2011-08-10T11:50:37-04:00 2010-09-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA ST LOUIS MO 63105 990 2009-10-01 550357050 St Mary's Medical Center STMA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 257021271 Michael G Sellards 1944-08-03 3043438971 2009 2016-02-24 21:20:13Z Michael Sellards 2900 First Avenue Huntington WV 25702 375890674 false X WWW.ST-MARYS.ORG X 1924 WV HOSPITAL WITH OPEN EMERGENCY ROOM 12 6 2782 261 0 0 1205755 750493 340029135 349553830 -2047906 1941308 2659944 -4717905 341846928 347527726 0 115650 0 0 148227554 156436259 0 0 0 191963238 199003725 340190792 355555634 1656136 -8027908 316000821 293569274 229053355 209770536 86947466 83798738 We are inspired by the love of Christ to provide quality health care in ways which respect the God-given dignity of each person and the sacredness of human life. false false 291231259 115650 349553830 ST. MARY'S MEDICAL CENTER WAS ESTABLISHED IN 1924 AND, BASED ON THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, TRUST, INTERDEPENDENCY, AND STEWARDSHIP,CONTINUES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. FURTHERMORE, WHILE REIMBURSEMENT FOR CARE PROVIDED IS CRUCIAL TO THE CONTINUED OPERATION OF ST. MARY'S MEDICAL CENTER, IT IS RECOGNIZED THAT CIRCUMSTANCES EXIST WHICH RENDER CERTAIN PARTIES UNABLE TO PAY FOR NEEDED SERVICES, AND NO PATIENT IS DENIED SERVICES DUE TO THE LACK OF ABILITY TO PAY. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2010, ST. MARY'S MEDICAL CENTER PROVIDED 91,350 DAYS OF INPATIENT CARE TO 15,686 PATIENTS AND TREATED AN ADDITIONAL 274,703 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY SEVENTY-ONE PERCENT OF THE INPATIENTS SERVED WERE COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID. A SIMILAR PERCENTAGE IS APPLICABLE TO OUTPATIENT SERVICES. SINCE CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES IS SUBJECT TO CONTRACTUAL REIMBURSEMENT RESTRICTIONS, PAYMENT RECEIVED FOR SERVICES PROVIDED IS OFTEN SIGNIFICANTLY BELOW THE ACTUAL COST OF THE SERVICES. ST. MARY'S MEDICAL CENTER HAS ESTABLISHED CHARITY CARE POLICIES AND GUIDELINES, USED TO HELP IDENTIFY THOSE PATIENTS WHO GENUINELY DO NOT HAVE THE RESOURCES TO PAY FOR SERVICES RECEIVED. DURING FISCAL 2010, THE HOSPITAL PROVIDED APPROXIMATELY $9.6 MILLION DOLLARS IN CHARITY CARE SERVICES, REPRESENTING CARE PROVIDED AT REDUCED PRICES OR COMPLETELY FREE OF CHARGE. THESE SERVICES INCLUDE INPATIENT SERVICES, AN ADULT OUTPATIENT CLINIC, A HANDICAPPED CHILDREN'S CLINIC, AND A SPECIALTY PREGNANCY CLINIC. ALSO, ST. MARY'S MEDICAL CENTER EXCEEDS THE GUIDELINES ESTABLISHED FOR THE WEST VIRGINIA AD VALOREM STATUTE. IN ADDITION TO THOSE PATIENTS WITHOUT THE WHEREWITHAL TO PAY FOR SERVICES RENDERED, WE ASSIST IN THE RELIEF OF BURDEN OF GOVERNMENT FOR SEVERAL PROGRAMS. A STRONG AUXILIARY ORGANIZATION EXISTS, WHICH CONTRIBUTES HEAVILY TO ACTIVITIES OF ST. MARY'S MEDICAL CENTER. DURING FISCAL 2010, THE AUXILIARY MADE CASH DONATIONS OF APPROXIMATELY $200,000. IN ADDITION, VOLUNTEERS PROVIDED OVER 37,000 HOURS OF SERVICE VALUABLE TO PROMOTING THE MISSION AND ACTIVITIES OF THE HOSPITAL. ST. MARY'S MEDICAL CENTER ALSO RECOGNIZES THAT CARRYING OUT ITS MISSION OF COMMUNITY SERVICE IS NOT CONFINED TO THE WALLS OF THE HOSPITAL'S BUILDINGS AND THAT THERE ARE RESIDENTS IN NEED OF SERVICES WHO MAY NEVER BE A REGISTERED PATIENT OF THE HOSPITAL. IN MEETING THE NEEDS OF THESE INDIVIDUALS AND GROUPS, ST. MARY'S MEDICAL CENTER PROVIDES OR PARTICIPATES IN NUMEROUS EDUCATIONAL ACTIVITIES, SUPPORT GROUPS AND HEALTH SCREENINGS AND PROVIDES HUMAN RESOURCES, AS APPROPRIATE, TO SUPPORT OTHER CHARITABLE ORGANIZATIONS. A SUMMARY OF THESE COMMUNITY SERVICES AS PREPARED BY THE HOSPITAL'S MISSION INTEGRATION DEPARTMENT FOR THE CATHOLIC HEALTH ASSOCIATION, IS ATTACHED. 291231259 true true false false false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false true true true false false true 129 0 true 2782 true false false false false false false false false false 12 6 false false false false true true true true true false false false true true true true true true true true true WV X ANGELA SWEARINGEN 3045268931 2900 FIRST AVE Huntington WV 25702 ROCCO MORABITO MD 1.0 X 0 0 0 SR MARIAN RUTH CREAMER SAC 38.0 X 0 0 0 MATT MILLER 1.0 X 0 0 0 SR M CELESTE LYNCH SAC 2.0 X 0 0 0 SR M Rosella Sparks SAC 1.0 X 0 0 0 SR M Joanne Obrochita SAC 1.0 X 0 0 0 THOMAS HOUVOURAS 1.0 X 0 0 0 Tim Robarts MD 1.0 X 0 0 0 SR ELIZABETH HEPTNER SAC 1.0 X 0 0 0 JULIA HUTCHINSON 1.0 X 0 0 0 Richard Muth 1.0 X 0 0 0 MICHAEL SELLARDS 34.0 X 0 1125855 152327 SR DIANE BUSHEE SAC 34.0 X 0 0 0 TODD A CAMPBELL 40.0 X 375480 0 37012 SUSAN BETH Robinson 40.0 X 210083 0 29205 VERA ROSE MD 40.0 X 250642 0 31119 SHELIA KYLE 40.0 X 126624 0 25266 Mary Ann Brown 40.0 X 166396 0 27413 TIM PARNELL 40.0 X 196524 0 28565 Libby Bosley 40.0 X 179335 0 27754 Tyson Smith 40.0 X 322513 0 34512 Rita Barker 40.0 X 148218 0 26285 Robert Hay 40.0 X 139494 0 25873 Charles Wilson 40.0 X 131326 0 25488 Jeffrey Hamrick 40.0 X 128105 0 25336 Brian Jackson 40.0 X 125158 0 25196 2499898 1125855 521351 63 false true false University Physicians 1600 Medical Center DR B501 HUNTINGTON WV 25701 MEDICAL 3016156 American Red Cross 4 Chase Metrotech Center 7th Fl E BROOKLYN NY 11245 MEDICAL 2956655 Masterplan Dept LA 21431 PASADENA CA 91185 Medical 1707408 CPS Inc PO Box 1000 Dept 176 MEMPHIS TN 38148 Medical 1400709 River Cities Anesthesia PO Box 515 BARBOURSVILLE WV 25504 Medical 1358323 58 546261 5122 199110 750493 PATIENT SER REV 621400 345773557 345773557 SCHOOL OF NURSING 611600 846754 846754 SCHOOL RADIOLOGY 611600 348163 348163 PURCHASE DISCOUNTS 900099 1041501 1041501 RENTAL INCOME 531120 633238 633238 910617 910617 349553830 1799141 1799141 0 0 27906592 27764425 142167 142167 142167 0 0 919422 598523 320899 320899 CAFETERIA SALES 722100 2188770 2188770 MAINT OF SISTERS 811000 58588 58588 OTHER INV INCOME 900099 -3456122 -3456122 -3830040 -3830040 -5038804 347527726 349553830 -2776597 115650 115650 0 0 0 1953466 1953466 0 103967434 97072002 6895432 11348620 10400528 948092 30119936 27579200 2540736 9046803 8291010 755793 381445 381445 150918 150918 0 0 0 0 30141697 24418366 5723331 0 0 2491884 2491884 0 3759916 3759916 157495 92420 65075 0 0 3669933 3669933 0 16187700 16187700 2022674 2022674 SUPPLIES 83749851 83061532 688319 TELEPHONE 150407 150407 POSTAGE AND SHIPPING 542236 542236 EQUIPMENT RENTAL & MAINTENANCE 11003598 7635267 3368331 BAD DEBTS 32258125 32258125 12335846 8947735 3388111 355555634 291231259 64324375 0 5027 5027 8313626 16172930 104227802 79297975 9889495 7888479 4859777 3466690 348017731 209456859 142333568 138560872 51968907 53539366 -8639282 -9373699 3041901 4011634 316000821 293569274 43184116 37625577 100730573 99619666 812730 2958677 84325936 69566616 229053355 209770536 X 86153466 82597178 794000 1201560 86947466 83798738 316000821 293569274 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6308971 6308971 164241147 95533569 68707578 169905033 112031899 57873134 7562580 1891391 5671189 138560872 0 DEFERRED SALARIES & WAGES 1612129 GENERAL RESERVES 1719911 ACCRUED PENSION COSTS 65301400 ST MARY'S MEDICAL MANAGEMENT LLC 933176 69566616 true true true X true X true true true false true true 9877 13641494 9140971 4500523 0.01390 39769 53595477 36577539 17017938 0.05260 49646 67236971 45718510 21518461 0.06650 3 623 1972 1972 4 76 8991440 8991440 0.02780 1 3721087 3721087 0.01150 1 61066 166660 -105594 0.00030 3 2225 159966 159966 0.00050 12 2924 12935531 166660 12768871 0.03950 12 52570 80172502 45885170 34287332 0.10600 1 46000 46000 1 5790 50453 50453 2 5790 96453 96453 true 13318606 2663721 90595491 90728342 -132851 X true true Huntington Area MRI Provide MRI Scans 0.49000 0.51000 St Mary's Occu Hlth Occupational Therapy 0.51000 0.49000 Tristate Cyberknife Cyberknife 0.50000 0.50000 St Mary's Medical Center

2900 First Avenue Huntington WV 25702

X X X Eligibility is determined by comparing household family income against the income poverty guidelines for financial indigence; a ratio of total medical expenses to annual disposable income for medical indigence. Income is defined as the total annual cash receipts before taxes from all sources. Financially Indigent. Uncompensated care shall include unreimbursed services to the financially indigent. Financially indigent shall mean uninsured or underinsured patients accepted for care with no obligation or a discounted obligation to pay for services rendered based on the Medical Center's eligibility system which may include: (a) income levels and means testing or other criteria for determining a patient's inability to pay; or (b) other criteria for determining a patient's inability to pay that are consistent with the Medical Center's mission and established policy. The federal poverty level shall serve as an index for the threshold below which patients receiving care at St. Mary's Medical Center are deemed financially indigent. Financially indigent services include noncovered services for patients eligible for the Medicaid program, services provided under county indigent care contracts, and other state or federal assistance programs for low income groups. Medically Indigent. Uncompensated care shall include unreimbursed services to the medically indigent. Medically indigent shall mean patients who are responsible for their living expenses, but whose medical and hospital bills, after payment by third party payers, where applicable, exceed: (a) a specified percentage of the patient's annual gross income (i.e., catastrophic medical expenses) in accordance with the Medical Center's formal eligibility system in such instances where payment would require liquidation of assets critical to living or earning a living; or (b) the criteria for determining a patient's inability to pay. While financial indigence is based strictly on an income level, medical indigence considers both income and the financial obligation for healthcare services to calculate the patient's ability to pay without liquidating assets critical to living or earning a living, such as a home, car, personal belongings, etc. Therefore, patients are considered for medically indigent status on a case by case basis. The patient would be required to provide documentation of income to determine if he/she is to be considered medically indigent. All patients are eligible to be considered for medically indigent status with the exception of patients with income below 200% of the Federal poverty level as these patients are considered for some level of uncompensated care under the financially indigent category. SMMC prepares an annual written report that describes programs and services that promote the health of our community. The Community Benefit Report provides valuable information on programs and services provided by the medical center. The report is distributed to hospital board members but it has not been distributed to the general public. The report is compiled using the program "A Guide for Planning and Reporting Community Benefit." The cost to charge ratio as calculated from Worksheet 2 was used to determine community benefit expenses for all subsidized health services. The subsidized health services are provided by our indigent care clinic, which does not include a physician care clinic. Bad debt expense subtracted from the denominator before calculating column(f) was $32,258,125. The text of the footnote reads as follows: "The Hospitals provide care to patients who meet specific criteria, defined by their charity care policies, without charge or at amounts less than their established rates, as approved by the West Virginia Health Care Authority (HCA). Because the Hospitals do not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue." The hospital's cost-to-charge ratio was used to compute bad debt expense at cost. Patient level detail data is used to calculate the uncompensated cost of bad debt and charity. Once an account is written off to bad debt and/or charity, the entire cost of the account is classified as bad debt and/or charity and any payments received are netted against the cost of the account to determine the uncompensated costs. The cost-to-charge ratio as reported on the facility's Medicare cost report was used to compute the Medicare allowable costs. The hospital provides care to patients who meet specific criteria, defined by its charity care policy, without charge or at amounts less than the rates approved by the West Virginia Health Care Authority. Because the hospital does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue. This facility includes a school of nursing, school of respiratory therapy, a school of medical imaging and a clinical pastoral education program. Interns and residents from Marshall University School of Medicine are also assigned at the hospital for their clinical rotations as are students in community based Practical nursing programs. SMMC takes steps to determine what the most pressing needs are in order provide services to address them. The hospital regularly assesses the needs of the community. Periodic needs assessments are conducted in partnership with our local health department. Additionally, we monitor county, state, and national health indicators and work in partnership with service agencies in the communities we serve to meet identified needs. SMMC employs a variety of methods to reach patients with information about financial assistance, including: * Financial assistance posters are displayed in all emergency, admitting, outpatient, and clinic areas that include a phone number to call for financial assistance counseling. * Hospital departments that have initial contact with incoming inpatients and outpatients are supplied with brochures about financial assistance for distribution to patients and family members. * The hospital employs trained financial assistance counselors who work individually with patients to assess financial need and recommend appropriate assistance such as application for federal and/or state programs; qualification for charity care; determination of automatic discounts and /or further reductions in charges; and setting up long-term financial arrangements. St. Mary's Medical Center serves the greater Huntington, West Virginia community with a primary service area that includes Cabell, Wayne, Mason, Putnam and Lincoln counties in West Virginia and Lawrence County in Ohio. St. Mary's also serves a much wider service area because of specialty medical services including advanced emergency trauma care, advanced stroke care, advanced spine care, advanced heart care, advanced cancer care, and advanced orthopedic care. That secondary service area includes Logan and Mingo counties in West Virginia, as well as Boyd, Greenup, Carter, Lawrence, Johnson, Floyd and Pike Counties in Kentucky and Scioto and Gallia Counties in Ohio. Competitors within our primary service area are Cabell Huntington Hospital (Cabell County) and CAMC Teays Valley (Putnam County). The most recent statistics from the U.S. Census Bureau show that the high school graduation rate (age 25+) for Huntington is 79.6%. The percentage of Huntington residents living below that Federal poverty level is 24.7%. Cabell County birth rates for 15 to 19 year-olds is 42.3 per 1000 females. St. Mary's has sponsored a number of community building activities during the past year. Some of these are as follows: The St. Mary's Tri-State Triathlon was held on August 1 and includes three separate races - a triathlon, triathlon relay and duathlon. The triathlon consists of a half-mile swim, 15-mile bike ride and 2.9-mile loop run. In the duathlon, the swim course is replaced by a 2.9-mile loop run in the opposite direction of the previous loop. Races use computer-chip timing. The event averages 200+ participants each year but it has a wider reaching impact of promoting fitness in the community with news coverage of stories about first time participants and their ability to complete a triathlon. Many family and friends also gather at the event as spectators and some are inspired to compete in the next year's event. The St. Mary's Kids Try-A-Triathlon for ages 6-14 was held on July 31 at Beech Fork Lake. Races consist of either a 50- or 100-yard swim, a two- or four-mile bike course, and a one- or two-mile run, depending on the age group. There is a kids camp leading up to this event that helps train young people to participate in the triathlon. Race day participation 100+. PATH Project - St. Mary's is a sponsor of the Paul Ambrose Trail for Health (PATH) project which is designed to develop a 26-mile bicycle and pedestrian path system that will link the various Huntington parks. This project will promote wellness by offering family-healthy area throughout Huntington for the public. FitFest is held annually each year on 9-11 to focus the entire community on fitness and St. Mary's is a major sponsor. 500+ participants at FitFest. Web site: www.paulambrosetrailforhealth.org AHA Start Heart Walk - St. Mary's has been the main sponsor for the Heart Walk each year. As one of St. Mary's major service lines, the Regional Heart Institute promotes healthy heart activities for the public throughout the year, but the Heart Walk and the Go Red Luncheon for Women are two of our main events. The Heart Walk generates team building by raising funds for the American Heart Association, ending with the actual walk at Ritter Park. St. Mary's employee teams are joined by teams all across Cabell and Wayne Counties both raising funds for heart research and supporting walking as a family heart-healthy activity. 300+ participants each year for the walk. Wider exposure through advertising heart healthy education tips and information. An Evening of Zumba - A local cancer survivor and instructor of Zumba at St. Mary's promoted the idea of an Evening of Zumba in order to raise funds for the Pink Ribbon Fund - a fund set aside to cover the costs of mammograms for women who cannot afford to be tested for breast cancer. The event was free, but donations were accepted and 100% was given to the Pink Ribbon Fund at St. Mary's Breast Center. There were over 100 participants. HEART (Helping Educators Attack CVD Risk Factors Together) and HEART Champions program. With over 6,000 children screened during this time, it has become evident that a different approach is needed to address overweight children and adolescents with multiple risk factors for heart disease, diabetes, and a number of other health problems. Data collected from the 2008-2009 school year, showed 238 out of 529 children (45 percent) screened had had a body mass index above the 85th percentile for their age. In 2008, the Kaiser Foundation ranked West Virginia second in the nation for childhood obesity with 21 percent of children statewide identified as being overweight. Healthy HEART U program is an outgrowth of the HEART programs and is Fighting Childhood Obesity in Southern West Virginia The Healthy HEART U project will be a network of comprehensive childhood obesity facilities serving overweight children in southern West Virginia. In partnership with existing health providers, community centers and public schools, the goal of the project is to increase children's access to fitness facilities and a team of health professionals focused on their nutrition, fitness, body image, and self-esteem. The title of the project is to promote a positive environment for children and eliminate any negative perceptions that may limit their participation. TIPS Program: TIPS is a two-part program developed by St. Mary's Regional Neuroscience Center that consists of an annual youth safety fair and an education plan delivered to school children throughout the school year. Matt Herbert speaks to 1000+ school students every year in addition to free bicycle helmet giveaways. Approximately 500 students receive free helmets each year. Additionally St. Mary's participates in numerous health fairs throughout the year. They provide screenings for health issues such as cholesterol, blood sugar, HDL, osteoporosis, etc. at no charge. Also, education about various health issues such as stroke risk, joint replacement surgery, and other health risk factors are provided. There are 1000+ people screened each year through free screenings. St. Mary's operates an emergency room that is open to all persons regardless of ability to pay and has an open medical staff with privileges available to all qualified physicians in the area. The board of directors represents medical and business professionals, as well as sisters from the Pallottine Missionary Sisters. All provide hours of service in support of our hospital. They are deeply involved in our needs assessment process, building programs and services, and community outreach to ensure that people know about services available to them through our hospital. St. Mary's engages in medical and scientific research programs; engages in the training and education of health care professionals: physicians, nurses, medical imaging tech, respiratory techs, and chaplains; and participates in Medicare, Medicaid, and other government-sponsored health care programs. St. Mary's adheres to community benefit guidelines outlined in the Catholic Health Association's publication, "A Guide for Planning and Reporting Community Benefit." Community benefit work is driven by community health needs and directed in collaboration with other health care organizations and the broader community. Community benefit strategies are integrated in the organizational strategic plan. Programs are located throughout the organization, and staff and board education is conducted. Dedicated staff is committed to community benefit efforts. The St. Mary's Foundation is a non-profit organization that provides grant writing and fundraising for both medical center programs and for community benefit programs that reach both the poor and the broader community. Operations of the Foundation are governed by a separate Foundation board with voluntary memberships from the local community. When St. Mary's has excess revenue over operating expenses, we use those funds to obtain current health care technologies and equipment, improve patient care, provide medical training education and research, and to expand access to points of care. These investments ensure that we will be here to care for future generations. St. Mary's Medical Center is a not-for-profit health care facility wholly sponsored by Pallottine Health Services, Inc. (PHS). Pallottine Health Services is a ministry of the Pallottine Missionary Sisters and includes both St. Joseph Hospital of Buckhannon, West Virginia and St. Mary's Medical Center of Huntington, West Virginia. Both of these hospitals are committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust. WV HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVE SUITE 400 HUNTINGTON WV 25701 550714570 501(c)(3) 18750 JOB CREATION HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 550372921 501(c)(3) 10400 ART MUSEUM HOSPICE OF HUNTINGTON PO BOX 464 SUITE 101 HUNTINGTON WV 25709 311040619 501(c)(3) 11500 END OF LIFE CARE EBENEZER COMMUNITY OUTREACH 1448 TENTH AVENUE HUNTINGTON WV 25701 550745033 501(c)(3) 50000 COMMUNITY PHARMACY APPALACHIAN TRANSPORTATION INSTITUTE 401 11TH STREET HUNTINGTON WV 25701 550683361 501(c)(3) 10000 TRANSPORTATION SAFETY 8 FUNDING REQUESTS WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. TO ENSURE PROPER USE OF THE FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. true true false false false false false false false MICHAEL SELLARDS 0 484000 0 213200 0 428655 0 133988 0 18339 0 1278182 0 0 TODD A CAMPBELL 322714 0 52766 0 0 0 0 0 37012 0 412492 0 0 0 SUSAN BETH Robinson 186883 0 23200 0 0 0 0 0 29205 0 239288 0 0 0 VERA ROSE MD 250642 0 0 0 0 0 0 0 31119 0 281761 0 0 0 SHELIA KYLE 117200 0 9424 0 0 0 0 0 25266 0 151890 0 0 0 Mary Ann Brown 158337 0 8059 0 0 0 0 0 27413 0 193809 0 0 0 TIM PARNELL 177021 0 19503 0 0 0 0 0 28565 0 225089 0 0 0 Libby Bosley 161633 0 17702 0 0 0 0 0 27754 0 207089 0 0 0 Tyson Smith 285604 0 36909 0 0 0 0 0 34512 0 357025 0 0 0 Rita Barker 140195 0 8023 0 0 0 0 0 26285 0 174503 0 0 0 Robert Hay 139494 0 0 0 0 0 0 0 25873 0 165367 0 0 0 Charles Wilson 123529 0 7797 0 0 0 0 0 25488 0 156814 0 0 0 Jeffrey Hamrick 128105 0 0 0 0 0 0 0 25336 0 153441 0 0 0 Brian Jackson 125158 0 0 0 0 0 0 0 25196 0 150354 0 0 0 Schedule J, Supplemental Information SEVERANCE PAYMENTS, PART I, LINE 4A DAVID CREECH, A FORMER OFFICER AND KEY EMPLOYEE, RECEIVED SEVERANCE PAYMENTS DURING THE YEAR IN THE AMOUNT OF $552,889. TONY ATKINS, ALSO A FORMER OFFICER AND KEY EMPLOYEE, RECEIVED NON-COMPETE PAYMENTS DURING THE FISCAL YEAR IN THE AMOUNT OF $123,727. EXECUTIVE DEFERRED RETIREMENT PLAN, PART I, LINE 4B DURING THE YEAR, THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN THE EXECUTIVE DEFERRED RETIREMENT PLAN: MICHAEL G. SELLARDS, SISTER CELESTE LYNCH, SAC AND TODD A. CAMPBELL. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II COLUMNS (B)(III) AND (C). DURING 2010 FISCAL YEAR, THE FOLLOWING OFFICERS OF THE ORGANIZATION RECEIVED PAYMENTS UNDER A SUPPLEMENTAL NON-QUALIFIED RETIREMENT: MICHAEL G. SELLARDS $ 92,800 TODD A. CAMPBELL $ 39,574 Schedule J and Part VII St Mary's Medical Center relies upon Pallottine Health Services, Inc. ("PHS") to determine compensation for its CEO. PHS uses the following procedures to determine the compensation: Compensation committee Independent compensation consultant Written employment contract Approval by the board or compensation committee. Mountain State Cabling See Schedule O 134420 See Sch O false FORM 990, SUPPLEMENTAL INFORMATION PROGRAM SERVICE ACCOMPLISHMENTS, PART III ST. MARY'S MEDICAL CENTER WAS ESTABLISHED IN 1924 AND, BASED ON THE CORE VALUES OF COMPASSION, HOSPITALITY, REVERENCE, TRUST, INTERDEPENDENCY, AND STEWARDSHIP, CONTINUES TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. SERVICES ARE PROVIDED WITHOUT REGARD TO THE PATIENT'S RACE, CREED, SEX, NATIONAL ORIGIN, AGE, OR HANDICAP. FURTHERMORE, WHILE REIMBURSEMENT FOR CARE PROVIDED IS CRUCIAL TO THE CONTINUED OPERATION OF ST. MARY'S MEDICAL CENTER, IT IS RECOGNIZED THAT CIRCUMSTANCES EXIST WHICH RENDER CERTAIN PARTIES UNABLE TO PAY FOR NEEDED SERVICES, AND NO PATIENT IS DENIED SERVICES DUE TO THE LACK OF ABILITY TO PAY. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2010, ST. MARY'S MEDICAL CENTER PROVIDED 91,350 DAYS OF INPATIENT CARE TO 15,686 PATIENTS AND TREATED AN ADDITIONAL 274,703 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY SEVENTY-ONE PERCENT OF THE INPATIENTS SERVED WERE COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID. A SIMILAR PERCENTAGE IS APPLICABLE TO OUTPATIENT SERVICES. SINCE CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES IS SUBJECT TO CONTRACTUAL REIMBURSEMENT RESTRICTIONS, PAYMENT RECEIVED FOR SERVICES PROVIDED IS OFTEN SIGNIFICANTLY BELOW THE ACTUAL COST OF THE SERVICES. ST. MARY'S MEDICAL CENTER HAS ESTABLISHED CHARITY CARE POLICIES AND GUIDELINES, USED TO HELP IDENTIFY THOSE PATIENTS WHO GENUINELY DO NOT HAVE THE RESOURCES TO PAY FOR SERVICES RECEIVED. DURING FISCAL 2010, THE HOSPITAL PROVIDED APPROXIMATELY $13.6 MILLION DOLLARS IN CHARITY CARE SERVICES, REPRESENTING CARE PROVIDED AT REDUCED PRICES OR COMPLETELY FREE OF CHARGE. THESE SERVICES INCLUDE INPATIENT SERVICES, AN ADULT OUTPATIENT CLINIC, A HANDICAPPED CHILDREN'S CLINIC, AND A SPECIALTY PREGNANCY CLINIC. ALSO, ST. MARY'S MEDICAL CENTER EXCEEDS THE GUIDELINES ESTABLISHED FOR THE WEST VIRGINIA AD VALOREM STATUTE. IN ADDITION TO THOSE PATIENTS WITHOUT THE WHEREWITHAL TO PAY FOR SERVICES RENDERED, WE ASSIST IN THE RELIEF OF BURDEN OF GOVERNMENT FOR SEVERAL PROGRAMS. A strong Auxiliary (operated as a department of the Hospital) exists, which contributes heavily to the acitvities of SMMC. DURING FISCAL 2010, THE AUXILIARY MADE CASH DONATIONS OF APPROXIMATELY $200,000. IN ADDITION, VOLUNTEERS PROVIDED OVER 37,000 HOURS OF SERVICE VALUABLE TO PROMOTING THE MISSION AND ACTIVITIES OF THE HOSPITAL. ST. MARY'S MEDICAL CENTER ALSO RECOGNIZES THAT CARRYING OUT ITS MISSION OF COMMUNITY SERVICE IS NOT CONFINED TO THE WALLS OF THE HOSPITAL'S BUILDINGS AND THAT THERE ARE RESIDENTS IN NEED OF SERVICES WHO MAY NEVER BE A REGISTERED PATIENT OF THE HOSPITAL. IN MEETING THE NEEDS OF THESE INDIVIDUALS AND GROUPS, ST. MARY'S MEDICAL CENTER PROVIDES OR PARTICIPATES IN NUMEROUS EDUCATIONAL ACTIVITIES, SUPPORT GROUPS AND HEALTH SCREENINGS AND PROVIDES HUMAN RESOURCES, AS APPROPRIATE, TO SUPPORT OTHER CHARITABLE ORGANIZATIONS. A SUMMARY OF THESE COMMUNITY SERVICES AS PREPARED BY THE HOSPITAL'S MISSION INTEGRATION DEPARTMENT FOR THE CATHOLIC HEALTH ASSOCIATION IS ATTACHED. ORGANIZATION'S MEMBER & MEMBER'S RIGHTS, PART VI, LINES 6, 7A & 7B PART VI, QUESTION 6 - THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER WEST VIRGINIA STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS PALLOTTINE HEALTH SERVICES, A RELATED NOT-FOR-PROFIT ORGANIZATION. PART VI, QUESTION 7A - IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), ON AN ANNUAL BASIS, THE ORGANIZATION'S CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE ST. MARY'S MEDICAL CENTER BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVE AND ELECT THESE CANDIDATES TO SERVE AS THE ORGANIZATIONS BOARD OF DIRECTORS. PART VI, QUESTION 7B - PALLOTTINE HEALTH SERVICES, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. REVIEW PROCESS FOR FORM 990, PART VI, LINE 11A THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, REPRESENTATIVES OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990. A COMPLETE COPY OF THE SAME WAS PROVIDED TO THE ST MARY'S MEDICAL CENTER FULL BOARD AT THEIR BOARD MEETING ON AUGUST 16, 2011. CONFLICT OF INTEREST POLICY, PART VI, LINE 12C UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. IN THE EVENT THAT ANY BOARD MEMBER IS DEEMED TO LACK INDEPENDENCE OR A CONFLICT OF INTEREST EXISTS, HE/SHE IS REQUIRED TO LEAVE THE ROOM AND CANNOT BE PART OF THE DISCUSSION OR VOTE. COMPENSATION APPROVAL PROCESS, PART VI, LINES 15A & 15B ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE PALLOTTINE HEALTH SERVICES, INC. BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE HUNTINGTON, WEST VIRGINIA COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS, AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED. EVALUATION PROCESS FOR JOINT VENTURE, FORM 990, PART VI, LINE 16B THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS FOR ANALYZING ANY SUCH ARRANGEMENTS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501(C)(3) CHARITABLE ORGANIZATION - HOSPITAL 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS TO ENSURE THAT, IF THE JOINT VENTURE IS PURSUED, THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAW AND TO SAFEGUARD THE ORGANIZATIONS TAX-EXEMPT STATUS. A FORMAL WRITTEN POLICY AND PROCEDURE HAS BEEN APPROVED. FORM 990, SUPPLEMENTAL INFORMATION ACCESS TO ORGANIZATIONAL DOCUMENTS, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 2900 FIRST AVENUE, HUNTINGTON, WV 25702. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. HOURS DEVOTED TO RELATED ORGANIZATIONS, PART VII THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J-2, PART I, COLUMN A, DEVOTED THE FOLLOWING HOURS TO RELATED ORGANIZATIONS: MICHAEL SELLARDS - 6 HOURS (PHS, SJH AND SMF) SR. CELESTE LYNCH - 38 HOURS (PHS AND SMF) SR. DIANE BUSHEE - 6 HOURS (PHS, SJH AND SMF) SR. MARIAN RUTH CREAMER - 2 HOURS (PHS) RELATIONSHIP OF ACTIVITIES, PART VIII ST. MARY'S MEDICAL CENTER PROVIDES HIGH QUALITY HEALTHCARE SERVICES TO RESIDENTS OF HUNTINGTON, WEST VIRGINIA AND THE SURROUNDING AREA. DURING THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2010, ST. MARY'S MEDICAL CENTER PROVIDED 91,350 DAYS OF INPATIENT CARE TO 15,686 PATIENTS AND TREATED APPROXIMATELY 274,703 PATIENTS IN THE EMERGENCY OR OUTPATIENT SETTINGS. PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ADJUSTMENTS, ASSOCIATED WITH THIS PATIENT CARE EQUALED $345,773,557. THE HOSPITAL RECOGNIZES AN OBLIGATION TO PROVIDE AN EDUCATIONAL OPPORTUNITY FOR PERSONS INTERESTED IN PURSUING A CAREER IN NURSING AND ALLIED HEALTH PROFESSIONS. TUITION REVENUE OF $1,194,918 WAS RECOGNIZED FROM THE SCHOOL OF NURSING AND SCHOOL OF RADIOLOGY. ADDITIONAL COSTS OF PROGRAMS WERE SUBSIDIZED BY THE HOSPITAL. THROUGH PROMPT PAYMENT FOR SUPPLIES PURCHASED AND USED IN THE PROVISION OF PATIENT SERVICES, THE HOSPITAL RECOGNIZED INCOME OF $1,041,501 IN PURCHASE DISCOUNTS. THE MEDICAL RECORDS DEPARTMENT OF ST. MARY'S MEDICAL CENTER HAS NUMEROUS REQUESTS FROM OTHER HEALTHCARE PROVIDERS AND LAWYERS FOR COPIES OF MEDICAL RECORDS. DURING FISCAL 2010, $20,577 WAS RECEIVED BY THE HOSPITAL AS PAYMENT FOR COPIES OF PATIENT MEDICAL INFORMATION. ST. MARY'S MEDICAL CENTER BELIEVES THAT, IN MEETING THE COMMUNITY'S HEALTH NEEDS, NEW ADVANCES IN TECHNOLOGY MUST BE INCORPORATED INTO THE RESOURCES AVAILABLE IN THE RENDERING OF PATIENT CARE. NEW TECHNOLOGY IS OFTEN QUITE EXPENSIVE AND THERE MAY BE LIMITED POTENTIAL CANDIDATES FOR TREATMENT. RECOGNIZING THAT RESPONSIBLE UTILIZATION OF FINANCIAL RESOURCES IS ALSO A COMMUNITY SERVICE, ST. MARY'S MEDICAL CENTER ENTERED A JOINT VENTURE WITH ANOTHER LOCAL NOT-FOR-PROFIT HOSPITAL FOR THE ACQUISITION AND OPERATION OF MAGNETIC RESONANCE IMAGING TECHNOLOGY (MRI). LOSS FROM THIS UNCONSOLIDATED AFFILIATE WAS ($184,368) FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010. AS PART OF THE HOSPITAL'S EMPLOYEE BENEFIT PROGRAM, ST. MARY'S EMPLOYEES ARE ABLE TO PURCHASE PRESCRIPTION DRUGS THROUGH THE HOSPITAL PHARMACY AT COST PLUS A MINOR DISPENSING FEE. PROGRAM REVENUE, INCLUDED ON LINE 2A, FROM THIS ACTIVITY EQUALS $672,693. THROUGH THE HOSPITAL'S COMMUNITY WELLNESS PROGRAMS AND CORPORATE EAP PROGRAM, HEALTH SCREENINGS AND MINOR COUNSELING IS PROVIDED. PROGRAM REVENUE RELATED TO THESE ACTIVITIES, FOR THE YEAR ENDED SEPTEMBER 30, 2010, WAS $46,867. THE HOSPITAL RECEIVES $16,800 PER YEAR FOR RENT FROM ITS PARENT CORPORATION, PALLOTTINE HEALTH SERVICES. FIN 48 FOOTNOTE, SCHEDULE D, PART X THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT REPORT ANY LIABILITY NOR HAVE ANY FOOTNOTE REPORTING THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE K The tax exempt bonds are reported on the Form 990s of St. Josephs's Hospital of Buckhannon, Inc. and St. Mary's Medical Center. Since the bond proceeds are issued on behalf of Pallottine Health Services, Inc., Schedule K has been reported on Pallottine Health Service Inc. Form 990. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS, SCHEDULE L, PART IV MARY ANN BROWN, FORMER CFO AND VICE-PRESIDENT OF FINANCE, IS THE 51% OWNER AND SECRETARY/TREASURER OF MOUNTAIN STATE CABLING SYSTEMS. ST. MARY'S MEDICAL CENTER PAID IN THE NORMAL COURSE OF BUSINESS $134,420 FOR CABLING SERVICES TO THIS COMPANY. St Mary's Medical Management LLC 2900 First Avenue Huntington WV 25702 208017790 Medical Pract WV 13050108 6508848 na Pallottine Health Services 2900 First Avenue Huntington WV 25702 550688201 ParentO-Sight WV 501(c)(3) 11A na Pallottine Missionary Sisters 2900 First Avenue Humtington WV 25702 431783315 Church MO 501(c)(3) 1 na St Mary's Medical Center Foundation 2900 First Avenue Huntington WV 25702 141887211 Foundation WV 501(c)(3) 11B na St Joseph's Hospital of Buckhannon One Amalia Drive Buckhannon WV 26201 550356996 Hospital WV 501(c)(3) 3 na St Joseph's Foundation of Buckhannon One Amalia Drive Buckhannon WV 26201 550727650 Foundation WV 501(c)(3) 11b na St Mary's Occupational Health Centr LLC 2900 First Avenue Huntington WV 25702 542136110 Medical Servi WV na Related -77273 139112 false 0 true Tri State Cyberknife 2900 First Avenue Huntington WV 25702 205744723 Medical Servi WV na Related 522606 0 false 0 true Tri State MRI PO Box 3108 Huntington WV 25702 550669726 Medical Servi WV na Related -335531 1195126 false 0 true Claire Frances Health Services PLLC 200 Mall Road Suite 3 Ashland KY 41101 311517507 Medical Servi WV na Related 100425 801636 false 0 true Huntington Area MRS Services LLC 2900 First Avenue Huntington WV 25702 261877332 Medical Servi WV na Related 350090 1389499 false 0 true Vanguard Financial Services 2900 First Avenue Huntington WV 25702 450496141 Collection Ag WV na C Corp 34775 240431 1.00000 true false true true false false false false true false false true false true true false false true St Mary's Medical Center Foundation c 546261 St Mary's Medical Management n 884328 Tri-State Cyberknife i 0 Tri-State Cyberknife n 0 St Mary's Medical Center Foundation D 0 St Mary's Medical Center Foundation n 182679 Vanguard Financial Services a(i) 887 St Mary's Occupational Health Center a(i) 4928 Claire Francis Health Services PLLC R 225000 Huntington Area MRI Services LLC d 157698