2024-05-10T22:33:33+00:00 2023-06-30 366565596 ERNST & YOUNG US LLP 155 NORTH WACKER DRIVE CHICAGO IL 60606 990 2022-07-01 150532221 Our Lady of Lourdes Memorial Hospital Inc OURL 6077985285 169 Riverside Drive Binghamton NY 13905 KATHRYN CONNERTON PRESIDENT & CEO 6077985285 2024-05-11 true KATHRYN CONNERTON 999009999 Lindsey Pigg P01268923 3128792000 2022 2023-04-26 12:10:37Z X SEE SCHEDULE O KATHRYN CONNERTON 169 Riverside Drive Binghamton NY 13905 489123579 false 0928 X https://www.guthrie.org/locations/guthrie-lourdes-hospital X 1936 NY To improve the health and well-being of all people in the communities we serve. 12 10 3507 140 419880 0 4026606 6025551 435380930 473996178 12347817 46465 5187824 8870613 456943177 488938807 15000 14500 0 0 237216399 244762446 0 0 0 243969196 276823408 481200595 521600354 -24257418 -32661547 487653455 444769267 210585104 194274364 277068351 250494903 ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. false false 416868606 14500 478608176 THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. is a 170-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2023, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. treated 8,481 adults and children for a total of 50,207 patient days of service. The hospital also provided services for 426,422 outpatient visits, which included 11,104 outpatient surgeries and 37,829 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 416868606 true true false true false false false false false false false false true true true false true false false false false false false true false true true true false true false false false false false false false false false false false false true true true true true false true 279 0 true 3507 true true true false false false false false false false false false false false X 12 10 false false false false true true true true true false false false true true true true true false false true true NY X Sara O'Brien 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 FRANK GRECO JR VICE CHAIR 1.0 0 X X 0 0 0 KATHRYN CONNERTON EX-OFFICIO/PRESIDENT & CEO 0.0 50.0 X X 0 737558 33543 ROBERT FISHER CHAIR 1.0 0 X X 0 0 0 SISTER ELLEN REILLY DC TREASURER 1.0 0 X X 0 0 0 STEPHEN VANNOSTRAND SECRETARY 1.0 0 X X 0 0 0 BRIAN ROSE DIRECTOR 1.0 0 X 0 0 0 JAMES W ORBAND DIRECTOR 1.0 0 X 0 0 0 JOHN PERRY MD DIRECTOR 1.0 0 X 0 0 0 JOHN SALO DIRECTOR 1.0 0 X 0 0 0 KIM MYERS DIRECTOR 1.0 0 X 0 0 0 MICHAEL PONTICIELLO DIRECTOR 1.0 0 X 0 0 0 SANJIV PATEL MD DIRECTOR/PHYSICIAN 50.0 0 X 316868 0 41432 DAVID A MANNES CFO 0.0 50.0 X 0 393396 47574 CHAD A PATTON VP, PHYSICIAN NETWORK 50.0 0 X 253211 0 43107 KAREN E ROESKE RN CHIEF NURSING OFFICER 50.0 0 X 258794 0 27315 RICHARD BLANSKY MD CHIEF MEDICAL OFFICER 50.0 0 X 614000 0 21334 ROBIN KINSLOW-EVANS VP, STRATEGY 50.0 0 X 334285 0 37057 DERMOT MICHAEL REYNOLDS MD PHYSICIAN 50.0 0 X 1148577 0 40416 ERIC SEYBOLD MD PHYSICIAN 50.0 0 X 1633358 0 59829 KIMONA ISSA MD PHYSICIAN 50.0 0 X 885238 0 47554 MARK WILSON MD PHYSICIAN 50.0 0 X 938679 0 27290 NISHAN DADIAN MD PHYSICIAN 50.0 0 X 934095 0 51134 DEBORAH BLAKENEY FORMER KEY EMPLOYEE (END 12/2018) 50.0 0 X 211494 0 22551 SEAN MILLS FORMER OFFICER (END 11/2020) 0.0 50.0 X 0 404283 38403 7528599 1535237 538539 440 true true false COGENT MEDICAL CARE PC PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL SERVICES 4243095 RIVERSIDE ASSOCIATES IN ANESTHESIA PC 40 FRONT ST STE C BINGHAMTON NY 13905 MEDICAL SERVICES 2469233 OB HOSPITALIST GROUP LLC 777 LOWNDES HILLS RD - BLDG 1 GREENVILLE SC 29607 PHYSICIAN SERVICES 1946796 CMK2 VESTAL LLC 181 W MADISON STE 4700 CHICAGO IL 60602 CONSTRUCTION SERVICES 1863179 HEALTHCARE RESOURCES LLC 30 POLO DR SOUTH BARRINGTON IL 600107110 MEDICAL SERVICES 1366843 34 0 0 63913 0 4046345 1915293 6025551 Net Patient Service Revenue 621990 411796038 411796038 Pharmacy Revenue 446110 56831401 56831401 Sponsored Project Revenue 900099 1981790 1981790 Value Based Revenue 900099 1444704 1444704 Rental Income from Affiliates 531120 678127 678127 1264118 1262161 1957 0 473996178 0 0 0 0 1075358 0 0 1075358 0 1075358 1075358 0 92304 36564 9275 -36564 83029 46465 46465 35347 63913 40282 -4935 -4935 0 0 0 0 735780 98651 637129 637129 Fitness Club Revenue 713940 3846618 3846618 Child Care Services 624410 1244422 417923 826499 Cafeteria/Vending Revenue 722514 779887 779887 1292134 765380 0 526754 7163061 488938807 478606219 419880 3887157 X 14500 14500 1947403 993634 953769 199989139 177595392 22393747 8491973 7541086 950887 21567091 19152120 2414971 12766840 11296318 1470522 167706 101160 66546 46604 46604 83350 83350 27745 27745 56410409 37218300 19192109 0 760888 46532 714356 1842972 745833 1097139 826493 307934 518559 13380139 11838975 1541164 1037424 840797 196627 547501 327908 219593 1456594 1456594 15827787 14004696 1823091 3751657 1244252 2507405 Medical Supplies 89955499 89047373 908126 Purchased Services 48491795 35626785 12865010 Management Fee to Affiliate 32000000 32000000 Provider Tax 3398207 3398207 6810638 5526804 1283834 0 521600354 416868606 104731748 0 24406 25161 1597347 2008722 400808 893981 43591002 -45903 0 0 0 0 345377 151985 6840742 0 584274 2 0 0 126663462 0 0 0 0 0 1325348 837400 306280689 440897919 487653455 444769267 52716860 28387092 0 0 1662633 1704974 0 0 0 0 0 0 0 0 0 0 156205611 164182298 210585104 194274364 X 246201733 221276650 30866618 29218253 0 0 0 0 0 0 277068351 250494903 487653455 444769267 X -32661547 3758202 2329897 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27745 27745 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses include the portion of dues paid to state hospital associations that is specifically allocable to lobbying. The filing organization may, to an insubstantial degree, make comments or statements concerning legislation which may affect the health care industry. The filing organization 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. Other Current Assets Due from Affiliates 14204316 Other Receivables 4310469 Deferred Compensation/Retirement/Pension Asset 4345655 Physician Guarantee Asset 105645 Security Deposit Beneficial Interest in Foundation 29218253 Estimated 3rd Party Payor Settlements 3992774 Interest in Investments Held by Ascension Health Alliance 185821971 Right of Use Operating Lease Asset -1031220 Assets Held for Sale 199930056 440897919 0 Asset Retirement Obligation 493082 Due to Affiliates 73839967 Deferred Compensation/Retirement/Pension Liability 4345655 Other Current Liabilities Estimated 3rd Party Payor Settlement 16541312 Physician Guarantee Liability Recovery Tail Liability -895 Debt with Ascension Health Alliance 37296628 Accrued Sales/Use Tax 8787 Long Term Operating Lease Liability -1041260 Medicare Advance Payments Held for Sale Liabilities 32699022 164182298 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2023. 2023 Ball 99260 63913 35347 5390 24062 2250 8580 0 0 99260 63913 35347 5390 24062 2250 8580 40282 -4935 true true X true X 250 true X true false true true 3980574 0 3980574 0.0076 76622525 41903739 34718786 0.0666 0 0.0 0 0 80603099 41903739 38699360 0.0742 0 0 1872945 0 1872945 0.0036 0 0 3961801 2699108 1262693 0.0024 0 0 51588597 24526472 27062125 0.0519 0 0 0 0 0 0.0 0 0 3568 0 3568 0.0000 0 0 57426911 27225580 30201331 0.0579 0 0 138030010 69129319 68900691 0.1321 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 2369 0 2369 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 38709 0 38709 0.0001 0 0 41078 0 41078 0.0001 false 4498909 0 160444481 210949162 -50504681 X true true 1 1 Our Lady of Lourdes Memorial Hospital 169 Riverside Drive Binghamton NY 13905 https://www.guthrie.org/locations/guthrie-lourdes-hospital 03011001H X X X X Our Lady of Lourdes Memorial Hospital 1 false false true X X X X X X X X X 21 true false false true X https://www.guthrie.org/about-us/community-benefits/community-health-needs-assessment X true 21 true https://www.guthrie.org/about-us/community-benefits/community-health-needs-assessment false true X 250.0 400.0 X X X X true true X X X true X https://www.guthrie.org/financial-assistance-lourdes X https://www.guthrie.org/financial-assistance-lourdes X https://www.guthrie.org/financial-assistance-lourdes X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - OUR LADY OF LOURDES MEMORIAL HOSPITAL. FOR ITS MOST RECENT CHNA, OUR LADY OF LOURDES MEMORIAL HOSPITAL, IN COLLABORATION WITH VARIOUS COMMUNITY PARTNERS, COLLECTED AND ANALYZED COMMUNITY INPUT FOR THE GREATER BROOME COUNTY AREA. A CONCERTED EFFORT WAS MADE TO ENSURE THAT THE INDIVIDUALS AND ORGANIZATIONS REPRESENTED THE NEEDS AND PERSPECTIVES OF: 1) PUBLIC HEALTH PRACTICE AND RESEARCH, 2) INDIVIDUALS WHO ARE MEDICALLY UNDERSERVED, ARE LOW INCOME, OR CONSIDERED AMONG THE MINORITY POPULATIONS SERVED BY THE HOSPITAL, AND 3) THE BROADER COMMUNITY AT LARGE AND THOSE WHO REPRESENT THE BROAD INTERESTS AND NEEDS OF THE COMMUNITY SERVED. TO ENSURE THAT THIS VITAL INPUT WAS COLLECTED, LOURDES CONTRACTED RMS HEALTHCARE TO COLLECT INPUT FROM A RANGE OF PUBLIC HEALTH AND SOCIAL SERVICE PROVIDERS THAT REPRESENTING THE BROAD INTEREST OF THE COMMUNITY: - BROOME COUNTY COUNCIL OF CHURCHES - BROOME COUNTY DEPARTMENT OF MENTAL HEALTH - BROOME COUNTY HEALTH DEPARTMENT - BROOME COUNTY OFFICE FOR AGING - CARE COMPASS NETWORK - CITY CHURCH - MOTHERS AND BABIES PERINATAL NETWORK - RURAL HEALTH NETWORK OF SOUTH - CENTRAL NEW YORK, INC. - SOUTHERN TIER AIDS PROGRAM - SOUTHERN TIER EXCELLUS BLUECROSS BLUESHIELD - SUNY BROOME COMMUNITY COLLEGE. MULTIPLE METHODS WERE USED TO GATHER COMMUNITY INPUT, INCLUDING CONDUCTING COMMUNITY FOCUS GROUPS (HELD JANUARY 26-27, 2022), AN ONLINE SURVEY (HELD JANUARY - MARCH 2022), AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS (HELD NOVEMBER - DECEMBER 2021). A SERIES OF THREE FOCUS GROUPS WERE COMPOSED OF PARTICIPANTS REPRESENTING DIFFERENT AGES, LIVING SETTINGS (RURAL, SUBURBAN, URBAN), AND PAYOR TYPES, INCLUDING THOSE WITH NO HEALTH INSURANCE. AN ON-LINE SURVEY GATHERED THE PERCEPTIONS, THOUGHTS, OPINIONS, AND CONCERNS OF THE COMMUNITY REGARDING HEALTH OUTCOMES, HEALTH BEHAVIORS, SOCIAL DETERMINANTS OF HEALTH, AND CLINICAL CARE. A SERIES OF 12 ONE-ON-ONE INTERVIEWS GATHERED INPUT FROM KEY STAKEHOLDERS ON THE HEALTH NEEDS AND ASSETS OF THE GREATER BROOME COUNTY AREA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Our Lady of Lourdes Memorial Hospital. IN OUR LADY OF LOURDES MEMORIAL HOSPITAL'S MOST RECENT CHNA, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT NEEDS IN THE COMMUNITY AND SELECTED AS THE PRIORITIZED NEEDS THAT WILL BE ADDRESSED IN THE CORRESPONDING IMPLEMENTATION STRATEGY. ASCENSION DEFINED "PRIORITIZED NEEDS'' AS THE SIGNIFICANT NEEDS WHICH HAVE BEEN PRIORITIZED BY THE HOSPITAL TO ADDRESS THROUGH THE THREE-YEAR CHNA CYCLE. THESE PRIORITIZED NEEDS ARE: (1) IMPROVE ACCESS TO SPECIALTY CARE PROVIDERS, WITH SPECIFIC ATTENTION TO THOSE SPECIALISTS PROVIDING CARE TO PATIENTS AGES 60 AND OLDER; (2) IMPROVE AVAILABILITY AND ACCESS OF MENTAL/BEHAVIORAL HEALTH SERVICES, INCLUDING SUBSTANCE USE SERVICES, WITH FOCUS ON COMMUNITY COLLABORATION; (3) IMPROVE ACCESS AND INFRASTRUCTURE FOR HEALTH SERVICES IN RURAL COMMUNITIES; (4) IMPROVE HEALTH OUTCOMES BY FOCUSING ON PREVENTION AND WELLNESS; AND (5) ADDRESS SERVICES NEEDED FOR VULNERABLE POPULATIONS, INCLUDING THE MEDICALLY INDIGENT AND HOMELESS POPULATIONS, INTEGRATING SOCIAL CARE WITH PREVENTION AND MEDICAL CARE FOR A MORE PERSON-CENTERED APPROACH TO CARE THROUGH COMMUNITY COLLABORATION. WE WILL ADDRESS THE FIRST NEED BY: (I) LEVERAGING THE WORK OF THE GUTHRIE MEDICAL GROUP ACCESS COMMITTEE TO IMPROVE SPECIALTY ACCESS FOR NEW PATIENTS; (II) CREATING AND IMPLEMENTING A PLAN TO PARTNER WITH OTHERS TO ADDRESS COMMUNITY-WIDE SPECIALTY SHORTAGE AREAS THAT COULD BE ADDRESSED THROUGH ALIGNMENT WITH OTHER PROVIDERS; (III) ADOPTING A STANDARDIZED APPROACH TO APPOINTMENT SCHEDULING THAT INCLUDES ASKING PATIENTS ABOUT THEIR PLANS TO GET TO THE APPOINTMENT; AND (IV) ASSISTING PEOPLE WITH AN INABILITY TO PAY FOR MEDICATIONS AND MEDICAL CARE. THE SECOND NEED WILL BE ADDRESSED BY: (I) REVIEWING AND EVALUATING, THROUGH THE LENS OF STIGMATIZATION, POLICIES THAT IMPACT HOW INDIVIDUALS WITH MENTAL/BEHAVIORAL ISSUES ARE CARED FOR AT LOURDES; (II) CREATING A MARKETING CAMPAIGN REGARDING BUILDING TRUST TO INCREASE ACCESS TO MENTAL/BEHAVIORAL HEALTH SERVICES, WITH A FOCUS ON REDUCING STIGMA; (III) NORMALIZING THE ASSESSMENT OF PATIENTS TO INCLUDE MENTAL/BEHAVIORAL HEALTH CONCERNS ACROSS LOURDES MINISTRY; (IV) REVIEWING LOURDES CENTER FOR MENTAL HEALTH (LCMH) SELF REFERRAL PROCESS TO ACCEPT REFERRAL FROM OTHER LOURDES DEPARTMENTS/PROVIDERS; (V) PARTICIPATING IN IMPLEMENTING STRATEGIES IDENTIFIED THROUGH THE NIDA HEALING COMMUNITIES STUDY TO ADDRESS GAPS IN SERVICES, BASED ON AVAILABLE CAPABILITIES AND RESOURCES; (VI) EXPLORING THE CREATION OF A SEAMLESS ENTRY INTO TREATMENT FOR OPIOID ADDICTION AND PROBLEMATIC USE PATIENTS; AND (VII) PARTNERING WITH CBOS TO REDUCE OVERDOSE OCCURRENCES AND INCREASE SAFE MEDICATION DISPOSAL TO IMPROVE HARM REDUCTION EFFORTS. TO ADDRESS THE THIRD NEED, WE WILL: (I) ASSESS NEEDS, PREFERENCES, AND BELIEFS OF THE POPULATION SERVED, AS WELL AS THE ASSOCIATES PROVIDING SERVICES, THROUGH PRIMARY AND SECONDARY RESEARCH (FOCUS GROUPS, IN DEPTH INTERVIEWS, SOCIAL VULNERABILITY INDEX)--COMMUNITY-BASED PARTICIPATORY RESEARCH; (II) USE RESULTS OF RESEARCH TO CREATE AND IMPLEMENT A LEARNING PLAN TO EDUCATE AND RAISE AWARENESS IN ASSOCIATES; (III) IDENTIFY SPECIALTY CARE PROVIDERS AND COMMUNITY LEADERS TO DESIGN AND PILOT CARE MODELS; (IV) WORK WITH SPECIALTY CARE PROVIDERS AND COMMUNITY LEADERS TO DESIGN CARE MODELS FOR RURAL COMMUNITIES; (V) INCREASE ACCESS TO AND USE OF LOURDES RETAIL PHARMACIES FOR PRESCRIPTIONS WRITTEN FOR PATIENTS IN RURAL COMMUNITIES; AND (VI) DESIGN, IMPLEMENT, AND EVALUATE INTERVENTIONS TO IMPROVE SELECTED QUALITY METRICS IN RURAL COMMUNITIES. WE WILL DO THE FOLLOWING TO ADDRESS THE FOURTH NEED: (I) FULLY STAFF HEALTH COACHES IN CARDIOMETABOLIC HEALTH AND BEGIN HEALTH COACH PILOT AT VESTAL INTERNAL MEDICINE; (II) EXPAND PILOT TO ADDITIONAL FACILITIES AFTER THE HEALTH COACH HEALTH COACH IS FULLY ESTABLISHED WITHIN THE WORKFLOW OF VIM; (III) UTILIZE HEALTH COACHES REACH AND NON-CLINICAL RAPPORT WITH PATIENTS TO IMPLEMENT CASUAL WEEKLY SOCIAL MEDIA VIDEOS WITH HINTS/TIPS/ADVICE/MOTIVATION FOR HEALTHY LIFESTYLE CHOICES; (IV) USE PLATFORM AND ACCESS TO THE POPULATION AT LOURDES HEALTH & FITNESS FACILITY TO BEGIN CLASSES/WORKSHOPS TO BUILD HEALTH LITERACY WHILE CREATING ACCESS AND EDUCATION TO LOURDES OUTPATIENT SERVICES; (V) MAKE PHYSICAL MEDIA WIDELY ACCESSIBLE AT ALL PRIMARY CARE, WALK-IN LOCATIONS, AND FOR ALL RECENTLY APPROVED PFAP APPLICANTS; WITH THE POTENTIAL FOR EXPANSION; AND (VI) EXPAND ACCESS TO THE FITKIDS PROGRAM AT THE LOURDES HEALTH AND FITNESS CENTER. TO ADDRESS THE FIFTH NEED, WE WILL: (I) STANDARDIZE THE ASSESSMENT OF SOCIAL CARE NEEDS THROUGHOUT OUR SYSTEM THROUGH THE USE OF THE SOCIAL DETERMINANTS OF HEALTH SCREEN IN CERNER TO IMPROVE IDENTIFICATION OF THE SOCIAL CARE NEEDS OF THE POPULATION WE SERVE; (II) IDENTIFY RESOURCES AND WORKFLOWS TO INTERVENE ON THE SOCIAL CARE NEEDS OF THE POPULATION WE SERVE TO SUPPORT IMPROVEMENT IN THEIR HEALTH OUTCOMES; (III) ADVOCATE FOR PILOT PROGRAMS FOR PAYER COVERAGE OF SOCIAL CARE NEEDS THAT WERE IDENTIFIED AS HAVING A POSITIVE IMPACT ON THE HEALTH OUTCOMES OF A POPULATION THROUGH PARTNERSHIPS WITH LOCAL NETWORKS AND/OR GUTHRIE HEALTH ADVOCACY; (IV) IDENTIFY ENTITIES/AREAS THAT SERVE VULNERABLE POPULATIONS, AND EXPAND TELEHEALTH CART AVAILABILITY TO A TOTAL OF 8 LOCATIONS; (V) DEVELOP A CARE TEAM TO SUPPORT PATIENTS CONNECTED THROUGH TELEHEALTH SERVICES TO ASSIST IN COORDINATION OF THEIR MEDICAL AND SOCIAL CARE NEEDS TO IMPROVE THEIR HEALTH OUTCOMES; (VI) EXPAND THE REACH AND FREQUENCY OF LOURDES MEDICAL MISSION AT HOME (MED MISSION) EVENTS WITH THE DEVELOPMENT OF A STAFFING POOL, AND COORDINATION OF THE DELIVERY OF ADDITIONAL SERVICES IDENTIFIED AS NEEDS BY THE POPULATION SERVED; (VII) DEVELOP A PARTNERSHIP WITH THE "STREET TEAM OTHER ENTITIES CONNECTED WITH THE HOMELESS POPULATION TO CLARIFY THE NEED AND "HOW TO" DELIVER MEDICAL AND SOCIAL CARE TO THIS VULNERABLE POPULATION. LOURDES IS COMMITTED TO IMPROVING COMMUNITY HEALTH BY DIRECTLY, AND INDIRECTLY, ADDRESSING COMMUNITY NEEDS. LOURDES RECOGNIZES THAT NO ONE ORGANIZATION CAN ADDRESS THE ENTIRE HEALTH CARE NEEDS OF THE COMMUNITY. CONSCIOUS OF ITS STEWARDSHIP OF RESOURCES TO BEST MEET THE NEEDS OF OUR COMMUNITY, LOURDES IS FOCUSING RESOURCES TO THOSE AREAS IN WHICH WE CAN IMPACT COMMUNITY HEALTH MOST SIGNIFICANTLY. LOURDES' PRACTICE IS TO MAXIMIZE RESOURCES WITH EXISTING PROGRAMS AND NEW SERVICES PLANNED, TO AVOID DUPLICATION OF SERVICES AND TO ESTABLISH METRICS AND TOOLS WHICH FOSTER CONTINUOUS IMPROVEMENT. HOWEVER, GIVEN THESE FACTORS IMPACTS LOURDES' ABILITY TO FULLY ADDRESS ALL OF THE IDENTIFIED NEEDS. THE NEEDS LISTED BELOW ARE NOT INCLUDED IN THE LOURDES IMPLEMENTATION STRATEGY: (1) TRANSPORTATION WAS CITED AS A PREDOMINANT BARRIER (REGARDLESS OF LIVING SETTING) TO RECEIVING HEALTHCARE SERVICES IN THE AREA. THIS NEED WAS NOT SELECTED BECAUSE THE DECISION WAS MADE TO INCORPORATE THIS NEED AS AN ACTION STEP IN ONE OF THE OTHER NEEDS TO ADDRESS THIS CONCERN; (2) PARTICIPANTS SPOKE OF THE NEED TO PROVIDE FURTHER COMMUNITY-WIDE EDUCATION TO BUILD AWARENESS OF CURRENT AVAILABLE SERVICES. THIS NEED WAS NOT SELECTED BECAUSE A MARKETING CAMPAIGN TO HIGHLIGHT AVAILABLE SERVICES AT LOURDES IS ALREADY UNDERWAY; (3) MORE COORDINATION AND INTEGRATION HAS POSITIVELY IMPACTED CARE DELIVERY WITHIN THE AREA. PARTICIPANTS ACKNOWLEDGED THAT PROVIDERS AND HEALTHCARE SYSTEMS ARE WORKING MORE COLLABORATIVELY. THIS NEED WAS NOT SELECTED BECAUSE IT IS ALREADY OCCURRING. THE DECISION WAS MADE TO CONTINUE COLLABORATING WHEREVER POSSIBLE THROUGHOUT THE LOURDES SYSTEM; (4) CHRONIC CONDITIONS SUCH AS OBESITY AND DIABETES WERE RAISED BY SEVERAL PARTICIPANTS AS PROBLEMS WITHIN THE COMMUNITY. THESE ARE CONSIDERED BIG CHALLENGES TO IMPROVING THE COMMUNITY'S OVERALL HEALTH LONG TERM. THIS NEED WAS NOT SELECTED BECAUSE THERE IS ALREADY A FOCUSED EFFORT WITHIN THE HOSPITAL SYSTEM AND THE COMMUNITY TO ADDRESS OBESITY AND DIABETES IN THE COMMUNITY; AND (5) SEVERAL PARTICIPANTS RECOGNIZED THE CONSIDERABLE EFFORT THAT LOURDES HAS MADE TO ADDRESS COMMUNITY HEALTHCARE NEEDS, PARTICULARLY GIVEN THE COVID-19 PANDEMIC STRESS. THIS NEED WAS NOT SELECTED BECAUSE IT IS ALREADY OCCURRING. WHILE THESE NEEDS ARE NOT THE FOCUS OF THIS IMPLEMENTATION STRATEGY, LOURDES MAY CONSIDER INVESTING RESOURCES IN THESE AREAS AS APPROPRIATE, DEPENDING ON OPPORTUNITIES TO LEVERAGE ORGANIZATIONAL ASSETS IN PARTNERSHIP WITH LOCAL COMMUNITIES AND ORGANIZATIONS. 4 Lourdes at Home 4102 Old Vestal Road Vestal NY 13850 Home Care Hospice at Lourdes 4102 Old Vestal Road Vestal NY 13850 End of Life Care Lourdes Center for Mental Health 185 Court St Binghamton NY 13901 Mental Health Lourdes Center for Oral Health 219 Front St Binghamton NY 13905 Oral Health Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part V, Section B, Line 20d PRESUMPTIVE ELIGIBILITY Our Lady of Lourdes Memorial Hospital does not currently have technology to determine presumptive eligibility determinations. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities The Community Building Activities included planning and meeting time incurred for CHNA and community outreach planning. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2023 was $13,366,025 at charges, ($4,498,909 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-19, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES. Schedule H, Part V, Section B, Line 16a FAP website - Our Lady of Lourdes Memorial Hospital: Line 16a URL: https://www.guthrie.org/financial-assistance-lourdes; Schedule H, Part V, Section B, Line 16b FAP Application website - Our Lady of Lourdes Memorial Hospital: Line 16b URL: https://www.guthrie.org/financial-assistance-lourdes; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Our Lady of Lourdes Memorial Hospital: Line 16c URL: https://www.guthrie.org/financial-assistance-lourdes; Schedule H, Part VI, Line 2 Needs assessment MULTIPLE SCREENING TOOLS ARE USED THROUGHOUT THE OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. NETWORK TO IDENTIFY HEALTH CARE NEEDS. SOME OF THE PROGRAMS THAT USE SCREENINGS ARE; LOURDES DIABETES PROGRAM (DIABETES SCREENINGS), LOURDES CENTER FOR MENTAL HEALTH (BEHAVIORAL HEALTH, SUBSTANCE USE AND DEPRESSION SCREENINGS), LOURDES CENTER FOR ORAL HEALTH (HEALTH AND SDOH SCREENINGS), LOURDES YOUTH SERVICES (SDOH AND HEALTH SCREENINGS), LOURDES NUTRITION PROGRAM (HEALTH AND SDOH SCREENINGS), LOURDES PAIN AND WELLNESS, LOURDES ONCOLOGY (HEALTH, NUTRITION, AND CANCER SCREENINGS), LOURDES ORTHOPEDICS (PT AND REHAB- FALL PREVENTION SCREENINGS), AND THE LOURDES NURSING STAFF (SDOH SCREENINGS, SUD SCREENS- CRAFFT+N), SOCIAL WORKERS (PHQ9, NCCN DISTRESS SCREENING, AND DEPRESSION SCREENINGS) AND ALL PROVIDERS IN THE INPATIENT SETTING AND IN THE PRIMARY CARE NETWORK USE ACCREDITED SCREENING TOOLS TO IDENTIFY THE HEALTH CARE NEEDS WITHIN THE COMMUNITY. THERE ARE SOCIAL DETERMINANTS OF HEALTH SCREENINGS COMPLETED AT ALL THE PRIMARY CARE PRACTICES THROUGH THE PHREESIA TABLETS. PHREESIA TABLETS ARE USED TO CHECK PATIENTS IN. THESE QUESTIONS INVOLVE HIGH LEVEL QUESTIONS REGARDING THE SDOH NEEDS THAT PATIENTS EXPERIENCE. THESE SCREENINGS ARE VITAL TO IMPROVING PATIENT CARE BECAUSE THEY IDENTIFY WHAT SDOH ARE IMPACTING PATIENTS' ACCESS AND TREATMENT. ROUGHLY 1800 SCREENINGS ARE COMPLETED A MONTH. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. IS FOCUSED ON IMPROVING POPULATION HEALTH THROUGH THE USE OF THESE SCREENING TOOLS TO DETERMINE THE AREAS FOR INCREASED SERVICES, PREVENTION, AND OVERALL CARE IMPROVEMENT. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. USES INTERNAL AND EXTERNAL DATA AND REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. THESE REPORTS PROVIDE KEY INFORMATION ABOUT HEALTH, SOCIOECONOMIC, DEMOGRAPHIC FACTORS THAT IDENTIFY AREAS OF NEED AND INFORM OUR STRATEGIES THAT HELP TO MEET THOSE NEEDS OF OUR COMMUNITY. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: 1. LOCAL AND STATE DEPARTMENT OF HEALTH REPORTS 2. REGIONAL HEALTH COMMISSION 3. LOCAL GOVERNMENT PLANNING DEPARTMENTS 4. US CENSUS BUREAU 5. SG2 HEALTHCARE INTELLIGENCE 6. HEALTHCARE CLAIMS DATASETS 7. STATE DATASETS 8. CMS 9. CDC 10. INTERNAL DATA SETS OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.'s FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://www.guthrie.org/financial-assistance-lourdes OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. Schedule H, Part VI, Line 4 Community information THE OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.'S PRIMARY MARKET SERVICE AREA (PSA) ENCOMPASSES THE ENTIRETY OF BROOME COUNTY. BROOME COUNTY COVERS 284.23 SQUARE MILES OF THE SOUTHERN TIER IN NEW YORK STATE AND WAS DESIGNATED AN URBAN AREA. BROOME COUNTY CONSISTS OF 16 TOWNSHIPS (BARKER, BINGHAMTON, CHENANGO, COLESVILLE, CONKLIN, DICKINSON, FENTON, KIRKWOOD, LISLE, MAINE, NANTICOKE, SANFORD, TRIANGLE, UNION, VESTAL, AND WINDSOR), 7 VILLAGES (DEPOSIT, ENDICOTT, JOHNSON CITY, LISLE, PORT DICKINSON, WHITNEY POINT, AND WINDSOR), AND 1 CITY (BINGHAMTON). ACCORDING TO THE US CENSUS BUREAU, THE 2022 POPULATION IN BROOME COUNTY IS ESTIMATED TO BE 197,117 AND IS EXPECTED TO DECREASE IN 2027 BY APPROXIMATELY .5% TO 196,131 RESIDENTS IN FIVE YEARS. THE POPULATION DECLINING RATE HAS BEEN CALCULATED FROM SG2 MARKET DEMOGRAPHICS. THE AVERAGE MEDIAN INCOME OF THE PRIMARY SERVICE AREA IS $53,982 AND PER CAPITA INCOME IS $31,224 BASED ON US CENSUS BUREAU ESTIMATES IN 2022. APPROXIMATELY 14.1% OF THE SERVICE AREA RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 32.8% UNINSURED (5.3%) OR MEDICAID (27.5%) PATIENTS ACCORDING TO THE US CENSUS AND NYSDOH RESPECTIVELY. WITHIN THE PRIMARY SERVICE AREA, THERE IS ONE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ALL OF BROOME COUNTY IS DESIGNATED AS A MEDICALLY UNDER SERVED AREA. THERE ARE TWO HOSPITAL SYSTEMS LOCATED IN BROOME COUNTY; OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. AND UNITED HEALTH SERVICES BUT ACCORDING TO HANYS THERE ARE 103 TOTAL HOSPITALS THAT HAVE SERVED PATIENTS THAT RESIDE IN BROOME COUNTY. Schedule H, Part VI, Line 5 Promotion of community health OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND CAPITAL IMPROVEMENTS THAT IMPROVE CARE AND SERVICES FOR LOURDES PATIENTS. SOME OF THE MEDICAL EDUCATION PROGRAMS THAT WERE FUNDED WITH SURPLUS FUNDING WERE: CONTINUING MEDICAL EDUCATION (CME) PROGRAMS, GRADUATE MEDICAL EDUCATION (GME) IN FAMILY MEDICINE, INTERNAL MEDICINE, AND PODIATRY. FUNDS ARE ALSO USED FOR PROVIDER EDUCATION WHICH INVOLVES NURSING AND SOCIAL WORK EDUCATION. CONTINUING MEDICAL EDUCATION (CME) PROVIDES THREE REGULARLY SCHEDULED SERIES: (1) CME WEEKLY LEARNING LUNCH (SUSPENDED FY23Q1 and Q2, BUT RESUMED IN FY23 Q3), WHICH FOCUSES ON PRIMARY CARE TOPICS FOR A BROAD AUDIENCE INCLUDING PHYSICIANS, RESIDENTS, MEDICAL STUDENTS, PAS, NPS, NURSES AND PARAMEDICS. (2) BREAST CANCER CONFERENCE: CASES OF INDIVIDUAL CANCER PATIENTS ARE THOROUGHLY REVIEWED BY A TEAM OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FROM DIFFERENT SPECIALTIES AND WITH UNIQUE PERSPECTIVES. BREAST CANCER CONFERENCE FOCUSES ON COMPLEX CASES, WHERE THE DIAGNOSIS AND COURSE OF TREATMENT ARE NOT CLEAR CUT, AND BENEFITS PATIENTS BY OFFERING A COMPREHENSIVE, COORDINATED APPROACH TO CANCER CARE FOR EVEN THE MOST DIFFICULT CASES THREE TIMES A MONTH. (3) MULTIDISCIPLINARY BI-WEEKLY TUMOR CONFERENCE: SIMILAR TO BREAST CANCER CONFERENCE, CASES OF INDIVIDUAL CANCER PATIENTS ARE THOROUGHLY REVIEWED BY A TEAM OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FROM DIFFERENT SPECIALTIES AND WITH UNIQUE PERSPECTIVES. TUMOR BOARD FOCUSES ON COMPLEX CASES, WHERE THE DIAGNOSIS AND COURSE OF TREATMENT ARE NOT CLEAR CUT, AND BENEFITS PATIENTS BY OFFERING A COMPREHENSIVE, COORDINATED APPROACH TO CANCER CARE FOR EVEN THE MOST DIFFICULT OF CASES. THE GRADUATE MEDICAL EDUCATION (GME) PROGRAMS RECEIVE FOCUSED EDUCATION ON AREAS THAT ARE NEEDED IN OUR COMMUNITY. SOME OF THE FOCUSED AREAS ARE OB/GYN, PROCEDURE LAB, MENTAL HEALTH, PERSONAL AND PROFESSIONAL DEVELOPMENT, PRIMARY CARE LECTURE SERIES (1 EVERY WEEK), 2 MONTHLY BOARD REVIEW SESSIONS, SPECIALTY LECTURES, 2 MONTHLY OSTEOPATHIC MEDICINE LECTURES, OSTEOPATHIC MEDICINE SKILLS LAB, SPORTS MEDICINE, AND MEDICAL ETHICS. GME ALSO HAS FOCUSED REPORTING MONDAY THROUGH FRIDAY FOR AN HOUR EACH MORNING WHERE CASES ARE PRESENTED AND DISCUSSED. THE FACULTY ALSO HAS MONTHLY DEVELOPMENT SESSIONS, QUARTERLY REVIEW OF COMMUNITY HEALTHCARE DISPARITIES. LOURDES LEARNING SERVICES IS FOCUSED PRIMARILY ON ORIENTATION AND PROFESSIONAL DEVELOPMENT OF LOURDES ASSOCIATES. SOME OF LAST YEAR'S MEDICAL EDUCATION CLASSES INVOLVED INCORPORATING FALL PREVENTION FOR INPATIENT CARE IN ALL OF THE LOURDES CLASSES FOR NEW ASSOCIATES. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. THIS YEAR'S INTERDISCIPLINARY (MEDICAL, NURSING, PHARMACY) EDUCATION FOCUS HAS BEEN ON STROKE RECOGNITION AND SYSTEMS IMPROVEMENTS FOR MANAGING CARE OF THE PATIENT WITH A STROKE. . ALSO INCORPORATES GERIATRIC SENSITIVITY INTO THE EDUCATION AS CARING FOR OUR SENIORS. IN ADDITION, THE DIVERSITY COMMITTEE REQUIRED EDUCATION FOR ALL LOURDES ASSOCIATES AND THE TITLE OF THE EDUCATION MODULE WAS "CARING FOR OUR SENIORS." SURPLUS FUNDING IS ALSO USED TO SUPPLEMENT EDUCATION AND PREVENTION PROGRAMS THAT ARE OFFERED TO THE COMMUNITY THROUGH LOURDES YOUTH SERVICES. SURPLUS FUNDING IS ALSO USED TO FUND RESEARCH PROJECTS. REGARDING RESEARCH, THERE ARE CURRENTLY 25 ACTIVE RESEARCH PROJECTS APPROVED BY THE ASCENSION INSTITUTIONAL REVIEW BOARD (IRB). RESEARCH PROJECTS ARE SELECTED BASED ON THE PRINCIPAL INVESTIGATOR'S INTERESTS WHICH ARE OFTEN BASED ON THE COMMUNITY NEEDS. ONE OF THE RESEARCH AREAS THAT FOCUS ON COMMUNITY NEEDS IN THE LOURDES SERVICE AREA IS RESEARCH FOR ONCOLOGY. * IN ORDER TO BETTER UNDERSTAND THE TREATMENT NEEDS OF OUR PATIENTS AND MAKE NEW AND EMERGING CANCER TREATMENT AVAILABLE IN OUR COMMUNITY, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. HAS LAUNCHED AN ONCOLOGY CLINICAL TRIALS PROGRAM. WHILE INDUSTRY SPONSORS FUND SOME OF THE TRIALS, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. HAS INVESTED IN HIRING AND TRAINING STAFF MEMBERS TO SUPPORT RESEARCH. LOURDES HAS A DEDICATED FULL TIME RESEARCH MANAGER AND FOUR FULL TIME CLINICAL RESEARCH COORDINATORS. OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. THIS YEAR, LOURDES OFFERED FIVE CLINICAL TRIAL OPPORTUNITIES TO THEIR ONCOLOGY PATIENTS AND ONE CANCER-SCREENING TRIALS. ADDITIONALLY, TRIAL OPPORTUNITIES EXPANDED INTO PULMONOLOGY, CARDIOLOGY AND GASTROINTESTINAL SPECIALTIES. IN THE COMING YEAR, PLANS FOR AN ADDITIONAL CANCER SCREENING TRIAL, COPD AND ORTHOPEDIC TRIAL ARE UNDERWAY. MULTIPLE LOURDES PROVIDERS ARE CURRENTLY SUPPORTING RESEARCH EFFORTS AS PRINCIPAL AND SUB- INVESTIGATORS. NEW RESEARCH PROJECTS AT OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. IN FY23 INCLUDE: * A PHASE 3 STUDY OF CG0070 IN PATIENTS WITH NON-MUSCLE INVASIVE BLADDER CANCER (NMIBC) UNRESPONSIVE TO BACILLUS CALMETTE GUERIN (BCG)- DR. KATHLEEN MCGINLEY * ROCHE CANCER SCREENING COLLECTION STUDY * OBESITY AND PHYSICAL ACTIVITY: FEASIBILITY STUDY * A DETECTION KIT FOR PERIODONTAL DISEASE * IDENTIFICATION OF UNDERREPRESENTED POPULATIONS IN ONCOLOGY CLINICAL TRIALS: A PROACTIVE CLINICAL TRIAL EDUCATION * IDENTIFICATION OF UNDERREPRESENTED POPULATIONS IN ONCOLOGY CLINICAL TRIALS: A PROACTIVE CLINICAL TRIAL EDUCATION IN FISCAL YEAR 2022 THERE WERE NUMEROUS FACILITY AND EQUIPMENT IMPROVEMENTS THAT WERE FUNDED WITH SURPLUS FUNDING. BELOW IS A LIST OF PROJECTS THAT WERE OVER $200,000 IN FUNDING: - AMG SPECIALTY EXPANSION- CLINICAL CONSTRUCTION & ARCHITECT FEES - AMG SPECIALTY EXPANSION: IT COSTS - AMG SPEC EXPANSION X-RAY EQUIPMENT - DIAGNOSTIC X-RAY ROOM REPLACEMENT - PP-FURNITURE REPLACEMENT FOR MULTIPLE DEPARTMENTS (BU 18004) - AMG SPECIALTY EXPANSION- PRIMARY CARE/ORTHODONTICS/SPECIALTY- FURNITURE/SIGNAGE/ART - ORTHO POWER EQUIPMENT (FOUNDATION FUNDED) - FITNESS & WELLNESS CENTER AT SEARS- CONSTRUCTION (AND COMMON CORRIDOR) Schedule H, Part VI, Line 6 Affiliated health care system OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. 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 HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. 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, 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, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. Schedule H, Part VI, Line 7 State filing of community benefit report NY true American Heart Association PO Box 4002012 Des Moines IA 503402012 135613797 501(c)(3) 7500 GENERAL OPERATIONAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. DOCUMENTATION IS SUBMITTED BY THE REQUESTING ORGANIZATION BEFORE FUNDS ARE ISSUED. false true false false false false false false false KATHRYN CONNERTON EX-OFFICIO/PRESIDENT & CEO 0 395326 0 277746 0 64486 0 18475 0 15068 0 771101 0 0 SANJIV PATEL MD DIRECTOR/PHYSICIAN 308006 0 456 0 8406 0 13985 0 27447 0 358300 0 0 0 SEAN MILLS FORMER OFFICER (END 11/2020) 0 308336 0 94860 0 1087 0 9449 0 28954 0 442686 0 0 DAVID A MANNES CFO 0 300022 0 91800 0 1574 0 19825 0 27749 0 440970 0 0 DEBORAH BLAKENEY FORMER KEY EMPLOYEE (END 12/2018) 188526 0 18850 0 4118 0 13029 0 9522 0 234045 0 0 0 RICHARD BLANSKY MD CHIEF MEDICAL OFFICER 576307 0 33073 0 4620 0 16775 0 4559 0 635334 0 0 0 KAREN E ROESKE RN CHIEF NURSING OFFICER 211645 0 44052 0 3097 0 16080 0 11235 0 286109 0 0 0 CHAD A PATTON VP, PHYSICIAN NETWORK 199650 0 42443 0 11118 0 15560 0 27547 0 296318 0 0 0 ROBIN KINSLOW-EVANS VP, STRATEGY 252384 0 51765 0 30136 0 15581 0 21476 0 371342 0 0 0 NISHAN DADIAN MD PHYSICIAN 684122 0 245051 0 4922 0 16775 0 34359 0 985229 0 0 0 KIMONA ISSA MD PHYSICIAN 805098 0 79000 0 1140 0 15250 0 32304 0 932792 0 0 0 DERMOT MICHAEL REYNOLDS MD PHYSICIAN 1145955 0 0 0 2622 0 15250 0 25166 0 1188993 0 0 0 ERIC SEYBOLD MD PHYSICIAN 1597302 0 26539 0 9517 0 19825 0 40004 0 1693187 0 0 0 MARK WILSON MD PHYSICIAN 620665 0 314592 0 3422 0 19825 0 7465 0 965969 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part VI, Line 15a & 15b - PROCESS FOR DETERMINING COMPENSATION THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 6 Classes of members or stockholders Our Lady of Lourdes Hospital, Inc. has a single corporate member, Ascension Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Our Lady of Lourdes Memorial Hospital, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Our Lady of Lourdes Memorial Hospital, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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 and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A RELATED ENTITIES THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING. Form 990, Part VIII, Line 2f Other Program Service Revenue Billing Service Revenue - Total Revenue: 461367, Related or Exempt Function Revenue: 461367, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Consulting Fees - Total Revenue: 17000, Related or Exempt Function Revenue: 17000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contracted Services Revenue - Total Revenue: 342465, Related or Exempt Function Revenue: 342465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Government Incentives - Total Revenue: 61829, Related or Exempt Function Revenue: 61829, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 260887, Related or Exempt Function Revenue: 260887, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 52667, Related or Exempt Function Revenue: 52667, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 67903, Related or Exempt Function Revenue: 67903, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Income from Joint Ventures - Total Revenue: 0, Related or Exempt Function Revenue: -1957, Unrelated Business Revenue: 1957, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 280976, Related or Exempt Function Revenue: 280976, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Late Penalty Fees - Total Revenue: 23, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 23; Medical Records Fees - Total Revenue: 15409, Related or Exempt Function Revenue: 15409, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Staff Dues - Total Revenue: 51650, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 51650; Research Revenues - Total Revenue: 166400, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 166400; Other Miscellaneous Revenue - Total Revenue: 777676, Related or Exempt Function Revenue: 468995, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 308681; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 25051383, Program Service Expense: 7143647, Management and General Expenses: 17907736, Fundraising Expenses: ; Consulting Fees - Total Expense: 1852170, Program Service Expense: 282796, Management and General Expenses: 1569374, Fundraising Expenses: ; Professional Fees - Total Expense: 2948126, Program Service Expense: 2459736, Management and General Expenses: 488390, Fundraising Expenses: ; Contract Labor - Total Expense: 26558730, Program Service Expense: 27332121, Management and General Expenses: -773391, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Affiliates - 3404623; Change in Beneficial Interest in Foundation - -1054912; Contribution of capital to Joint Venture - -19814; Form 990, Part XII, Line 2c AUDIT COMMITTEE THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. FORM 990, PAGE 1 - BOX C DOING BUSINESS AS Ascension Online Care Lourdes Binghamton Lourdes Home Care Lourdes Hospice Lourdes Pharmacy Binghamton Lourdes Pharmacy Chenango Bridge LOURDES PHARMACY JOHNSON CITY Lourdes Pharmacy Riverside Lourdes Pharmacy Vestal Lourdes Health & Fitness LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MS 631455998 854192757 Health and Fitness NY 3846618 -3344847 Our Lady of Lourdes Memorial Hospital Inc Binghamton Holdco LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 150532221 Healthcare holding company NY 0 0 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391570877 FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205800012 SUPPORTING ORGANIZATION MI 501(c)(3) Type II ASCENSION MICHIGAN true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109643 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST ELIZABETH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BINGHAMTON HEALTH CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 881655027 HEALTH CARE NY 501(c)(3) 10 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS AMBULATORY CARE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true LOURDES REALTY COMPANY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 222873637 RENTAL OF HEALTH CARE FACILITIES NY 501(c)(2) OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true MEDICARE VALUE PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363495969 HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services true MERCY HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237140261 FOUNDATION WI 501(c)(3) Type II AFFINITY HEALTH SYSTEM true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true SOUTHERN TIER MEDICAL CARE - NY PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 821103087 HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC true ST AGNES FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382244034 PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 510168321 FUNDRAISING ID 501(c)(3) Type I SJRMC Inc true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true 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