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Our Lady of Lourdes Hospital at Pasco: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Our Lady of Lourdes Hospital at Pasco (EIN 91-0349750)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349304445
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T15:20:54-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1East Fifth East Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910349750EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Our Lady of Lourdes Hospital at PascoBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOURLNameControl
Phone5095477704Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 North 4th AvenueAddressLine1
CityPascoCity
StateWAState
ZIP Code993012568ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFrank R BeckerName
TitleVP Finance/CFOTitle
Phone5095477704Phone
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Lourdes Health NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonFrank R BeckerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1520 North 4th AvenueAddressLine1
CityPascoCity
StateWAState
ZIP Code993012568ZIPCode
FieldValueIRS element (for citing)
Gross Receipts102969132GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.lourdeshealth.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1920YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionRespond to the health care needs of the Mid-Columbia area in a Christian spirit.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees845TotalNbrEmployees
Total Nbr Volunteers315TotalNbrVolunteers
Total Gross UBI184911TotalGrossUBI
Net Unrelated Business Txbl Income177660NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year373998ContributionsGrantsPriorYear
Contributions Grants Current Year129443ContributionsGrantsCurrentYear
Program Service Revenue Prior Year100063629ProgramServiceRevenuePriorYear
Program Service Revenue CY100224576ProgramServiceRevenueCY
Investment Income Prior Year-1145930InvestmentIncomePriorYear
Investment Income Current Year1122010InvestmentIncomeCurrentYear
Other Revenue Prior Year1496858OtherRevenuePriorYear
Other Revenue Current Year1445498OtherRevenueCurrentYear
Total Revenue Prior Year100788555TotalRevenuePriorYear
Total Revenue Current Year102921527TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year259630GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY287377GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year49397613SalariesEtcPriorYear
Salaries Etc Current Year51094124SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44702363OtherExpensePriorYear
Other Expenses Current Year49401023OtherExpensesCurrentYear
Total Expenses Prior Year94359606TotalExpensesPriorYear
Total Expenses Current Year100782524TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6428949RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2139003RevenuesLessExpensesCY
Total Assets BOY62102270TotalAssetsBOY
Total Assets EOY65694871TotalAssetsEOY
Total Liabilities BOY25506597TotalLiabilitiesBOY
Total Liabilities EOY26759565TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36595673NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38935306NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Our Lady of Lourdes Hospital at Pasco is an extension of the healing ministry of Jesus. We are called to serve our community, our patients, their loved ones and our co-workers with respect, compassion and care. We respond to the health care needs in a Christian spirit. We strive for excellence in all we do. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. In furtherance of its mission and in an effort to reduce the government's financial burden, Our Lady of Lourdes Hospital at Pasco provides essential health care services, such as inpatient acute care, emergency and ambulatory services, behavioral health care, and outpatient clinics as well as community services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39715188Expense
Revenue44930657Revenue
DescriptionOur Lady of Lourdes Hospital at Pasco provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 31% of the value of services rendered were to elderly patients under the Medicare program, and approximately 25% of services were provided to patients who were deemed indigent under state, county, or Hospital Guidelines. In the spirit of principles adopted by Ascension Health, Our Lady of Lourdes Hospital at Pasco has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2010, the estimated cost of services provided to the elderly, uninsured, and the underinsured totaled $8,956,175, including $1,731,110 cost for charity care and $2,868,655 in bad debts attributable to the uninsured and underinsured, $9,362 in programs for the poor, $191,227 in services to the general community, and $4,155,821 in unpaid cost of public programs.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7662540Expense
Grants287377Grants
Revenue8668798Revenue
DescriptionCommunity benefits are programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. In efforts to promote healthy living, Our Lady of Lourdes Hospital at Pasco has made available the following programs to the community: physical fitness activities, community health programs, medical research, medical education, cancer screening programs, support groups and educational classes, CPR and first aid classes, health screening, flu shot clinic, nutrition and weight loss management.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense42379755Expense
Revenue46625121Revenue
DescriptionOur Lady of Lourdes Hospital at Pasco provides the following inpatient and outpatient medical services to the community: emergency care services, flight care, laboratory services, orthopedic services, pain management, primary care physicians, radiology services, rehabilitation services, sleep studies, maternity, physical therapy, occupational therapy, speech therapy, respiratory therapy, surgery, pediatrics, imaging, inpatient and outpatient alcohol and substance abuse, and inpatient and outpatient behavioral health services. Some of these services, such as rehab therapies, primary care physicians, behavioral health and maternity operate at a loss in order to ensure that all services are available to meet community health care needs. During the fiscal year ending June 30, 2010, Our Lady of Lourdes Hospital at Pasco treated 2,978 inpatient adults and children in the community for a total of 13,266 patient days of service. Our Lady of Lourdes Hospital at Pasco also provided services to 241,811 outpatients, including 1,769 outpatient surgical patients, 25,680 emergency room visits, 113,070 behavioral health and rehab therapy visits and 101,292 clinic and urgent care visits.Description
FieldValueIRS element (for citing)
Total Program Service Expense89757483TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109683NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees845NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Roberta WittorfBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5095423044TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1520 North 4th AvenueAddressLine1
CityPascoCity
StateWAState
ZIP Code99301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Julie Killian
Chair Person1.00XX000
Ernest Parra
Vice Chair Person1.00XX000
Sr Anne McMullen
Secretary1.00XX000
Sr Pat Rosholt
Treasurer1.00XX000
Donald Dicken MD
Member1.00X000
Bart Gallant
Member1.00X000
Greg Garcia
Member1.00X000
Chad Graves
Member1.00X000
Webster Jackson
Member1.00X000
Sr Catherine Marie Kreta
Member1.00X000
Sr Ann Patricia O'Connor
Member1.00X000
Richard Shallman MD
Member1.00X000
Randy Shoop
Member1.00X000
Sr Mary Williams
Member1.00X000
Apolonio Coronado
Member1.00X000
John Serle
President/CEO50.00X548558049699
Frank Becker
VP Finance/CFO50.00X303156060353
Janet Wright
Executive Director50.00X224581055546
Barbara Mead
Executive Director50.00X201002040922
Craig Pearsall
Executive Director50.00X138810037085
Connie Gillispie
Executive Director50.00X381707502634809
Sister Esther Polacci Sch O
VP Mission50.00X000
Gladson Menino Vaz MD
Physician50.00483834052414X
James I Bucker MD
Physician50.00373924010178X
Wei W Qiu MD
Physician50.00372475037369X
Michael J Hannan
Physician50.00365069041506X
Suresh Kumar Piryani MD
Physician50.00316832043304X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3366411TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs75026TotalReportableCompFrmRltdOrgs
Total Other Compensation463185TotalOtherCompensation
Number Individuals GT100 K61NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Northwest Emergency Physicians Inc
PO Box 634850CincinnatiOH452634850Emergency Physicians2831426
Chervenell Construction Co
PO Box 6935KennewickWA99336Construction Services1461875
Tri-Cities Laboratory LLC
110 West Cliff AveSpokaneWA99204Laboratory Services622094
George A Grant Inc
PO Box 789RichlandWA99352Construction Services541114
TriMedx
PO Box 636129CincinnatiOH452636129Bioengineering Services444849
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations66879RelatedOrganizations
All Other Contributions62564AllOtherContributions
Noncash Contributions5535NoncashContributions
Total Contributions129443TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient ServicesDescription
Business Code621990BusinessCode
Total Revenue Column99987386TotalRevenueColumn
Related Or Exempt Function Income99987386RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column237190TotalRevenueColumn
Related Or Exempt Function Income237190RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue100224576TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1114510TotalRevenueColumn
Exclusion$1,114,510ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real157453Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real31975Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real125478Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column125478TotalRevenueColumn
Exclusion$125,478ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other23130Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other15630Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7500TotalRevenueColumn
Exclusion$7,500ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Inv in Uncon Entities5230001083846184911$898,935
Cafeteria and Vending722212188471$188,471
Pharmacy44611047703$47,703
FieldValueIRS element (for citing)
Total Other Revenue1320020TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column102921527TotalRevenueColumn
Related Or Exempt Function Income100224576RelatedOrExemptFunctionIncome
Unrelated Business Revenue184911UnrelatedBusinessRevenue
Exclusion$2,382,597ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total287377Total
Program Services287377ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1732691Total
Program Services633666ProgramServices
Management And General1099025ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38446157Total
Program Services35624986ProgramServices
Management And General2821171ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2172566Total
Program Services1934887ProgramServices
Management And General237679ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5997580Total
Program Services5300227ProgramServices
Management And General697353ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2745130Total
Program Services2444813ProgramServices
Management And General300317ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total272848Total
Program Services107118ProgramServices
Management And General165730ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8814Total
Program Services7320ProgramServices
Management And General1494ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total182364Total
Management And General182364ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4934150Total
Program Services3838934ProgramServices
Management And General1095216ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total764840Total
Management And General764840ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3065042Total
Program Services2923144ProgramServices
Management And General141898ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3264832Total
Program Services2907659ProgramServices
Management And General357173ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5052424Total
Program Services4759911ProgramServices
Management And General292513ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total453287Total
Program Services336496ProgramServices
Management And General116791ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total395238Total
Program Services352793ProgramServices
Management And General42445ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3519728Total
Program Services3134670ProgramServices
Management And General385058ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total351489Total
Program Services314353ProgramServices
Management And General37136ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical & Food Supplies1261015312576143340100
Bad Debt695172059736489780720
Professional Fees4795810479293028800
Other Direct2531104139983211312720
Dues and Subscriptions2471801065761406040

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total100782524Total
Program Services89757483ProgramServices
Management And General11025041ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7216519BOY
EOY6460936EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9114444BOY
EOY10331143EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1332859BOY
EOY1686509EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1432630BOY
EOY1074017EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32372203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13235774LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19535377BOY
EOY19136429EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY45786BOY
EOY53742EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY7314021BOY
EOY8322909EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY308242BOY
EOY229542EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15802392BOY
EOY18399644EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62102270BOY
EOY65694871EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11284515BOY
EOY11267701EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY146426BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14075656BOY
EOY15491864EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25506597BOY
EOY26759565EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36558294BOY
EOY38900524EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY37379BOY
EOY34782EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36595673BOY
EOY38935306EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62102270BOY
EOY65694871EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$16,035OtherActivitiesAmount
Total Lobbying Expenditures IIB16035TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations specifically allocable to lobbying activities.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis944012OtherCostOrOtherBasis
Book Value944012BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20143295OtherCostOrOtherBasis
Depreciation9163256Depreciation
Book Value10980039BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1704565OtherCostOrOtherBasis
Depreciation515997Depreciation
Book Value1188568BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8369347OtherCostOrOtherBasis
Depreciation3556521Depreciation
Book Value4812826BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1210984OtherCostOrOtherBasis
Book Value1210984BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19136429TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Invst. in Tri-Cities Lab.2106867C
Invst. in Tri-Cities Cancer Center5707042C
Investment in BLT, LLC509000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related8322909TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Health System Depository15163491
Other Miscellaneous Receivables114051
Deferred Compensation Asset1210331
Third Party Receivables1911771
FieldValueIRS element (for citing)
Total Book Value Other Assets18399644TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Intercompany Debt to Ascension Health$12,669,278
Self Insurance Liability$236,404
Miscellaneous Noncurrent Liabilities$125,851
Deferred Compensation Liability$1,210,331
Other Long-Term Debt$1,250,000
FieldValueIRS element (for citing)
Total Of Amounts15491864TotalOfAmounts
Total Revenue102921527TotalRevenue
Total Expenses100782524TotalExpenses
Excess Or Deficit For Year2139003ExcessOrDeficitForYear
Net Unrealized GL On Investments1016814NetUnrealizedGLOnInvestments
Other-$816,184OtherAmount
Total Adjustments200630TotalAdjustments
Excess Or Deficit Per FS2339633ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:Per the financial statements of Our Lady of Lourdes Hospital of Pasco, there is no current year ASC 740 (fka FIN 48) footnote for the current year.
Part XI, Line 8 - Other Adjustments:Impairment Loss: -15630. Transfer to Sponsor: -53389. Transfer to Affiliates: -747165.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1776368TotalCommunityBenefitExpense
Net Community Benefit Expense1776368NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense22992635TotalCommunityBenefitExpense
Direct Offsetting Revenue19877454DirectOffsettingRevenue
Net Community Benefit Expense3115181NetCommunityBenefitExpense
Percent Of Total Expense0.03320PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24769003TotalCommunityBenefitExpense
Direct Offsetting Revenue19877454DirectOffsettingRevenue
Net Community Benefit Expense4891549NetCommunityBenefitExpense
Percent Of Total Expense0.05210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense43692TotalCommunityBenefitExpense
Net Community Benefit Expense43692NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense90362TotalCommunityBenefitExpense
Net Community Benefit Expense90362NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense680546TotalCommunityBenefitExpense
Direct Offsetting Revenue492890DirectOffsettingRevenue
Net Community Benefit Expense187656NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense147216TotalCommunityBenefitExpense
Net Community Benefit Expense147216NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense961816TotalCommunityBenefitExpense
Direct Offsetting Revenue492890DirectOffsettingRevenue
Net Community Benefit Expense468926NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25730819TotalCommunityBenefitExpense
Direct Offsetting Revenue20370344DirectOffsettingRevenue
Net Community Benefit Expense5360475NetCommunityBenefitExpense
Percent Of Total Expense0.05720PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense41053TotalCommunityBuildingExpense
Net Community Building Expense41053NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense150TotalCommunityBuildingExpense
Net Community Building Expense150NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3207TotalCommunityBuildingExpense
Net Community Building Expense3207NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense20328TotalCommunityBuildingExpense
Net Community Building Expense20328NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense64738TotalCommunityBuildingExpense
Net Community Building Expense64738NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,951,720BadDebtExpenseAmount
Amount Attributable To2961433AmountAttributableTo
Amount Reimbursed By Medicare25053203AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19393759CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5659444MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24HoursOtherOther
Lourdes Medical Center
520 North 4th AvenuePascoWA99301XXXX
Lourdes Counseling Center
1175 Carondelet DriveRichlandWA99352XBehavioral Health Services

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart 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 cost-to-charge ratio 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.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $6,951,720.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The organization is a part of the Our Lady of Lourdes Hospital at Pasco consolidated audit. The footnote that references bad debt expense in the June 30, 2010 consolidated audit is as follows: The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payer category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the organization follows established guidelines for placing certain past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the organization. Accounts receivable are written off after collection efforts have been followed in accordance with the Organization's policies.The organization's share of bad debt expense for the year ending June 30, 2010 was $6,951,720 at charges and at cost.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8:ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: Lourdes Health Network is a collaborative community partner. We work with several other non-profit and state agencies to gather community needs. Our local United Way agency along with the local university conducted a large scale community needs assessment covering health care along with other needs that are frequently accessed by Lourdes. Our local Federally Qualified Health Center also conducted a community needs assessment and has shared that information with Lourdes. The public school district also provides Lourdes with valuable information about the community's health.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Financial counselors are trained to discuss our financial assistance policy and assist those needing assistance with the application. In addition, they have knowledge of other assistance programs that patients may qualify for and assist patients in finding that information. During the pre-registration, registration, admission and discharge processes, Lourdes attempts to identify patients who may be eligible for charity or discounted care via the charity care policy. A financial counselor is provided to all patients. Lourdes charity care policy is posted in all admitting areas, the emergency room and the information desk with information about our financial assistance program and how to access it if needed. On the website is the full application available for download as well as information about the policy. A written summary and contact information is provided in all communications with patients regarding bills and account status.PatientEducationAssistance
Community InformationPart VI, Line 4: Lourdes Health Network primarily serves those residing in Franklin and Benton Counties. Lourdes offers the only acute hospital in Franklin County and provides a clinic in North Franklin County. Lourdes also offers the region's only inpatient mental health hospital in Benton & Franklin Counties. In fiscal year 2010, Lourdes Health Network provided more than $10 million in charity and uncompensated care to members of our community. The demographic makeup of the community we serves is as follows:Franklin County: -Total Population - 69,241-68% are high school educated or above -Median Household Income - $44,744-20.9% of individuals below poverty level -48.7% Hispanic or Latino-39.7 Persons per square mileBenton County:-Total Population - 168,294-87% are high school educated or above-Median Household Income - $54,544-12.7% of individuals below poverty level-15.9% Hispanic or Latino-83.7 persons per square mileThe Health Status of the Mid-Columbia region trends with the health of the nation. However, our area has a higher prevalence of childhood obesity and diabetes, which then adds to other issues, such as heart disease and stroke. Other areas rated unfavorable compared to peer counties include:-Births to women under 18-Births to unmarried women-No care in first trimester-White non-Hispanic infant-Mortality-Homicide-Lung Cancer-Stroke-Suicide-Colon CancerLourdes Health Network works diligently to provide healthy lifestyle education to the community in multiple ways such as a community newsletter, a web-based health information library, community events and educational forums and formalized relationships with schools.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Lourdes Health Network provided the following community building activities in 2010:- Childhood Obesity - To support healthy activities and prevention of childhood obesity, Lourdes sponsored three fun runs in local schools, provided "healthy snack" education to three local schools, and sponsored America on the Move through the YMCA. Without the support of Lourdes, the schools and organizations would not have been able to offer these activities that are designed to help young children learn healthy habits. Lourdes also supports many youth sports activities, such as Kennewick Youth Baseball, Little League, Basketball teams and soccer teams to further our work to encourage children to be active.- Prenatal Outreach - Lourdes provides FREE to anyone in the community, regardless of hospital of delivery, prenatal classes. Classes include: Prenatal education in English and Spanish, Infant CPR classes, and refresher courses. In addition, a post partum clinic is available FREE of charge for any new mother and baby post discharge. A positive educational program is also provided to high-risk teen mothers via the New Horizons High School and the Pasco School District. This program provides self esteem, parenting skills, and pre and post natal education. - Community Education - For 94 years, Lourdes has been active providing community education throughout the region. A few examples: - Lourdes Health Network Nutritional Counselors are guest speakers at nursing homes, assisted living facilities, schools, volunteer groups and churches presenting healthy eating and diabetes prevention information provided by Lourdes, but at no cost to attendees. - Lourdes Health Network's Infection Control Nurse actively educated children in schools and the community at many community events about proper hand washing and flu prevention at no cost to attendees and funded by Lourdes. In addition, Lourdes spearheaded an internal and external hand washing campaign and provided the largest community event - the Benton Franklin Fair and Rodeo - with posters, hand wipes, and hand sanitizers. - Dr. Benjamin Pe, Lourdes Board Certified Child Psychiatrist provides educational sessions to local elementary schools about signs and symptoms of childhood mental illness provided by Lourdes at no cost to the school district. - Blood Drives - Lourdes works in close partnership with the Red Cross and promotes and hosts blood drives in many of our facilities. Having an adequate community blood supply is essential to our community's health. Lourdes is proud to offer these blood drives at no cost to participants or to the Red Cross.- Lourdes Foundation sponsors up to 1,000 persons on Washington State's Basic Health Plan. Funding for this important program to provide access and coverage for healthcare is provided by local donations and sponsorships. The Foundation also partners with local media and corporations such as Columbia Bank, Washington Trust Bank and others to improve the health of some of our community's most vulnerable members. To further assist those without insurance and access to care, the Foundation funds a free mammogram program. Partners financially supporting this program which provides over 100+ free mammograms each year as well as any follow-up care needed include: Susan G Komen for the Cure, Benton Franklin Fair and Rodeo, Tri-Cities Cancer Center and In Step With Hope. - Scholarships - Lourdes Foundation and Lourdes Auxiliary partner to offer six outstanding local students wanting to enter the healthcare field $1,500 scholarships to pursue their education. This is one way that we can contribute to fighting the healthcare worker shortage and further the education of our community's brightest students.CommunityBuildingActivities
Other InformationPart VI, Line 6: Lourdes allows educated staff with specific expertise to provide community education. For instance, the Infection Control nurse provides hand hygiene education to schools, at community events, and to teachers. Lourdes' board-certified child psychiatrist provides education to local teachers about signs and symptoms of children's common mental health issues. Certified dieticians provide education to school children and through the YMCA about healthy after-school snacks and overall healthy eating habits. It is estimated that over 2,000 school children and staff have attended sessions in the last year. Partnership with City of Pasco for Pasco safety improvements - Lourdes Medical Center is located on 4th Avenue in Pasco. 4th Avenue is a major arterial with 4 lanes of traffic. There have been several deaths and many injuries as people attempt to cross 4th Avenue to enter the hospital. As a proactive community leader, Lourdes has partnered with the City on a safety assessment and plan to improve 4th Avenue. This partnership included a monetary donation to the City for the assessment. The safety of our community and our patients is of utmost concern for Lourdes. -Other non-profits: American Cancer Society, American Diabetes Association, American Red Cross, Boys and Girls Clubs, YMCA.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: Our Lady of Lourdes Hospital at Pasco, d/b/a Lourdes Health Network ("Health Network") is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of not-for-profit corporations that own and operate local health care facilities, or Health Ministries, located in 20 states and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of st. Joseph and the Sisters of St. Joseph of Carondelet (CSJ).The Health Network consists of two separately licensed not-for-profit health care providers and a foundation: Lourdes Medical Center ("Medical Center") located in Pasco, Washington; Lourdes Counseling Center ("Counseling Center") in Richland, Washington and Lourdes Foundation ("Foundation"). The Medical Center and Counseling Center provide inpatient, outpatient and emergency care services for the residents of Pasco and its surrounding communities. Admitting physicians are primarily practitioners in the local area. The Foundation supports the Medical Center and the Counseling Center. The Health Network is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.In addition to our national affiliation with Ascension Health, Lourdes has multiple local community partnerships. Lourdes is co-owner of the Tri-Cities Cancer Center and Tri-Cities Lab along with two other local acute care hospitals. This allows for no duplication of services for specialized programs in our community. Lourdes is an active participant with the Benton Franklin Community Health Alliance and assists ith funding for this program designed to collaboratively address local health issues. Other members of the alliance are: Benton Franklin Department of Health, Kadlec Regional Medical Center, Kennewick General Hospital, Group Health Cooperative (a private insurer), two Federally Qualified ealth Centers, and the Veteran's Memorial Hospital. Lourdes works collaboratively with Tri-Cities Community Health - a federally qualified health enter on multiple grants and providing space for an urgent care center. Lourdes also sponsors the following organizations committed to improving the health of our community through their independent Missions: American Cancer Society, American Diabetes Association, Neurological Center, Carson Kolzig Foundation for Autism, Grace Clinic for the uninsured, American Red Cross, Tri-Cities Cancer Center, and countless other non-profits.AffiliatedHealthCareSystem
Reports Filed With StatesWAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Lourdes Foundation
520 North 4th AvenuePascoWA99301911528577501(C)(3)273373General Support
Benton Franklin Community Health Alliance
7102 Okanogan PlaceKennewickWA99336030452352501(C)(3)14004General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Our Lady of Lourdes Hospital at Pasco provided donations to Lourdes Foundation to assist in daily operations. Lourdes Foundation's operations are closely monitored through shared leadership and governance to ensure monies given are used as intended. In addition, Our Lady of Lourdes Hospital at Pasco donated to Benton Franklin Community Health Alliance in support of its access to care goals in the local community. The use of these funds is monitored through access to care successes and breakthrough in the community.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Serle
27510902162660571830269000227990598257000
Frank Becker
1970050645340416170373700229830363509000
Janet Wright
1729020261380255410390300165160280127000
Barbara Mead
1539160261380209480308190101030241924000
Craig Pearsall
110162013828014820028892081930175895000
Gladson Menino Vaz MD
36499601006710181670287500236640536248000
James I Bucker MD
37271803750831000101780384102000
Wei W Qiu MD
371459037506410164880208810409844000
Michael J Hannan
363825037508690185730229330406575000
Suresh Kumar Piryani MD
315501057507560282250150790360136000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAn officer is allowed two annual business trips in which a single companion travel will be allowed and reimbursed. The companion fees are reimburseable according to the standard travel reimbursement policy. These reimbursements are considered taxable income to the officer and are included in Box 3 earnings on IRS Form W-2. Gross up payments are made to all employees of Lourdes Foundation and Our Lady of Lourdes Hospital at Pasco for gifts received from the employer such as Christmas gift cards and special recognition awards. An officer receives payments for tax preparation services. These reimbursements are considered taxable income to the officer and are included in Box 3 earnings on IRS Form W-2.
Part I, Line 4aEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, are entirely dependent on 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 not guarantee that these executives will evere receive any benefit under the program. Any amount ultimately paid under the program to executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individuals received payments from the supplemental nonqualified retirement plan in the amount as noted: Frank Becker - $23,297 and Janet Wright - $22,540

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Our Lady of Lourdes Hospital at Pasco has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aOur Lady of Lourdes Hospital at Pasco has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of the Our Lady of Lourdes Hospital at Pasco.
Form 990, Part VI, Section A, line 7bAscension 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 11Management, 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 and answer any questions. 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 12cThe organization regulary 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 committe meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the 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, Section B, line 15In determing the 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 audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substatntion of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensations, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part III, Line 4a:For the year ended June 30, 2010 This report illustrates the significant degree to which Our Lady of Lourdes Hospital at Pasco contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Our Lady of Lourdes Hospital at Pasco continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Our Lady of Lourdes Hospital at Pasco is to perpetuate the healing mission of the church. Our Lady of Lourdes Hospital at Pasco furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below: Organizational Commitment to Providing Community Benefit Our Lady of Lourdes Hospital at Pasco consists of Lourdes Medical Center, a 25 bed Acute Care Critical Access Hospital with a 10 bed Rehab Unit and Lourdes Counseling Center, a stand alone 32 bed Psychiatric Hospital offering both inpatient and outpatient behavioral health services. Our Lady of Lourdes Hospital at Pasco serves the Tri-Cities area of Washington State. Our Lady of Lourdes Hospital at Pasco seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, Our Lady of Lourdes Hospital at Pasco has developed the following programs to help achieve its mission: Expanding Awareness, Education, and Health Promotion Our Lady of Lourdes Hospital at Pasco believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Our Lady of Lourdes Hospital at Pasco has invested significantly in unique, top quality health education and materials relating to first aid, health and wellness and more in order to accomplish its goals. Through its Thrive for Life, Our Lady of Lourdes Hospital has provided the following community education seminars: - Finding Joy in Everyday Life - The Wonder of Water (proper hydration) - Diabetic Education - The Flu & You - Advance Directives - Easy Exercise for Weight Loss & More - Let's Talk Turkey: Eating Healthy for the Holidays - Fending off the Winter Blues - Games to keep Your Brain Healthy - New Year, New Resolutions - Healthy Aging & Community Resources - Heart Health - Love Your Legs (leg and foot health) - Jazzed Up for Exercise! - No Excuses Exercise - Why Can't I Sleep?! - Osteoporosis & Bone Health - Wills Clinic (writing and updating your will) - Know the 10 Warning Signs of Dementia - Free bone density screenings In addition, Our Lady of Lourdes Hospital at Pasco has hosted numerous Lunch and Learn education sessions open to employees and the general public free of cost including the following: - L&L: Current Treatment Strategies for Clostridium Difficile - L&L: Anticoagulation Therapy: New Guidelines for Patient Safety - L&L: Hepatitis B Update - L&L: Infection Control: New Isolation Signs - L&L: Lung Cancer Current Treatment Options - L&L: Northwest Tissue Service - L&L: Refeeding Syndrome - L&L: Swine Flu Facts - L&L: Where's my Blood? - L&L: Zeroing in on Pressure Ulcers Our Lady of Lourdes Hospital at Pasco also offers focused Prenatal Care instruction to our community. Courses offered on a routine basis are: - C-Section Courses - Sibling Courses - English and Spanish Prenatal Courses - Refresher Courses - Infant CPR Courses -Post Partum Clinics Our Lady of Lourdes Hospital at Pasco has developed a partnership with a local Rural Health Clinic as well as the State of Washington to help facilitate the access to healthcare for local community members that are experiencing financial hardships through its Basic Health initiatives. Medical Education Our Lady of Lourdes Hospital at Pasco believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. Healthcare professionals are therefore encouraged to attend the Lunch and Learn sessions provided onsite. In addition, Our Lady of Lourdes Hospital at Pasco provides healthcare professionals with education in the following job specific areas on a routine basis: - BLS = Basic Life Support (i.e. cardiopulmonary resuscitation - CPR) - ACLS = Advance Cardiac Life Support - NRP = Neonatal Resuscitation - TNCC = Trauma Nurse Core Curriculum - PALS = Pediatric Advanced Life Support - STABLE = Advanced Neonatal Resuscitation - Advanced Rehab Documentation and FIM scoring - Advanced solution wound care - CPT Coding - E/M Documentation guidelines - Emergency Severity index: 5 level triage - First 18 hours of newborn care - PICC Line Insertion class - Prophylaxis and Management of Asthma - Radiation Safety Training - SBAR Communication - Providing Holistic, Reverent Care In the spirit of principles adopted by Ascension Health, Our Lady of Lourdes Hospital at Pasco has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2010, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $7,225,065 with an additional $1,731,110 in charity care delivered. Lourdes Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 32% of the values of services rendered were to elderly patients under the Medicare program, and approximately 22% of the services were provided to patients who were deemed indigent under state guidelines (Medicaid). Lourdes Counseling Center also provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2010, approximately 23% of the values of its services rendered were to elderly patients under the Medicare program, and approximately 46% of the services were provided to patients who were deemed indigent under state guidelines (Medicaid). Lourdes Medical Center - Operates an emergency room that is open to all persons regardless of ability to pay; - Has an open medical staff with privileges available to all qualified physicians in the area; - Has a governing body in which independent persons representative of the community comprise a majority; - Engages in the training and education of health care professionals; and - Participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs. Patient Services Our Lady of Lourdes Hospital at Pasco provides the following in-patient and out-patient medical services to the community: - ICU - Acute Care - Newborn Care - Chemical Dependency and Rehabilitation - Obstetrics - Rehab - Surgery - Laboratory - Diagnostic Imaging - Diagnostic Therapeutic - Adult and Child Psychiatry - Renal - Emergency - Clinic Services (Occupational Health, Employee Assistance, Primary Care, Pediatrics, and Internal Medicine) - Ambulatory - Sleep Lab - Ear, Nose and Throat - Therapies (Physical, Occupational, and Speech) - Diabetic Education and Counseling - Inpatient Psychiatric - Outpatient Counseling and Behavioral Health Treatment Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include: Lourdes Wilson House and Children's Day Program. During the fiscal year ending June 30, 2010, Our Lady of Lourdes Hospital at Pasco treated 3,368 adults and children in the community for a total of 13,966 patient days of service. The Medical Center also provided services to 162,867 outpatients, including 1,769 outpatient surgery patients, 25,680 emergency and 41,737 physician office visits.Community Benefit Report:
FINANCIAL INFORMATION The financial information presented below was prepared in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines. These guidelines recommend the following: - Report care of the poor at cost, not charges. - Do not include bad debt, contractual allowances, and quick pay discounts as part of care of the poor expense. - Do not count Medicare shortfall as a community benefit. - Report the net expense for community benefit expense minus any associated revenue from patients, payers, and other external sources. The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. For fiscal year ended June 30, 2010 1) Care of the poor - at cost $1,731,110 2) Government sponsored health care - net expense $4,155,821 (unpaid cost of public indigent care programs includes Medicaid, SCHIP, other safety net programs; does not include Medicare shortfall) 3) Community Benefit Programs - net expense $ 200,589 Supplemental information Bad debt $6,707,442
Form 990, Part VII, Section A:Sister Esther Polacci is paid directly from La Province of the Sisters of St. Joseph Carondelet.Explanation of Officers Compensation:
Form 990, Part VII, Section B:Amounts paid to Chervenell Construction Co. and George A. Grant, Inc. represent amounts paid for services and materials. These amounts cannot be separated.Explanation of Amounts Paid to Highest Paid Independent Contractors:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63145311662309HealthcareMOSection 501(c)(3)Schedule A, Line 11aN/A
Lourdes Foundation
520 North 4th AvenuePascoWA99301911528577FundraisingWASection 501(c)(3)Schedule A, Line 11aOur Lady of Lourdes Hospital at Pasco
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Lourdes Foundation
B273373
Lourdes Foundation
C66879
Lourdes Foundation
P128746
Ascension Health
O5970852
Ascension Health
Q927130
Ascension Health
R146704