2021-08-13T13:45:46-05:00 2020-09-30 SOMERVILLE & COMPANY PLLC 501 5TH AVENUE HUNTINGTON WV 25701 990 2019-10-01 550357050 ST MARY'S MEDICAL CENTER INC % ANGELA COBURN CPA STMA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 257021271 ANGELA SWEARINGEN CFO/VP-FINANCE 3045268931 2021-07-15 true WADE S C NEWELL CPA P01051041 3045250301 2019 2022-09-23 18:48:47Z TODD CAMPBELL 2900 FIRST AVENUE HUNTINGTON WV 257021271 481759423 false X www.st-marys.org X 1924 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 9 8 3365 93 7237 5853 90760 25662436 449658449 415653735 4824852 4283808 -4127897 -1355341 450446164 444244638 476519 600218 0 0 211760154 213095427 0 0 0 230653382 220951782 442890055 434647427 7556109 9597211 411329757 489498363 291031820 371985185 120297937 117513178 X WE ARE INSPIRED BY THE LOVE OF CHRIST TO PROVIDE QUALITY HEALTH CARE IN WAYS WHICH RESPECT THE GOD-GIVEN DIGNITY OF EACH PERSON AND THE SACREDNESS OF HUMAN LIFE. false false 334796524 414251983 St. Mary's Medical Center was established in 1924 and, based on the core values of compassion, hospitality, reverence, trust, interdependence, and stewardship, continues to provide high quality healthcare services to residents of Huntington, West Virginia and the surrounding area. Services are provided without regard to the patient's race, creed, sex, national origin, age, or handicap. Furthermore, while reimbursement for care provided is crucial to the continued operation of St. Mary's Medical Center, it is recognized that circumstances exist which render certain parties unable to pay for needed services, and no patient is denied services due to the lack of ability to pay. During the fiscal year which ended September 30, 2020, St. Mary's Medical Center provided 98,711 days of inpatient days of care and treated an additional 255,823 patients in the emergency and outpatient settings. Approximately 77% of the inpatients served were covered by governmental programs, such as Medicare and Medicaid. A similar percentage is applicable to outpatient services. Since care provided to Medicare and Medicaid beneficiaries is subject to contractual reimbursement restrictions, payment received for services provided is often significantly below the actual cost of the services. St. Mary's Medical Center has established charity care policies and guidelines, used to help identify those patients who genuinely do not have the resources to pay for services received. During the fiscal year ended September 30, 2020, the hospital provided approximately $4.4 million dollars in charity care services, representing care provided at reduced prices or completely free of charge. These services include inpatient services, an adult outpatient clinic, a handicapped children's clinic, and a specialty pregnancy clinic. Also, St. Mary's Medical Center exceeds the guidelines established for the West Virginia ad valorem statute. 1219159 308502 1401752 In addition to those patients without the wherewithal to pay for services rendered, we assist in the relief of burden of government for several programs. A strong auxiliary (operated as a department of the hospital) exists, which contributes heavily to the activities of SMMC. During the fiscal year ended September 30, 2020, the auxiliary contributed approximately $135,156 to SMMC and SMMC awarded grants to various organizations in the amount of $207,650. In addition, volunteers provided over 13,928 hours of service valuable to promoting the mission and activities of the hospital. . 17023 Although many programs were affected by the COVID-19 pandemic, St. Marys Medical Center (SMMC) has participated in a number of community-building activities during the past year that promoted wellness and helped enrich the lives of people in the Tri-State. Some of these are as follows: American Heart Association Events: Go Red for Women Celebration & Huntington Heart Walk St. Marys Regional Heart Institute partners with the American Heart Association, the largest voluntary health organization working to prevent, treat and defeat heart disease, stroke and other cardiovascular diseases, for two major events each year. Cardiovascular disease is the No. 1 killer of men and women in the Tri-State. The annual Go Red for Women Celebration was Friday, Feb. 7, or National Go Red for Women Day. The celebration combined heart disease education and free health screenings with entertainment and a heart healthy lunch. The celebration raised funds for and awareness of the work of the American Heart Association. More than 250 people attended the event. The 2020 Huntington Heart Walk was held virtually on Saturday, June 6. Participants and teams were encouraged to "walk wherever they are." The walk raised funds and awareness for the American Heart Association. Community Health Screenings Prior to the pandemic, SMMC participated in health fairs throughout its service area. These events provided free screenings for health issues, such as cholesterol, blood sugar, HDL, and osteoporosis. Education about stroke, joint replacement surgery, and risk factors for diabetes and other health issues was also provided. Provider Response Organization for Addiction Care and Treatment (PROACT) PROACTs goal is to offer individuals and their families a viable system that provides positive outcomes. Partner institutions within PROACT include SMMC, Cabell Huntington Hospital, Marshall Health, Valley Health and Thomas Health. The PROACT center, which opened in 2018, was created to address the clinical, behavioral, spiritual and professional issues of those affected by substance use. It functions as the centralized hub for treatment, recovery, therapy, education, research, workforce opportunities and support for those affected by addiction. SMMC began providing a full-time chaplain in Fall 2019. Compass Program The Compass Program provides training, classes and a wellness center to help first responders in Huntington improve their mental health. SMMC provides Spiritual Care and Employment Assistance Program (EAP) services as part of the program. St. Marys The Total Woman The Total Woman is a membership program by SMMC to help empower women to make good healthcare decisions and take action that will result in better health for themselves and their families. The program has more than 5,000 members who participate in health education programs throughout the year. Support Groups SMMC offers four free support groups to the community throughout the year: Breast Cancer CAN-Cervive Families Motivating Recovery (for loved ones of people struggling with substance use disorder) Weight loss surgery SMMC also offers Navigating Grief, a free four-week course, quarterly to help community members who are struggling with loss. Volunteer Service on Community Boards SMMC managers volunteered their time to their communities through service on a number of non-profit boards including: Lawrence County (Ohio) Economic Development Corporation, Lawrence County (Ohio) Chamber of Commerce, Huntington Regional Chamber of Commerce, United Way of the River Cities, Big Brothers/Big Sisters, Huntington Museum of Art, Foundation for the Tri-State Community, Society of Yeager Scholars at Marshall University, Huntington YMCA, and Facing Hunger Foodbank. 336032706 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false true false false false true true true true false false true 111 0 3365 true true true false false false false false false false false false false false X 9 8 false true false false true true true true true false false true true true true true true true true true true X X ANGELA COBURN CPA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 25702 NEPAL CHOWDHURY MD PHYSICIAN 45.0 0.0 X 2058979 0 38082 DWIGHT SAULLE MD PHYSICIAN 45.0 0.0 X 1366844 0 36559 MATTHEW WERTHAMMER MD PHYSICIAN 45.0 0.0 X 1311509 0 36437 ESAM BARYUN MD PHYSICIAN 45.0 0.0 X 1153029 0 33796 MICHAEL G SELLARDS FORMER PRESIDENT/CEO 0.0 0.0 X 819489 0 159071 TODD CAMPBELL CURRENT PRESIDENT/CEO 45.0 0.0 X 716195 0 117374 ANGELA D SWEARINGEN VICE PRESIDENT/CFO 45.0 0.0 X 590141 0 100602 NESTOR DANS MD PHYSICIAN 45.0 0.0 X 546538 0 25790 VERA ROSE MD VICE PRESIDENT 45.0 0.0 X 360511 0 34345 ERNEST TAYLOR MD VICE PRESIDENT 45.0 0.0 X 331850 0 9190 SUSAN BETH ROBINSON VICE PRESIDENT 45.0 0.0 X 294371 0 34200 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 45.0 0.0 X 275600 0 25194 BRADLEY BURKE FOUNDATION PRESIDENT 0.0 45.0 X 264857 0 28978 TIMOTHY PARNELL VICE PRESIDENT 45.0 0.0 X 270129 0 18089 REGINA CAMPBELL VICE PRESIDENT 45.0 0.0 X 189261 0 22282 DAVID SHEILS VICE PRESIDENT 0.0 45.0 X 187388 0 21940 DOUG KORSTANJE VICE PRESIDENT 45.0 0.0 X 158801 0 17719 JOSEPH TRADER VICE PRESIDENT 45.0 0.0 X 132596 0 20176 SISTER DIANE BUSHEE VICE PRESIDENT 45.0 0.0 X 95063 0 10956 SISTER MARY GRACE BARILE SECRETARY 45.0 0.0 X X 80683 0 10493 DAVID FOX PRESIDENT 2.0 0.0 X X 0 0 0 FLOYD HARLOW TREASURER 2.0 0.0 X X 0 0 0 CAROLYN BAGBY BOARD MEMBER 1.0 0.0 X 0 0 0 TIM MILNE BOARD MEMBER 1.0 0.0 X 0 0 0 JEFF LEABERRY BOARD MEMBER 1.0 0.0 X 0 0 0 VICKIE SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 MATT MILLER BOARD MEMBER 1.0 0.0 X 0 0 0 DEV RELLAN MD BOARD MEMBER 1.0 0.0 X 0 0 0 11203834 0 801273 231 true true false UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE SUITE B5 HUNTINGTON WV 25701 MEDICAL 4860319 RIVER CITIES ANESTHESIA PO BOX 515 BARBOURSVILLE WV 25504 MEDICAL 3982697 CERNER HEALTH SERVICES INC PO BOX 959168 ST LOUIS MO 63195 INFO TECHNOLOGY 3388137 ULTIMATE HEALTH SERVICES 1115 20TH ST HUNTINGTON WV 25703 MEDICAL 3504850 AMERICAN RED CROSS 4 CHASE METROTECH CENTER 7TH FLOOR BROOKLYN NY 11245 MEDICAL 2366004 5 427710 25234726 137083 25662436 PATIENT SERVICE REVENUE 621400 410422728 410422728 SCHOOL OF NURSING 611600 2050046 2050046 PURCHASE REBATES 900099 2452988 2452988 PHARMACY REVENUE 446110 551232 551232 OTHER PROGRAM SERVICE REVENUE 900099 176741 176741 415653735 4233552 7237 4226315 0 0 1188979 241151 947828 0 947828 947828 36248688 36198432 50256 50256 50256 0 0 0 0 0 0 1404502 1075202 329300 CAFETERIA SALES 722100 2493060 2493060 OTHER AFFILIATED ENTITIES 900099 -8568242 -8568242 ALL OTHER REVENUE 900099 3442713 3442713 -2632469 444244638 413969094 7237 4276571 600218 600218 0 0 0 4831775 3285607 1546168 0 153379914 104298343 49081571 2467787 1678095 789692 41284342 28073353 13210989 11131609 7569494 3562115 750120 750120 2017595 2017595 360000 360000 0 0 0 42689493 35176142 7513351 664256 451694 212562 18757231 12754917 6002314 3848114 2616718 1231396 0 6917134 4703651 2213483 110648 75241 35407 0 0 3463528 2355199 1108329 0 12536466 8524797 4011669 1958818 1331996 626822 MEDICAL SUPPLIES 83116943 83116943 BAD DEBTS 19612678 19612678 REPAIRS & MAINTENANCE 12036684 8184945 3851739 PROVIDER TAX 10582702 10582702 1529372 1039973 489399 434647427 336032706 98614721 0 631127 661617 15713829 25651536 0 0 88670339 93064233 0 0 0 0 0 0 11192881 12903523 2970960 3677221 232165893 31884643 192953329 200281250 86852730 133789669 0 0 5030802 7527486 0 2528423 7313760 9413405 411329757 489498363 67766250 80661267 0 0 1219048 56299519 0 0 0 0 0 0 17824 18508 0 0 222028698 235005891 291031820 371985185 X 120239545 117188093 58392 325085 120297937 117513178 411329757 489498363 X 9597211 3965625 -16347595 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 67028 67028 false Part IIB, Line 1, Lobbying Activities: PART II-B, LINE 1, LOBBYING ACTIVITIES: The Hospital is a member of the West Virginia Hospital Association (WVHA), The Catholic Health Association of the United States (CHA), and the American Hospital Association (AHA), which engage in lobbying on behalf of its members. A portion of the dues paid to WVHA, CHA, and AHA have been allocated to lobbying activities which totaled $67,028. Specific information regarding the advocacy agendas of the associations can be viewed on their websites, WVHA.org, CHAUSA.org, and AHA.org. 9836586 9836586 161933341 14800490 147132851 56890780 16887203 40003577 3505186 196950 3308236 200281250 0 ACCRUED PENSION COSTS 137422919 DEFERRED SALARIES AND WAGES 10056132 GENERAL RESERVES 8070000 DUE TO AFFILIATE HOSPITAL 79456840 235005891 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2020 AND 2019. true true true X true X true true false true false 5679 1202026 1202026 0.00290 25529 75056475 65678040 9378435 0.02260 31208 76258501 65678040 10580461 0.02550 1 253 869 869 4 10477204 3201241 7275963 0.01750 3 200 330944 330944 0.00080 8 453 10809017 3201241 7607776 0.01830 8 31661 87067518 68879281 18188237 0.04380 1 248 6964 6964 1 1017 9190 9190 2 1265 16154 16154 false 5359201 1071840 97638423 96797892 840531 X true true HUNTINGTON AREA MRI PROVIDE MRI SCANS 0.49 0.51 THREE GABLES SURGERY OUTPATIENT HEALTH CARE 0.5234 0.4756 1 1 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 X X X X X URGENT CARE ST MARY'S MEDICAL CENTER 1 false false true X X X X X X X X X 18 true true false true X See Part VI Supplemental Information X true 18 true See Part VI Supplemental Information false true X 100 200. X X X X X true true X X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X true X false X X X X true X false false PART V Part V, Section A: This facility includes a school of nursing, school of respiratory therapy, a school of medical imaging and a clinical pastoral education program. Interns and residents from Marshall University School of Medicine are also assigned at the hospital for their clinical rotations as are students in community based Practical nursing programs. St. Mary's Medical Center (SMMC): Part V, Section B, Line 5: In conducting the Community Health Needs Assessment for SMMC, the medical center took into account input from representatives of the community served by the medical center, including those with special knowledge of or expertise in public health. The CHNA was done in collaboration with Cabell Huntington Hospital and the local health department of the service areas identified. A third party specialist, the Center for Entrepreneurial Studies and Development, Inc. located in Morgantown, WV was engaged to assist in the planning and development process. SMMC established a core planning team consisting of representative members of the medical center management: Director of Provider Relations, VP of Mission Integration, Sr. VP & COO, VP of Support Services, Planning & Development, and the VP of Finance & CFO. Part V, Section B, Line 6a: The hospital facility's CHNA was conducted with Cabell Huntington Hospital, Inc. St. Mary's Medical Center: Part V, Section B, Line 11: The SMMC action plan focused upon three overarching goals: building a network of collaboration, enhancing education and awareness activities, and tailoring interventions for specific demographic groups with an emphasis on senior awareness. Each priority was evaluated to determine if SMMC currently was addressing that need, able to adapt current programs or develop new programs to meet the need, provide an agency that is currently addressing the needed financial support, or if there were insufficient resources (financial or personal), to address the need without collaboration with other agencies. Priorities that were deemed to be outside the scope of SMMC and addressed by other resources in the community were not included in the action plan. St. Mary's Medical Center Part V, line 16a, FAP website: https://www.st-maryscdn.net/pdfs/fap_policy_fy2019.pdf St. Mary's Medical Center Part V, line 16b, FAP Application website: https://www.st-marys.org/assets/SMMC/Documents/Billing/FAP/Financial-Assis tance-Application.pdf ST. Mary's Medical Center Part V, line 16c, FAP Plain Language Summary Website: http://www.st-marys.org/patients-and-visitors/billing/ 9 ST MARY'S FAMILY CARE 147 WILLOW TREE WAY HURRICANE WV 25526 OUTPATIENT CLINIC ST MARY'S FAMILY CARE 6475 FARMDALE ROAD BARBOURSVILLE WV 25504 OUTPATIENT CLINIC HIMG Ear Nose and Throat 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC St Marys Family Care 1408 Campbell Drive Ironton OH 45638 OUTPATIENT CLINIC HIMG-Audiology 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC Ultimate Plastics and Reconstructive 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC St Marys HIMG LLC 1290 Montgomery Ave Suite 1 Ashland KY 41101 OUTPATIENT CLINIC St Marys Medical Management 38 Hospital Drive Suite G-B Logan WV 25601 OUTPATIENT CLINIC St Marys Medical Management 414 Greenway Ave Suite 100 South Charleston WV 25309 OUTPATIENT CLINIC SCHEDULE H PART VI Part I, Line 3c: Eligibility is determined by comparing household family income against the income poverty guidelines for financial indigence, a ratio of total medical expenses to annual disposable income for medical indigence. Income is defined as the total annual cash receipts before taxes from all sources. Financially indigent. Uncompensated care shall include unreimbursed services to the financially indigent. Financially indigent shall mean uninsured or underinsured patients accepted for care with no obligation or a discounted obligation to pay for services rendered based on the medical center's eligibility system which may include: (a) income levels and means testing or other criteria for determining a patient's inability to pay; or b) other criteria for determining a patient's inability to pay that are consistent with the medical center's mission and established policy. The federal poverty level shall serve as an index for the threshold below which patients receiving care at St. Mary's Medical Center are deemed financially indigent. Financially indigent services include noncovered services for patients eligible for the Medicaid program, services provided under county indigent care contracts, and other state or federal assistance programs for low income groups. Medically indigent. Uncompensated care shall include unreimbursed services to the medically indigent. Medically indigent shall mean patients who are responsible for their living expenses, but whose medical and hospital bills, after payment by third party payers, where applicable, exceed: (a) a specified percentage of the patient's annual gross income (i.e., catastrophic medical expenses) in accordance with the Medical Center's formal eligibility system in such instances where payment would require liquidation of assets critical to living or earning a living; or (b) the criteria for determining a patient's inability to pay. While financial indigence is based strictly on an income level, medical indigence considers both income and the financial obligation for healthcare services to calculate the patient's ability to pay without liquidating assets critical to living or earning a living, such as a home, car, personal belongings, etc. Therefore, patients are considered for medically indigent status on a case by case basis. The patient would be required to provide documentation of income to determine if he/she is to be considered medically indigent. All patients are eligible to be considered for medically indigent status with the exception of patients with income below 200% of the federal poverty level as these patients are considered for some level of uncompensated care under the financially indigent category. Part I, Line 6a: SMMC prepares an annual written report that describes programs and services that promote the health of our community. The Community Benefit Report provides valuable information on programs and services provided by the Medical Center. The report is distributed to Hospital board members, but it has not been distributed to the general public. The report is compiled using the program "A Guide for Planning and Reporting Community Benefit." Part I, Line 7: The cost to charge ratio as calculated from worksheet 2 of the Schedule H instructions was used to determine community benefit expenses for financial assistance at cost and Medicaid. The amount of cash and in-kind contributions for community groups was obtained from the hospital's accounting records. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 24(b), but subtracted for purposes of calculating the percentage in this column is $19,612,678. Part II, Community Building Activities: Although many programs were affected by the COVID-19 pandemic, St. Marys Medical Center (SMMC) has participated in a number of community-building activities during the past year that promote wellness and help enrich the lives of people in the Tri-State. Some of these are as follows: American Heart Association Events: Go Red for Women Celebration & Huntington Heart Walk St. Marys Regional Heart Institute partners with the American Heart Association, the largest voluntary health organization working to prevent, treat and defeat heart disease, stroke and other cardiovascular diseases, for two major events each year. Cardiovascular disease is the No. 1 killer of men and women in the Tri-State. The annual Go Red for Women Celebration was Friday, Feb. 7, or National Go Red for Women Day. The celebration combined heart disease education and free health screenings with entertainment and a heart healthy lunch. The celebration raised funds for and awareness of the work of the American Heart Association. More than 250 people attended the event. The 2020 Huntington Heart Walk was Saturday, June 6. Participants and teams were encouraged to "walk wherever they are." The walk raised funds and awareness for the American Heart Association. Community Health Screenings Prior to the pandemic, SMMC participated in health fairs throughout its service area. These events provide free screenings for health issues, such as cholesterol, blood sugar, HDL, and osteoporosis. Education about stroke, joint replacement surgery, and risk factors for diabetes and other health issues was also provided. Provider Response Organization for Addiction Care and Treatment (PROACT) PROACTs goal is to offer individuals and their families a viable system that provides positive outcomes. Partner institutions within PROACT include SMMC, Cabell Huntington Hospital, Marshall Health, Valley Health and Thomas Health. The PROACT center, which opened in 2018, was created to address the clinical, behavioral, spiritual and professional issues of those affected by substance use. It functions as the centralized hub for treatment, recovery, therapy, education, research, workforce opportunities and support for those affected by addiction. SMMC began providing a full-time chaplain in Fall 2019. Compass Program The Compass program provides training, classes and a wellness center to help first responders in Huntington improve their mental health. SMMC provides Spiritual Care and Employment Assistance Program (EAP) services as part of the program. St. Marys The Total Woman The Total Woman is a membership program by SMMC to help empower women to make good healthcare decisions and take action that will result in better health for themselves and their families. The program has more than 5,000 members who participate in health education programs throughout the year. Support Groups SMMC offers four free support groups to the community throughout the year: Breast Cancer Can-cervive Families Motivating Recovery (for loved ones of people struggling with substance use disorder) Weight Loss Surgery SMMC also offers Navigating Grief, a free four-week course, quarterly to help community members who are struggling with loss. Volunteer Service on Community Boards SMMC managers volunteered their time to their communities through service on a number of non-profit boards including: Lawrence County (Ohio) Economic Development Corporation, Lawrence County (Ohio) Chamber of Commerce, Huntington Regional Chamber of Commerce, United Way of the River Cities, Big Brothers/Big Sisters, Huntington Museum of Art, Foundation for the Tri-State Community, Society of Yeager Scholars at Marshall University, Huntington YMCA, and Facing Hunger Foodbank. Part III, Line 2: Bad debt expense was estimated using a cost-to-charge ratio derived from Worksheet 2 of the Schedule H instructions. Part III, Line 3: Based on historical information, approximately 20% of bad debt expense at cost is attributable to patients eligible under the Hospital's financial assistance policy. Part III, Line 4: The text of the footnote reads as follows: "the Hospitals provide care to patients who meet specific criteria, defined by their charity care policies, without charge or at amounts less than their established rates, as approved by the West Virginia Health Care Authority (HCA). Because the Hospitals do not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue." Part III, Line 8: Medicare costs were obtained from the hospital's Medicare cost report. Part III, Line 9b: The hospital provides care to patients who meet specific criteria, defined by its charity care policy, without charge or at amounts less than the rates approved by the West Virginia Health Care Authority. Because the hospital does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue. Part V, Line 7a: Hospital facility website: https://www.st-marys.org/assets/Uploads/2019-CHNA-report-430.pdf Part V, Line 10a: Hospital facility's most recently adopted implementation strategy posted on website: https://www.st-marys.org/assets/Uploads/2019-CHNA-report-430.pdf Part VI, Line 2: SMMC takes steps to determine what the most pressing needs are true HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 530372921 501(c)(3) 13950 SPONSOR HUNTINGTON SYMPHONY ORCHESTRA 763 3RD AVE HUNTINGTON WV 25725 237427617 501(c)(3) 7500 SPONSOR AMERICAN HEART ASSOCIATION 162 COURT ST CHARLESTON WV 25301 135613797 501(c)(3) 20000 HEART HEALTH HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVE HUNTINGTON WV 25701 550714570 501(c)(3) 25000 WELLNESS EBENEZER MEDICAL OUTREACH 1448 TENTH AVE SUITE 100 HTGN WV 25701 550745033 501(c)(3) 18750 HEALTH MARSHALL UNIVERSITY FOUNDATION ONE JOHN MARSHALL DRIVE HTGN WV 25755 556011111 501(c)(3) 44250 SPONSOR HUNTINGTON YMCA 935 10TH AVENUE HUNTINGTON WV 25701 550397261 501(c)(3) 7500 WELLNESS RECOVERY POINT OF HUNTINGTON 1040 ADAMS AVE HUNTINGTON WV 25704 262002618 501(c)(3) 5500 WELLNESS FACING HUNGER FOOD BANK 1327 7TH AVENUE HUNTINGTON WV 25701 550625915 501(c)(3) 5200 WELLNESS MARSHALL ARTIST SERIES ONE JOHN MARSHALL DRIVE HTGN WV 25755 556011111 501(C)(3) 20000 SPONSOR CABELL HUNTINGTON HOSPITAL FOUNDATION 1340 HAL GREER BLVD HUNTINGTON WV 25701 311096222 501(C)(3) 40000 SPONSOR PART i, LINE 2: TO ENSURE PROPER USE OF FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. X X true true X X X true true false false false false false false false MICHAEL G SELLARDS FORMER PRESIDENT/CEO 819489 141080 17991 978560 ANGELA D SWEARINGEN VICE PRESIDENT/CFO 509281 80860 74152 26450 690743 TODD CAMPBELL CURRENT PRESIDENT/CEO 636344 79851 90646 26728 833569 JOSEPH TRADER VICE PRESIDENT 115655 16941 3978 16198 152772 DOUG KORSTANJE VICE PRESIDENT 136476 22325 4764 12955 176520 VERA ROSE MD VICE PRESIDENT 316221 44290 8400 25945 394856 SUSAN BETH ROBINSON VICE PRESIDENT 260625 33746 8400 25800 328571 TIMOTHY PARNELL VICE PRESIDENT 247908 22221 8104 9985 288218 ERNEST TAYLOR MD VICE PRESIDENT 331850 8400 790 341040 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 254090 21510 8400 16794 300794 DAVID SHEILS VICE PRESIDENT 170420 16968 5622 16318 209328 NEPAL CHOWDHURY MD PHYSICIAN 2058979 8400 29682 2097061 MATTHEW WERTHAMMER MD PHYSICIAN 1311509 8400 28037 1347946 DWIGHT SAULLE MD PHYSICIAN 1366844 8400 28159 1403403 ESAM BARYUN MD PHYSICIAN 1153029 8400 25396 1186825 NESTOR DANS MD PHYSICIAN 546538 8400 17390 572328 REGINA CAMPBELL VICE PRESIDENT 178761 10500 5678 16604 211543 SISTER DIANE BUSHEE VICE PRESIDENT 95063 2852 8104 106019 BRADLEY BURKE FOUNDATION PRESIDENT 237315 26100 1442 28978 293835 PART I, LINE 3: ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE ST. MARY'S MEDICAL CENTER, INC. BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S CEO FOR REVIEW AND APPROVAL. SUCH INFORMATION INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE HUNTINGTON, WEST VIRGINIA COMMUNITY AS WELL AS COMPENSATION FOR THE CEO POSITION WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS, AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED. X 1 137083 FMV false true false FORM 990, PART VI, SECTION A, LINE 3 IN MAY 2018, CABELL HUNTINGTON HOSPITAL, INC. BECAME THE SOLE MEMBER OF ST. MARY'S MEDICAL CENTER, A FULL SERVICE ACUTE CARE HOSPITAL LOCATED IN HUNTINGTON, WEST VIRGINIA. AT THAT TIME, MOUNTAIN HEALTH NETWORK, INC.(MHN) BEGAN PROVIDING MANAGEMENT SERVICES TO CABELL HUNTINGTON HOSPITAL, INC. AS WELL AS ST. MARY'S MEDICAL CENTER. MHN IS COMPRISED OF EXPERIENCED HEALTH CARE PROFESSIONALS, PERSONS WITH EXTENSIVE FINANCIAL AND BUSINESS EXPERTISE, CLINICIANS WITH EXTENSIVE MEDICAL EXPERIENCE AND EXPERIENCED HOSPITAL BOARD MEMBERS. MHN WILL BE RETAINED TO FORMULATE AND IMPLEMENT APPROPRIATE MEASURES FOR THE INTEGRATION OF CERTAIN PROGRAMS AND SERVICES AT BOTH HOSPITALS AS WELL AS PROVIDE CONTINUED MANAGEMENT, STRATEGIC PLANNING AND OPERATIONAL SUPERVISION. FORM 990, PART VI, SECTION A, LINE 6 The organization is a membership (not a stock) corporation under West Virginia state law. Effective May 1, 2018, under agreement, the organization's sole corporate member was transferred to Cabell Huntington Hospital, Inc., a related not-for-profit organization from the previous sole corporate member, Pallottine Health Services. FORM 990, PART VI, SECTION A, LINE 7A Effective May 1, 2018, in accordance with the terms and requirements of its governing documents (i.e. bylaws), on an annual basis, the organization's current board members recommend the list of candidates for membership to the governing body for the subsequent term to the Cabell Huntington Hospital, Inc. board of directors. FORM 990, PART VI, SECTION A, LINE 7B As a result of the ownership change effective May 1, 2018 Cabell Huntington Hospital, Inc., as the sole corporate member, also has the right to approve or ratify significant decisions of the organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. FORM 990, PART VI, SECTION B, LINE 11B: The Form 990 is reviewed by the organization's management in consultation with an independent accounting firm. The financial review is based on the organization's audited financial statements for the relevant time period. The Form 990 will be reviewed by the CFO, finance/audit committee, and the board of directors. FORM 990, PART VI, SECTION B, LINE 12C: Upon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can (1) determine whether any potential or actual conflicts of interest may exist, and (2) monitor work or service assignments to avoid placing the key employee, officer or director in a position where there may be an appearance, potential or actual, of a conflict of interest or a question of objectivity. The completed conflicts of interest and disclosure forms for directors are returned to the organization. In the event that any board member is deemed to lack independence or a conflict of interest exists, he/she is required to leave the room and cannot be part of the discussion or vote. FORM 990, PART VI, SECTION B, LINE 15: On an annual basis, the organization provides documentation to the executive compensation committee of the St. Mary's Medical Center, Inc. board of directors for evaluation of compensation of the organization's officers and key employees for review and approval. Such information includes comparable data from similar size tax-exempt organizations in the Huntington, West Virginia community as well as compensation for these positions (as disclosed on form 990) with other organizations in the health care industry that are of similar size, demographics, and geography. Review and approval of the compensation arrangement by the officers/executive committee is documented. FORM 990, PART VI, SECTION C, LINE 19: The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at its office at 2900 First Avenue, Huntington, WV 25702. A nominal fee is charged if copies are requested. FORM 990, PART VI, LINE 16B The organization has adopted a formal written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements. However, the normal due diligence process for analyzing any such arrangements undertaken in conjunction with the organization's external legal counsel, accountants and other business advisers does include a review to determine the following: 1) the impact of the arrangement under applicable federal and state law 2) whether the arrangement will jeopardize the organization's exempt status as a Section 501(c)(3) charitable organization-hospital. 3) whether the arrangement will result in any unrelated business taxable income 4) the impact of the arrangement on any existing contractual agreements or other business relationships and 5) whether the arrangement will result in any conflicts of interest. If there are any concerns with respect to any of the above matters, the organization will take appropriate steps to ensure that, if the joint venture is pursued, the arrangement will be in compliance with applicable federal and state law and to safeguard the organization's tax-exempt status. A formal written policy and procedure has been approved. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS Transfers to/from Affiliates, net $ (107,894) Changes in pension fund status (15,612,624) 457b Plan adjustment (893,770) Change in donor restrictions 266,693 Total $(16,347,595) FORM 990, PART XII, LINE 2C THE FINANCE/AUDIT COMMITTEE SHALL REVIEW THE RESULTS OF THE ANNUAL AUDIT AND ALL OTHER REPORTS FROM INDEPENDENT EXTERNAL AUDITORS AND SHALL ARRANGE FOR THOSE REPORTS, TOGETHER WITH ANY RECOMMENDATIONS FROM THE FINANCE/AUDIT COMMITTEE, TO BE PRESENTED TO THE BOARD OF DIRECTORS AT SUCH A TIME AS THE BOARD OF DIRECTORS MAY SCHEDULE FOR THAT PURPOSE. FORM 990, PART XII, LINE 3B AUDIT WILL BE COMPLETED 9/30/2021 ST MARY'S MEDICAL MANAGEMENT LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 208017790 MED PRACTICE WV -5790703 27263191 SMMC ST MARY'S HOSPITALIST SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 270662169 MED PRACTICE WV -4645886 444065 SMMC ST MARY'S HIMG LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 852017234 MED PRACTICE WV -898887 2583620 SMMC ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FOUNDATION WV 501(C)(3) LINE 12b,II SMMC true CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 550675666 PARENT WV 501(C)(3) LINE 4 NA false MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SV WV 501(C)(3) LINE 12A,I CHH INC false PROACT INC 800 20TH STREET HUNTINGTON WV 25701 832100850 ADDICTION REC WV 501(C)(3) LINE 7 CHH INC false CLAIRE FRANCES 200 MALL RD ASHLAND KY 41101 311517507 MEDICAL SERVI KY N/A RELATED 884185 -115341 false false 0.33000 HUNTINGTON AREA MRI 2900 FIRST AVE HTGN WV 25702 261877332 MEDICAL SERVI WV N/A RELATED 283028 274368 false true 0.49000 IRONTON MED CAMPUS 1408 CAMPBELL DR IRONTON OH 45638 471141289 REAL ESTATE OH N/A RELATED 7891920 58278 false false 0.65000 IRONTON MED CAMPUS 1408 CAMPBELL DR IRONTON OH 45638 471637912 REAL ESTATE OH N/A RELATED 1985885 270768 false false 0.65000 THREE GABLES SURGERY 5897 ST RTE 7 PROCTORVILLE OH 45669 870648900 OUTPATIENT CA OH N/A RELATED 1253549 -1172577 false true 0.52340 TRI-STATE MPSLLC 2900 FIRST AVE HTGN WV 25702 824513003 BILLINGS/COLL WV NA RELATED 48409 39250 false false 0.60000 HIMG FMC LLC 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 273919638 INVEST DIALYSIS WV SMMC RELATED 4501 705505 false true 0.80000 MHC ACCOUNTABLE CARE LLC 5183 US ROUTE 60 EAST HUNTINGTON WV 25705 821639032 ACCOUNTABLE CARE WV SMMC RELATED -136186 -50081 false true 0.50000 VANGUARD FINANCIAL SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 450496141 COLLECTION AG WV ST MARYS MED C CORP -48363 336465 1.00000 true false false true false false true false false false false false false false false true false true false true HUNTINGTON AREA MRI SERVICES O 225069 INTERNAL ACCTG ST MARY'S MEDICAL CENTER FOUNDATION c 292554 INTERNAL ACCTG ST MARY'S MEDICAL CENTER FOUNDATION O 92685 INTERNAL ACCTG HUNTINGTON AREA MRI F 495016 INTERNAL ACCTG THREE GABLES SURGERY CENTER O 284447 INTERNAL ACCTG THREE GABLES SURGERY CENTER Q 32682 INTERNAL ACCTG THREE GABLES SURGERY CENTER S 438031 INTERNAL ACCTG