ST MARYS HEALTHCARE: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HEALTHCARE (EIN 14-1347719)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-12
- IRS object ID
- 202531329349300913
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-12T08:58:13-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160765486 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 FRANKLIN STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141347719 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 5188421900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 GUY PARK AVENUE | AddressLine1Txt |
| City | AMSTERDAM | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH WATERS | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5187707583 | PhoneNum |
| Signature | 2025-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JILL M JOHNSON CPA | PreparerPersonNm |
| PTIN | P01701478 | PTIN |
| Phone | 7168563300 | PhoneNum |
| Preparation | 2025-05-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY METHVEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 GUY PARK AVENUE | AddressLine1Txt |
| City | AMSTERDAM | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $184,774,496 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SMHA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1819 | TotalEmployeeCnt |
| Total Volunteers | 175 | TotalVolunteersCnt |
| Total Gross UBI | $865,601 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,410,350 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,260,840 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $155,761,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $172,879,747 | CYProgramServiceRevenueAmt |
| PY Investment Income | $430,605 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,404,404 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,579,974 | PYOtherRevenueAmt |
| CY Other Revenue | $3,229,505 | CYOtherRevenueAmt |
| PY Total Revenue | $164,182,021 | PYTotalRevenueAmt |
| CY Total Revenue | $184,774,496 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,975 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,197 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $115,984,005 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $119,366,447 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,677,340 | PYOtherExpensesAmt |
| CY Other Expenses | $69,476,483 | CYOtherExpensesAmt |
| PY Total Expenses | $185,684,320 | PYTotalExpensesAmt |
| CY Total Expenses | $188,854,127 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,502,299 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,079,631 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $156,643,815 | TotalAssetsBOYAmt |
| Total Assets EOY | $148,741,716 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,667,414 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,357,458 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $116,976,401 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $113,384,258 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $163,411,064 | ExpenseAmt |
| Grant | $11,197 | GrantAmt |
| Revenue | $172,209,858 | RevenueAmt |
| Desc | ST. MARY'S HEALTHCARE IS A 290-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2024, ST. MARY'S HEALTHCARE TREATED 4,575 ADULTS AND CHILDREN FOR A TOTAL OF 61,654 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 389,311 OUTPATIENT VISITS, WHICH INCLUDED 4,469 OUTPATIENT SURGERIES AND 25,105 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
| Total Program Service Expenses | $163,411,064 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1819 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH WATERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188421900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 GUY PARK AVENUE | AddressLine1Txt |
| City | AMSTERDAM | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12010 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL PEPE | ||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEFFREY METHVEN | ||||||||
| PRESIDENT & CEO, BOARD VIC | 50.00 | 1.00 | Yes (X) | Yes (X) | $587,435 | $0 | $26,984 | |
| THOMAS CICHY | ||||||||
| VICE-CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN ZISKIN | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MOHAMMAD R GHAZI MD | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $563,090 | $0 | $16,233 | ||
| JOHN DALY | ||||||||
| DIRECTOR (THROUGH 1/1/2024) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EMILY ETZKORN MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW HECK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MARY ANNE HEENAN CSJ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV ROBERT DEMARTINIS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD MARSH MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $838,199 | $0 | $22,145 | |||
| JASON PACKER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SANTOS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEITH WATERS CPA | ||||||||
| CHIEF FINANCIAL OFFICER | 50.00 | 1.00 | Yes (X) | Yes (X) | $221,844 | $0 | $5,344 | |
| CRAIG VANROEKINS | ||||||||
| CHIEF MEDICAL OFFICER | 50.00 | Yes (X) | $250,045 | $0 | $1,174 | |||
| PATRICIA SANDERS | ||||||||
| VP OF OPERATIONS | 50.00 | Yes (X) | $291,431 | $0 | $26,394 | |||
| MARGARET BRODIE | ||||||||
| VP MISSION | 50.00 | 1.00 | Yes (X) | $136,852 | $0 | $23,247 | ||
| LISA MAZZOCCONE | ||||||||
| EXECUTIVE DIRECTOR OF HR AND CHIEF PEOPLE OFFICER | 50.00 | Yes (X) | $51,263 | $0 | $3,104 | |||
| JULIE DEMAREE | ||||||||
| EXECUTIVE DIRECTOR OF CLINICAL INNOVATION | 50.00 | Yes (X) | $81,104 | $0 | $7,378 | |||
| SARAH EIPP | ||||||||
| EXECUTIVE DIRECTOR OF POPULATION HEALTH | 50.00 | Yes (X) | $198,212 | $0 | $11,944 | |||
| PETER GILHOOLY | ||||||||
| EXECUTIVE DIRECTOR OF IS | 50.00 | Yes (X) | $182,977 | $0 | $17,670 | |||
| RAQUEL PARISI | ||||||||
| VP OF NURSING AND CHIEF NURSING OFFICER | 50.00 | Yes (X) | $206,596 | $0 | $17,684 | |||
| PATRICK DO SAVERY | ||||||||
| PHYSICIAN | 50.00 | $665,680 | $0 | $17,716 | Yes (X) | |||
| JOSE BARBA | ||||||||
| PHYSICIAN | 50.00 | $567,867 | $0 | $22,119 | Yes (X) | |||
| MUHAMMED SOHAIL | ||||||||
| PHYSICIAN | 50.00 | $671,231 | $0 | $12,212 | Yes (X) | |||
| JAMES CHARLAND | ||||||||
| PHYSICIAN | 50.00 | $723,394 | $0 | $22,143 | Yes (X) | |||
| ALBERT FRASER | ||||||||
| PHYSICIAN | 50.00 | $668,231 | $0 | $28,344 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,905,451 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $281,835 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 194 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DAVIN HEALTHCARE WORKFORCE SOLUTION | |||||
| 18 DIVISION STREET SUITE 311 | SARATOGA SPRINGS | NY | 12866 | MEDICAL AND HEALTHCARE SERVICES | $5,993,472 |
| ATLANTIC PROFESSIONAL SERVICES | |||||
| 307 S EVERGREEN AVE | WOODBURY | NJ | 08096 | PROFESSIONAL SERVICES | $2,801,606 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | MEDICAL AND HEALTHCARE SERVICES | $1,865,417 |
| SELECT REHABILITATION LLC | |||||
| 2600 COMPASS RD | GLENVIEW | IL | 60026 | MEDICAL AND HEALTHCARE SERVICES | $858,834 |
| KRUCIAL STAFFING LLC | |||||
| 7240 W 98TH TERRACE | OVERLAND PARK | KS | 66212 | MEDICAL AND HEALTHCARE SERVICES | $818,477 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,260,840 | GovernmentGrantsAmt |
| Total Contributions | $5,260,840 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622100 | $147,220,361 | $147,220,361 | |
| SKILLED NURSING FACILITY | 623110 | $14,053,884 | $14,053,884 | |
| PHARMACY | 456110 | $9,315,567 | $9,315,567 | |
| LABORATORY | 621500 | $865,601 | $865,601 | |
| SERVICES TO AFFILIATES | 561110 | $652,060 | $652,060 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $772,274 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $772,274 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $172,879,747 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,404,404 | TotalRevenueColumnAmt |
| Exclusion | $3,404,404 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $195,712 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $195,712 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,712 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $195,712 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER | 621990 | $2,364,000 | $2,364,000 |
| CAFETERIA/VENDING REVENUE | 722310 | $669,793 | $669,793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,033,793 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,774,496 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $172,209,858 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $865,601 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,438,197 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,197 | TotalAmt |
| Program Services | $11,197 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,786,644 | TotalAmt |
| Program Services | $2,379,148 | ProgramServicesAmt |
| Management And General | $407,496 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,155,494 | TotalAmt |
| Program Services | $84,655,822 | ProgramServicesAmt |
| Management And General | $14,499,672 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,937,936 | TotalAmt |
| Program Services | $9,490,194 | ProgramServicesAmt |
| Management And General | $1,447,742 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,486,373 | TotalAmt |
| Program Services | $5,627,838 | ProgramServicesAmt |
| Management And General | $858,535 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,098 | TotalAmt |
| Management And General | $61,098 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,481 | TotalAmt |
| Management And General | $110,481 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,018,529 | TotalAmt |
| Program Services | $8,901,727 | ProgramServicesAmt |
| Management And General | $116,802 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,045 | TotalAmt |
| Program Services | $81,833 | ProgramServicesAmt |
| Management And General | $28,212 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,666,655 | TotalAmt |
| Program Services | $2,285,797 | ProgramServicesAmt |
| Management And General | $380,858 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,305 | TotalAmt |
| Program Services | $128,428 | ProgramServicesAmt |
| Management And General | $75,877 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,631 | TotalAmt |
| Program Services | $6,062 | ProgramServicesAmt |
| Management And General | $415,569 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,840,574 | TotalAmt |
| Program Services | $5,863,588 | ProgramServicesAmt |
| Management And General | $976,986 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,659,415 | TotalAmt |
| Program Services | $601,571 | ProgramServicesAmt |
| Management And General | $2,057,844 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $26,660,894 | $26,265,155 | $395,739 |
| PURCHASED SERVICES | $12,358,838 | $12,358,838 | |
| OTHER | $7,193,432 | $3,583,280 | $3,610,152 |
| PROVIDER TAX | $1,170,586 | $1,170,586 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,854,127 | TotalAmt |
| Program Services | $163,411,064 | ProgramServicesAmt |
| Management And General | $25,443,063 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,735 | BOYAmt |
| EOY | $5,435 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,634,606 | BOYAmt |
| EOY | $799,762 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,213 | BOYAmt |
| EOY | $131,432 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,169,321 | BOYAmt |
| EOY | $21,807,664 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,798,741 | BOYAmt |
| EOY | $3,034,039 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,431 | BOYAmt |
| EOY | $2,437,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,643,679 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,591,841 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,977,671 | BOYAmt |
| EOY | $53,051,838 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,607,097 | BOYAmt |
| EOY | $67,473,587 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,643,815 | BOYAmt |
| EOY | $148,741,716 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,530,766 | BOYAmt |
| EOY | $25,385,204 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $470,700 | BOYAmt |
| EOY | $119,780 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,272 | BOYAmt |
| EOY | $85,307 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,684,660 | BOYAmt |
| EOY | $4,692,616 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,889,016 | BOYAmt |
| EOY | $5,074,551 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,667,414 | BOYAmt |
| EOY | $35,357,458 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,167,888 | BOYAmt |
| EOY | $97,541,709 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,808,513 | BOYAmt |
| EOY | $15,842,549 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,976,401 | BOYAmt |
| EOY | $113,384,258 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,643,815 | BOYAmt |
| EOY | $148,741,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,079,631 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$546,549 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,034,037 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,356 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,356 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,900,371 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,158,739 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,059,110 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,009,596 | BeginningYearBalanceAmt |
| Contributions | $1,050 | ContributionsAmt |
| Investment Earnings Or Losses | $889,725 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,900,371 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,940,604 | BeginningYearBalanceAmt |
| Contributions | $7,158 | ContributionsAmt |
| Investment Earnings Or Losses | -$934,672 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,494 | OtherExpendituresAmt |
| End Year Balance | $12,009,596 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,943,367 | BeginningYearBalanceAmt |
| Contributions | $600 | ContributionsAmt |
| Investment Earnings Or Losses | $2,004,494 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,857 | OtherExpendituresAmt |
| End Year Balance | $12,940,604 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,807,409 | BeginningYearBalanceAmt |
| Contributions | $1,051 | ContributionsAmt |
| Investment Earnings Or Losses | $149,763 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,856 | OtherExpendituresAmt |
| End Year Balance | $10,943,367 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.53650 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.46350 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,929,198 | OtherCostOrOtherBasisAmt |
| Book Value | $7,929,198 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,990,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,414,905 | DepreciationAmt |
| Book Value | $33,575,613 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $908,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $436,617 | DepreciationAmt |
| Book Value | $471,458 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,377,836 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,740,319 | DepreciationAmt |
| Book Value | $6,637,517 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,438,052 | OtherCostOrOtherBasisAmt |
| Book Value | $4,438,052 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,051,838 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $5,393,534 |
| OTHER RECEIVABLES | $13,708,003 |
| BENEFICIAL INTEREST IN THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC. | $15,326,908 |
| INTEREST IN INVESTMENTS | $22,160,552 |
| RIGHT OF USE OPERATING LEASE | $673,646 |
| CAPITALIZED SOFTWARE | $10,210,944 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $67,473,587 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $1,500,000 |
| OTHER LIABILITIES | $597,903 |
| PENSION LIABILITY | $2,894,177 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | -$1,782,750 |
| MEDICARE AND BLUE CROSS ADVANCE PAYMENTS | $305,000 |
| IBNR LIABILITY | $991,940 |
| MENTAL HEALTH GRANT LIABILITY | $568,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,074,551 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE INTENDED USE OF THE ENDOWMENT FUND IS TO ASSIST ST. MARY'S HEALTHCARE TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $606,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $531,758 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,704,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,473,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,231,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,311,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,548,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,763,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11520 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,684,398 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,684,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $417,312 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $417,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,842,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,980,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $861,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,247 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,984,633 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,980,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,003,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,296,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,528,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,767,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13110 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,622 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,622 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,577,176 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $52,903,103 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $77,450,926 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,547,823 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTHCARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 GUY PARK AVENUE | AddressLine1Txt |
| City | AMSTERDAM | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 120101054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.SMHA.ORG/ | WebsiteAddressTxt |
| State License | 2801001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | ST. MARY'S HEALTHCARE CONSISTS OF TWO LICENSED FACILITIES, NAMELY, THE HOSPITAL AND THE WILKINSON RESIDENTIAL HEALTH CARE FACILITY, WHICH IS A SKILLED NURSING FACILITY. THE HOSPITAL HAS SEVERAL LOCATIONS, INCLUDING ONE OUTPATIENT ALCOHOL REHABILITATION CLINIC, ONE DIAGNOSTIC SERVICE CENTER, AND SEVEN PRIMARY CARE CENTERS. |
| ST. MARY'S HEALTHCARE | PART V, SECTION B, LINE 5: (FROM 2021 COMMUNITY SERVICE PLAN & COMMUNITY HEALTH IMPROVEMENT PLAN) AS PART OF THE COMMUNITY HEALTH ASSESSMENT, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN THE SUMMER OF 2021 FOR THE REPORTING PERIOD OF 2022-2025. A RANDOM SURVEY OF 757 INDIVIDUALS 18 AND OLDER IN ST. MARY'S HEALTHCARE SERVICE AREA, INCLUDING 401 IN FULTON COUNTY AND 356 IN MONTGOMERY COUNTY. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WERE CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). AN ONLINE SURVEY WAS ALSO CONDUCTED TO SOLICIT INPUT FROM KEY INFORMANTS. ST. MARY'S HEALTHCARE SUPPLIED A LIST OF RECOMMENDED PARTICIPANTS INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF COMMUNITY LEADERS. THE COMMUNITY LEADERS INCLUDE THOSE WHO WORK WITH LOW-INCOME MINORITY POPULATIONS AND MEDICALLY UNDERSERVED POPULATIONS.ST. MARY'S HEALTHCARE USES RELIABLE, THIRD-PARTY RESOURCES, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTHCARE NEEDS FOR THE COMMUNITY IT SERVES: FULTON AND MONTGOMERY COUNTIES IN NEW YORK STATE. THESE REPORTS INCLUDE VITAL INFORMATION REGARDING KEY HEALTH STATUS, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE, BUT ARE NOT LIMITED TO, REPORTS FROM: CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, FULMONT COMMUNITY ACTION AGENCY, FULTON COUNTY DEPARTMENT OF PUBLIC HEALTH, FULTON COUNTY OFFICE FOR THE AGING, FULTON COUNTY YMCA, HFM (HAMILTON, FULTON AND MONTGOMERY) PREVENTION COUNCIL, MONTGOMERY COUNTY DEPARTMENT OF PUBLIC HEALTH, MONTGOMERY COUNTY OFFICE FOR THE AGING, US CENSUS BUREAU, ETC. TO ACCESS A COMPLETE LISTING OF RESOURCES, PLEASE REFER TO THE ST. MARY'S HEALTHCARE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. ST. MARY'S HEALTHCARE UTILIZES THESE RESOURCES TO HELP GUIDE COMMUNITY EDUCATION PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ST. MARY'S HEALTHCARE CONSIDERS THE HEALTHCARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND POPULATIONS WHICH ARE UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS WERE INCLUDED THROUGH RANDOMIZED PHONE SURVEYS AND AN EMAILED KEY INFORMANT SURVEY. |
| ST. MARY'S HEALTHCARE | PART V, SECTION B, LINE 6A: ST. MARY'S HEALTHCARE CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITY: ST. MARY'S HOSPITAL. |
| ST. MARY'S HEALTHCARE | PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: THE CHNA STEERING COMMITTEE MET IN JANUARY 2022 TO DETERMINE THE HEALTH NEEDS TO BE PRIORITIZED FOR ACTION. THE AREAS OF OPPORTUNITY WERE PRIORITIZED BY THE COMMITTEE AS FOLLOWS: NUTRITION/PHYSICAL ACTIVITY/WEIGHT MANAGEMENT AND MENTAL HEALTH AND SUBSTANCE ABUSE. ST. MARY'S HEALTHCARE IS CONTINUALLY WORKING TO MEET THE GOALS SET FORTH IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY FY 2022-2025. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT: ST. MARY'S HAS ESTABLISHED A TEACHING KITCHEN TO HOST COOKING CLASSES AND DEMONSTRATIONS FOR PATIENTS IN TARGETED POPULATIONS. PRIMARY CARE PROVIDERS AND THEIR STAFF DISCUSS NUTRITIONAL CONCERNS WITH PATIENTS AND PROVIDE REFERRALS FOR NUTRITIONAL COUNSELING AS NECESSARY. ST. MARY'S HAS A DIABETES AND NUTRITION EDUCATION CENTER TO PROVIDE NUTRITIONAL COUNSELING TO THE COMMUNITY, AND THE PREGNANCY CARE CENTER. ST. MARY'S HAS ESTABLISHED 6 OFF-SITE AND ON CAMPUS "MISSION CUPBOARDS," WHICH SERVE AS EMERGENCY FOOD PANTRIES FOR PATIENTS IN NEED. A DOCUMENT LISTING ALL COMMUNITY MEALS AND FOOD PANTRIES HAS BEEN CREATED AND SHARED AS A RESOURCE FOR PROVIDERS AND STAFF. A TASK FORCE HAS BEEN ESTABLISHED TO INCLUDE COMMUNITY PARTNERS. ST. MARY'S HAS ESTABLISHED A REFERRAL PROCESS TO INCREASE ENROLLMENT IN AN EVIDENCE-BASED DIABETES PREVENTION LIFESTYLE CHANGE PROGRAM (DIABETES PREVENTION PROGRAM-DPP) THE CLASS IS OFFERED TO PEOPLE WHO ARE AT HIGH RISK FOR TYPE 2 DIABETES THAT CAN PREVENT OR DELAY THE DISEASE BY LOSING A MODEST AMOUNT OF WEIGHT THROUGH LIFESTYLE CHANGES (DIETARY CHANGES AND INCREASED PHYSICAL ACTIVITY) THE CANCER PEER EDUCATION TEAM HAS DEVELOPED AN INDOOR "FUN AND FREE WALKING PROGRAM" FOR THE COMMUNITY TO EXERCISE DURING THE WINTER MONTHS. HEALTHY FOOD AND BEVERAGE CHOICES ARE ALSO DISCUSSED AT THIS WEEKLY PROGRAM. ST. MARY'S HAS PARTNERED WITH CATHOLIC CHARITIES TO ESTABLISH A FOOD FARMACY AT THE MEMORIAL CAMPUS TO PROVIDE LOW-INCOME, FOOD INSECURE PATIENTS WITH CHRONIC HEALTH CONDITIONS, TEMPORARY ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION WITH AN ON-SITE DIETITIAN. MENTAL HEALTH/SUBSTANCE ABUSE: ST. MARY'S HEALTHCARE HAS JOINED WITH COMMUNITY PARTNERS, PUBLIC HEALTH, AND PROVIDERS TO FORM AN OVERDOSE TASK FORCE. THE TASK FORCE WILL INCREASE AVAILABILITY AND ACCESS TO MEDICATION-ASSISTED TREATMENT AND OVERDOSE REVERSAL. ST. MARY'S HEALTHCARE ALSO CONTINUES TO PARTICIPATE AS A MEMBER OF THE FULTON MONTGOMERY SUICIDE PREVENTION TASK FORCE. THE HOSPITAL IS AVAILABLE TO PROVIDE EDUCATIONAL MATERIALS AND RESOURCES TO SCHOOLS IN FULTON AND MONTGOMERY COUNTIES. ST. MARY'S HAS EXPANDED COLLABORATION TO BECOME A TRAUMA-INFORMED COMMUNITY TO PROVIDE CARE TO THOSE AFFECTED BY MENTAL, EMOTIONAL, AND BEHAVIORAL DISORDERS. THIS WILL ALSO EXPAND CRISIS TRAINING TO CLINICAL CAREGIVERS. ST. MARY'S HAS ADOPTED A COLLABORATIVE CARE APPROACH FOR BEHAVIORAL HEALTH AT THE AMSTERDAM AND JOHNSTOWN FAMILY HEALTH CENTERS. BEHAVIOR HEALTH CARE MANAGERS HELP TO COORDINATE BEHAVIORAL HEALTH APPOINTMENTS AND COMMUNICATE PATIENT NEEDS TO PRIMARY CARE PROVIDERS TO ENSURE THAT PATIENTS' PHYSICAL AND BEHAVIORAL HEALTH NEEDS ARE BEING MET. THE SOCIAL DETERMINANTS OF HEALTH (SDOH), PHQ-2 AND PHQ-9 SCREENING TOOLS HAVE BEEN INCORPORATED INTO PRIMARY CARE CLINICS WORKFLOW TO BETTER ADDRESS PATIENTS' MENTAL HEALTH NEEDS. PATIENTS ARE ASKED THE SDOH QUESTIONNAIRE AT INITIAL APPOINTMENTS, WHEREAS PH-2 AND PHQ-9 SCREENING OCCURRING AT EVERY VISIT. ST. MARY'S WALK-IN OUTPATIENT DETOX PROGRAM LOCATED IN THE MEMORIAL CAMPUS HAS HELPED TO INCREASE THE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) AND OVERDOSE REVERSAL (NALOXONE). THIS OUTPATIENT DETOX PROGRAM HAS ALSO INCREASED THE AVAILABILITY OF/ACCESS TO OVERDOSE REVERSAL TRAINING TO PRESCRIBERS, PHARMACISTS, AND CONSUMERS. OTHER NEEDS: PRENATAL NUTRITION COUNSELING IS OFFERED TO PROVIDE PATIENTS WITHIN THE OB CLINIC WITH INFORMATION RELATED TO HEALTHY EATING AND HEALTHY WEIGHT GAIN THROUGHOUT THEIR PREGNANCY. MEDICAL PROVIDERS AT PRIMARY CARE CENTERS ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE COUNSELING. PATIENTS ARE ALSO OFFERED "BUTT STOPS HERE" CLASSES TO ENCOURAGE SMOKING CESSATION. ST. MARY'S PROVIDES FREE FLU SHOTS TO THE LOCAL COLLEGE AND BOCES'S STUDENTS IN THE CNA, LPN, AND RN NURSING CLASSES AND TO OUR MIGRANT FARM WORKERS IN THE RURAL SECTIONS OF MONTGOMERY COUNTY. THE HOSPITAL PARTNERS WITH LOCAL PHYSICIANS AND MEDICAL PROVIDERS TO OFFER EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. WE HAVE A PARTNERSHIP WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER "JOINT SCHOOL" WHICH EDUCATES CANDIDATES FOR JOINT REPLACEMENT ON SURGERY, TREATMENT, CARE, AND MANAGEMENT OF BONE AND JOINT TISSUES. ST. MARY'S CURRENTLY AUDITS PATIENT RECORDS TO ENSURE THAT ALL DIABETICS ARE RECEIVING THE CARE THEY NEED TO PREVENT RENAL DISEASE AS A RESULT OF COMPLICATIONS FROM THEIR DIABETES. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, ST. MARY'S HEALTHCARE DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE FOLLOWING IDENTIFIED NEEDS ARE NOT BEING ADDRESSED BY CHNA: *CANCER: ACCORDING TO THE CHNA, BREAST AND CERVICAL CANCER SCREENINGS FALL BELOW STATEWIDE PERCENTAGES. HOWEVER, COLORECTAL CANCER SCREENINGS EXCEED THE NYS AVERAGE. SMH CANCER SERVICES PROGRAM (CSP) OFFERS FREE BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS, AND DIAGNOSTIC FOLLOW- UP SERVICES. IN ADDITION TO CSP, THE CANCER PREVENTION IN ACTION PROGRAM (CPIA) HELPS TO INCREASE THE ADOPTION OF WORKSITE POLICIES THAT ESTABLISH PAID TIME OFF BENEFITS FOR EMPLOYEES TO OBTAIN CANCER SCREENINGS. *ACCESS TO HEALTHCARE SERVICES: AS EVIDENCED BY THE CHNA, WE HAVE FEWER PRIMARY CARE PROVIDERS THAN MOST OF NYS. HOWEVER, WE ARE OUTPERFORMING MOST AREAS WHEN IT COMES TO ADULTS AND CHILDREN ATTENDING WELLNESS VISITS. ONLY 7.8% OF PEOPLE IN OUR SERVICE AREA UNINSURED. SMH EMPLOYS A FULL-TIME HEALTH INSURANCE ENROLLER TO PROVIDE INDIVIDUALS WITH APPROPRIATE HEALTH INSURANCE. IN ADDITION, WE HAVE A FULL-TIME PHYSICIAN RECRUITER WHO IS FOCUSING ON INCREASING PROVIDERS IN OUR AREA. *RESPIRATORY DISEASES: PRIMARY CARE PATIENTS ARE SCREENED FOR TOBACCO USE USING THE "5 A'S" MODEL. IF A PATIENT IDENTIFIES USING TOBACCO PRODUCTS, A REFERRAL TO THE NYS SMOKER'S QUITLINE CAN BE MADE. SMH ALSO EMPLOYS A BSH FACILITATOR TO PROVIDE EDUCATION AND SUPPORT TO THOSE WHO ARE CURRENT SMOKERS. VIRTUAL BSH CLASSES ARE ALSO OFFERED. *INFANT HEALTH/FAMILY PLANNING: TEEN BIRTH RATES IN SMH SERVICE AREA WERE ABOVE BOTH STATES AND NATIONAL RATES, HOWEVER, SMH SERVICE AREA SHOWED A LOWER PERCENTAGE OF LOW BIRTH WEIGHTS WHICH OUTPERFORMED BOTH STATE AND NATIONAL FINDINGS. THE ANNUAL AVERAGE OF INFANT DEATHS IN THE SMH SERVICE AREA WAS ALSO LOWER THAN THE NATIONAL AVERAGE. ST. MARY'S HEALTHCARE CONTINUES TO OFFER WOMEN'S REPRODUCTIVE CARE AT BOTH THE AMSTERDAM AND JOHNSTOWN OB/GYN CLINICS. *KIDNEY DISEASE: THE ANNUAL AVERAGE AGE-ADJUSTED KIDNEY DISEASE MORTALITY RATE AND PREVALENCE OF KIDNEY DISEASE IN SMH SERVICE AREA WAS MUCH HIGHER THAN STATE AND NATIONAL RATES. PRIMARY CARE HAS ADOPTED THE HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) MEASUREMENT WHICH AIMS TO IMPROVE KIDNEY DISEASE TESTING IN PEOPLE WITH DIABETES, WHICH IS A KEY RISK FACTOR FOR DEVELOPING KIDNEY DISEASE. SMH HAS TWO UROLOGY HEALTH CENTER LOCATIONS FOCUSING ON CONDITIONS RELATED TO THE BLADDER, KIDNEYS, AND OTHER UROLOGICAL CONCERNS FOR BOTH MEN AND WOMEN. *POTENTIALLY DISABLING CONDITIONS: SMH HAS PARTNERED WITH LOCAL PHYSICIANS AND MEDICAL PROVIDERS TO OFFER FREE OF CHARGE EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. SMH HAS AN INTER-DISCIPLINARY TEAM THAT PARTNERED WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER A "JOINT SCHOOL" WHICH EDUCATES CANDIDATES FOR JOINT REPLACEMENT ON SURGERY, TREATMENT, CARE AND MANAGEMENT OF BONE AND JOINT ISSUES. "JOINT SCHOOL" HAS BEEN TEMPORARILY PUT ON HOLD DUE TO THE COVID-19 PUBLIC HEALTH EMERGENCY BUT PLANS TO RESUME SESSIONS ARE IN PLACE. *INJURY: ACCORDING TO THE CHNA, OUR SERVICE AREA'S AGE ADJUSTED UNINTENTIONAL INJURY DEATHS FALL BELOW THE NATIONAL RATE AND ARE SIMILAR TO THE HEALTHY PEOPLE 2030 GOAL. THE RATE OF VIOLENT CRIMES IN OUR SERVICE AREA HAS REMAINED STATISTICALLY UNCHANGED AND REMAINS BELOW THE NYS RATES. |
| ST. MARY'S HEALTHCARE | PART V, SECTION B, LINE 16J: INDIVIDUAL LETTERS ARE MAILED TO ALL UNINSURED PATIENTS INFORMING THEM OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. |
| ST. MARY'S HEALTHCARE | PART V, SECTION B, LINE 20E: THE BILLING AND COLLECTIONS POLICY OF ST. MARY'S HEALTHCARE DOES NOT ALLOW A HOSPITAL TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THE ORGANIZATION MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS TAKEN INCLUDE BUT ARE NOT LIMITED TO:- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION.- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON BILLING STATEMENTS THROUGHOUT THE BILLING CYCLE. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE VOTED ON AND PRIORITIZED BY A COMMITTEE OF APPROXIMATELY 60 COMMUNITY STAKEHOLDERS, CONSISTING OF CLINICIANS, BUSINESS LEADERS, HEALTH EDUCATORS, SOCIAL WORKERS, ETC. THE PRIORITIZED HEALTH NEEDS ARE AS FOLLOWS: NUTRITION/PHYSICAL ACTIVITY/WEIGHT, MENTAL HEALTH, AND SUBSTANCE ABUSE. THE IMPLEMENTATION STRATEGY WAS DEVELOPED AFTER THE NEEDS WERE IDENTIFIED AND PRIORITIZED BASED ON SCOPE AND SEVERITY, AND THE PROGRAMS/SERVICES OF THE IMPLEMENTATION PLAN REFLECT THOSE TOP HEALTH PRIORITIES. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D | THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS IS BASED ON THE UNINSURED DISCOUNT, WHICH IS REVIEWED AND UPDATED ANNUALLY, AS APPLICABLE. UNINSURED PATIENTS WITH THE ABILITY TO PAY WILL BE PROVIDED A DISCOUNT BASED ON THE DISCOUNT PROVIDED TO THE HIGHEST-PAYING PAYER THAT ACCOUNTS FOR AT LEAST THREE PERCENT OF THE HOSPITAL'S VOLUME OR GROSS PATIENT REVENUES. IN FY24, THE HOSPITAL PROVIDED DISCOUNTS TO THE UNINSURED EQUAL TO 40.49% OF CHARGES FOR INPATIENTS AND 26.83% OF CHARGES FOR OUTPATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ST MARY'S HEALTHCARE | ||||
| 4988 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | DIAGNOSTIC CARE, PRIMARY CARE, CANCER CENTER, IP PHYSICAL REHAB, MH |
| 2 - WILKINSON RES HEALTHCARE FACILITY | ||||
| 4988 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | RESIDENTIAL HEALTH CARE FACILITY |
| 3 - MONTGOMERTY COUNTY ALCOHOL CLINIC | ||||
| 4988 STATE HIGHWAY 30 | AMSTERDAM | NY | 12010 | MENTAL HEALTH AND ADDICTION SERVICES |
| 4 - CANAJOHARIE FAMILY HEALTH CENTER | ||||
| 48 ERIE BOULEVARD | CANAJOHARIE | NY | 13317 | FAMILY HEALTH CENTER |
| 5 - JOHNSTOWN FAMILY HEALTH CENTER | ||||
| 700 S PERRY STREET | JOHNSTOWN | NY | 12095 | FAMILY HEALTH CENTER |
| 6 - GLOVERSVILLE FAMILY HEALTH CENTER | ||||
| 84 E STATE STREET | GLOVERSVILLE | NY | 12078 | FAMILY HEALTH CENTER |
| 7 - DIAGNOSTIC SERVICE CENTER | ||||
| 110 HOLLAND CIRCLE DRIVE | AMSTERDAM | NY | 12010 | DIAGNOSTIC CARE CENTER |
| 8 - NORTHVILLE FAMILY HEALTH CENTER | ||||
| 331 BRIDGE STREET | NORTHVILLE | NY | 12134 | FAMILY HEALTH CENTER |
| 9 - PODIATRY HEALTH CENTER | ||||
| 446A GUY PARK AVENUE | AMSTERDAM | NY | 12010 | SPECIALTY CARE SERVICES |
| 10 - ENT HEALTH CENTER | ||||
| 380 GUY PARK AVENUE | AMSTERDAM | NY | 12010 | SPECIALTY CARE SERVICES |
| 11 - ST JOHNSVILLE URGENT CARE | ||||
| 7 TIMMERMAN AVENUE | ST JOHNSVILLE | NY | 13452 | URGENT CARE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. PATIENTS WILL BE REQUIRED TO COMPLETE THE ORGANIZATION'S MEANS TEST APPLICATION WHICH REQUIRES DISCLOSURE OF DETAILED INFORMATION REGARDING DEBT AND INCOME TO DETERMINE ELIGIBILITY FOR A MEANS TEST DISCOUNT. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES. |
| PART 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 ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE: INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF-PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. |
| PART III, LINE 2: | AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTIONS EFFORTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST TO CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2024 WAS $7,797,610 AT CHARGES ($2,577,176 AT COST). |
| PART III, LINE 3: | ST. MARY'S HEALTHCARE HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM. THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. |
| PART III, LINE 4: | THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS LOCATED ON PAGE 15 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | ST. MARY'S HEALTHCARE FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT EXPENSE. |
| PART III, LINE 9B: | A PATIENT CAN APPLY FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED, THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNA PROCESS DESCRIBED IN SCHEDULE H PART V, THE HOSPITAL SOUGHT INPUT FROM ITS BOARD OF TRUSTEES, MEDICAL EXECUTIVE COMMITTEE, LEADERSHIP STAFF AND COMMUNITY PARTNERS WHEN COMPLETING ITS ANNUAL INTEGRATED STRATEGIC, OPERATIONAL, AND FINANCIAL PLAN (ISOFP). THE ISOFP USES PERTINENT DATA AND COMPREHENSIVE FEEDBACK TO OUTLINE CURRENT AND FUTURE CRITICAL HEALTHCARE NEEDS FOR THE HOSPITAL'S SERVICE AREA, AS WELL AS THE RESOURCES NEEDED TO ADDRESS THE IDENTIFIED ISSUES. |
| PART VI, LINE 3: | ST. MARY'S HEALTHCARE STRIVES TO MAINTAIN A BALANCE BETWEEN PROVIDING CARE OF THE POOR WITH THE ABILITY OF THE HOSPITAL TO MAINTAIN QUALITY HEALTH CARE FOR THE COMMUNITY IT SERVES. AS PART OF ITS FINANCIAL ASSISTANCE POLICIES, THE HOSPITAL OFFERS A SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS AS A PERCENTAGE OFF THE STANDARD CHARGE; THE DISCOUNTS WERE SET AT 40.49% FOR INPATIENT SERVICES AND 26.83% FOR OUTPATIENT SERVICES. FOR THE TWELVE-MONTH PERIOD (JULY 2023-JUNE 2024), THE DISCOUNTS PROVIDED TO THE UNINSURED WERE $3,808,695. THE CARONDELET CARE ASSISTANCE PROGRAM IS THE NEXT LEVEL OF FINANCIAL ASSISTANCE AVAILABLE TO THE HOSPITAL'S PATIENTS. THIS PROGRAM IS AVAILABLE TO ALL PATIENTS WHO CAN DEMONSTRATE A FINANCIAL BURDEN ASSOCIATED WITH THEIR PATIENT RESPONSIBILITY. FINANCIAL ASSISTANCE IS PROVIDED THROUGH COLLABORATION BETWEEN THE HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE STAFF. ALTHOUGH THE TWO DEPARTMENTS OFFER DIFFERENT FINANCIAL ASSISTANCE SERVICES, THE ENROLLMENT STAFF IS TRAINED TO HELP THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR ANY GOVERNMENT SPONSORED PROGRAMS TO ACCESS THE CARONDELET CARE ASSISTANCE PROGRAM. SIMILARLY, THE FINANCIAL COUNSELORS OFTEN REFER PATIENTS IN NEED OF INSURANCE TO OUR ENROLLMENT SPECIALIST. THE ENROLLMENT STAFF IS AVAILABLE TO MEET WITH COMMUNITY MEMBERS AT THE MAIN HOSPITAL, THE MEMORIAL CAMPUS AND AT ALL SEVEN OF THE OFF-SITE FAMILY HEALTH CENTERS. STAFF IS ALSO TRAINED TO REFER INDIVIDUALS TO FREE OR LOW-COST HEALTH CARE PROGRAMS WITHIN THE COMMUNITY IF NO OTHER OPTIONS ARE IMMEDIATELY AVAILABLE. THE HOSPITAL ENROLLER WORKS COLLABORATIVELY WITH COMMUNITY AGENCIES TO FURTHER EXPAND ITS OUTREACH. LARGE POSTERS DESCRIBING THE HOSPITAL'S WILLINGNESS TO HELP PATIENTS WITH FINANCIAL ASSISTANCE ARE DISPLAYED IN ALL MAIN ENTRANCES TO THE HOSPITAL AND THE OFF-SITE LOCATIONS, AS WELL AS IN OUR MULTIPLE REGISTRATION SITES AND WAITING ROOMS. THE INFORMATIONAL POSTERS ARE IN ENGLISH AND SPANISH AND URGE PATIENTS TO CALL IF THEY ARE CONCERNED ABOUT BILL PAYMENT. TRANSLATION SERVICES ARE ALSO AVAILABLE AS NEEDED VIA LANGUAGE LINE TELEPHONES AND IPAD VIDEO APPLICATION. BROCHURES IN ENGLISH AND SPANISH ARE AVAILABLE AT ALL SERVICE SITES AND OFFER DETAILED INFORMATION ABOUT THE VARIOUS LEVELS OF ASSISTANCE. IN ADDITION TO OFFERING DISCOUNTS, ST. MARY'S OFFERS OPTIONS FOR PAYMENT PLANS AND PAYMENT SCHEDULES. THE ENGLISH AND SPANISH BROCHURES ARE ALSO AVAILABLE ON THE HOSPITAL WEB SITE. INFORMATION ON FINANCIAL ASSISTANCE IS ALSO CONTAINED IN THE PATIENT INFORMATION GUIDE GIVEN TO ALL INPATIENTS AT ST. MARY'S HEALTHCARE. |
| PART VI, LINE 4: | THE PSA REPRESENTS ONE OF THE OLDEST REGIONS IN NYS. ESTIMATES INDICATE THAT THE 65 AND OLDER POPULATION WILL CONTINUE TO GROW. ACCORDING TO SG2 HEALTHCARE ANALYTICS, THE LARGEST PROJECTED SEGMENT OF OUR POPULATION SHOWING GROWTH OVER THE NEXT 5 YEARS IS THE 60+, WITH AN AVERAGE GROWTH RATE OF 11.8%. IN FACT, WITHIN THIS SEGMENT, 67-69+ SHOWS AN 18.3% PROJECTED INCREASE. THERE ARE MANY FACTORS THAT CONTRIBUTE TO THE COMMUNITY'S POVERTY LEVELS, INCLUDING THE HIGH SCHOOL DROPOUT RATE IN BOTH COUNTIES. REPORTS INDICATE AN AVERAGE DROPOUT RATE OF 10% IN FULTON COUNTY AND 9% IN MONTGOMERY COUNTY WITH OUR TWO LARGEST SCHOOL DISTRICTS AVERAGING AN 11.5% DROPOUT RATE. THE LACK OF EDUCATION AFFECTS THE WORKFORCE, CONTRIBUTES TO HIGHER UNEMPLOYMENT AND GREATER RISK OF WORKING WITHOUT HEALTH INSURANCE. IN THE PSA OF FULTON AND MONTGOMERY COUNTIES THE MEDIAN POVERTY RATE IS 17.2% WHICH IS 2.7% HIGHER THAN THE STATE AVERAGE. RESEARCH INDICATES A DECLINE IN THE CAUCASIAN POPULATION, WHICH IS A CONSISTENT TREND OVER SEVERAL YEARS. THE HISPANIC COMMUNITY IS OUR LARGEST MINORITY COMMUNITY, WITH THE LARGEST CONCENTRATION WITHIN THE CITY OF AMSTERDAM. US CENSUS 2017 ESTIMATES INDICATE THAT 30.2% OF THE RESIDENTS OF AMSTERDAM ARE IDENTIFIED AS HISPANIC WHICH IS MORE THAN 11.7% HIGHER THAN THE NATIONAL AVERAGE. THE HOSPITAL EMPLOYS BILINGUAL AND BICULTURAL HEALTHCARE PROFESSIONALS TO MEET THE NEEDS OF THE HISPANIC COMMUNITY.HEALTH STATISTICS RELEVANT TO THE COMMUNITY'S HEALTH STATUS ARE AS FOLLOWS: OVER 71.3% OF THE ST. MARY'S HEALTHCARE SERVICE AREA ADULTS ARE OVERWEIGHT. ESPECIALLY ALARMING IS THAT 37.2% OF OUR CHILDREN ARE OVERWEIGHT. THE RELATIONSHIP OF BEING OVERWEIGHT WITH OTHER HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, CHRONIC DEPRESSION, ARTHRITIS AND DIABETES ARE SIGNIFICANT. POOR NUTRITIONAL HABITS AND LACK OF PHYSICAL ACTIVITY ARE SIGNIFICANT CONTRIBUTING FACTORS TO THE OVERWEIGHT STATUS OF OUR COMMUNITY. ACCESS TO QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR INCREASING THE QUALITY OF LIFE FOR EVERYONE. IT IMPACTS OVERALL PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS; THE PREVENTION OF DISEASE AND DISABILITY; QUALITY OF LIFE; PREVENTABLE DEATH AND LIFE EXPECTANCY. UNINSURED INDIVIDUALS COMPRISE 5.5% OF THE POPULATION IN FULTON AND MONTGOMERY COUNTIES. OF THE TOTAL RESPONDENTS, 4% OF THOSE WITH LOW-INCOME WENT WITHOUT SOME TYPE OF COVERAGE THE PAST YEAR. THE LARGEST SEGMENT IN OUR SERVICE AREA REPORTING A LACK OF HEALTHCARE INSURANCE COVERAGE ARE MEN AND WOMEN AGED 18 TO 39. ADDITIONALLY, OVER 43% OF RESPONDENTS REPORTED SOME TYPE OF DIFFICULTY OR DELAYS IN RECEIVING NEEDED HEALTH CARE IN THE PAST YEAR, WITH THOSE WHO ARE UNINSURED MUCH MORE LIKELY TO REPORT BARRIERS WHEN COMPARED TO THE INSURED POPULATION. |
| PART VI, LINE 5: | ST. MARY'S HEALTHCARE'S GOVERNING BODY CONSISTS OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. MARY'S HEALTHCARE'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. ST. MARY'S HEALTHCARE PROMOTES THE HEALTH OF ITS COMMUNITY THROUGH VARIOUS ACTIVITIES, INCLUDING THE FOLLOWING:- COMMUNITY EDUCATION WAS PROVIDED ON TOPICS SUCH AS CHILDBIRTH EDUCATION, DIABETES EDUCATION, NUTRITION AND PHYSICAL ACTIVITY, BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS, HEALTH INSURANCE, BREASTFEEDING, DIABETES PREVENTION, HEART HEALTH, INFANT CPR, LACTATION SUPPORT, SUICIDE PREVENTION, HEALTH CARE PROXYS, GENERAL MENTAL WELL-BEING, SKIN CANCER PREVENTION, AND OTHER WELLNESS AREAS. - HOSTED SIX AMERICAN RED CROSS BLOOD DRIVES TO ADDRESS THE CRITICAL NEED FOR BLOOD IN OUR SERVICE AREA. - FROM JULY 2023 - JUNE 2024, ST. MARY'S ASSOCIATES GAVE OVER 550 HOURS BACK TO THEIR COMMUNITY SERVING ON VARIOUS BOARDS INCLUDING MINORITY HEALTH TASK FORCE, ROTARY, DANIELLE'S HOUSE, COMMUNITY HEALTH CENTER (CHC) , NEW DIMENSIONS IN HEALTH CARE, HEALTHY ALLIANCE, HABITAT FOR HUMANITY, MONTGOMERY COUNTY EMS, ALBANY MEDICAL CENTER TRAUMA, ADIRONDACK - APPALACHIAN REGIONAL EMERGENCY MEDICAL SERVICES (AAERMS), FULTON MONTGOMERY CHAMBER OF COMMERCE, LEXINGTON FINANCE, FULTON MONTGOMERY COMMUNITY COLLEGE (FMCC), INNOVATIVE HEALTH ALLIANCE OF NEW YORK (IHANY), CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, COMMUNITY FOOD ASSISTANCE NETWORK, AND THE FMCC NURSE ADVISORY BOARD. - FROM JULY 2023 THROUGH JUNE 2024, THE HOSPITAL SUPPORTED THE WORK OF MANY COMMUNITY GROUPS INCLUDING THE LIBERTY FOUNDATION, MAKE A WISH FOUNDATION, MONTGOMERY COUNTY OFFICE FOR AGING, CITY OF AMSTERDAM, FULTON MONTGOMERY COMMUNITY COLLEGE, DANIELLE'S HOUSE, INTERFAITH PARTNERSHIP FOR THE HOMELESS, THE HFM PREVENTION COUNCIL, FULTON MONTGOMERY REGIONAL CHAMBER OF COMMERCE, AND CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES. - ST. MARY'S CONTINUED TO BE A LEADER AND COLLABORATOR WITH A GROUP OF PARTNERS FROM LOCAL HEALTH CARE ENTITIES AND COMMUNITY AGENCIES WHOSE MISSION IS TO IMPROVE THE HEALTH STATUS FOR ALL WE SERVE. DURING 2023-2024, WE CONTINUED TO CARRY OUT THE WORK WE COMMITTED TO IN OUR IMPLEMENTATION STRATEGY AND COMMUNITY SERVICE PLAN. - ENROLLED 600 INDIVIDUALS IN STATE-SPONSORED INSURANCE PROGRAMS AND PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH MARKETPLACE. - PROVIDED 24/7 LIFE-SAVING CANCER SCREENINGS AND DIAGNOSTIC TESTING TO OVER 100 UNINSURED INDIVIDUALS THROUGH THE CANCER SERVICES PROGRAM. - SUPPORTED A SISTER OF THE DAUGHTERS OF CHARITY WHO PROVIDED OUTREACH EDUCATION, REFERRAL, FOLLOW-UP, CASE MANAGEMENT AND ADVOCACY SERVICES TO OUR LATINO AND MIGRANT COMMUNITY. THE GOAL OF THE PROGRAM IS TO PROMOTE NEEDED PRIMARY HEALTH SERVICES AND PREVENTION EFFORTS IN A CULTURALLY APPROPRIATE MANNER. - MAINTAINED THE IMPORTANCE OF CULTURALLY SENSITIVE AND ACCURATE COMMUNICATION WITH LATINO PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY THROUGH THE USE OF TRANSLATION SERVICES WHICH INCLUDE PROFESSIONAL PHONE AND VIDEO TRANSLATION SERVICES AND THE TRANSLATION OF KEY DOCUMENTS. ENGLISH AND SPANISH ARE THE MOST PROMINENT LANGUAGES SPOKEN IN THE COMMUNITY, AND ALL SIGNAGE IS POSTED IN BOTH ENGLISH AND SPANISH THROUGHOUT THE ORGANIZATION. THE IPAD VIDEO SERVICES AND IN-PERSON INTERPRETERS ALSO SERVE THOSE IN NEED OF SIGN LANGUAGE SERVICES. THREE ADDITIONAL ASSOCIATES WERE CERTIFIED IN HEALTHCARE INTERPRETATION-ENGLISH/SPANISH TO FURTHER ASSIST PATIENTS. - A MAJORITY OF THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF PEOPLE WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. - IN 1996, THE HOSPITAL ESTABLISHED THE CARONDELET COMMUNITY FUND, WHICH PROVIDES MODEST ASSISTANCE TO LOCAL PROGRAMS AND AGENCIES WHOSE VALUES AND MISSION ALIGN WITH THE VALUES OF ST. MARY'S HEALTHCARE. GRANTS FROM THE FUND ARE MADE TO ELIGIBLE NON-PROFIT COMMUNITY AGENCIES WHICH ARE LOCATED WITHIN THE SERVICE AREA OF ST. MARY'S HEALTHCARE AND WHICH SHARE THE VALUES OF ST. MARY'S WITH AN EMPHASIS ON SERVICE TO THE POOR AND VULNERABLE, AND HOLISTIC CARE. THIRTEEN LOCAL NOT-FOR-PROFIT AGENCIES SERVING OUR COMMUNITY WERE ONCE AGAIN AWARDED GRANT FUNDING AS PART OF ST. MARY'S CARONDELET COMMUNITY FUND PROGRAM OF 2024. FUNDS WERE ALLOCATED TO MONTGOMERY COUNTY OFFICE FOR AGING, NEW DIMENSIONS IN HEALTH CARE, HFM PREVENTION COUNCIL- CREATIVE CONNECTIONS CLUBHOUSE, COMFORT ZONE- TRINITY LUTHERAN CHURCH, SARAH JANE SANFORD HOME, HOLY TRINITY CHURCH, BROADALBIN-PERTH LIONS FOUNDATION, GROW AMSTERDAM, HABITAT FOR HUMANITY, MOUNTAIN VALLEY HOSPICE AND THE HAVEN OF HOPE. |
| PART VI, LINE 6: | THROUGH AUGUST 31, 2021, ST. MARY'S HEALTHCARE (THE HOSPITAL) WAS A MEMBER OF ASCENSION HEALTH. IN SEPTEMBER 2021, ST. MARY'S HEALTHCARE SEPARATED FROM ASCENSION HEALTH.THE HOSPITAL, LOCATED IN AMSTERDAM, NEW YORK, IS A NONPROFIT ACUTE CARE HOSPITAL. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE HOSPITAL, MEDICAL SERVICES ENHANCEMENT, INC. (MSE), CARONDELET REGIONAL MEDICAL, P.C., AND THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC. (FOUNDATION). MSE OPERATES A MEDICAL OFFICE BUILDING TO RETAIN AND ATTRACT PHYSICIAN SPECIALISTS TO BETTER SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY. CARONDELET REGIONAL MEDICAL, P.C IS A MULTISPECIALTY PHYSICIAN PRACTICE. THE FOUNDATION'S PRIMARY PURPOSE IS TO ASSIST THE HOSPITAL TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY BY PROVIDING A FOCAL POINT AS THE RECIPIENT FOR PHILANTHROPIC SUPPORT AND BY TRANSFERRING FUNDS TO THE HOSPITAL.THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF MONTGOMERY, FULTON, AND HAMILTON COUNTIES. THE HOSPITAL ALSO PROVIDES AN ARRAY OF BEHAVIORAL HEALTH SERVICES INCLUDING INPATIENT MENTAL HEALTH AND ALCOHOL REHABILITATION PLUS OUTPATIENT MENTAL HEALTH AND ALCOHOL RELATED SERVICES. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. ADDITIONALLY, THE HOSPITAL OPERATES A 160-BED SKILLED NURSING FACILITY WHICH PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS WHO ARE SEVERELY LIMITED IN THEIR ABILITY TO CARE FOR THEMSELVES DUE TO ILLNESS AND/OR DISABILITY, AND A MEDICAL ADULT DAY CARE PROGRAM. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS IN THE ACUTE CARE FACILITY, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY BOTH THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE INTERNAL REVENUE SERVICE (IRS).THE AMOUNT OF TRADITIONAL CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, EXCLUDING THE PROVISION FOR BAD DEBT EXPENSE WAS APPROXIMATELY $460,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2024 AND $777,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2023. THE AMOUNT OF UNPAID COST OF PUBLIC PROGRAMS, COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, AND COMMUNITY BENEFIT COST ARE REPORTED IN THE ACCOMPANYING OTHER FINANCIAL INFORMATION. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| TCM FULTON RECIPIENTS | 203 | $5,943 |
| TCM MONTGOMERY RECIPIENTS | 239 | $5,254 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GRANT FUNDS AWARDED ARE TO CLIENTS OF THE FAMILY CARE, INTENSIVE CASE MANAGEMENT, AND SUPPORTIVE CASE MANAGEMENT PROGRAMS WHICH ARE ADMINISTERED THROUGH THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES DIVISION. THE AMOUNTS ARE DETERMINED BASED ON EVALUATION OF CLIENT NEEDS AS DETERMINED BY THEIR INDIVIDUAL CASE MANAGERS. ALL AMOUNTS ARE PROCESSED IN ACCORDANCE WITH THE HOSPITAL'S DISBURSEMENTS PRACTICES WHICH REQUIRE EVIDENCE OF SUPPORTING DOCUMENTATION FOR ALL REQUIRED APPROVALS. THE USAGE OF FUNDING FOR FAMILY CARE AND CASE MANAGEMENT ARE IN ACCORDANCE WITH THE OFFICE OF MENTAL HEALTH PROCEDURAL GUIDELINES BY PROGRAM CODE AND FUNDING SCORE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD MARSH MD | ||||||||||||||
| DIRECTOR | $601,250 | $0 | $212,150 | $0 | $24,799 | $0 | $9,900 | $0 | $12,245 | $0 | $860,344 | $0 | $0 | $0 |
| JAMES CHARLAND | ||||||||||||||
| PHYSICIAN | $597,539 | $0 | $92,942 | $0 | $32,913 | $0 | $9,900 | $0 | $12,243 | $0 | $745,537 | $0 | $0 | $0 |
| ALBERT FRASER | ||||||||||||||
| PHYSICIAN | $510,000 | $0 | $132,222 | $0 | $26,009 | $0 | $9,900 | $0 | $18,444 | $0 | $696,575 | $0 | $0 | $0 |
| MUHAMMED SOHAIL | ||||||||||||||
| PHYSICIAN | $596,346 | $0 | $70,927 | $0 | $3,958 | $0 | $9,900 | $0 | $2,312 | $0 | $683,443 | $0 | $0 | $0 |
| PATRICK DO SAVERY | ||||||||||||||
| PHYSICIAN | $509,794 | $0 | $86,810 | $0 | $69,076 | $0 | $9,900 | $0 | $7,816 | $0 | $683,396 | $0 | $0 | $0 |
| JEFFREY METHVEN | ||||||||||||||
| PRESIDENT & CEO, BOARD VIC | $425,962 | $0 | $150,000 | $0 | $11,473 | $0 | $9,900 | $0 | $17,084 | $0 | $614,419 | $0 | $0 | $0 |
| JOSE BARBA | ||||||||||||||
| PHYSICIAN | $525,000 | $0 | $39,375 | $0 | $3,492 | $0 | $9,900 | $0 | $12,219 | $0 | $589,986 | $0 | $0 | $0 |
| MOHAMMAD R GHAZI MD | ||||||||||||||
| SECRETARY | $464,315 | $0 | $71,565 | $0 | $27,210 | $0 | $4,112 | $0 | $12,121 | $0 | $579,323 | $0 | $0 | $0 |
| PATRICIA SANDERS | ||||||||||||||
| VP OF OPERATIONS | $266,223 | $0 | $22,322 | $0 | $2,886 | $0 | $7,987 | $0 | $18,407 | $0 | $317,825 | $0 | $0 | $0 |
| CRAIG VANROEKINS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $236,931 | $0 | $11,216 | $0 | $1,898 | $0 | $0 | $0 | $1,174 | $0 | $251,219 | $0 | $0 | $0 |
| KEITH WATERS CPA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $199,818 | $0 | $19,878 | $0 | $2,148 | $0 | $3,430 | $0 | $1,914 | $0 | $227,188 | $0 | $0 | $0 |
| RAQUEL PARISI | ||||||||||||||
| VP OF NURSING AND CHIEF NURSING OFFI | $195,900 | $0 | $8,592 | $0 | $2,104 | $0 | $5,877 | $0 | $11,807 | $0 | $224,280 | $0 | $0 | $0 |
| SARAH EIPP | ||||||||||||||
| EXECUTIVE DIRECTOR OF POPULATION HEA | $182,910 | $0 | $13,619 | $0 | $1,683 | $0 | $5,487 | $0 | $6,457 | $0 | $210,156 | $0 | $0 | $0 |
| PETER GILHOOLY | ||||||||||||||
| EXECUTIVE DIRECTOR OF IS | $170,804 | $0 | $10,348 | $0 | $1,825 | $0 | $5,124 | $0 | $12,546 | $0 | $200,647 | $0 | $0 | $0 |
| MARGARET BRODIE | ||||||||||||||
| VP MISSION | $125,808 | $0 | $9,724 | $0 | $1,320 | $0 | $3,774 | $0 | $19,473 | $0 | $160,099 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. |
| FORM 990, SCHEDULE J, PART I, LINE 4B | ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DESCRIBE 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 DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DESIGNATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT 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 15 | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO THE PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN RESTRICTED NET ASSETS OF FOUNDATION 1,034,037. NET ASSETS RELEASED FROM RESTRICTIONS FOR PROPERTY ACQUISITIONS |
| FORM 990, PART XII, LINE 2C: | NO CHANGES FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARONDELET REGIONAL MEDICAL PC | ||||||||||
| 427 GUY PARK AVENUE | AMSTERDAM | NY | 12010 | 814769136 | GENERAL PRACTICE CLINIC | NY | 501(C)(3) | LINE 3 | ST MARY'S HEALTHCARE | Yes (1) |
| MEDICAL SERVICES ENHANCEMENT INC | ||||||||||
| 425 GUY PARK AVENUE | AMSTERDAM | NY | 12010 | 141776546 | MEDICAL OFFICE BUILDING | NY | 501(C)(25) | ST MARY'S HEALTHCARE | Yes (1) | |
| THE FOUNDATION OF ST MARY'S HEALTHCARE INC | ||||||||||
| 427 GUY PARK AVENUE | AMSTERDAM | NY | 12010 | 133254655 | FOUNDATION | NY | 501(C)(3) | LINE 12C | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARONDELET REGIONAL MEDICAL PC | ||
| Q | $492,952 | COST |
| MEDICAL SERVICES ENHANCEMENT INC | ||
| D | $197,612 | OUTSTANDING BALANCE |
| CARONDELET REGIONAL MEDICAL PC | ||
| D | $10,053,642 | OUTSTANDING BALANCE |