TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) David Patak........................................................................ President/CEO	50.00 .......................2.00	X	X	1,026,875	24,735
(2) Thomas Oven MD........................................................................ Board Chair	1.00 .......................1.00	X	X	0	0
(3) Mark Tinklepaugh MD........................................................................ Vice Chair	1.00 .......................1.00	X	X	0	0
(4) Sr Margaret Tuley........................................................................ Secretary	1.00 .......................1.00	X	X	0	0
(5) James Lewis........................................................................ Treasurer (End 6/14)	1.00 .......................1.00	X	X	0	0
(6) George Akel Jr........................................................................ Board Member (End 6/14)	1.00 .......................1.00	X		0	0
(7) Sharon Ball........................................................................ Board Member	1.00 .......................1.00	X		0	0
(8) David Cahill........................................................................ Board Member	1.00 .......................1.00	X		0	0
(9) Kevin Drumm PhD........................................................................ Board Member	1.00 .......................1.00	X		0	0
(10) Michael Farrell MD........................................................................ Board Member	1.00 .......................1.00	X		0	0
(11) John Fitzsimmons........................................................................ Board Member (End 6/14)	1.00 .......................1.00	X		0	0
(12) Frank Greco Jr........................................................................ Board Member (Start 9/14)	1.00 .......................1.00	X		0	0
(13) Timothy J Koval........................................................................ Board Member	1.00 .......................1.00	X		0	0
(14) Catherine Maliwacki........................................................................ Board Member	1.00 .......................1.00	X		0	0
(15) Sr Mary Francis Martin........................................................................ Board Member	1.00 .......................1.00	X		0	0
(16) Kim Myers........................................................................ Board Member (Start 9/14)	1.00 .......................1.00	X		0	0
(17) James Orband........................................................................ Board Member	1.00 .......................1.00	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
Riverside Associates in Anesthesia 40 Front Street Binghamton,NY13905	Physician Services	2,068,100
Hospitalist Medicine Phys Of Broome Cou 4535 Dresslar Road NW Canton,OH44718	Physician Services	1,950,377
Cardiology Associates PC 30 Harrison St Suite 250 Johnson City,NY13790	Physician Services	1,015,641
Hall Render Killian Health & Lyman PC 39778 Treasury Ct Chicago,IL606949700	Legal Services	410,187
Broome Obstetrics and Gynecology PC 161 Riverside Dr Suite 109 Binghamton,NY13905	Physician Services	401,640
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 31

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 domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	2,499,334		2,499,334
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 ....	117,893,936	105,309,540	12,584,396
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,175,489	5,496,185	679,304
9	Other employee benefits .......	16,750,401	14,907,857	1,842,544
10	Payroll taxes ...........	8,203,228	7,300,873	902,355
11	Fees for services (non-employees):
a	Management ......	775,200	775,200
b	Legal .........	991,559		991,559
c	Accounting ...........	273,519	16,411	257,108
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	10,060,657	6,740,640	3,320,017
12	Advertising and promotion ....	1,245,409	87,179	1,158,230
13	Office expenses .......	1,498,571	824,214	674,357
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,960,932	8,154,448	806,484
17	Travel ............	875,861	691,930	183,931
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	601,787	451,340	150,447
20	Interest ...........	1,228,105		1,228,105
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	9,434,480	6,698,481	2,735,999
23	Insurance ..............	1,401,154		1,401,154
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Supplies	48,741,228	47,766,403	974,825
b	Contract Services	35,235,690	16,913,131	18,322,559
c	Equip. Rent/Maintenance	4,478,354	3,896,168	582,186
d	Project Symphony	2,547,500	2,547,500
e	All other expenses	6,787,595	4,767,708	2,019,887
25	Total functional expenses. Add lines 1 through 24e	286,659,989	233,345,208	53,314,781	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	2,439,707	1	1,180,747
2	Savings and temporary cash investments .........	2,383,419	2
3	Pledges and grants receivable, net ...........	190,275	3	535,890
4	Accounts receivable, net .............	31,230,745	4	34,367,772
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	112,219	7	76,430
8	Inventories for sale or use ..............	3,733,786	8	4,364,443
9	Prepaid expenses and deferred charges ..........	3,566,171	9	2,925,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	243,513,500
b	Less: accumulated depreciation .....	10b	152,037,100	87,416,279	10c	91,476,400
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 ...........	234,610,739	15	241,764,991
16	Total assets. Add lines 1 through 15 (must equal line 34)......	365,683,340	16	376,692,483
	17	Accounts payable and accrued expenses .........	26,406,055	17	30,024,299
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	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	91,755,874	25	81,285,201
26	Total liabilities. Add lines 17 through 25.........	118,161,929	26	111,309,500
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	223,419,587	27	240,303,927
28	Temporarily restricted net assets ...........	11,486,959	28	12,464,191
29	Permanently restricted net assets ...........	12,614,865	29	12,614,865
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	247,521,411	33	265,382,983
34	Total liabilities and net assets/fund balances ........	365,683,340	34	376,692,483

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 described in section 170(b)(1)(A)(i).

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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

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

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

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

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

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

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

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

11a

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

11b

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

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

Activities Test. Answer (a) and (b) below.

Yes

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

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

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

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

Schedule A (Form 990 or 990-EZ) 2014

Page 6

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

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

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

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Our Lady of Lourdes Memorial Hospital Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Our Lady of Lourdes Memorial Hospital Inc

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part III

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

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

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 SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

Yes

31,524

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

31,524

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Part II-B, Line 1:	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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,150,009		12,150,009
b	Buildings ................	100,699,617	97,933,031	2,766,586
c	Leasehold improvements ............
d	Equipment ................	127,289,272	54,104,069	73,185,203
e	Other .................	3,374,602		3,374,602
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				91,476,400

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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








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

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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









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

Part IX

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

(a) Description				(b) Book value
(1) Interest in investments held by Ascension Health Alliance				181,050,929
(2) Asset Limited To Use-Lourdes Hospital Foundation				24,726,967
(3) Deferred Compensation				12,336,379
(4) Pension Prefunding Investment				13,366,396
(5) Due From Affiliates				3,658,803
(6) Other Investments				1,080,912
(7) Board Designated & Restricted Cash/Receivables				352,091
(8) Insurance Receivable				118,473
(9) Capitalized Computer Software				5,074,041
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				241,764,991

Part X

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

1.(a) Description of liability		(b) Book value
Federal income taxes
Intercompany Debt with Ascension Health Alliance		41,737,837
Estimated 3rd Party Payor Settlement		21,663,224
Pension Liability		4,116,423
Deferred Compensation		11,883,047
Self Insurance IBNR		1,368,221
Asset Retirement Obligation		516,449



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		81,285,201
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

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

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference	Explanation

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	2,259,072		2,259,072	0.790 %
b	Medicaid (from Worksheet 3, column a) ....	42,960,861	33,799,951	9,160,910	3.200 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	45,219,933	33,799,951	11,419,982	3.990 %
Other Benefits		3,488,431		3,488,431	1.220 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,488,431		3,488,431	1.220 %
f	Health professions education (from Worksheet 5) ..	1,507,344	16,901	1,490,443	0.520 %
g	Subsidized health services (from Worksheet 6) ..	45,907,152	25,344,554	20,562,598	7.170 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	2,754		2,754	0 %
j	Total. Other Benefits ..	50,905,681	25,361,455	25,544,226	8.910 %
k	Total. Add lines 7d and 7j .	96,125,614	59,161,406	36,964,208	12.900 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

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

		(c) Total community building expense	(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	616,797	616,797	0.220 %
7	Community health improvement advocacy	48,252	48,252	0.020 %
8	Workforce development
9	Other
10	Total	665,049	665,049	0.240 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

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

5,063,776

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

2,743,692

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

Section B. Medicare

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

52,511,283

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

58,973,903

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

-6,462,620

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(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) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Our Lady of Lourdes Memorial Hospital Inc 169 Riverside Drive Binghamton,NY13905 www.lourdes.com 03011001H	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Our Lady of Lourdes Memorial Hospital
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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

Yes

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): www.lourdes.com/media/202912/chnasm.pdf

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

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

Yes

If "Yes" (list url): https://www.lourdes.com/media/202913/chip20132015.pdf

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

10b

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

12a

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

12a

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

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Our Lady of Lourdes Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

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

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

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

A plain language summary of the FAP was widely available on a website (list url):

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

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

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

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

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

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Our Lady of Lourdes Memorial Hospital
Name of hospital facility or letter of facility reporting group

Yes

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Our Lady of Lourdes Memorial Hospital	Part V, Section B, Line 5: Lourdes elicited input of representatives with special knowledge of public health by engaging persons who represent the community served by Lourdes and those with special knowledge of or expertise in public health were included in the evaluation of community health needs, identification of health priorities and goals and objectives of the implementation strategy. Over 1,250 representatives of the public participated in the development of the Community Health Needs Assessment and Community Health Improvement Plan/Implementation Strategy through interviews, surveys, interactive presentations and community meetings.Lourdes collaborated in the development of the county's Community Health Assessment with the other hospital located in Broome County, United Health Services Hospital. Hospital representatives from Lourdes and United Health Services Hospitals participated in over fifteen planning meetings from September 2011 - November 2012. Lourdes Hospital and United Health Services have been actively involved in the monitoring, reporting and on-going implementation of strategies identified in the 2010-2013 Broome County Community Health Assessment. Lourdes provided an update to the Broome County NYS Health Departments, per NYSDOH requirements, in December 2014.
Our Lady of Lourdes Memorial Hospital	Part V, Section B, Line 6a: United Health Services Hospital
Our Lady of Lourdes Memorial Hospital	Part V, Section B, Line 11: (1) Falls Prevention: Continued implementation of the Otago Program; Educated Board of Directors, Board Strategic Planning Committee, and Lourdes Leadership on the health status issue. Continued to participate in community wide initiatives including Falls Prevention Awareness. Addressed falls risk through primary care, physical therapy and the emergency department. Identified a Lourdes Falls Prevention Team to formalize an integrated approach to falls prevention.(2) Obesity Prevention & Associated chronic diseases. Implemented Coordinated Outreach for Achieving Community Health (C.O.A.C.H.) for heart failure; planned implementation for 2014 for C.O.A.C.H. for COPD; Expanded continuum of care for bariatrics; expanded access to diabetes.(3) Mental Health & Substance Abuse. Expanded professional training and education; increased access.For All, Lourdes actively participated in the submission of two NYSDOH DSRIP grants (application and implementation grants) which address the health priorites of #'s 2 & 3 above. These grants were approved repectively for $1.5 M and $24M (over 5 years) to address the health status of those on Medicaid and the uninsured.
Our Lady of Lourdes Memorial Hospital	Part V, Section B, Line 13h: Our Lady of Lourdes Memorial Hospital, Inc. used the following additional criterias to determine eligibility for free discousnted care:- Medicaid/Medicare- State Regulations
Our Lady of Lourdes Memorial Hospital	Part V, Section B, Line 22d: Lourdes uses the following methodology in determining the amounts billed to individuals who do not have insurance covering medical costs: 100% discount is calculated on 200% of Federal Poverty Level, 75% discount is calculated on 300% Federal Poverty Level and 50% discount is calculated on 350% Federal Poverty Level.
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
Our Lady of Lourdes Memorial Hospital Part V, Section B, line 16a website:	www.lourdes.com
Our Lady of Lourdes Memorial Hospital Part V, Section B, line 16b website:	www.lourdes.com
Our Lady of Lourdes Memorial Hospital Part V, Section B, line 16c website:	www.lourdes.com

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	Hospice at Lourdes 4102 Old Vestal Road Vestal,NY13850	End of Life Care
2	Riverside Medical 161 Riverside Drive Suite 306 Binghamton,NY13905	Primary Care Office
3	Lourdes Family Practice 1130 Upper Front Street Binghamton,NY13901	Primary Care Office
4	Lourdes Pediatrics 161 Riverside Drive Suite 206 Binghamton,NY13905	Primary Care Office
5	Northern Tioga Center for Family Hlth 13293 Route 38 Richford,NY13835	Primary Care Office
6	Family Medicine 3101 Shippers Road Suite 203 Vestal,NY13850	Primary Care Office
7	Center for Family Health 303 Main Street Binghamton,NY13905	Primary Care Office
8	Internal Medicine 3101 Shippers Road Suite 202 Vestal,NY13850	Primary Care Office
9	Lourdes at Home 4102 Old Vestal Road Vestal,NY13850	Home Care
10	Primary Care Associates 276-280 Robinson Street Binghamton,NY13904	Primary Care Office
11	Primary Care Associates 415 East Main Street Endicott,NY13760	Primary Care Office
12	Lourdes Family Practice 39 East Main Street Hancock,NY13783	Primary Care Office
13	Lourdes Family Practice 500 5th Avenue Owego,NY13827	Primary Care Office
14	Lourdes Family Practice 2660 Main Street Whitney Point,NY13862	Primary Care Office

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Part I, Line 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 $10,521,051 in costs attributable to physician clinics as part of subsidized health services.
Part III, Line 3:	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 affect 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 4:	The provision for doubtful accounts 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 the 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 doubtful accounts 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 determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Hospital's policies.
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 III, Line 9b:	It is the policy of Lourdes Memorial Hospital, Inc. to pursue payments from patients/guarantors in an orderly and consistent fashion. Balances due from uninsured patients and balances due from patients after insurance adjudication will be pursued in a fair and orderly manner. Patient accounts with balances due after insurance adjudication and patient accounts for uninsured patients will be pursed using a variety of collection tools including direct mail, phone call and automated phone messaging. The first collection attempt will be in the form of an itemized statement detailing the charges, adjustments and balance due on accounts. Subsequent collection efforts will be accomplished using a combination of mailed statements, phone calls and automated phone messages. Active collection efforts outlined above will continue for at least 120 from the date of the first balance due statement. The 120 day collection cycle may not apply in some instances including: a. In cases where Lourdes is notified that the patient/guarantor has petitioned the bankruptcy court, Lourdes will suspend collection efforts and forward accounts affected by the court filing to outside legal council for monitoring and follow-up.b. In cases where the patient has expired Lourdes will forward accounts to outside legal council for follow-up with the estate court.c. In cases where the patient guarantor makes and fulfills acceptable monthly payment arrangements the 120 day collection cycle will be extended when necessary for the patient/guarantor to fulfill there payment obligation.At any point during the collection cycle patients/guarantors may apply for Lourdes Patient Financial Assistance Program. However, normal collection efforts outlined above will continue during the application process. At the end of the 120 collection cycle, patient accounts with balances due and no acceptable payment plans in place will be reviewed and written off the active accounts receivable and forwarded to bad debt collection agencies.
Part VI, Line 2:	Lourdes recognizes that Public Participation is an important aspect of the Community Health Needs Assessment. The Broome County Community Health Needs Assessment is the result of collaboration and the basis for the Public Health Priorities framing Lourdes' CHNA. Lourdes provides an update to the community on the implementation strategies in the CHNA annually in the Community Service Plan (CSP).This comprehensive plan reflects extensive communication and interaction with stakeholders from many sectors, to identify and prioritize 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 Needs Assessment and planning process of the local health department (Broome County). Outreach to health and human service organizations, consumers, community groups and facility advisory boards were accomplished in collaboration with the Broome County Health Department Community Health Assessment Steering Committee. This collective collaboration enabled the community to have more public participation in identifying community need than could have been accomplished independently by Lourdes. Additionally, Lourdes provided input to the Tioga County Health Department's Community Health Assessment through active participation on the Tioga County Community Health Needs Assessment Steering Committee. During 2014, Lourdes participated in the development of a comprehensive Community Health Needs Assessment as part of the NYS Delivery System Redesign Incentive Payment Program (DSRIP) planning grant. This extensive CHNA was for a ten county Sothern Tier Rural Integrated Performing Provider System (STRIPPS) region, which included Lourdes Primary Service Area of Broome County. The CHNA focused on the health issues of Medicaid Beneficiaries, the uninsured (low and non-utilizers). 2,011 persons participated in this CHNA, representing providers, beneficiaries, community based organizations, and the community at large. Ninety indepth interviews were conducted and 15 focus groups with 127 Medicaid beneficiares were held. Participants self-identified to participate in an on-going Panel which will continue to inform STRIPPS in the design of interventions (projects) to address Community Health status. This CHNA validated key health issues for the Medicaid and Uninsured population to be obesity prevention & associated cardiovascular chronic disease and mental health/substance abuse.To ensure that the CHNA is effective, Lourdes assesses the community's health care needs annually through several venues:- Broome County Community Health Assessment Steering Committee: Lourdes participates as a member of a multi-agency collaborative "Community Health Assessment Steering Committee". This over-sight committee meets or communicates monthly to assess community health status/needs and identify and monitor interventions. The Steering Committee, under the guidance of the local Health Department and the New York State Health Department, addresses public health issues and underlying causes / contributing factors to health status and chronic disease, and reviews current interventions and outcomes. Efforts to coordinate interventions and share best practices occur through these interactive meeting. Oversight and monitoring during 2014 also occurred through the design and development of the aforementioned DSRIP work.- Active participation on community committees, boards, and coalitions: Key partners that Lourdes works with to achieve the Community Public Health Priorities include but are not limited to the American Cancer Association, American Diabetes Association, American Heart Association, Broome County Health Department Community Health Needs Assessment (CHNA) Steering Committee, Broome County Health Department, local health departments in whose county Lourdes provides services, Action for Older Persons, Binghamton VA Outpatient Clinic, the Dr. Garrabed A. Fattal Community Free Clinic (Broome County based), Community Alternative Systems Agency (CASA), Communities Joined in Action, Department of Social Services, Mothers & Babies Perinatal Network of SCNY, Office of Mental Health, Rural Health Network of South Central New York, United Way, Binghamton University School of Nursing, and the Southern Tier Health Link.- Patient and provider satisfaction surveys/feedback- Lourdes Hospitals Patient and Family Advisory Council Community Focus Groups- New York State SPARCS data- New York State registries which provide prevalence and incidence rates of disease.
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, NY Medicaid or a Qualified Health Plan through NY state) and the Lourdes Patient Financial Assistance Program. The process varies based on patient type and location of service, an overview of the existing process is summarized as follows:Lourdes Emergency Room: Lourdes Financial Counselors are on-site within the ER, they meet with each ER patient after treatment and prior to discharge. The Financial Counselor reviews insurance coverage with each patient. For each uninsured patient we attempt to conduct a face to face eligibility interview. The eligibility interview takes 5 minutes to determine if the patient is eligible for a NY State healthcare program and/or Lourdes' Patient Financial Assistance Program. We also help patients complete applications for Lourdes Patient Financial Assistance Program and assist in enrolling into Medicaid or during open enrollment, a Qualified Health Plan. Lourdes Primary Care Network: Uninsured patients are called by the Financial Counselors and interviewed for eligibility. Based on results we provide assistance for NY program or Lourdes Patient Financial Assistance Program enrollment.All Other Patient Types: The Business Office runs a monthly extract to identify account balances due from self-pay patients that are over 30 days old which indicates possible financial hardship. The Business Office Financial Counselors attempt to contact these patients by phone to determine if financial assistance is needed. Where ever possible we conduct eligibility interview over the phone. Based on results we provide assistance for NY program or Lourdes Patient Financial Assistance Program enrollment. Appointments are made as needed for facilitated enrollment into Affordable Care Act Medicaid programs or Qualified Health Plans. Patient Education: Brochures on the Lourdes Patient Financial Assistance Program are available at all Lourdes patient care sites and on the Lourdes internet web site.
Part VI, Line 4:	Lourdes Hospital is based in Binghamton, New York. For community and local health planning purposes, Lourdes Community Health Needs Assessment (CHNA) addresses the needs of the residents of Broome County, as over 80% of those served by Lourdes reside in Broome County. This primary service area definition is consistent with physician needs assessment methodologies based on qualitative standards established by the Internal Revenue Service (IRS Final Revenue Ruling on Physician Recruitment: Revenue Rule 97-21. Source: Fall 2014 AmeriMed Consulting Medical Staff Development Plan for Our Lady of Lourdes Memorial Hospital, Executive Summary, page 1). A status report to the community is provided annual through Lourdes Community Service Plan (CSP).While Lourdes' CHNA and CSP address residents in Broome County, Lourdes extends its services and sphere of influence to the residents of Tioga, Delaware, and Chenango, New York, and to the residents of Susquehanna, Pennsylvania. Persons are served through Lourdes' comprehensive range of primary care (available in 10 locations within three counties), five walk-in clinics, Endocrinology & Diabetes Centers of Excellence, outpatient diagnostic services, outpatient physical therapy (4 locations), mobile van services (mammography & dental care), regional cancer center services, specialty care, acute care, home health care, durable medical equipment company, hospice care, youth behavioral health and development, oral health, occupational health services and worker's compensation preferred provider organization programs, as well as health education and outreach programs.
Part VI, Line 5:	1. Lourdes evaluates existing infrastructure and location of services to ensure the community health needs are met. Results of these evaluations have resulted in the following:- Bone density testing and podiatry services were expanded to the rural community of Hancock.- Lourdes Vestal: a project begun in 2012 was designed to bring many existing services together in one physical location, with the addition of some new services. The project was completed in CY 2014. The building and services were designed with the current and future health care needs of our patients and the community in mind, for persons of all ages. Our goal has always been to be true to our mission to create a positive patient and family experience, in a healing environment. The Lourdes Vestal services are convenient and accessible, are on bus routes; and will continue to provide safe, high quality care. Primary Care is provided by internal medicine and family practice providers from 4 existing Lourdes primary care practices. Not all of our existing sites have the same ancillary services, such as lab, x-ray, mammography, or physical therapy; hence colocation of these services will improve access for patients. Womens health services include screening and diagnostic mammography. Breast ultrasound and access to a Breast Surgeon on site was a new service begun in 2014. Occupational Health services was relocated from the hospital to Vestal to increase community access. - Other new services located at Lourdes Vestal were also, based on community need and include, (a) bone densitometry for the evaluation of fracture risk and osteoporosis for women and men. This service is also available at the hospital. (b) Community Room- which will offer education supportive of community health priorities identified in the CHNA; (c) A dermatology practice; (d)Walk-in services and (e) Retail Pharmacy. - Lourdes Pediatric Walk-in services were added in 2014 to increase appropriate access for pediatric patients needing evening appointments.2. Lourdes is considered a disproportionate share hospital for Medicaid purposes. Unique financial assistance programs that Lourdes offers or participates in include: Lourdes Patient Financial Assistance Program (PFAP), prompt pay program, Medicaider, Hope Dispensary, Lourdes Care Plus, Prenatal Care Assistance Program, Child Health Plus, Medicaid and Medicaid Managed Care.Lourdes increased the employment of financial counselors from 8 to 11 to assist uninsured persons in determining eligibility for health care coverage and have implemented an "out bound call" program. All financial counselors became Certified Applications Counselors.3. Lourdes participates in Health Prevention Initiatives through Breast, Cervical and Colorectal Cancer screening. Lourdes administers over $2.1 million annually in grant programs for at risk children and youth. Also active in promoting the health and well-being of the community are nearly 500 voluntary members of the medical staff and 15 volunteer community board members (which excludes senior leadership).Lourdes is active in medical staff development recruitment and succession planning. This year access to primary and specialty care was expanded through the hiring of seventeen providers. Throughout the year we continued to press forward to address access needs for childrens oral health, pharmaceuticals, and behavioral health services for youth. Lourdes Center for Mental Health (LCMH) served 850 clients in 2014. The Lourdes Student Assistance Program and Alcohol and Drug Education Prevention Team provided alcohol and drug abuse prevention services to 9,043 students and parents through a variety of evidenced based programs. SBIRT training (Screening, Brief Intervention and Referral to Treatment) was provided to Lourdes associates in the ED as part of our commitment to the treatment of substance abuse. 4. Volunteering - As a Lourdes Volunteer, you become an integral part of the hospital team. Volunteers' efforts benefit the hospital in continuing its commitment to excellence while providing them with the personal satisfaction of contributing to the welfare of those in need. Each year, hundreds of volunteers find fulfillment, practical work experience and companionship within Lourdes. There are volunteer opportunities for Adults and Juniors. Volunteers provide many of the services that improve the quality of patient stays and support medical and administrative staff at Lourdes. The following are some, but not all, of the opportunities volunteers can take part in:Lourdes Auxiliary Gift Shop & Cafe DePaul: Two to four hour assignments in the Gift Shop (gift suggestions/register) and Cafe DePaul (food preparation/serving). All proceeds from the Gift Shop & Cafe DePaul benefit Lourdes patients. Patient Care: Areas where volunteers provide hospitality and conversation while assisting the staff with general tasks - Emergency Room - Physical Therapy - Occupational Therapy - Speech Therapy - Ambulatory Surgery - Breast Care Center - Spiritual Care (Eucharistic Minister) - Patient Floors - Primary Care Facilities - Laser/Eye Center or Holding Area - Patient Reading Program - Diagnostic Imaging - Diabetic Education Clerical Areas: Volunteers assist the staff with clerical duties which may include photocopying, filing, faxing, telephones, collating, data entry and typing in the following departments - Administration - Business Office- Pharmacy - Medical Staff Office - Nursing Education- Facilities Management- Public Relations - Human Resources - Purchasing Department - Volunteer Services - Physician Offices - Pre-Admission Testing - Patient Floor Clerical - Library - Diabetes Education - Information Systems - Laser/Eye Unit Lourdes Physician Practices: A wide variety of volunteer opportunities are available in many different departments throughout the hospital and at the Primary Care sites - Blood Pressure Screening - Pharmacy Deliveries - Admit/Registration Escorting - Sterile Processing Department - Laboratory - Food & Nutrition (Dietary) - Information Desk - Flower Room - Laundry Services - Information Systems
Part VI, Line 6:	Our Lady of Lourdes Memorial Hospital, Inc. and Affiliates (the Hospital) is a member of Ascension Health. Ascension Health Alliance, doing business as Ascension, is the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension serves as the member or shareholder of various other subsidiaries. Ascension, its subsidiaries, and Health Ministries are referred collectively from time to time hereafter as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province-American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi-US/Caribbean Province.The Hospital, located in Binghamton, New York, is a nonprofit acute care hospital. The Hospital provides inpatient, outpatient and emergency care services for the residents of Broome County and the surrounding communities. Admitting physicians are primarily practitioners in the local area. Also included in the consolidated financial statements are Corbett Corporation (Corbett), a for-profit, wholly owned subsidiary of the Hospital formed to construct and renovate buildings in the Hospital's proximity, and Lourdes Realty, Inc. (Realty), a nonprofit real estate company formed to acquire and renovate office space in the Hospital's proximity. The Hospital is the sole corporate member of Realty. The Hospital is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.MissionThe System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources used for the care of persons living in poverty and community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.- Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.- Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.- Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty, including health promotion and education, health clinics and screenings. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care to persons living in poverty and other community benefit programs. The cost of providing care of persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of total operating expenses to billed charges for patient care.The amount of traditional charity care provided, determined on the basis of cost, was approximately $4,416 thousand and $6,147 thousand for the years ended December 31, 2014 and 2013.
Part VI, Line 7, Reports Filed With States	NY
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.	COMMUNITY SERVICE REPORTFISCAL YEAR END DECEMBER 31, 2014Thank you for the warm welcome many have provided me upon my return to the Binghamton area. Many have asked why I chose to come back to Binghamton and to Lourdes. The answer is easy, I feel like I was called back to this special ministry and to my hometown. Lourdes has always held a special place in my heart and is a community we are privileged to serve. Providing community benefit is an important part of our Mission. It represents a vital link to our community & neighbors. Our strength is in our history and Mission. Over the past year, Lourdes continued to work diligently to serve our community and deliver the Mission bestowed upon us90 years ago. As a leading health care provider, each year we provide millions of dollars in charity care & health education programs to our community. Lourdes is pleased to report to the community the services provided during 2014 which address the Community's Health Status and Health Priorities. Lourdes is working with community agencies to address community health status around obesity prevention and the associated chronic diseases, falls prevention among the elderly and mental health and substance abuse. We continue to take seriously our stewardship to provide access and coverage to quality health care services. In order to assist our community to prepare for the future, we increased the number of our financial counselors from eight to eleven, and ensured that all became Certified Applications Counselors. In this capacity they were able to help 425 residents enroll in coverage options available through the Affordable Care Act; and 4,275 persons enroll in Lourdes' Patient Financial Assistance Program. The Dispensary of Hope, served 7% more people who would not have been able to receive prescriptions, providing over $1.57 million in pharmaceuticals. 19% of the prescriptions dispensed tie to a community health status priority. In addition, Lourdes provided over $3.4 million in uncompensated chemotherapy drugs to 240 people.This year access to primary and specialty care was expanded through the hiring or recruiting to the community twenty-five providers, of which all are critical to addressing community health priorities. We took many steps during this past year to address the mental health crisis in our community by receiving approval to expand mental health services to adults, hiring additional mental health providers, and providing suicide intervention skills training for caregivers. In 2015 we anticipate doubling our capacity to provide oral health to meet the on-going needs of low income patients as well as to increase access to endodontic services. Beyond the walls of Lourdes, our associates extended our ministry into the community by serving on community boards, participating in community awareness events, providing supplies to elementary schools, participating in food drives, to over 650 families. I express my heart felt gratitude to them for living our Mission.Earlier this year, New York Governor Andrew Cuomo announced a program to reinvest $8 billion in federal savings generated by Medicaid redesign reforms. The program, Delivery System Reform Incentive Payment (DSRIP), promotes community-level partnerships in New York State and provides financial support to health care providers to implement programs to better meet the needs of their communities and address community health status priorities. This past year, Lourdes, along with more than 150 partner organizations including UHS, Guthrie Corning Hospital, Cayuga Medical Center, Cortland Regional Medical Center, and Schuyler Hospital worked together as a New York State "Performing Provider System". The partner organizations also include nursing homes, behavioral health and substance abuse programs, social service agencies and similar entities. The ten county area that comprises this Performing Provider System (Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Schuyler, Stueben, Tioga and Tompkins) is a particularly challenging geographic area in which to deliver healthcare services because of the predominantly rural nature of the region and its limited public transportation network. Lourdes associates are thrilled to participate in transformative work to manage our community's health. We look forward to continuing to partner with the community as we fulfill our call to improve community health status by providing Health Care that Works, Health Care that is Safe, and Health Care that leaves No One Behind.Our relationships inspire us and make our community a stronger, healthier place to live. We invite you to continue to participate in furthering the healing ministry to which we've been called. Kathryn ConnertonPresident/CEOPRIORITIES FOR THE YEARDuring 2014, Lourdes collaborated with community agencies under the direction of the New York State Health Department and County Health Departments to identify and address public health priorities during 2014-2017. This report to the Community demonstrates how Lourdes has continued to work over the last year to help the Greater Binghamton community in the following community health priority areas:Community Health Priorities- Falls Prevention with a focus on helping the elderly- Access to mental health and substance abuse- Obesity prevention and preventing and managing associated chronic diseases with a focus on diabetes and reducing hospitalizations due to heart failure. In addition to these community health priorities, Lourdes remains committed to addressing community needs in the areas of Access to Health Care by increasing access to health care coverage and prescription drug medication, Cardiovascular Disease, and Maternal/Child/Adolescent Health. Community and professional outreach and education initiatives were designed to address health priorities.COMMITMENT TO COMMUNITY HEALTH STATUSACCESS TO HEALTH CAREIncreased Health Care Coverage- Lourdes made a significant investment in helping to provide healthcare access and coverage to help the uninsured. Lourdes increased the complement of financial counselors from 8 to 11 during the year. All of the counselors completed Certified Application Counselor training and are certified by the New York State Department of Health. In this capacity counselors are assisting patients with enrollment in Affordable Care Act (ACA) plans, NYS Medicaid and the Lourdes Patient Financial Assistance program. The number of persons who are enrolled in the Lourdes Patient Financial Assistance Program was over 4,700. In April 2014, Lourdes financial counselors began enrolling patients in Medicaid /Qualified Health Plans. The financial counselors interacted with over 700 persons. Of these residents, 425 people or 86.6% were enrolled in either Medicaid or a Qualified Health Plan. To increase access to insurance screening & enrollment, counselors are in 5 locations throughout the community.- Lourdes annual Diversity Fair focused on "The Diverse World of Mental Illness". The intent around the fair was to increase awareness of the numerous forms of addiction that are rampant in our society and ways in which people can be helped. Increased Access to Primary Care, Prevention and Specialty Services.- Lourdes assisted the community in ensuring access to primary and specialty care by employing twenty-one providers specializing in primary care, endocrinology, and vascular disease. Additionally Lourdes assisted with the recruitment of specialties to the Broome County community to promote access to various specialists, including cardiology. All of the providers recruited are important to addressing the community's health priorities.- The Lourdes Student Assistance Program (SAP) and Alcohol and Drug Education Prevention Team (ADEPT) served 893 Lourdes associates and local community members on topics including Current Drug Trends, Adolescent Brain Development, Heroin and Prescription Drug, Gambling and Opioid Overdose Prevention.- Mobile Mammography. The Mission in Motion mobile mammography van added nine new locations during 2014, for a total of 64 locations served. Of these locations, 22 are rural locations, where residents do not have ready access to public transportation to travel to receive breast cancer screening services. Additionally, the van traveled to the Greene Apple Fest and the Broome County Fair in Whitney Point, serving residents where they live, work, and play.- Palliative Care and Hospice. Lourdes provides the area's only palliative care services, and is the only hospice provider for Broome and Tioga county residents. Lourdes Hospice provided 20,000 visits to Broome and Tioga County residents.Increased access to behavioral & mental health, substance abuse, and Maternal, Child and Adolescent Health- Lourdes Center for Mental Health expanded their existing children's clinic license to include adults. This fills a significant gap in services for mental health for the Medicaid and uninsured populations in our commu
- Diabetes Education. Forty-five providers participated in a professional	teaching day, "Current trends in Diabetes Management". Increased educational focus throughout the year was on: the identification and treatment of diabetic ketoacidosis and gestational diabetes, and using A1C as the definitive test for diagnosis. Pre-diabetes education continues to be available at the Lourdes Diabetes Center. - Fit and Fun Meals provided at the Lourdes' All Spice Caf contain a moderate amount of fat, cholesterol, and sodium. Fit meals include a delicious variety of entrees and sides. An ActionStation, added in 2014, offers a variety of fresh ingredients, from which to choose, and is made fresh while people wait. Superfood of the Month nutritional benefits and recipes is featured in the cafeteria and on the Lourdes Facebook page.- Newborn and Pediatric health. Supporting a healthy start for newborns, patients are encouraged to breast feed, as evidenced by an 80.5% breastfeeding initiation rate. Lourdes is a NYS Department of Health "New Beginnings Hospital", and provides lactation and nutritional consultations.CANCER PREVENTION- Lourdes Regional Cancer Center provided outreach and education information for breast, cervical, colorectal, and prostate cancer through the Cancer Services Program, community health fairs and events, and support groups. Associates continued a strong presence and participation in the Relay for Life and Making Strides Against Breast Cancer as other ways to increase overall awareness and fundraising around Cancer. Initiatives taken by Lourdes to achieve the NYS Department of Health prevention agenda items to increase access to cancer prevention services included: achievement of National Accreditation Program for Breast Centers (NAPBC) for the Mobile Mammography program and the Lourdes Breast Center; providing 1,435 mammograms to rural populations across 64 locations, of which 9 were new. Receiving NAPBC accreditation demonstrates a firm commitment by Lourdes to offer patients every significant advantage in their battle against breast disease. As an NAPBC accredited center, Lourdes commits to ensure patients will have access to comprehensive care, a multi-disciplinary team approach to coordinate the best treatment options, and information about on-going clinical trials and new treatment options close to home.- The American College of Radiation Oncology recognized the Radiation Oncology Department for their overall excellence, including community participation, with the awarding of a three year accreditation. The annual report to the community showed outcome information in Colon Cancer exceeding state and regional standards.- Lourdes completed its 8th year of CAMP HOPE for KIDS to help children learn to cope with their loss of a loved one to cancer. The camp was created by Lourdes Hospice and Broome Oncology in 2007.FALLS PREVENTIONThe need to prevent falls in the community is evident by over 3,700 persons visiting Lourdes walk-in's or emergency room upon experiencing a fall. Ways in which Lourdes helps to prevent falls include: - Lourdes at Home has nearly doubled its therapy staff over the last year to help meet the growing needs of the community. Fall prevention education along with specific strengthening and balance activities have been incorporated in nearly all ambulatory patients visits to help decrease falls. Lourdes provided 46,897 home health visits in 2014 with 2,306 client admissions. The OTAGO program, endorsed by the Centers of Disease Control, is an initiative which started last year to help prevent falls by progressing patients through an evidence based protocol and portions of this program have been successfully incorporated as a best practice within home health. The department also participated in Broome County's 1st "NationalFall Prevention Awareness Day" providing information to the community at the Oakdale Mall.- Physical Therapy. Lourdes Physical Therapy provides comprehensive evaluation and treatment of balance and vestibular disorders. Highly trained staff are skilled at helping people prevent falls. Persons who may benefit from balance or vestibular treatment are those who experience balance deficits due to generalized weakness, light headedness, vertigo (spinning sensation) with or without nausea, difficulty walking in visually busy environments or on uneven surfaces, post joint replacement, post fracture or sprains, post stroke, neurologic diagnoses such as multiple sclerosis or Parkinson's disease, malnutrition, and medication side-effects. Vestibular Therapy is offered at all 4 outpatient locations in Binghamton, Endwell, and Vestal. Joint Academy patients are encouraged to attend Lourdes' Pre-op Education class where patients and family members learn about safety in the home including proper use of assistive devices and simple modifications of the home setting such as installing railings, widening pathways, and removing throw rugs.- Primary Care. Falls prevention screenings are performed as part of the Medicare primary care wellness visits and on patients identified by their provider to be at risk for a fall. - Retail Pharmacy & Medication Management. Pharmacists discuss falls prevention with patients as part of their visit to the pharmacy. Whether filling a new prescription that has a fall risk to it or refilling other prescriptions, our pharmacists are aware of falls risk criteria and utilize that while communicating to patients about their prescription use. Lourdes pharmacists participated in providing education on medications at community falls balance clinics to 54 persons.- Occupational Health. Lourdes focuses on creating a safe work environment to prevent associate injury due to slips, trips and falls. In 2014, Lourdes engaged a safety consultant to assess worksite safety for associates and patients. On-going communication and guidance is provided through Occupational health services to Lourdes and area businesses on appropriate footware and body mechanics.COMMITMENT TO HEALTH CARE THAT IS SAFELourdes 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. Lourdes' commitment to improving community health status around stroke care is evidenced by maintaining its New York State Health Department Stroke Center designation. Lourdes has maintained its Gold Plus award from Get With the Guidelines for exceptional care in the management of patients that present to Lourdes with symptoms of stroke. The award recognizes efficient processes, evidence based care through a multidisciplinary team approach and quality outcomes.- Lourdes Regional Cancer Center. Lourdes participates in the rapid quality reporting system (RQRS) through the Commission on Cancer in an effort to improve the quality of care to our patients through early reporting on certain quality metrics Identified by the Commission on Cancer. Lourdes is a recipient of the Commission on Cancer Outstanding Achievement Award and is an NAPBC Accredited Breast Center.- Community Education: Lourdes believes that one of the hallmarks of Health Care that is safe is to provide a variety of education programs for our community, including cancer, diabetes, issues of aging, and women's health to name a few. There were over 2,350 community residents that took part in the various offerings in 2014.- Patient and Associate Safety: Lourdes adheres to a Universal Influenza Vaccination annually to provide for the safety of all those in our care.- Occupational Health. At Lourdes, we believe that examples of healthy lifestyles should start at "home". In 2015, Lourdes associates will be given the opportunity to participate in a Health Risk Assessment appraisal and education that will help associates to successfully engage in managing obesity, diabetes, heart disease and falls prevention. As we experience success in healthy life styles we will share our successes with the community. Associates participate in an annual fitness challenge to exercise three times per week for 30 minutes. In 2014 Lourdes created internal and external walking trails.
ACCESS TO HEALTHCARE	Pharmaceutical Access - 2,064 persons receiving over 2,613 prescriptions- Hope Dispensary - $430,436 value- Pharmacy Assistance Program (PAP) - 1,048 prescriptions, $1,143,745 value- Chemotherapy - 240 persons, $3,412,525 valuePatient Financial Assistance Program - 7,300 enrolled, 16% increase from previous yearDiscounted self-pay accounts - 12,412 persons servedFacilitated Healthcare Coverage Enrollment - 2,341 screened with 96% enrolled in a health coverage programLECCO - Total donations:- 9 Community Agencies which assist with access to services and to persons in need - $41,000Mobile Mammography - 1,435 persons servedPhysician Referral Services/Call Center - 3,200 persons servedBEHAVIORAL/MENTAL HEALTH- Lourdes Center for Mental Health - 19,195 visits and over 850 clients- Mental Health Juvenile Justice Project (MHJJ) - 64 clients served- Detention Alternative After School Program (DAASP) - 37 served- Student Assistance Program and Alcohol & Drug Education Prevention Team - 6,439 persons served; 2,871 units of serviceFAIRLY & ELDERLY- Hospice - 32,684 days of care- Volunteers - 112 volunteers; 7,475 volunteer hours; drover over 37,000 miles to assist patients and families- Palliative Care - 2,481 consultations and visitsMATERNAL/CHILD/ADOLESCENT HEALTHDeMarillac Prenatal Program - 5,294 visitsDePaul Pediatric Program - 10,193 visitsCenter for Oral Health - 4,492 patients and 13,791 visits- Mobile Dental Van - 560 patients and 1,199 visits- Sealant Program - 412 patients and 429 visits- School Based Sites - 17 sitedCommunity Outreach and Oral Health Education - 2,614 persons at 23 community eventsParents And Children Together (PACT) - 341 families and 4,589 home visits
MISSION IN ACTION (COMMUNITY OUTREACH)	- School Supply, Holiday Programs, Thanksgiving and other services - 650 families served- Community Awareness Events: Donations raised by Lourdes Associates (American Heart Association, American Cancer Society, Diabetes Walk, March of Dimes, Rescue Mission and other events - over $51,500 in donations- Falls Prevention: - Home Health Falls Risk Assessments - over 2,300 patients; 9,600 PT visits - Persons treated due to a fall - under 65: 2,544 persons served; over 65: 1,627 persons served- Obesity Prevention: - Bariatric Services - over 100 surgeries; 400 nutritional consults - Primary Care Services - BMI - 68% age 3-17; 24% age 18-64; 51% age 65+ - Newly Diagnose diabetics - 2,926 persons served - Diabetic & Pre-diabetic Screenings - 11,532 persons servedPREVENTING & MANAGING CHRONIC DISEASE- Cancer - Breast Cancer Screening - 28,908 screenings; 1,435 Mobile Mammography - Radiation Therapy - 5,921 treatments- Diabetes - Community Education, support groups - 2,350 persons served - Endocrinology - 12,408 visits- Cardiovascular Disease - Community Screenings - 266 persons served - T-Time Classes - 72 persons served - Annual Cholesterol Screenings - 896 persons served- Infectious Disease/Pneumonia - Influenza Vaccines - 12,630 persons served; over 3,000 healthcare workers- Home Health - nearly 45,586 visits- Women's Health - "Spirit of Women" outreach, over 300 attendedCHARITY CARE- Free Care - $6,277,173- Community Benefit Programs - $17,564,046Total Charity Care - $23,841,219Bad Debt - $14,070,024Medicaid Shortfall - $4,748,569Medicare Shortfall - $14,452,882

Schedule H (Form 990) 2014

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1David PatakPresident/CEO	(i) (ii)	363,632 ............................... 0	599,840 ............................... 0	63,403 ............................... 0	7,800 ............................... 0	16,935 ............................... 0	1,051,610 ............................... 0	37,900 ............................... 0
2James Steinmetz MDBoard Member	(i) (ii)	381,896 ............................... 0	0 ............................... 0	19,342 ............................... 0	7,800 ............................... 0	22,352 ............................... 0	431,390 ............................... 0	0 ............................... 0
3Gregg HaytonVP Finance/CFO	(i) (ii)	259,710 ............................... 0	38,660 ............................... 0	39,192 ............................... 0	7,800 ............................... 0	3,255 ............................... 0	348,617 ............................... 0	16,216 ............................... 0
4Linda MillerSr. VP Operations/CNO	(i) (ii)	221,134 ............................... 0	33,574 ............................... 0	33,957 ............................... 0	5,500 ............................... 0	22,701 ............................... 0	316,866 ............................... 0	11,974 ............................... 0
5Lisa Harris MDVP, Medical Affairs/CMO	(i) (ii)	282,775 ............................... 0	29,633 ............................... 0	21,301 ............................... 0	5,848 ............................... 0	11,294 ............................... 0	350,851 ............................... 0	18,308 ............................... 0
6John Miller MDPhysician	(i) (ii)	429,454 ............................... 0	0 ............................... 0	20,410 ............................... 0	7,800 ............................... 0	3,537 ............................... 0	461,201 ............................... 0	0 ............................... 0
7Michael Barrett MDPhysician	(i) (ii)	445,288 ............................... 0	75,025 ............................... 0	1,107 ............................... 0	7,800 ............................... 0	21,188 ............................... 0	550,408 ............................... 0	0 ............................... 0
8Todd Prier MDPhysician	(i) (ii)	352,744 ............................... 0	45,788 ............................... 0	370 ............................... 0	7,800 ............................... 0	20,970 ............................... 0	427,672 ............................... 0	0 ............................... 0
9Natalie Roney MDPhysician	(i) (ii)	393,998 ............................... 0	0 ............................... 0	378 ............................... 0	7,145 ............................... 0	20,650 ............................... 0	422,171 ............................... 0	0 ............................... 0
10Rachel Garner MDPhysician	(i) (ii)	348,438 ............................... 0	0 ............................... 0	17,807 ............................... 0	7,800 ............................... 0	20,507 ............................... 0	394,552 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

Part I, Line 1a

Lourdes maintains a membership in a local social club in the name of the CEO for business purposes only for the benefit of Lourdes.

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 F in the year paid. 457(f) Payments Made: - David Patak = $37,900 - Greg Hayton = $16,216 - Lisa Harris = $18,308 - Linda Miller = $11,974

Schedule J (Form 990) 2014

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

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

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






Total ...... $

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

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) Akel-Lane Robinson Develop	Dir of Org - A family member of a director of the Hospital	418,373	Rental		No
(2) Riverside Associates in Anesthesia	Dir of Org - A director of the Hospital is an owner	2,068,100	Services		No

Part V

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

Return Reference	Explanation
Schedule L, Part IV:	Sehedule L, Part IV:All transactions reported on Part IV are reported as arms-length for fair market value.

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Our Lady of Lourdes Memorial Hospital Inc

Employer identification number

15-0532221

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Lourdes entity boards.
Form 990, Part VI, Section A, line 6	Our Lady of Lourdes Memorial Hospital, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7a	Our Lady of Lourdes Memorial Hospital, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Our Lady of Lourdes Memorial Hospital, Inc.
Form 990, Part VI, Section A, line 7b	Ascension Health has designed a System Authority 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 will decide if conflict 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 individuals at 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 compensation, 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.
Form 990, Part XI, line 9:	Pension Liability Adjustment/Debt Upsizing Adjustment -2,868,773. Transfer to Affiliates -10,000. Money Received for Capital Projects 445,562. Change in Interest in Lourdes Hospital Foundation, Inc. 941,670. Book to Tax Adjustment for K-1 income -54,289.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health Alliance PO Box 45998 St Louis,MO631455998 45-3358926	National Health System	MI	501(c)(3)	Schedule A, Line 11a	N/A		No
(2) Ascension Health PO Box 45998 St Louis,MO63145 31-1662309	National Health System	MO	501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance		No
(3) Lourdes Realty Corporation Inc 169 Riverside Drive Binghamton,NY13905 22-2873637	Rental of Health Care Facilities	NY	501(c)(2)	N/A	Our Lady of Lourdes Memorial Hospital Inc	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Lourdes Health Support LLC 333 Butternut Drive Suite 100 Dewitt,NY13214 16-1611707	Medical Equipment Provider	NY	Our Lady of Lourdes Memorial Hospital Inc	Investment excluded	203,093	919,504		No	60,928		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	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Corbett Corporation 169 Riverside Drive Binghamton,NY13905 16-1268267	Property Management	NY	Our Lady of Lourdes Memorial Hospital Inc	C	7,345	360,456	100.000 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

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

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

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

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

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

Yes

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

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Lourdes Realty Corporation Inc	J	522,301	FMV
(2) Lourdes Realty Corporation Inc	K	677,865	FMV
(3) Corbett Corporation	K	128,980	FMV
(4) Lourdes Realty Corporation Inc	Q	211,667	FMV
(5) Corbett Corporation	Q	121,560	FMV
(6) Ascension Health	S	6,519,892	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

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	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,590
6	Total number of volunteers (estimate if necessary) .............	6	311
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,975,575
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,212,727

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,409,117	2,288,804
9	Program service revenue (Part VIII, line 2g) .........	268,606,098	288,038,044
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,298,488	6,515,147
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,882,728	10,580,326
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	294,196,431	307,422,321
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)	146,123,591	151,522,388
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	127,067,513	135,137,601
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	273,191,104	286,659,989
19	Revenue less expenses. Subtract line 18 from line 12.......	21,005,327	20,762,332
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	365,683,340	376,692,483
21	Total liabilities (Part X, line 26).............	118,161,929	111,309,500
22	Net assets or fund balances. Subtract line 21 from line 20.....	247,521,411	265,382,983

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 85,964,375 including grants of $ ) (Revenue $ 106,187,000 )
	Our Lady of Lourdes Memorial Hospital, Inc. (Lourdes) provides a substantial portion of its services to the elderly and poor. During the year ended 12/31/2014, approximately 53.46% of the value of services rendered were to elderly patients under the Medicare program. In the spirit of principles adopted by Ascension Health, Lourdes has taken proactive steps to address those issues that will affect accessibility, financing, and delivery of healthcare to all persons, especially the uninsured, the underinsured and the underserved. During the year ended 12/31/14, the estimated unreimbursed cost of services provided to the elderly, uninsured and underinsured totaled $29,440,000 including $4,416,000 cost for charity care, $2,744,000 in bad debts attributable to the uninsured, $6,351,000 in programs for the poor, $11,180,000 in services to the general community and $4,749,000 in unpaid cost of public programs. These amounts vary from Schedule H due to different methods of calculation.

4b	(Code: ) (Expenses $ 147,018,922 including grants of $ ) (Revenue $ 181,685,483 )
	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 2014 Lourdes treated 9,839 inpatient adults and children in the community for a total of 42,386 patient days of service. Lourdes also provided services to 1,419,272 outpatients including 16,300 outpatient surgeries, 42,123 emergency room visits and 4,453 clinic visits.

4c	(Code: ) (Expenses $ 361,911 including grants of $ ) (Revenue $ 361,911 )
	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 expenses233,345,208

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(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) James Steinmetz MD........................................................................ Board Member	1.00 .......................1.00	X				401,238	0	30,152
(19) Stephen VanNostrand........................................................................ Board Member (Start 9/14)	1.00 .......................1.00	X				0	0	0
(20) Gregg Hayton........................................................................ VP Finance/CFO	50.00 .......................2.00		X			337,562	0	11,055
(21) Linda Miller........................................................................ Sr. VP Operations/CNO	50.00 .......................0.00			X		288,665	0	28,201
(22) Lisa Harris MD........................................................................ VP, Medical Affairs/CMO	50.00 .......................0.00			X		333,709	0	17,142
(23) John Miller MD........................................................................ Physician	50.00 .......................0.00				X	449,864	0	11,337
(24) Michael Barrett MD........................................................................ Physician	50.00 .......................0.00				X	521,420	0	28,988
(25) Todd Prier MD........................................................................ Physician	50.00 .......................0.00				X	398,902	0	28,770
(26) Natalie Roney MD........................................................................ Physician	50.00 .......................0.00				X	394,376	0	27,795
(27) Rachel Garner MD........................................................................ Physician	50.00 .......................0.00				X	366,245	0	28,307

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,518,856	0	236,482

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		46,155
e	Government grants (contributions)1e		1,988,362

f	All other contributions, gifts, grants, and similar amounts not included above1f		254,287

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,288,804
			Business Code
2a	Net Patient Services		621400	287,676,133	287,676,133
b	Rehab/Fitness		621400	158,667	158,667
c	Long-Term Home Health		621400	141,152	141,152
d	Consulting		621400	41,123	41,123
e
f	All other program service revenue .			20,969	20,969
g	Total. Add lines 2a–2f........			288,038,044
3	Investment income (including dividends, interest, and other similar amounts).......			279,669		70,800	208,869
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,144,601
b	Less: rental expenses	14,407
c	Rental income or (loss)	1,130,194
d	Net rental income or (loss).......			1,130,194			1,130,194
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	6,231,432	4,046
b	Less: cost or other basis and sales expenses	0	0
c	Gain or (loss)	6,231,432	4,046
d	Net gain or (loss)..........			6,235,478			6,235,478
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		283,456
b	Less: cost of goods sold ..b		169,930
c	Net income or (loss) from sales of inventory..			113,526			113,526
Miscellaneous Revenue			Business Code
11a	Pharmacy		446110	5,247,596		5,247,596
b	ARRA Funds		900099	1,279,897			1,279,897
c	Child Care Center Rev.		624410	642,246		642,246
d	All other revenue ....			2,166,867	196,350	14,933	1,955,584
e	Total. Add lines 11a–11d ......			9,336,606
12	Total revenue. See Instructions......			307,422,321	288,234,394	5,975,575	10,923,548


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,439,707	1	1,180,747
2	Savings and temporary cash investments .........			2,383,419	2
3	Pledges and grants receivable, net ...........			190,275	3	535,890
4	Accounts receivable, net .............			31,230,745	4	34,367,772
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			112,219	7	76,430
8	Inventories for sale or use ..............			3,733,786	8	4,364,443
9	Prepaid expenses and deferred charges ..........			3,566,171	9	2,925,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	243,513,500
b	Less: accumulated depreciation .....	10b	152,037,100	87,416,279	10c	91,476,400
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 ...........			234,610,739	15	241,764,991
16	Total assets. Add lines 1 through 15 (must equal line 34)......			365,683,340	16	376,692,483
17	Accounts payable and accrued expenses .........			26,406,055	17	30,024,299
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	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			91,755,874	25	81,285,201
26	Total liabilities. Add lines 17 through 25.........			118,161,929	26	111,309,500
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			223,419,587	27	240,303,927
28	Temporarily restricted net assets ...........			11,486,959	28	12,464,191
29	Permanently restricted net assets ...........			12,614,865	29	12,614,865
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			247,521,411	33	265,382,983
34	Total liabilities and net assets/fund balances ........			365,683,340	34	376,692,483