As Bishop of the Syracuse Diocese, the Most Reverend James Moynihan, following a one-year canonical observation and prayerful discernment, issued a Letter of Praise on January 30, 2004, and erected Our Lady of Lourdes Hospitality North American Volunteers as a Public Association of the Christian Faithful under Canon 312§3 on June 10, 2005. This decree commended the apostolate for the worthwhile evangelical mission and Christ-centered Marian ministry to assist the sick and suffering at Lourdes and at home.