ST AGNES HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ST AGNES HEALTHCARE INC (EIN 52-0591657)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-11
IRS object ID
201931319349300408
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-11T09:32:10-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591657EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTAGBusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton Avenue 040AddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2019-05-11SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KEITH VANDER KOLKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton Avenue 040AddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$434,441,201GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STAGNES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1862FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3443TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$4,178,571TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,476,708PYContributionsGrantsAmt
CY Contributions Grants$888,656CYContributionsGrantsAmt
PY Program Service Revenue$433,684,456PYProgramServiceRevenueAmt
CY Program Service Revenue$427,068,425CYProgramServiceRevenueAmt
PY Investment Income$89,136PYInvestmentIncomeAmt
CY Investment Income-$132,899CYInvestmentIncomeAmt
PY Other Revenue$5,315,539PYOtherRevenueAmt
CY Other Revenue$6,495,706CYOtherRevenueAmt
PY Total Revenue$440,565,839PYTotalRevenueAmt
CY Total Revenue$434,319,888CYTotalRevenueAmt
PY Grants And Similar Paid$1,034,740PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$830,694CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$221,077,540PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$229,614,245CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$191,144,336PYOtherExpensesAmt
CY Other Expenses$191,889,921CYOtherExpensesAmt
PY Total Expenses$413,256,616PYTotalExpensesAmt
CY Total Expenses$422,334,860CYTotalExpensesAmt
PY Revenues Less Expenses$27,309,223PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,985,028CYRevenuesLessExpensesAmt
Total Assets BOY$347,832,846TotalAssetsBOYAmt
Total Assets EOY$319,467,352TotalAssetsEOYAmt
Total Liabilities BOY$201,430,379TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,869,548TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$146,402,467NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$141,597,804NetAssetsOrFundBalancesEOYAmt
MissionOur Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$312,409,717ExpenseAmt
Grant$830,694GrantAmt
Revenue$424,601,218RevenueAmt
DescSt. Agnes HealthCare, Inc. is a 238-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Agnes HealthCare, Inc. treated 15,306 adults and children for a total of 68,251 patient days of service. The hospital also provided services for 316,358 outpatient visits, which included 4,554 outpatient surgeries and 75,016 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc
Total Program Service Expenses$312,409,717TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document317IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3443EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sara O'BrienBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3147338070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111775 BORMAN DRIVEAddressLine1Txt
CityMARYLAND HEIGHTSCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN E WHEELER JR
CHAIR2.00Yes (X)Yes (X)$0$0$0
CARLOS S INCE JR MD
SECRETARY & PHYSICIAN50.00Yes (X)Yes (X)$499,537$0$44,427
KEITH VANDER KOLK
PRESIDENT & CEO - EX-OFFICIO16.033.0Yes (X)Yes (X)$897,651$0$17,732
BRUCE R GRINDROD JR
DIRECTOR2.00Yes (X)$0$0$0
MARGARET HAYES
DIRECTOR2.00Yes (X)$0$0$0
MOHANNAD F JISHI
DIRECTOR2.00Yes (X)$0$0$0
A GREGORY KELLY JR
DIRECTOR2.00Yes (X)$0$0$0
IRENE D KNOTT
DIRECTOR2.00Yes (X)$0$0$0
CAROLE B MILLER MD
DIRECTOR & PHYSICIAN50.00Yes (X)$493,839$0$31,896
JAMES B SELLINGER
DIRECTOR2.00Yes (X)$0$0$0
JOHN B STANSBURY
DIRECTOR2.00Yes (X)$0$0$0
SISTER MARY LOU STUBBS
DIRECTOR2.00Yes (X)$0$0$0
SAM V SYDNEY MD
DIRECTOR/CHIEF OF ORTHOPEDICS20.00Yes (X)$140,908$0$0
SCOTT M FURNISS
SVP & CFO, MINISTRY MARKET23.027.0Yes (X)$542,107$0$34,459
NANCY M HAMMOND MD
EVP & CMO48.02.0$563,409$0$44,962Yes (X)
YOLANDA COPELAND
SVP & CNO49.01.0$385,652$0$20,668Yes (X)
GEORGE T GRACE MD
MEDICAL DIRECTOR, RECONSTRUCTIVE SURGERY50.00$978,554$0$46,652Yes (X)
HOWARD S HESSAN MD
MEDICAL DIRECTOR, OTOLARYNGOLOGY50.00$788,337$0$38,154Yes (X)
ANDREW M AVERBACH MD
GENERAL SURGEON50.00$588,754$0$38,706Yes (X)
AJAY V KUMAR MD
PLASTIC SURGEON50.00$578,772$0$40,849Yes (X)
MARTIN A ALBORNOZ MD
CARDIOLOGY50.00$578,572$0$43,765Yes (X)
PATRICK F MUTCH
FORMER KEY EMPLOYEE (END 7/2016)0.00$360,918$0$5,784Yes (X)
BONNIE L PHIPPS
FORMER OFFICER (END 7/2016)0.00.0$0$720,705$7,656Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,397,010TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$720,705TotReportableCompRltdOrgAmt
Total Other Compensation$415,711TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K341IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL
2100 POWELL STREET 9TH FLOOREMERYVILLECA94608PHYSICIAN SERVICES$1,100,000
DRS HICKEN CRANLEY & TAYLOR PA
900 S CATON AVEBALTIMOREMD21229MEDICAL SERVICES$841,480
ARUP LABORATORIES
500 S CHIPETA WAYSALT LAKE CITYUT841081221LABORATORY SERVICES$685,537
SLEEPWORKS LLC
430 WOODRUFF RD STE 450GREENVILLESC29607MEDICAL SERVICES$564,450
FUTURE VISION ENERGY LLC
260 W MAIN ST STE 125HENDERSONVILLETN370753347ENVIRONMENTAL SERVICES$396,030
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$309,077RelatedOrganizationsAmt
Government Grants$579,579GovernmentGrantsAmt
Noncash Contributions$119,134NoncashContributionsAmt
Total Contributions$888,656TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue621990$425,833,914$422,866,249$2,967,665
Lab Services621500$1,210,906$1,210,906
Services to Affiliates900099$454,054$454,054
Government Incentives900099$229,904$229,904
Pharmacy Revenue446110$202,558$202,558

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$862,911TotalRevenueColumnAmt
Related Or Exempt Func Income-$862,911RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$427,068,425TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$136,724TotalRevenueColumnAmt
Exclusion-$136,724ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$818,265RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$818,265RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$818,265TotalRevenueColumnAmt
Exclusion$818,265ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,825OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,825OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,825TotalRevenueColumnAmt
Exclusion$3,825ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$227,580GrossSalesOfInventoryAmt
Cost Of Goods Sold$121,313CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,267TotalRevenueColumnAmt
Exclusion$106,267ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending Revenue722514$1,652,477$1,652,477
Education Revenue611430$1,222,370$1,222,370
Escheatment Revenue900099$540,532$540,532

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,155,795TotalRevenueColumnAmt
Related Or Exempt Func Income$488,994RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,666,801ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,571,174OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$434,319,888TotalRevenueColumnAmt
Related Or Exempt Func Income$424,601,218RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,178,571UnrelatedBusinessRevenueAmt
Exclusion$4,651,443ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$830,694TotalAmt
Program Services$830,694ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,717,247TotalAmt
Program Services$3,345,522ProgramServicesAmt
Management And General$371,725ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$187,527,859TotalAmt
Program Services$168,944,954ProgramServicesAmt
Management And General$18,582,905ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,730,210TotalAmt
Program Services$7,865,036ProgramServicesAmt
Management And General$865,174ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,993,321TotalAmt
Program Services$15,309,188ProgramServicesAmt
Management And General$1,684,133ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,645,608TotalAmt
Program Services$11,392,292ProgramServicesAmt
Management And General$1,253,316ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total-$31,578TotalAmt
Program Services$18,322ProgramServicesAmt
Management And General-$49,900ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,801TotalAmt
Management And General$36,801ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$86,085TotalAmt
Management And General-$86,085ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$25,581TotalAmt
Management And General$25,581ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,628,463TotalAmt
Program Services$11,501,141ProgramServicesAmt
Management And General$4,127,322ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$634,148TotalAmt
Program Services$112,558ProgramServicesAmt
Management And General$521,590ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,656,949TotalAmt
Program Services$655,818ProgramServicesAmt
Management And General$1,001,131ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,100,789TotalAmt
Program Services$608,128ProgramServicesAmt
Management And General$492,661ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,038,629TotalAmt
Program Services$3,926,185ProgramServicesAmt
Management And General$3,112,444ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$242,751TotalAmt
Program Services$199,966ProgramServicesAmt
Management And General$42,785ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$406,793TotalAmt
Program Services$370,491ProgramServicesAmt
Management And General$36,302ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,704,776TotalAmt
Management And General$2,704,776ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,238,624TotalAmt
Program Services$6,605,338ProgramServicesAmt
Management And General$12,633,286ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,528,195TotalAmt
Program Services$3,568,088ProgramServicesAmt
Management And General$3,960,107ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$54,097,735$53,828,994$268,741
MANAGEMENT FEE TO AFFILIATE$41,537,187$41,537,187
PURCHASED SERVICES$25,365,174$12,069,773$13,295,401
CONTRACT LABOR$5,811,668$5,070,228$741,440

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,953,321TotalAmt
Program Services$6,187,001ProgramServicesAmt
Management And General$2,766,320ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$422,334,860TotalAmt
Program Services$312,409,717ProgramServicesAmt
Management And General$109,925,143ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,030,130BOYAmt
EOY$11,717EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,330,101BOYAmt
EOY$4,600,719EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,916,621BOYAmt
EOY$49,457,117EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,914,894BOYAmt
EOY$7,243,672EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$892,278BOYAmt
EOY$953,015EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$420,851,922LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$203,562,270LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$221,529,117BOYAmt
EOY$217,289,652EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$27,004,573BOYAmt
EOY$26,124,201EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,187,107BOYAmt
EOY$4,141,329EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,028,025BOYAmt
EOY$9,645,930EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$347,832,846BOYAmt
EOY$319,467,352EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,845,634BOYAmt
EOY$46,391,414EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$601,318BOYAmt
EOY$577,305EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,983,427BOYAmt
EOY$130,900,829EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$201,430,379BOYAmt
EOY$177,869,548EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$142,219,446BOYAmt
EOY$137,204,289EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,053,684BOYAmt
EOY$4,263,285EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$129,337BOYAmt
EOY$130,230EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,402,467BOYAmt
EOY$141,597,804EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$347,832,846BOYAmt
EOY$319,467,352EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,985,028ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,360NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,818,051OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$25,581OtherActivitiesAmt
Total Lobbying Expenditures$25,581TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the dues paid to national and state hospital associations, a portion of which is specifically allocable to lobbying. St. Agnes, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLobbying expenses represent the dues paid to national and state hospital associations, a portion of which is specifically allocable to lobbying. St. Agnes, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$658,363BeginningYearBalanceAmt
Investment Earnings Or Losses$16,587InvestmentEarningsOrLossesAmt
End Year Balance$674,950EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$624,222BeginningYearBalanceAmt
Investment Earnings Or Losses$34,141InvestmentEarningsOrLossesAmt
End Year Balance$658,363EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$625,190BeginningYearBalanceAmt
Investment Earnings Or Losses-$968InvestmentEarningsOrLossesAmt
End Year Balance$624,222EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$614,329BeginningYearBalanceAmt
Investment Earnings Or Losses$10,861InvestmentEarningsOrLossesAmt
End Year Balance$625,190EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$570,832BeginningYearBalanceAmt
Investment Earnings Or Losses$43,497InvestmentEarningsOrLossesAmt
End Year Balance$614,329EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.19PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.81TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,252,790OtherCostOrOtherBasisAmt
Book Value$10,252,790BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$265,146,741OtherCostOrOtherBasisAmt
Depreciation$111,155,361DepreciationAmt
Book Value$153,991,380BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,388,056OtherCostOrOtherBasisAmt
Depreciation$4,420,460DepreciationAmt
Book Value$4,967,596BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,463,129OtherCostOrOtherBasisAmt
Depreciation$81,864,674DepreciationAmt
Book Value$22,598,455BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,601,206OtherCostOrOtherBasisAmt
Depreciation$6,121,775DepreciationAmt
Book Value$25,479,431BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$217,289,652TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescEquity Investment in Maryland Physicians CareDesc
Book Value$26,124,201BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$26,124,201TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDescAmtAmt
Estimated Settlement to Third-Party Payor
Pension Plan Liability
AH Savings Plan Liability
Deferred Compensation Liability
At-Risk Liability
Other Liabilities
Valuation Allowance
Due to Affiliates$55,002,851
General Liability Reserve Allowance$1,038,696
Recovery Tail Liability$631,195
Accrued Tax Liability$24,439
Debt with Ascension Health Alliance$74,202,184
Other Miscellaneous Liabilities$1,464
FieldValueIRS element (for citing)
Total Liability$130,900,829TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsWhiteford Endowment - 50% to be utilized to erect a wing or additional building, additional 50% may be used to support hospital operations. Browne Endowment - established for use by cardiac unit to aid the indigent. Gittings Endowment - created to provide a bed in the children's ward.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteTHE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2018.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,435,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,435,971NetCommunityBenefitExpnsAmt
Total Expense0.0413TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,054,514TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,144,349DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,910,165NetCommunityBenefitExpnsAmt
Total Expense0.0211TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$36,490,485TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,144,349DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,346,136NetCommunityBenefitExpnsAmt
Total Expense0.0624TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,364,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,338,168NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,013,957TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,013,957NetCommunityBenefitExpnsAmt
Total Expense0.0190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,066,059TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,428,894DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,637,165NetCommunityBenefitExpnsAmt
Total Expense0.0370TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$480,723TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$291,127DirectOffsettingRevenueAmt
Net Community Benefit Expns$189,596NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$544,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$544,786NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$39,469,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,746,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,723,672NetCommunityBenefitExpnsAmt
Total Expense0.0609TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$75,960,278TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,890,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,069,808NetCommunityBenefitExpnsAmt
Total Expense0.1233TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$474,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$426,198NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$474,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$426,198NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$3,169,351BadDebtExpenseAmt
Bad Debt Expense Attributable$34,567BadDebtExpenseAttributableAmt
Reimbursed By Medicare$159,156,951ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$146,402,729CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,754,222MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Caton AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.stagnes.org/WebsiteAddressTxt
State License30-059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Agnes Healthcare IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.stagnes.org/about-us/community/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.stagnes.org/about-us/community/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.stagnes.org/patients-visitors/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.stagnes.org/patients-visitors/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.stagnes.org/patients-visitors/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETo better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; opportunities for partnership; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. THE ASSESSMENT PROCESS INVOLVED BOTH QUANTITATIVE AND QUALITATIVE COMPONENTS. SAINT AGNES ENGAGED THE PARTICIPATION OF THE PUBLIC AS WELL AS KEY INTERNAL AND EXTERNAL STAKEHOLDERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITIES SERVED BY SAINT AGNES TO REVIEW THE QUANTITATIVE ANALYSIS. THE PUBLIC PROVIDED INPUT THROUGH A STRUCTURED ONLINE SURVEY AND VIA FOCUS GROUPS ACROSS THE ASSESSMENT PROCESS DURING FISCAL YEAR 2018. THE INTERNAL AND EXTERNAL STAKEHOLDERS WERE INDIVIDUALS WITH EXPERTISE IN PROVISION OF HEALTH CARE SERVICES AND PUBLIC HEALTH AND INCLUDED COMMUNITY LEADERS, PHYSICIANS, NURSING, SOCIAL WORK, PASTORAL CARE, CARE MANAGEMENT, EMERGENCY OUTPATIENT AND MANAGEMENT REPRESENTATIVES. A FULL LIST OF INTERNAL AND EXTERNAL STAKEHOLDERS CAN BE FOUND IN APPENDIX 3 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IS LOCATED ON THE SAINT AGNES HEALTHCARE WEBSITE USING THE FOLLOWING LINK: HTTP://WWW.STAGNES.ORG/ABOUT-US/COMMUNITY/ KEY EXTERNAL STAKEHOLDERS INCLUDE REPRESENTATIVES FROM THE AMERICAN DIABETES ASSOCIATION, BALTIMORE CITY HEALTH DEPARTMENT, BALTIMORE MEDICAL SYSTEMS, COMPREHENSIVE HOUSING ASSISTANCE, INC., GREEN AND HEALTHY HOMES, MEDSTAR CENTER FOR SUCCESSFUL AGING, MEDSTAR TOTAL ELDER CARE, UNIVERSITY OF MARYLAND GERIATRICS AND GERONTOLOGY EDUCATION AND RESEARCH PROGRAM, UNIVERSITY OF MARYLAND DEPARTMENT OF PARTNERSHIPS, PROFESSIONAL EDUCATION AND PRACTICE, COMMUNITY PUBLIC HEALTH NURSING - JOHNS HOPKINS, CHASE BREXTON HEALTH CARE, JEWISH COMMUNITY SERVICES, AS WELL AS OTHERS NOTED IN APPENDIX 3 OF THE NEEDS ASSESSMENT. TO GAIN INSIGHTS FROM MEMBERS OF THE COMMUNITY, A CONSUMER SURVEY WAS USED TO GAIN A QUANTITATIVE ASSESSMENT ELECTRONICALLY AND ON PAPER TO ESTABLISH BROAD PUBLIC INPUT. A COPY OF THE SURVEY IS INCLUDED IN APPENDIX 2 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH IS AVAILABLE ON THE HOSPITAL'S WEBSITE. TO FURTHER UNDERSTAND OUR COMMUNITY SERVICE AREA, A QUALITATIVE ASSESSMENT WAS CONDUCTED OF VULNERABLE POPULATION COHORTS IN FACILITATED FOCUS GROUPS. IN SEVEN FOCUS GROUPS, THERE WERE 69 PARTICIPANTS THAT PROVIDED INPUT TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF THE MEDICALLY UNDERSERVED, LOWINCOME, MINORITY, AND OTHER VULNERABLE POPULATIONS IN THE COMMUNITY. IN THE SCREENING SURVEY, THE FOCUS GROUP PARTICIPANTS IDENTIFIED THEIR TOP THREE HEALTH AND SOCIAL CONCERNS IN THEIR COMMUNITIES SIMILAR TO THE QUESTIONS IN THE ELECTRONIC SURVEY, FOLLOWED BY A FACILITATED DISCUSSION TO UNDERSTAND CASUAL FACTORS. IN ORDER TO GAIN FURTHER INSIGHT ON THE COMMUNITY SAINT AGNES SERVES, CONDUENT HEALTHY COMMUNITIES INSTITUTE WAS ENGAGED TO PROVIDE COMMUNITY HEALTH INDICATOR DATA FOR BALTIMORE CITY AND BALTIMORE COUNTY. THE HEALTHY COMMUNITIES INSTITUTE PROVIDED SOCIONEED INDEX SCORE, HEALTH INDICATORS AND TOPIC DATA SCORES FOR BALTIMORE CITY AND BALTIMORE COUNTY THROUGH A VARIETY OF FEDERAL AND STATE MEASUREMENTS.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. The hospital conducted its CHNA in conjunction with Lifebridge Health System, Johns Hopkins Health System, University of Maryland Medical System, and Medstar Health.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. The hospital conducted its CHNA in conjunction with the Baltimore City Health Department.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - St. Agnes Healthcare, Inc.. St. Agnes now has a formal Community Advisory Council and has presented the results to this Council, which has representation from most , if not all, of the community associations as well as other community leaders.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - ST. AGNES HEALTHCARE, INC.. AFTER USING BOTH PRIMARY AND SECONDARY RESEARCH METHODS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY AND TAKING INTO ACCOUNT THE INPUT RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, SAINT AGNES IDENTIFIED THREE PRIORITIES. THE TOP THREE COMMUNITY HEALTH NEED PRIORITIES THAT SAINT AGNES WILL IDENTIFY IN FY'S 2019 2021, WHICH HAVE BEEN APPROVED BY THE SAINT AGNES EXECUTIVE TEAM INCLUDE: * ADDRESS MENTAL HEALTH/SUBSTANCE ABUSE (SHARED PRIORITY WITH ALL BALTIMORE CITY HOSPITALS) * REDUCE OBESITY AND IMPACT OF CHRONIC DISEASES * CREATE PERSONCENTERED HEALTHY NEIGHBORHOODS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH NOTEWORTHY, MANY OF THE TOP COMMUNITY HEALTH CONCERNS REMAIN UNCHANGED FROM THE FY16 COMMUNITY NEEDS ASSESSMENT WITH OBESITY & DIABETES AND CARDIOVASCULAR ISSUES AMONGST GREATEST PRIORITIES. SIMILAR TO THE REST OF THE COUNTY WITH THE EXPONENTIAL RISE OF THE OPIOID EPIDEMIC, THIS ASSESSMENT HIGHLIGHTED MUCH GREATER CONCERN REGARDING THE ISSUE OF SUBSTANCE USE DISORDER AND MENTAL HEALTH NEEDS IN THE COMMUNITY. NATIONAL, STATE AND LOCAL HEALTH POLICIES AND OBJECTIVES WERE USED TO VALIDATE AND ALIGN OUR PRIORITIES AND OBJECTIVES. THE IDENTIFIED PRIORITIES ARE HIGHLY ALIGNED WITH LOCAL, STATE AND NATIONAL PRIORITIES AS FOUND IN HEALTHY BALTIMORE 2020, STATE OF MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP) VISION AREAS AND HEALTHY PEOPLE 2020, WHICH ARE SUMMARIZED IN TABLE 8 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT LOCATED ON THE HOSPITAL WEBSITE. ST. AGNES IS DEPLOYING A MULTIFACETED APPROACH TO ADDRESS THE PRIORITIZED NEEDS. IN 2018, SAINT AGNES HOSPITAL CREATED THE HEALTH INSTITUTE TO FOCUS ON PARTNERING WITH THE COMMUNITY TO KEEP INDIVIDUALS AT THEIR BEST HEALTH. BY BRINGING TOGETHER COMMUNITY ENGAGEMENT AND ENTERPRISEWIDE CARE MANAGEMENT RESOURCES, SAINT AGNES STRIVES TO BE AS RELEVANT TO OUR COMMUNITY WHEN THEY ARE WELL AS WHEN THEY ARE SICK. THE HEALTH INSTITUTE IS GUIDED BY OUR MISSION TO SERVE ALL PERSONS, PARTICULARLY THOSE THAT ARE MOST VULNERABLE, AND TO PROVIDE HEALTHCARE THAT LEAVES NO ONE BEHIND. WITH GREATER CARE COORDINATION, THE HEALTH INSTITUTE WILL CONNECT COMMUNITY MEMBERS AND PATIENTS TO THE SERVICES, PHYSICIANS, COMMUNITYBASED ORGANIZATIONS AND RESOURCES WHERE AND WHEN THEY NEED IT MOST. THE SAINT AGNES HEALTH INSTITUTE WILL FOCUS ON FOUR PRIMARY AREAS: COMMUNITY ENGAGEMENT, CARE MANAGEMENT, CHRONIC DISEASE MANAGEMENT, AND BEHAVIORAL HEALTH. THE HEALTH INSTITUTE WILL CONTINUE TO EVOLVE AS NEW NEEDS ARE IDENTIFIED, AND PARTNERSHIPS ARE FORMED TO MEET THE DEMANDS OF A HEALTHY COMMUNITY. SAINT AGNES WAS FOUNDED ON A MISSION OF SERVICE TO THE COMMUNITY, PARTICULARLY THOSE WHO ARE POOR AND UNDERSERVED, AND OUR COMMUNITY OUTREACH PROGRAMS CONTINUE TO EXPAND THAT MISSION TODAY. BASED ON EVALUATIONS OF THE MOST PRESSING HEALTH NEEDS IN OUR REGION, THE HOSPITAL HAS LAUNCHED A NUMBER OF COMMUNITY INITIATIVES TO FIGHT CARDIOVASCULAR DISEASE AND OBESITY AND IMPROVE ACCESS TO PRIMARY CARE. SAINT AGNES IS FOCUSED ON ACHIEVING CLEAR AND MEASURABLE IMPROVEMENTS IN THESE AREAS THROUGH THE EXPANSION OF OUR MILLION HEARTS PROGRAM, DIABETES PREVENTION PROGRAM, AND ONGOING EFFORTS TO FIGHT METABOLIC DISEASE AND OBESITY THROUGH OUR MARYLAND METABOLIC INSTITUTE, AND THE CONTINUED GROWTH AND DEVELOPMENT OF OUR REGIONAL PRIMARY CARE NETWORK. SAINT AGNES HOSPITAL HAS 254 LICENSEDBEDS (FY18) THAT IS A FULLSERVICE TEACHING HOSPITAL WITH RESIDENCY PROGRAMS IN A NUMBER OF MEDICAL AND SURGICAL SPECIALTIES. IN 2014, SAINT AGNES COMPLETED A $200+ MILLION EXPANSION THAT EMPHASIZES PATIENT SAFETY IN A HIGH-QUALITY HEALTHCARE ENVIRONMENT. THE EXPANSION INCLUDED A NEW PATIENT TOWER, THE NEW 80,000SQUAREFOOT ANGELOS MEDICAL PAVILION WHICH IS HOME TO A VARIETY OF SPECIALTIES, INCLUDING AN EXPANDED CANCER INSTITUTE, A NEW PARKING GARAGE, AND THE HACKERMANPATZ HOUSE FOR FAMILIES OF PATIENTS BEING TREATED FOR LONGTERM AILMENTS. WE HAVE DEMONSTRATED THIS COMMITMENT WITH OUR INVESTMENT IN OUR CAMPUS, SAINT AGNES MEDICAL GROUP CATONSVILLE SITE, GIBBONS COMMONS AND INVOLVEMENT IN COMMUNITY PARTNERSHIPS; WHICH INCREASES ACCESS NOT ONLY TO CLINICAL SERVICES, BUT TO JOBS AND OPPORTUNITIES AS WELL. THE FISCAL YEAR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED A WIDE VARIETY OF COMMUNITY HEALTH NEEDS INCLUDING CANCER, SMOKING / TOBACCO USE, HIV / AIDS, LUNG DISEASES, ALZHEIMER'S OR DEMENTIA, INFANT DEATH, AND STROKE. HOWEVER, THROUGH PRIORITIZATION EXERCISES WITH COMMUNITY MEMBERS, HEALTH EXPERTISE AND OTHER COMMUNITY STAKEHOLDERS, MENTAL HEALTH / SUBSTANCE ABUSE, OBESITY AND CHRONIC DISEASES, AND HEALTHY NEIGHBORHOODS WERE DETERMINED TO BE THE GREATEST UNMET NEEDS. WHILE SAINT AGNES HOSPITAL WILL FOCUS THE MAJORITY OF OUR EFFORTS ON THE IDENTIFIED STRATEGIC PROGRAMS, WE WILL REVIEW THE COMPLETE SET OF NEEDS IDENTIFIED IN THE CHNA FOR FUTURE COLLABORATION. THESE AREAS, WHILE IMPORTANT TO THE HEALTH OF THE COMMUNITY, WILL BE MET THROUGH EITHER EXISTING CLINICAL PROGRAMS OR THROUGH COLLABORATION WITH OTHER HEALTH CARE ORGANIZATIONS AS NEEDED. THE UNMET NEEDS NOT ADDRESSED SPECIFICALLY BY SAINT AGNES HOSPITAL, WILL CONTINUE TO BE ADDRESSED BY KEY GOVERNMENTAL AGENCIES AND EXISTING COMMUNITYBASED ORGANIZATIONS. THE SAINT AGNES IDENTIFIED CORE PRIORITIES TARGET THE INTERSECTION OF THE IDENTIFIED COMMUNITY NEEDS AND THE ORGANIZATION'S KEY STRENGTHS AND MISSION.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - ST. AGNES HEALTHCARE, INC.. In accordance with our mission and values, Saint Agnes Hospital is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. Saint Agnes offers financial counseling and assistance to help address any financial concerns patients or families may have regarding their care. Our financial aid policies reflect the hospital's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations. Copies of our Financial Aid Polices and requests for assistance are available by contacting our Patient Advocacy Department at 667-234-2140, by e-mail at kthomps@stagnes.org, or in person at the Patient Advocacy Department in the hospital's main level.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Angelos Medical Pavilion
3407 Wilkens Avenue Suite 420BaltimoreMD21229Blood Drawing Station
St Agnes Medical Center
6501-D Baltimore National PikeBaltimoreMD21228Blood Drawing Station and Diagnostic Imaging
Women's Center in Columbia
8945 Guilford Road Suite 100ColumbiaMD21046Blood Drawing Station
Pine Heights Professional Building
1001 Pine Heights Avenue Suite 202BaltimoreMD21229Blood Drawing Station
Seton Imaging Center
3449 Wilkins AvenueBaltimoreMD21229Diagnostic Imaging
Plastic and Reconstructive Surgery
300 Frederick Road Suite 200CatonsvilleMD21228Plastic Surgery
Maryland Surgeons Surgery Center of Columbia
11055 Little Patuxent Parkway SuiteColumbiaMD21044Outpatient Surgical CenterL6

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c OTHER CRITERIA FOR DETERMINING FREE OR DISCOUNTED CAREThe Organization will provide reduced-cost, medically necessary care to patients with family income below 500% of the FPL and medical debt that exceeds 25% of the family income. Eligible patients shall remain eligible for reduced cost, medically necessary care during the 12-month period beginning on the date on which the reduced-cost, medically necessary care was initially received. The patient and any immediate family member of the patient living in the same household may be eligible. Eligibility for financial assistance may be determined at any point in the revenue cycle and may include the use of presumptive scoring to determine eligibility notwithstanding an applicant's failure to complete a financial assistance application ("FAP Application"). Unless otherwise eligible for Medicaid or CHIP, patients who are beneficiaries/recipients of the following means-tested social service programs are deemed eligible for charity care, provided that the patient submits proof or enrollment within 30 days unless the patient or the patient's representative requests an additional 30 days: a. Households with children in the free or reduced lunch program; b. Supplemental Nutritional Assistance Program (SNAP); c. Low-income household energy assistance Program; d. Women, Infants and Children (WIC); e. Other means-tested social services program deemed eligible for hospital free care by the Department of Health and Mental Hygiene and the HSCRC.
Schedule H, Part I, Line 7b STATE WIDE DISCLOSURE FOR MARYLAND HOSPITALSMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK OUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO; MEDICAID RECOGNIZES FULL REIMBURSEMENT. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. THE AMOUNTS REPORTED IN PART I, LINE 7B REPRESENT UNREIMBURSED MEDICAID COSTS FOR UNREGULATED HEALTH CARE ACTIVITIES AND THE MEDICAID ASSESSMENT.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORTSAINT AGNES HEALTHCARE FILES A COMMUNITY BENEFITS REPORT WITH THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), THE REGULATORY AGENCY IN THE STATE OF MARYLAND. THE REPORT IS THEN MADE PUBLIC BY THE HSCRC. ADDITIONALLY, COMMUNITY BENEFIT INFORMATION IS AVAILABLE IN THE SAINT AGNES HEALTHCARE ANNUAL REPORT AND THE SAINT AGNES HEALTHCARE FACT SHEET. BOTH DOCUMENTS ARE AVAILABLE ON THE HOSPITAL WEBSITE.
Schedule H, Part I, Line 6a Community Benefit Report DisclousreSummary Community Benefit Information is included in the Saint Agnes Hospital Annual Report which is posted on the hospital website.
Schedule H, Part I, Line 7 FINANCIAL ASSISTANCE AT COST & HEALTH PROFESSIONS EDUCATIONMARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation62728
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost of providing charity care, means-tested government programs, and other 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.
Schedule H, Part II Community Building ActivitiesGIBBONS COMMONS IS A VIBRANT, 32-ACRE, MIXED-USE COMMUNITY, BEING DEVELOPED AND DESIGNED BY SAINT AGNES HEALTHCARE- IN COLLABORATION WITH MAJOR COMMUNITY PARTNERS -IN ORDER TO PROVIDE SOUTHWEST BALTIMORE RESIDENTS WITH A SAFE AND HEALTHY PLACE TO LIVE, WORK, PLAY AND LEARN. SINCE PURCHASING THE PROPERTY, SAINT AGNES HAS WORKED CLOSELY WITH COMMUNITY PARTNERS, NEIGHBORS, THE CITY AND DEVELOPERS TO ENSURE WE ARE CREATING A COMMUNITY ASSET THAT WILL IMPROVE THE QUALITY OF LIFE OF THOSE WE HAVE SERVED FOR OVER 150 YEARS. OUR VISION IS TO PROVIDE GREEN SPACE, COMMUNITY SERVICES, RECREATIONAL FACILITIES AND COMMUNITY HOUSING. SAINT AGNES HAS BEEN FORTUNATE IN PARTNERING AND COLLABORATING WITH LIKE-MINDED ORGANIZATIONS, BRINGING TO THE COMMUNITY: * HOUSING- BON SECOURS GIBBONS APARTMENTS, BUILT AND MANAGED BY BON SECOURS BALTIMORE HEALTH SYSTEM AND ENTERPRISE HOMES, OFFERS COMMUNITY HOUSING ON THE PROPERTY. THIS FOUR-STORY FACILITY OFFERS 80 ONE-, TWO- AND THREE-BEDROOM APARTMENTS; COMMUNITY AND RECREATIONAL SPACE; AND UNDERGROUND PARKING FOR ALL RESIDENTS. * BABE RUTH FIELD-PROVIDING MUCH NEEDED GREEN AND RECREATION SPACE FOR THE COMMUNITY WHILE HONORING THE PROPERTIES RICH HISTORY, MOST NOTABLY BABE RUTH. BUILT BY THE CAL RIPKEN, SR. FOUNDATION AND MANAGED BY THE Y OF CENTRAL MARYLAND, THIS NEW TURF FIELD IS POSITIONED ON THE EXACT SITE WHERE RUTH PLAYED IN THE EARLY 1900'S AND PROVIDES SPACE FOR COMMUNITY RESIDENTS TO PLAY BASEBALL, FOOTBALL AND LACROSSE. THE Y OF CENTRAL MARYLAND WILL MANAGE BABE RUTH FIELD AND WORK CLOSELY WITH THE CAL RIPKEN SR., FOUNDATION TO SUPPORT YOUTH AND SPORTS PROGRAMMING, ENCOURAGING ACTIVITY AND EXERCISE WITHIN THE COMMUNITY. THE Y IS ALSO CONSIDERING THE OPPORTUNITY TO RENOVATE THE 30,000-SQUARE-FOOT CARDINAL GIBBONS GYM INTO A FULL SERVICE FAMILY CENTER, INCLUDING A WARM WATER POOL, A GYMNASIUM AND FULL CARDIO AND STRENGTH FITNESS FLOOR, GROUP EXERCISE ROOMS, MULTI-PURPOSE FAMILY/YOUTH SPACE, LOCKER ROOMS AND COMMUNITY GATHERING SPACE. * FOOD OPTIONS - THE NEXT PROJECT PHASE INCLUDES THE NEW ROYAL FARMS FRESH KITCHEN DESIGN. AS A STRONG, KNOWN ENTITY WITH A SOLID REPUTATION AS A HIGHER END CONVENIENCE OPTION, ROYAL FARMS WILL PROVIDE: * A SOURCE OF REVENUE FOR THE PROJECT, ALLOWING FOR GREATER SUSTAINABILITY * HIGH QUALITY CONVENIENCE OPTION WITH FOOD, SUNDRIES AND GAS * COMMUNITY GATHERING SPACES WITH INDOOR AND OUTDOOR SEATING AREAS THE AMOUNTS REPORTED FOR COMMUNITY SUPPORT RELATE TO THE FEDERAL HOSPITAL PREPAREDNESS PROGRAM AND THE PUBLIC HEALTH EMERGENCY PREPAREDNESS ALIGNED COOPERATIVE AGREEMENTS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAfter 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 collection efforts as determined by Ascension Health. 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 2018 was $4,341,577 at charges, ($3,169,351 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsA cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceST. AGNES HEALTHCARE, INC. FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY 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.
Schedule H, Part V, Section B, Line 16a FAP website- St. Agnes Healthcare, Inc.: Line 16a URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- St. Agnes Healthcare, Inc.: Line 16b URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- St. Agnes Healthcare, Inc.: Line 16c URL: http://www.stagnes.org/patients-visitors/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentThe assessment process involved quantitative and qualitative components. St. Agnes engaged the participation of the general public as well as key internal and external stakeholders who represent the broad interest of the communities served by St. Agnes to review the quantitative analysis. The public provided input through a structured online survey and via focus groups across the assessment process during fiscal year 2016. The internal and external stakeholders were individuals with expertise in provision of health care services and public health and included community leaders, physicians, nursing, social work, pastoral care, emergency outpatient and management representatives and a broad range of community organizations. A quantitative assessment was conducted using a survey administered electronically and on paper to gain broad public input. A copy of the survey is included as Appendix 2 of the Community Health Needs Assessment which is available on the hospital's website. A qualitative assessment was conducted using focus groups facilitated by Observation Baltimore; a division of The Research Group/Family Research Center. Six focus groups were conducted for Saint Agnes Hospital to better understand the healthcare needs of the medically underserved, low-income, and minority populations in the most vulnerable communities identified in the FY13 assessment. The composition of the focus groups was recruited to match the demographic composition of the community's survey. Participants were also included by either a personal history or family history of chronic disease with a consideration of environmental risks (specifically smoking tobacco, drinking alcohol daily or occasionally, and use of non-prescription drugs). The Hispanic population was also targeted to ensure input from all ethnicities.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceST. AGNES HEALTHCARE DISPLAYS SIGNAGE, IN BOTH ENGLISH AND SPANISH IN ALL REGISTRATION AREAS THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND CONTACT INFORMATION. THE SIGNAGE IS ACCOMPANIED BY BROCHURES THAT EXPLAIN THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE. THE MARYLAND STATE FINANCIAL ASSISTANCE APPLICATION IS ALSO AVAILABLE. REGISTRATION AREAS ARE ROUTINELY CHECKED TO INSURE THESE MATERIALS ARE PROMINENTLY DISPLAYED. ST. AGNES HEALTHCARE HAS EMPLOYEES WHO ARE RESPONSIBLE FOR SCREENING ADMISSIONS TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY, MEDICAID, OR OTHER STATE PROGRAMS. ONCE THESE PATIENTS ARE IDENTIFIED, ST. AGNES HEALTHCARE EMPLOYEES ASSIST THEM WITH COMPLETING THE ELIGIBILITY PROCESS. ALL INPATIENTS ARE PROVIDED THE PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET AT THE TIME OF ADMISSION. IT IS ALSO MAILED TO THE PATIENT WITH THE SUMMARY BILL THAT IS SENT AFTER DISCHARGE. THE INFORMATION SHEET IS PROVIDED IN BOTH ENGLISH AND SPANISH AND PROVIDES THE PATIENT WITH INFORMATION REGARDING ST. AGNES HEALTHCARE'S FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE AND MEDICAL ASSISTANCE AND THE PATIENT'S RIGHTS AND OBLIGATIONS. A PUBLIC NOTICE IS ALSO PUBLISHED ANNUALLY IN THE BALTIMORE SUN NEWSPAPER NOTIFYING THE PUBLIC OF THE AVAILABILITY OF UNCOMPENSATED CARE AT ST. AGNES HEALTHCARE.
Schedule H, Part VI, Line 4 Community informationWith the FY18 Community Needs Assessment, our Community Benefit Service Area (CBSA) has redefined. First, due to multiple internal and external changes over the last two decades, the zip codes that comprise the Saint Agnes Hospital service area have shifted East and the primary service area (Top 60% of lives served) has oriented to iNclude a greater share of West Baltimore city communities. Second, anticipating Phase 2 waiver the CBSA was redefined to better align with Phase 2 Total Cost of Care patient attribution geography. And finally, the CBSA was aligned to those zips codes where Saint Agnes has the greatest ability to demonstrate meaningful impact on community health outcomes. The wide variety of needs that exist throughout the service area can be addressed most effectively with an acute focus on those crucial needs upon which Saint Agnes Hospital can have the greatest impact. It is this focus that will guide the allocation of resources, and development of health care programs, which will most significantly improve community health. Due to its location in the southwest segment of the Baltimore Metropolitan Area, Saint Agnes serves a diverse patient population. Saint Agnes' CBSA (Baltimore City and Baltimore County) has a population of approximately 400,514 (all population data was taken from Sg2 data for 2018). The service area for study in the Community Health Needs Assessment represents the zip codes that comprise 70% of Saint Agnes Hospital discharges. A map of the communities Saint Agnes serves can be seen in the Community Health Needs Assessment which is located on the hospital website. Within the CBSA, Saint Agnes has defined eight different communities. The communities are groupings of zip codes in the defined CBSA based on similar demographic characteristics and geographic boundaries. Details about each of the individual communities follows: Arbutus (Zip Code 21227): Arbutus is an older suburban community, located south of Caton and Wilkens Avenues, and has a population of 34,139. The traditionally blue-collar community is part of the Baltimore County Health Jurisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. BrooklynLinthicum (Zip Code 21225): BrooklynLinthicum is an older urban/suburban community, located southeast of Caton and Wilkens Avenues, and has a population of 33,550. The industrial and blue-collar community has seen an increase in the uninsured population and is part of both the Baltimore City and Baltimore County Health Jurisdictions. Harbor Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Catonsville (Zip Code 21228): Catonsville is an older suburban community, located west of Caton and Wilkens Avenues, and has a population of 49,758, with a growing proportion of seniors. The traditionally white-collar community is part of the Baltimore County Health JUrisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. Curtis Bay (Zip Code 21226) Curtis Bay is a residential / commercial / industrial neighborhood in the southern portion of the City of Baltimore, which has a population of 7,929. The neighborhood is on steep sloping heights, about four city blocks wide (west to east) and fifteen blocks long (north to south) and above and surrounded on three sides (northeast east southeast) in a highly industrialized waterfront area in the southern part of the city. Southwest Baltimore City (Zip Code 21229): Southwest Baltimore City is an older urban community, located at Caton and Wilkens Avenues, and has a population of 44,537. Similar to other urban areas, Southwest Baltimore is projected to experience population declines. Southwest Baltimore City is part of the Baltimore City Health Jurisdiction. Saint Agnes Hospital is the primary hospital provider best positioned to address the specific health needs of this community. West Baltimore City (Zip Code 21215, 21216, 21217): West Baltimore City is an older urban community, located north of Caton and Wilkens Avenues, and has a population of 123,222. Similar to other urban areas, West Baltimore is projected to experience population declines. West Baltimore City is part of the Baltimore City Health Jurisdiction. Sinai Hospital, University of Maryland and Bon Secours Hospital are the primary hospital providers best positioned to address the specific health needs of this community. South Baltimore City (Zip Code 21223, 21230): South Baltimore City is an older urban community, located east/southeast of Caton and Wilkens Avenues, and has a population of 59,923. The urban community is projected to experience population declines. South Baltimore City is part of the Baltimore City Health Jurisdiction. Baltimore Washington Medical Center and MedStar Harbor Hospital are the primary hospitals provider best positioned to address the specific health needs of this community. Woodlawn (Zip Code 21207): Woodlawn is a suburban community, located northwest of Caton and Wilkens Avenues, and has a population of 47,456, with a growing proportion of seniors. Woodlawn is part of the Baltimore County Health Jurisdiction. Northwest Hospital is the primary hospital provider best positioned to address the specific health needs of this community.
Schedule H, Part VI, Line 5 Promotion of community healthTHE INFORMATION PROVIDED AS COMMUNITY SUPPORT, IN PART II, COMMUNITY BUILDING ACTIVITIES, REPRESENTS FUNDS SPENT FOR DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES. THESE COSTS, WHICH ARE PARTIALLY FUNDED BY THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE, SUPPORT ACTIVITIES SUCH AS EDUCATION AND PREPAREDNESS TRAINING, DECONTAMINATION EQUIPMENT AND SUPPLIES NEEDED FOR VICTIM'S EASE, COMFORT AND TRACKING DURING DECONTAMINATION. ST. AGNES HEALTHCARE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN VARIOUS WAYS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY RESIDES IN ST. AGNES HEALTHCARE'S SERVICE AREA AND IS NEITHER COMPOSED OF EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE GOVERNING BODY HAD THIRTEEN VOTING MEMBERS, TEN OF WHICH WERE INDEPENDENT COMMUNITY MEMBERS. ADDITIONALLY, ST. AGNES HEALTHCARE HAS AN OPEN MEDICAL STAFF AND CREDENTIALS ALL QUALIFIED MEDICAL STAFF, INCLUDING COMMUNITY BASED PROVIDERS. ST. AGNES HEALTHCARE APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE IN VARIOUS WAYS. FOR INSTANCE, SURPLUS FUNDS ARE USED TO REINVEST IN THE LATEST EQUIPMENT AND TECHNOLOGIES TO IMPROVE PATIENT SAFETY, COMFORT, AND OUTCOMES. SURPLUS FUNDS ARE ALSO USED TO RENOVATE EXISTING FACILITIES AND CONSTRUCT NEW FACILITIES IN ORDER TO IMPROVE THE HEALTHCARE ENVIRONMENT. AS A MEMBER OF A NATIONAL HEALTH SYSTEM, ASCENSION HEALTH, SURPLUS FUNDS GENERATED BY ST. AGNES HEALTHCARE MAY ALSO BE DIRECTED TO ASCENSION HEALTH TO APPLY TOWARDS STRATEGIC INITIATIVES OR TO BE RE-DISTRIBUTED TO OTHER MEMBER HEALTHCARE PROVIDERS WITHIN ASCENSION HEALTH. THIS ALLOWS ST. AGNES TO NOT ONLY SERVICE THE SURROUNDING COMMUNITY, BUT ALSO HELP FUND THE CARE FOR THE UNDERPRIVILEGED THROUGHOUT MANY PARTS OF THE UNITED STATES.
Schedule H, Part VI, Line 6 Affiliated health care systemST. AGNES HEALTHCARE IS A MEMBER OF ASCENSION HEALTH, A NATIONAL HEALTH CARE SYSTEM. ASCENSION HEALTH IS THE SOLE CORPORATE MEMBER OF SAINT AGNES HEALTHCARE. SAINT AGNES HEALTHCARE IS THE SOLE CORPORATE MEMBER OF SETON MEDICAL GROUP INC., WHICH PROVIDES PRIMARY CARE, GYNECOLOGY AND OBSTETRICS CARE FOR PATIENTS IN THE SAINT AGNES HEALTHCARE'S SERVICE AREA. SAINT AGNES HEALTHCARE IS ALSO THE SOLE CORPORATE MEMBER OF SAINT AGNES FOUNDATION, THE PHILANTHROPIC ARM OF SAINT AGNES HEALTHCARE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BALTIMORE MEDICAL SYSTEM INC
PO Box 1593merrifieldVA22116521358241501(C)(3)$800,044OPERATING SUPPORT
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303131788491501(C)(3)$5,000OPERATING SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationDiscretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Financial Officer.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARLOS S INCE JR MD
SECRETARY & PHYSICIAN$455,033$0$42,083$0$2,421$0$14,850$0$29,577$0$543,964$0$0$0
KEITH VANDER KOLK
PRESIDENT & CEO - EX-OFFICIO$424,829$0$387,626$0$85,197$0$12,685$0$5,048$0$915,384$0$0$0
CAROLE B MILLER MD
DIRECTOR & PHYSICIAN$414,781$0$75,027$0$4,031$0$17,550$0$14,346$0$525,734$0$0$0
BONNIE L PHIPPS
FORMER OFFICER (END 7/2016)$0$0$0$14,910$0$705,795$0$0$0$7,656$0$728,362$0$0
SCOTT M FURNISS
SVP & CFO, MINISTRY MARKET$318,408$0$186,115$0$37,584$0$16,522$0$17,937$0$576,566$0$0$0
PATRICK F MUTCH
FORMER KEY EMPLOYEE (END 7/2016)$3,947$0$55,740$0$301,231$0$0$0$5,784$0$366,702$0$0$0
NANCY M HAMMOND MD
EVP & CMO$356,074$0$167,693$0$39,643$0$17,250$0$27,712$0$608,372$0$0$0
YOLANDA COPELAND
SVP & CNO$245,904$0$123,375$0$16,373$0$15,704$0$4,965$0$406,320$0$0$0
GEORGE T GRACE MD
MEDICAL DIRECTOR, RECONSTRUCTIVE SURGERY$797,931$0$173,099$0$7,524$0$14,850$0$31,802$0$1,025,206$0$0$0
HOWARD S HESSAN MD
MEDICAL DIRECTOR, OTOLARYNGOLOGY$740,580$0$40,234$0$7,524$0$14,850$0$23,304$0$826,492$0$0$0
ANDREW M AVERBACH MD
GENERAL SURGEON$578,469$0$2,761$0$7,524$0$16,200$0$22,506$0$627,460$0$0$0
AJAY V KUMAR MD
PLASTIC SURGEON$277,796$0$300,039$0$938$0$14,710$0$26,139$0$619,621$0$0$0
MARTIN A ALBORNOZ MD
CARDIOLOGY$540,871$0$32,799$0$4,902$0$14,850$0$28,915$0$622,336$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationASCENSION HEALTH, A RELATED ORGANIZATION OF ST. AGNES HEALTHCARE, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANT, - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individual(s) received severance payments from the organization or a related organization: Bonnie L Phipps - $699,851 Patrick F Mutch - $291,667
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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. No individuals received current year distributions.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIPMENTDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$119,134NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationOther - EQUIPMENT NUMBER OF CONTRIBUTIONSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALIn determining the compensation of the Organization's CEO, the process performed by Ascension Health, a related organization of St. Agnes Healthcare, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the Committee minutes. The individual was not present when his compensation was decided.
Form 990, Part VI, Line 6 Classes of members or stockholdersSt. Agnes Healthcare has a sole corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySt. Agnes Healthcare has a sole corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Agnes Healthcare.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAscension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyDURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyThe 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 disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesIn determining compensation of THE ORGANIZATION'S OFFICERS or key employees, the process, performed by St. Agnes healthcare, Inc. included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation documentation of the decision was recorded in the committee minutes. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon written request.
Form 990, Part VIII, Line 2f Other Program Service RevenueIncome from Joint Ventures - Total Revenue: -880372, Related or Exempt Function Revenue: -880372, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income from Affiliates - Total Revenue: 17461, Related or Exempt Function Revenue: 17461, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueDME Sales - Total Revenue: 50220, Related or Exempt Function Revenue: 50220, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Club Revenue - Total Revenue: 17814, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 17814; Medical Records Fees - Total Revenue: 82569, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 82569; Miscellaneous Revenue - Total Revenue: 1517091, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1517091; Parking Revenue - Total Revenue: -153, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -153; Research Revenues - Total Revenue: 438774, Related or Exempt Function Revenue: 438774, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Telephone Revenues - Total Revenue: 49480, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 49480;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN VALUE OF INTEREST OF ST. AGNES FOUNDATION, INC. - -37004; Net Transfers with Alpha Fund - -16751047; Refund prior year pledge - -30000;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSTHE ACTIVITY OF ST. AGNES HEALTHCARE IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. AGNES HEALTHCARE IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. AGNES HEALTHCARE.
Form 990, Part XII, Line 2c audit committeeST. AGNES HEALTHCARE, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS COMMONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
EIN520591657EIN
Primary ActivitiesREAL PROPERTY TO SUPPORT COMMUNITY ACTIVITIESPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$48,013TotalIncomeAmt
End Of Year Assets$16,890,574EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998STLOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3)Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3)Type IASCENSION HEALTH ALLIANCEfalse
SAINT AGNES FOUNDATION INC
900 CATON AVENUEBALTIMOREMD21229521415083FUNDRAISINGMD501(c)(3)Type IST AGNES HEALTHCARE INCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTH VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 CATON AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd
FieldValueIRS element (for citing)
EIN521733632EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$3,462ShareOfTotalIncomeAmt
Share Of EOY Assets$1,236,254ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST AGNES FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$197,772InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt

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