2011-05-13T16:15:56-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 431284526 St Mary's Medical Center STMA 8162285900 210 West RD Mize Rd Blue Springs MO 64014 Steve Cleary 8166424400 2011-05-13 1 5137847100 2009 2016-02-24 21:20:13Z Steve Cleary 1000 Carondelet Dr Kansas City MO 64114 91907559 0 0928 X www.carondelethealth.org X 1983 MO 146-bed medical center offering a full array or acute care, outpatient and extended care services. 6 0 651 140 6579 -6701 59450 83543027 88860457 -889116 792111 992151 1083112 83646062 90795130 28750 0 0 34056687 32530205 0 0 50644425 55273731 84729862 87803936 -1083800 2991194 63086720 64819865 30206982 28306726 32879738 36513139 St. 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. 0 0 15058284 14086433 Medical 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. 17577855 16822165 Surgical 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. 8375313 10649233 Emergency 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. 29191230 48572333 All 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. 29191230 48572333 70202682 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 52 0 1 651 1 1 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Steve Cleary 8169424400 1000 Carondelet Drive Kansas City MO 64114 Fleury Yelvington Sch O 2.00 X X 0 817606 37344 Annette Small 40.00 X X 0 106306 19596 Steve Cleary Sch O 2.00 X X 0 306060 42398 Noel Graham 2.00 X 0 0 0 Robert Frazier Sch O 2.00 X X 0 194804 40732 Robert Paul 2.00 X 0 0 0 Karen Lee Sch O 2.00 X 0 209572 21387 Dawn Bryant Sch O 2.00 X 0 178438 14645 Carla Brogdon Sch O 2.00 X 0 55080 2559 Gregory Vardakis 2.00 X 5500 0 0 Robert Paul 2.00 X 5500 0 0 Anna Wagner 2.00 X 2500 0 0 Thomas Mammen 40.00 X 125214 0 17162 Christopher Hughes 40.00 X 122709 0 20388 Tyler Mann 40.00 X 119356 0 4758 Darren Gentry 40.00 X 118380 0 4706 Edwin Hodges 40.00 X 114822 0 16963 Robin Schluter 0.00 X 0 263471 20359 Joseph Mackey 0.00 X 150 0 0 Charles Orth 0.00 X 300 0 0 Sandra Carter 0.00 X 350 0 0 Gordon Bell 0.00 X 300 0 0 613981 2131337 262997 7 1 1 0 Physicians Reference Lab LLC PO Box 802262 Kansas City MO 641802262 Lab Services 2034118 TriMedx 6325 Digital Way STE 400 Indianapolis IN 46278 Bio-Med Services 1166117 Children's Mercy Hospital 2401 Gillham Road Kansas City MO 64108 Physician Services 968779 Aramark Healthcare Support SVC PO Box 651009 Charlotte NC 28265 Food Services 579410 Jackson County Gastroenterology 206 NW Mock Ave STE 100 Blue Springs MO 64014 Physician Services 288798 17 59450 59450 Patient Revenue 621990 59520648 59520648 Medicare/Medicaid 621990 28687393 28687393 St. Mary's Manor 621990 652416 652416 88860457 517264 517264 908017 1112429 -204412 -204412 -204412 274847 274847 274847 274847 Income from Subsidiary 621990 1117848 1117848 Dietary Income 624200 92082 92082 Cafeteria Income 624200 11238 11238 66356 59777 6579 1287524 90795130 90130164 6579 598937 13500 13500 26104330 23316338 2787992 1114139 995147 118992 3398468 3035505 362963 1899768 1723860 175908 6310007 5563638 746369 49275 21895 27380 13326842 12968140 358702 32544 32544 1848822 1336384 512438 42038 30891 11147 20797 20797 858725 840925 17800 2533838 2313812 220026 546666 546666 Corporate Allocation 12534537 558381 11976156 0 Bad Debts Expense 11960736 11960736 0 0 Mo. State Asset. Fee 4705731 4705731 0 0 Purchased Services 260452 182006 78446 0 Medical Staff 66368 0 66368 0 176353 102627 73726 87803936 70202682 17601254 0 935136 568032 3524753 5265861 8964889 9441395 225689 226362 1162835 1019442 463160 524165 56379812 19049341 39865061 37330471 7945197 10444137 63086720 64819865 8017525 7771211 22189457 20535515 30206982 28306726 X 32879738 36513139 32879738 36513139 63086720 64819865 X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 11083 11083 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 5270000 5270000 37771575 10374032 27397543 12261775 8102733 4159042 1076462 572576 503886 37330471 Physician Guarantee Assets 283273 Oper Fund Invest MGR HSD 6529753 Assets Under Bond Account 439340 Intercompany Receivables 166231 Invest SM Surgical Cent 1767734 Invest In SM/Usp surgical 1257806 10444137 Deferred Self Insurance 650176 Other Liability 2646 Other Long Term Debt 6319126 Intercompany Debt to Ascension Health 13563567 20535515 90795130 87803936 2991194 464677 177530 642207 3633401 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 920605 920605 0.01210 10819708 10684690 135018 0.00180 11740313 10684690 1055623 0.01390 100186 27550 72636 0.00100 1324199 644133 680066 0.00900 7224975 5435403 1789572 0.02360 37867 37867 0.00050 8687227 6107086 2580141 0.03410 20427540 16791776 3635764 0.04800 0 565459 282729 29543355 31716642 -2173287 X 1 1 St Mary's Mecial Center

201 West RD Mize Rd Blue Springs MO 64014

X X X X Part I, Line 6a: The annual community benefit report is completed for Carondelet Health, the parent organization for St. Joseph Medical Center. Part 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. Part 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. Part 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. Part 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. Part 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. Part 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. Part 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. Part 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. Part 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. Part 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. MO 1 1 0 0 0 0 0 0 0 Fleury Yelvington (Sch O) 0 447696 0 347807 0 22103 0 30200 0 7144 0 854950 0 0 Steve Cleary (Sch O) 0 275726 0 0 0 30334 0 28975 0 13423 0 348458 0 0 Robert Frazier (Sch O) 0 174556 0 0 0 20248 0 25399 0 15333 0 235536 0 0 Karen Lee (Sch O) 0 205482 0 0 0 4090 0 10650 0 10737 0 230959 0 0 Dawn Bryant (Sch O) 0 176009 0 0 0 2429 0 8059 0 6586 0 193083 0 0 Robin Schluter 0 124955 0 20000 0 118516 0 6877 0 13482 0 283830 0 0 Part I, Line 4a The 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 Supplemental Information Part III Part 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 Committee Form 990, Part VI, Section A, line 6 St. Mary's Medical Center has a single corporate member, Carondelet Health. Form 990, Part VI, Section A, line 7a St. 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 7b All 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 11 Management, 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 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee 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 15 In 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 19 The 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 Ascension Health PO Box 45998 St Louis MO 63145 311662306 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A Carondelet Health 1000 Carondelet Drive Kansas City MO 641144673 431276738 System parent MO Section 501(c)(3) Schedule A, Line 11c Ascension Health Carondelet Health Corp & Affiliates Emp Health & Dental Care 1000 Carondelet Drive Kansas City MO 641144673 431116849 VEBA MO Section 501(c)(9) N/A Carondelet Health Carondelet Home Care Services 11050 Roe Suite 120 Overland Park KS 66211 431379352 Home Health Care Services MO Section 501(c)(3) Schedule A, Line 3 Carondelet Health Carondelet Long-Term Care Faciliites Inc 1000 Carondelet Drive Kansas City MO 641144673 742505427 Long Term Care MO Section 501(c)(3) Schedule A, Line 9 Carondelet Health St Joseph Medical Center 1000 Carondelet Drive Kansas City MO 641144673 440546292 Health Care MO Section 501(c)(3) Schedule A, Line 3 Carondelet Health St Joseph Medical Center Foundation 1000 Carondelet Drive Kansas City MO 641144673 431388461 Fundraising MO Section 501(c)(3) Schedule A, Line 11c Carondelet Health St Mary's Medical Center Foundation 1000 Carondelet Drive Kansas City MO 641144673 431918107 Fundraising MO Section 501(c)(3) Schedule A, Line 11c Carondelet Health South Kansas City Surgical Center LLC 10730 Nall Ste 100 Overland Park KS 66211 Health Care KS N/A Indian Creek Center Inc 1000 Carondelet Drive Kansas City MO 641144673 480956627 Management MO N/A C Carondelet Management Company Inc 11050 Roe Suite 110 Overland Park KS 66211 431352545 Health Management KS N/A C Carondelet Pharmacy 1000 Carondelet Drive Kansas City MO 641144673 431699329 Pharmacy MO N/A C Carondelet Primary Care Network Inc 1000 Carondelet Drive Kansas City MO 641144673 431596702 Health Care MO N/A C Saint Joseph Ambulatory Surgical Center LLC 1000 Carondelet Drive Kansas City MO 641144673 251905706 Health Care MO N/A C Carondelet Occupational Health Wellness & Educational Serv Inc 1000 Carondelet Drive Kansas City MO 641144673 861144194 Health Care MO N/A C Carondelet Physician Services 1000 Carondelet Drive Kansas City MO 641144673 562661163 Health Care MO N/A C Carondelet Medical Enterprises 1000 Carondelet Drive Kansas City MO 641144673 562661165 Office Admin. Services MO N/A C Carondelet Cardiology Services 1000 Carondelet Drive Kansas City MO 641144673 271322670 Cardiology Services MO N/A C 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 Carondelet Health Q 28500000 St Joseph Medical Center Q 2800000 Carondelet Long Term Care J 652416 St Joseph Medical Center J 444675 Carondelet Health R 12534537 Carondelet Health N 3760361 St Joseph Medical Center P 13625574 Carondelet Health Corp & Affiliates Employee Health & Dental Care R 2760702