St Mary's Medical Center: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
St Mary's Medical Center (EIN 43-1284526)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349301025
Schema version
2009v1.7
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)
Timestamp2011-05-13T16:15:56-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431284526EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone8162285900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1210 West RD Mize RdAddressLine1
CityBlue SpringsCity
StateMOState
ZIP Code64014ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve ClearyName
TitleCFO - Carondelet HealthTitle
Phone8166424400Phone
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve ClearyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DrAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts91907559GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.carondelethealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission Description146-bed medical center offering a full array or acute care, outpatient and extended care services.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees651TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI6579TotalGrossUBI
Net Unrelated Business Txbl Income-6701NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year59450ContributionsGrantsCurrentYear
Program Service Revenue Prior Year83543027ProgramServiceRevenuePriorYear
Program Service Revenue CY88860457ProgramServiceRevenueCY
Investment Income Prior Year-889116InvestmentIncomePriorYear
Investment Income Current Year792111InvestmentIncomeCurrentYear
Other Revenue Prior Year992151OtherRevenuePriorYear
Other Revenue Current Year1083112OtherRevenueCurrentYear
Total Revenue Prior Year83646062TotalRevenuePriorYear
Total Revenue Current Year90795130TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year28750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34056687SalariesEtcPriorYear
Salaries Etc Current Year32530205SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year50644425OtherExpensePriorYear
Other Expenses Current Year55273731OtherExpensesCurrentYear
Total Expenses Prior Year84729862TotalExpensesPriorYear
Total Expenses Current Year87803936TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1083800RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2991194RevenuesLessExpensesCY
Total Assets BOY63086720TotalAssetsBOY
Total Assets EOY64819865TotalAssetsEOY
Total Liabilities BOY30206982TotalLiabilitiesBOY
Total Liabilities EOY28306726TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32879738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY36513139NetAssetsOrFundBalancesEOY
Mission DescriptionSt. Mary's Medical Center (SMMC) is a Catholic organzation dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality health care for the body, mind and spirit, with special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. As a division of Carondelet Health and a member of Ascension Health, St. Mary's Medical Center is a Joint Commissioned, 146-bed hospital offering a full array of acute care, outpatient and extended care services. St. Mary's Medical Center is the only hospital in eastern Jackson County earning Magnet Designation from the American Nurses Credentialing Center for excellence in nursing care. It is one of the highest achievements a hospital can obtain in professional nursing. At St. Mary's Medical Center we are committed to providing our patients with the best care possible, in a safe & compassionate environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15058284Expense
Revenue14086433Revenue
DescriptionMedical inpatient services encompass 2,290 patient admissions and 10,044 patient days. St. Mary's Medical Center provides diagnostic services and high quality care to patients admitted with a wide range of diagnosis. Services includes radiology disciplines such as MRI, Ct-Scans, and Ultrasound as well as laboratory tests, respiratory procedures, therapy treatments, pharmacy services and bedside nursing care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17577855Expense
Revenue16822165Revenue
DescriptionSurgical Services include 1,061 inpatient admissions, 5,277 patient days and 815 outpatient surgeries. St. Mary's Medical Center offers a wide range of both invasive and non-invasive surgical procedures and is equipped with the latest diagnostic and surgical equipment operated by our highly qualified nursing staff and physicians. Our medical center embraces major disciplines of care ranging from minimally invasive procedures to complex multi-disciplinary surgical interventions. We offer a wide range of outpatient and inpatient surgical interventions including vascular surgery, surgical management of breast disease, surgical oncology, orthopedic surgery, gynecological surgery, and ENT procedures.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8375313Expense
Revenue10649233Revenue
DescriptionEmergency services include 28918 patient visits in the 24-hour emergency department. These patients are diagnosed, treated and discharged by our highly qualified clinicians and emergency physicians.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense29191230Expense
Revenue48572333Revenue
DescriptionAll other program services include Cardiology, Orthopedics, Neurology, Oncology, Rehab services, Women's Services, Radiology, Sleep Lab, Pain Center, Wound Care and other outpatient areas. These services represent 2733 inpatient admissions with 9160 patient days and 34039 outpatient visits.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp29191230TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev48572333TotalOfOtherProgramServiceRev
Total Program Service Expense70202682TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Grants To Organizations0GrantsToOrganizations
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 Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees651NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve ClearyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169424400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Fleury Yelvington Sch O
CEO-CH2.00XX081760637344
Annette Small
CEO-SMMC40.00XX010630619596
Steve Cleary Sch O
CFO-CH2.00XX030606042398
Noel Graham
Board Member2.00X000
Robert Frazier Sch O
V.P. Missions-CH2.00XX019480440732
Robert Paul
Board Member2.00X000
Karen Lee Sch O
V.P. Nursing-CH2.00X020957221387
Dawn Bryant Sch O
V.P. HR-CH2.00X017843814645
Carla Brogdon Sch O
Assit. Secretary2.00X0550802559
Gregory Vardakis
Med Staff-Board2.00X550000
Robert Paul
Med Staff-Board2.00X550000
Anna Wagner
Med Staff-Board2.00X250000
Thomas Mammen
Pharmacist40.00125214017162X
Christopher Hughes
Nursing Supervisor40.00122709020388X
Tyler Mann
Nurse40.0011935604758X
Darren Gentry
Pharmacist40.0011838004706X
Edwin Hodges
Pharmacist40.00114822016963X
Robin Schluter
CEO-SMMC0.00026347120359X
Joseph Mackey
Med Staff-Board0.0015000X
Charles Orth
Med Staff-Board0.0030000X
Sandra Carter
Med Staff-Board0.0035000X
Gordon Bell
Med Staff-Board0.0030000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org613981TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2131337TotalReportableCompFrmRltdOrgs
Total Other Compensation262997TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
Physicians Reference Lab LLC
PO Box 802262Kansas CityMO641802262Lab Services2034118
TriMedx
6325 Digital Way STE 400IndianapolisIN46278Bio-Med Services1166117
Children's Mercy Hospital
2401 Gillham RoadKansas CityMO64108Physician Services968779
Aramark Healthcare Support SVC
PO Box 651009CharlotteNC28265Food Services579410
Jackson County Gastroenterology
206 NW Mock Ave STE 100Blue SpringsMO64014Physician Services288798
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Membership Dues59450MembershipDues
Total Contributions59450TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Revenue6219905952064859520648
Medicare/Medicaid6219902868739328687393
St. Mary's Manor621990652416652416
FieldValueIRS element (for citing)
Total Program Service Revenue88860457TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column517264TotalRevenueColumn
Exclusion$517,264ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real908017Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1112429Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-204412Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-204412TotalRevenueColumn
Exclusion-$204,412ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other274847Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other274847Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column274847TotalRevenueColumn
Exclusion$274,847ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Income from Subsidiary62199011178481117848
Dietary Income6242009208292082
Cafeteria Income62420011238$11,238

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column66356TotalRevenueColumn
Related Or Exempt Function Income59777RelatedOrExemptFunctionIncome
Unrelated Business Revenue6579UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1287524TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column90795130TotalRevenueColumn
Related Or Exempt Function Income90130164RelatedOrExemptFunctionIncome
Unrelated Business Revenue6579UnrelatedBusinessRevenue
Exclusion$598,937ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total13500Total
Management And General13500ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26104330Total
Program Services23316338ProgramServices
Management And General2787992ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1114139Total
Program Services995147ProgramServices
Management And General118992ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3398468Total
Program Services3035505ProgramServices
Management And General362963ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1899768Total
Program Services1723860ProgramServices
Management And General175908ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6310007Total
Program Services5563638ProgramServices
Management And General746369ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total49275Total
Program Services21895ProgramServices
Management And General27380ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13326842Total
Program Services12968140ProgramServices
Management And General358702ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total32544Total
Management And General32544ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1848822Total
Program Services1336384ProgramServices
Management And General512438ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42038Total
Program Services30891ProgramServices
Management And General11147ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20797Total
Management And General20797ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total858725Total
Program Services840925ProgramServices
Management And General17800ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2533838Total
Program Services2313812ProgramServices
Management And General220026ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total546666Total
Program Services546666ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Corporate Allocation12534537558381119761560
Bad Debts Expense119607361196073600
Mo. State Asset. Fee4705731470573100
Purchased Services260452182006784460
Medical Staff663680663680

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total176353Total
Program Services102627ProgramServices
Management And General73726ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total87803936Total
Program Services70202682ProgramServices
Management And General17601254ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY935136BOY
EOY568032EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3524753BOY
EOY5265861EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8964889BOY
EOY9441395EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY225689BOY
EOY226362EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1162835BOY
EOY1019442EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY463160BOY
EOY524165EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56379812LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19049341LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39865061BOY
EOY37330471EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7945197BOY
EOY10444137EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63086720BOY
EOY64819865EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8017525BOY
EOY7771211EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22189457BOY
EOY20535515EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY30206982BOY
EOY28306726EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32879738BOY
EOY36513139EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32879738BOY
EOY36513139EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63086720BOY
EOY64819865EOY
FieldValueIRS element (for citing)
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$11,083OtherActivitiesAmount
Total Lobbying Expenditures IIB11083TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5270000OtherCostOrOtherBasis
Book Value5270000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37771575OtherCostOrOtherBasis
Depreciation10374032Depreciation
Book Value27397543BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12261775OtherCostOrOtherBasis
Depreciation8102733Depreciation
Book Value4159042BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1076462OtherCostOrOtherBasis
Depreciation572576Depreciation
Book Value503886BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37330471TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Physician Guarantee Assets283273
Oper Fund Invest MGR HSD6529753
Assets Under Bond Account439340
Intercompany Receivables166231
Invest SM Surgical Cent1767734
Invest In SM/Usp surgical1257806
FieldValueIRS element (for citing)
Total Book Value Other Assets10444137TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Deferred Self Insurance$650,176
Other Liability$2,646
Other Long Term Debt$6,319,126
Intercompany Debt to Ascension Health$13,563,567
FieldValueIRS element (for citing)
Total Of Amounts20535515TotalOfAmounts
Total Revenue90795130TotalRevenue
Total Expenses87803936TotalExpenses
Excess Or Deficit For Year2991194ExcessOrDeficitForYear
Net Unrealized GL On Investments464677NetUnrealizedGLOnInvestments
Other$177,530OtherAmount
Total Adjustments642207TotalAdjustments
Excess Or Deficit Per FS3633401ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:Per the financial statements of Ascension Health (which include the activity of St. Mary's Medical Center), there is no ASC 740 (fka FIN 48) footnote for the current year.
Part XI, Line 8 - Other Adjustments:Transfers to Affiliates: 327530. Transfers to Sponsors: -150000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
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)
Total Community Benefit Expense920605TotalCommunityBenefitExpense
Net Community Benefit Expense920605NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10819708TotalCommunityBenefitExpense
Direct Offsetting Revenue10684690DirectOffsettingRevenue
Net Community Benefit Expense135018NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11740313TotalCommunityBenefitExpense
Direct Offsetting Revenue10684690DirectOffsettingRevenue
Net Community Benefit Expense1055623NetCommunityBenefitExpense
Percent Of Total Expense0.01390PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense100186TotalCommunityBenefitExpense
Direct Offsetting Revenue27550DirectOffsettingRevenue
Net Community Benefit Expense72636NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1324199TotalCommunityBenefitExpense
Direct Offsetting Revenue644133DirectOffsettingRevenue
Net Community Benefit Expense680066NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7224975TotalCommunityBenefitExpense
Direct Offsetting Revenue5435403DirectOffsettingRevenue
Net Community Benefit Expense1789572NetCommunityBenefitExpense
Percent Of Total Expense0.02360PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense37867TotalCommunityBenefitExpense
Net Community Benefit Expense37867NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8687227TotalCommunityBenefitExpense
Direct Offsetting Revenue6107086DirectOffsettingRevenue
Net Community Benefit Expense2580141NetCommunityBenefitExpense
Percent Of Total Expense0.03410PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20427540TotalCommunityBenefitExpense
Direct Offsetting Revenue16791776DirectOffsettingRevenue
Net Community Benefit Expense3635764NetCommunityBenefitExpense
Percent Of Total Expense0.04800PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$565,459BadDebtExpenseAmount
Amount Attributable To282729AmountAttributableTo
Amount Reimbursed By Medicare29543355AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare31716642CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2173287MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line1201 West RD Mize RdAddressLine1
CityBlue SpringsCity
StateMOState
ZIP Code64014ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart I, Line 6a: The annual community benefit report is completed for Carondelet Health, the parent organization for St. Joseph Medical Center.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: The subsidized services were determined with our cost accounting system. While all patients are included in the system, the subsidized loss excluded Medicaid and bad debt.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: St. Mary's Medical Center provides several clinical services that result in a financial loss. These services include Nursery Intensive Care Unit (NICU), Cardiac Rehab, Perinatal and the Obstetric/Newborn program. These services are hospital programs and do not include physician clinic services.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted forpurposes of calculating the percentages in Part I, Line 7, column (f) is $11,960,736.PercentOfTotalExpenseExpln
Debt Collection PolicyPart III, Line 9b: For cases that apply for our charity care program, upon receipt of a completed application, collection activity will cease until a determination has been made. For presumptive charity cases (cases where an application is not necessarily completed), collection activity may continue while the due diligence is being completed or until the patient's account is reviewed. Additionally; For all patients identified as Full Charity Care Patients, Carondelet Health:- Will not place a lien on a charity care patient's primary residence or include the primary residence in the asset calculation unless the value of the property clearly indicates an ability to assume the financial obligation and subject to senior management approval. - Will not execute a lien or force the sale or foreclosure of a charity care patient's primary residence/property to pay for an outstanding medical bill.- Will not use forced court appearance to require the charity care patient or responsible party to appear in court.- Will not garnish wages.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: The health care needs of our community are assessed every year by the Mid-America Regional Council. The assessment is based on data collected through surveys of safety net clinics and information provided by the Missouri and Kansas Hospital Associations and public health records. A committee comprised of representatives from medical clinics, community organizations and hospitals summarize and assess the data to develop recommendations for improving access to health care in the community.NeedsAssessment
Patient Education AssistancePart VI, Line 3: For uninsured patients, at time of service, we interview the patient looking for "found" insurance (Medicaid, Cobra, automobile insurance, or local government programs). If no insurance coverage is discovered, we discuss payment arrangements and the hospital's financial assistance/charity programs. After time of service, when patients contact the business office regarding their patient care liability and the patients indicate a financial hardship in making payment, we discuss payment arrangements and the hospital's financial assistance/charity program.PatientEducationAssistance
Community InformationPart VI, Line 4: Carondelet Health is comprised of two acute care hospitals, St. Joseph Medical Center and St. Mary's Medical Center, along with three long-term care facilities and a home health agency. Carondelet Health primarily serves the southern and eastern areas of metropolitan Kansas City, which comprise approximately two-thirds of the entire Kansas City population or 1.2 million people. 13.8 percent of households live at or below federal poverty guidelines, and uninsured and underinsured persons represent 25 percent of the population. 42.4 percent of the population are minority and 7 percent speak a language other than English, predominantly Spanish.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Carondelet Health provided the following community building activities in 2010:- Support groups - Support groups at both St. Joseph and St. Mary's Medical Centers offer much needed comfort in a supportive environment to people in the community. These include support for bereavement, Alzheimer's, stroke, infant loss, Lyme disease, diabetes and victims of battery.- Carondelet Health's free community health magazine, Health Wise, provides information about current health topics and free community health events to more than 70,000 households in the primary service area. - St. Joseph and St. Mary's Medical Centers coordinated free community resources for those with diabetes and those who care for them, including monthly education sessions at a physician's office, an annual patient education seminar, a presentation for health care professionals on caring for patients with diabetes, sharing diabetes resources at local health fairs and providing space and assistance for the Kansas City Regional Association of Diabetes Educators group meetings. - Carondelet Health's Foundation Mission Fund provides financial assistance to patients without medical insurance or means to pay for medical care. - St. Joseph Medical Center's Health Sciences Library provides current print, video and computer-based information on health, disease and wellness. The medical center offers free use of the library to anyone in the community.- The Healthy Beginnings programs at St. Joseph and St. Mary's Medical Centers provide free obstetric support to pregnant women considered socially at-risk. The programs include individual visits with an RN for one-on-one education, free car seats, childbirth classes, breast pumps and breast feeding classes. - Carondelet Health has partnered with the Greater Kansas City Cover the Uninsured Coalition to help metro-area residents without insurance coverage obtain access to health care. This has included sponsoring an annual phone-a-thon, publishing a community health resource guide and a health fair.- St. Joseph Medical Center's Seniors Clinic addresses the health needs of homebound seniors and residents of long-term care and assisted living facilities. The clinic also offers free transportation for many of these seniors.- St. Mary's Medical Center participated in Blue Springs Family Week with a free health and wellness fair, free health screenings, free car seat safety information and booths providing free information on health care services.- Carondelet Health participated in the Kansas City Heart Walk. The team, made up of 291 walkers, raised $17, 914 for the American Heart Association.- St. Joseph and St. Mary's Medical Centers provided free community health seminars on a variety of current topics, including heart health, diabetes prevention, osteoporosis prevention, pelvic floor dysfunction, joint replacement, sinus pain, free prostate cancer screenings, breast cancer awareness, carotid artery disease awareness and uterine fibroids.- Carondelet Health's Web site, CarondeletHealth.org, provides a free health library and direct links to more than 50 health-related organizations and support groups.- Carondelet Health contributed to more than 50 community organizations in 2010, including Seton Center, Kansas City Hospice and Palliative Care, American Heart Association, Hope House, American Red Cross, American Stroke Foundation, Junior Achievement of Middle America, Inc., and Rose Brooks Center. - St. Joseph Medical Center hosted the Family Health Celebration on the medical center campus which provided free health screenings and wellness information to the community. - Carondelet Health's Care Fund provides assistance for the organization's associates who are experiencing emergent financial needs.CommunityBuildingActivities
Other InformationPart VI, Line 6: Carondelet Health's board is comprised of individuals from throughout the community. Medical staff privileges are extended to all physicians who apply and meet qualifications.Carondelet Health provides a wide variety of resources to help improve the health of the community. Our Web site provides a free comprehensive health library with information on general wellness and specific health conditions, along with additional direct links to other health care support organizations. Meeting space is offered on the campuses of St. Joseph and St. Mary's Medical Centers for use by community groups and Carondelet Health collaborates with other community support organizations such as the Greater Kansas City Cover the Uninsured Coalition to help community members obtain access to health care information and services. A wide range of free support groups provide counseling for patients and their families coping with health concerns. In addition, Carondelet Health's community outreach efforts provide health and wellness resources that otherwise may be unavailable to many community members, including free health screenings and health educational materials.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: Carondelet Health is a member of Ascension Health, the nation's largest Catholic and nonprofit health system. Since its creation in 1999, Ascension Health has been dedicated to transforming health care by providing the highest quality care to all, with special attention to the poor and vulnerable. Ascension Health's mission-focused ministries provide care at more than 500 locations in 20 states. In 2009, Ascension Health provided $1.08 billion in health care services and community benefits, including public health programs, financial contributions and other community building activities.Mission:Ascension Health directs its governance and management activities toward strong, vibrant, Catholic health ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:-Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.-Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor.-Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.-Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data.AffiliatedHealthCareSystem
Reports Filed With StatesMOReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 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
Fleury Yelvington (Sch O)
0447696034780702210303020007144085495000
Steve Cleary (Sch O)
027572600030334028975013423034845800
Robert Frazier (Sch O)
017455600020248025399015333023553600
Karen Lee (Sch O)
02054820004090010650010737023095900
Dawn Bryant (Sch O)
017600900024290805906586019308300
Robin Schluter
0124955020000011851606877013482028383000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aThe following individual received severance payments: - Robin Schluter - $80,576 Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: - Steven Cleary - $18,217 - Robert Frazier - $10,029 - Robin Schluter - $31,222
Part IIIPart I, Line 3: Carondelet Health, a related organization of St. Mary's Medical Center, uses the following to establish the compensation of the organization's CEO: -Compensation Committee -Independent Compensation Consultant -Written Employment Contract -Compensation Survey or Study -Approval by the Board or Compensation CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6St. Mary's Medical Center has a single corporate member, Carondelet Health.
Form 990, Part VI, Section A, line 7aSt. Mary's Medical Center has a single corporate member, Carondelet Health, who has the ability to elect members to the governing body of St. Mary's Medical Center.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. Mary's Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of the organization's CEO (Annette Small), the process performed by Carondelet Health (a related organization) included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when her compensation was decided. In determining compensation of other officers of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensations, the other officers of the organization were compared to other organizations employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A:Fleury Yelvington, Steve Cleary, Robert Frazier, Dawn Bryant, and Carla Brogdon receive compensation from Carondelet Health, a related organization of St. Mary's Medical Center. The compensation they receive is for their role at Carondelet Health, and not for their role as a officer/director of St. Mary's Medical Center.
Form 990, Part XI, Line 2:The financial statements of St. Mary's Medical Center fall under the limited scope audit of Carondelet Health. The activity of St. Mary's Medical Center and other members of the Carondelet Health System are reported in the consolidated financial statements of Ascension Health. No individual audit of St. Mary's Medical Center is completed.
Form 990, Part III:Carondelet Health - Kansas City Community Benefit Report For the year ended June 30, 2010 Carondelet Health consists of St. Mary's Medical Center, St. Joseph Medical Center, three long-term care facilities and home care services. Carondelet Health is dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality healthcare for body, mind and spirit, with a special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. Carondelet Health is a member of Ascension Health, the nation's largest Catholic and nonprofit health system. With Charity for All The downturn in the American economy these last few years has proved challenging for everyone involved in health care. Not-for-profit hospitals have felt the increasing number of patients who have no insurance, are underinsured and cannot pay the full cost of their care. Comparative health care costs have soared since the Sisters of St. Joseph of Carondelet started Kansas City's first hospital in a three-story house in downtown Kansas City. Today, Carondelet Health provides financial assistance to uninsured patients at both St. Joseph and St. Mary's Medical Centers. If patients are eligible for Medicaid, the Medical Centers will assist with the application. Carondelet Health also helps patients who need extra time to settle their bills with an interest-free, extended-term payment plan, regardless of their employment or credit history. Carondelet Health is also deeply involved in educating the public about the challenges for those without health insurance. Each year it joins other organizations in Cover the Uninsured Week. Carondelet Health created a resource guide for the uninsured that is used throughout the region and is available in both English and Spanish. In keeping with the rich tradition of the founding Sisters of St. Joseph of Carondelet and the Sisters of St. Mary, St. Joseph and St. Mary's turn away no one in need. The sister's commitment to providing compassionate, quality care remains visible at the Medical Centers to this day. Caring for Our Community Carondelet Health's facilities are active members of the communities they serve, offering a long list of programs and services to help care for the physical, mental, social and spiritual health of the residents living in those communities. Here are some highlights: The Health Sciences Library at St. Joseph Medical Center: This library facility welcomes anyone wishing to learn more about health, disease and wellness. Visitors have access to print, video and computerized health information. Support Groups: Both medical centers offer groups for bereavement, Alzheimer's, stroke, infant loss, Lyme disease, diabetes, battered women and other areas of need. Informative Web site and Health Magazine: Our newly redesigned Web site, Carondelethealth.org offers health information and direct links to more than fifty health-related organizations and support groups. Health Wise, our community health magazine is full of interesting and educational health features and is available on our Web site or by mail. High Risk Obstetrics Care: Our Healthy Beginnings program provides counseling and pre- and post-natal care for underinsured, uninsured and Medicaid mothers going through high-risk pregnancies. Seniors Clinic: Located at St. Joseph Medical Center, this popular program addresses the health needs of homebound seniors and residents of long-term care and assisted living facilities. The clinic provides a comfortable, convenient, cost-effective setting where seniors' needs can be assessed, diagnosed and treated by physicians. The clinic also provides free transportation for many patients. Free Wellness Services: Carondelet Health provides wellness services to nine churches in its service area and to designated low-income patients. Classroom Space: Space is provided for alternative high school classes offered by the Kansas City School District. Other local not-for-profit agencies are invited to host meetings and seminars in the medical centers for a nominal fee. Contributions to Community Groups: Carondelet Health contributes to many worthwhile organizations, including Cristo Rey High School, the American Cancer Society, the American Heart Association and Catholic Charities of Kansas City. It supports the Seton Center Family and Health Services by providing human resources, maintenance and wellness services; and funds after school programs for at-risk children at YMCAs in Kansas City and Blue Springs. Involvement with Community Events: St. Joseph and St. Mary's participate in numerous health fairs, offering free blood pressure, blood sugar and prostate cancer screenings. Together the medical centers sponsor a domestic violence rally to raise awareness about this critical issue and to support area victims. St. Joseph also coordinates a free informational seminar with the American Diabetes Association. Caring for the Poor: Charitable Losses by Carondelet Health of Kansas Fiscal Year 2010 (July 1, 2009 - June 30, 2010) Unpaid Medicare Reimbursement $9.4 million Unpaid Medicaid reimbursement $3.2 million Traditional Charity $2.8 million Collectable Debt $ 1 million Community Services $1.4 million Subsidized Services $4.2 million Total Community Benefit: $22 million St. Mary's Medical Center Fiscal Year 2010 (July 1, 2009 - June 30, 2010) 1) Care of the poor - at cost - $920,605 2) Government sponsored health care - net expense - $132,510 Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, other safety net programs: does not include Medicare shortfall) 3) Community Benefit Programs - net expense - $2,609,418 These community programs include: Community Health Services Medical Transportation - $10,581 Diabetic Education - $62,055 Clinical Pastoral Care Education - $26,771 Cover the Uninsured Support - $843 Hope House - $6,974 Physician Referral Medicaid/Uninsured - $1,275 Assist to Ernoll in Medicaid - $5,150 Catholic Chariries - $515 Health Screenings - 14,520 Other Civic - $37,867 Subsidized Health Services Physicians/Medical Students - $653,295 Self-Pay Obstetrics - $1,069,667 NICU Services - $375,912 Perinatal Services - $170,272 Cardiac Rehab Services - $173,721 Total quantifiable community benefit as determined in accordance with CHA reporting guidelines - $3,662,155 Supplemental Information Bad debt - $282,729 Medicare shortfall - $2,173,287 Total quantifiable community benefit, including bad debt and Medicare shortfall - $6,118,171

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63145311662306National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A
Carondelet Health
1000 Carondelet DriveKansas CityMO641144673431276738System parentMOSection 501(c)(3)Schedule A, Line 11cAscension Health
Carondelet Health Corp & Affiliates Emp Health & Dental Care
1000 Carondelet DriveKansas CityMO641144673431116849VEBAMOSection 501(c)(9)N/ACarondelet Health
Carondelet Home Care Services
11050 Roe Suite 120Overland ParkKS66211431379352Home Health Care ServicesMOSection 501(c)(3)Schedule A, Line 3Carondelet Health
Carondelet Long-Term Care Faciliites Inc
1000 Carondelet DriveKansas CityMO641144673742505427Long Term CareMOSection 501(c)(3)Schedule A, Line 9Carondelet Health
St Joseph Medical Center
1000 Carondelet DriveKansas CityMO641144673440546292Health CareMOSection 501(c)(3)Schedule A, Line 3Carondelet Health
St Joseph Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431388461FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet Health
St Mary's Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431918107FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet Health

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1South Kansas City Surgical Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110730 Nall Ste 100AddressLine1
CityOverland ParkCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Indian Creek Center Inc
1000 Carondelet DriveKansas CityMO641144673480956627ManagementMON/AC
Carondelet Management Company Inc
11050 Roe Suite 110Overland ParkKS66211431352545Health ManagementKSN/AC
Carondelet Pharmacy
1000 Carondelet DriveKansas CityMO641144673431699329PharmacyMON/AC
Carondelet Primary Care Network Inc
1000 Carondelet DriveKansas CityMO641144673431596702Health CareMON/AC
Saint Joseph Ambulatory Surgical Center LLC
1000 Carondelet DriveKansas CityMO641144673251905706Health CareMON/AC
Carondelet Occupational Health Wellness & Educational Serv Inc
1000 Carondelet DriveKansas CityMO641144673861144194Health CareMON/AC
Carondelet Physician Services
1000 Carondelet DriveKansas CityMO641144673562661163Health CareMON/AC
Carondelet Medical Enterprises
1000 Carondelet DriveKansas CityMO641144673562661165Office Admin. ServicesMON/AC
Carondelet Cardiology Services
1000 Carondelet DriveKansas CityMO641144673271322670Cardiology ServicesMON/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Carondelet Health
Q28500000
St Joseph Medical Center
Q2800000
Carondelet Long Term Care
J652416
St Joseph Medical Center
J444675
Carondelet Health
R12534537
Carondelet Health
N3760361
St Joseph Medical Center
P13625574
Carondelet Health Corp & Affiliates Employee Health & Dental Care
R2760702

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