2023-11-13T15:51:05-06:00 2022-12-31 366055558 GRANT THORNTON LLP 2001 MARKET ST STE 700 PHILADELPHIA PA 19103 990EZ 2022-01-01 222568525 LOURDES ANCILLARY SERVICES LOUR 8563550620 406 LIPPINCOTT DR J MARLTON NJ 08053 DENNIS W PULLIN PRESIDENT/CEO 8563550040 2023-11-13 0 DENNIS PULLIN 999009999 0 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X WWW.VIRTUA.ORG X X 0 0 0 0 0 0 0 0 0 0 0 0 0 X WE ARE DEDICATED TO SUPPORTING OUR RELATED ENTITIES, SO EACH CAN PROVIDE PATIENTS AND THEIR FAMILIES WITH AN OUTSTANDING EXPERIENCE, AND TO ENSURE THE HIGHEST QUALITY HEALTHCARE FOR THE COMMUNITY. WE ARE COMMITTED TO SUPPORT OUR HEALTHCARE TEAM WITH RESOURCES. AS OF DECEMBER 2019, LOURDES ANCILLARY SERVICES HAS CEASED OPERATIONS AND ALL ACTIVITIES HAVE BEEN ABSORBED BY RELATED ENTITIES. LOURDES ANCILLARY SERVICES PROVIDED AUXILIARY AND OTHER SERVICES, PRINCIPALLY TO RELATED HEALTH CARE ORGANIZATIONS WITHIN VIRTUA. AS OF DECEMBER 2019, LOURDES ANCILLARY SERVICES HAS CEASED OPERATIONS AND ALL ACTIVITIES HAVE BEEN ABSORBED BY RELATED ENTITIES. THEREFORE THE 2022 REVENUE, EXPENSES, AND ASSETS ARE $0. 0 0 0 X DENNIS W PULLIN PRESIDENT/CEO 0.10 0 0 0 ROBERT M SEGIN CORPORATE TREASURER 0.10 0 0 0 LAUREN ROWINSKI SECRETARY 0.10 0 0 0 EDWARD CLOUES CHAIRMAN 0.10 0 0 0 JAMES DWYER DO VICE CHAIR 0.10 0 0 0 PATRICIA CODEY TRUSTEE 0.10 0 0 0 ELAINE DAMM TRUSTEE 0.10 0 0 0 LESLIE DONATO TRUSTEE (START 5/11/22) 0.10 0 0 0 GRAYLING JOHNSON TRUSTEE 0.10 0 0 0 SANIAH JOHNSON TRUSTEE 0.10 0 0 0 PRATAP KHEDKAR TRUSTEE 0.10 0 0 0 DAVID KINDLICK TRUSTEE 0.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NJ ROBERT M SEGIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 8563550620 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 1 VIRTUA OUR LADY OF LOURDES HOSPITAL 210635001 3 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 2 THE SUPPORTED ORGANIZATION LISTED IN PART I, LINE 12 DOES NOT HAVE AN IRS DETERMINATION STATUS UNDER SECTION 509(A)(1); IT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AS A HOSPITAL OR A RELATED FOUNDATION. IT HAS BEEN DETERMINED THAT THE SUPPORTED ORGANIZATION IS A PUBLIC CHARITY AS DESCRIBED IN SECTION 509(A)(1) BECAUSE IT IS A HOSPITAL AS DESCRIBED UNDER SECTION 170(B). THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER IS OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. EIN 22-2568528. EFFECTIVE JULY 1, 2019, MAXIS HEALTH SYSTEM EIN 91-1940902 TRANSFERRED ITS ENTIRE MEMBERSHIP INTEREST IN OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. TO VIRTUA HEALTH, INC. EIN 22-3524939, A NEW JERSEY NONPROFIT CORPORATION AND IRC SECTION 501(C)(3)/ 509(A)(3) TYPE 1 SUPPORTING ORGANIZATION. VIRTUA HEALTH, INC. BECAME THE SOLE CORPORATE MEMBER OF PARENT COMPANY OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. VIRTUA HEALTH, INC. IS PLANNING TO REVIEW AND UPDATE THE ORGANIZATION'S GOVERNING DOCUMENTS AS NECESSARY. PART IV, SECTION A, LINE 1: BOTH LOURDES ANCILLARY SERVICES AND ITS SUPPORTED ORGANIZATION IS CONTROLLED BY OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. OUR LADY OF LOURDES HEALTH CARE SERVICES HAS THE POWER TO APPOINT OR ELECT A MAJORITY OF THE BOARDS OF BOTH LOURDES ANCILLARY SERVICES AND ITS SUPPORTED ORGANIZATION, SUBJECT TO ANY APPROVAL REQUIRED BY VIRTUA HEALTH, INC. WHICH IS THE SOLE MEMBER OF OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. PART IV, SECTION A, LINE 1: BEFORE CEASING OPERATIONS IN 2019, LAS PROVIDED AUXILIARY SERVICES TO ITS SUPPORTED ORGANIZATIONS. FORM 990-EZ, PART IV ONE OR MORE OF THE OFFICERS AND TRUSTEES IN THE FILING ORGANIZATION'S PART IV HAD TRANSACTIONS RELATED TO THE "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD) PROGRAM OFFERED BY VIRTUA HEALTH, INC. ALL TRANSACTIONS RELATED TO THIS PROGRAM WERE BETWEEN THE INDIVIDUAL AND VIRTUA HEALTH INC, EIN 22-3524939.