2024-08-15T13:18:03-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2022-10-01 550357050 ST MARY'S MEDICAL CENTER INC STMA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 257021271 ANGELA SWEARINGEN COO 3045268931 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-14 2022 2024-08-08 14:25:15Z ANGELA SWEARINGEN 2900 FIRST AVENUE HUNTINGTON WV 257021271 661013393 0 X WWW.ST-MARYS.ORG X 1924 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 8 8 4261 103 0 0 5139402 615044 582545638 624865495 3401871 3634913 9777601 30599297 600864512 659714749 326376 978026 0 0 295358366 336600150 0 0 0 323582595 358157645 619267337 695735821 -18402825 -36021072 475813009 437317799 354654187 335720859 121158822 101596940 X WE ARE INSPIRED BY THE LOVE OF CHRIST TO PROVIDE QUALITY HEALTH CARE IN WAYS WHICH RESPECT THE GOD-GIVEN DIGNITY OF EACH PERSON AND THE SACREDNESS OF HUMAN LIFE. 0 0 543891042 653516042 ST. MARY'S MEDICAL CENTER WAS ESTABLISHED IN 1924 AND, BASED ON THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, TRUST, INTERDEPENDENCE, AND STEWARDSHIP, CONTINUES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. FURTHERMORE, WHILE REIMBURSEMENT FOR CARE PROVIDED IS CRUCIAL TO THE CONTINUED OPERATION OF ST. MARY'S MEDICAL CENTER, IT IS RECOGNIZED THAT CIRCUMSTANCES EXIST WHICH RENDER CERTAIN PARTIES UNABLE TO PAY FOR NEEDED SERVICES, AND NO PATIENT IS DENIED SERVICES DUE TO THE LACK OF ABILITY TO PAY. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2023, ST. MARY'S MEDICAL CENTER PROVIDED 100,939 DAYS OF INPATIENT DAYS OF CARE AND TREATED AN ADDITIONAL 356,855 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY 80% OF THE INPATIENTS SERVED WERE COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID. A SIMILAR PERCENTAGE IS APPLICABLE TO OUTPATIENT SERVICES. SINCE CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES IS SUBJECT TO CONTRACTUAL REIMBURSEMENT RESTRICTIONS, PAYMENT RECEIVED FOR SERVICES PROVIDED IS OFTEN SIGNIFICANTLY BELOW THE ACTUAL COST OF THE SERVICES. ST. MARY'S MEDICAL CENTER HAS ESTABLISHED CHARITY CARE POLICIES AND GUIDELINES, USED TO HELP IDENTIFY THOSE PATIENTS WHO GENUINELY DO NOT HAVE THE RESOURCES TO PAY FOR SERVICES RECEIVED. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, THE HOSPITAL PROVIDED APPROXIMATELY $5.3 MILLION DOLLARS IN CHARITY CARE SERVICES, REPRESENTING CARE PROVIDED AT REDUCED PRICES OR COMPLETELY FREE OF CHARGE. THESE SERVICES INCLUDE INPATIENT SERVICES, AN ADULT OUTPATIENT CLINIC, A HANDICAPPED CHILDREN'S CLINIC, AND A SPECIALTY PREGNANCY CLINIC. ALSO, ST. MARY'S MEDICAL CENTER EXCEEDS THE GUIDELINES ESTABLISHED FOR THE WEST VIRGINIA AD VALOREM STATUTE. 1639474 978026 2082551 IN ADDITION TO THOSE PATIENTS WITHOUT THE WHEREWITHAL TO PAY FOR SERVICES RENDERED, WE ASSIST IN THE RELIEF OF BURDEN OF GOVERNMENT FOR SEVERAL PROGRAMS. A STRONG AUXILIARY (OPERATED AS A DEPARTMENT OF THE HOSPITAL) EXISTS, WHICH CONTRIBUTES HEAVILY TO THE ACTIVITIES OF SMMC. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, THE AUXILIARY CONTRIBUTED APPROXIMATELY $105,000 TO ST. MARY'S. IN ADDITION, VOLUNTEERS PROVIDED OVER 15,500 HOURS OF SERVICE VALUABLE TO PROMOTING THE MISSION AND ACTIVITIES OF THE HOSPITAL. ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2023 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. THESE INCLUDE:COVID-19 RESOURCESSMMC PROVIDED NUMEROUS RESOURCES TO HELP THE COMMUNITY DURING THE COVID-19 PANDEMIC. EDUCATIONAL RESOURCES WERE PROVIDED IN A NUMBER OF WAYS, INCLUDING THROUGH THE WEBSITE, SOCIAL MEDIA, LOCAL MEDIA OUTLETS AND PARTICIPATION IN COMMUNITY PRESENTATIONS.HIMG, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, PROVIDED FREE COVID-19 VACCINES TO THE COMMUNITY. FOR FY 2023, THE VACCINE CLINIC HAS PROVIDED 391 VACCINATIONS. COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC SATURDAY, SEPT. 23 IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 450 TOTAL VACCINES WERE GIVEN IN HUNTINGTON AND HURRICANE.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.15.23, 12 PARTICIPATED. SKIN SCREENING ON 5.4.23, 39 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF MARCH, APRIL AND SEPTEMBER 2023. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 3,529 PROFILES. SUPPORT GROUPSSMMC OFFERS FOUR FREE SUPPORT GROUPS TO THE COMMUNITY EACH MONTH:* BREAST CANCER 9 SUPPORT GROUPS HELD, 78 PARTICIPANTS.* CANCER SUPPORT GROUP 9 SUPPORT GROUPS HELD, 36 PARTICIPANTS.* HEART TO HEART (FOR HEART SURGERY PATIENTS) 10 SUPPORT GROUPS HELD, 29 PARTICIPANTS. * WEIGHT LOSS SURGERY JH WORKING ON THISSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. TEN SUPPORT GROUPS WERE HELD, 459 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED QUARTERLY COMMUNITY BLOOD DRIVES AT THE MEDICAL CENTER. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2023 HUNTINGTON HEART WALK, APRIL 20. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS. MORE THAN 300 COMMUNITY MEMBERS ATTENDED ON APRIL 20, 2023. GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION.HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE.FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO CLINIC PATIENTS THROUGHOUT THE YEAR. THE CLINIC PROVIDES FREE HEALTH CARE TO MEMBERS OF THE COMMUNITY WHO MEET FEDERAL POVERTY GUIDELINES. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. # OF PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN 1,832. # OF CLIENTS ASSISTED BY PROACT 7,144 COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM.JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 741 PEOPLE IN FY 2023.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,469 PEOPLE RECEIVED COUNSELING IN FY 2023.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY. BREAST CANCER SURVIVOR REUNION INCLUDED SURVIVORS NIKA HETTLINGER, DDS, AND AMBER KITCHEN AS GUEST SPEAKERS.COMMUNITY HEALTH EVENTS/SCREENINGS* SKIN CANCER SCREENING-SMMC OFFERED A FREE SKIN CANCER SCREENING IN APRIL 2023. FORTY-FOUR PEOPLE WERE SCREENED.* SMMC MEDICAL CAMPUS IRONTON ANNIVERSARY-SMMC'S IRONTON CAMPUS CELEBRATED ITS 10TH ANNIVERSARY WITH A COMMUNITY EVENT, IN CONJUNCTION WITH THE IRONTON-LAWRENCE COUNTY COMMUNITY ACTION ORGANIZATION, WHICH FEATURED THE DISTRIBUTION OF HEALTH INFORMATION, IN ADDITION TO FUN ACTIVITIES.* SMMC PARTNERED WITH CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH, APPALACHIAN REGIONAL HEALTHCARE AND WORLD CENTRAL KITCHEN TO PROVIDE A FREE MOBILE HEALTH CLINIC, SUPPLIES AND MEALS TO THE PEOPLE OF KNOTT COUNTY, KENTUCKY, WHO WERE AFFECTED BY FLOODING.HIMG FACEBOOK LIVEHIMG'S FACEBOOK PAGE HOSTED MONTHLY FACEBOOK LIVE EVENTS FOCUSING ON SEVERAL HEALTH TOPICS OF IMPORTANCE TO THE COMMUNITY. TOPICS INCLUDED: HEART HEALTH, LUNG CANCER AND BREAST CANCER.COMMUNITY GIVINGSMMC EMPLOYEES PARTICIPATED IN SEVERAL OF COMMUNITY GIVING EVENTS THROUGHOUT THE YEAR, INCLUDING PROVIDING FOOD AND WINTER ACCESSORIES FOR THE RIVERVIEW EAST HIGH-RISE IN GUYANDOTTE, WEST VIRGINIA. ADULTS AT THE HIGH-RISE LIVE ON LIMITED INCOMES AND HAVE NO FOOD SERVICE IN THEIR BUILDING. VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER. 545530516 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 66 0 4261 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X ANGELA COBURN CPA 3045261580 2900 FIRST AVENUE HUNTINGTON WV 25702 TODD CAMPBELL DIRECTOR 2.00 X 207556 0 13390 SISTER MARY GRACE BARILE SECRETARY/DIRECTOR 2.00 X X 0 0 0 JEFF LEABERRY MD VICE PRESIDENT/DIRECTOR 2.00 X X 0 0 0 VICKIE SMITH DIRECTOR 1.00 X 0 0 0 DEV RELLAN MD DIRECTOR 1.00 X 0 0 0 MARIE REDD DIRECTOR 1.00 X 0 0 0 DAVID FOX PRESIDENT/DIRECTOR 1.00 X X 0 0 0 FLOYD HARLOW TREASURER/DIRECTOR 1.00 X X 0 0 0 ANGELA D SWEARINGEN VICE PRESIDENT/CHIEF OPERATING OFFICER 45.00 X 625824 0 117480 KEVIN YINGLING PRESIDENT & CEO MHN 1.00 45.00 X 0 862472 27019 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 1.00 45.00 X 0 764329 23006 PAUL E SMITH VP & CHIEF ADMINISTRATIVE OFFICER 1.00 45.00 X 0 566227 32015 HOYT BURDICK SR. VP, CHIEF MEDICAL OFFICER 1.00 45.00 X 0 517893 28360 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 1.00 45.00 X 0 302081 37811 BRADLEY BURCK VP CHH FOUNDATION 1.00 45.00 X 0 231019 37811 VERA ROSE MD VICE PRESIDENT 45.00 X 353332 0 22472 SUSAN BETH ROBINSON CHIEF HUMAN RESOURCES OFFICER 45.00 X 476811 0 48073 MARK MORGAN VP PHYSICIANS SERVICES 45.00 X 353192 0 47801 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 45.00 X 283739 0 21379 REGINA CAMPBELL CHIEF NURSING OFFICER 45.00 X 348131 0 34243 DAVID SHEILS VICE PRESIDENT 45.00 X 249323 0 32871 AARON BLEVINS CHIEF PHARMACY OFFICER 45.00 X 258870 0 45210 ROBERT KACZMARCZYK VICE PRESIDENT 45.00 X 233885 0 45405 ANDY MULLINS VICE PRESIDENT 45.00 X 161475 0 42073 DENNIS LEE VP MHN, CHIEF INFORMATION OFFICER 1.00 45.00 X 0 508010 26073 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 1.00 45.00 X 0 494254 27019 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 1.00 45.00 X 0 160932 13509 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 1.00 45.00 X 0 302387 42015 MATTHEW WERTHAMMER MD PHYSICIAN 45.00 X 1759705 0 50895 DWIGHT SAULLE MD PHYSICIAN 45.00 X 1735534 0 49842 NEPAL CHOWDHURY MD PHYSICIAN 45.00 X 1806688 0 49999 DAMIAN SILBERMINS MD PHYSICIAN 45.00 X 1274132 0 36116 AAMIR CHEEMA MD PHYSICIAN 45.00 X 1268388 0 47411 11396585 4709604 999298 486 0 1 0 QUALIVIS PO BOX 123847 DEPT 3847 DALLAS TX 75312 MEDICAL 30222364 UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE SUITE B5 HUNTINGTON WV 25701 MEDICAL 6544225 RIVER CITIES ANESTHESIA PO BOX 515 BARBOURSVILLE WV 25504 MEDICAL 5774089 CERNER HEALTH SERVICES INC PO BOX 959168 ST LOUIS MO 63195 COMPUTER 3647792 AMERICAN RED CROSS PO BOX 73013 CHICAGO IL 60673 MEDICAL 2138304 5 88299 526745 11013 615044 PATIENT SERVICE REVENUE 621990 598084225 598084225 PHARMACY REVENUE 456110 21294245 21294245 SCHOOL OF NURSING 611600 2971914 2971914 PURCHASE REBATES 900099 2346063 2346063 OTHER PROGRAM SERVICE REVENUE 900099 169048 169048 624865495 2404350 2404350 1303490 338480 965010 965010 965010 1205091 25472 0 0 1205091 25472 1230563 1230563 399937 221120 178817 178817 1620033 739044 880989 880989 ALL OTHER REVENUE 900099 23865180 23865180 CAFETERIA SALES 722100 3143427 3143427 OTHER AFFILIATED ENTITIES 900099 1565874 1565874 28574481 659714749 655285975 0 3813730 X 978026 978026 3595570 2444988 1150582 265174405 180318595 84855810 6441270 4380064 2061206 44461072 30233529 14227543 16927833 11510926 5416907 1013484 1013484 1813140 1813140 501262 501262 70080891 57746653 12334238 867898 590171 277727 4614150 3137622 1476528 6333007 4306445 2026562 26751369 18190931 8560438 360002 244801 115201 3477162 2364470 1112692 17638107 11993913 5644194 9989232 6792678 3196554 MEDICAL SUPPLIES 155896846 155896846 BAD DEBTS 30048047 30048047 PROVIDER TAX 14956683 14956683 13816365 9395128 4421237 695735821 545530516 150205305 0 2749135 302099 15468978 15825800 112180224 92097930 14031618 15676284 1381406 2823954 287212981 80619657 196913732 206593324 57805321 19197730 8265494 8676046 2705592 2705592 64311509 73419040 475813009 437317799 141497974 148660027 7926277 -542184 205229936 187603016 354654187 335720859 X 119285071 101123189 1873751 473751 121158822 101596940 475813009 437317799 X -36021072 3344434 13114756 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 46638 46638 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH ENGAGE IN LOBBYING ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA, CHA, AND AHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES WHICH TOTALED $46,638. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED ON THEIR WEBSITES, WVHA.ORG, CHAUSA.ORG, AND AHA.ORG. 9826586 9826586 166067418 34660929 131406489 99909281 45400572 54508709 11409696 558156 10851540 206593324 RIGHT-OF-USE ASSETS 38591057 OTHER RECEIVABLE 21038788 ESTIMATED THIRD-PARTY SETTLEMENTS 7629195 OTHER ASSETS 6160000 73419040 ACCRUED PENSION COSTS 44051447 DEFERRED SALARIES AND WAGES 3768359 GENERAL RESERVES 13787000 DUE TO AFFILIATE HOSPITAL 79427739 LEASE OBLIGATIONS 46568471 187603016 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2023 AND 2022. FUNDRAISING 399937 399937 221120 399937 399937 221120 221120 178817 1 1 X 1 X 1 X 1 1 0 0 6872 1487147 1487147 0.00210 27639 101339409 86587818 14751591 0.02120 34511 102826556 86587818 16238738 0.02330 4 13596924 4482985 9113939 0.01310 2 1326 329318 329318 0.00050 6 1326 13926242 4482985 9443257 0.01360 6 35837 116752798 91070803 25681995 0.03690 0 8137909 1627582 89793807 92734135 -2940328 X 1 1 1 THREE GABLES SURGERY OUTPATIENT HEALTH CARE 0.53270 0.46730 1 1 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 X X X X X URGENT CARE ST MARY'S MEDICAL CENTER 0 0 1 X X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.ST-MARYS.ORG X 1 22 1 HTTPS://WWW.ST-MARYS.ORG 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.ST-MARYS.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/FINANCIAL-ASSISTANCE-AP X HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/APPENDIX-B-PLAIN-LANGUA X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR SMMC, THE MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE MEDICAL CENTER, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE CHNA WAS DONE IN COLLABORATION WITH CABELL HUNTINGTON HOSPITAL AND THE LOCAL HEALTH DEPARTMENT OF THE SERVICE AREAS IDENTIFIED. A THIRD PARTY SPECIALIST, THE CENTER FOR ENTREPRENEURIAL STUDIES AND DEVELOPMENT, INC. LOCATED IN MORGANTOWN, WV WAS ENGAGED TO ASSIST IN THE PLANNING AND DEVELOPMENT PROCESS. SMMC ESTABLISHED A CORE PLANNING TEAM CONSISTING OF REPRESENTATIVE MEMBERS OF THE MEDICAL CENTER MANAGEMENT: DIRECTOR OF PROVIDER RELATIONS, VP OF MISSION INTEGRATION, SR. VP & COO, VP OF SUPPORT SERVICES, PLANNING & DEVELOPMENT, AND THE VP OF FINANCE & CFO. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH CABELL HUNTINGTON HOSPITAL, INC. ST. MARY'S MEDICAL CENTER PART V, SECTION B, LINE 11: THE SMMC ACTION PLAN FOCUSED UPON THREE OVERARCHING GOALS: BUILDING A NETWORK OF COLLABORATION, ENHANCING EDUCATION AND AWARENESS ACTIVITIES, AND TAILORING INTERVENTIONS FOR SPECIFIC DEMOGRAPHIC GROUPS WITH AN EMPHASIS ON SENIOR AWARENESS. EACH PRIORITY WAS EVALUATED TO DETERMINE IF SMMC CURRENTLY WAS ADDRESSING THAT NEED, ABLE TO ADAPT CURRENT PROGRAMS OR DEVELOP NEW PROGRAMS TO MEET THE NEED, PROVIDE AN AGENCY THAT IS CURRENTLY ADDRESSING THE NEEDED FINANCIAL SUPPORT, OR IF THERE WERE INSUFFICIENT RESOURCES (FINANCIAL OR PERSONAL), TO ADDRESS THE NEED WITHOUT COLLABORATION WITH OTHER AGENCIES. PRIORITIES THAT WERE DEEMED TO BE OUTSIDE THE SCOPE OF SMMC AND ADDRESSED BY OTHER RESOURCES IN THE COMMUNITY WERE NOT INCLUDED IN THE ACTION PLAN. 8 1 - ST MARY'S FAMILY CARE 147 WILLOW TREE WAY HURRICANE WV 25526 OUPATIENT CLINIC 2 - HIMG EAR NOSE AND THROAT 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 3 - ST MARY'S FAMILY CARE 1408 CAMPBELL DRIVE IRONTON OH 45638 OUPATIENT CLINIC 4 - HIMG-AUDIOLOGY 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 5 - ULTIMATE PLASTICS AND RECONSTRUCTIVE 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 OUPATIENT CLINIC 6 - ST MARY'S HIMG LLC 1290 MONTGOMERY AVE SUITE 1 ASHLAND KY 41101 OUPATIENT CLINIC 7 - ST MARY'S MEDICAL MANAGEMENT 38 HOSPITAL DRIVE SUITE G-B LOGAN WV 25601 OUPATIENT CLINIC 8 - ST MARY'S MEDICAL MANAGEMENT 414 GREENWAY AVE SUITE 100 SOUTH CHARLESTON WV 25309 OUPATIENT CLINIC PART I, LINE 3C: ELIGIBILITY IS DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES FOR FINANCIAL INDIGENCE, A RATIO OF TOTAL MEDICAL EXPENSES TO ANNUAL DISPOSABLE INCOME FOR MEDICAL INDIGENCE. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.FINANCIALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SHALL MEAN UNINSURED OR UNDERINSURED PATIENTS ACCEPTED FOR CARE WITH NO OBLIGATION OR A DISCOUNTED OBLIGATION TO PAY FOR SERVICES RENDERED BASED ON THE MEDICAL CENTER'S ELIGIBILITY SYSTEM WHICH MAY INCLUDE:(A) INCOME LEVELS AND MEANS TESTING OR OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY; OR B) OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY THAT ARE CONSISTENT WITH THE MEDICAL CENTER'S MISSION AND ESTABLISHED POLICY. THE FEDERAL POVERTY LEVEL SHALL SERVE AS AN INDEX FOR THE THRESHOLD BELOW WHICH PATIENTS RECEIVING CARE AT ST. NARY'S MEDICAL CENTER ARE DEEMED FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SERVICES INCLUDE NONCOVERED SERVICES FOR PATIENTS ELIGIBLE FOR THE MEDICAID PROGRAM, SERVICES PROVIDED UNDER COUNTY INDIGENT CARE CONTRACTS, AND OTHER STATE OR FEDERAL ASSISTANCE PROGRAMS FOR LOW INCOME GROUPS. MEDICALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE MEDICALLY INDIGENT. MEDICALLY INDIGENT SHALL MEAN PATIENTS WHO ARE RESPONSIBLE FOR THEIR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WHERE APPLICABLE, EXCEED: (A) A SPECIFIED PERCENTAGE OF THE PATIENT'S ANNUAL GROSS INCOME (I.E.,CATASTROPHIC MEDICAL EXPENSES) IN ACCORDANCE WITH THE MEDICAL CENTER'S FORMAL ELIGIBILITY SYSTEM IN SUCH INSTANCES WHERE PAYMENT WOULD REQUIRE LIQUIDATION OF ASSETS CRITICAL TO LIVING OR EARNING A LIVING; OR (B) THE CRITERIA FOR DETER14INING A PATIENT'S INABILITY TO PAY. WHILE FINANCIAL INDIGENCE IS BASED STRICTLY ON AN INCOME LEVEL, MEDICAL INDIGENCE CONSIDERS BOTH INCOME AND THE FINANCIAL OBLIGATION FOR HEALTHCARE SERVICES TO CALCULATE THE PATIENT'S ABILITY TO PAY WITHOUT LIQUIDATING ASSETS CRITICAL TO LIVING OR EARNING A LIVING, SUCH AS A HOME, CAR, PERSONAL BELONGINGS, ETC. THEREFORE, PATIENTS ARE CONSIDERED FOR MEDICALLY INDIGENT STATUS ON A CASE BY CASE BASIS. THE PATIENT WOULD BE REQUIRED TO PROVIDE DOCUMENTATION OF INCOME TO DETERMINE IF HE/SHE IS TO BE CONSIDERED MEDICALLY INDIGENT. ALL PATIENTS ARE ELIGIBLE TO BE CONSIDERED FOR MEDICALLY INDIGENT STATUS WITH THE EXCEPTION OF PATIENTS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL AS THESE PATIENTS ARE CONSIDERED FOR SOME LEVEL OF UNCOMPENSATED CARE UNDER THE FINANCIALLY INDIGENT CATEGORY. PART I, LINE 7: THE COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE COMMUNITY BENEFIT EXPENSES FOR FINANCIAL ASSISTANCE AT COST AND MEDICAID.THE AMOUNT OF CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS WAS OBTAINED FROM THE HOSPITAL'S ACCOUNTING RECORDS.PART I, LINE 7, COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $30,048,047. PART III, LINE 2: BAD DEBT EXPENSE WAS ESTIMATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART III, LINE 3: BASED ON HISTORICAL INFORMATION, APPROXIMATELY 20% OF BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PART II AND PART VI, LINE 5 COMMUNITY BUILDING ACTIVITIES:ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2023 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. THESE INCLUDE:COVID-19 RESOURCESSMMC PROVIDED NUMEROUS RESOURCES TO HELP THE COMMUNITY DURING THE COVID-19 PANDEMIC. EDUCATIONAL RESOURCES WERE PROVIDED IN A NUMBER OF WAYS, INCLUDING THROUGH THE WEBSITE, SOCIAL MEDIA, LOCAL MEDIA OUTLETS AND PARTICIPATION IN COMMUNITY PRESENTATIONS.HIMG, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, PROVIDED FREE COVID-19 VACCINES TO THE COMMUNITY. FOR FY 2023, THE VACCINE CLINIC HAS PROVIDED 391 VACCINATIONS. COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC SATURDAY, SEPT. 23 IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 450 TOTAL VACCINES WERE GIVEN IN HUNTINGTON AND HURRICANE.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.15.23, 12 PARTICIPATED. SKIN SCREENING ON 5.4.23, 39 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF MARCH, APRIL AND SEPTEMBER 2023. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 3,529 PROFILES. SUPPORT GROUPSSMMC OFFERS FOUR FREE SUPPORT GROUPS TO THE COMMUNITY EACH MONTH:* BREAST CANCER 9 SUPPORT GROUPS HELD, 78 PARTICIPANTS.* CANCER SUPPORT GROUP 9 SUPPORT GROUPS HELD, 36 PARTICIPANTS.* HEART TO HEART (FOR HEART SURGERY PATIENTS) 10 SUPPORT GROUPS HELD, 29 PARTICIPANTS. * WEIGHT LOSS SURGERY JH WORKING ON THISSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. TEN SUPPORT GROUPS WERE HELD, 459 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED QUARTERLY COMMUNITY BLOOD DRIVES AT THE MEDICAL CENTER. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2023 HUNTINGTON HEART WALK, APRIL 20. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS. MORE THAN 300 COMMUNITY MEMBERS ATTENDED ON APRIL 20, 2023. GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION.HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE.FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO CLINIC PATIENTS THROUGHOUT THE YEAR. THE CLINIC PROVIDES FREE HEALTH CARE TO MEMBERS OF THE COMMUNITY WHO MEET FEDERAL POVERTY GUIDELINES. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT)PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. # OF PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN 1,832. # OF CLIENTS ASSISTED BY PROACT 7,144 COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM.JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 741 PEOPLE IN FY 2023.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,469 PEOPLE RECEIVED COUNSELING IN FY 2023.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY. BREAST CANCER SURVIVOR REUNION INCLUDED SURVIVORS NIKA HETTLINGER, DDS, AND AMBER KITCHEN AS GUEST SPEAKERS.COMMUNITY HEALTH EVENTS/SCREENINGS* SKIN CANCER SCREENING-SMMC OFFERED A FREE SKIN CANCER SCREENING IN APRIL 2023. FORTY-FOUR PEOPLE WERE SCREENED.* SMMC MEDICAL CAMPUS IRONTON ANNIVERSARY-SMMC'S IRONTON CAMPUS CELEBRATED ITS 10TH ANNIVERSARY WITH A COMMUNITY EVENT, IN CONJUNCTION WITH THE IRONTON-LAWRENCE COUNTY COMMUNITY ACTION ORGANIZATION, WHICH FEATURED THE DISTRIBUTION OF HEALTH INFORMATION, IN ADDITION TO FUN ACTIVITIES.* SMMC PARTNERED WITH CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH, APPALACHIAN REGIONAL HEALTHCARE AND WORLD CENTRAL KITCHEN TO PROVIDE A FREE MOBILE HEALTH CLINIC, SUPPLIES AND MEALS TO THE PEOPLE OF KNOTT COUNTY, KENTUCKY, WHO WERE AFFECTED BY FLOODING.HIMG FACEBOOK LIVEHIMG'S FACEBOOK PAGE HOSTED MONTHLY FACEBOOK LIVE EVENTS FOCUSING ON SEVERAL HEALTH TOPICS OF IMPORTANCE TO THE COMMUNITY. TOPICS INCLUDED: HEART HEALTH, LUNG CANCER AND BREAST CANCER.COMMUNITY GIVINGSMMC EMPLOYEES PARTICIPATED IN SEVERAL OF COMMUNITY GIVING EVENTS THROUGHOUT THE YEAR, INCLUDING PROVIDING FOOD AND WINTER ACCESSORIES FOR THE RIVERVIEW EAST HIGH-RISE IN GUYANDOTTE, WEST VIRGINIA. ADULTS AT THE HIGH-RISE LIVE ON LIMITED INCOMES AND HAVE NO FOOD SERVICE IN THEIR BUILDING. VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER. PART III, LINE 4: THE TEXT OF THE FOOTNOTE READS AS FOLLOWS: "THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUES OR PATIENT ACCOUNTS RECEIVABLE (NOTE 4)." THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2023 OR 2022. PART III, LINE 8: MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT. PART V, SECTION A: THIS FACILITY INCLUDES A SCHOOL OF NURSING, SCHOOL OF RESPIRATORY THERAPY, A SCHOOL OF MEDICAL IMAGING AND A CLINICAL PASTORAL EDUCATION PROGRAM. INTERNS AND RESIDENTS FROM MARSHALL UNIVERSITY SCHOOL OF MEDICINE ARE ALSO ASSIGNED AT THE HOSPITAL FOR THEIR CLINICAL ROTATIONS AS ARE STUDENTS IN COMMUNITY BASED PRACTICAL NURSING PROGRAMS. PART VI, LINE 2: SMMC TAKES STEPS TO DETERMINE WHAT THE MOST PRESSING NEEDS ARE IN ORDER TO PROVIDE SERVICES TO ADDRESS THEM. THE HOSPITAL REGULARLY ASSESSES THE NEEDS OF THE COMMUNITY. PERIODIC NEEDS ASSESSMENTS ARE CONDUCTED IN PARTNERSHIP WITH OUR LOCAL HEALTH DEPARTMENT. ADDITIONALLY, WE MONITOR COUNTY, STATE, AND NATIONAL HEALTH INDICATORS AND WORK IN PARTNERSHIP WITH SERVICE AGENCIES IN THE COMMUNITIES WE SERVE TO MEET IDENTIFIED NEEDS. PART VI, LINE 3: SMMC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE, INCLUDING:* FINANCIAL ASSISTANCE POSTERS ARE DISPLAYED IN ALL EMERGENCY, ADMITTING, OUTPATIENT, AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING.* HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS.* THE HOSPITAL EMPLOYS TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR CHARITY CARE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS. THE HOSPITAL PUBLISHES FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE FAP POLICY, ON THE INTERNET HOME PAGE. PART VI, LINE 4: ST. MARY'S MEDICAL CENTER SERVES THE GREATER HUNTINGTON, WEST VIRGINIA COMMUNITY WITH A PRIMARY SERVICE AREA THAT INCLUDES CABELL, WAYNE, MASON, PUTNAM AND LINCOLN COUNTIES IN WEST VIRGINIA AND LAWRENCE COUNTY IN OHIO. ST. MARY'S ALSO SERVES A MUCH WIDER SERVICE AREA BECAUSE OF SPECIALTY MEDICAL SERVICES INCLUDING ADVANCED EMERGENCY TRAUMA CARE, ADVANCED STROKE CARE, ADVANCED SPINE CARE, ADVANCED HEART CARE, ADVANCED CANCER CARE, AND ADVANCED ORTHOPEDIC CARE. THAT SECONDARY SERVICE AREA INCLUDES LOGAN AND MINGO COUNTIES IN WEST VIRGINIA, AS WELL AS BOYD, GREENUP, CARTER, LAWRENCE, JOHNSON, FLOYD AND PIKE COUNTIES IN KENTUCKY AND SCIOTO AND GALLIA COUNTIES IN OHIO.COMPETITORS WITHIN OUR PRIMARY SERVICE AREA ARE CAMC TEAYS VALLEY (PUTNAM COUNTY) AND KING'S DAUGHTERS HEALTH SYSTEM (ASHLAND, KY). THE MOST RECENT STATISTICS FROM THE U.S. CENSUS BUREAU SHOW THAT THE HIGH SCHOOL GRADUATION RATE (AGE 25+) FOR HUNTINGTON IS 87.8%. THE PERCENTAGE OF HUNTINGTON RESIDENTS LIVING BELOW THAT FEDERAL POVERTY LEVEL IS 30.2%. CABELL COUNTY BIRTH RATES FOR 15 TO 19 YEAR-OLDS IS 42.3 PER 1000 FEMALES. PART VI, LINE 5: ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AS WELL AS SISTERS FROM THE PALLOTTINE MISSIONARY SISTERS. ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL.ST. MARY'S ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS: PHYSICIANS, NURSES, MEDICAL IMAGING TECH, RESPIRATORY TECHS, AND CHAPLAINS; AND PARTICIPATES IN MEDICARE, MEDICAID, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. MARY'S ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT."COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTH CARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION, AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS.THE ST. MARY'S FOUNDATION IS A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH MEDICAL CENTER PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY.WHEN ST. MARY'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THAT WE WILL BE HERE TO CARE FOR FUTURE GENERATIONS. PART VI, LINE 6: ST. MARY'S MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTH CARE FACILITY WHOLLY SPONSORED BY CABELL HUNTINGTON HOSPITAL, INC. (CABELL HUNTINGTON HOSPITAL, INC. BECAME SOLE CORPORATE MEMBER AS A RESULT OF OWNERSHIP CHANGE EFFECTIVE MAY 1, 2018). ST. MARY'S MEDICAL CENTER IS COMMITTED TO THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, INTERDEPENDENCE, STEWARDSHIP, AND TRUST. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: WV SECTION 501(R) DISCLOSURE:* DESCRIPTION OF THE FAILURE, ITS CAUSE, SUMMARY OF HOW MANY ERRORS AND OVER WHAT TIME PERIOD AND THE NUMBER OF PEOPLE AFFECTED.IN THE FALL OF 2021, IT WAS DETERMINED THAT THE FINANCIAL ASSISTANCE POLICY OF ST. MARY'S MEDICAL CENTER, INC., DID NOT SPECIFY THAT ST. MARY'S MEDICAL CENTER, INC., UTILIZED COLLECTION AGENCIES AND CREDIT REPORTING. SPECIFICALLY, ST. MARY'S MEDICAL CENTER, INC., FAILED TO LIST ALL EXTRAORDINARY COLLECTION ACTIVITIES (ECAS) UTILIZED BY IT IN ITS COLLECTION EFFORTS. ADDITIONALLY, IT DID PROVIDE NOTICE TO PATIENTS PRIOR TO INSTITUTING ECAS. IT WAS DETERMINED THAT OUTSTANDING ACCOUNTS WERE REPORTED TO THE CREDIT BUREAUS FOR APPROXIMATELY 75,000 PATIENTS.DESCRIPTION OF THE CORRECTION OF THE FAILURE, INCLUDING THE DATE AND HOW AFFECTED INDIVIDUALS WERE RESTORED TO PRIOR POSITION, AND THE TIME PERIOD OVER WHICH CORRECTIONS OCCURRED.ST. MARY'S MEDICAL CENTER INC., IDENTIFIED THE AFFECTED PATIENTS AND REMOVED ALL NEGATIVE CREDIT ENTRIES FOR ALL PATIENTS INVOLVED. ALL NEGATIVE CREDIT ENTRIES WERE REMOVED BY DECEMBER 2021. ALL CREDIT REPORTING WAS SUSPENDED UNTIL THE REVISED FINANCIAL ASSISTANCE POLICY WAS ADOPTED BY THE BOARD OF DIRECTORS OF ST. MARY'S MEDICAL CENTER, INC. ON OCTOBER 26, 2021. ST. MARY'S MEDICAL CENTER, INC., DID NOT REINSTITUTE CREDIT REPORTING UNTIL JUNE 2022.* DESCRIPTION OF THE PRACTICES AND PROCEDURES IMPLEMENTED TO PREVENT THE ERRORS FROM BEING REPEATED.THE ST. MARY'S MEDICAL CENTER, INC., FINANCIAL ASSISTANCE POLICY WAS REVIEWED BY THE COMPLIANCE OFFICER. OUTSIDE COUNSEL WAS ALSO ENGAGED TO REVIEW FOR COMPLIANCE. ST. MARY'S MEDICAL CENTER, INC. WILL REVIEW THE FINANCIAL ASSISTANCE POLICY IN THE FUTURE DURING ITS COMPLIANCE REVIEW CYCLE. 1 HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 530372921 501(C)(3) 10000 0 SPONSOR ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 501(C)(3) 29680 0 SPONSOR EBENEZER MEDICAL OUTREACH 1448 TENTH AVE SUITE 100 HUNTINGTON WV 25701 550745033 501(C)(3) 25000 0 WELLNESS BIG GREEN SCHOLARSHIP FOUNDATION PO BOX 1360 HUNTINGTON WV 25715 550631935 501(C)(3) 6000 0 SPONSOR MARSHALL ARTIST SERIES ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25755 556000789 501(C)(3) 22500 0 SPONSOR UNITED WAY OF THE RIVER CITIES 820 MADISON AVE HUNTINGTON WV 25704 550384704 501(C)(3) 7500 0 WELLNESS PRO ACT 800 20TH STREET HUNTINGTON WV 25701 832100850 501(C)(3) 0 71834 OTHER PERSONNEL-PASTORAL MENTAL HEALTH GOLDEN GIRL GROUP HOME PO BOX 876 CEREDO WV 25507 311087689 501(C)(3) 7500 0 WELLNESS HOSPICE OF HUNTINGTON PO BOX 464 HUNTINGTON WV 25709 311040619 501(C)(3) 5500 0 WELLNESS KEITH ALBEE PERFORMING ARTS CENTER 925 4TH AVE HUNTINGTON WV 25701 205132843 501(C)(3) 12500 0 SPONSOR MARSHALL UNIVERSITY FOUNDATION ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25755 556011111 501(C)(3) 30500 0 SPONSOR PART I, LINE 2: TO ENSURE PROPER USE OF FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. X X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 NEPAL CHOWDHURY MD PHYSICIAN 1806688 0 0 0 0 0 9150 0 40849 0 1856687 0 0 0 MATTHEW WERTHAMMER MD PHYSICIAN 1759705 0 0 0 0 0 9150 0 41745 0 1810600 0 0 0 DWIGHT SAULLE MD PHYSICIAN 1735534 0 0 0 0 0 9150 0 40692 0 1785376 0 0 0 AAMIR CHEEMA MD PHYSICIAN 1268388 0 0 0 0 0 9150 0 38261 0 1315799 0 0 0 DAMIAN SILBERMINS MD PHYSICIAN 1274132 0 0 0 0 0 9150 0 26966 0 1310248 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 858908 0 0 0 3564 0 0 0 27019 0 889491 0 0 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 0 721926 0 26030 0 16373 0 0 0 23006 0 787335 0 0 ANGELA D SWEARINGEN VICE PRESIDENT/CHIEF OPERATING OFFIC 597329 0 28495 0 0 0 78229 0 39251 0 743304 0 0 0 PAUL E SMITH VP & CHIEF ADMINISTRATIVE OFFICER 0 538693 0 19896 0 7638 0 0 0 32015 0 598242 0 0 HOYT BURDICK SR. VP, CHIEF MEDICAL OFFICER 0 487348 0 22907 0 7638 0 0 0 28360 0 546253 0 0 DENNIS LEE VP MHN, CHIEF INFORMATION OFFICER 0 488096 0 17892 0 2022 0 0 0 26073 0 534083 0 0 SUSAN BETH ROBINSON CHIEF HUMAN RESOURCES OFFICER 460448 0 16363 0 0 0 9150 0 38923 0 524884 0 0 0 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 0 474684 0 17578 0 1992 0 0 0 27019 0 521273 0 0 MARK MORGAN VP PHYSICIANS SERVICES 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 0 REGINA CAMPBELL CHIEF NURSING OFFICER 332389 0 15742 0 0 0 9150 0 25093 0 382374 0 0 0 VERA ROSE MD VICE PRESIDENT 337285 0 16047 0 0 0 9150 0 13322 0 375804 0 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 0 302332 0 0 0 55 0 0 0 42015 0 344402 0 0 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 0 301271 0 0 0 810 0 0 0 37811 0 339892 0 0 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 270903 0 12836 0 0 0 8512 0 12867 0 305118 0 0 0 AARON BLEVINS CHIEF PHARMACY OFFICER 247339 0 11531 0 0 0 7766 0 37444 0 304080 0 0 0 DAVID SHEILS VICE PRESIDENT 238130 0 11193 0 0 0 7480 0 25391 0 282194 0 0 0 ROBERT KACZMARCZYK VICE PRESIDENT 221881 0 12004 0 0 0 7017 0 38388 0 279290 0 0 0 BRADLEY BURCK VP CHH FOUNDATION 0 221140 0 8411 0 1468 0 0 0 37811 0 268830 0 0 TODD CAMPBELL DIRECTOR 207556 0 0 0 0 0 12874 0 516 0 220946 0 0 0 ANDY MULLINS VICE PRESIDENT 158018 0 3457 0 0 0 4844 0 37229 0 203548 0 0 0 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 0 143969 0 14062 0 2901 0 0 0 13509 0 174441 0 0 PART I, LINE 1A WE PAY GUYAN DUES FOR MARK MORGAN. ANGIE SWEARINGEN, COO, IS ALLOWED A COUPLE OF TRIPS PER YEAR WITH SPOUSE. PART I, LINE 1B ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE ST. MARY'S MEDICAL CENTER, INC. BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT FOR REVIEW AND APPROVAL. SUCH INFORMATION INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE HUNTINGTON, WEST VIRGINIA COMMUNITY AS WELL AS COMPENSATION FOR THE TOP MANAGEMENT POSITIONS WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS, AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED. THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. JEFFREY BURDICK FAMILY MEMBER 119537 REPORTABLE COMPENSATION 0 PAUL SMITH OFFICER OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FAREED AZIZ KEY EMPLOYEE 14050 CHH USES FAREED'S BUSINESS, STEWARD CONSULTING, FOR CONTRACT STAFFING 0 BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 FORM 990, PART VI, SECTION A, LINE 3 IN MAY 2018, CABELL HUNTINGTON HOSPITAL, INC. BECAME THE SOLE MEMBER OF ST. MARY'S MEDICAL CENTER, A FULL-SERVICE ACUTE CARE HOSPITAL LOCATED IN HUNTINGTON, WEST VIRGINIA. AT THAT TIME, MOUNTAIN HEALTH NETWORK, INC. (MHN) BEGAN PROVIDING MANAGEMENT SERVICES TO CABELL HUNTINGTON HOSPITAL, INC. AS WELL AS ST. MARY'S MEDICAL CENTER. MHN IS COMPRISED OF EXPERIENCED HEALTH CARE PROFESSIONALS, PERSONS WITH EXTENSIVE FINANCIAL AND BUSINESS EXPERTISE, CLINICIANS WITH EXTENSIVE MEDICAL EXPERIENCE AND EXPERIENCED HOSPITAL BOARD MEMBERS. MHN WILL BE RETAINED TO FORMULATE AND IMPLEMENT APPROPRIATE MEASURES FOR THE INTEGRATION OF CERTAIN PROGRAMS AND SERVICES AT BOTH HOSPITALS AS WELL AS PROVIDE CONTINUED MANAGEMENT, STRATEGIC PLANNING AND OPERATIONAL SUPERVISION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER WEST VIRGINIA STATE LAW. EFFECTIVE MAY 1, 2018, UNDER AGREEMENT, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS TRANSFERRED TO CABELL HUNTINGTON HOSPITAL, INC., A RELATED NOT-FOR-PROFIT ORGANIZATION FROM THE PREVIOUS SOLE CORPORATE MEMBER, PALLOTTINE HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A EFFECTIVE MAY 1, 2018, IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), ON AN ANNUAL BASIS, THE ORGANIZATION'S CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE CABELL HUNTINGTON HOSPITAL, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B AS A RESULT OF THE OWNERSHIP CHANGE EFFECTIVE MAY 1, 2018 CABELL HUNTINGTON HOSPITAL, INC., AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. IN THE EVENT THAT ANY BOARD MEMBER IS DEEMED TO LACK INDEPENDENCE OR A CONFLICT OF INTEREST EXISTS, HE/SHE IS REQUIRED TO LEAVE THE ROOM AND CANNOT BE PART OF THE DISCUSSION OR VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS PUBLISHED ON GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 2900 FIRST AVENUE, HUNTINGTON, WV 25702. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED FORM 990, PART IX, LINE 11G HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 21,158,260. MANAGEMENT AND GENERAL EXPENSES 4,519,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,677,500. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 34,715,094. MANAGEMENT AND GENERAL EXPENSES 7,414,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,129,969. OTHER FEES: PROGRAM SERVICE EXPENSES 1,873,299. MANAGEMENT AND GENERAL EXPENSES 400,123. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,273,422. FORM 990, PART XI, LINE 9: CHANGES IN PENSION FUND STATUS 14,179,565. 457B PLAN ADJUSTMENT -1,045,695. TRANSFERS TO/FROM AFFILIATES, NET -19,114. FORM 990, PART XII, LINE 2C THE FINANCE/AUDIT COMMITTEE SHALL REVIEW THE RESULTS OF THE ANNUAL AUDIT AND ALL OTHER REPORTS FROM INDEPENDENT EXTERNAL AUDITORS AND SHALL ARRANGE FOR THOSE REPORTS, TOGETHER WITH ANY RECOMMENDATIONS FROM THE FINANCE/AUDIT COMMITTEE, TO BE PRESENTED TO THE BOARD OF DIRECTORS AT SUCH A TIME AS THE BOARD OF DIRECTORS MAY SCHEDULE FOR THAT PURPOSE. FORM 990, PART VI, LINE 16B THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS FOR ANALYZING ANY SUCH ARRANGEMENTS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501(C)(3) CHARITABLE ORGANIZATION-HOSPITAL. 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS TO ENSURE THAT, IF THE JOINT VENTURE IS PURSUED, THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAW AND TO SAFEGUARD THE ORGANIZATION'S TAX-EXEMPT STATUS. A FORMAL WRITTEN POLICY AND PROCEDURE HAS BEEN APPROVED. 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