
(37) MANNY LINARES........................................................................ PRESIDENT AND CEO	55.00 .......................0.00					X	225,434	9,319
(38) BRADLEY SINCLAIR........................................................................ FORMER OFFICER	0.00 .......................50.00					X	559,776	17,202
(39) CHAD COURREGE........................................................................ FORMER OFFICER	0.00 .......................55.00					X	563,688	36,609

(A) Name and business address	(B) Description of services	(C) Compensation
LSUHSC - NEW ORLEANS 433 BOLIVAR STREET RM 619 NEW ORLEANS,LA70112	RESIDENCY AFFILIATION	9,222,585
TRIMEDX 5451 LAKEVIEW PKWY DR S INDIANAPOLIS,IN46268	HEALTHCARE LOGISTICS	6,860,027
ARAMARK 25271 NETWORK PL CHICAGO,IL60673	DIETARY & HOUSEKEEPING	5,288,613
VARIAN MEDICAL SYSTEMS INC 3100 HANSEN WAY PALO ALTO,CA94304	MEDICAL DEVICES	2,872,703
MORRISON HEALTHCARE 400 NORTHRIDGE ROAD 600 ATLANTA,GA30350	DIETARY SERVICES	2,117,564
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 64

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

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 12, 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 (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2024

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. 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 VI 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) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) 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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization TOURO INFIRMARY		Employer identification number 72-0423659

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization TOURO INFIRMARY			Employer identification number 72-0423659
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

20,264

Total. Add lines 1c through 1i ....................................................................................................

20,264

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	TOURO INFIRMARY PAID A PORTION OF DUES TO LOUISIANA HOSPITAL ASSOCIATION THAT WERE DEEMED TO BE FOR LOBBYING OR RELATED ACTIVITIES TOTALING $20,264 (21% OF DUES).

Schedule C (Form 990) 2024

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	5,773,208	5,767,407	5,761,845	5,811,632	5,806,347
b	Contributions ...	5,900	5,801			5,285
c	Net investment earnings, gains, and losses			5,562
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				49,787
f	Administrative expenses ....
g	End of year balance ......	5,779,108	5,773,208	5,767,407	5,761,845	5,811,632

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

Board designated or quasi-endowment right arrow

100.000 %

Permanent endowment right arrow

Term endowment right arrow

The percentages on 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" on 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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,198,343		12,198,343
b	Buildings ....	337,392,706	243,260,165	94,132,541
c	Leasehold improvements	8,000		8,000
d	Equipment ....	163,811,499	141,856,651	21,954,848
e	Other .....	38,013,145	37,330,644	682,501
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				128,976,233

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RIGHT OF USE - LEASED ASSETS				253,062
(2)INTERCOMPANY RECEIVABLES				108,198,300
(3)INVESTMENT IN CONSOLIDATED SUBSIDIARIES				79,889,328
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				188,340,690

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PENSION LIABILITIES	696,911
WORKER'S COMP CLAIMS LIABILITY	1,485,859
LEASED ASSET LIABILITIES	243,708
GENERAL LIABILITY	5,649,177
INTEREST RECEIVABLES - SWAPS	138,311
INVESTMENT IN SUBSIDIARIES	58,041,442
MEDICAL PROFESSIONAL FEES LIABILITY	5,734,361
EMPLOYEE COMP ACCRUAL	100,000

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	72,089,769
2. Liability for uncertain tax positions. 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) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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.

Return Reference

Explanation

PART V, LINE 4:

THESE ENDOWMENT FUNDS ARE ADMINISTERED BY TOURO INFIRMARY FOUNDATION AND WOLDENBERG VILLAGE, WHICH ARE CONTROLLED BY TOURO INFIRMARY. THESE FUNDS ARE INTENDED TO BE USED FOR TOURO INFIRMARY'S AND WOLDENBERG VILLAGE'S EXEMPT PURPOSES.

PART X, LINE 2:

ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN INCOME TAX EXPENSE. THE SYSTEM BELIEVES THAT IS HAS APPROPRIATE SUPPORT FOR ANY POSITIONS TAKEN, AND MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.

Schedule D (Form 990) (Rev. 1-2025)

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" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

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 criteria used 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? . . . . . . . . .

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) . . .	3,079,264		3,079,264	0.820 %
b	Medicaid (from Worksheet 3, column a) . . . . .	73,845,133	73,154,430	690,703	0.180 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	76,924,397	73,154,430	3,769,967	1.000 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	11,903,418	3,192,782	8,710,636	2.320 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5,273,554		5,273,554	1.400 %
j	Total. Other Benefits . .	17,176,972	3,192,782	13,984,190	3.720 %
k	Total. Add lines 7d and 7j .	94,101,369	76,347,212	17,754,157	4.720 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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 Healthcare 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. ......

752,668

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).....

35,299,268

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

52,264,832

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

-16,965,564

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	80.000 %	20.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	TOURO INFIRMARY 1401 FOUCHER STREET NEW ORLEANS,LA70115 197	X	X	X	X

Schedule H (Form 990) 2024

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): HTTPS://WWW.LCMCHEALTH.ORG/TOURO/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TOURO INFIRMARY
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.LCMCHEALTH.ORG/TOURO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	TOURO INFIRMARY
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	TOURO INFIRMARY
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
TOURO INFIRMARY	PART V, SECTION B, LINE 5: LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH ONLINE AND PAPER COMMUNITY SURVEYS. HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA. HEALTH CONCERNS REGARDING CHILDREN IN THE GNO AREA WERE HIGHLIGHTED SINCE THEY ARE THE MAIN COMMUNITY SERVED BY CHILDREN'S HOSPITAL.SECONDARY DATASECONDARY DATA FROM NATIONAL AND STATEWIDE DATABASES, SUCH AS AMERICAN COMMUNITY SURVEY (ACS) AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), WERE COMPILED AND ANALYZED TO IDENTIFY KEY CONCERNS IN THE GNO AREA AND SUPPLEMENT FINDINGS FROM PRIMARY DATA SOURCES. THE INDICATOR LIST FOR SECONDARY DATA WAS DEVELOPED TO ALIGN WITH THE COUNTY HEALTH RANKINGS INDICATOR MODEL. DATA WERE EXTRACTED AT THE PARISH-LEVEL AND LOUISIANA AVERAGES WERE USED AS A BASELINE FOR COMPARISON. ADDITIONALLY, DATA WAS DISAGGREGATED BY RACE/ETHNICITY WHERE POSSIBLE. A FULL LIST OF DATA INDICATORS AND SOURCES CAN BE FOUND IN THE CHNA'S APPENDIX G: SECONDARY DATA SOURCES. COMMUNITY SURVEY BETWEEN SEPTEMBER TO NOVEMBER 2024, MHCNO PARTNER HOSPITALS, LPHI, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED ONLINE AND PAPER SURVEYS THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. THE SURVEY WAS DISTRIBUTED TO PATIENTS THROUGH PARTNER MAILING LISTS AND SOCIAL MEDIA, COMMUNITY EVENTS SUCH AS HEALTH FAIRS, TOWN HALLS, AND ASSISTANCE CENTERS AND CLINICS. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDHS STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE. THE SURVEY TOOL WAS GROUNDED IN HEALTH EQUITY AND INFORMED BY EVIDENCE-BASED MATERIALS (SUCH AS PREVENTION INSTITUTES MEASURING WHAT WORKS TO ACHIEVE HEALTH EQUITY: METRICS FOR THE DETERMINANTS OF HEALTH). IT INCLUDED QUESTIONS DESIGNED TO MEASURE RESPONDENT'S PERCEPTIONS OF DETERMINANTS OF HEALTH, HEALTH BEHAVIORS AND EXPOSURES, AND HEALTH OUTCOMES, AS WELL AS OPEN-ENDED QUESTIONS ON LOCAL ASSETS AND RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH. ALL SURVEY RESPONSES FROM PARISHES SERVED BY MHCNO HOSPITALS WERE COMPILED FOR ANALYSIS IN STATA. IN THE GNO AREA, 1,400 COMMUNITY MEMBERS PARTICIPATED IN THE SURVEY. AS SURVEY RESPONSES WERE COLLECTED VIA CONVENIENCE SAMPLING, THESE FINDINGS MAY NOT BE GENERALIZABLE TO THE ENTIRE COMMUNITY AND SHOULD BE INTERPRETED IN CONCERT WITH QUALITATIVE AND SECONDARY DATA FINDINGS. DEMOGRAPHIC INFORMATION OF SURVEY RESPONDENTS AS WELL AS A SUMMARY OF RESPONSES TO SURVEY QUESTIONS CAN BE FOUND IN THE CHNA'S APPENDIX E: ADDITIONAL SURVEY DATA.FOCUS GROUPSLPHI FACILITATED FIVE FOCUS GROUPS WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, AND ST. BERNARD PARISHES. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED THE HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.KEY STAKEHOLDER INTERVIEWSTWENTY INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA BETWEEN SEPTEMBER TO NOVEMBER 2024. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. QUALITATIVE FINDINGS IN THIS REPORT DO NOT INCLUDE INPUT FROM ST. TAMMANY PARISH PARTICIPANTS, AS THOSE ARE MORE PERTINENT TO HOSPITALS SERVING PREDOMINANTLY THE NORTHSHORE COMMUNITY. INTERVIEWEES INCLUDED:- PUBLIC HEALTH EXPERTS- STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND- MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.INTERVIEWS FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS.QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITYBY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS, THE TEAM INCORPORATED INPUT FROM- PUBLIC HEALTH EXPERTS- STATE, REGIONAL, OR LOCAL HEALTH DEPARTMENT, AND- MEMBERS, REPRESENTATIVES, OR LEADERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.GNO AREA ORGANIZATIONS PARTICIPATING IN INTERVIEWS AND FOCUS GROUPS INCLUDED, BUT NOT LIMITED TO:VOLUNTEERS OF AMERICA (VOA) SOUTHEAST LOUISIANA, BRIDGE HOUSE/ GRACE HOUSE, COMMUNITY CENTER OF ST. BERNARD, SECOND HARVEST FOOD BANK, SON OF A SAINT, DEPAUL COMMUNITY HEALTH CENTERS, SOUTHEAST LOUISIANA LEGAL SERVICES, NEW ORLEANS FAMILY JUSTICE CENTER, JEFFERSON PARISH HUMAN SERVICES, FIRST 72+, NEW ORLEANS RECREATION DEVELOPMENT (NORD) COMMISSION, ST. JOHN THE BAPTIST PARISH, LA VOZ DE LA COMUNIDAD, NOLA PRIDE CENTER, UNITED WAY OF SOUTHEAST LOUISIANA, GROW DAT YOUTH FARM, CRESCENT CARE, BELOW SEA LEVEL AID, BLUEPRINT FOR PROSPERITY PROGRAM, CAROLYN PARK ATTENDEES, COVENANT HOUSE, EDGARD LIBRARY, ZULU SOCIAL AID & PLEASURE CLUB, TULANE UNIVERSITY SCHOOL OF MEDICINE, LOUISIANA HEALTH SERVICES CENTER NEW ORLEANS, HISPANIC CHAMBER OF COMMERCE FOR LOUISIANA, JEFFERSON PARISH ADMINISTRATIVE OFFICIALS, JEFFERSON PARISH PRESIDENTS' OFFICE, LOUISIANA CHAPTER, AMERICAN ACADEMY OF PEDIATRICS, LOUISIANA DEPARTMENT OF HEALTH, NAMI SOUTHEAST LOUISIANA, NEW HOME MINISTRIES, NEW ORLEANS HEALTH DEPARTMENT, NUNEZ COMMUNITY COLLEGE, ST. JOHN KIWANIS CLUB, UNITED WAY OF ST. CHARLES, ST. JAMES, AND ST. JOHN, AN VOLUNTEER WITH CANCER ALLEY FENCELINE COMMUNITY ORGANIZATIONS.
TOURO INFIRMARY	PART V, SECTION B, LINE 6A: THE METROPOLITAN HOSPITAL COUNCIL OF NEW ORLEANS (MHCNO) CONTRACTED WITH THE LOUISIANA PUBLIC HEALTH INSTITUTE (LPHI) TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENT (CNHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORTS FOR PARTICIPATING HOSPITALS IN THE AREA. THIS REPORT SUMMARIZES THE FINDINGS OF THE JOINT CHNA FOR THE GREATER NEW ORLEANS (GNO) AREA AND DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED AS TOP PRIORITIES BY EACH OF THE 10 PARTICIPATING HOSPITALS. THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:CHILDRENS HOSPITAL NEW ORLEANSEAST JEFFERSON GENERAL HOSPITALNEW ORLEANS EAST HOSPITALOCHSNER MEDICAL CENTER - NEW ORLEANSOCHSNER MEDICAL CENTER - KENNEROCHSNER REHABILITATION HOSPITALTOURO INFIRMARYLAKESIDE HOSPITALUNIVERSITY MEDICAL CENTER NEW ORLEANSWEST JEFFERSON MEDICAL CENTER
TOURO INFIRMARY	PART V, SECTION B, LINE 11: THE TOP NEEDS IDENTIFIED BY THE CHNA AND PRIORITIZED BY TOURO ARE MATERNAL AND CHILD HEALTH, AFFORDABILITY OF CARE, CULTURAL COMPETENCY, AND HEALTH LITERACY. TOURO INFIRMARY PROVIDES PROGRAMS AND SERVICES TO MANY IN THE PARISH AND SURROUNDING REGIONS. AFFORDABILITY OF HEALTH CARE WAS IDENTIFIED AS A TOP NEED THROUGH THE 2024 CHNA. WHILE TOURO INFIRMARY IS NOT THE ONLY HEALTH CARE INSTITUTION IN THE REGION, THE FOLLOWING STRATEGIES WERE IDENTIFIED AND REVEALED TO ADDRESS THE GROWING ISSUE. TOURO INFIRMARY, IN PARTNERSHIP AND COLLABORATING WITH OTHER REGIONAL HEALTH CARE ORGANIZATIONS, WILL CONTINUE TO CAPITALIZE ON THE COMMUNITIES' EXISTING RESOURCES TO TACKLE AND CONFRONT THE NEEDS OF THE REGION.AFFORDABILITY OF CAREMANY FACTORS AFFECT A PATIENT'S ABILITY TO PAY FOR THE CARE THEY RECEIVE. THE PARTICIPANTS OF THE CHNA FOUND THAT MANY COMMUNITY MEMBERS OFTEN DID NOT HAVE SUFFICIENT INSURANCE TO COVER HEALTH COSTS OR PATIENTS OFTEN HAD TO WEIGH THE TRADE-OFF BETWEEN THEIR HEALTH NEEDS AND FINDING APPOINTMENT TIMES THAT DID NOT CONFLICT WITH THEIR WORK OBLIGATIONS. TOURO INFIRMARY IS WORKING TOWARDS MINIMIZING THE DISPARITIES IN HEALTHCARE AFFORDABILITY AND HAD OUTLINED SEVERAL GOALS AND STRATEGIES TO HELP ACCOMPLISH THIS OBJECTIVE.GOAL 1: TOURO INFIRMARY WILL CONTINUE WITH PRODUCING THE AMAZING AGERS PROGRAM WHICH PROMOTES HEALTHY LIFESTYLE SKILLS THAT "IMPROVE" THE OVERALL QUALITY OF LIFE FOR COMMUNITY MEMBERS AGES 65 AND ABOVE.STRATEGY 1: TO ACCOMPLISH THIS GOAL, TOURO WILL PROVIDE EDUCATIONAL-BASED PROGRAMS SPECIFICALLY DESIGNED FOR PEOPLE AGE 65 AND ABOVE. THIS PROGRAM WILL ALSO INCLUDE TANGIBLE TOOLS THE SENIOR POPULATION MAY USE IN EVERYDAY LIFE.GOAL 2. TO PROVIDE MORE TIMELY ACCESS TO BEDS, TOURO WILL IMPROVE THE TOURO BED BREAKDOWN PROGRAM. THIS PROGRAM ADDRESSES ACCESS TO BEDS DUE TO A LACK OF ON-SITE SUPPLY WHILE HELPING WITH COST-SAVINGS. THIS WILL ENSURE A HIGHER LEVEL OF CARE AND COMFORT IS PROVIDED TO PATIENTS.STRATEGY 1: TOURO WILL ESTABLISH A PROTOCOL FOR ALL BROKEN BEDS TO BE MOVED TO SPECIFIC LOCATIONS TO BE REPAIRED.STRATEGY 2: TOURO WILL DECREASE THE USE OF RENTED BEDS AND OPEN FUNDS TO BE USED ON PATIENT CARE AND SATISFACTION.STRATEGY 3: FOR THE QUICK PROCUREMENT FOR PATIENTS, TOURO WILL PROVIDE TRACKING OF BEDS BOTH RENTED AND OWNED.GOAL 3: TOURO WILL UTILIZE MAKEGOODSNOLA 3D PRINTING BY PROVIDING STAFF WITH A 3D PRINTING SKILLSET TO INCREASE THE SCOPE OF PATIENT SUPPORT. THIS WILL HELP TO PROVIDE PATIENTS WITH CUSTOM-MADE EVERYDAY TOOLS FOR OCCUPATIONAL SKILL SUPPORT (PHONE HOLDERS, PEN/ PENCIL GRIPS, SHOELACE SUPPORTERS, ETC.)STRATEGY 1: TOURO STAFF MEMBERS WILL PRODUCE 3D PRINTING MATERIALS MADE FOR CUSTOM CIRCUMSTANCES.STRATEGY 2: TOURO WILL TRAIN SELECT STAFF ON HOW TO MAKE THESE MATERIALS SAFELY.STRATEGY 3: TOURO WILL ENSURE THE MATERIALS PROVIDED ARE FOR EVERYDAY USE AND ARE WITHIN THE GUIDELINES OF OCCUPATIONAL THERAPY.GOAL 4: PARTNERED WITH THE TULANE UNIVERSITY SCHOOL OF PUBLIC HEALTH, TOURO INFIRMARY WILL PARTICIPATE IN THE CHERISH STUDY; A FAITH-BASED STUDY THAT PROMOTES HEALTH AWARENESS AND ACCESSIBILITY IN THE AFRICAN AMERICAN COMMUNITY.STRATEGY 1: TO SUCCESSFULLY ACCOMPLISH THIS GOAL, TOURO WILL DISTRIBUTE PAMPHLETS OF THE STUDY IN THEIR CCPI LOCATIONS.GOAL 5: TO INCREASE THE SCOPE OF SUPPORT TO REHABILITATIVE PATIENTS, TOURO WILL UTILIZE THE CHRISTOPHER REEVE GRANT TO ALLOW PATIENTS TO GAIN ACCESS TO ASSISTIVE TECHNOLOGY. THIS WILL IMPROVE THE QUALITY OF LIFE FOR REHABILITATIVE PATIENTS BY CREATING INNOVATIVE, INCLUSIVE OPPORTUNITIES FOR COMMUNITY ENGAGEMENT.GOAL 6: PARTNERED WITH THE AMERICAN CANCERS SOCIETY, UBER, AND CRESCENT CITY PHYSICIANS TO BENEFIT CANCER PATIENTS, TOURO INFIRMARY WILL PARTICIPATE IN THE AMERICAN CANCER SOCIETY GRANT AND THE HEEBEE FUND. PARTICIPATION IN THESE FOUNDATIONS WILL HELP TOURO PROVIDE TRANSPORTATION, FUND SUPPORT GROUPS, AND OTHER NECESSITIES CANCER PATIENTS NEED.STRATEGY 1: VIA UBER, TOURO WILL PROVIDE TRANSPORTATION TO CANCER PATIENTS TO ASSIST THEM WITH GETTING TO CLINIC AND INFUSION APPOINTMENTS.STRATEGY 2: WITH THE ASSISTANCE OF GENEROUS FUNDING, ENSURE PATIENTS CAN ACCESS VALUABLE RESOURCES AVAILABLE THROUGHOUT THEIR CANCER JOURNEY.GOAL 7: TOURO WILL PROVIDE DIABETIC EDUCATION SUPPORT TO DIABETIC PATIENTS IN AN EFFORT TO HELP PATIENTS DEVELOP HEALTHIER LIFESTYLES AND LEARN VARIOUS WAYS TO EXERCISE, PREPARE FOOD, AND MONITOR THEIR BLOOD GLUCOSE LEVELS. THIS EDUCATIONAL SUPPORT WILL HELP TO REDUCE COMORBIDITIES RELATED TO TYPE 2 DIABETES DIAGNOSES. THROUGH DIABETIC EDUCATION, PROVIDING VITAL INFORMATION TO ALL DIABETIC GROUPS WILL HELP TO REDUCE THE INCIDENCES OF DISPARITIES DUE TO A LACK OF KNOWLEDGE OF THE CONDITION.STRATEGY 1: THE FOLLOWING TYPES OF EDUCATION SESSIONS FOR DIABETIC PATIENTS WILL BE PROVIDED BY TOURO: BLOOD GLUCOSE MONITORING, THE BENEFITS OF EXERCISE AND PRECAUTIONS, PREVENTION, DETECTION AND TREATMENT OF COMPLICATIONS, SICK DAY MANAGEMENT, MEAL PLANNING AND WEIGHT CONTROL, MEDICATION MANAGEMENT, STRESS MANAGEMENT, FOOT, SKIN, AND DENTAL CARE.STRATEGY 2: TOURO WILL MANAGE ACUTE DIABETIC EMERGENCIESGOAL 8: TOURO WILL IMPROVE PATIENT FINANCIAL ASSISTANCE BY PROVIDING FINANCIAL ASSISTANCE THAT IMPROVES FINANCIAL LITERACY AND PROVIDES SUPPORT IN NAVIGATING THE HEALTHCARE BILLING AND BENEFITS SYSTEM.STRATEGY 1: TOURO CONTRACTS WITH A THIRD PARTY TO DETERMINE ELIGIBILITY AND RESOURCES FOR PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR DON'T QUALIFY FOR ONE OF THE GOVERNMENT PROGRAMS SUCH AS MEDICARE OR MEDICAID.MINIMIZING AND REMOVING POTENTIAL CULTURAL, RACIAL, AND SOCIAL, BARRIERS TO CARE WAS OF CONCERN TO THE CHNA PARTICIPANTS. OUTDATED MEDICAL PRACTICES RESULTED IN DIFFERENT CLINICAL THRESHOLDS FOR VARIOUS ETHNIC GROUPS WHICH CREATES BARRIERS TO CARE AND PREVENTS OR DETERS SOME PEOPLE FROM SEEKING OUT NECESSARY CARE. IN AN EFFORT TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN HEALTH CARE, TOURO HAS PARTNERED WITH VARIOUS COMMUNITY AND NATIONAL ORGANIZATIONS TO IDENTIFY WHERE IMPROVEMENTS IN CULTURAL COMPETENCY FOR HEALTHCARE PROVIDERS AND TEAM MEMBERS WAS NEEDED TO INCREASE PATIENT TRUST AND SATISFACTION. SEVERAL GOALS AND STRATEGIES WERE DEVELOPED TO ACHIEVE THESE OBJECTIVES.GOAL 1: USING THE TRAINING FROM THE AMERICAN ORGANIZATION FOR NURSING LEADERSHIP, TOURO WILL TEACH HOW HEALTHCARE DELIVERY IS NICHE AND EACH DEMOGRAPHIC HAS UNIQUE NEEDS. AS THE DIVERSE NATURE OF TOURO'S PATIENT POPULATION GROWS, THE NURSING STAFF WILL BE ABLE TO GROW ALSO HAVING THE NECESSARY TOOLS NEEDED TO WORK WITH PEOPLE FROM DIFFERENT BACKGROUNDS.STRATEGY 1: TOURO WILL CONDUCT VIRTUAL LEARNING PROGRAMS FOR NURSE LEADERS TO CREATE SELF-AWARENESS, LEADERSHIP ESSENTIALS, AND TEAM MANAGEMENT. THROUGH THIS TRAINING, NURSE LEADERS SHOULD BE MORE AWARE OF THE IMPACT OF IMPLICIT BIAS AND THE IMPORTANCE OF CULTURAL HUMILITY, RESPECT, AND COMPETENCE TO DELIVER MORE PATIENT-CENTERED CARE.STRATEGY 2: TOURO WILL CONDUCT A 3-DAY VIRTUAL LEARNING WORKSHOP FOR NURSE LEADERS ON FINANCE AND BUSINESS SKILLS FOR NURSE MANAGERS. GOAL 2: TOURO INFIRMARY WILL PARTICIPATE IN "BE IN THE KNOW" TO IMPROVE KNOWLEDGE AND COMPETENCE IN HEALTHCARE DUE TO THE CONSISTENTLY CHANGING DEMOGRAPHICS IN THE FIELD. THROUGH THIS INITIATIVE, TOURO WILL SUPPORT THE CITY IN DEVELOPING AND EDUCATING RESIDENTS ON ADVOCACY AND HEALTHCARE POLICY IN AN EFFORT TO ADDRESS MISTRUST OF THE HEALTHCARE SYSTEM.STRATEGY 1: LCMC IS PARTNERING WITH THE CITY OF NEW ORLEANS HEALTH DEPARTMENT TO IMPROVE HEALTH LITERACY AND CULTURAL COMPETENCY THROUGH THE "BE IN THE KNOW" INITIATIVE.GOAL 3: TOURO WILL CREATE AN EMPLOYEE ENGAGEMENT AND PATIENT SATISFACTION TEAM (EEPS) TO OBSERVE PATIENT SENTIMENTS AND ENGAGE THE TOURO INFIRMARY STAFF TO SUPPORT INITIATIVES THAT INCREASE SATISFACTION AND PRODUCTIVITY.STRATEGY 1: THE TOURO STAFF WILL DELIVER AUDIT REPORTS TO HOSPITAL LEADERS REPORTING ON PATIENT SATISFACTION AND EMPLOYEE ENGAGEMENT.STRATEGY 2: TOURO WILL SUPPORT CULTIVATION OF EVENTS FOR EMPLOYEE PARTICIPATION.GOAL 4: TOURO WILL PARTICIPATE IN NEW COMMUNITY RELATED LEARNING PROGRAMS THAT PROVIDE STAFF WITH THE OPPORTUNITY TO EXPAND THEIR EDUCATION AND INCREASE THE SCOPE OF CARE PROVIDED.STRATEGY 1: TOURO WILL IMPLEMENT NURSING AND PHYSICIAN TRAINING ON SPECIFIC CULTURALLY RELATED TOPICS.GOAL 5: TO INCREASE THE CONNECTION BETWEEN TEAM LEADERS, ADMINISTRATION, THE EXECUTIVE TEAM, AND EMPLOYEES, TOURO WILL PARTICIPATE IN THE SYSTEMWIDE HELM 2.0 TRAINING TO CONTINUE TO FACILITATE HEALTHY DIALOGUE AND COMMUNITY.STRATEGY 1: TOURO WILL PROVIDE CULTURALLY RELATED TRAINING MODULES WITH EMPHASIS ON MANAGERS AND SUPERVISORS WITH AN AIM OF 95% ATTENDANCE.GOAL 6: BY CREATING SPACES THAT SUPPORT PATIENT AND EMPLOYEE RELIGIOUS BACKGROUNDS, TOURO WILL CONTINUE TO IMPROVE SPIRITUAL AND PASTORAL ASSISTANCE WITH THE UNDERSTANDING THAT HOSPITALS CAN BE FILLED WITH TENSION AND UNCERTAINTY. (SEE ADDITIONAL STATEMENT IN PART V SECTION C)
TOURO INFIRMARY	PART V, SECTION B, LINE 13B: MEDICAL HARDSHIP ASSISTANCE IS AVAILABLE FOR PATIENT/GUARANTORS WITH FAMILY INCOME GREATER THAN 400% FPL AT ALL FACILITIES IF THE OUT OF POCKET LIABILITIES ARE GREATER THAN 20% OF THE FAMILY INCOME OR 50% OF TOTAL ASSETS.LCMC HEALTH UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY LCMC HEALTH TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS:HOMELESSNESS OR RECEIPT OF CARE FROM A HOMELESS CLINIC;PARTICIPATING IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);RECEIVING SNAP (SUPPLEMENTAL NUTRITIONAL ASSISTANCE PROGRAM) BENEFITS;RECEIVING TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) BENEFITS;PATIENT DECEASED WITH NO KNOWN ESTATE;MEDICAID RECIPIENT FOR MEDICAL SERVICES COVERED BY AND COMPLIANT WITH THE MEDICAID PROGRAM REQUIREMENTS.FINANCIAL ASSISTANCE MAY ALSO BE PROVIDED TO NON-LOUISIANA RESIDENTS WHO EXPERIENCE AN EMERGENCY MEDICAL CONDITION IN LOUISIANA AND REQUIRE IMMEDIATE MEDICAL TREATMENT.THIS INFORMATION WILL ENABLE LCMC HEALTH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT.IN THE EVENT A PATIENT DOES NOT QUALIFY FOR PRESUMPTIVE ELIGIBILITY BASED ON THIS MODEL, THE PATIENT MAY STILL PROVIDE REQUISITE INFORMATION AND BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE PROCESS. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY BASED ON THIS PREDICTIVE MODEL WILL BE RECLASSIFIED AS FINANCIAL ASSISTANCE AND ANY REMAINING BALANCE DUE WILL BE FORGIVEN. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY STATUS WILL BE PROVIDED FREE CARE FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THIS DECISION WILL NOT CONSTITUTE A STATE OF FREE CARE AS AVAILABLE THROUGH THE TRADITIONAL APPLICATION PROCESS. THESE ACCOUNTS WILL BE TREATED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTION, AND WILL NOT BE INCLUDED IN LCMC HEALTH BAD DEBT EXPENSE. PATIENTS WILL NOT BE NOTIFIED TO INFORM THEM OF THIS DECISION. PRESUMPTIVE SCREENING PROVIDES A COMMUNITY BENEFIT BY ENABLING A HOSPITAL ORGANIZATION TO SYSTEMATICALLY IDENTIFY FINANCIALLY NEEDY PATIENTS, REDUCE ADMINISTRATIVE BURDENS AND PROVIDE FINANCIAL ASSISTANCE TO PATIENTS AND THEIR GUARANTORS, SOME OF WHOM MAY HAVE NOT BEEN RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS.
TOURO INFIRMARY	PART V, SECTION B, LINE 13H: PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE UNABLE TO PAY THEIR BILLS WITHIN 30 DAYS OF THE INITIAL INVOICE.PATIENTS INELIGIBLE FOR FINANCIAL ASSISTANCE AND HAVING NO THIRD-PARTY COVERAGE FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES PROVIDED BY LCMC HEALTH WILL BE GRANTED A DISCOUNT EQUAL TO THAT OF THE AVERAGE AMOUNT GENERALLY BILLED.
PART V, SECTION B, (LINE 11 CONTINUATION)	TOURO SEEKS TO ALLEVIATE FEARS, NEGATIVE, CONNOTATIONS, ETC. AND ESTABLISH A SAFE SPACE FOR ALL.STRATEGY 1: TOURO WILL PROVIDE PATIENTS WITH THE OPTION TO WORSHIP IN THEIR RELIGIOUS CULTURE.STRATEGY 2: A SAFE ENVIRONMENT FOR THOSE OF ALL RELIGIOUS BACKGROUNDS WILL BE ESTABLISHED AT TOURO.GOAL 7: THROUGH COMMUNITY OUTREACH AND CREATING PARTNERSHIPS WITH THE LOCAL CHAPTERS OF THE NATIONAL PAN-HELLENIC COUNCIL WILL CREATE PROGRAMS AROUND COMMON HEALTHCARE NEEDS AND EXPANDING TOURO'S RELATIONSHIPS INTO THE VAST COMMUNITY NETWORK IT SERVES.STRATEGY 1: TOURO WILL DEVELOP HEALTH PROMOTION PROGRAMS CENTERED ON BREAST, PROSTATE, AND HEART HEALTH TO REDUCE HIGH INCIDENCE IN THE COMMUNITY.GOAL 8: BY EXPANDING RELATIONSHIPS WITH DILLARD UNIVERSITY AND THE UNIVERSITY OF HOLY CROSS NURSING PROGRAMS, TOURO WILL EXPAND ITS HEALTHCARE INITIATIVES OF PROVIDING CARE TO THE COMMUNITY ITS DEDICATED TO AND PROVIDE HEALTHCARE EXPERIENCE TO UPCOMING NURSES SEEKING TO MAKE A POSITIVE IMPACT ON NOTED HEALTH DISPARITIES IN DIABETES, MATERNAL HEALTH, AND ACCESS TO CARE.STRATEGY 1: THROUGH THEIR PARTNERSHIP WITH DILLARD UNIVERSITY TOURO WILL CREATE OPPORTUNITIES FOR NURSES WHICH WILL IMPROVE OUTREACH AND RECRUITMENT.GOAL 9: LED BY THE LCMC HEALTH SYSTEM OPPORTUNITY & SOCIAL RESPONSIBILITY DEPARTMENT, TOURO WILL CREATE CULTURALLY TAILORED CONTENT FOCUSING ON LANGUAGE BARRIERS HEALTH DISPARITIES, HISTORICAL CONTEXT, AND HEALTHCARE ACCESS FOR AFRICAN AMERICAN, HISPANIC, AND VIETNAMESE COMMUNITIES BY DECEMBER 2025.STRATEGY 1: CONDUCT A SURVEY AND FOCUS GROUPS TO IDENTIFY AND UNDERSTAND THE SPECIFIC CULTURAL CHALLENGES FACED BY EACH POPULATION.STRATEGY 2: PARTNER WITH CULTURAL EXPERTS, COMMUNITY LEADERS, OR ORGANIZATIONS TO ENSURE ACCURATE AND AUTHENTIC CONTENT.GOAL 10: DESIGN AND DELIVER CULTURALLY RELEVANT TRAINING PROGRAMS.STRATEGY 1: TOGETHER WITH MEMBERS OF LCMC HEALTH'S COMMUNITY ADVISORY COUNCIL AND UTILIZING INFORMATION GATHERED FROM SUBJECT MATER EXPERTS, TOURO WILL DESIGN TRAINING WITH THE INITIAL PROGRAM DESIGN TO BE COMPLETED BY AUGUST 2025.STRATEGY 2: TOURO WILL ENSURE ALL MATERIALS AND TRAINING ALIGN WITH NATIONAL CULTURAL COMPETENCY STANDARDS THAT ADDRESS KEY PATIENT DEMOGRAPHICS IN THE TOURO HOSPITAL'S COMMUNITY WITH THE INFORMATION GATHERING PROCESS TO BE FINALIZED BY JUNE 2025.GOAL 11: WITH INPUT FROM MEMBERS OF LCMC HEALTH'S COMMUNITY ADVISORY COUNCIL AND MEMBERS OR THE HOSPITAL MOSAIC TEAM, TOURO WILL LAUNCH THE TRAINING PROGRAM PILOT, OBTAIN, AND INTEGRATE FEEBACK AND COMPLETE REVISIONS BY OCTOBER 2025.STRATEGY 1: PILOT THE TRAINING IN THREE (3) HIGH-DIVERSITY DEPARTMENTS (E.G., MATERNITY, EMERGENCY, AND PRIMARY CARE PHYSICIAN OFFICES).STRATEGY 2: PROVIDE PILOT TRAINING TO COMMUNITY ADVISORS, HOSPITAL CLINICAL STAFF AND EMPLOYED PHYSICIANS IN CULTURAL COMPETENCE, CULTURAL HUMILITY AND INCLUSIVE COMMUNICATION BY SEPTEMBER 2025, GATHERING FEEDBACK FOR REVISIONS.GOAL 12: TOURO WILL CONDUCT AN ANALYSIS OF DATA, REFINE TRAINING, AND UPLOAD FINISHED PRODUCTS INTO THE LEARNING CENTER TO LAUNCH IN Q1 2026. THROUGH THE LCMC HEALTH LEARNING CENTER AND WITH THE ASSISTANCE OF PILOT GROUP RESPONDENTS THE FOLLOWING TWO (2) STRATEGIES WILL BE UTILIZED:STRATEGY 1: CONDUCT PRE- AND POST- IMPLEMENTATION PATIENT, CLINICAL STAFF, AND PHYSICIAN SURVEYS.STRATEGY 2: UPLOAD STAFF TRAINING MODULES IN LCMC HEALTH LEARNING CANTER TO LAUNCH Q1 2026.THE PARTICIPANTS OF THE CHNA FOUND MATERNAL HEALTH WAS OF CONCERN FOR THE NEW ORLEANS AREA. TOURO INFIRMARY OFFERS SEVERAL EDUCATION COURSES TO EXPECTING FAMILIES AND THEIR INTERPERSONAL SUPPORT. THEY ALSO PROVIDE A NUMBER OF WOMEN'S SERVICES AND EDUCATION PROGRAMS TO THE COMMUNITY WITH THE GOAL OF ENHANCING MATERNAL CARE AND COMMUNITY TRUST. SEVERAL GOALS AND STRATEGIES WERE DEVELOPED TO ACHIEVE THESE OBJECTIVES.GOAL 1: TOURO WILL PARTICIPATE IN THE LAPQC ICSED NALOXONE PILOT TO DECREASE THE EFFECTS SOF NALOXONE USAGE.STRATEGY 1: TO BE SUCCESSFUL, TOURO WILL PARTICIPATE IN A LARGE-SCALE STUDY BEING CONDUCTED BY A CONSORTIUM OF LABOR AND DELIVERY MEDICAL INSTITUTIONS.GOAL 2: TOURO WILL PARTICIPATE IN THE EVALUATION AND EDUCATION OF CLINICAL STAFF ON BIAS AND DISPARITIES IN PAIN MANAGEMENT BY WORKING WITH THE SYSTEM IN IMPLEMENTING NECESSARY TRAINING AND COLLABORATING WITH STAFF TO HIGHLIGHT AREAS OF GROWTH.STRATEGY 1: TOURO WILL MEET WITH NECESSARY STAKEHOLDERS TO DEVELOP MATERIALS FOR IMPLEMENTATION.GOAL 3: TO INCREASE SELF-EFFICACY IN EXPECTING PATIENTS AND THEIR SUPPORT SYSTEM, TOURO WILL PARTICIPATE IN FAMILY CONNECTS WHICH BRINGS NURSES TO THE PATIENT AND PROVIDE INSIGHT INTO THE PARENTING JOURNEY TO ESTABLISH A SAFE PLACE FOR EXPECTING FAMILIES.STRATEGY 1: TOURO WILL PROVIDE IN-HOUSE RN-LEVEL VISITS TO ASSIST WITH POST-NATAL CARE.GOAL 4: TOURO SEEKS TO MAINTAIN THEIR BIRTH READY + STATUS THROUGH PARTICIPATING IN UNDERSTANDING THE HIGH INCIDENCE OF MATERNAL MORTALITY IN THE DEEP SOUTH.STRATEGY 1: MONTHLY COACHING CALLS, TOPIC CALLS, AND CHARTER CHAT PARTICIPATION AND COLLABORATION BY TOURO STAFF IN CONJUNCTION WITH LSU AND CRESCENT CITY PHYSICIANS.STRATEGY 2: TOURO WILL IDENTIFY DESIGNATED PHYSICIAN AND NURSE CHAMPIONS FOR LABOR AND DELIVERY AND THE EMERGENCY DEPARTMENT.GOAL 5: TOURO PLANS TO MAINTAIN AND EXPAND WOMEN'S SERVICES EDUCATION PROGRAMS THAT ARE COMMUNITY CENTERED AND CONVEYS THE IMPORTANCE OF GROUP SUPPORT IN A CHILD'S LIFE, ESPECIALLY WITH THE NEW PARENTS.STRATEGY 1: TOURO WILL CONDUCT A HOST OF IN-PERSON AND VIRTUAL MOTHER-BABY CLASSES FOCUSED ON CHILDBIRTH EDUCATION THAT COVERS LABOR STAGES, EARLY LABOR SIGNS, PAIN MANAGEMENT, MEDICAL INTERVENTIONS, CESAREAN BIRTH, POSTPARTUM, AND NEWBORN CARE.STRATEGY 2: A POSITIVE AND PREPARED CHILDBIRTH CLASS WILL BE OFFERED ON WEEKENDS FOCUSING ON LABOR STAGES, BREATHING, RELAXATION, PARTNER PARTICIPATION, AND BIRTH PREFERENCES WHICH INCLUDE ANATOMY, BREASTFEEDING TECHNIQUES, AND MILK STORAGE.STRATEGY 3: HEALTHY MOM, HEALTH BABY CLASSES WILL BE CONDUCTED AT TOURO THAT WILL COVER PRENATAL AND POSTPARTUM HEALTH, NUTRITION, EXERCISE, AND BREASTFEEDING NUTRITION.STRATEGY 4: TOURO WILL ALSO OFFER CLASSES FOR FAMILY SUPPORTING THE NEWBORN AND MOTHER THAT WILL PROVIDE FIRST-TIME PARENTS AND CAREGIVERS WITH NEWBORN CARE SKILLS THAT INCLUDE DIAPERING, BATHING, AND SAFETY. STRATEGY 5: GRANDPARENTING 101 EDUCATIONAL COURSES WILL ALSO BE OFFERED TO EDUCATE GRANDPARENTS ON UPDATED INFANT CARE PRACTICES, SAFETY, AND HOW TO SUPPORT NEW PARENTS. INFANT/ CHILD CPR TRAINING WILL BE AVAILABLE TO TEACH CHOKING RELIEF AND CPR GOR INFANTS AND CHILDREN.STRATEGY 6: CLASSES FOR SIBLINGS AND FATHERS WILL BE OFFER BY TOURO THAT HELPS CHILDREN AGES 4 11 UNDERSTAND WHAT TO EXPECT WHEN A NEW BABY ARRIVES AND HOW TO HELP AND THAT HELPS FATHERS BUILD CONFIDENCE AND LEARN ABOUT PREGNANCY, LABOR, NEWBORN CAREM AND POSTPARTUM SUPPORT.STRATEGY 7: ADDITIONAL SUPPORTIVE CLASSES WILL BE HELD THAT INCLUDE BABY FOOD MAKING.AS DETERMINED BY THE PARTICIPANTS OF THE CHNA, UTILIZING DIGITAL RESOURCES TO IMPROVE HEALTH LITERACY IS THE KEY TO MAINTAINING AND IMPROVING HEALTH BY MEANS OF INCREASING THE KNOWLEDGE OF HEALTH BEHAVIORS AND THE ABILITY TO UNDERSTAND AND SEEK ACCURATE HEALTH INFORMATION FROM DOCTORS OR OTHER SOURCES. TOURO ENDEAVORS TO EMPOWER PATIENTS TO ACCESS, UNDERSTAND, AND USE HEALTH INFORMATION AND HEALTH SERVICES EFFECTIVELY. AS HEALTH LITERACY IMPROVES, PATIENTS ARE ABLE TO MAKE MORE INFORMED DECISIONS AND ACTIVELY PARTICIPATE IN MAINTAINING AND IMPROVING THEIR OWN HEALTH AND THE HEALTH OF THEIR COMMUNITIES. TO ADDRESS THESE CONCERNS, TOURO PARTNERED WITH OTHER COMMUNITY AND NATIONAL ORGANIZATIONS TO IDENTIFY SEVERAL GOALS TO HELP IMPROVE HEALTH LITERACY IN THE COMMUNITY. GOAL 1: THROUGH A PARTNERSHIP WITH WBOK, TOURO SEEKS TO EXPLORE NICHE HEALTH TOPICS THROUGH THE LENSE OF VARIOUS SOCIAL GROUPS AND ENGAGE LISTENERS BY PROVIDING THEM WITH INFORMATIVE MATERIALS THEY LIKE.STRATEGY 1: TOURO WILL DEVELOP TALKING POINTS TO SPEAK ON HEALTH.STRATEGY 2: TOURO WILL HELP LEADERS INCREASE THEIR ABILITY TO REACH THE COMMUNITY.STRATEGY 3: TOURO WILL PROVIDE CRITICAL INFORMATION ON HEALTHCARE-RELATED ISSUES.GOAL 2: THROUGH THEIR PARTICIPATION IN THE HEALTHY START PROGRAM, TOURO WILL CONNECT WITH EXPECTING PARENTS AND PROVIDE THEM WITH EDUCATIONAL MATERIALS HIGHLIGHTING THE BENEFITS OF A HEALTHY START.STRATEGY 1: TOURO WILL PROVIDE ONE-ON-ONE SUPPORT EITHER MONTHLY OR BI-MONTHLY WITH VISITS FROM A HEALTHY START CARE COORDINATOR TO PROVIDE GUIDEANCE AND SUPPORT.STRATEGY 2: TOURO WILL CREATE FUN LEARNING ACTIVITIES TO HELP PARENTS ENGAGE WITH THEIR CHILD'S DEVELOPMENT.STRATEGY 3: TO ASSIST WITH MAKING PARENTS AND CAREGIVERS AWARE OF COMMUNITY RESOURCES AND ENROLLMENT ASSISTANCE, TOURO WILL PROVIDE SUPPORT WITH ESTABLISHING WIC, FOOD STAMPS, MEDICAID, AND HOUSING BENEFITS, JOB TRAINING, GED PROGRAMS, AND EDUCATION OPPORTUNITIES.
PART V, SECTION B, (LINE 11 CONTINUATION)	STRATEGY 4: TOURO WILL PROVIDE SUPPORT FOR INDIVIDUAL OR FAMILY COUNSELING, MONTHLY FREE EVENTS AND PARENT WORKSHOPS, AND SUPPORT GROUPS FOR MOMS AND DADS.GOAL 3: TO ASSIST INNER-CITY YOUTHS DEVELOP TANGIBLE SKILLS AND KNOWLEDGE TO TRANSITION INTO THE WORKFORCE, TOURO THROUGH THEIR PARTNERSHIP WITH CAFE RECONCILE WILL GIVE A GENERAL OVERVIEW OF THE DAY-TO-DAY TASK OF THE DIETARY SERVICE AND HOW IT TRANSLATES TO HEALTHCARE.STRATEGY 1: FOR THE PARTICIPANTS OF THE PROGRAM, TOURO, PARTNERED WITH DIETARY, WILL CREATE JOB OPPORTUNITIES IN THE TOURO LCMC DINING AND HOSPITALITY SECTORS.GOAL 4: THROUGH THE USE OF GOOD HEALTH MAGAZINE'S MARKETING STRATEGIES, TOURO WILL USE THE PLATFORM TO INFORM SUBSCRIBERS ABOUT HEALTHIER ALTERNATIVES TO FOOD AND ACTIVITIES AND SUPPORT THE GROWING ELDERLY POPULATION AND FUTURE CARETAKERS IN THE ENVIRONMENT AND WHAT THEY CAN DO TO FOR COMMUNITY MEMBERS.STRATEGY 1: TOURO WILL DESIGN A HEALTH PROMOTION MODEL THAT DISSEMINATES HEALTHY TIPS AND LIFESTYLE OPTIONS TO READERS/ SUBSCRIBERS THAT PROVIDES LIFESAVING KNOWLEDGE ON STROKE, DIABETES, AND OTHER AILMENTS.ALL OF THE NEEDS IDENTIFIED IN THE CHNA HAVE AN IMPACT ON ONE ANOTHER AS THEY DRIVE HEALTH OUTCOMES. ALTHOUGH ALL OF THE NEEDS ADDRESSED IN THE CHNA ARE VALID, IMPORTANT CONCERNS, TOURO INFIRMARY IS COMMITTED TO PRIORITIZING KEY CHALLENGES WHERE THEY CAN BE MOST IMPACTFUL. DUE TO A LACK OF RESOURCES, EXPERTISE, OR COMPETENCE, THE TOURO LEADERSHIP DETERMINED THE FOLLOWING NEEDS WILL NOT BE EXPLICITLY PRIORITIZED AND ADDRESSED IN THE CHIP:SOCIOECONOMIC CHALLENGES: TOURO LACKS EFFECTIVE INTERVENTIONS TO MAKE A MAJOR IMPACT IN THIS AREA DUE TO SIGNIFICANT RESOURCE CONSTRAINTS.ENVIRONMENTAL HEALTH: DUE TO A LACK OF EXPERTISE OR COMPETENCIES TO EFFECTIVELY ADDRESS THE NEED, TOURO WILL NOT FOCUS ON THIS NEED. THIS CONCERN FALLS OUTSIDE OF THE SCOPE OF HEALTHCARE DELIVERY AND TOURO LACKS EFFECTIVE INTERVENTIONS TO MAKE A MAJOR IMPACT IN THIS AREA DUE TO SIGNIFICANT RESOURCE CONSTRAINTS.CRIME AND VIOLENCE: THIS CONCERN FALLS OUTSIDE OF THE SCOPE OF HEALTHCARE DELIVERY AND TOURO LACKS EFFECTIVE INTERVENTIONS TO MAKE A MAJOR IMPACT IN THIS AREA DUE TO SIGNIFICANT RESOURCE CONSTRAINTS.SEXUAL HEALTH SERVICES: OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED.CHRONIC DISEASE PREVENTION: TOURO FEELS THEY HAVE ADDRESSED UP TO THEIR CURRENT RESOURCES.ACCESS TO & AWARENESS OF BEHAVIORAL HEALTH: TOURO LACKS EFFECTIVE INTERVENTIONS TO MAKE A MAJOR IMPACT IN THIS AREA DUE TO SIGNIFICANT RESOURCE CONSTRAINTS.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. 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	1 - WOLDENBERG VILLAGE INC 3701 BEHRMAN PLACE NEW ORLEANS,LA70114	ASSISTED LIVING COMMUNITY & SKILLED NURSING FACILITY
2	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) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 3C:	THE FOLLOWING FACTORS ARE CONSIDERED WHEN DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE FOR WHICH A PATIENT IS ELIGIBLE BASED ON RESOURCES:- IF PATIENT IS HOMELESS THEY WILL AUTOMATICALLY QUALIFY;- IF THE PATIENT IS ALREADY DEEMED MEDICALLY INDIGENT AND RECEIVES BENEFITS FROM ANY MEDICAID PROGRAM THEY WILL AUTOMATICALLY QUALIFY;- INDIVIDUALS OR FAMILY NET WORTH, UTILIZING THE PATIENT'S INDIVIDUAL OR FAMILY INCOME,EMPLOYMENT STATUS, FAMILY SIZE, FINANCIAL OBLIGATIONS INCLUDING LIVING EXPENSES AND OTHER ITEMS OF A REASONABLE AND NECESSARY NATURE; - MEDICAL HARDSHIP MAY ALSO BE DETERMINED FOR PATIENTS ON A CASE BY CASE BASIS. PATIENT MAY BE ELIGIBLE IF THE PATIENT'S FINANCIAL RESPONSIBILITY EXCEEDS 25% OF GROSS INCOME OR 50% OF TOTAL ASSETS, EXCLUDING PRIMARY RESIDENCE, ONE (1) VEHICLE, COLLEGE FUND, AND RETIREMENT FUND; - INFORMATION FROM A PREDICTIVE MODEL MAY BE USED BY TOURO INFIRMARY TO DETERMINE PRESUMPTIVE ELIGIBILITY IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT.
PART I, LINE 7:	TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.PART I, LINE 7B(D):TOURO AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO FEDERAL UPPER PAYMENT LIMITS (UPL). EACH STATE'S UPL METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS.
PART III, LINE 2:	TOURO RECORDS IMPLICIT PRICING CONCESSIONS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. TOURO ESTIMATES THE IMPLICIT PRICING CONCENSSIONS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ESTIMATES ASSOCIATED WITH ITS RECEIVABLES.
PART III, LINE 4:	FROM NOTE 2 OF THE AUDIT REPORT: THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS IN ACCORDANCE WITH THE SYSTEM'S POLICIES, AND IMPLICIT PRICE CONCESSIONS PROVIDED FOR UNCOLLECTABLE AMOUNTS. IN ACCORDANCE WITH THE REQUIREMENTS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 326-20 FINANCIAL INSTRUMENTS - CREDIT LOSSES, MANAGEMENT DETERMINES THE IMPLICIT PRICING CONCESSIONS USING AN ESTIMATE OF EXPECTED CREDIT LOSSES, APPLIED TO CUSTOMER GROUPINGS WITH SIMILAR RISK CHARACTERISTICS, BASED ON HISTORICAL EXPERIENCE, CURRENT ECONOMIC CONDITIONS, AND CERTAIN FORWARD-LOOKING INFORMATION. THE SYSTEM RECORDS IMPLICIT PRICING CONCESSIONS FOR ESTIMATED LOSSES RESULTING FROM A PAYORS INABILITY TO MAKE PAYMENTS ON ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES.GENERALLY, THE SYSTEM BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY, AND PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN THE SYSTEM RECEIVING INPATIENT ACUTE CARE SERVICES OR PATIENTS RECEIVING SERVICES IN ITS OUTPATIENT CENTERS.AGREEMENTS WITH THIRD-PARTY PAYORS TYPICALLY PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN STANDARD CHARGES. FOLLOWING IS A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYORS:MEDICARE - INPATIENT AND OUTPATIENT SERVICES, INCLUDING PHYSICIAN SERVICES, ARE PAID AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN SERVICES ARE PAID BASED ON COST-REIMBURSEMENT METHODOLOGIES, SUBJECT TO CERTAIN LIMITS.MEDICAID - REIMBURSEMENTS FOR MEDICAID SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER. OTHER - PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS, AND PREFERRED PROVIDER ORGANIZATIONS PROVIDE FOR PAYMENT USING PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES, AND PROSPECTIVELY DETERMINED DAILY RATES.
PART III, LINE 8:	TOURO IS COSTING SERVICES USING A RATIO OF COST TO CHARGES (RCC) OF ADJUSTED TOTAL EXPENSE AS A RATIO OF GROSS PATIENT CHARGES. WE APPLY THE RATIO TO GROSS CHARGES OF THE POPULATION BEING MEASURED IN ORDER TO ESTIMATE COST. ADJUSTED TOTAL EXPENSE IS TOURO HOSPITAL'S TOTAL EXPENSE LESS NON-PATIENT REVENUE AND REMOVING DIRECT COMMUNITY BENEFIT COST DISCLOSED ON SCH H LINE 7J(C). TOURO USES THE RATIO OF ADJUSTED COST TO GROSS PATIENT CHARGES, USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 9B:	TOURO INFIRMARY PURSUES NORMAL COLLECTION ACTIONS AGAINST PATIENTS FOUND INELIGIBLE FOR FINANCIAL ASSISTANCE, OR PATIENTS WHO ARE NO LONGER COOPERATING IN GOOD FAITH TO PAY THE REMAINING DISCOUNTED BALANCE.
PART VI, LINE 2:	LPHI UTILIZED MIXED METHODS TO UNDERSTAND AND DOCUMENT COMMUNITY FEEDBACK AND PERSPECTIVES BY TRIANGULATING PRIMARY QUALITATIVE DATA FROM INTERVIEWS AND FOCUS GROUPS, SECONDARY QUANTITATIVE DATA FROM EXISTING DATA SOURCES, AND ADDITIONAL QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH AN ONLINE COMMUNITY SURVEY. ALL DATA COLLECTION AND ENGAGEMENT EFFORTS OCCURRED FROM THE CALENDAR YEAR 2021- 2023.HEALTH EQUITY WAS CENTRAL TO BOTH THE DATA COLLECTION AND ANALYSIS PROCESSES. SECONDARY DATA WERE ANALYZED BY RACE WHENEVER POSSIBLE. PRIMARY DATA COLLECTION FOCUSED ON GATHERING VOICES OF POPULATIONS OF INTEREST FOR HOSPITALS INCLUDING AGING AND NON-ENGLISH SPEAKING. FINDINGS FROM THESE COMMUNITIES WERE INCORPORATED THROUGHOUT THE CHNA.COMMUNITY HEALTH ASSESSMENT PLANNING: A SERIES OF MEETINGS WAS FACILITATED BY THE CONSULTANTS AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM TOURO INFIRMARY AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS. THIS PROCESS LASTED FROM SEPTEMBER TO NOVEMBER 2024.SECONDARY DATA: COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIOECONOMIC ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS OF THE TOURO INFIRMARY COMMUNITY WAS COMPLETED FROM EXISTING DATA SOURCES TO INCLUDE:AMERICAN COMMUNITY SURVEY 2017 -2022COUNTY HEALTH RANKINGS, 2024 KIDS COUNT, 2024UNITED FOR ALICE, 2024CDC PLACES, 2021CDC WONDERNATIONAL CANCER INSTITUTELOUISIANA DEPARTMENT OF HEALTHTHIS PROCESS LASTED FROM SEPTEMBER TO NOVEMBER 2024.COMMUNITY SURVEY: MHCNO PARTNER HOSPITALS, LPHI, UW-SELA, AND THE LOUISIANA DEPARTMENT OF HEALTH (LDH) DISTRIBUTED AN ONLINE OR PAPER SURVEY THROUGH THEIR NETWORKS TO COMMUNITY MEMBERS RESIDING IN SOUTHEAST LOUISIANA. THE SURVEY WAS AVAILABLE IN ENGLISH, SPANISH, AND VIETNAMESE AND DISTRIBUTED IN ALL THREE LANGUAGES VIA EMAIL, SOCIAL MEDIA, AND RADIO. HOSPITAL FACILITIES FOCUSED ON DISTRIBUTING THE SURVEY TO THEIR PATIENTS THROUGH PARTNER MAILING LISTS AND SOCIAL MEDIA, COMMUNITY EVENTS, TOWN HALLS, AND AT ASSISTANCE CENTERS AND CLINICS. THE SURVEY WAS CONDUCTED IN COLLABORATION WITH THE LDH'S STATEWIDE HEALTH ASSESSMENT SURVEY, WHICH TOOK PLACE SIMULTANEOUSLY, TO BOOST RESPONSE RATES AND REDUCE SURVEY FATIGUE.FOCUS GROUPS: LPHI FACILITATED FIVE FOCUS GROUPS WITH PARTICIPANTS FROM ORLEANS, JEFFERSON, ST. JOHN THE BAPTIST, ST. CHARLES, ST. BERNARD, AND PLAQUEMINES PARISHES. FOCUS GROUP PARTICIPANTS INCLUDED PARENTS, MEMBERS OF SPANISH SPEAKING COMMUNITIES, RURAL COMMUNITY MEMBERS, OLDER ADULTS, MENTAL HEALTH AND SUBSTANCE USE PROVIDERS, AND DISABILITY ADVOCATES. FOCUS GROUP DISCUSSIONS ADDRESSED HEALTH CONCERNS OF THE COMMUNITY, RESOURCES, AND ASSETS OF THE COMMUNITY, HOW PEOPLE CHOOSE/ACCESS PROVIDERS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. INCENTIVES WERE PROVIDED TO THOSE THAT WERE ELIGIBLE AS A TOKEN FOR THEIR TIME. ALL TRANSCRIPTIONS WERE UPLOADED INTO DEDOOSE, CODED, AND ANALYZED.INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS: TWENTY INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS ACROSS THE GNO AREA. MOST KEY STAKEHOLDERS WERE RECOMMENDED BY PARTICIPATING HOSPITALS. INTERVIEWEES INCLUDED:- PUBLIC HEALTH AND HEALTH DEPARTMENT LEADERS- LEADERS AND/OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND/OR MINORITY COMMUNITIES- LEADERS AND SERVICE PROVIDERS FROM LOCAL COMMUNITY-FOCUSED ORGANIZATIONS SUCH AS FOOD BANKS, CBOS, SCHOOLS, HUMAN SERVICE AUTHORITIES, NEIGHBORHOOD ASSOCIATIONS, UNIVERSITIES, ADVOCACY GROUPS, ETC.INTERVIEWS AVERAGED 45 MINUTES AND FOCUSED ON HEALTH CONCERNS WITHIN THE COMMUNITY, COMMUNITY RESOURCES AND ASSETS, AND RECOMMENDATIONS ON HOW TO IMPROVE THE HEALTH OF RESIDENTS. MONETARY INCENTIVES WERE PROVIDED TO ELIGIBLE PARTICIPANTS FOR THEIR TIME AND INPUT. TRANSCRIPTS WERE LOADED INTO DEDOOSE AND CODED BASED ON KEY THEMES. A THEMATIC ANALYSIS WAS THEN CONDUCTED TO SYNTHESIZE FINDINGS.QUALITATIVE PARTICIPANTS FROM THE GNO COMMUNITY: BY USING THESE PRIMARY DATA COLLECTION AND ANALYSIS METHODS, THE HOSPITAL FACILITIES AND LPHI TEAM CONDUCTED OUTREACH THROUGH VIRTUAL PLATFORMS TO SOLICIT INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE GNO COMMUNITY. THROUGH INTERVIEWS THE TEAM INCORPORATED INPUT FROM:BELOW SEA LEVEL AIDBLUEPRINT FOR PROSPERITY PROGRAMCAROLYN PARK ATTENDEESCHURCH ASSOCIATIONSCITY HALL EMPLOYEESCOVENANT HOUSEEDGARD LIBRARYFACULTY, CHILD AND ADOLESCENT PSYCHIATRY, TULANE UNIVERSITY SCHOOL OF MEDICINEFACULTY, FAMILY MEDICINE, LOUISIANA HEALTH SERVICES CENTER NEW ORLEANSGARYVILLE LIBRARYGROW DAT YOUTH FARMHISPANIC CHAMBER OF COMMERCE FOR LOUISIANAJEFFERSON PARISH ADMINISTRATIVE OFFICIALSJEFFERSON PARISH PRESIDENT'S OFFICELA VOZ DE LA COMUNIDADLAPLACE LIBRARYLOUISIANA CHAPTER, AMERICAN ACADEMY OF PEDIATRICSLOUISIANA DEPARTMENT OF HEALTH, BUREAU OF PLANNING AND PERFORMANCEMASJID OMARMENTAL HEALTH COLLABORATIVE OF NEW ORLEANSNAMI SOUTHEAST LOUISIANANEW HOME MINISTRIESNEW ORLEANS HEALTH DEPARTMENTNUNEZ COMMUNITY COLLEGEREGION 9 OPIOID PREVENTION, OFFICE OF PUBLIC HEALTHRESERVE LIBRARYST. JOHN KIWANIS CLUB MEMBERSUNIVERSITY MEDICAL CENTER COMMUNITY MEETINGSUNITED WAY OF ST. CHARLESUNITED WAY OF ST. JAMESUNITED WAY OF ST. JOHNVIA LINKVOLUNTEER WITH CANCER ALLEY FENCELINE COMMUNITY ORGANIZATIONSTHE NEW ORLEANS COMMUNITY IS VERY DIVERSE, FROM THE NINTH WARD TO NEW ORLEANS EAST AND THE GARDEN DISTRICT. THE HEALTH RISKS ASSOCIATED WITH CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE PARTICULARLY HIGH AMONG OUR GROWING, MEDICALLY UNDERSERVED AFRICAN-AMERICAN, HISPANIC AND VIETNAMESE POPULATIONS. TOURO PERFORMS COMMUNITY OUTREACH TO THESE GROUPS THROUGH OUR OWN HEALTH PROGRAMS, PARTICIPATION IN COMMUNITY HEALTH FAIRS, PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS AND OTHER GRASSROOTS EFFORTS. TOURO'S GOAL IS TO HELP RESIDENTS LEARN HOW TO ACCESS THE CARE THEY NEED AND TO HELP THEM LEARN TO MANAGE THEIR HEALTH CONDITIONS AND LIVE HEALTHIER LIVES.
PART VI, LINE 3:	TOURO INFIRMARY IS COMMITTED TO WIDELY PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITIES IT SERVES. FINANCIAL COUNSELORS HAVE THE PLAIN LANGUAGE SUMMARIES OF THE POLICY AVAILABLE FOR ALL PATIENTS AND ARE TRAINED IN THE APPLICATION PROCESS.TOURO INFIRMARY OPERATES AN APPLICATION CENTER THAT SCREENS PATIENTS FOR POSSIBLE COVERAGE WITH MEDICAID AND DISABILITY PROGRAMS. THE APPLICATION CENTER ALSO PROVIDES INFORMATION REGARDING FREE PROGRAM SERVICES WITHIN THE METROPOLITAN AREA.INHOUSE SELF PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR TO ASSIST IN SCREENING FOR POSSIBLE COVERAGE, INCLUDING FINANCIAL ASSISTANCE APPLICATIONS IF THE PATIENT DOES NOT QUALIFY FOR GOVERNMENT SPONSORED OR OTHER THIRD PARTY PROGRAMS. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT AND DETERMINES HIS/HER ABILITY TO PAY AND DISCUSSES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ALL EMERGENCY ROOM PATIENTS ARE ALSO SCREENED FOR POSSIBLE THIRD PARTY COVERAGE AND/OR FINANCIAL ASSISTANCE.ALL SELF PAY PATIENTS WHO ARE NOT SCREENED RECEIVE A NOTICE THAT THE HOSPITAL, THROUGH ITS MEDICAL ELIGIBILITY ASSISTANCE PROGRAM (M.E.A.P.), ASSISTS PATIENTS AT TOURO INFIRMARY TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE PROGRAMS, WHICH MAY ALSO PAY FOR HOSPITAL AND PHYSICIAN SERVICES. THIS IS A COMMUNITY SERVICE PROVIDED BY THE HOSPITAL AT NO CHARGE TO ITS PATIENTS. REGISTRATION STAFF, FINANCIAL COUNSELORS AND OTHER HOSPITAL STAFF ARE PROVIDED ONGOING TRAINING REGARDING THE ELIGIBILITY CRITERIA AND PROGRAMS THAT ARE AVAILABLE THROUGH VARIOUS LOCAL, STATE, AND FEDERAL AGENCIES TO ENSURE THAT DESERVING PATIENTS ARE REFERRED TO APPROPRIATE THIRD PARTIES AND/OR PROVIDED FINANCIAL ASSISTANCE, DEPENDING ON THE PATIENTS' INDIVIDUAL CIRCUMSTANCES.
PART VI, LINE 4:	PART VI LINE 4 COMMUNITY INFORMATION:WITH RESPECT TO TOURO INFIRMARY HOSPITAL, THE COMMUNITY SERVED IS DEFINED ACROSS 8 DIFFERENT PARISHES. THIS AREA INCLUDES JEFFERSON, ORLEANS, PLAQUEMINES, ST. BERNARD, ST. CHARLES, ST. JAMES, ST. JOHN THE BAPTIST, AND ST. TAMMANY PARISHES. IN DISCUSSING DEMOGRAPHIC DATA, TOURO SERVICES PATIENTS FROM ACROSS SOUTH LOUISIANA, STATEWIDE AND BEYOND. THIS COMMUNITY INCLUDES MEDICALLY UNDESERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE INFORMATION BELOW IS GLEAMED FROM TOURO'S COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2024.IN 2024, THE TOTAL POPULATION OF TOURO'S SERVICE AREA IS 966,230. BY COMPARISON, THE TOTAL POPULATION OF ORLEANS AND JEFFERSON PARISH, THE TWO LARGEST PARISHES SERVED BY TOURO, WERE 362,701 AND 427,253, RESPECTIVELY. THE OVERALL 2024 POPULATION OF THE STATE OF LOUISIANA WAS 4,597,740.THE AGE DISPERSION FOR TOURO'S SERVICE AREA IS AS FOLLOWS: UNDER 18 YEARS OLD: 19.6%, 18 - 64: 37.9%, 65+: 15.9%. THIS DISPERSION IS CONSISTENT, FOR THE MOST PART, WITH JEFFERSON PARISH, ORLEANS PARISH, AND THE STATE OF LOUISIANA AS A WHOLE.RACIALLY, THERE ARE SIGNIFICANT DIFFERENCES WITHIN TOURO'S SERVICE AREA. IN ORLEANS PARISH, 37% OF THE POPULATION IS WHITE/NON-HISPANIC, 59.3% IS BLACK/NON-HISPANIC, AND 5.7% IS HISPANIC. BY COMPARISON, JEFFERSON PARISH'S BREAKDOWN IS 63%, 28.8%, AND 15.1%. ST. BERNARD PARISH IS COMPRISED OF 71.3% WHITE/NON-HISPANIC, 25.8% BLACK/NON-HISPANIC, AND 10.6% HISPANIC. ST. CHARLES PARISH IS COMPRISED OF 70.7% WHITE/NON-HISPANIC, 24.7% BLACK/NON- HISPANIC, AND 6.6% HISPANIC. ST. JOHN THE BAPTIST PARISH IS COMPRISED OF 37.7% WHITE/NON-HISPANIC, 58.6% BLACK/NON- HISPANIC, AND 7.3% HISPANIC. AS A STATE, LOUISIANA IS COMPRISED OF 63.8% WHITE/NON-HISPANICS, 33.4% BLACK/NON-HISPANIC, AND 5.5% HISPANICS.SECONDARY DATA SHOWS THAT 42-54% OF HOUSEHOLDS IN THE GNO AREA EARN LESS THAN THE BASIC COST OF LIVING. THE POVERTY RATES BY PARISH ARE AS FOLLOWS: ST. BERNARD PARISH 54%, ORLEANS PARISH 54%, ST. JOHN THE BAPTIST PARISH 47%, JEFFERSON PARISH, 47%, AND ST. CHARLES PARISH 42%. THE POVERTY RATE FOR LOUISIANA AS A WHOLE IS 50%.FROM A HEALTH RANKINGS PERSPECTIVE, LOUISIANA RANKS 50TH OVERALL, ACCORDING TO THE 2024 AMERICA'S HEALTH RANKING REPORT.
PART VI, LINE 5:	IN FURTHERANCE OF ITS CHARITABLE PURPOSE AND MISSION, TOURO PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY WHICH IT SERVES. TO PROMOTE COMMUNITY HEALTH, TOURO ADDRESSES THE TOP FOUR NEEDS IDENTIFIED BY THE CHNA. THOSE NEEDS WERE MATERNAL AND CHILD HEALTH, AFFORDABILITY OF CARE, CULTURAL COMPETENCY, AND HEALTH LITERACY. IN 2024, TOURO INFIRMARY OFFERED OR PARTICIPATED IN 195 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 1,824 PEOPLE. OUTREACH EVENTS COVER A WIDE VARIETY OF HEALTH TOPICS THAT ADDRESS THE HEALTH INFORMATION NEEDS OF THE COMMUNITY TOURO SERVES, INCLUDING NUTRITION, DIABETES MANAGEMENT, CANCER, CHILDBIRTH AND PARENTING, WOMEN'S HEALTH, HEALTHY AGING, HEART HEALTH, PROSTATE HEALTH, AND MORE.TOURO'S COMMUNITY OUTREACH PROGRAM OFFERS A WIDE RANGE OF EVENTS, INCLUDING TOURO-LED CLASSES, SEMINARS, SUPPORT GROUPS AND HEALTH SCREENINGS. TOURO PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS PROVIDE INFORMATIVE SEMINARS AND OFFER FREE SCREENINGS ON A VARIETY OF TOPICS. THESE EVENTS ARE TYPICALLY HOSTED ON THE HOSPITAL'S CAMPUS AND ARE COORDINATED BY TOURO STAFF. SCREENINGS INCLUDE: PROSTATE CANCER, HEAD & NECK CANCER, AND DIABETES A1C.THE TOURO REHABILITATION CENTER STAFF FROM A VARIETY OF DISCIPLINES, INCLUDING OCCUPATION THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS AND A REHABILITATION EDUCATOR, RECREATION THERAPIST AND OFFICE PERSONNEL PARTICIPATED IN FREE COMMUNITY EVENTS INCLUDING SUDDEN IMPACT TRAINING FOR LOCAL HIGH SCHOOL STUDENTS, BRAIN INJURY SPECIALTY TRAINING AND THE BISCIS (BRAIN INJURY/SPINAL CORD INJURY) PROGRAM, WHICH PROVIDES RECREATION (BASEBALL LEAGUE/BOWLING LEAGUE) FOR THAT POPULATION.NON-PROFIT EVENTS: TOURO REGULARLY PARTNERS WITH LOCAL NON-PROFIT ORGANIZATIONS AT COMMUNITY HEALTH EVENTS AND SCREENINGS. THESE EVENTS ARE HOSTED AT LOCATIONS THROUGHOUT THE COMMUNITY. TOURO PROVIDES FREE SCREENINGS, HEALTH INFORMATION AND CLINICAL STAFF TO ADMINISTER THE SCREENINGS AND PROVIDE CLINICAL CONSULTATIONS. EXAMPLES OF EVENTS INCLUDE: BACK TO SCHOOL HEALTH FAIR AND AUDUBON ZOO.SPONSORSHIP EVENTS: AS PART OF THE LCMC HEALTH SYSTEM OF HOSPITALS, TOURO SPONSORS AND PARTICIPATES IN HEALTHCARE-RELATED ORGANIZATIONS AND EVENTS IN THE GREATER NEW ORLEANS COMMUNITY, SUCH AS THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, MARCH OF DIMES, BRIDGE HOUSE/GRACE HOUSE, AND THE WALK TO END ALZHEIMER'S. PARTICIPATION IN THESE EVENTS ENTAILS STAFFING THE EVENT, PROVIDING HEALTH EDUCATION MATERIALS TO ATTENDEES AND OFFERING FREE SCREENINGS (AS REQUESTED) TO ATTENDEES. ALL EVENTS ARE OPEN TO THE PUBLIC.AMAZING AGERS: TOURO OFFERS FREE EVENTS AND PROGRAMS DESIGNED TO HELP THE AGING POPULATION IN THE COMMUNITY LIVE HEALTHY AND INDEPENDENT LIVES. THE TOURO AMAZING AGERS PROGRAM IS A FREE PROGRAM DESIGNED TO HELP ADULTS AGE 65 YEARS AND OLDER LEAD A HEALTHY AND ACTIVE LIFESTYLE. THIS PROGRAM INCLUDES TWELVE (12) EDUCATIONAL HEALTH SEMINARS CUSTOMIZED TO MEET THE INFORMATION NEEDS OF THIS POPULATION. TOPICS FOR 2024 INCLUDED: LUNG CANCER, HEALTHY EATING AND FITNESS, DIABETES PREVENTION, SENIOR WELLNESS AND MORE.CHERISH STUDY: TOURO ACTIVELY ENGAGES THE COMMUNITY THROUGH THE SUPPORT OF AFRICAN AMERICAN CHURCHES IN CONJUNCTION WITH TULANE SCHOOL OF PUBLIC HEALTH. THIS PROGRAM DISTRIBUTES HEALTH STUDY MATERIALS AT CCPI LOCATIONS IN AN EFFORT TO PROMOTE HEALTH AWARENESS AND ACCESSIBILITY.CHRISTOPHER REEVES GRANT: TO PROVIDE SUPPORT AND ESSENTIAL RESOURCES FOR PHYSICAL REHABILITATION AND RECOVERY, TOURO INFIRMARY FOCUSES SUPPORTING PATIENTS WITH TAILORED REHABILITATION PROGRAMS.CANCER SUPPORT: PARTNERED WITH THE AMERICAN CANCER SOCIETY & THE TOURO FOUNDATION, TOURO PROVIDES TRANSPORTATION SERVICES FOR CANCER PATIENTS TO ENSURE ACCESSIBILITY TO TREATMENT THROUGH THE USE OF THE AMERICAN CANCER SOCIETY GRANT. THE ALSO PROVIDE A NUMBER OF FREE PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH CANCER THROUGHOUT THE GREATER NEW ORLEANS COMMUNITY THROUGH THE UTILIZATION OF THE HEEBEE FAMILY FUND.DIABETES EDUCATION PROGRAM: IN COLLABORATION WITH THE NATIONAL CERTIFICATION BOARD OF DIABETES EDUCATORS AND THE AMERICAN DIABETES ASSOCIATION, TOURO INFIRMARY PROVIDES A COMPREHENSIVE PROGRAM FOCUSED ON DIABETES EDUCATION THAT COVERS BLOOD GLUCOSE MONITORING, MEAL PLANNING, STRESS MANAGEMENT, AND MEDICATION ADHERENCE TO HELP OPTIMIZE PATIENT OUTCOMES.FINANCIAL ASSISTANCE PROGRAM: TOURO PROVIDES FINANCIAL SUPPORT FOR PATIENTS WITH LIMITED HEALTHCARE LITERACY WHO ARE UNINSURED AND UNDERINSURED. THIS PROGRAM ALSO PROVIDES GUIDANCE ON ELIGIBILITY FOR GOVERNMENT ASSISTANCE PROGRAMS.THROUGHOUT 2024, TOURO OFFERED SEVERAL FREE HEALTH SEMINARS AND SPECIAL EVENTS ON WOMAN'S HEALTH ISSUES FROM WOMEN OF CHILDBEARING AGE TO MATURE WOMEN TOPICS. THESE SEMINARS WERE OPEN TO THE PUBLIC AND HELD EITHER ON-CAMPUS OR AT AN OFFSITE LOCATION NEAR THE HOSPITAL. THE SEMINAR TOPICS WERE FOCUSED ON WOMEN'S HEALTH AND WELLNESS. TOURO PHYSICIANS LEAD THE SEMINARS WITH TIME FOR QUESTIONS FOLLOWING THE PRESENTATIONS. CHILDBIRTH EDUCATION SERIES: NURSE EDUCATORS FROM TOURO'S FAMILY BIRTHING CENTER OFFER FREE MONTHLY CHILDBIRTH EDUCATION CLASSES FOR EXPECTING PARENTS TO HELP THEM PREPARE FOR CHILDBIRTH, NEWBORN CARE AND BREASTFEEDING. THE CLASSES ARE HELD ON TOURO'S CAMPUS IN THE EVENINGS OR ON WEEKENDS TO ACCOMMODATE A VARIETY OF SCHEDULES. IN 2024, THE FAMILY BIRTHING CENTER OFFERED A TOTAL OF NINETY-ONE (91) CLASSES/SERIES, INCLUDING A CHILDBIRTH EDUCATION SERIES, LACTATION CLASSES, PARENTING CLASS, INFANT/CHILD CPR, ONLINE CHILDBIRTH EDUCATION CLASSES AND MORE. DIABETES SUPPORT GROUP: TOURO'S DIABETES CENTER OFFERS A FREE MONTHLY SUPPORT PROGRAM FOR PERSONS WITH DIABETES ENTITLED "LIFE CAN STILL BE SWEET." THE CLASS TOPICS ROTATE EACH MONTH, COVERING A VARIETY OF DIABETES MANAGEMENT TOPICS FROM GLUCOSE MONITORING TO MEDICATION MANAGEMENT AND DIET TO MAINTAINING A HEALTHY LIFESTYLE.SUPPORTIVE CANCER CARE PROGRAM: TOURO'S SUPPORTIVE CANCER CARE CENTER OFFERS A NUMBER OF FREE PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH CANCER THROUGHOUT THE GREATER NEW ORLEANS COMMUNITY.GIRL TALK: A GYNECOLOGIC CANCER SUPPORT GROUP FOR WOMEN WHO HAVE BEEN DIAGNOSED WITH ONE OF THE GYNECOLOGIC CANCERS. WHETHER A PERSON IS NEWLY DIAGNOSED, ACTIVELY BEING TREATED OR HAS COMPLETED TREATMENT, THIS GROUP CAN HELP. THE MEETINGS PROMOTE EDUCATION AND DISCUSSION ABOUT RELEVANT TOPICS.PATIENT NAVIGATION: PATIENT NAVIGATION HELPS OVERCOME BARRIERS TO MAKING INFORMED DECISIONS ABOUT CANCER CARE. THIS PROGRAM, OFFERED THROUGH THE SUPPORTIVE CANCER CARE CENTER, IS AVAILABLE TO TOURO PATIENTS AT NO COST. SOME WAYS PATIENTS ARE NAVIGATED INCLUDE:UNDERSTAND CANCER DIAGNOSIS EXPLORE TREATMENT OPTIONSASSESS SUPPORTIVE CARE NEEDS LOCATE FINANCIAL RESOURCESPROVIDE SUPPORT AND ENCOURAGEMENT THROUGHOUT TREATMENT SERVE AS A "GO TO" RESOURCE WHEN NEEDEDHEALTHY START PROGRAM: IS A COMMUNITY-BASED PROGRAM THAT HELPS NAVIGATE PRENATAL/ POSTNATAL CARE AND HELPS PARENTS ENROLL IN COMMUNITY ASSISTANCE PROGRAMS.PARTNERSHIP WITH CAFE RECONCILE: TOURO WILL ADOPT A MULTI-FACETED OUTREACH APPROACH TO HELP SUPPORT CAFE RECONCILE (A NON-PROFIT WORKFORCE TRAINING PROGRAM) AND PROMOTE HEALTH EDUCATION AND SELF-EMPOWERMENT IN VULNERABLE POPULATIONS.MOBILE NURSING NEST: IN 2022, TOURO PURCHASED AND OUTFITTED A LARGE CARGO VAN TO SERVE AS A MOBILE "NEST" FOR WHICH NURSING MOTHERS CAN NURSE THEIR BABIES IN COMFORT AND PRIVACY. THE COST OF THE VAN AND OUTFITTING WAS $94,355. THIS VAN WAS USED IN TEN (10) EVENTS IN 2024 WITH 70 TOTAL PARTICIPANTS.
PART VI, LINE 6:	LCMC HEALTH ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF TOURO INFIRMARY. LCMC IS ALSO THE PARENT ORGANIZATION OF UMCMC, CHILDREN'S HOSPITAL, WEST JEFFERSON MEDICAL CENTER AND UNIVERSITY HEALTHCARE SYSTEM, LC (UHS) D/B/A EAST JEFFERSON GENERAL HOSPITAL, LAKESIDE HOSPITAL, AND LAKEVIEW HOSPITAL.LCMC IS A LOUISIANA NON-STOCK, NOT-FOR-PROFIT CORPORATION THAT WAS INCORPORATED IN 2009. LCMC IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL INC. ("CHILDREN'S"). LCMC ALSO BECAME THE SOLE MEMBER OF TOURO INFIRMARY ("TOURO") IN 2009 TO CREATE A TWO-HOSPITAL MEDICAL SYSTEM PROVIDING A COMPLETE CONTINUUM OF CARE FROM BIRTH TO GERIATRICS. CHILDREN'S PROVIDES COMPREHENSIVE PEDIATRIC HEALTHCARE THAT MEETS THE SPECIAL NEEDS OF CHILDREN THROUGH EXCELLENCE AND CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, AND RESEARCH. TOURO, FOUNDED IN 1852, SERVES THE GREATER NEW ORLEANS COMMUNITY AS A PREMIER, DIVERSE, MULTI-SPECIALTY HOSPITAL, CARING FOR THE SICK REGARDLESS OF RACE, COLOR, CREED, RELIGIOUS AFFILIATION, OR ABILITY TO PAY.IN TAX YEAR 2013, FOLLOWING STATE BUDGET REDUCTIONS THAT CAUSED SEVERE CUTS TO THE LOUISIANA PUBLIC HOSPITAL SYSTEM, AND AT THE REQUEST OF STATE OFFICIALS, LCMC EMBARKED ON A COOPERATIVE ENDEAVOR WITH THE STATE OF LOUISIANA ("STATE") FOR THE PURPOSE OF CREATING AN ACADEMIC MEDICAL CENTER (1) TO SERVE THE STATE AND ITS CITIZENS AS A PREMIER SITE FOR GRADUATE MEDICAL EDUCATION AND (2) TO FULFILL THE STATE'S HISTORICAL MISSION OF ASSURING ACCESS TO SAFETY NET SERVICES FOR ALL CITIZENS OF THE STATE, INCLUDING ITS MEDICALLY INDIGENT, HIGH-RISK MEDICAID, AND STATE INMATE POPULATIONS. UNDER THIS AGREEMENT, LCMC AGREED TO ASSUME RESPONSIBILITY FOR THE MANAGEMENT AND OPERATIONS OF THE INTERIM LSU PUBLIC HOSPITAL (ILH) AND THE UNIVERSITY MEDICAL CENTER. THROUGH THIS ENDEAVOR, LCMC AND ITS AFFILIATES ARE FULFILLING THEIR MISSIONS TO ENHANCE THE HEALTH OF THE GREATER NEW ORLEANS COMMUNITY BY DELIVERING HIGH QUALITY HEALTH CARE SERVICES TO ALL PATIENTS THROUGH A COMMITMENT TO CLINICAL EXCELLENCE, EDUCATION, TECHNOLOGY, RESEARCH, AND COMMUNITY OUTREACH.IN TAX YEAR 2015, LCMC AND WEST JEFFERSON HOLDINGS ENTERED INTO A COOPERATIVE ENDEAVOR WITH JEFFERSON PARISH HOSPITAL SERVICE DISTRICT NO. 1 TO LEASE AND OPERATE THE FACILITY KNOWN AS WEST JEFFERSON MEDICAL CENTER ("FACILITY"). THIS WAS DONE TO (1) TRANSFORM THE HEALTH CARE DELIVERY LANDSCAPE IN NEW ORLEANS THROUGH THE CREATION OF AN INTEGRATED HEALTHCARE DELIVERY NETWORK, (2) ALLOW FOR AN ENHANCED INTEGRATED DELIVERY SYSTEM WELL-POSITIONED FOR THE CHALLENGES OF HEALTHCARE REFORM AND POPULATION HEALTH MANAGEMENT IN THE FUTURE, (3) ENHANCE PHYSICIAN RECRUITMENT AND ENGAGEMENT AT THE FACILITY THROUGH DEVELOPMENT OF HIGH-QUALITY, OPEN MEDICAL STAFFS WITH SIGNIFICANT COMMUNITY INVOLVEMENT, A COMMITMENT TO MEDICAL RESEARCH AND EDUCATION, THE ESTABLISHMENT OF A PHYSICIAN NETWORK THAT MAY PARTICIPATE IN CLINICAL INTEGRATION, AND A COMMITMENT TO PLURALISTIC PHYSICIAN ALIGNMENT MODELS, AND (4) ACHIEVE FOR THE FACILITY THE BENEFITS OF SCALE ACHIEVED BY A LARGER HEALTH SYSTEM BY PROVIDING FOR GREATER STANDARDIZATION AND COST EFFICIENCY, ALLOWING FOR THE ABILITY TO LEVERAGE BEST PRACTICES AND GENERATE OPERATIONAL EFFICIENCIES.IN 2023, LCMC CREATED UNIVERSITY HEALTHCARE SYSTEMS, LC (UHS). UHS OPERATES EAST JEFFERSON GENERAL HOSPITAL (EJGH), TULANE MEDICAL CENTER (TMC), LAKESIDE HOSPITAL AND LAKEVIEW HOSPITAL PROVIDING ACUTE, PSYCHIATRIC AND REHABILITATION SERVICES, OUTPATIENT SERVICES, PHARMACIES, AND PHYSICIAN NETWORKS. UHS SUPPORTS PROGRAMS, FACILITIES AND RESEARCH, AND EDUCATIONAL OPPORTUNITIES OFFERED BY TULANE AND LSU.TO FURTHER ITS MISSION, LCMC HEALTH OFFERS CARE THROUGH LCMC HEALTH ANESTHESIA CORPORATION (LHAC), LCMC HEALTH CLINICAL SERVICES (LHCS), AND NEW ORLEANS CLINICAL SERVICES (NOCS). LCMC HEALTH FUNCTIONS AS THE SYSTEM PARENT WITH RESERVE POWERS TO BE EXERCISED TO PROMOTE THE BEST INTERESTS OF THE SYSTEM AND ITS AFFILIATES.IN TAX YEAR 2024, LCMC AND ITS AFFILIATES PROVIDED TOTAL COMMUNITY BENEFIT EXPENSE OF $1,254 MILLION. THIS AMOUNT REPRESENTED 36% OF THE AFFILIATES COMBINED TOTAL EXPENSE. LCMC AND ITS AFFILIATES PROVIDES SERVICES TO MANY LOW-INCOME RESIDENTS OF THE GREATER NEW ORLEANS AREA. IN 2024, $876 MILLION IN EXPENSE (25% OF THE AFFILIATES COMBINED TOTAL EXPENSE) WAS INCURRED IN PROVIDING SERVICES FOR MEDICAID RECIPIENTS AND IN PROVIDING FINANCIAL ASSISTANCE. TOURO, CHILDREN'S, AND OTHER HEALTH CARE PROVIDERS IN LOUISIANA HAVE COLLABORATED WITH THE STATE AND UNITS OF LOCAL GOVERNMENT IN LOUISIANA, TO MORE FULLY FUND THE MEDICAID PROGRAM AND ENSURE THE AVAILABILITY OF QUALITY HEALTHCARE SERVICES FOR THE LOW INCOME AND NEEDY RESIDENTS IN THE COMMUNITY POPULATION. THE PROVISION FOR THIS CHARITY CARE DIRECTLY TO LOW INCOME AND NEEDY PATIENTS WILL RESULT IN THE ALLEVIATION OF THE EXPENSE OF PUBLIC FUNDS THE GOVERNMENTAL ENTITIES PREVIOUSLY EXPENDED ON SUCH CARE, THEREBY ALLOWING THE GOVERNMENTAL ENTITIES TO INCREASE SUPPORT FOR THE STATE MEDICAID PROGRAM UP TO THE FEDERAL MEDICAID UPPER PAYMENT LIMITS (UPL). EACH STATE'S METHODOLOGY MUST COMPLY WITH ITS STATE PLAN AND BE APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). FEDERAL MATCHING FUNDS ARE NOT AVAILABLE FOR MEDICAID PAYMENTS THAT EXCEED UPLS. IN TAX YEAR 2024, THE SYSTEM RECEIVED UPL PAYMENTS OF APPROXIMATELY $508.2 MILLION, WHICH ARE INCLUDED IN DIRECT OFFSETTING REVENUE ON PART I, LINE 7B IN SCHEDULE H OF THE RESPECTIVE HOSPITAL'S 990S.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) NEW ORLEANS CLINICAL SERVICES LLC (A SMLLC OF LCMC) 1100 POYDRAS STREET 2500 ENERGY CENTRE NEW ORLEANS,LA70163	84-4985872	501(C)(3)	1,447,964	0			DURING THE YEAR ENDED DECEMBER 31, 2024, TOURO DONATED $1,447,964 TO LCMC NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.
(2) LCMC HEALTH CLINICAL SERVICES DBA NOLA PHYSICIAN GROUP 1100 POYDRAS STREET 2500 ENERGY CENTRE NEW ORLEANS,LA70163	82-3686098	501(C)(3)	500,758	0			DURING THE YEAR ENDED DECEMBER 31, 2024, TOURO DONATED $500,758 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.

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) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	SINCE THIS GRANT WAS GIVEN TO RELATED PARTIES OF WHICH TOURO'S PARENT, LCMC IS ALSO THE PARENT ORGANIZATION, EFFECTIVE OVERSIGHT IS MAINTAINED.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 on 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 on 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 .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on 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 on 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? .............

Yes

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

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

Yes

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

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

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) (Rev. 1-2025)

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 on 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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on 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)
1GREG FEIRN SYSTEM PRESIDENT/CEO	(i) (ii)	0 ------------- 1,794,145	0 ------------- 978,328	0 ------------- 7,800	0 ------------- 935,836	0 ------------- 19,099	0 ------------- 3,735,208	0 ------------- 0
2PAUL DU TREIL MD MEDICAL STAFF PRESIDENT	(i) (ii)	0 ------------- 999,703	0 ------------- 0	0 ------------- 0	0 ------------- 13,800	0 ------------- 11,792	0 ------------- 1,025,295	0 ------------- 0
3CHRISTOPHER LEGE PRESIDENT AND CEO	(i) (ii)	0 ------------- 544,164	0 ------------- 142,690	0 ------------- 0	0 ------------- 113,800	0 ------------- 11,792	0 ------------- 812,446	0 ------------- 0
4CHAD COURREGE FORMER OFFICER	(i) (ii)	0 ------------- 350,294	0 ------------- 142,912	0 ------------- 70,482	0 ------------- 13,800	0 ------------- 22,809	0 ------------- 600,297	0 ------------- 0
5BRADLEY SINCLAIR FORMER OFFICER	(i) (ii)	0 ------------- 424,834	0 ------------- 134,942	0 ------------- 0	0 ------------- 11,427	0 ------------- 5,775	0 ------------- 576,978	0 ------------- 0
6TAKEISHA DAVIS NOEH - PRESIDENT/CEO	(i) (ii)	0 ------------- 347,943	0 ------------- 106,379	0 ------------- 0	0 ------------- 6,900	0 ------------- 14,438	0 ------------- 475,660	0 ------------- 0
7JAY PENNISSON CFO	(i) (ii)	0 ------------- 342,163	0 ------------- 92,420	0 ------------- 0	0 ------------- 13,800	0 ------------- 26,578	0 ------------- 474,961	0 ------------- 0
8PATRICIA ROSENBERG CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 267,835	0 ------------- 155,820	0 ------------- 0	0 ------------- 12,947	0 ------------- 19,509	0 ------------- 456,111	0 ------------- 0
9THOMAS MIMS MD BOARD MEMBER	(i) (ii)	0 ------------- 361,226	0 ------------- 63,237	0 ------------- 0	0 ------------- 0	0 ------------- 25,619	0 ------------- 450,082	0 ------------- 0
10STEPHEN M BALDWIN CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 331,426	0 ------------- 84,899	0 ------------- 0	0 ------------- 13,800	0 ------------- 14,438	0 ------------- 444,563	0 ------------- 0
11CANDACE S ROBINSON NOEH CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 339,350	0 ------------- 67,531	0 ------------- 0	0 ------------- 13,800	0 ------------- 18,024	0 ------------- 438,705	0 ------------- 0
12COURTNEY J MARBLEY NOEH-CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 268,087	0 ------------- 76,200	0 ------------- 0	0 ------------- 11,780	0 ------------- 18,287	0 ------------- 374,354	0 ------------- 0
13GRETCHEN PENTON EXEC VP OF CCPI	(i) (ii)	0 ------------- 84,509	0 ------------- 63,964	0 ------------- 188,622	0 ------------- 3,334	0 ------------- 2,676	0 ------------- 343,105	0 ------------- 0
14DANIELLE WILLIS NOEH CFO	(i) (ii)	0 ------------- 250,082	0 ------------- 48,647	0 ------------- 0	0 ------------- 12,086	0 ------------- 8,627	0 ------------- 319,442	0 ------------- 0
15TROY BOND AVP HUMAN RESOURCES	(i) (ii)	0 ------------- 229,202	0 ------------- 51,524	0 ------------- 0	0 ------------- 11,357	0 ------------- 17,870	0 ------------- 309,953	0 ------------- 0
16KIMBERLY BROWN VP ANESTHESIA AND PAIN MED	(i) (ii)	0 ------------- 261,891	0 ------------- 27,200	0 ------------- 0	0 ------------- 10,298	0 ------------- 9,509	0 ------------- 308,898	0 ------------- 0
17MONICA GANGE RN	(i) (ii)	0 ------------- 227,735	0 ------------- 1,950	0 ------------- 0	0 ------------- 7,831	0 ------------- 14,111	0 ------------- 251,627	0 ------------- 0
18WILLIAM VON ALMEN MD MEDICAL STAFF DIRECTOR	(i) (ii)	0 ------------- 207,669	0 ------------- 0	0 ------------- 600	0 ------------- 8,190	0 ------------- 19,782	0 ------------- 236,241	0 ------------- 0
19MANNY LINARES PRESIDENT AND CEO	(i) (ii)	0 ------------- 21,853	0 ------------- 203,581	0 ------------- 0	0 ------------- 9,005	0 ------------- 314	0 ------------- 234,753	0 ------------- 0
20TARA MONTGOMERY DIRECTOR OF PHARMACY SERVI	(i) (ii)	0 ------------- 190,694	0 ------------- 22,997	0 ------------- 0	0 ------------- 8,609	0 ------------- 9,451	0 ------------- 231,751	0 ------------- 0
21CRAIG EDRINGTON CLINICAL SUPERVISOR	(i) (ii)	0 ------------- 184,786	0 ------------- 16,150	0 ------------- 0	0 ------------- 8,367	0 ------------- 14,141	0 ------------- 223,444	0 ------------- 0
22JOHN RICHERT PHYSICIAN	(i) (ii)	0 ------------- 206,299	0 ------------- 0	0 ------------- 0	0 ------------- 8,303	0 ------------- 7,462	0 ------------- 222,064	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
PART I, LINE 3	BASE COMPENSATION, INCENTIVE COMPENSATION AND ALL OTHER REPORTABLE AND NON-REPORTABLE COMPENSATION FOR TOURO'S PRESIDENT/CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF LOUISIANA CHILDREN'S MEDICAL CENTER WHICH IS TOURO'S PARENT. THE EXECUTIVE COMMITTEE IS A NINE VOTING-MEMBER SUBSET OF THE BOARD OF TRUSTEES. DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE DOCUMENTED AND REPORTED IN SUMMARY TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO BOARD REVIEW, THIRD-PARTY CONSULTANTS PERIODICALLY REVIEW COMPENSATION AND INCENTIVE AMOUNTS TO ENSURE MARKET REASONABLENESS AND COMPETITIVENESS. THIRD-PARTY PREPARED COMPENSATION AND INCENTIVE REVIEW IS PRESENTED TO THE EXECUTIVE COMMITTEE.
PART I, LINE 4A	DURING 2024, CHAD COURREGE RECEVIED A SEVERANCE PAYMENT OF $81,852 FROM A RELATED ORGANIZATION. GRETCHEN PENTON RECEIVED A SEVERANCE PAYMENT OF $188,622 FROM A RELATED ORGANIZATION.
PART I, LINE 5	THE LCMC HEALTH SYSTEM OFFERS AN INCENTIVE COMPENSATION PLAN FOR EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE. PAYOUTS ARE BASED ON A BALANCED SCORECARD OF OBJECTIVE MEASURES ACROSS THREE KEY AREAS: SERVICE AND PEOPLE, QUALITY, AND GROWTH AND PERFORMANCE IMPROVEMENT. EACH AREA INCLUDES SPECIFIC, MEASURABLE TARGETS SUCH AS FINANCIAL PERFORMANCE METRICS, CLINICAL AND QUALITY OUTCOMES, AND GROWTH INITIATIVES THAT COLLECTIVELY DETERMINE OVERALL RESULTS. TARGETS ARE SET AT THE START OF EACH FISCAL YEAR, WITH FINAL PERFORMANCE ASSESSED AND PAYOUTS CALCULATED ONCE ALL RESULTS, INCLUDING FINANCIAL OUTCOMES, HAVE BEEN FINALIZED.

Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
TOURO INFIRMARY

Employer identification number
72-0423659

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT)	72-0895871	546395M35	04-24-2015	40,500,000	CURRENT REFUNDING OF SERIES 1999 BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	11,815,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	40,500,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	432,093
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	40,067,907
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: LOUISIANA PUBLIC FACILITIES AUTHORITY (TOURO INFIRMARY PROJECT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/23/2020

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) REUBEN CHRESTMAN MD	RADIOLOGIST AND FORMER BOARD MEMBER	1,014,818	FINANCIAL SUBSIDY (1/7TH) FOR RADIOLOGIST SERVICES PAID TO REGIONAL RADIOLOGY LLC GROUP VIA CONTRACT WITH TOURO FOR HOSPITAL BASED SERVICES. THE AMOUNT REPORTED ON SCHEDULE L IS THE ENTIRE AMOUNT PAID TO REGIONAL RADIOLOGY LLC AND NOT SPECIFICALLY TO DR. CHRESTMAN.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

TOURO INFIRMARY

Employer identification number

72-0423659

Return Reference	Explanation
FORM 990, PART V, LINE 2B	THE ORGANIZATION UTILIZES LCMC HEALTH (EIN: 94-3480131) , THE SYSTEM PARENT, AS ITS DESIGNATED COMMON PAYMASTER FOR PAYROLL ADMINISTRATION, WAGE REPORTING, AND ALL EMPLOYMENT TAX COMPLIANCE FUNCTIONS. AS THE SYSTEM PARENT, LCMC HEALTH ADMINISTERS THESE COMPLIANCE FUNCTIONS ON BEHALF OF THE ENTIRE SYSTEM. ACCORDINGLY, THE 1,713 EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENT THE NUMBER OF FORMS W-2 FILED BY ORGANIZATION A, AS COMMON PAYMASTER, ON BEHALF OF THIS ORGANIZATION FOR THE REPORTING YEAR.
FORM 990, PART VI, SECTION A, LINE 6	LCMC HEALTH ACTS AS A SYSTEM PARENT AND IT IS THE SOLE MEMBER OF TOURO INFIRMARY.
FORM 990, PART VI, SECTION A, LINE 7A	LCMC HEALTH HAS THE SOLE AUTHORITY TO APPOINT THE BOARD OF TOURO INFIRMARY.
FORM 990, PART VI, SECTION A, LINE 7B	LCMC HEALTH RESERVED THE POWER TO APPROVE THE DECISIONS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION ENGAGED AN INDEPENDENT CPA FIRM TO PREPARE ITS FORM 990. UPON COMPLETION THE FORM 990 WAS PRESENTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD FOR REVIEW VIA EMAIL LINK TO A SECURE DROPBOX.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, A LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IS COMPILED BY THE LCMC CORPORATE COMPLIANCE DEPARTMENT. THOSE IDENTIFIED INDIVIDUALS ARE SENT A COMPLIANCE QUESTIONNAIRE TO IDENTIFY THE POTENTIAL FOR ANY CONFLICTS. CORPORATE COMPLIANCE MONITORS RESPONSES AND FOLLOWS UP WITH INDIVIDUALS AS NEEDED TO ENSURE COMPLETION OF THE QUESTIONNAIRE. THE RESULTS OF THESE ARE REVIEWED BY THE LCMC HEALTH CORPORATE COMPLIANCE DEPARTMENT TO ENSURE THAT ANY CONFLICTS ARE IDENTIFIED AND ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD'S EXECUTIVE COMMITTEE USING DATA FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE CONSIDERS MARKET COMPARABILITY, EXECUTIVE PERFORMANCE, AND ORGANIZATIONAL RESULTS, AND DOCUMENTS ITS DECISIONS TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS FOR REASONABLE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	GENERAL MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 44,588,687. MANAGEMENT AND GENERAL EXPENSES 5,539,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,128,600. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,790,053. MANAGEMENT AND GENERAL EXPENSES 502,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,292,653.
FORM 990, PART XI, LINE 9:	BOOK LOSS FROM CONTROLLED SUBSIDIARIES -11,491,377. DIRECT NET ASSET ADJUSTMENT OF PENSION LIABILITIES 1,551,222. BOOK/TAX DIFFERENCE ON UBI FROM INVESTMENTS -100,913.
FORM 990, PART XII, LINE 2C:	LCMC'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF ITS SUBSIDIARIES' FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS HAS NOT CHANGED FROM THE PREVIOUS YEAR. IN ADDITION TO THE LCMC FINANCE COMMITTEE, THE TOURO FINANCE COMMITTEE HAS BEEN DELEGATED TO ASSIST WITH MONITORING OF THE TOURO FINANCIAL STATEMENTS AND ITS SUBSIDIARIES TO INCLUDED CCPI, WOLDENBERG VILLAGE, AND THE TOURO FOUNDATION.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on 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" on 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)	LINE 12A, I	TOURO INFIRMARY	Yes
(2)WOLDENBERG VILLAGE 3701 BEHRMAN PLACE NEW ORLEANS,LA70114 72-0540671	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	TOURO INFIRMARY	Yes
(3)LOUISIANA CHILDREN'S MEDICAL CENTER (LCMC) 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS,LA70119 94-3480131	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3			No
(4)CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118 72-0467503	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3	LCMC		No
(5)UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION 2021 PERDIDO ST NEW ORLEANS,LA70112 25-1925187	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 3	LCMC		No
(6)METARIE PHYSICIAN SERVICES INC 200 HENRY CLAY AVENUE NEW ORLEANS,LA70118 84-3390470	FULL SERVICE COMMUNITY & TEACHING HOSPITAL	LA	501(C)(3)	LINE 3	UNIVERSITY HEALTHCARE SYSTEM		No
(7)CHILDREN'S HOSPITAL ANESTHESIA CORPORATION DBA LCMC HEALTH ANESTHESIA CORP 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS,LA70163 06-1587311	ANESTHESIA SERVICES	LA	501(C)(3)	LINE 10	LCMC		No
(8)AUDUBON RETIREMENT VILLAGE INC 1100 POYDRAS STREET 2500 ENERGY CEN NEW ORLEANS,LA70163 84-2278120	HEALTHCARE DELIVERY	LA	501(C)(3)	LINE 10	LCMC		No
(9)NEW ORLEANS PHYSICIAN SERVICES INC 1101 MEDICAL CENTER BLVD MARRERO,LA70072 46-4568405	PHYSICIAN PRACTICES	LA	501(C)(3)	LINE 3	WEST JEFFERSON MEDICAL CENTER		No
(10)CHILDREN'S HOSPITAL MEDICAL PRACTICE 298 HENRY CLAY AVENUE NEW ORLEANS,LA70118 72-1318421	PEDIATRIC PRIMARY CARE PHYSICIAN SERVICE	LA	501(C)(3)	LINE 10	CHIDLREN'S HOSPITAL		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) TIJV 1401 FOUCHER ST NEW ORLEANS,LA70115 26-1378361	IMAGING CENTER RENTAL	LA	TOURO INFIRMARY	INVESTMENT	157,285	804,209		No			No	31.500 %
(2) COMMUNITY SERVICES COLLABORATIVE 1101 MEDICAL CENTER BLVD MARRERO,LA70072 36-4819943	MEDICAL COLLABORATION	LA	N/A					No			No
(3) EAST JEFFERSON SURGERY CENTER LLC 4320 HOUMA BLVD 5TH FLOOR METAIRIE,LA70006 20-1425074	OUTPATIENT SURGERY	LA	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on 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	(h) Percentage ownership	Yes	No
(1) CRESCENT CITY PHYSICIANS INC 3600 PRYTANIA STREET SUITE 72 NEW ORLEANS,LA70115 72-1269878	HEALTHCARE	LA	TOURO INFIRMARY	C	-13,833,239	59,215,691	100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on 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) ............................

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) .......................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CRESCENT CITY PHYSICIANS INC	D	68,522,353	LOAN BALANCE
(2) TOURO INFIRMARY FOUNDATION	E	3,211,858	LOAN BALANCE
(3) WOLDENBERG VILLAGE	E	5,475,440	LOAN BALANCE
(4) TIJV LLC	E	180,977	LOAN BALANCE
(5) CRESCENT CITY PHYSICIANS INC	J	225,671	CASH RECEIVED
(6) TOURO INFIRMARY FOUNDATION	M	258,000	EXPENSE INCURRED
(7) CRESCENT CITY PHYSICIANS INC	R	315	CASH RECEIVED
(8) TOURO INFIRMARY FOUNDATION	R	370,199	CASH RECEIVED
(9) TIJV LLC	S	470,185	DISTRIBTION AMOUNT

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

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	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	1,713
6	Total number of volunteers (estimate if necessary) .............	6	96
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	129,666
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	34,319

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,275,256	1,732,176
9	Program service revenue (Part VIII, line 2g) .........	325,024,766	345,442,462
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	983,881	2,421,870
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,755,419	17,706,532
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	343,039,322	367,303,040
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,439,261	1,952,266
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)	126,374,656	122,366,164
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)....	233,344,806	251,223,712
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	363,158,723	375,542,142
19	Revenue less expenses. Subtract line 18 from line 12.......	-20,119,401	-8,239,102
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	391,460,215	383,804,079
21	Total liabilities (Part X, line 26).............	151,037,405	161,808,126
22	Net assets or fund balances. Subtract line 21 from line 20.....	240,422,810	221,995,953

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 283,845,692 including grants of $ ) (Revenue $ 352,986,746 )
	FOUNDED IN 1852, TOURO INFIRMARY (TOURO) IS NEW ORLEANS' ONLY COMMUNITY BASED, NON-PROFIT, FAITH-BASED HOSPITAL. SINCE 2009, TOURO HAS BEEN A PART OF LCMC HEALTH. FOR MORE THAN 165 YEARS, TOURO HAS HAD A SPECIAL PLACE IN THE HEART OF THE COMMUNITY, PROVIDING HIGH QUALITY, COMPASSIONATE HEALTHCARE TO THE NEW ORLEANS COMMUNITY. AS A FULL-SERVICE HOSPITAL, TOURO OFFERS MEDICAL, SURGICAL, INTENSIVE CARE, OBSTETRIC, SKILLED NURSING INPATIENT SERVICES, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, AND A 24-HOUR EMERGENCY DEPARTMENT. AS AN ADULT, ACUTE CARE HOSPITAL, TOURO OFFERS COMPREHENSIVE HEALTHCARE SERVICES AT EVERY STAGE OF LIFE, FROM DELIVERING THE SECOND MOST BABIES IN THE STATE FOR ANY SINGLE HOSPITAL TO PROVIDING CARDIAC, CANCER, AND REHABILITATION CARE IN A WARM AND HEALING (CONT'D ON SCH. O) ENVIRONMENT.THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CRITICAL CARE, HOME HEALTH AND REHABILITATION SERVICES. THE HOSPITAL HAS 210 ADULT BEDS, 61 REHABILITATION BEDS, 22 ICU BEDS AND 48 OB BEDS FOR A TOTAL OF 341 LICENSED BEDS. THE HOSPITAL TREATED 9,138 INPATIENTS AND HAD 237,851 OUTPATIENT VISITS IN 2024. ALSO, IN 2024 TOURO HAD 7,881 SURGERIES (INPATIENT, OUTPATIENT AND AMBULATORY SURGERY CENTER), 30,695 EMERGENCY DEPARTMENT VISITS, AND 2,317 DELIVERIES. LCMC HEALTH IS A NEW ORLEANS-BASED, NON-PROFIT HEALTH SYSTEM ON A MISSION TO PROVIDE THE BEST POSSIBLE CARE FOR EVERY PERSON AND PARISH IN LOUISIANA AND BEYOND, AND BRING A LITTLE MORE HEART AND SOUL TO HEALTH CARE ALONG THE WAY. ORIGINALLY FOUNDED BY LOUISIANA'S ONLY FREESTANDING CHILDREN'S HOSPITAL, THEY'VE GROWN INTO A HEALTHCARE SYSTEM THAT IS BUILT TO SERVE THE NEEDS OF OUR COMMUNITIES. TODAY, LCMC HEALTH OFFERS EIGHT HOSPITAL LOCATIONS. PLUS, THEY ALSO HAVE A SERIES OF PARTNERSHIPS THAT HELP PROVIDE THE MOST COMPREHENSIVE CARE, INCLUDING AGREEMENTS WITH CRESCENT CITY SURGICAL CENTRE, AN URGENT CARE PARTNERSHIP WITH PREMIER HEALTH, AND AN INVESTMENT IN A RETIREMENT AND REHAB COMMUNITY.

4b	(Code: ) (Expenses $ 11,903,418 including grants of $ ) (Revenue $ 3,192,782 )
	TOURO IS A TEACHING HOSPITAL OFFERING MEDICAL STUDENT AND POST GRADUATE MEDICAL TRAINING. IT HAS ACADEMIC AFFILIATIONS WITH LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER AND TULANE UNIVERSITY HEALTH SCIENCE CENTER. TOURO OFFERED TRAINING PROGRAMS TO 398 STUDENTS, 303 RESIDENTS, AND 43 FELLOWS IN 2024 IN THE SPECIALTIES OF ALLERGY, INTERNAL MEDICINE, EMERGENCY MEDICINE, COLON & RECTAL, CARDIOLOGY, NEUROLOGY, GENERAL SURGERY, GASTROENTEROLOGY, NICU, OB/GYN, GENERAL VASCULAR SURGERY, OMFS, MED/PEDS, NEONATOLOGY, PEDIATRICS, PLASTIC SURGERY, OPHTHALMOLOGY, PM&R, PAIN MANAGEMENT, PULMONARY, ORTHOPEDICS, OTOLARYNGOLOGY, AND UROLOGY. TOURO IS ALSO A CLINICAL TRAINING SITE FOR (CONT'D ON SCH O) NURSING AND ALLIED HEALTH PROGRAMS FOR VARIOUS METRO NEW ORLEANS COLLEGES INCLUDING LOUISIANA STATE UNIVERSITY (NEW ORLEANS, LA), DELGADO COMMUNITY COLLEGE (NEW ORLEANS, LA), DILLARD UNIVERSITY (NEW ORLEANS, LA). HOLY CROSS UNIVERSITY (NEW ORLEANS, LA), FLETCHER TECHNICAL COMMUNITY COLLEGE (SCHIVER, LA), CHAMBERLAIN UNIVERSITY (NEW ORLEANS, LA), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). TOURO CURRENTLY OFFERS TRAINING PROGRAMS TO STUDENTS IN RESPIRATORY, RADIOLOGY AND NURSING. IN 2024, TOURO STAFF PROVIDED 8,191 HOURS OF SUPPORT TO THE 111 STUDENTS IN THESE PROGRAMS.IN 2024, TOURO REHABILITATION CENTER PROVIDED CLINICAL TRAINING TO PHYSICAL, OCCUPATIONAL, AND THERAPEUTIC RECREATION STUDENTS FROM COLLEGES AROUND THE COUNTRY, INCLUDING: LSU HEALTH SCIENCES (NEW ORLEANS, LA AND SHREVEPORT, LA), FRANCISCAN UNIVERSITY (BATON ROUGE, LA), UNIVERSITY OF TENNESSEE (CHATTANOOGA, TN), WASHINGTON UNIVERSITY (ST. LOUIS, MO), UNIVERSITY OF ST. AUGUSTINE (AUSTIN, TX), AND SOUTHERN UNIVERSITY (NEW ORLEANS, LA). PLUS, TOURO STAFF PROVIDED 184 HOURS OF MENTOR SUPPORT FOR SIX HIGH SCHOOL STUDENTS WISHING TO EXPLORE REHABILITATION THERAPY AS A CAREER CHOICE. IN ALL, TOURO STAFF PROVIDED 6424 HOURS OF SUPPORT TO 29 THERAPY INTERNS AND/OR TEACHING GROUPS.

4c	(Code: ) (Expenses $ 5,273,553 including grants of $ 1,952,266 ) (Revenue $ )
	DURING THE YEAR ENDED DECEMBER 31, 2024 TOURO PROVIDED $2,877,048 TO FURTHER LCMC AND LSU'S PARTNERSHIP TO PROVIDE PATIENTS WITH ACCESS TO STATE-OF-THE ART CLINICAL SERVICES AND CLINICAL TRIALS. THESE FUNDS ARE TO BE USED IN SUPPORT OF THEIR CLINICAL , RESEARCH AND EDUCATIONAL PROGRAMS IN THE AREAS OF ANATOMY, PHARMACOLOGY, AND PHYSIOLOGY, AND ARE INTENDED TO PROVIDE A TANGIBLE BENEFIT TO SOCIAL WELFARE THROUGH RELATED PROGRAMS AND EDUCATIONAL OPPORTUNITIES. THE FUNDS WERE ALSO USED TO FUND IT SERVICES PROVIDED TO NEW ORLEANS EAST HOSPITAL.IN 2024, TOURO DONATED $1,447,964 TO NEW ORLEANS CLINICAL SERVICES WITH THE INTENTION OF PROVIDING WORKING CAPITAL SUPPORT TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES. THIS DONATION SUPPORTS (CONT'D ON SCH. O) TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. NEW ORLEANS CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.DURING THE YEAR ENDED DECEMBER 31, 2024, TOURO DONATED $500,758 TO LCMC HEALTH CLINICAL SERVICES D/B/A NOLA PHYSICIANS GROUP (NOLA PG) WITH THE INTENTION OF PROVIDING WORKING CAPITAL TO NOLA PG TO ALLOW FOR THEIR HEALTHCARE ACTIVITIES, SPECIFICALLY TO PROVIDE NEEDED SERVICES TO THE UNDERSERVED AREA OF NEW ORLEANS EAST. THIS DONATION SUPPORTS TOURO'S TAX-EXEMPT PURPOSE AND COMMUNITY BENEFITS OBLIGATIONS AND IS PRESENTED AS COMMUNITY SUPPORT IN THE STATEMENT OF OPERATIONS. LCMC HEALTH CLINICAL SERVICES IS A SMLLC OF LOUISIANA CHILDREN'S MEDICAL CENTER, A 501(C)(3) HOPSITAL AND THE SOLE MEMBER OF TOURO INFIRMARY.TOURO ALSO GAVE FUNDS THROUGHOUT THE YEAR TO LOCAL AREA CHARITIES TO HELP FURTHER THEIR MISSION.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	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 2024, TOURO OFFERED OR PARTICIPATED IN 205 TOTAL COMMUNITY OUTREACH EVENTS, WHICH WERE ATTENDED BY 2,900 PEOPLE.TOURO PROVIDES MEETING SPACE FREE OF CHARGE TO LOCAL NON-PROFITS AND OTHER ORGANIZATIONS FOR THE BENEFIT OF THE COMMUNITY. IN 2024, TOURO PROVIDED MEETING SPACE FOR 235 MEETINGS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses301,022,663

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	10,984,765	1,561,173

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	87,500
e	Government grants (contributions)		1e	730,018

f	All other contributions, gifts, grants, and similar amounts not included above		1f	914,658

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,732,176

		Business Code
2a	NET PATIENT SERVICE	621110	337,191,100	337,191,100
b	340B OP DRUG PROGRAM	621110	8,251,362	8,251,362
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		345,442,462

3 Investment income (including dividends, interest, and othersimilar amounts) ......			641,240			641,240
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	8,356,486
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	8,356,486
d	Net rental income or (loss).......			8,356,486	4,746,133		3,610,353
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	12,707,199	846,683
b	Less: cost or other basis and sales expenses	7b	11,773,252	0
c	Gain or (loss)	7c	933,947	846,683
d	Net gain or (loss).........			1,780,630			1,780,630
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	OTHER OPERATING REVENUE		621400	5,910,383	5,881,630	28,753
b	CAFETERIA/CATERING		621400	1,619,998			1,619,998
c	SALES AND USE TAX REFUND		900099	1,038,074			1,038,074
d	All other revenue ....			781,591	109,303	100,913	571,375
e	Total. Add lines 11a–11d ......			9,350,046
12	Total revenue. See instructions.....			367,303,040	356,179,528	129,666	9,261,670

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,952,266	1,952,266
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	6,069,083	3,332,058	2,737,025
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........	100,500,908	91,326,721	9,174,187
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,855,442	2,531,437	324,005
9	Other employee benefits .......	5,506,886	4,876,806	630,080
10	Payroll taxes ...........	7,433,845	6,683,342	750,503
11	Fees for services (non-employees):
a	Management ......	33,147,519	2,094,605	31,052,914
b	Legal .........	375,956	79,335	296,621
c	Accounting ...........	-22,683	18,925	-41,608
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	31,675	22,521	9,154
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	53,421,253	47,378,740	6,042,513
12	Advertising and promotion ....	1,133,255	2,866	1,130,389
13	Office expenses .......	2,311,284	2,120,437	190,847
14	Information technology ......	1,316,334	1,144,044	172,290
15	Royalties ..
16	Occupancy ...........	17,834,067	6,215,236	11,618,831
17	Travel ............	121,941	13,102	108,839
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	49,801	39,795	10,006
20	Interest ...........	2,924,771	1,735,360	1,189,411
21	Payments to affiliates .......	928,991	928,991
22	Depreciation, depletion, and amortization ..	19,644,804	11,263,875	8,380,929
23	Insurance ...	3,000,405	3,000,405
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	101,383,478	101,352,795	30,683
b	TAXES & LICENSES	9,258,797	9,204,256	54,541
c	COMMUNITY BENEFIT EXPEN	3,324,831	3,324,831
d	OTHER EXPENSES	920,097	365,205	554,892
e	All other expenses	117,136	14,709	102,427
25	Total functional expenses. Add lines 1 through 24e	375,542,142	301,022,663	74,519,479	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).

1	Cash–non-interest-bearing ........			1	1
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			61,354	3	183,412
4	Accounts receivable, net .............			37,427,000	4	35,175,719
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			379,971	7	811,156
8	Inventories for sale or use ............			7,105,833	8	7,657,748
9	Prepaid expenses and deferred charges ......			2,228,138	9	2,278,569
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	551,423,693
b	Less: accumulated depreciation	10b	422,447,460	130,265,182	10c	128,976,233
11	Investments—publicly traded securities .			23,442,272	11	18,969,552
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			1,411,000	14	1,411,000
15	Other assets. See Part IV, line 11 ...........			189,139,464	15	188,340,690
16	Total assets. Add lines 1 through 15 (must equal line 33)...			391,460,215	16	383,804,079

17	Accounts payable and accrued expenses .....	22,628,908	17	20,679,125
18	Grants payable ...		18
19	Deferred revenue .........	44,357,459	19	40,646,247
20	Tax-exempt bond liabilities .........	33,734,843	20	28,392,985
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	50,316,195	25	72,089,769
26	Total liabilities. Add lines 17 through 25..	151,037,405	26	161,808,126

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	239,000,314	27	220,590,284
28	Net assets with donor restrictions ...........	1,422,496	28	1,405,669
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	240,422,810	32	221,995,953
33	Total liabilities and net assets/fund balances ........	391,460,215	33	383,804,079