2019-05-11T09:32:10-05:00 2018-06-30 990 2017-07-01 520591657 St Agnes Healthcare Inc STAG 3147338000 900 Caton Avenue 040 Baltimore MD 21229 Tonya Mershon Tax Officer 2019-05-11 2017 2019-02-21 02:37:17Z KEITH VANDER KOLK 900 Caton Avenue 040 Baltimore MD 21229 434441201 false 0928 X WWW.STAGNES.ORG X 1862 MD To improve the health and well-being of all people in the communities we serve. 13 9 3443 300 4178571 0 1476708 888656 433684456 427068425 89136 -132899 5315539 6495706 440565839 434319888 1034740 830694 0 221077540 229614245 0 0 191144336 191889921 413256616 422334860 27309223 11985028 347832846 319467352 201430379 177869548 146402467 141597804 Our 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. false false 312409717 830694 424601218 St. 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. 312409717 true true false true false false false false true true false true false true true false true false false false false false false false false true true true false true false false false false false false false false true false false false true true true true false false true 317 0 true 3443 true true true false false false false false true false false false X 13 9 false false false false true true true true true false false false true true true true true false true true true MD X Sara O'Brien 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 JOHN E WHEELER JR CHAIR 2.0 0 X X 0 0 0 CARLOS S INCE JR MD SECRETARY & PHYSICIAN 50.0 0 X X 499537 0 44427 KEITH VANDER KOLK PRESIDENT & CEO - EX-OFFICIO 16.0 33.0 X X 897651 0 17732 BRUCE R GRINDROD JR DIRECTOR 2.0 0 X 0 0 0 MARGARET HAYES DIRECTOR 2.0 0 X 0 0 0 MOHANNAD F JISHI DIRECTOR 2.0 0 X 0 0 0 A GREGORY KELLY JR DIRECTOR 2.0 0 X 0 0 0 IRENE D KNOTT DIRECTOR 2.0 0 X 0 0 0 CAROLE B MILLER MD DIRECTOR & PHYSICIAN 50.0 0 X 493839 0 31896 JAMES B SELLINGER DIRECTOR 2.0 0 X 0 0 0 JOHN B STANSBURY DIRECTOR 2.0 0 X 0 0 0 SISTER MARY LOU STUBBS DIRECTOR 2.0 0 X 0 0 0 SAM V SYDNEY MD DIRECTOR/CHIEF OF ORTHOPEDICS 20.0 0 X 140908 0 0 SCOTT M FURNISS SVP & CFO, MINISTRY MARKET 23.0 27.0 X 542107 0 34459 NANCY M HAMMOND MD EVP & CMO 48.0 2.0 X 563409 0 44962 YOLANDA COPELAND SVP & CNO 49.0 1.0 X 385652 0 20668 GEORGE T GRACE MD MEDICAL DIRECTOR, RECONSTRUCTIVE SURGERY 50.0 0 X 978554 0 46652 HOWARD S HESSAN MD MEDICAL DIRECTOR, OTOLARYNGOLOGY 50.0 0 X 788337 0 38154 ANDREW M AVERBACH MD GENERAL SURGEON 50.0 0 X 588754 0 38706 AJAY V KUMAR MD PLASTIC SURGEON 50.0 0 X 578772 0 40849 MARTIN A ALBORNOZ MD CARDIOLOGY 50.0 0 X 578572 0 43765 PATRICK F MUTCH FORMER KEY EMPLOYEE (END 7/2016) 0.0 0 X 360918 0 5784 BONNIE L PHIPPS FORMER OFFICER (END 7/2016) 0.0 0.0 X 0 720705 7656 7397010 720705 415711 341 true true false CALIFORNIA EMERGENCY PHYSICIANS MEDICAL 2100 POWELL STREET 9TH FLOOR EMERYVILLE CA 94608 PHYSICIAN SERVICES 1100000 DRS HICKEN CRANLEY & TAYLOR PA 900 S CATON AVE BALTIMORE MD 21229 MEDICAL SERVICES 841480 ARUP LABORATORIES 500 S CHIPETA WAY SALT LAKE CITY UT 841081221 LABORATORY SERVICES 685537 SLEEPWORKS LLC 430 WOODRUFF RD STE 450 GREENVILLE SC 29607 MEDICAL SERVICES 564450 FUTURE VISION ENERGY LLC 260 W MAIN ST STE 125 HENDERSONVILLE TN 370753347 ENVIRONMENTAL SERVICES 396030 37 X 309077 579579 119134 888656 Net Patient Service Revenue 621990 425833914 422866249 2967665 Lab Services 621500 1210906 1210906 Services to Affiliates 900099 454054 454054 Government Incentives 900099 229904 229904 Pharmacy Revenue 446110 202558 202558 -862911 -862911 0 0 427068425 -136724 -136724 818265 0 818265 0 818265 818265 3825 0 0 3825 3825 3825 227580 121313 106267 106267 Cafeteria/Vending Revenue 722514 1652477 1652477 Education Revenue 611430 1222370 1222370 Escheatment Revenue 900099 540532 540532 2155795 488994 0 1666801 5571174 434319888 424601218 4178571 4651443 830694 830694 3717247 3345522 371725 187527859 168944954 18582905 8730210 7865036 865174 16993321 15309188 1684133 12645608 11392292 1253316 -31578 18322 -49900 36801 36801 -86085 -86085 25581 25581 15628463 11501141 4127322 0 634148 112558 521590 1656949 655818 1001131 1100789 608128 492661 7038629 3926185 3112444 242751 199966 42785 406793 370491 36302 2704776 2704776 19238624 6605338 12633286 7528195 3568088 3960107 MEDICAL SUPPLIES 54097735 53828994 268741 MANAGEMENT FEE TO AFFILIATE 41537187 41537187 PURCHASED SERVICES 25365174 12069773 13295401 CONTRACT LABOR 5811668 5070228 741440 8953321 6187001 2766320 0 422334860 312409717 109925143 0 5030130 11717 3330101 4600719 0 0 56916621 49457117 0 0 0 0 0 0 7914894 7243672 892278 953015 420851922 203562270 221529117 217289652 0 0 0 27004573 26124201 5187107 4141329 20028025 9645930 347832846 319467352 45845634 46391414 0 0 601318 577305 0 0 0 0 0 0 0 0 0 0 154983427 130900829 201430379 177869548 X 142219446 137204289 4053684 4263285 129337 130230 146402467 141597804 347832846 319467352 X 11985028 28360 -16818051 X false true X false false X false false false false false false false false true 25581 25581 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying 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 ACTIVITY Lobbying 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. 658363 16587 674950 624222 34141 658363 625190 -968 624222 614329 10861 625190 570832 43497 614329 0.0 0.19 0.81 true false 10252790 10252790 265146741 111155361 153991380 9388056 4420460 4967596 104463129 81864674 22598455 31601206 6121775 25479431 217289652 Equity Investment in Maryland Physicians Care 26124201 C 26124201 0 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 55002851 General Liability Reserve Allowance 1038696 Recovery Tail Liability 631195 Accrued Tax Liability 24439 Debt with Ascension Health Alliance 74202184 Other Miscellaneous Liabilities 1464 130900829 X Schedule D, Part V, Line 4 Intended uses of endowment funds Whiteford 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) footnote THE 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. true true X true X 250 true X true true true false true true 17435971 0 17435971 0.0413 19054514 10144349 8910165 0.0211 0 0.0 0 0 36490485 10144349 26346136 0.0624 1364268 26100 1338168 0.0032 8013957 0 8013957 0.0190 29066059 13428894 15637165 0.0370 480723 291127 189596 0.0004 544786 0 544786 0.0013 0 0 39469793 13746121 25723672 0.0609 0 0 75960278 23890470 52069808 0.1233 0 0.0 474211 48013 426198 0.0010 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 474211 48013 426198 0.0010 false 3169351 34567 159156951 146402729 12754222 X true true 1 1 St Agnes Healthcare Inc 900 Caton Avenue Baltimore MD 21229 http://www.stagnes.org/ 30-059 X X X X X St Agnes Healthcare Inc 1 false false true X X X X X X X X 17 true true true true X http://www.stagnes.org/about-us/community/ X X true 17 true http://www.stagnes.org/about-us/community/ false true X 250.0 400.0 X X X true true X X X X true X http://www.stagnes.org/patients-visitors/financial-assistance/ X http://www.stagnes.org/patients-visitors/financial-assistance/ X http://www.stagnes.org/patients-visitors/financial-assistance/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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. 7 Angelos Medical Pavilion 3407 Wilkens Avenue Suite 420 Baltimore MD 21229 Blood Drawing Station St Agnes Medical Center 6501-D Baltimore National Pike Baltimore MD 21228 Blood Drawing Station and Diagnostic Imaging Women's Center in Columbia 8945 Guilford Road Suite 100 Columbia MD 21046 Blood Drawing Station Pine Heights Professional Building 1001 Pine Heights Avenue Suite 202 Baltimore MD 21229 Blood Drawing Station Seton Imaging Center 3449 Wilkins Avenue Baltimore MD 21229 Diagnostic Imaging Plastic and Reconstructive Surgery 300 Frederick Road Suite 200 Catonsville MD 21228 Plastic Surgery Maryland Surgeons Surgery Center of Columbia 11055 Little Patuxent Parkway Suite L6 Columbia MD 21044 Outpatient Surgical Center Schedule H, Part I, Line 3c OTHER CRITERIA FOR DETERMINING FREE OR DISCOUNTED CARE The 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 HOSPITALS MARYLAND'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 REPORT SAINT 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 Disclousre Summary 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 EDUCATION MARYLAND'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 calculation 62728 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The 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 Activities GIBBONS 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 amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on 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 Methodology The 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 footnote The 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 costs A 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 assistance ST. 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 assessment The 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 assistance ST. 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 information With 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 health THE 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 system ST. 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. true BALTIMORE MEDICAL SYSTEM INC PO Box 1593 merrifield VA 22116 521358241 501(C)(3) 800044 OPERATING SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 5000 OPERATING SUPPORT 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Discretionary grants or assistance to other organizations are approved by either the Chief Executive Officer or the Chief Financial Officer. true true false false false false false false false CARLOS S INCE JR MD SECRETARY & PHYSICIAN 455033 0 42083 0 2421 0 14850 0 29577 0 543964 0 0 0 KEITH VANDER KOLK PRESIDENT & CEO - EX-OFFICIO 424829 0 387626 0 85197 0 12685 0 5048 0 915384 0 0 0 CAROLE B MILLER MD DIRECTOR & PHYSICIAN 414781 0 75027 0 4031 0 17550 0 14346 0 525734 0 0 0 BONNIE L PHIPPS FORMER OFFICER (END 7/2016) 0 0 0 14910 0 705795 0 0 0 7656 0 728362 0 0 SCOTT M FURNISS SVP & CFO, MINISTRY MARKET 318408 0 186115 0 37584 0 16522 0 17937 0 576566 0 0 0 PATRICK F MUTCH FORMER KEY EMPLOYEE (END 7/2016) 3947 0 55740 0 301231 0 0 0 5784 0 366702 0 0 0 NANCY M HAMMOND MD EVP & CMO 356074 0 167693 0 39643 0 17250 0 27712 0 608372 0 0 0 YOLANDA COPELAND SVP & CNO 245904 0 123375 0 16373 0 15704 0 4965 0 406320 0 0 0 GEORGE T GRACE MD MEDICAL DIRECTOR, RECONSTRUCTIVE SURGERY 797931 0 173099 0 7524 0 14850 0 31802 0 1025206 0 0 0 HOWARD S HESSAN MD MEDICAL DIRECTOR, OTOLARYNGOLOGY 740580 0 40234 0 7524 0 14850 0 23304 0 826492 0 0 0 ANDREW M AVERBACH MD GENERAL SURGEON 578469 0 2761 0 7524 0 16200 0 22506 0 627460 0 0 0 AJAY V KUMAR MD PLASTIC SURGEON 277796 0 300039 0 938 0 14710 0 26139 0 619621 0 0 0 MARTIN A ALBORNOZ MD CARDIOLOGY 540871 0 32799 0 4902 0 14850 0 28915 0 622336 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ASCENSION 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 payment The 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 plan Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. X EQUIPMENT 2 119134 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - EQUIPMENT NUMBER OF CONTRIBUTIONS Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL In 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 stockholders St. Agnes Healthcare has a sole corporate member, Ascension Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. 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 stockholders Ascension 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 body DURING 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 policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must 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 employees In 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 public The organization will provide any documents open to public inspection upon written request. Form 990, Part VIII, Line 2f Other Program Service Revenue Income 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 Revenue DME 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 balances CHANGE 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 STATEMENTS THE 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 committee ST. 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. GIBBONS COMMONS LLC 900 CATON AVENUE BALTIMORE MD 21229 520591657 REAL PROPERTY TO SUPPORT COMMUNITY ACTIVITIES MD 48013 16890574 ST AGNES HEALTHCARE INC ASCENSION HEALTH ALLIANCE PO BOX 45998 STLOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false SAINT AGNES FOUNDATION INC 900 CATON AVENUE BALTIMORE MD 21229 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTH VENTURES INC 900 CATON AVENUE BALTIMORE MD 21229 521733632 HOLDING COMPANY MD ST AGNES HEALTHCARE INC C Corporation 3462 1236254 1 true false false true false false false false false false true false true true false true true true false true ST AGNES FOUNDATION INC C 197772 FAIR MARKET VALUE