ST MARYS MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST MARYS MEDICAL CENTER INC (EIN 55-0357050)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-30
IRS object ID
201212129349300401
Schema version
2010v3.4
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)
Timestamp2012-07-30T06:21:46-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett & Foster 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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-07-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHarry C HarlessName
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts398750766GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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 Employees2716TotalNbrEmployees
Total Nbr Volunteers329TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year750493ContributionsGrantsPriorYear
Contributions Grants Current Year775398ContributionsGrantsCurrentYear
Program Service Revenue Prior Year349553830ProgramServiceRevenuePriorYear
Program Service Revenue CY368164897ProgramServiceRevenueCY
Investment Income Prior Year1941308InvestmentIncomePriorYear
Investment Income Current Year3744034InvestmentIncomeCurrentYear
Other Revenue Prior Year-4717905OtherRevenuePriorYear
Other Revenue Current Year-2098037OtherRevenueCurrentYear
Total Revenue Prior Year347527726TotalRevenuePriorYear
Total Revenue Current Year370586292TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year115650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY330038GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year156436259SalariesEtcPriorYear
Salaries Etc Current Year150032531SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year199003725OtherExpensePriorYear
Other Expenses Current Year204785584OtherExpensesCurrentYear
Total Expenses Prior Year355555634TotalExpensesPriorYear
Total Expenses Current Year355148153TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8027908RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15438139RevenuesLessExpensesCY
Total Assets BOY293569274TotalAssetsBOY
Total Assets EOY288603326TotalAssetsEOY
Total Liabilities BOY209770536TotalLiabilitiesBOY
Total Liabilities EOY212753257TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY83798738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY75850069NetAssetsOrFundBalancesEOY
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
Expense282886643Expense
Grants330038Grants
Revenue367833060Revenue
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, 2011, St. Mary's Medical Center provided 94,632 days of inpatient days of care and treated an additional 260,612 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 2011, the hospital provided approximately $12.2 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)
Expense951312Expense
Grants329139Grants
Revenue200000Revenue
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 2011, the auxiliary made cash donations of approximately $200,000. In addition, volunteers provided over 39,000 hours of service valuable to promoting the mission and activities of the hospital.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12398271Expense
Revenue131837Revenue
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 programs include the SMMC Triathalon,the SMMC Kids Try-a-Triathalon,AHA Start Heart Walk, Community Presentations/Disease Education, Fundraisers for nonprofits/needy families, Health Fair/Screenings, Health Professional Education, Nursing Professional Education, Clinical Trials, Scholarships, Support Groups and Technical Education.Description
FieldValueIRS element (for citing)
Total Program Service Expense296236226TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2716NumberOfEmployees
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 Duties0DelegationOfManagementDuties
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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Sister Celeste Lynch
Chair2.00X000
Michael G Sellards
President & CEO, SMMC & Pallotine34.00X062837674071X
Sister Marian Ruth Creamer
Board Member38.00X000
Sister Joanne Obrochta
Board Member1.00X000
Rocco Morabito MD
Board Member1.00X000
Tim Robarts MD
Board Member1.00X000
Thomas Houvouras
Vice Chair1.00X000
Julia Hutchison
Secretary-Treasurer1.00X000
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/COO40.00346813053551X
Angela D Swearingen
VP-Finance/CFO40.00121280016179X
Sr Diane Bushee SAC
Vice President34.00000X
Vera Rose MD
Vice-President40.00265174033377X
Tyson Smith
Vice-President Former40.00306463035235X
Susan Beth Robinson
Vice-President40.00200778030479X
Timothy Parnell
Vice-President40.00188913029945X
Elizabeth Bosley
Vice-President40.00172703023254X
Dave Sheils
Vice-President Foundation40.00126240027125X
Robert Hay
Pharmacist40.00152241028295X
Jeffrey Hamrick
Pharmacist40.00148174028112X
Sonya Arthur
Pharmacist40.00143122027884X
Rita Barker
Director40.00150151022239X
Christie Gray
Pharmacist40.00135784013790X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2331596TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs628376TotalReportableCompFrmRltdOrgs
Total Other Compensation416411TotalOtherCompensation
Number Individuals GT100 K67NumberIndividualsGT100K
Formers Listed0FormersListed
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
University Physicians & Surgeons
1600 Medical Center Drive Ste B501HuntingtonWV25701Medical3231020
American Red Cross
4 Chase Metrotech Center 7th FloorBrooklynNY11245Medical2798779
Masterplan Inc
Dept LA 21431PasadenaCA91185Medical2090460
Alliance Heathcare Services
PO box 96485ChicagoIL60693Medical1523468
River Cities Anesthesia
PO Box 515BarboursvilleWV25504Medical1454157
FieldValueIRS element (for citing)
Number Of Contractors GT100 K71NumberOfContractorsGT100K
Related Organizations269009RelatedOrganizations
Government Grants58926GovernmentGrants
All Other Contributions447463AllOtherContributions
Total Contributions775398TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu621400363722831363722831
Purchase Rebates90009912074441207444
School of Nursing61160010761821076182
Rental Income531120698191698191
School Radiology611600466481466481

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column993768TotalRevenueColumn
Related Or Exempt Function Income993768RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue368164897TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column999830TotalRevenueColumn
Exclusion$999,830ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities29863463Securities
Other93903Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27213162Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2650301Securities
Other93903Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2744204TotalRevenueColumn
Exclusion$2,744,204ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory702085GrossSalesOfInventory
Cost Of Goods Sold951312CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-249227TotalRevenueColumn
Exclusion-$249,227ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria Sales7221002396474$2,396,474
Maintenance of Sisters81100058750$58,750
Other Investment Incom900099-4131319-$4,131,319

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-172715TotalRevenueColumn
Exclusion-$172,715ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-1848810TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column370586292TotalRevenueColumn
Related Or Exempt Function Income368164897RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,645,997ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total330038Total
Program Services330038ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1440314Total
Program Services1178609ProgramServices
Management And General261705ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107296771Total
Program Services87800948ProgramServices
Management And General19495823ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4667651Total
Program Services3819539ProgramServices
Management And General848112ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27170873Total
Program Services22233925ProgramServices
Management And General4936948ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9456922Total
Program Services7738599ProgramServices
Management And General1718323ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2058155Total
Management And General2058155ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total598102Total
Management And General598102ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32463394Total
Program Services26564795ProgramServices
Management And General5898599ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2048345Total
Program Services1676161ProgramServices
Management And General372184ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total86549679Total
Program Services70809154ProgramServices
Management And General15740525ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2958115Total
Program Services2420626ProgramServices
Management And General537489ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4246016Total
Program Services3474515ProgramServices
Management And General771501ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total161714Total
Program Services132331ProgramServices
Management And General29383ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1221Total
Program Services999ProgramServices
Management And General222ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3977374Total
Program Services3254685ProgramServices
Management And General722689ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15473141Total
Program Services12661671ProgramServices
Management And General2811470ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1808896Total
Program Services1480220ProgramServices
Management And General328676ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debts3525809635258096
Repairs & Maintenance814966966688741480795
Provider tax73758497375849
Dues & subscriptions839409686888152521
HCA Assessments571937468016103921

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total246472Total
Program Services201688ProgramServices
Management And General44784ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total355148153Total
Program Services296236226ProgramServices
Management And General58911927ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5027BOY
EOY5027EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16172930BOY
EOY26971075EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY79297975BOY
EOY73784392EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7888479BOY
EOY9924139EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3466690BOY
EOY3144454EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis356664283LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec224837372LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY138560872BOY
EOY131826911EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY53539366BOY
EOY51971227EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY-9373699BOY
EOY-14303905EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4011634BOY
EOY5280006EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY293569274BOY
EOY288603326EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37625577BOY
EOY28846859EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY2692EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY99619666BOY
EOY97468141EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2958677BOY
EOY2745337EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY69566616BOY
EOY83690228EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY209770536BOY
EOY212753257EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY82597178BOY
EOY74441562EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1201560BOY
EOY1408507EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83798738BOY
EOY75850069EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY293569274BOY
EOY288603326EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15438139ReconcilationRevenueExpenses
Reconcilation Other Changes-23386808ReconcilationOtherChanges
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 Basis6308971OtherCostOrOtherBasis
Book Value6308971BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis165487186OtherCostOrOtherBasis
Depreciation99790156Depreciation
Book Value65697030BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis174917725OtherCostOrOtherBasis
Depreciation123088159Depreciation
Book Value51829566BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9950401OtherCostOrOtherBasis
Depreciation1959057Depreciation
Book Value7991344BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings131826911TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Deferred salaries & wages$1,544,059
General reserves$3,047,370
Accrued pension costs$77,932,158
St Mary's Medical Management LLC$1,166,641
FieldValueIRS element (for citing)
Total Of Amounts83690228TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
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 Served9649PersonsServed
Total Community Benefit Expense4600316TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4600316NetCommunityBenefitExpense
Percent Of Total Expense0.01300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served37101PersonsServed
Total Community Benefit Expense57231251TotalCommunityBenefitExpense
Direct Offsetting Revenue42153534DirectOffsettingRevenue
Net Community Benefit Expense15077717NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served46750PersonsServed
Total Community Benefit Expense61831567TotalCommunityBenefitExpense
Direct Offsetting Revenue42153534DirectOffsettingRevenue
Net Community Benefit Expense19678033NetCommunityBenefitExpense
Percent Of Total Expense0.05550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1319PersonsServed
Total Community Benefit Expense3460TotalCommunityBenefitExpense
Net Community Benefit Expense3460NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served19PersonsServed
Total Community Benefit Expense8445990TotalCommunityBenefitExpense
Direct Offsetting Revenue4165930DirectOffsettingRevenue
Net Community Benefit Expense4280060NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served5501PersonsServed
Total Community Benefit Expense292843TotalCommunityBenefitExpense
Net Community Benefit Expense292843NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served6839PersonsServed
Total Community Benefit Expense8742293TotalCommunityBenefitExpense
Direct Offsetting Revenue4165930DirectOffsettingRevenue
Net Community Benefit Expense4576363NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served53589PersonsServed
Total Community Benefit Expense70573860TotalCommunityBenefitExpense
Direct Offsetting Revenue46319464DirectOffsettingRevenue
Net Community Benefit Expense24254396NetCommunityBenefitExpense
Percent Of Total Expense0.06840PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense32000TotalCommunityBuildingExpense
Net Community Building Expense32000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served5285PersonsServed
Total Community Building Expense48316TotalCommunityBuildingExpense
Net Community Building Expense48316NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served5285PersonsServed
Total Community Building Expense80316TotalCommunityBuildingExpense
Net Community Building Expense80316NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$13,479,346BadDebtExpenseAmount
Amount Attributable To2695869AmountAttributableTo
Amount Reimbursed By Medicare105684784AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare106046049CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-361265MedicareSurplusOrShortfall

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
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Not requiredBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation
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 I, L7 Col(f): 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 II: St. Mary's has sponsored a number of community building activities during the past year. Some of these are as follows:The St. Mary's tri-state triathlon includes three separateraces - a triathlon, triathlon relay and duathlon. The triathlonconsists of a half-mile swim, 15-mile bike ride and2.9-mile loop run. In the duathlon, the swim course is replaced by a2.9-mile loop run in the opposite direction of the previous loop.Races use computer-chip timing. The event averages 200+ participantseach year but it has a wider reaching impact of promoting fitness inthe community with news coverage of stories about first timeparticipants and their ability to complete a triathlon. Many familyand friends also gather at the event as spectators and some areinspired to compete in the next year's event.The St. Mary's kids try-a-triathlon for ages 6-14 was held on July 31at Beech Fork lake. Races consist of either a 50- or 100-yard swim, aTwo- or four-mile bike course, and a one- or two-mile run, dependingon the age group. There is a kids camp leading up to this event thathelps train young people to participate in the triathlon. Race dayparticipation 100+.Path project - St. Mary's is a sponsor of the Paul Ambrose trail forhealth (path) project which is designed to develop a 26-mile bicycleand pedestrian path system that will link the various HuntingtonParks. This project will promote wellness by offering family-healthyarea throughout Huntington for the public. Fitfest is held annuallyeach 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 theHeart walk each year. As one of St. Mary's major service lines, theregional heart institute promotes healthy heart activities for thepublic throughout the year, but the heart walk and the go redluncheon for women are two of our main events. The heart walkgenerates team building by raising funds for the American HeartAssociation, ending with the actual walk at Ritter park. St. Mary'semployee teams are joined by teams all across Cabell and Waynecounties both raising funds for heart research and supporting walkingas a family heart-healthy activity. 300+ participants each year forthe walk. Wider exposure through advertising heart healthy educationtips and information.An evening of Zumba - a local cancer survivor and instructor of Zumbaat St. Mary's promoted the idea of an evening of Zumba in order toraise funds for the pink ribbon fund - a fund set aside to cover thecosts of mammograms for women who cannot afford to be tested forbreast cancer. The event was free, but donations were accepted and100% was given to the pink ribbon fund at St. Mary's breast center.There were over 100 participants.Heart (helping educators attack cvd risk factors together) and heartchampions program. With over 6,000 children screened during thistime, it has become evident that a different approach is needed toaddress overweight children and adolescents with multiple riskfactors for heart disease, diabetes, and a number of other healthproblems. Data collected from the 2008-2009 school year, showed 238out of 529 children (45 percent) screened had had a body mass indexabove the 85th percentile for their age. In 2008, the KaiserFoundation ranked West Virginia second in the nation for childhoodobesity with 21 percent of children statewide identified as beingoverweight.Healthy heart u program is an outgrowth of the heart programs and isfighting childhood obesity in southern West Virginiathe healthy heart u project will be a network of comprehensivechildhood obesity facilities serving overweight children in southernWest virginia. In partnership with existing health providers,community centers and public schools, the goal of the project is toincrease children's access to fitness facilities and a team of healthprofessionals focused on their nutrition, fitness, body image, andself-esteem. The title of the project is to promote a positiveenvironment for children and eliminate any negative perceptions thatmay limit their participation.Tips program: tips is a two-part program developed by St. Mary'sRegional Neuroscience Center that consists of an annual youth safetyfair and an education plan delivered to school children throughoutthe school year. Matt Herbert speaks to 1000+ school students everyyear in addition to free bicycle helmet giveaways. Approximately 500students receive free helmets each year.Additionally St. Mary's participates in numerous health fairsThroughout the year. They provide screenings for health issues suchAs 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 areprovided. There are 1000+ people screened each year through freescreenings.
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 practicalnursing 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 79.6%. Thepercentage of Huntington residents living below that federal povertylevel is 24.7%. Cabell county birth rates for 15 to 19 year-olds is42.3 per 1000 females.
Part VI, Line 6: 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 7: 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 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.
(no name)
For general operations of the Association in furtherence of their mission to reduce heart disease.
Huntington Museum of Art
2033 McCoy RoadHuntingtonWV25701530372921501(c)(3)7800For 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)18750To promote job creation.
Healthy Huntington Organization
2 Partridge CourtHuntingtonWV25705261775212501(c)(3)12000To sponsor fundraising race.
Cabell Co Emergency Medical Services
846 8th AveHuntingtonWV25701556000305501(c)(3)138197To support emergency medical services.
Ebenezer Community Outreach
1448 Tenth AveHuntingtonWV25701550745033501(c)(3)50000To support community pharmacy.

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Procedure for Monitoring Grants in the U.S.:Part I, Line 2:Schedule I, Part I, Line 2: To ensure proper use of funds, the requesting organization is require to document the use of the grant monies.
Other Information:Part IV:When a request for funds is received and has been approved, the funds are either authorized for use or disbursed to the requesting organization.

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 Plan1SupplementalNonqualRetirePlan
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 (11 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
0522720000105656057688017543070360700
Todd Campbell
3468130000015607165002226703846871650000
Vera Rose MD
26517400000119330220870299194000
Tyson Smith
30646300000137910221780342432000
Susan Beth Robinson
2007780000090350219460231759000
Timothy Parnell
1889130000085010219200219334000
Elizabeth Bosley
1727030000077720159220196397000
Robert Hay
1522410000068510218390180931000
Jeffrey Hamrick
1481740000066680218300176672000
Sonya Arthur
1431220000064400218190171381000
Rita Barker
1501510000067570158720172780000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aMichael 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.
Part I, Lines 4a-bDuring fiscal year 2011, the following officers of the organization received payment under a supplemental non-qualified retirement (SERF) plan: Michael Sellards - $94,376 Todd Campbell - $27,757

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 Transaction139760AmountOfTransaction
Description Of TransactionSMMC paid $139,760 to Mountain State Cabling, which is partially owned by Mary Ann Brown.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 19, 2012.
Upon employment and annually thereafter each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can (1) determine whether any potential or actual conflicts of interest may exist, and (2) monitor work or service assignments to avoid placing the key employee, officer or director in a position where there may be an appearance, potential or actual, of a conflict of interest or a question of objectivity. The completed conflicts of interest and disclosure forms for directors are returned to the organization. In the event that any board member is deemed to lack independence or a conflict of interest exists, he/she is required to leave the room and cannot be part of the discussion or vote.Form 990, Part VI, Section B, line 12c
On 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 B, line 15
The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at its office at 2900 First Avenue, Huntington, WV 25702. A nominal fee is charged if copies are requested.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -1,025,142. Transfer to affiliates -5,121,962. Change in pension fund status -12,891,154. Loss from St. Mary's Medical Management -4,348,550. Total to Form 990, Part XI, Line 5: -23,386,808.Form 990, Part XI, line 5:
Audit oversightThe procedure for oversight of the audit of financial statements has not changed from prior year.Form 990, Part XII, line 2c
Tax-Exempt BondsThe tax exempt bonds are reported on the Form 990s of St. Josephs'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 Service Inc. Form 990.Schedule K
Hours devoted to related organizationsMichael 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 - 2 hours (PHS and SJH) Angela Swearingen - 2 hours (PHS and SJH) Rita Barker - 4 hours (SJH)Part VII
Evaluation Process for Joint VentureThe 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 concerns with respect to any of the above matters, the organization will take appropriate steps to ensure that, if the joint venture is pursued, the arrangement will be in compliance with applicable federal and state law and to safeguard the organization's tax-exempt status. A formal written policy and procedure has been approved.Form 990, Part VI, line 16b

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-5011779TotalIncome
EOY Assets5326422EOYAssets
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 (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
St Mary's Occupational Health Services
2900 First AvenueHuntingtonWV25702542136110Medical ServicesWVRelated-44307-5367501
Tri State Cyberknife
2900 First AvenueHuntingtonWV25702205744723Medical ServicesWVRelated01
Tri State MRI
2900 First AvenueHuntingtonWV25702550669726Medical ServicesWVRelated-21561664199601
Claire Frances Health Services
200 Mall Road Ste 3AshlandKY41101311517507Medical ServicesWVRelated8843960974601
Huntington Area MRI Services LLC
2900 First AvenueHuntingtonWV25702Medical ServicesWVRelated38851519873601

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 Income-18707ShareOfTotalIncome
Share Of EOY Assets907161ShareOfEOYAssets
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
St Mary's Medical Center Foundation
N182433
St Mary's Medical Management
N534701
Vanguard Financial Services
A669
Claire Frances Health Services
R175000
Huntington Area MRI Services
D113791

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