FURP.ORG / PUBLIC DATA EXPLORER

ST MARYS MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST MARYS MEDICAL CENTER INC (EIN 55-0357050)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201312269349300011
Schema version
2011v1.5
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)
Timestamp2013-08-14T07:30:16-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN550486667EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett Foster Toothman PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25329ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550357050EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone3045268931Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code257021271ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael SellardsName
TitlePresident & CEOTitle
Phone3045268931Phone
Date Signed2013-07-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHarry C HarlessName
PTINP01042847PTIN
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael SellardsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code257021271ZIPCode
FieldValueIRS element (for citing)
Gross Receipts405524123GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.st-marys.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionHospital with open emergency room.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees2725TotalNbrEmployees
Total Nbr Volunteers376TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year775398ContributionsGrantsPriorYear
Contributions Grants Current Year819525ContributionsGrantsCurrentYear
Program Service Revenue Prior Year368164897ProgramServiceRevenuePriorYear
Program Service Revenue CY387668763ProgramServiceRevenueCY
Investment Income Prior Year3744034InvestmentIncomePriorYear
Investment Income Current Year3048203InvestmentIncomeCurrentYear
Other Revenue Prior Year-2098037OtherRevenuePriorYear
Other Revenue Current Year-1711710OtherRevenueCurrentYear
Total Revenue Prior Year370586292TotalRevenuePriorYear
Total Revenue Current Year389824781TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year330038GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY570850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year150032531SalariesEtcPriorYear
Salaries Etc Current Year164415846SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year204785584OtherExpensePriorYear
Other Expenses Current Year209898182OtherExpensesCurrentYear
Total Expenses Prior Year355148153TotalExpensesPriorYear
Total Expenses Current Year374884878TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15438139RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14939903RevenuesLessExpensesCY
Total Assets BOY288603326TotalAssetsBOY
Total Assets EOY326242340TotalAssetsEOY
Total Liabilities BOY212753257TotalLiabilitiesBOY
Total Liabilities EOY239555098TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75850069NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86687242NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWe are inspired by the love of Christ to provide quality health care in ways which respect the God-given dignity of each person and the sacredness of human life.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense325487813Expense
Grants171904Grants
Revenue382915816Revenue
DescriptionSt. Mary's Medical Center was established in 1924 and, based on thecore values of compassion, hospitality, reverence, trust, interdependency, and stewardship, continues to provide high quality healthcare services to residents of Huntington, West Virginia and the surrounding area. Services are provided without regard to the patient's race, creed, sex, national origin, age, or handicap. Furthermore, while reimbursement for care provided is crucial to the continued operation of St. Mary's Medical Center, it is recognized that circumstances existwhich render certain parties unable to pay for needed services, and no patient is denied services due to the lack of ability to pay. During the fiscal year which ended September 30, 2012, St. Mary's Medical Center provided 100,003 days of inpatient days of care and treated an additional 261,256 patients in the emergency and outpatient settings.Approximately seventy-two percent of the inpatients served were covered by governmental programs, such as Medicare and Medicaid. A similar percentage is applicable to outpatient services. Since care provided to Medicare and Medicaid beneficiaries is subject to contractual reimbursement restrictions, payment received for services provided is often significantly below the actual cost of the services. St. Mary's Medical Center has established charity care policies and guidelines, used to help identify those patients who genuinely do not have the resources to pay for services received. During fiscal 2012, the hospital provided approximately $13.6 million dollars in charity care services, representing care provided at reduced prices or completely free of charge. These services include inpatient services, an adult outpatient clinic,a handicapped children's clinic, and a specialty pregnancy clinic. Also, St. Mary's Medical Center exceeds the guidelines established for the West Virginia ad valorem statute.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1090288Expense
Grants365141Grants
Revenue450000Revenue
DescriptionIn addition to those patients without the wherewithal to pay for services rendered, we assist in the relief of burden of government for several programs. A strong auxiliary (operated as a department of the hospital) exists, which contributes heavily to the activities of SMMC. During fiscal 2012, the auxiliary made cash donations of approximately $450,000. In addition, volunteers provided over 38,165 hours of service valuable to promoting the mission and activities of the hospital.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9130303Expense
Revenue4302947Revenue
DescriptionSt. Mary's Medical Center also recognizes that carrying out its mission of community service is not confined to the walls of the hospital's buildings and that there are residents in need of services who may never be a registered patient of the hospital. In meeting the needs of these individuals and groups, St. Mary's Medical Center provides or participates in numerous educational activities, support groups and health screenings and provides human resources, as appropriate, to support other charitable organizations. A summary of these community services as prepared by the hospital's mission integration department for the Catholic Health Association is listed below.The St. Mary's Tri-State Triathlon was held on August 1 and includes three separate races - a triathlon, triathlon relay and duathlon. The triathlon consists of a half-mile swim, 15-mile bike ride and 2.9-mile loop run. In the duathlon, the swim course is replaced by a 2.9-mile loop run in the opposite direction of the previous loop. Races use computer-chip timing. The event averages 200+ participants each year but it has a wider reaching impact of promoting fitness in the community with news coverage of stories about first time participants and their ability to complete a triathlon. Many family and friends also gather at the event as spectators and some are inspired to compete in the next year's event.The St. Mary's Kids Try-A-Triathlon for ages 6-14 was held on July 31 at Beech Fork Lake. Races consist of either a 50- or 100-yard swim, a two- or four-mile bike course, and a one- or two-mile run, depending on the age group. There is a kids camp leading up to this event that helps train young people to participate in the triathlon. Race day participation 100+.PATH Project - St. Mary's is a sponsor of the Paul Ambrose Trail for Health (PATH) project which is designed to develop a 26-mile bicycle and pedestrian path system that will link the various Huntington parks. This project will promote wellness by offering family-healthy area throughout Huntington for the public. FitFest is held annually each year on 9-11 to focus the entire community on fitness and St. Mary's is a major sponsor. 500+ participants at FitFest. Web site: www.paulambrosetrailforhealth.orgAHA Start Heart Walk - St. Mary's has been the main sponsor for the Heart Walk each year. As one of St. Mary's major service lines, the Regional Heart Institute promotes healthy heart activities for the public throughout the year, but the Heart Walk and the Go Red Luncheon for Women are two of our main events. The Heart Walk generates team building by raising funds for the American Heart Association, ending with the actual walk at Ritter Park. St. Mary's employee teams are joined by teams all across Cabell and Wayne Counties both raising funds for heart research and supporting walking as a family heart-healthy activity. 300+ participants each year for the walk. Wider exposure through advertising heart healthy education tips and information.An Evening of Zumba - A local cancer survivor and instructor of Zumba at St. Mary's promoted the idea of an Evening of Zumba in order to raise funds for the Pink Ribbon Fund - a fund set aside to cover the costs of mammograms for women who cannot afford to be tested for breast cancer. The event was free, but donations were accepted and 100% was given to the Pink Ribbon Fund at St. Mary's Breast Center. There were over 100 participants.The Mileage Club is now a program in every elementary school in Cabell County, West Virginia and some schools in Lawrence County, Ohio. The program is run by St. Mary's Regional Heart Institute in cooperation with school physical education teachers. It encourages kids to set walking goals with incentives to complete those goals. Hundreds of kids are healthier as a result of this program.TIPS Program: TIPS is a two-part program developed by St. Mary's Regional Neuroscience Center that consists of an annual youth safety fair and an education plan delivered to school children throughout the school year. Matt Herbert speaks to 1000+ school students every year in addition to free bicycle helmet giveaways. Approximately 500 students receive free helmets each year.Additionally St. Mary's participates in numerous health fairs throughout the year. They provide screenings for health issues such as cholesterol, blood sugar, HDL, osteoporosis, etc. at no charge. Also, education about various health issues such as stroke risk, joint replacement surgery, and other health risk factors are provided. There are 1000+ people screened each year through free screenings. St. Mary's also sponsored many other races and walks that promoted wellness and fitness and those include the Ridge to River 10 mile trail run in June, the St. Mary's Veteran's Memorial Day 5K run in May in Ironton, Ohio, the Herald Dispatch West Virginia 5K in June, the Marshall/St. Mary's Marathon in November, the St. Mary's/Lion's Club 5K in March and the Path to the Cure 5K in September.Description
FieldValueIRS element (for citing)
Total Program Service Expense335708404TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096124NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2725NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Angela SwearingenBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3045268931TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code25702ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Sister Celeste Lynch
Board Member1.00X000
Michael G Sellards
President & CEO, SMMC & Pallotine34.00X084098039713X
Sister Marian Ruth Creamer
Secretary-Treasurer38.00X000
Sister Joanne Obrochta
Board Member1.00X000
Tom Houvouras
Chair2.00X000
Julia Hutchison
Vice Chair1.00X000
Jeff Leaberry
Board Member1.00X000
Tim Daly
Board Member1.00X000
Richard Muth
Board Member1.00X000
Sister Rosella Sparks
Board Member1.00X000
Sister Elisabeth Heptner
Board Member1.00X000
Matt Miller
Board Member1.00X000
Todd Campbell
Sr Vice-Pres/COO34.00040478945857X
Angela D Swearingen
VP-Finance/CFO34.00026911728765X
Vera Rose MD
Vice-President40.00274922030323X
Susan Beth Robinson
Vice-President40.00231657029923X
Timothy Parnell
Vice-President40.00214909029420X
Elizabeth Bosley
Vice-President40.00193899028790X
Robert Hay
Pharmacist40.00144478027307X
Sonya Arthur
Pharmacist40.00155945027565X
Rita Barker
Director, Materials Mgmt40.00166021021303X
Susan Greer
Pharmacist40.00137245027090X
Jeffrey Zopp
Pharmacist40.00137116027086X
Tyson Smith
Vice-President Former40.00127908011495X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1784100TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1514886TotalReportableCompFrmRltdOrgs
Total Other Compensation374637TotalOtherCompensation
Number Individuals GT100 K73NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
American Red Cross
4 Chase Metrotech Center 7th FloorBrooklynNY11245Medical3110726
University Physicians & Surgeons
1600 Medical Center Drive Ste B501HuntingtonWV25701Medical2829096
Aramark Corporation
12483 Collections Center DriveChicagoIL60693Biomedical Services1885511
Executive Health Resources
PO Box 822688PhiladelphiaPA19182Consulting1522265
Alliance Heathcare Services
PO box 96485ChicagoIL60693Medical1473259
FieldValueIRS element (for citing)
Number Of Contractors GT100 K56NumberOfContractorsGT100K
Government Grants99831GovernmentGrants
All Other Contributions719694AllOtherContributions
Total Contributions819525TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu621400383733328383733328
School of Nursing61160010657371065737
Rental Income531120882877882877
School Radiology611600539040539040
Purchase Rebates900099478190478190

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column969591TotalRevenueColumn
Related Or Exempt Function Income969591RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue387668763TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1649558TotalRevenueColumn
Exclusion$1,649,558ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities16363867Securities
Other8973Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities14974195Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1389672Securities
Other8973Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1398645TotalRevenueColumn
Exclusion$1,398,645ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory779846GrossSalesOfInventory
Cost Of Goods Sold725147CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column54699TotalRevenueColumn
Exclusion$54,699ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria Sales7221002849900$2,849,900
Maintenance of Sisters81100054000$54,000
Other Investment Incom900099-5502329-$5,502,329

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column832020TotalRevenueColumn
Exclusion$832,020ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-1766409TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column389824781TotalRevenueColumn
Related Or Exempt Function Income387668763RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,336,493ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total570850Total
Program Services570850ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1583667Total
Program Services1362587ProgramServices
Management And General221080ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total112219812Total
Program Services96553926ProgramServices
Management And General15665886ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6319817Total
Program Services5437571ProgramServices
Management And General882246ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34009813Total
Program Services29262043ProgramServices
Management And General4747770ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10282737Total
Program Services8847267ProgramServices
Management And General1435470ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2075160Total
Management And General2075160ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total166667Total
Management And General166667ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total33300417Total
Program Services28651679ProgramServices
Management And General4648738ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2581884Total
Program Services2221453ProgramServices
Management And General360431ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24731409Total
Program Services21278904ProgramServices
Management And General3452505ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3370116Total
Program Services2899648ProgramServices
Management And General470468ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4530881Total
Program Services3898370ProgramServices
Management And General632511ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total167880Total
Program Services144444ProgramServices
Management And General23436ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3708092Total
Program Services3190442ProgramServices
Management And General517650ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15047540Total
Program Services12946903ProgramServices
Management And General2100637ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1658455Total
Program Services1426935ProgramServices
Management And General231520ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical supplies6189033861890338
Bad debts3570096635700966
Provider tax99296299929629
Repairs & Maintenance933690180334701303431

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1701847Total
Program Services1460979ProgramServices
Management And General240868ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total374884878Total
Program Services335708404ProgramServices
Management And General39176474ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5027BOY
EOY5027EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26971075BOY
EOY13319721EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY73784392BOY
EOY79289937EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9924139BOY
EOY10314370EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3144454BOY
EOY6951651EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis374988812LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec240234416LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY131826911BOY
EOY134754396EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY51971227BOY
EOY71322242EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY-14303905BOY
EOY6046973EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5280006BOY
EOY4238023EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY288603326BOY
EOY326242340EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28846859BOY
EOY31883988EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY2692BOY
EOY7213EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY97468141BOY
EOY95010276EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2745337BOY
EOY1813073EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY83690228BOY
EOY110840548EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY212753257BOY
EOY239555098EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY74441562BOY
EOY84902717EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1408507BOY
EOY1784525EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75850069BOY
EOY86687242EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY288603326BOY
EOY326242340EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14939903ReconcilationRevenueExpenses
Reconcilation Other Changes-4102730ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6613123OtherCostOrOtherBasis
Book Value6613123BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis169025242OtherCostOrOtherBasis
Depreciation103943813Depreciation
Book Value65081429BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis189615844OtherCostOrOtherBasis
Depreciation134267629Depreciation
Book Value55348215BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9734603OtherCostOrOtherBasis
Depreciation2022974Depreciation
Book Value7711629BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings134754396TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Deferred salaries & wages$1,647,172
General reserves$3,531,370
Accrued pension costs$104,286,182
St Mary's Medical Management LLC$1,375,824
FieldValueIRS element (for citing)
Total Of Amounts110840548TotalOfAmounts
Total Revenue389824781TotalRevenue
Total Expenses374884878TotalExpenses
Excess Or Deficit For Year14939903ExcessOrDeficitForYear
Net Unrealized GL On Investments2854087NetUnrealizedGLOnInvestments
Other-$6,956,817OtherAmount
Total Adjustments-4102730TotalAdjustments
Excess Or Deficit Per FS10837173ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationTransfer from Affiliates 26,307,138. Change in pension fund status -26,050,150. Loss from affiliate -5,951,855. Difference in book/tax partnership income -190,654. Prior period adjustment-affiliate -1,071,296. Total to Schedule D, Part XI, Line 8: -6,956,817.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served10439PersonsServed
Total Community Benefit Expense5062553TotalCommunityBenefitExpense
Net Community Benefit Expense5062553NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served36289PersonsServed
Total Community Benefit Expense54409886TotalCommunityBenefitExpense
Direct Offsetting Revenue44266051DirectOffsettingRevenue
Net Community Benefit Expense10143835NetCommunityBenefitExpense
Percent Of Total Expense0.02710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served46728PersonsServed
Total Community Benefit Expense59472439TotalCommunityBenefitExpense
Direct Offsetting Revenue44266051DirectOffsettingRevenue
Net Community Benefit Expense15206388NetCommunityBenefitExpense
Percent Of Total Expense0.04060PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1372PersonsServed
Total Community Benefit Expense6286TotalCommunityBenefitExpense
Net Community Benefit Expense6286NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served86PersonsServed
Total Community Benefit Expense8634056TotalCommunityBenefitExpense
Direct Offsetting Revenue4302947DirectOffsettingRevenue
Net Community Benefit Expense4331109NetCommunityBenefitExpense
Percent Of Total Expense0.01160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served3024PersonsServed
Total Community Benefit Expense421660TotalCommunityBenefitExpense
Net Community Benefit Expense421660NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served4482PersonsServed
Total Community Benefit Expense9062002TotalCommunityBenefitExpense
Direct Offsetting Revenue4302947DirectOffsettingRevenue
Net Community Benefit Expense4759055NetCommunityBenefitExpense
Percent Of Total Expense0.01270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served51210PersonsServed
Total Community Benefit Expense68534441TotalCommunityBenefitExpense
Direct Offsetting Revenue48568998DirectOffsettingRevenue
Net Community Benefit Expense19965443NetCommunityBenefitExpense
Percent Of Total Expense0.05330PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served812PersonsServed
Total Community Building Expense24016TotalCommunityBuildingExpense
Net Community Building Expense24016NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served6268PersonsServed
Total Community Building Expense44285TotalCommunityBuildingExpense
Net Community Building Expense44285NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served7080PersonsServed
Total Community Building Expense68301TotalCommunityBuildingExpense
Net Community Building Expense68301NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$13,272,220BadDebtExpenseAmount
Amount Attributable To2613661AmountAttributableTo
Amount Reimbursed By Medicare106806664AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare109277079CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2470415MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Huntington Area MRI
Provide MRI scans.0.490000.51000
2 St Mary's Occupational Health
Occupational therapy.0.510000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code25702ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 3c: Eligibility is determined by comparing household family income against the income poverty guidelines for financial indigence; a ratio of total medical expenses to annual disposable income for medical indigence. Income is defined as the total annual cash receipts before taxes from all sources.Financially indigent. Uncompensated care shall include unreimbursed services to the financially indigent. Financially indigent shall mean uninsured or underinsured patients accepted for care with no obligation or a discounted obligation to pay for services rendered based on the medical center's eligibility system which may include:(a) income levels and means testing or other criteria for determining a patient's inability to pay; or (b) other criteria for determining a patient's inability to pay that are consistent with the medical center's mission and established policy. The federal poverty level shall serve as an index for the threshold below which patients receiving care at St. Mary's Medical Center are deemed financially indigent. Financially indigent services include noncovered services for patients eligible for the Medicaid program, services providedunder county indigent care contracts, and other state or federal assistance programs for low income groups.Medically indigent. Uncompensated care shall include unreimbursed services to the medically indigent. Medically indigent shall mean patients who are responsible for their living expenses, but whose medical and hospital bills, after payment by third party payers, where applicable, exceed: (a) a specified percentage of the patient's annual gross income (i.e., catastrophic medical expenses) in accordance with the Medical Center's formal eligibility system in such instances where payment would require liquidation of assets critical to living or earning a living; or (b) the criteria for determining a patient's inability to pay.While financial indigence is based strictly on an income level, medical indigence considers both income and the financial obligation for healthcare services to calculate the patient's ability to pay without liquidating assets critical to living or earning a living, such as a home, car, personal belongings, etc. Therefore, patients are considered for medically indigent status on a case by case basis. The patient would be required to provide documentation of income to determine if he/she is to be considered medically indigent. All patients are eligible to be considered for medically indigent status with the exception of patients with income below 200% of the federal poverty level as these patients are considered for some level of uncompensated care under the financially indigent category.
Part I, Line 6a: SMMC prepares an annual written report that describes programs and services that promote the health of our community. The Community Benefit Report provides valuable information on programs and services provided by the Medical Center. The report is distributed to Hospital board members but it has not been distributed to the general public. The report is compiled using the program "A Guide for Planning and Reporting Community Benefit."
Part I, Line 7: The cost to charge ratio as calculated fromworksheet 2 was used to determine community benefit expenses for all subsidized health services.
Part II: St. Mary's has sponsored a number of community building activities during the past year that promote wellness and help enrich the lives of people in the Tri-State. Some of these are as follows:The St. Mary's Tri-State Triathlon was held on August 1 and includes three separate races - a triathlon, triathlon relay and duathlon. The triathlon consists of a half-mile swim, 15-mile bike ride and 2.9-mile loop run. In the duathlon, the swim course is replaced by a 2.9-mile loop run in the opposite direction of the previous loop. Races use computer-chip timing. The event averages 200+ participants each year but it has a wider reaching impact of promoting fitness in the community with news coverage of stories about first time participants and their ability to complete a triathlon. Many family and friends also gather at the event as spectators and some are inspired to compete in the next year's event.The St. Mary's Kids Try-A-Triathlon for ages 6-14 was held on July 31 at Beech Fork Lake. Races consist of either a 50- or 100-yard swim, a two- or four-mile bike course, and a one- or two-mile run, depending on the age group. There is a kids camp leading up to this event that helps train young people to participate in the triathlon. Race day participation 100+.PATH Project - St. Mary's is a sponsor of the Paul Ambrose Trail for Health (PATH) project which is designed to develop a 26-mile bicycle and pedestrian path system that will link the various Huntington parks. This project will promote wellness by offering family-healthy area throughout Huntington for the public. FitFest is held annually each year on 9-11 to focus the entire community on fitness and St. Mary's is a major sponsor. 500+ participants at FitFest. Web site: www.paulambrosetrailforhealth.orgAHA Start Heart Walk - St. Mary's has been the main sponsor for the Heart Walk each year. As one of St. Mary's major service lines, the Regional Heart Institute promotes healthy heart activities for the public throughout the year, but the Heart Walk and the Go Red Luncheon for Women are two of our main events. The Heart Walk generates team building by raising funds for the American Heart Association, ending with the actual walk at Ritter Park. St. Mary's employee teams are joined by teams all across Cabell and Wayne Counties both raising funds for heart research and supporting walking as a family heart-healthy activity. 300+ participants each year for the walk. Wider exposure through advertising heart healthy education tips and information.An Evening of Zumba - A local cancer survivor and instructor of Zumba at St. Mary's promoted the idea of an Evening of Zumba in order to raise funds for the Pink Ribbon Fund - a fund set aside to cover the costs of mammograms for women who cannot afford to be tested for breast cancer. The event was free, but donations were accepted and 100% was given to the Pink Ribbon Fund at St. Mary's Breast Center. There were over 100 participants.The Mileage Club is now a program in every elementary school in Cabell County, West Virginia and some schools in Lawrence County, Ohio. The program is run by St. Mary's Regional Heart Institute in cooperation with school physical education teachers. It encourages kids to set walking goals with incentives to complete those goals. Hundreds of kids are healthier as a result of this program.TIPS Program: TIPS is a two-part program developed by St. Mary's Regional Neuroscience Center that consists of an annual youth safety fair and an education plan delivered to school children throughout the school year. Matt Herbert speaks to 1000+ school students every year in addition to free bicycle helmet giveaways. Approximately 500 students receive free helmets each year.Additionally St. Mary's participates in numerous health fairs throughout the year. They provide screenings for health issues such as cholesterol, blood sugar, HDL, osteoporosis, etc. at no charge. Also, education about various health issues such as stroke risk, joint replacement surgery, and other health risk factors are provided. There are 1000+ people screened each year through free screenings. St. Mary's also sponsored many other races and walks that promoted wellness and fitness and those include the Ridge to River 10 mile trail run in June, the St. Mary's Veteran's Memorial Day 5K run in May in Ironton, Ohio, the Herald Dispatch West Virginia 5K in June, the Marshall/St. Mary's Marathon in November, the St. Mary's/Lion's Club 5K in March and the Path to the Cure 5K in September.
Part III, Line 4: The text of the footnote reads as follows: "theHospitals provide care to patients who meet specific criteria, defined by their charity care policies, without charge or at amounts less than theirestablished rates, as approved by the West Virginia Health Care Authority (HCA). Because the Hospitals do not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue."The hospital's cost-to-charge ratio was used to compute bad debt expense at cost.
Part III, Line 8: Patient level detail data is used to calculate the uncompensated cost of bad debt and charity. Once an account is written off to bad debt and/or charity, the entire cost of the account is classified as bad debt and/or charity and any payments received are netted against the cost of the account to determine the uncompensated costs.The cost-to-charge ratio as reported on the facility's Medicare CostReport was used to compute the Medicare allowable costs.
Part III, Line 9b: The hospital provides care to patients who meet specific criteria, defined by its charity care policy, without charge or at amounts less than the rates approved by the West Virginia Health Care Authority. Because the hospital does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue.
Part V, Section A: This facility includes a school of nursing, school of respiratory therapy, a school of medical imaging and a clinical pastoral education program. Interns and residents from Marshall University School of Medicine are also assigned at the hospital for their clinical rotations as are students in community based Practical nursing programs.
Part VI, Line 2: SMMC takes steps to determine what the most pressing needs are in order provide services to address them. The hospital regularly assesses the needs of the community. Periodic needs assessments are conducted in partnership with our local health department.Additionally, we monitor county, state, and national health indicators and work in partnership with service agencies in the communities we serve to meet identified needs.
Part VI, Line 3: SMMC employs a variety of methods to reach patients with information about financial assistance, including:* Financial assistance posters are displayed in all emergency,admitting, outpatient, and clinic areas that include a phone numberto call for financial assistance counseling.* Hospital departments that have initial contact with incominginpatients and outpatients are supplied with brochures aboutfinancial assistance for distribution to patients and family members.* The hospital employs trained financial assistance counselors whowork individually with patients to assess financial need andrecommend appropriate assistance such as application for federaland/or state programs; qualification for charity care; determinationof automatic discounts and/or further reductions in charges; andsetting up long-term financial arrangements.
Part VI, Line 4: St. Mary's Medical Center serves the greater Huntington, West Virginia community with a primary service area that includes Cabell, Wayne, Mason, Putnam and Lincoln counties in West Virginia and Lawrence county in Ohio. St. Mary's also serves a much wider service area because of specialty medical services including advanced emergency trauma care, advanced stroke care, advanced spine care, advanced heart care, advanced cancer care, and advanced orthopedic care. That secondary service area includes Logan and Mingo counties in West Virginia, as well as Boyd, Greenup, Carter, Lawrence, Johnson, Floyd and Pike counties in Kentucky and Scioto and Gallia Counties in Ohio.Competitors within our primary service area are Cabell HuntingtonHospital (Cabell county) and CAMC Teays Valley (Putnam county).The most recent statistics from the U.S. census bureau show that thehigh school graduation rate (age 25+) for Huntington is 86.0%. Thepercentage of Huntington residents living below that federal povertylevel is 30.2%. Cabell county birth rates for 15 to 19 year-olds is42.3 per 1000 females.
Part VI, Line 5: St. Mary's operates an emergency room that is open to all persons regardless of ability to pay and has an open medical staff with privileges available to all qualified physicians in the area. The board of directors represents medical and business professionals, as well sisters from the Pallottine Missionary Sisters. All provide hours of service in support of our hospital. They are deeply involved in our needs assessment process, building programs and services, and community outreach to ensure that people know about services available to them through our hospital.St. Mary's engages in medical and scientific research programs; engages in the training and education of health care professionals: physicians, nurses, medical imaging tech, respiratory techs, and chaplains; and participates in Medicare, Medicaid, and other government-sponsored health care programs.St. Mary's adheres to community benefit guidelines outlined in the Catholic Health Association's publication, "A Guide for Planning and Reporting Community Benefit."Community benefit work is driven by community health needs and directed in collaboration with other health care organizations and the broader community. Community benefit strategies are integrated in the organizational strategic plan. Programs are located throughout the organization, and staff and board education is conducted. Dedicated staff is committed to community benefit efforts.The St. Mary's Foundation is a non-profit organization that provides grant writing and fundraising for both medical center programs and for community benefit programs that reach both the poor and the broader community. Operations of the Foundation are governed by a separate Foundation board with voluntary memberships from the local community.When St. Mary's has excess revenue over operating expenses, we use those funds to obtain current health care technologies and equipment, improve patient care, provide medical training education and research, and to expand access to points of care. These investments ensure that we will be here to care for future generations.
Part VI, Line 6: St. Mary's Medical Center is a not-for-profit health care facility wholly sponsored by Pallottine Health Services, Inc. (PHS). Pallottine Health Services is a ministry of the Pallottine Missionary Sisters and includes both St. Joseph Hospital of Buckhannon, West Virginia and St. Mary's Medical Center of Huntington, West Virginia. Both of these hospitals are committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust.
WVReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Heart Association
162 Court StCharlestonWV25301135613797501(c)(3)20000For general operations of the Association in furtherence of their mission to reduce heart disease.
Huntington Museum of Art
2033 McCoy RoadHuntingtonWV25701530372921501(c)(3)9500For general operations of the Museum.
Rahall Transportation Institute Foundation
PO Box 5425HuntingtonWV25703550683361501(c)(3)10000To help promote transportation safety.
Huntington Area Development Council
916 Fifth AveHuntingtonWV25701550714570501(c)(3)31250To promote job creation.
Healthy Huntington Organization
2 Partridge CourtHuntingtonWV25705261775212501(c)(3)25000To sponsor fundraising race.
Huntington Regional Chamber of Commerce
PO Box 1509HuntingtonWV25716550199470501(c)(6)6900To support economic development in the County.
American Cancer Society
611 7th Ave Ste 101HuntingtonWV25701131788491501(c)(3)5000To support the organization in their fight against cancer.
Lawrence County Emergency Medical Service
836 4th AveHuntingtonWV25701316400073County government54000For the purchase of ambulance monitors.
Marshall Artist Series (Marshall Foundation)
One John Marshall DriveHuntingtonWV25701556011111501(c)(3)11200To support arts in Huntington, WV.
Huntington Symphony Orchestra
763 3rd AveHuntingtonWV25725237427617501(c)(3)5000To support arts in Huntington, WV.
Cabell County 4-H Foundation
2726 Howells Mill RoadOnaWV25545556000305County government10000To support the development of youth.
United Way of the River Cities
820 Madison AveHuntingtonWV25704550384704501(c)(3)7000To support community development.
Ebenezer Community Outreach
1448 Tenth AveHuntingtonWV25701550745033501(c)(3)51000To support community pharmacy.
Ironton-Lawrence County CAO
305 N 5th StIrontonOH45638310714190501(c)(3)150000To support community development.
Valley Health
2585 Third AveHuntingtonWV25703550554001501(c)(3)175000To support community health.

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: To ensure proper use of funds, the requesting organization is required to document the use of the grant monies. When a request for funds is received and has been approved, the funds are either authorized for use or disbursed to the requesting organization.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael G Sellards
0565000014125001347300238500265600891390016500
Todd Campbell
03002370596580448940238500232380451877016500
Angela D Swearingen
022527203169501215006758023273029914800
Vera Rose MD
26292201200000073500236380305910000
Susan Beth Robinson
20308102857600069500235430262150000
Timothy Parnell
18683202807700064470235060244862000
Elizabeth Bosley
17017102372800058170234600223176000
Robert Hay
1444780000043340233510172163000
Sonya Arthur
1530750287000045920233700183907000
Rita Barker
1571620885900047150169940187730000
Susan Greer
1372450000041170233350164697000
Jeffrey Zopp
1371160000041130233350164564000
Tyson Smith
127908000003837079990139744000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationMichael Sellards, the CEO, is entitled to reimbursement for reasonable travel expense for his spouse to accompany him to three educational meetings per year; one of which being the West Virginia Hospital Association annual meeting.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMary Ann BrownNamePerson
FieldValueIRS element (for citing)
RelationshipFormer CFO and current Director of Business Development and OutreachRelationship
Amount Of Transaction133182AmountOfTransaction
Description Of TransactionSMMC paid $133,182 to Mountain State Cabling, which is partially owned by Mary Ann Brown.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3The organization utilizes an outside contractor that supplies a director over the organization's IT staff. The director manages the two IT managers (employees of the organization), who in-turn manage the rest of the IT staff. The director is responsible for completing evaluations for the two managers and then signs off on the evaluations of their staff, which includes the rest of the IT staff. The outside contractor does not have the ability to hire or fire an employee without the approval of the CFO (as would other Directors who are SMMC employees).
Form 990, Part VI, Section A, line 6The organization is a membership (not a stock) corporation under West Virginia state law. The organization's sole corporate member is Pallottine Health Services, a related not-for-profit organization.
Form 990, Part VI, Section A, line 7aIn accordance with the terms and requirements of its governing documents (i.e. bylaws), on an annual basis, the organization's current board members recommend the list of candidates for membership to the governing body for the subsequent term to the St. Mary's Medical Center board of directors. The board of directors approve and elect these candidates to serve as the organization's board of directors.
Form 990, Part VI, Section A, line 7bPallottine Health Services, as the sole corporate member, also has the right to approve or ratify significant decisions of the organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the organization's management in consultation with an independent accounting firm. The financial review is based on the organization's audited financial statements for the relevant time period. Before the Form 990 is filed with the IRS, representatives of the organization's board of directors review the Form 990. A complete copy of the same was provided to the St. Mary's Medical Center full board at their board meeting on June 18, 2013.
Form 990, Part VI, Section B, line 12cUpon employment and annually thereafter each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can (1) determine whether any potential or actual conflicts of interest may exist, and (2) monitor work or service assignments to avoid placing the key employee, officer or director in a position where there may be an appearance, potential or actual, of a conflict of interest or a question of objectivity. The completed conflicts of interest and disclosure forms for directors are returned to the organization. In the event that any board member is deemed to lack independence or a conflict of interest exists, he/she is required to leave the room and cannot be part of the discussion or vote.
Form 990, Part VI, Section B, line 15On a regular basis, the organization provides documentation to the compensation committee of the Pallottine Health Services, Inc. board with respect to the compensation of the organization's officers and key employees for review and approval. Such information includes comparable data from similar size tax-exempt organizations in the Huntington, West Virginia community as well as compensation for these positions (as disclosed on form 990) with other organizations in the health care industry that are of similar size, demographics, and geography. Review and approval of the compensation arrangement by the officers/executive committee is documented.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at its office at 2900 First Avenue, Huntington, WV 25702. A nominal fee is charged if copies are requested.
Form 990, Part VI, line 16bThe organization has adopted a formal written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements. However, the normal due diligence process for analyzing any such arrangements undertaken in conjunction with the organization's external legal counsel, accountants and other business advisors does include a review to determine the following: 1) the impact of the arrangement under applicable federal and state law 2) whether the arrangement will jeopardize the organization's exempt status as a Section 501(c)(3) charitable organization - hospital 3) whether the arrangement will result in any unrelated business taxable income 4) the impact of the arrangement on any existing contractual agreements or other business relationships and 5) whether the arrangement will result in any conflicts of interest. If there are any concerns with respect to any of the above matters, the organization will take appropriate steps to ensure that, if the joint venture is pursued, the arrangement will be in compliance with applicable federal and state law and to safeguard the organization's tax-exempt status. A formal written policy and procedure has been approved.Evaluation Process for Joint Venture
Form 990, Part VIIMichael Sellards - 6 hours (PHS, SJH and SMF) Sr. Celeste Lynch - 38 hours (PHS and SMF) Sr. Diane Bushee - 6 hours (PHS, SJH and SMF) Sr. Marian Ruth Creamer - 2 hours (PHS) Todd Campbell - 6 hours (PHS and SJH) Angela Swearingen - 6 hours (PHS and SJH) Rita Barker - 4 hours (SJH)Hours devoted to related organizations
Form 990, Part XI, line 5:Net unrealized gains on investments: 2,854,087. Transfer from Affiliates 26,307,138. Change in pension fund status -26,050,150. Loss from affiliate -5,951,855. Difference in book/tax partnership income -190,654. Prior period adjustment-affiliate -1,071,296. Total to Form 990, Part XI, Line 5: -4,102,730.Changes in Net Assets or Fund Balances:
Form 990, Part XII, line 2cThe procedure for oversight of the audit of financial statements has not changed from prior year.Audit oversight
Schedule KThe tax exempt bonds are reported on the Form 990s of St. Joseph's Hospital of Buckhannon, Inc. and St. Mary's Medical Center. Since the bond proceeds are issued on behalf of Pallottine Health Services, Inc., Schedule K has been reported on Pallottine Health Services, Inc. Form 990.Tax-Exempt Bonds

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical Management LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code25702ZIPCode
FieldValueIRS element (for citing)
EIN208017790EIN
Primary ActivitiesMedical PracticePrimaryActivities
Legal Domicile StateWVLegalDomicileState
Total Income-5951855TotalIncome
EOY Assets6259453EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Pallottine Health Services
2900 First AvenueHuntingtonWV25702550688201Parent OversightWV501(c)(3)Line 11a, IN/A0
Pallottine Missionary Sisters
2900 First AvenueHuntingtonWV25702431783315ChurchWV501(c)(3)Line 1N/A0
St Mary's Medical Center Foundation
2900 First AvenueHuntingtonWV25702141887211FoundationWV501(c)(3)Line 11b, IIN/A0
St Joseph's Hospital of Buckhannon
One Amalia DriveBuckhannonWV26201550356996HospitalWV501(c)(3)Line 3N/A0
St Joseph's Foundation of Buckhannon
One Amalia DriveBuckhannonWV26201550727650FoundationWV501(c)(3)Line 11b, IIN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
St Mary's Occupational Health Services
2900 First AvenueHuntingtonWV25702542136110Medical ServicesWVRelated-45751-99426010.51000
Tri State MRI
2900 First AvenueHuntingtonWV25702550669726Medical ServicesWVRelated-138114503882010.50000
Claire Frances Health Services
200 Mall Road Ste 3AshlandKY41101311517507Medical ServicesWVRelated178460538206010.33330
Huntington Area MRI Services LLC
2900 First AvenueHuntingtonWV25702Medical ServicesWVRelated269002261765010.49000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Vanguard Financial ServicesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12900 First AvenueAddressLine1
CityHuntingtonCity
StateWVState
ZIP Code25702ZIPCode
FieldValueIRS element (for citing)
EIN450496141EIN
Primary ActivityCollection AgencyPrimaryActivity
Legal Domicile StateWVLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income4995ShareOfTotalIncome
Share Of EOY Assets481838ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Vanguard Financial Services
A441
Claire Frances Health Services
R175000
Huntington Area MRI Services
N90298