OUR LADY OF LOURDES MEMORIAL HOSPIT AL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: OUR LADY OF LOURDES MEMORIAL HOSPIT AL INC (EIN 15-0532221)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-11
IRS object ID: 201831319349301408
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-11T09:00:17-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	150532221	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Lourdes Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OURL	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Riverside Drive	AddressLine1Txt
City	Binghamton	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13905	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2017-11-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sean Mills	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Riverside Drive	AddressLine1Txt
City	Binghamton	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13905	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$348,612,857	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lourdes.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1936	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	To improve the health and well-being of all people in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2678	TotalEmployeeCnt
Total Volunteers	352	TotalVolunteersCnt
Total Gross UBI	$250,467	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$44,864	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,356,588	PYContributionsGrantsAmt
CY Contributions Grants	$4,617,605	CYContributionsGrantsAmt
PY Program Service Revenue	$292,416,171	PYProgramServiceRevenueAmt
CY Program Service Revenue	$318,768,665	CYProgramServiceRevenueAmt
PY Investment Income	$1,430,560	PYInvestmentIncomeAmt
CY Investment Income	$8,994,965	CYInvestmentIncomeAmt
PY Other Revenue	$14,520,865	PYOtherRevenueAmt
CY Other Revenue	$6,475,349	CYOtherRevenueAmt
PY Total Revenue	$310,724,184	PYTotalRevenueAmt
CY Total Revenue	$338,856,584	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$60,772	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$159,852,232	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$165,163,906	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$147,648,865	PYOtherExpensesAmt
CY Other Expenses	$163,052,397	CYOtherExpensesAmt
PY Total Expenses	$307,501,097	PYTotalExpensesAmt
CY Total Expenses	$328,277,075	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,223,087	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,579,509	CYRevenuesLessExpensesAmt
Total Assets BOY	$367,488,518	TotalAssetsBOYAmt
Total Assets EOY	$406,205,422	TotalAssetsEOYAmt
Total Liabilities BOY	$119,678,401	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$146,765,224	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$247,810,117	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$259,440,198	NetAssetsOrFundBalancesEOYAmt
Mission	Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$223,065,318	ExpenseAmt
Grant	$60,772	GrantAmt
Revenue	$318,768,665	RevenueAmt
Desc	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (LOURDES) PROVIDES THE FOLLOWING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY: AMBULATORY INFUSION CENTER, CARDIAC SERVICES, REGIONAL CANCER CENTER, EMERGENCY CARE SERVICES, LABORATORY SERVICES, ORTHOPEDIC SERVICES, PRIMARY CARE PHYSICIANS, RADIOLOGY SERVICES, REHABILITATION SERVICES, SLEEP LAB, STROKE CENTER, WOMEN'S & CHILDREN'S SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, WOUND CARE PROGRAM, SURGERY, LASER CARE, DIABETES CENTER, CENTER FOR ORAL HEALTH, HYPERBARIC OXYGEN THERAPY, PEDIATRICS, IMAGING SERVICES, HOME HEALTH PROGRAM, HOSPICE CARE, PALLIATIVE CARE AND NUTRITION SERVICES. DURING FY 2017, LOURDES TREATED 10,108 INPATIENT ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 39,427 PATIENT DAYS OF SERVICE. LOURDES ALSO PROVIDED SERVICES TO 1,471,519 OUTPATIENTS INCLUDING: 16,694 OUTPATIENT SURGERIES, 45,661 EMERGENCY ROOM VISITS AND 9,859 CLINIC VISITS. LOURDES PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE YEAR ENDED 6/30/2017, APPROXIMATELY 57.11% OF THE VALUE OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM. IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH, LOURDES HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, FINANCING, AND DELIVERY OF HEALTHCARE TO ALL PERSONS, ESPECIALLY THE UNINSURED, UNDERINSURED AND THE UNDERSERVED. DURING THE YEAR ENDED 6/30/2017, THE ESTIMATED UNREIMBURSED COST OF SERVICES PROVIDED TO THE ELDERLY, UNINSURED AND UNDERINSURED TOTALED $35.377 MILLION. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. IN EFFORTS TO PROVIDE HEALTHY LIVING, LOURDES HAS MADE AVAILABLE THE FOLLOWING PROGRAMS TO THE COMMUNITY: COMMUNITY HEALTH PROGRAMS, MEDICAL EDUCATION, CANCER SCREENING PROGRAMS, FLU SHOT CLINIC, NUTRITION AND WEIGHT LOSS MANAGEMENT AND SMOKING CESSATION.	Desc
Total Program Service Expenses	$223,065,318	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	202	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2678	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dave Clements	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6077985095	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Riverside Drive	AddressLine1Txt
City	Binghamton	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13905	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN CONNERTON
PRESIDENT/CEO	50.0	2.0	Yes (X)	Yes (X)	$651,466	$0	$26,014
MARK TINKLEPAUGH MD
BOARD CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID CAHILL
VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN VANNOSTRAND
SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
FRANK GRECO JR
TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN DRUMM PHD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL FARRELL MD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ROBERT FISHER
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
CATHERINE MALIWACKI
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
KIM MYERS
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JAMES ORBAND
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
BRIAN ROSE
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
JAMES STEINMETZ MD
BOARD MEMBER	50.0	1.0	Yes (X)		$491,833	$0	$41,043
DAVID F CLEMENTS
VICE PRESIDENT-FINANCE/CFO (END 8/2016)	50.0	2.0		Yes (X)	$212,616	$0	$14,569
SEAN MILLS
VICE PRESIDENT-FINANCE/CFO (START 8/2016)	50.0	2.0		Yes (X)	$108,755	$0	$13,028
LISA HARRIS MD
SR VP MEDICAL AFFAIRS/CMO	50.0	0		Yes (X)	$341,175	$0	$38,128
LINDA MILLER
SR VP OPERATIONS/CNO (END 11/2016)	50.0	0		Yes (X)	$289,532	$0	$25,441
SISTER ELLEN REILLY
CHIEF MISSION OFFICER (END 6/2017)	50.0	0		Yes (X)	$0	$0	$0
RICHARD BLANSKY MD
PRESIDENT M/S	50.0	0			$427,558	$0	$20,104	Yes (X)
MARY HUGHS
CHRO	50.0	0			$163,613	$0	$26,926	Yes (X)
DEB MICAN
VP NURSING	50.0	0			$194,955	$0	$31,407	Yes (X)
CHAD PATTON
VP, PROVIDER NETWORK	50.0	0			$188,050	$0	$35,563	Yes (X)
ANNE WOLANSKI
VP QUALITY SVS & RISK/CRO (END 12/2016)	50.0	0			$186,596	$0	$29,357	Yes (X)
MICHAEL BARRETT MD
PHYSICIAN	50.0	0			$745,821	$0	$43,346		Yes (X)
STEPHEN R LAUTERBACH MD
PHYSICIAN	50.0	0			$562,470	$0	$33,317		Yes (X)
JOHN W MILLER MD
PHYSICIAN	50.0	0			$528,585	$0	$28,954		Yes (X)
RATNAKISHORE PALLAPOTHU MD
PHYSICIAN	50.0	0			$666,749	$0	$45,318		Yes (X)
TODD V PRIER MD
PHYSICIAN	50.0	0			$477,908	$0	$41,697		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,237,682	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$494,212	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	188	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
RIVERSIDE ASSOCIATES IN ANESTHESIA PC
40 FRONT STREET	BINGHAMTON	NY	13905	PHYSICIAN SERVICES	$2,648,691
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY SERVICES	$1,009,268
HOSP MEDICINE PHYSICIANS OF TEXAS PLLC
1498 PACIFIC AVE	TACOMA	WA	984024208	PHYSICIAN SERVICES	$931,437	SUITE 400
HMP OF BROOME COUNTY PLLC
PO BOX 645037	CINCINNATI	OH	45264	PHYSICIAN SERVICES	$840,728
CARDIOLOGY ASSOCIATES
30 HARRISON STREET	JOHNSON CITY	NY	13790	PHYSICIAN SERVICES	$686,746	SUITE 250

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$2,313,783	RelatedOrganizationsAmt
Government Grants	$2,254,250	GovernmentGrantsAmt
All Other Contributions	$49,572	AllOtherContributionsAmt
Total Contributions	$4,617,605	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$304,500,837	$304,500,837
Pharmacy Revenue	446110	$8,118,810	$8,118,810
DSRIP & CARE COMPASS	621990	$2,969,652	$2,969,652
Government Incentives	900099	$1,616,520	$1,616,520
Rent from Affiliates	531120	$680,145	$680,145

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$882,701	TotalRevenueColumnAmt
Related Or Exempt Func Income	$865,952	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,749	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$318,768,665	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,321,288	TotalRevenueColumnAmt
Exclusion	$9,321,288	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$400,567	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$400,567	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$400,567	TotalRevenueColumnAmt
Exclusion	$400,567	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$331,323	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$326,323	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$326,323	TotalRevenueColumnAmt
Exclusion	-$326,323	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$13,967,653	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$9,424,950	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,542,703	TotalRevenueColumnAmt
Exclusion	$4,542,703	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Child Care SErvices	624410	$694,775	$224,273	$470,502
Fitness Center	713940	$49,244		$49,244
Medical Staff Dues	900099	$45,450		$45,450

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$742,610	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,445	UnrelatedBusinessRevenueAmt
Exclusion	$733,165	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,532,079	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$338,856,584	TotalRevenueColumnAmt
Related Or Exempt Func Income	$318,751,916	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$250,467	UnrelatedBusinessRevenueAmt
Exclusion	$15,236,596	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$60,772	TotalAmt
Program Services	$60,772	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,557,729	TotalAmt
Management And General	$3,557,729	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$130,822,865	TotalAmt
Program Services	$112,519,943	ProgramServicesAmt
Management And General	$18,302,922	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,917,911	TotalAmt
Program Services	$1,609,523	ProgramServicesAmt
Management And General	$308,388	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,909,126	TotalAmt
Program Services	$16,707,862	ProgramServicesAmt
Management And General	$3,201,264	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,956,275	TotalAmt
Program Services	$7,516,162	ProgramServicesAmt
Management And General	$1,440,113	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$267,824	TotalAmt
Program Services	$234,515	ProgramServicesAmt
Management And General	$33,309	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$45,833	TotalAmt
Management And General	$45,833	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$57,688	TotalAmt
Program Services	$7,843	ProgramServicesAmt
Management And General	$49,845	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,886	TotalAmt
Management And General	$3,886	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,060,467	TotalAmt
Program Services	$11,324,292	ProgramServicesAmt
Management And General	$3,736,175	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$318,878	TotalAmt
Program Services	$7,773	ProgramServicesAmt
Management And General	$311,105	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,590,070	TotalAmt
Program Services	$715,556	ProgramServicesAmt
Management And General	$874,514	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$651,164	TotalAmt
Program Services	$282,249	ProgramServicesAmt
Management And General	$368,915	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,282,823	TotalAmt
Program Services	$5,597,333	ProgramServicesAmt
Management And General	$2,685,490	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$919,394	TotalAmt
Program Services	$735,440	ProgramServicesAmt
Management And General	$183,954	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$448,840	TotalAmt
Program Services	$244,585	ProgramServicesAmt
Management And General	$204,255	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,362,850	TotalAmt
Management And General	$1,362,850	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,404,633	TotalAmt
Program Services	$4,401,855	ProgramServicesAmt
Management And General	$7,002,778	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,607,442	TotalAmt
Program Services	-$25,833	ProgramServicesAmt
Management And General	$2,633,275	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$45,534,694	$45,534,694
PURCHASED SERVICES	$51,850,552	$4,870,366	$46,980,186
CORPORATE OVERHEAD	$6,304,346		$6,304,346
CONTRACT LABOR	$5,066,128	$4,971,814	$94,314

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,274,885	TotalAmt
Program Services	$5,748,574	ProgramServicesAmt
Management And General	$5,526,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$328,277,075	TotalAmt
Program Services	$223,065,318	ProgramServicesAmt
Management And General	$105,211,757	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,089,631	BOYAmt
EOY	$8,205,345	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$634	BOYAmt
EOY	$197,287,125	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$671,227	BOYAmt
EOY	$516,023	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,441,938	BOYAmt
EOY	$34,519,076	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$41,250	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,477,739	BOYAmt
EOY	$4,892,242	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,702,010	BOYAmt
EOY	$1,822,514	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$211,581,037	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,937,240	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$97,538,289	BOYAmt
EOY	$105,643,797	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$605,733	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,721,936	BOYAmt
EOY	$3,362,509	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$220,803,864	BOYAmt
EOY	$49,351,058	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$367,488,518	BOYAmt
EOY	$406,205,422	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,764,570	BOYAmt
EOY	$23,975,176	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$100,913,831	BOYAmt
EOY	$122,790,048	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,678,401	BOYAmt
EOY	$146,765,224	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$225,528,935	BOYAmt
EOY	$234,670,308	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,666,317	BOYAmt
EOY	$12,155,025	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,614,865	BOYAmt
EOY	$12,614,865	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$247,810,117	BOYAmt
EOY	$259,440,198	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$367,488,518	BOYAmt
EOY	$406,205,422	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,579,509	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,113,254	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,062,682	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,886	OtherActivitiesAmt
Total Lobbying Expenditures	$3,886	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$544,659	OtherCostOrOtherBasisAmt
Book Value	$544,659	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$138,236,322	OtherCostOrOtherBasisAmt
Depreciation	$67,356,511	DepreciationAmt
Book Value	$70,879,811	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,312,356	OtherCostOrOtherBasisAmt
Depreciation	$1,712,355	DepreciationAmt
Book Value	$600,001	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,528,906	OtherCostOrOtherBasisAmt
Depreciation	$34,150,541	DepreciationAmt
Book Value	$18,378,365	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,958,794	OtherCostOrOtherBasisAmt
Depreciation	$2,717,833	DepreciationAmt
Book Value	$15,240,961	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$105,643,797	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (12 entries)

DescDesc	Book ValueBookValueAmt
Interest in Investments Held by Ascension Health Alliance
BENEFICIAL INTEREST IN Lourdes Hospital Foundation	$23,329,942
Deferred Compensation	$13,810,853
Due From Affiliates	$6,207,767
Board Designated & Restricted Cash/Receivables
Insurance Receivable
Physician Guarantee	$512,040
Other Receivables	$3,329,239
Investments in Unconsolidated Entities
Estimated Third Party Payer Settlements	$1,868,191
Cash Surrender Value of Life Insurance	$132,962
Other Assets	$160,064

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$49,351,058	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
Intercompany Debt with Ascension Health Alliance	$41,073,708
Estimated 3rd Party Payor Settlement	$4,901,966
Pension Liability	$20,480,090
Deferred Compensation	$13,810,853
Self Insurance IBNR	$1,929,518
Due to Affiliates	$34,163,746
Other Liabilities	$3,973,301
Self Insurance Liability
Savings Plan Liability	$1,847,605
Asset Retirement Obligation	$516,449
Physician Guarantee	$92,812

Field	Value	IRS element (for citing)
Total Liability	$122,790,048	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,447,554	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,447,554	NetCommunityBenefitExpnsAmt
Total Expense	0.0135	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,585,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,441,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,144,393	NetCommunityBenefitExpnsAmt
Total Expense	0.0400	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$57,033,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,441,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,591,947	NetCommunityBenefitExpnsAmt
Total Expense	0.0536	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,677,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,677,966	NetCommunityBenefitExpnsAmt
Total Expense	0.0112	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,649,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,649,279	NetCommunityBenefitExpnsAmt
Total Expense	0.0081	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,095,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,346,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,748,897	NetCommunityBenefitExpnsAmt
Total Expense	0.0663	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,225	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$57,425,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,346,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,079,367	NetCommunityBenefitExpnsAmt
Total Expense	0.0855	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$114,459,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,787,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,671,314	NetCommunityBenefitExpnsAmt
Total Expense	0.1391	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,977	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,977	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,977	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,504,505	BadDebtExpenseAmt
Bad Debt Expense Attributable	$955,735	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$55,224,717	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,924,168	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,699,451	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Lourdes Memorial Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Riverside Drive	AddressLine1Txt
City	Binghamton	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13905	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.lourdes.com	WebsiteAddressTxt
State License	03011001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Lourdes Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.lourdes.com/about-us/community-service-plan/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.lourdes.com/about-us/community-service-plan/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.. LOURDES ELICITED INPUT OF REPRESENTATIVES WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH BY ENGAGING PERSONS WHO REPRESENT THE COMMUNITY SERVED BY LOURDES AND THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH WERE INCLUDED IN THE EVALUATION OF COMMUNITY HEALTH NEEDS, IDENTIFICATION OF HEALTH PRIORITIES AND GOALS AND OBJECTIVES OF THE IMPLEMENTATION STRATEGY. THE PUBLIC PARTICIPATED IN THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THROUGH INTERVIEWS, SURVEYS, INTERACTIVE PRESENTATIONS AND COMMUNITY MEETINGS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.. UHS HOSPITAL
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.. RMS HEALTHCARE
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Our Lady of Lourdes Memorial Hospital, INc.. Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes) identified several needs needs during the Community Health Needs Assessment for the 2016-2018 period. The following is a listing of the needs that Lourdes is addressing and how they are being addressed. Behavioral Health (Mental Health & Substance Abuse): Goal: lower barriers to mental health and substance use services Ways Addressed in FY 2017: - Lourdes Youth Services provided services to at-risk adolescents through two programs. The Lourdes Mental Health Juvenile Justice Project worked successfully to keep 100% of the youth served out of detention and out of home placement. The Detention Alternative After School Program kept 94.5% of the youth served out of placement. - Lourdes continued to offer suicide intervention training programs; lead a Lourdes specific Substance Abuse and Mental Health Task Force; administered suicide prevention screening; provided inpatient and emergency department screening for alcohol and substance abuse Obesity Prevention, Wellness & Chronic Disease Goal: lower barriers to healthy life style choices Ways Addressed in FY 2017: - diabetes education: providers participated in a professional teaching day and received advanced nursing accreditation - fit and fun meals were provided at the Lourdes' All spice cafe - supporting a healthy start for newborns, patients are encouraged to breast feed Socioeconomic Poor & Vulnerable Goal: Focus on the poor and vulnerable with special attention to those enrolled in the Medicaid program. Ways Addressed in FY 2017: - Lourdes was approved to participate in a federal drug discount program called 340B which helps hospitals to serve rural communities; under the program hospitals receive pharmaceuticals at discounted prices from drug companies - The Mission in Motion mobile mammography van provides no charge screening to those in need Lourdes recognizes that no one organization can address the entire health care needs of the community. Lourdes is conscious of its stewardship of resources to best meet the needs of our community. As such, Lourdes will focus resources in those areas in which Lourdes can impact community health most. Lourdes' practice is to maximize resources with existing programs, new services planned, to avoid duplication of services, and to establish metrics and tools which foster continuous improvement. For those reasons, the needs identified that will not be addressed are: - Improve Health Status and Health Disparities - Promote a Health and Safe Environment - Preventing Chronic Disease - Promoting Healthy Women, Infants, and Children
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.. OUR LADY OF LOURDES MEMORIAL HOSPITAL USED THE FOLLOWING ADDITIONAL CRITERIA TO DETERMINE ELIGIBILITY FOR FREE DISCOUNTED CARE: - MEDICAID/MEDICARE - STATE REGULATIONS

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Center for Family Health
303 Main Street	Binghamton	NY	13905	Primary Care Office
Lourdes Pediatrics
161 Riverside Drive Suite 206	Binghamton	NY	13905	Primary Care Office
Lourdes at Home
4102 Old Vestal Road	Vestal	NY	13850	Home Care
Internal Medicine
3101 Shippers Road Suite 202	Vestal	NY	13850	Primary Care Office
Primary Care Associates
276-280 Robinson Street	Binghamton	NY	13904	Primary Care Office
Primary Care Associates
415 East Main Street	Endicott	NY	13760	Primary Care Office
Riverside Surgical
169 Riverside Drive	Binghamton	NY	13905	Primary Care Office
Hospice at Lourdes
4102 Old Vestal Road	Vestal	NY	13850	End of Life Care
Family Medicine
3101 Shippers Road Suite 203	Vestal	NY	13850	Primary Care Office
Riverside Medical
161 Riverside Drive Suite 306	Binghamton	NY	13905	Primary Care Office
Lourdes Family Practice
500 5th Avenue	Owego	NY	13827	Primary Care Office
Lourdes Gastroenterology
161 Riverside Drive Suite 210	Binghamton	NY	13905	Primary Care Office
Lourdes Family Practice
1130 Upper Front Street	Binghamton	NY	13901	Primary Care Office
Lourdes Vascular Surgery
161 Riverside Drive Suite 105	Binghamton	NY	13905	Primary Care Office
Lourdes Dermatology
3101 Shippers Road Suite 102	Binghamton	NY	13850	Primary Care Office
Lourdes Family Practice
2660 Main Street	Whitney Point	NY	13862	Primary Care Office
Lourdes Family Practice
39 East Main Street	Hancock	NY	13783	Primary Care Office
North Tioga Center for Family Health
13293 Route 38	Richford	NY	13835	Primary Care Office

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection Policy	During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
Schedule H, Part I, Line 7g Subsidized Health Services	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. INCLUDED AS SUBSIDIZED HEALTH SERVICES $20,052,056 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building Activities	RESEARCH SHOWS THAT SOCIAL DETERMINANTS AND QUALITY OF LIFE PLAY A MAJOR ROLE IN THE HEALTH STATUS OF INDIVIDUALS AND COMMUNITIES. COMMUNITY BUILDING ACTIVITIES, WHICH FOCUS ON IMPROVING THE QUALITY OF LIFE WITHIN A COMMUNITY, ULTIMATELY INFLUENCE AND IMPROVE HEALTH STATUS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2017 was $13,484,057 at charges, ($4,504,505 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 19.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website	- Our Lady of Lourdes Memorial Hospital, Inc.: Line 16a URL: https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Our Lady of Lourdes Memorial Hospital, Inc.: Line 16b URL: https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Our Lady of Lourdes Memorial Hospital, Inc.: Line 16c URL: https://www.lourdes.com/patient-guide/billing/financial-assistance/pfap/;
Schedule H, Part VI, Line 2 Needs assessment	Lourdes recognizes that Public Participation is an important aspect of the Community Health Needs Assessment, The Broome County Community Health Needs Assessment is the result of collaboration and the basis for the Public Health Priorities framing Lourdes' CHNA. Lourdes provides an update to the community on the implementation strategies in the CHNA annually in the Community Service Plan (CSP). This comprehensive plan reflects extensive communication and interaction with stakeholders from many sectors, to identify and prioritize unmet community needs and strategies for addressing them. As recommended by the New York State Department of Health, Lourdes was involved in the Community Health Needs Assessment and planning process of the local health department (Broome County), Outreach to health and human service organizations, consumers, community groups and facility advisory boards were accomplished in collaboration with the Broome County Health Department Community Health Assessment Steering Committee. This collective collaboration enabled the community to have more public participation in identifying community need than could have been accomplished independently by Lourdes. Additionally, Lourdes provided input to the Tioga County Health Department's Community Health Assessment through active participation on the Tioga County Community Health Needs Assessment Steering Committee. During 2014, Lourdes participated in the development of a comprehensive Community Health Needs Assessment as part of the NYS Delivery System Redesign Incentive Payment Program (DSRIP) planning grant. This extensive CHNA was for a ten county Southern Tier Rural Integrated Performing Provider System (STRIPPS) region, which included Lourdes Primary Service Area of Broome County, The CHNA focused on the health issues of Medicaid Beneficiaries, the uninsured (low and non-utilizers). 2,011 persons participated in this CHNA, representing providers, beneficiaries, community based organizations, and the community at large. Ninety in depth interviews were conducted and 15 focus groups with 127 Medicaid beneficiaries were held. Participants self-identified to participate in an on-going Panel which will continue to inform STRIPPS in the design of interventions (projects) to address Community Health status, This CHNA validated key health issues for the Medicaid and Uninsured population to be obesity prevention & associated cardiovascular chronic disease and mental health/substance abuse. To ensure that the CHNA is effective, Lourdes assesses the community's health care needs annually through several venues: - Broome County Community Health Assessment Steering Committee: Lourdes participates as a member of a multi-agency collaborative Community Health Assessment Steering Committee". This over-sight committee meets or communicates monthly to assess community health status/needs and identify and monitor interventions. The Steering Committee, under the guidance of the local Health Department and the New York State Health Department, addresses public health issues and underlying causes contributing factors to health status and chronic disease, and reviews current interventions and outcomes. Efforts to coordinate interventions and share best practices occur through these interactive meeting. Oversight and monitoring during 2014 also occurred through the design and development of the aforementioned DSRIP work: - Active participation on community committees, boards and coalitions: Key partners that Lourdes works with to achieve the Community Public Health Priorities include but are not limited to the American Cancer Association, American Diabetes Association, American Heart Association, Broome County Health Department Community Health Needs Assessment (CHNA), Steering Committee, Broome County Health Department, local health departments in whose county Lourdes provides services, Action for Older Persons, Binghamton VA Outpatient Clinic, the Dr, Garrabed A, Fattal Community Free Clinic (Broome County based), Community Alternative Systems Agency (CASA), Communities Joined in Action, Department of Social Services, Mothers & Babies Perinatal Network of SCNY, Office of Mental Health, Rural Health Network of South Central New York, United Way, Binghamton University School of Nursing, and the Southern Tier Health Link: - Patient and provider satisfaction surveys/feedback - Lourdes Hospitals Patient and Family Advisory Council Community Focus Groups - New York State SPARCS data - New York State registries which provide prevalence and incidence rates of disease.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	During registration insurance coverage for each patient is verified, If the patient is registered as self-pay (uninsured) the Lourdes Financial Counseling program is designed to assess each patient's eligibility for a NY healthcare program (Child Health Plus, NY Medicaid or a Qualified Health Plan through NY state) and the Lourdes Patient Financial Assistance Program. The process varies based on patient type and location of service, an overview of the existing process is summarized as follows: Lourdes Emergency Room: Lourdes Financial Counselors are on-site within the ER, they meet with each ER patient after treatment and prior to discharge. The Financial Counselor reviews insurance coverage with each patient. For each uninsured patient we attempt to conduct a face to face eligibility interview. The eligibility interview takes 5 minutes to determine if the patient is eligible for a NY State healthcare program and/or Lourdes' Patient Financial Assistance Program. We also help patients complete applications for Lourdes Patient Financial Assistance Program and assist in enrolling into Medicaid or during open enrollment, a Qualified Health Plan. Lourdes Primary Care Network: Uninsured patients are called by the Financial Counselors and interviewed for eligibility. Based on results we provide assistance for NY program or Lourdes Patient Financial Assistance Program enrollment. All Other Patient Types: The Business Office runs a monthly extract to identify account balances due from self-pay patients that are over 30 days old which indicates possible financial hardship, The Business Office Financial Counselors attempt to contact these patients by phone to determine if financial assistance is needed. Where ever possible we conduct eligibility interview over the phone. Based on results we provide assistance for NY program or Lourdes Patient Financial Assistance Program enrollment. Appointments are made as needed for facilitated enrollment into Affordable Care Act Medicaid programs or Qualified Health Plans. Patient Education: Brochures on the Lourdes Patient Financial Assistance Program are available at all Lourdes patient care sites and on the Lourdes internet web site.
Schedule H, Part VI, Line 4 Community information	Lourdes Hospital is based in Binghamton, New York. For community and local health planning purposes, Lourdes Community Health Needs Assessment (CHNA) addresses the needs of the residents of Broome County, as over 80% of those served by Lourdes reside in Broome County. This primary service area definition is consistent with physician needs assessment methodologies based on qualitative standards established by the Internal Revenue Service (IRS Final Revenue Ruling on Physician Recruitment: Revenue Rule 97-21, Source: Fall 2014 AmeriMed Consulting Medical Staff Development Plan for Our Lady of Lourdes Memorial Hospital, Executive Summary, page 1). A status report to the community is provided annually through Lourdes Community Service Plan (CSP). While Lourdes' CHNA and CSP address residents in Broome County, Lourdes extends its services and sphere of influence to the residents of Tioga, Delaware, and Chenango, New York, and to the residents of Susquehanna, Pennsylvania. Persons are served through Lourdes' comprehensive range of primary care (available in 10 locations within three counties), five walk-in clinics, Endocrinology & Diabetes Centers of Excellence, outpatient diagnostic services, outpatient physical therapy (4 locations), mobile van services (mammography & dental care}, regional cancer center services, specialty care, acute care, home health care, durable medical equipment company, hospice care, youth behavioral health and development, oral health, occupational health services and worker's compensation preferred provider organization programs, as well as health education and outreach programs.
Schedule H, Part VI, Line 5 Promotion of community health	(1) Lourdes evaluates existing infrastructure and location of services to ensure the community health needs are met. Results of these evaluations have resulted in the following: - Bone density testing and podiatry services were expanded to the rural community of Hancock - Lourdes Vestal: a project begun in 2012 was designed to bring many existing services together in one physical location, with the addition of some new services, the project was completed in calendar year 2014. The building and services were designed with the current and future health care needs of our patients and the community in mind, for persons of all ages, Our goal has always been to be true to our mission to create a positive patient and family experience, in a healing environment. The Lourdes Vestal services are convenient and accessible, are on bus routes; and will continue to provide safe, high quality care, Primary Care is provided by internal medicine and family practice providers from 4 existing Lourdes primary care practices. Not all of our existing sites have the same ancillary services, such as lab, x-ray, mammography, or physical therapy; hence location of these services will improve access for patients, Women's health services include screening and diagnostic mammography. Breast ultrasound and access to a Breast Surgeon on site was a new service begun in 2014. Occupational Health services was relocated from the hospital to Vestal to increase community access: - Other new services located at Lourdes vestal were also, based on community need and include, (a) bone densitometry for the evaluation of fracture risk and osteoporosis for women and men, This service is also available at the hospital, (b) Community Room- which will offer education supportive of community health priorities identified in the CHNA; (c) A dermatology practice; (d) Walk-in services and (e) Retail Pharmacy, - Lourdes Pediatric Walk-in services were added in 2014 to increase appropriate access for pediatric patients needing evening appointments, (2) Lourdes is considered a disproportionate share hospital for Medicaid purposes, Unique financial assistance programs that Lourdes offers or participates in include: Lourdes Patient Financial Assistance Program (PFAP), prompt pay program, Medicaid, Hope Dispensary, Lourdes Care Plus, Prenatal care Assistance Program, Child Health Plus, Medicaid and Medicaid Managed Care. Lourdes increased the employment of financial counselors from 8 to 11 to assist uninsured persons in determining eligibility for health care coverage and have implemented an "out bound call" program. All financial counselors became Certified Applications Counselors. (3) Lourdes participates in Health Prevention Initiatives through Breast, Cervical and Colorectal Cancer screening. Lourdes administers over $2.1 million annually in grant programs for at risk children and youth. Also active in promoting the health and well-being of the community are nearly 500 voluntary members of the medical staff and 15 volunteer community board members (which excludes senior leadership). Lourdes is active in medical staff development recruitment and succession planning. This year access to primary and specialty care was expanded through the hiring of seventeen providers. Throughout the year we continued to press forward to address access needs for children's oral health, pharmaceuticals, and behavioral health services for youth, Lourdes Center for Mental Health (LCMH) served 850 clients in 2014. The Lourdes Student Assistance Program and Alcohol and Drug Education Prevention Team provided alcohol and drug abuse prevention services to 9,043 students and parents through a variety of evidenced based programs. SBIRT training (Screening, Brief Intervention and Referral to Treatment) was provided to Lourdes associates in the ED as part of our commitment to the treatment of substance abuse. (4) Volunteering - As a Lourdes Volunteer, you become an integral part of the hospital team. Volunteers' efforts benefit the hospital in continuing its commitment to excellence while providing them with the personal satisfaction of contributing to the welfare of those in need. Each year, hundreds of volunteers find fulfillment, practical work experience and companionship within Lourdes. There are volunteer opportunities for Adults and Juniors. Volunteers provide many of the services that improve the quality of patient stays and support medical and administrative staff at Lourdes. The following are some, but not all of the opportunities volunteers can take part in: Lourdes Auxiliary Gift Shop & Cafe DePaul: Two to four hour assignments in the Gift Shop (gift suggestions/register) and Cafe DePaul (food preparation/serving). All proceeds from the Gift Shop & Cafe DePaul benefit Lourdes patients. Patient Care: Areas where volunteers provide hospitality and conversation while assisting the staff with general tasks - Emergency Room - Physical Therapy - Occupational Therapy - Speech Therapy - Ambulatory Surgery - Breast Care Center - Spiritual Care (Eucharistic Minister) - Patient Floors - Primary Care Facilities - Laser/Eye Center or Holding Area - Patient Reading Program - Diagnostic Imaging - Diabetic Education Clerical Areas: Volunteers assist the staff with clerical duties which may include photocopying, filing, faxing, telephones, collating, data entry and typing in the following departments: - Administration - Business Office - Pharmacy - Medical Staff Office - Nursing Education - Facilities Management - Public Relations - Human Resources - Purchasing Department - Volunteer Services - Physician Offices - Pre-Admission Testing - Patient Floor Clerical - Library - Diabetes Education - Information Systems - Laser/Eye Unit Lourdes Physician Practices: A wide variety of volunteer opportunities are available in many different departments throughout the hospital and at the Primary Care sites: - Blood Pressure Screening - Pharmacy Deliveries - Admit/Registration Escorting - Sterile Processing Department - Laboratory - Food & Nutrition (Dietary) - Information Desk - Flower Room - Laundry Services - Information Systems
Schedule H, Part VI, Line 6 Affiliated health care system	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC, AND AFFILIATES (THE HOSPITAL) IS A MEMBER OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE, DOING BUSINESS AS ASCENSION, IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC, NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE MORE THAN 1,900 LOCAL HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 24 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. IN ADDITION TO SERVING AS THE SOLE CORPORATE MEMBER OF ASCENSION HEALTH. ASCENSION SERVES AS THE MEMBER OR SHAREHOLDER OF VARIOUS OTHER SUBSIDIARIES, ASCENSION, ITS SUBSIDIARIES, AND HEALTH MINISTRIES ARE REFERRED COLLECTIVELY FROM TIME TO TIME HEREAFTER AS THE SYSTEM. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL IN THE UNITED STATES, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE-AMERICAN PROVINCE, AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI-US/CARIBBEAN PROVINCE. THE HOSPITAL, LOCATED IN BINGHAMTON, NEW YORK, IS A NONPROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF BROOME COUNTY AND THE SURROUNDING COMMUNITIES. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS ARE CORBETT CORPORATION (CORBETT) , A FOR PROFIT, WHOLLY OWNED SUBSIDIARY OF THE HOSPITAL FORMED TO CONSTRUCT AND RENOVATE BUILDINGS IN THE HOSPITAL' S PROXIMITY, AND LOURDES REALTY, INC. (REALTY), A NONPROFIT REAL ESTATE COMPANY FORMED TO ACQUIRE AND RENOVATE OFFICE SPACE IN THE HOSPITAL' S PROXIMITY. THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF REALTY. THE HOSPITAL IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH AND ITS SPONSORED ORGANIZATIONS ARE RELATED TO PROVIDING HEALTH CARE SERVICES. MISSION THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES USED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE ACOMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. " DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF TOTAL OPERATING EXPENSES TO BILLED CHARGES FOR PATIENT CARE.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
PO BOX 50075	PRESCOTT	AZ	86304	135613797	501(C)(3)	$5,000	OPERATING SUPPORT
EVANS STREET BASEBALL
PO BOX 598	BINGHAMTON	NY	13902	462306815		$15,200	OPERATING SUPPORT
GREATER BINGHAMTON CHAMBER OF COMMERCE
PO BOX 995	BINGHAMTON	NY	13902	150245930	Gov't	$5,350	OPERATING SUPPORT
MERCY HOUSE OF THE SOUTHERN TIER
212 N MCKINLEY AVENUE	ENDICOTT	NY	13760	465411006	501(C)(3)	$7,517	OPERATING SUPPORT
RESCUE MISSION
155 GIFFORD STREET	SYRACUSE	NY	13202	150532146	501(C)(3)	$5,000	OPERATING SUPPORT
THE MADRIGAL CHOIR OF BINGHAMTON
28 LATHROP AVENUE	BINGHAMTON	NY	13905	161264533	501(C)(3)	$5,000	OPERATING SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	DOCUMENTATION IS SUBMITTED BY THE REQUESTING ORGANIZATION BEFORE FUNDS ARE ISSUED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHRYN CONNERTON
PRESIDENT/CEO	$357,149	$0	$225,547	$0	$68,770	$0	$12,740	$0	$13,274	$0	$677,480	$0	$0	$0
JAMES STEINMETZ MD
BOARD MEMBER	$401,506	$0	$85,441	$0	$4,886	$0	$13,250	$0	$27,793	$0	$532,876	$0	$0	$0
DAVID F CLEMENTS
VICE PRESIDENT-FINANCE/CFO (END 8/2016)	$188,419	$0	$12,562	$0	$11,635	$0	$10,936	$0	$3,633	$0	$227,185	$0	$0	$0
LISA HARRIS MD
SR VP MEDICAL AFFAIRS/CMO	$288,838	$0	$19,501	$0	$32,836	$0	$13,250	$0	$24,878	$0	$379,303	$0	$0	$0
LINDA MILLER
SR VP OPERATIONS/CNO (END 11/2016)	$219,543	$0	$16,821	$0	$53,168	$0	$14,487	$0	$10,954	$0	$314,973	$0	$0	$0
RICHARD BLANSKY MD
PRESIDENT M/S	$425,000	$0	$0	$0	$2,558	$0	$13,250	$0	$6,854	$0	$447,662	$0	$0	$0
MARY HUGHS
CHRO	$151,279	$0	$8,083	$0	$4,251	$0	$8,397	$0	$18,529	$0	$190,539	$0	$0	$0
DEB MICAN
VP NURSING	$172,796	$0	$11,531	$0	$10,628	$0	$11,299	$0	$20,108	$0	$226,362	$0	$0	$0
CHAD PATTON
VP, PROVIDER NETWORK	$168,834	$0	$11,531	$0	$7,685	$0	$12,413	$0	$23,150	$0	$223,613	$0	$0	$0
ANNE WOLANSKI
VP QUALITY SVS & RISK/CRO (END 12/2016)	$163,455	$0	$11,114	$0	$12,027	$0	$11,571	$0	$17,786	$0	$215,953	$0	$0	$0
MICHAEL BARRETT MD
PHYSICIAN	$443,787	$0	$299,085	$0	$2,949	$0	$14,575	$0	$28,771	$0	$789,167	$0	$0	$0
STEPHEN R LAUTERBACH MD
PHYSICIAN	$542,830	$0	$17,000	$0	$2,640	$0	$12,070	$0	$21,247	$0	$595,787	$0	$0	$0
JOHN W MILLER MD
PHYSICIAN	$446,458	$0	$73,924	$0	$8,203	$0	$13,250	$0	$15,704	$0	$557,539	$0	$0	$0
RATNAKISHORE PALLAPOTHU MD
PHYSICIAN	$329,603	$0	$335,442	$0	$1,704	$0	$14,017	$0	$31,301	$0	$712,067	$0	$0	$0
TODD V PRIER MD
PHYSICIAN	$351,435	$0	$122,814	$0	$3,659	$0	$14,575	$0	$27,122	$0	$519,605	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	ASCENSION HEALTH, A RELATED ORGANIZATION OF OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION: LINDA MILLER - $29,356
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column F in the year paid. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Riverside Associates in Anesthesia	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	ENTITY OWNED BY DR. MARK TINKLEPAUGH, BOARD CHAIR	RelationshipDescriptionTxt
Transaction	$3,357,934	TransactionAmt
Transaction	Services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV	FormAndLineReferenceDesc
Explanation	All transactions reported on Part IV are reported as arms-length for fair market value.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT & CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	Our Lady of Lourdes Hospital, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Our Lady of Lourdes Memorial Hospital, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Our Lady of Lourdes Memorial Hospital, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	All decisions that have a material impact to Our Lady of Lourdes Memorial Hospital, Inc.'s. financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 19 Required documents available to the public	The Organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Income from Joint Ventures - Total Revenue: 57479, Related or Exempt Function Revenue: 40730, Unrelated Business Revenue: 16749, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fees from Affiliates - Total Revenue: 175613, Related or Exempt Function Revenue: 175613, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Services - Total Revenue: 410499, Related or Exempt Function Revenue: 410499, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Occupational Health - Total Revenue: 239110, Related or Exempt Function Revenue: 239110, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other MIscellaneous INcome - Total Revenue: 707071, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 707071; Medical Records - Total Revenue: 26094, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 26094; Housekeeping - Total Revenue: 9445, Related or Exempt Function Revenue: , Unrelated Business Revenue: 9445, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAS 158 Pension Adjustment - -5430245; Change in Interest of Foundation - 1367563;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	The activity of OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC..
Form 990, Part XII, Line 2c AUDIT COMMITTEE	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Ascension Health Alliance
PO Box 45998	St Louis	MO	631455998	453358926	National Health System	MO	501(c)(3)	Type I	NA	false
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National Health System	MO	501(c)(3)	Type I	Ascension Health Alliance	false
Lourdes Realty Corporation Inc
169 Riverside Drive	Binghamton	NY	13905	222873637	Rental of Health Care Facilities	NY	501(c)(2)		Our Lady of Lourdes Memorial Hospital Inc	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Lourdes Health Support LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 Butternut Drive	AddressLine1Txt
Address Line2	Suite 100	AddressLine2Txt
City	Dewitt	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13214	ZIPCd

Field	Value	IRS element (for citing)
EIN	161611707	EIN
Primary Activities	Medical Equipment Provider	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Lourdes Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded	PredominantIncomeTypeTxt
Share Of Total Income	-$2,119	ShareOfTotalIncomeAmt
Share Of EOY Assets	$753,713	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	-$636	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.6	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Corbet Corporation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Riverside Drive	AddressLine1Txt
City	Binghamton	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13905	ZIPCd

Field	Value	IRS element (for citing)
EIN	161268267	EIN
Primary Activities	Property Management	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Lourdes Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$128,980	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,070,079	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CORBETT CORPORATION
L	$3,162,611	FAIR MARKET VALUE
CORBETT CORPORATION
O	$96,353	FAIR MARKET VALUE
LOURDES REALTY COMPANY
K	$466,202	FAIR MARKET VALUE
LOURDES REALTY COMPANY
J	$680,145	FAIR MARKET VALUE
LOURDES REALTY COMPANY
L	$3,180,454	FAIR MARKET VALUE
LOURDES REALTY COMPANY
O	$120,177	FAIR MARKET VALUE