TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Sr Mary Anne Brawley Board Chair	1.00	X	X	0	0
(2) James Terzian MD Vice Chair (Jan-July)	1.00	X	X	0	0
(3) George Akel Jr Vice Chair (Aug-Dec)	1.00	X	X	0	0
(4) James Lewis Secretary	1.00	X	X	0	0
(5) Upinder S Dhillon PhD Treasurer	1.00	X	X	0	0
(6) David Cahill Board Member	1.00	X		0	0
(7) John Fitzsimmons Board Member	1.00	X		0	0
(8) Sr Mavis Jewell Board Member	1.00	X		0	0
(9) Sr Jocelyne Joly Sponsor Liaison	1.00	X		0	0
(10) Timothy J Koval Board Member	1.00	X		0	0
(11) Sr Kathleen Natwin Board Member/Provincial Counselor	1.00	X		0	0
(12) Thomas Oven MD Board Member	1.00	X		0	0
(13) Steve Ramsey Board Member	1.00	X		0	0
(14) James Steinmetz MD Board Member	1.00	X		0	0
(15) Mark Tinklepaugh MD Board Member	1.00	X		0	0
(16) David Patak President/CEO	40.00	X	X	511,857	45,537
(17) Gregg Hayton VP Finance/CFO	40.00		X	256,176	7,770

(A) Name and business address	(B) Description of services	(C) Compensation
Riverside Association in Anesthesia 40 Front Street Binghamton,NY13905	Physician Services	1,562,922
Hospitalist Medicine Phys of Broome Cou 4535 Dresslar Road NW Canton,OH44718	Physician Services	1,277,621
Cardiology Associates PC 30 Harrison Street Suite 250 Johnson City,NY13790	Physician Services	809,025
Mobile Hyperbaric Centers LLC 127 Public Square Suite 2400 Cleveland,OH44114	Medical/Healthcare	802,702
Arup PO Box 27964 Salt Lake City,UT84127	Medical/Healthcare	774,184
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 29

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,495,484		1,495,484
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	101,573,840	90,149,936	11,423,904
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	5,453,532	4,853,643	599,889
9	Other employee benefits .......	20,155,962	17,938,806	2,217,156
10	Payroll taxes ...........	6,963,292	6,113,347	849,945
11	Fees for services (non-employees):
a	Management ......	711,284	711,284
b	Legal .........	245,925	4,000	241,925
c	Accounting ...........	283,384	18,000	265,384
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	7,077,821	4,871,740	2,206,081
12	Advertising and promotion ....	1,258,491	75,272	1,183,219
13	Office expenses .......	2,306,188	1,310,335	995,853
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	7,238,778	6,689,278	549,500
17	Travel ............	771,254	611,768	159,486
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	319,636	292,041	27,595
20	Interest ...........	1,152,119		1,152,119
21	Payments to affiliates .......	1,448,323		1,448,323
22	Depreciation, depletion, and amortization .....	8,180,697	5,675,332	2,505,365
23	Insurance ..............	1,455,944	1,205	1,454,739
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Supplies	41,370,010	41,051,374	318,636
b	Contract Services	30,490,916	16,562,806	13,928,110
c	Bad Debt	8,914,016		8,914,016
d	Equip. Rental & Maint.	6,027,668	5,434,223	593,445
e	Recruitment	681,295	130,337	550,958
f	All other expenses	1,038,732	337,650	701,082
25	Total functional expenses. Add lines 1 through 24f	256,614,591	202,832,377	53,782,214	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	1,162,480	1	1,446,147
2	Savings and temporary cash investments .......	7,180,869	2	8,354,307
3	Pledges and grants receivable, net .........	399,423	3	454,892
4	Accounts receivable, net .........	23,595,307	4	25,579,874
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	597,745	7	498,589
8	Inventories for sale or use ..............	3,670,209	8	3,115,365
9	Prepaid expenses and deferred charges ............	3,213,703	9	3,168,328
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	215,863,518
b	Less: accumulated depreciation. .....	10b	130,787,867	67,980,241	10c	85,075,651
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	139,729,643	15	163,714,308
16	Total assets. Add lines 1 through 15 (must equal line 34)...	247,529,620	16	291,407,461
	17	Accounts payable and accrued expenses .	23,853,809	17	24,124,207
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	100,373,433	25	112,537,909
26	Total liabilities. Add lines 17 through 25.....	124,227,242	26	136,662,116
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	96,203,066	27	134,908,282
28	Temporarily restricted net assets .....	16,233,786	28	8,971,537
29	Permanently restricted net assets .....	10,865,526	29	10,865,526
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	123,302,378	33	154,745,345
34	Total liabilities and net assets/fund balances .....	247,529,620	34	291,407,461

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

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

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

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

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

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

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

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

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

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

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

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

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

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

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

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

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

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

Type I

Type II

Type III - Functionally integrated

Type III - Other

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

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

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

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

Yes

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

11g(i)

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

11g(ii)

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

11g(iii)

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

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

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

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

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

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

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

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

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

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

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

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

OMB No. 1545-0047

2010

Name of organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Our Lady of Lourdes Memorial Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Our Lady of Lourdes Memorial Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part III

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I-A

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

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

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

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

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

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

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

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots non-taxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

Other activities? If "Yes," describe in Part IV ..........................

Yes

56,338

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

56,338

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Explanation of Other Lobbying Activities:	Part II-B, Line 1i:	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Lourdes 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 (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

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

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

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

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,106,090		11,106,090
b	Buildings ................	83,084,960	55,713,923	27,371,037
c	Leasehold improvements ............
d	Equipment ................	106,674,705	75,073,944	31,600,761
e	Other .................	14,997,763		14,997,763
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				85,075,651

Schedule D (Form 990) 2010

Page 3

Part VII

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

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








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

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value
(1) Health System Depository Account				124,551,833
(2) Assets Limited To Use-Foundation				19,558,664
(3) Deferred Compensation				9,436,603
(4) Pension Prefunding Investment				7,462,916
(5) Due from Affiliates				1,714,770
(6) Other Investments				620,970
(7) Board Designated & Restricted Cash/Receivable				278,402
(8) Insurance Receivable				90,150

Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				163,714,308

Part X

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

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Intercompany Payable to Ascension Health		44,060,083
Estimated 3rd Party Payor Settlement		35,112,930
Pension Liability		22,291,006
Deferred Compensation		9,076,603
Self Insurance IBNR		1,203,752
Asset Retirement Obligation		793,535



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		112,537,909
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

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

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

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

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

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

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

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

Does the organization prepare an annual community benefit report?.............

Yes

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

Yes

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

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			3,151,456		3,151,456	1.270 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			33,428,740	28,046,489	5,382,251	2.170 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....			36,580,196	28,046,489	8,533,707	3.440 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	25	2,152	5,302,773	1,100	5,301,673	2.140 %
f Health professions education (from Worksheet 5) ..	8	327	809,991	282,468	527,523	0.210 %
g Subsidized health services (from Worksheet 6) ..			35,710,193	23,290,015	12,420,178	5.010 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	15	998	55,670		55,670	0.020 %
jTotal Other Benefits ...	48	3,477	41,878,627	23,573,583	18,305,044	7.380 %
kTotal. Add lines 7d and 7j. ..	48	3,477	78,458,823	51,620,072	26,838,751	10.820 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Enter the amount of the organization's bad debt expense (at cost).....

3,915,392

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

2,232,770

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

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

68,499,048

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

74,165,851

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

-5,666,803

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Our Lady of Lourdes Memorial Hospital 169 Riverside Drive Binghamton,NY13905	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

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

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?16
Name and address		Type of Facility (Describe)
1	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
2	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
3	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
4	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
5	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
6	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
7	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
8	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
9	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
10	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
11	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
12	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
13	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
14	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
15	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
16	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing 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 certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.
		Part I, Line 7g: The Hospital employs physicians at physician clinics and has included $11,456,432 in costs attributable to physician clinics as part of subsidized health services.
		Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $8,914,016.
		Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering economic conditions, trends in health care coverage and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible 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 bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance, and reasonable efforts to collect from the patient have been exhausted, the Hospital may place past due patient balances with 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 Hospital's policies.Bad debt expense at cost is the product of bad debt expense per the audited financial statement and the ratio of cost to charges. The bad debt expense attributable to patients eligible under the organizations charity care policy is calculated by obtaining the amount of self-pay bad debts recorded for the year, reducing these to cost based upon the ratio of cost to charges, and then further reducing the figure by the amount of self-pay bad debt recoveries (payments made by patients/guarantors). The Hospital currently has two discounts, a 20% prompt payment discount and a 25% uninsured discount. The first is recorded as a reduction in patient accounts receivable and an increase in other allowances and the second is recorded as a reduction in patient accounts receivable and an increase in charity care. Payments received on patient accounts that have been written off to bad debt are recorded as a direct reduction to bad debt expense. All reductions to accounts receivable effect the overall amount of bad debt expense that is recorded whether it is a direct reduction via a payment on a bad debt patient account receivable or a reduction in the amount of bad debt reserve needed to properly state the amount of collectible accounts receivable on the balance sheet.
		Part III, Line 8: Our Lady of Lourdes Memorial Hospital, Inc., follows 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, and therefore Lourdes does not treat it as such.
		Part VI, Line 2: Lourdes recognizes that Public Participation is an important aspect of the Community Service Plan (CSP). The Broome County Community Health Assessment is the result of collaboration and the basis for the Public Health Priorities framing Lourdes' CSP.This comprehensive plan reflects extensive communication and interaction with stakeholders from many sectors, to identify and prioritize un-met community needs and strategies for addressing them. As recommended by the New York State Department of Health, Lourdes was involved in the Community Health 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. Additionally, Lourdes provided input to consultants contracted by the Tioga County Health Department (TCDOH) to complete the TCDOH's Community Health Assessment. To ensure that the CSP 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 quarterly 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. - Active participation on community committees, boards, and coalitions: Key partners that Lourdes will be working 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 CHA Steering Committee members, Broome County Health Department, local health departments in whose county Lourdes provides services, Action for Older Persons, Binghamton VA Outpatient Clinic, Broome County Health Department Community Free Clinic, Broome Cover the Uninsured Week Coalition, Community Alternative Systems Agency (CASA), Community Advisory Group (for the Dispensary of Hope), Communities Joined in Action, Department of Social Services, Mothers & Babies Perinatal Network of SCNY, Office of Mental Health, Rural Health Network and Southern Tier Health Link- Patient and provider satisfaction surveys/ feedback.- Community Focus Groups.- New York State SPARCS data.- New York State registries which provide prevalence and incidence rates of disease.
		Part VI, Line 3: 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, Family Health Plus or NY Medicaid) or 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 or Lourdes' Patient Financial Assistance Program. If the patient is eligible for a state program we schedule an application interview with Broome County DSS staff who are on-site at Lourdes to assist with enrollment. We also help patients complete applications for Lourdes Patient Financial Assistance Program.Lourdes Primary Care Network: During check-in at each Lourdes Primary Care Network staff, each uninsured patient is provided with a letter which describes the Lourdes Financial Counseling program. If the patient indicates a need for assistance we contact them at home to conduct an eligibility interview over the phone. 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 Customer Service staff 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. Based on results we provide assistance for NY program or Lourdes Patient Financial Assistance Program enrollment.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.
		Part VI, Line 4: Lourdes Hospital is based in Binghamton, New York. For community and local health planning purposes, Lourdes Community Health Assessment and Community Service Plan 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 2008 AmeriMed Consulting Medical Staff Development Plan for Our Lady of Lourdes Memorial Hospital, Executive Summary, page 1)While Lourdes' Community Service Plan (and the report to the community) addresses 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 15 locations within three counties), Endocrinology & Diabetes Centers of Excellence, outpatient diagnostic services, mobile van services (primary care, cancer screening, 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.
		Part VI, Line 6: 1. Lourdes evaluates existing infrastructure and location of services to ensure the community health needs are met. Results of these evaluations resulted in the following:- Mission 2012: a three year master facility plan designed to meet the community's outpatient health care needs and experiences, with an emphasis on growing emergency room utilization, and a chronologically and physiologically aging population. Completed in CY 2010 were the open MRI suite and Phase I & II of the Emergency Room. Construction started for the new Ambulatory Care Center building and renovations/expansion began to Radiology and Diagnostic Imaging.- Hancock Primary Care Practice (Hancock, NY; Delaware County): Meeting the needs of a rural community, facility construction was completed September 2010.- Whitney Point Primary Care Practice (Whitney Point, NY, Broome County): Construction on the new facility began in November 2010 and was completed in June 2011.- Endicott Primary Care Practice & Walk-In (Endicott, NY, Broome County): To meet increased community needs the early stages of constructing/renovating the current Primary Care Practice and Walk-In began in December 2010.2. 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, Medicaider, Hope Dispensary, Lourdes Care Plus, Prenatal Care Assistance Program, Child Health Plus, Medicaid and Medicaid Managed Care. We have employed six financial counselors to assist uninsured persons in determining eligibility for health care coverage and have implemented an "out bound call" program.3. Lourdes participates in Health Prevention Initiatives through the Healthy Living Partnership (Breast, Cervical and Colorectal Cancer screening) and the Star Alliance Initiative (Childhood Obesity). Lourdes administers over $4.8 million annually in grant programs for at risk children and youth. Also active in promoting the health and well-being of the community are 498 voluntary members of the medical staff and 14 volunteer community board members (which excludes senior leadership).Lourdes is active in its medical staff development including recruitment and succession planning. Six primary care physicians and six allied health professionals have been recruited and employed to ensure access to primary care services. A breast surgeon was recruited and employed to help ensure on-going access to breast cancer education, outreach, prevention and treatment. Lourdes also recruited a general surgeon who will help address the community's obesity epidemic and ensure access to surgery for the poor and vulnerable.During 2010 and into 2011, Lourdes collaborated with the Broome County Office of Mental Health as they closed their children's mental health program. As part of Lourdes' commitment to address the behavioral health needs of children and youth, Lourdes applied for and was approved by the New York State Office of Mental Health to be licensed as a children and family mental health clinic. Lourdes' Center for Mental Health will provide a wide range of mental health services based on community need. Lourdes has secured additional space which will allow the program to expand as community need grows. 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
		Part VI, Line 7: Our Lady of Lourdes Memorial Hospital, Inc. (the Hospital) is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul (Daughters of Charity), the Congregation of the Sisters of St. Joseph of Nazareth (Sisters of St. Joseph) and the Sisters of St. Joseph of Carondelet (CSJ).
Reports Filed With States	Part VI, Line 7	NY

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) David Patak	(i) (ii)	333,861 0	120,685 0	57,311 0	4,900 0	40,637 0	557,394 0	0 0
(2) Gregg Hayton	(i) (ii)	204,885 0	34,650 0	16,641 0	5,259 0	2,511 0	263,946 0	0 0
(3) Thomas L Parsely MD	(i) (ii)	254,247 0	42,645 0	17,452 0	5,059 0	40,424 0	359,827 0	0 0
(4) Robert Taylor III MD	(i) (ii)	213,816 0	36,684 0	18,444 0	5,208 0	40,165 0	314,317 0	0 0
(5) Kevin Corcoran MD	(i) (ii)	302,673 0	20,625 0	14,098 0	0 0	17,596 0	354,992 0	0 0
(6) Hong Yu MD	(i) (ii)	258,429 0	68,110 0	16,883 0	5,448 0	43,886 0	392,756 0	0 0
(7) Janet Muhich MD	(i) (ii)	310,000 0	0 0	468 0	0 0	2,059 0	312,527 0	0 0
(8) Ghassem Mangouri MD	(i) (ii)	297,442 0	0 0	3,358 0	0 0	40,955 0	341,755 0	0 0
(9) Mamadou Diallo MD	(i) (ii)	208,819 0	80,801 0	825 0	2,039 0	40,107 0	332,591 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

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

Identifier	Return Reference	Explanation
	Part I, Line 1a	Gross up payments for personal use of cell phones was included for certain officers and key employees. An officer had an additional gross up payment included for conference expenses pertaining to his spouse.
	Part I, Line 4b	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 B in the year paid. The filing organization contributed to the supplemental nonqualified retirement plan in the amount as noted: Thomas Parsley - $15,522 David Patak - $16,484 Robert Taylor III - $16,800 Hong Yu - $16,500 Gregg Hayton - $15,675

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

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

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

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

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






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

Part III

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

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) George Akel Jr	Dir of Org - A director of the Hospital	240,391	RentalAll transactions reported on Part IV are reported as arms-length for fair market value		No
(2) George Akel Jr	Dir of Org - A family member of a director of the Hospital	359,761	RentalAll transactions reported on Part IV are reported as arms-length for fair market value		No
(3) Twin Tier Pathology Associates	Dir of Org - A director of the Hospital is the President	182,641	Medical ServicesAll transactions reported on Part IV are reported as arms-length for fair market value		No
(4) Riverside Associates in Anesthesia	Dir of Org - A director of the Hospital is an owner	1,562,922	ServicesAll transactions reported on Part IV are reported as arms-length for fair market value		No
(5) Broome Urological Associates LLP	Dir of Org - A director of the Hospital is a partner	199,045	Medical ServicesAll transactions reported on Part IV are reported as arms-length for fair market value		No

Part V

Supplemental Information

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

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Identifier	Return Reference	Explanation
Form 990, Part VI, Section A, line 6		Our Lady of Lourdes Hospital, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7a		Our Lady of Lourdes 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 Hospital.
Form 990, Part VI, Section A, line 7b		Ascension Health has designed a System Authorty Matrix which assigns authority for key decisions that are necessary in the operation of the System. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the System Authority Matrix.
Form 990, Part VI, Section B, line 11		Management, including certain Officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
	Form 990, Part VI, Section B, line 12c	Our Lady of Lourdes Memorial Hospital, Inc. 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 meeting 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 Hospital 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, Section B, line 15	In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board reviewed and approved the compensation. In the review of the compensations, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
	Form 990, Part VI, Section C, line 19	Our Lady of Lourdes Memorial Hospital, Inc. will provide any documents open to public inspection upon request.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized gains on investments: 8,356,082. Pension Liability Adjustment/Debt Upsizing Adjustment -255,468. Transfer to Affiliates -4,174,909. Net Assets Released from Restrictions -431,585. Lourdes Realty Income 10,739. Contributions for Operating Expenses 10,134,376. Change in Interest in Lourdes Hospital Foundation, Inc. -759,239. Book to Tax Adjustment for K-1 income 4,282. Total to Form 990, Part XI, Line 5: 12,884,278.
Community Benefit Report	Form 990, Part III, Line 4:	Priorities for the Year - During 2009-2010, Lourdes collaborated with community agencies under the direction of the New York State Health Department and County Health Departments to address public health issues and underlying causes/contributing factors to health status and chronic disease. This report to the Community demonstrates how Lourdes has worked over the last year to help the Greater Binghamton community. Access to Healthcare: Increased Health Care Coverage - Lourdes made a significant investment in helping to provide healthcare access and coverage to help the uninsured. Lourdes continued to employ six financial counselors to assist uninsured individuals to determine eligibility for healthcare coverage. Outreach was expanded by implementing an "outbound call" program to assist the uninsured in Lourdes primary care practices in accessing health care coverage. The number of persons who were enrolled in the Lourdes Patient Financial Assistance Program increased 17.3%. A 25% discount was provided to 26,000 accounts. Through Lourdes Dispensary of Hope of the Southern Tier, over 100 persons were linked to a medical home and nearly 100 were assisted in enrolling in a medical insurance plan. Increased Access to Primary Care, Prevention and Specialty Services - Lourdes expanded access to Broome and Tioga County residents by expanding outpatient laboratory hours at primary care locations and the Hospital campus; expanding walk-in services at the Lourdes Endicott Primary Care Practice Location; and through the opening of a newly renovated and expanded emergency room designed meet the increased needs of the community. Lourdes assisted the community in ensuring access to primary care by employing eleven primary care providers. Three surgical specialty physicians were hired or recruited to help with cancer and obesity prevention, early detection, and treatment. Pulmonologists will join the Lourdes team in 2011. Their expertise will aid the community in managing chronic disease and reducing readmissions. Increased Access to Behavioral & Mental Health, Substance Abuse and Maternal, Child and Adolescent Health - Lourdes Youth Services reached thousands of children and families in 2010 by providing evidenced based programming and clinical services. Funding for these services was provided by a variety of sources including federal and state funds and grants. Lourdes Youth Services administered $4.8 million dollars in 2010 to provide these services to the youth and families in our community. - Lourdes Parents and Children Together program (PACT) received an increase in funding from Healthy Families New York. This allowed PACT to increase the number of families served by this program. - Lourdes Student Assistance Program received an increase in funding from Broome County which enabled them to add a counselor to Broome Tioga BOCES. - Lourdes Center for Mental Health received approval to operate an Article 31 New York State Office of Mental Health Children and Family Mental Health Clinic. - Lourdes Family and Schools Together (FAST), Mental Health Juvenile Justice (MHJJ) and PACT programs completed their first year of providing evidenced based programming to students throughout Broome County through their collaboration with the federally funded Safe Healthy Attitudes Require Education (SHARE) initiative. Increased Access to Prescription Drug Medication - Lourdes increased Pharmaceutical Access in the community through the Dispensary of Hope of the Southern Tier. 2010 marked the first full year of this free pharmaceutical assistance program. During 2010, together with Pharmacy Assistance Programs, Lourdes enabled over 1,800 persons to be served, over 6,100 prescriptions filled, which resulted in over $932,000 in free pharmaceuticals to be provided to the community. The total number of prescriptions which were filled directly through the Hope Dispensary of the Southern Tier grew 27.2% over the prior year. 6% of those served by the Hope Dispensary were linked to a medical home. Lourdes facilitated the enrollment of nearly 100 persons in a health insurance program. Chronic Disease: Lourdes Regional Cancer Center provided outreach and education services for breast, cervical and colorectal cancer through the Cancer Services Program, community health fairs, and support groups. Lourdes partnered with Senator Tom Libous and United Health Services in a "Time for a Tune Up" prostate cancer program, which served nearly 100 men. Working on Wellness (WOW), a community partnership designed to address childhood obesity issues and their relationship to health, disease, and Type II diabetes. Strategic Alliance Grant partnered with the Broome County Health Department to address obesity within the poor and vulnerable pediatric population. Reducing Heart Disease through activities such as Mission Meltaway; maintaining a smoke free environment. Smoking cessation programs continue throughout the Lourdes Primary Care Network with the local "Team Act" coalition. Frail & Elderly: Lourdes addressed the needs of the frail and elderly and their families through many venues, among which were participation in the Aging Futures community-wide coalition whose mission is to address the needs of the senior population in the community. Lourdes at Home served nearly 2,200 persons and provided more than 59,000 home health visits to Broome County residents. Lourdes expanded it's at Home tele-health monitoring program from 26 to 56 monitors. This evidenced based program has decreased Acute Care Hospitalization rates significantly for patients with Congestive Heart Failure (CHF). This expansion allowed Lourdes to expand its at home Chronic Disease Management program to include Chronic Obstructive Pulmonary Disease (COPD) as well as CHF. Lourdes continues to be the only Home Health Care Agency to service pediatric patients. Lourdes partners with Lourdes Health Support in the care of home ventilator patients. Lourdes provides the area's only palliative care services, and is the only hospice provider for Broome and Tioga county residents. Commitment to Health Care that is Safe: Lourdes is committed to providing quality care to everyone we serve. By instituting a number of quality improvement initiatives, Lourdes continues to offer improved community health status. Cardiovascular disease, including stroke and heart failure, remains a significant health concern locally and nationally. Through Lourdes' heart failure disease management programs and home care heart failure program, Lourdes met or exceeded local and New York State clinical outcomes for Heart Failure, Pneumonia, and Surgical Site Infection. Public and professional education on stroke awareness, prevention and treatment was provided throughout the year. Lourdes continues to provide low cost screening for stroke prevention along with an annual stroke awareness day that is free to the public. Lourdes maintains its New York State Health Department Stroke Center designation. Infectious Disease & Pneumonia. Lourdes participated in the Institute for Health Care Improvement (IHI) 100k Lives Campaign, and is a designated mentor hospital, in recognition of efforts and results with the campaign. Issues being addressed through the campaign included ventilator acquired pneumonia, acute myocardial infarctions, preventing central line infections and preventing adverse drug events. Patient Safety Huddles. As part of Lourdes commitment to clinical excellence, Lourdes holds daily safety huddles with Lourdes associates from every discipline. At this huddle, Lourdes associates discuss the care we provided the previous day to learn how we can make it better for the patients we are caring for each day moving forward. Our Mission - Our Lady of Lourdes Memorial Hospital, Inc., is a community, not for profit healthcare system sponsored by Ascension Health. Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. As a Catholic entity, Lourdes is guided by the moral and ethical teachings of the Roman Catholic Church. Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our work. Lourdes goal is to provide the highest quality health care to all who need it, particularly care for the poor and vulnerable. Lourdes is committed to being a well run organization. Lourdes commits to promoting a healthier community through collaboration with the Medical Staff and members of the communities it serves. Core Values: Service of the Poor - Generosity of spirit, especially for persons most in need. Reverence - Respect and compassion for the dignity and diversity of life.
		Integrity - Inspiring trust through personal leadership. Wisdom - Integrating excellence and stewardship. Creativity - Courageous innovation. Dedication - Affirming the hope and joy of our ministry. Our Financial Commitment to the Community, 2010 Calendar Year Charity Care: Free Care - $7,998,000 Community Benefit Programs - $16,433,000 Total Charity Care - $24,431,000 Bad Debt - $8,914,000 Medicaid Shortfall - $5,382,000 Medicare Shortfall - $14,613,000
	Form 990, Part IV, Line 20b:	If the organization operated one or more hospital facilities at any time during the tax year, then it must attach a copy of its most recent audited financial statements if its tax year began after March 23,2010. The tax year covered by this return is January 1, 2010 through December 31, 2010. Therefore, no audited financial statements are attached to this return.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health PO Box 45998 St Louis,MO63135 31-1662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	N/A		No
(2) Lourdes Realty Corporation 169 Riverside Drive Binghamton,NY13905 22-2873637	Rental of Health Care Facilities	NY	Section 501(c)(2)	N/A	Our Lady of Lourdes Memorial Hospital Inc	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Lourdes Health Support LLC 7246 Janus Park Drive Liverpool,NY13088 16-1611707	Medical Equipment Provider	NY	Our Lady of Lourdes Memorial Hospital Inc	Excluded	153,416	587,296		No	11,836		No	60.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) Corbett Corporation 169 Riverside Drive Binghamton,NY13905 16-1268267	Property Management	NY	Our Lady of Lourdes Memorial Hospital Inc	C	7,335	88,798	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Lourdes Realty Corporation	I	677,865	Total Amount Received
(2) Lourdes Realty Corporation	J	462,718	Total Amount Paid
(3) Corbett Corporation	J	128,980	Total Amount Paid
(4) Lourdes Realty Corporation	P	204,584	Total Amount Received
(5) Corbett Corporation	P	121,560	Total Amount Received
(6) Lourdes Realty Corporation	R	430,000	Total Amount Received
(7) Corbett Corporation	R	95,500	Total Amount Received
(8) Ascension Health	Q	4,174,909	Total Amount Paid

Schedule R (Form 990) 2010

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

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

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Lourdes' mission is to provide the highest quality health care to all who need it.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	10
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,535
6	Total number of volunteers (estimate if necessary) ....	6	475
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	6,628,234
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-696,235

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,959,500	2,773,087
9	Program service revenue (Part VIII, line 2g) .........	249,474,867	254,678,797
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,807,748	8,720,078
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,557,560	9,001,318
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	263,799,675	275,173,280
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	128,735,088	135,642,110
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	114,356,973	120,972,481
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	243,092,061	256,614,591
19	Revenue less expenses. Subtract line 18 from line 12......	20,707,614	18,558,689
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	247,529,620	291,407,461
21	Total liabilities (Part X, line 26)............	124,227,242	136,662,116
22	Net assets or fund balances. Subtract line 21 from line 20 .....	123,302,378	154,745,345

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 67,644,598 including grants of $ ) (Revenue $ 85,047,020 )
	Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes) provides a substantial portion of its services to the elderly and poor. During the year ended 12/31/2010, approximately 56% 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, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured and the underserved. During the year ended 12/31/10, the estimated unreimbursed cost of services provided to the elderly, uninsured and underinsured totaled $27,199,000 including $5,384,000 cost for charity care and $8,914,000 in bad debts attributable to the uninsured, $6,250,000 in programs for the poor, $10,183,000 in services to the general community and $5,382,000 in unpaid cost of public programs. These amounts vary from Schedule H due to different methods of calculation.

4b	(Code: ) (Expenses $ 134,958,680 including grants of $ ) (Revenue $ 169,708,659 )
	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 2010 Lourdes treated 9,826 inpatient adults and children in the community for a total of 39,663 patient days of service. Lourdes also provided services to 1,418,445 outpaitents including 17,905 outpatient surgeries, 40,927 emergency room visits and 1,044 clinic visits.

4c	(Code: ) (Expenses $ 229,099 including grants of $ ) (Revenue $ 229,099 )
	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.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 202,832,377

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Thomas L Parsely MD VP Physician Network	40.00	X		314,344	0	45,483
(19) Robert Taylor III MD VPMA Chief Med Officer	40.00	X		268,944	0	45,373
(20) Kevin Corcoran MD Physician	40.00		X	337,396	0	17,596
(21) Hong Yu MD Physician	40.00		X	343,422	0	49,334
(22) Janet Muhich MD Physician	40.00		X	310,468	0	2,059
(23) Ghassem Mangouri MD Physician	40.00		X	300,800	0	40,955
(24) Mamadou Diallo MD Physician	40.00		X	290,445	0	42,146

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,933,852	0	296,253

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		453,958
e	Government grants (contributions)1e		2,278,700

f	All other contributions, gifts, grants, and similar amounts not included above1f		40,429
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,773,087
			Business Code
2a	Patient Services		621,400	254,449,698	254,449,698
b	Long Term Home Health		621,400	88,615	88,615
c	Rehab/Fitness		621,400	62,588	62,588
d	Consulting		621,400	53,758	53,758
e
f	All other program service revenue .			24,138	24,138
g	Total. Add lines 2a–2f........			254,678,797
3	Investment income (including dividends, interest
	and other similar amounts).....			321,985		35,972	286,013
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	1,318,652
b	Less: rental expenses	12,058
c	Rental income or (loss)	1,306,594
d	Net rental income or (loss).......			1,306,594			1,306,594
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	8,398,093
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	8,398,093
d	Net gain or (loss)..........			8,398,093			8,398,093
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		417,755
b	Less: cost of goods sold ..b		234,272
c	Net income or (loss) from sales of inventory..			183,483			183,483
Miscellaneous Revenue			Business Code
11a	Pharmacy		446,110	6,063,537		6,063,537
b	MSO Revenue		541,610	511,920		511,920
c	Other		812,900	354,191		16,805	337,386
d	All other revenue ....			581,593	305,981		275,612
e	Total. Add lines 11a–11d ......			7,511,241
12	Total revenue. See Instructions....			275,173,280	254,984,778	6,628,234	10,787,181


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			1,162,480	1	1,446,147
2	Savings and temporary cash investments .......			7,180,869	2	8,354,307
3	Pledges and grants receivable, net .........			399,423	3	454,892
4	Accounts receivable, net .........			23,595,307	4	25,579,874
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			597,745	7	498,589
8	Inventories for sale or use ..............			3,670,209	8	3,115,365
9	Prepaid expenses and deferred charges ............			3,213,703	9	3,168,328
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	215,863,518
b	Less: accumulated depreciation. .....	10b	130,787,867	67,980,241	10c	85,075,651
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			139,729,643	15	163,714,308
16	Total assets. Add lines 1 through 15 (must equal line 34)...			247,529,620	16	291,407,461
17	Accounts payable and accrued expenses .			23,853,809	17	24,124,207
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			100,373,433	25	112,537,909
26	Total liabilities. Add lines 17 through 25.....			124,227,242	26	136,662,116
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			96,203,066	27	134,908,282
28	Temporarily restricted net assets .....			16,233,786	28	8,971,537
29	Permanently restricted net assets .....			10,865,526	29	10,865,526
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			123,302,378	33	154,745,345
34	Total liabilities and net assets/fund balances .....			247,529,620	34	291,407,461