2023-08-15T14:55:29-05:00 2022-09-30 SUTTLE & STALNAKER PLLC 501 5TH AVENUE HUNTINGTON WV 25701 990 2021-10-01 550357050 ST MARY'S MEDICAL CENTER INC % ANGELA COBURN CPA STMA 3045268931 2900 FIRST AVENUE HUNTINGTON WV 257021271 Angela Swearingen Chief Operating Off 3045261580 2023-08-11 true Angela Swearingen 999009999 WADE S C NEWELL CPA P01051041 3045250301 2 2021 2023-04-26 12:10:37Z ANGELA SWEARINGEN 2900 FIRST AVENUE HUNTINGTON WV 257021271 602975889 false X www.st-marys.org X 1924 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 9 8 4011 106 0 977493 5139402 552927873 582545638 9861376 3401871 9095193 9777601 572861935 600864512 369878 326376 0 0 276264500 295358366 0 0 0 301750637 323582595 578385015 619267337 -5523080 -18402825 537045490 475813009 402400108 354654187 134645382 121158822 X 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 483410032 580359440 St. Mary's Medical Center was established in 1924 and, based on the core values of compassion, hospitality, reverence, trust, interdependence, 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, 2022, St. Mary's Medical Center provided 106,099 days of inpatient days of care and treated an additional 374,746 patients in the emergency and outpatient settings. Approximately 78% 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 the fiscal year ended September 30, 2022, the hospital provided approximately $3.8 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. 2017541 521391 2186198 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 activities of SMMC. During the fiscal year ended September 30, 2022, the auxiliary contributed approximately $350,000 to St. Mary's Foundation and SMMC awarded grants to various organizations in the amount of $171,391. In addition, volunteers provided over 13,199 hours of service valuable to promoting the mission and activities of the hospital. . 0 ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2022 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. SOME OF THESE ARE AS FOLLOWS: COVID-19 RESOURCES: SMMC PROVIDED A NUMBER OF RESOURCES TO HELP THE COMMUNITY DURING THE COVID-19 PANDEMIC. EDUCATIONAL RESOURCES WERE PROVIDED IN A NUMBER OF WAYS, INCLUDING THROUGH THE WEBSITE, SOCIAL MEDIA, LOCAL MEDIA OUTLETS AND PARTICIPATION IN COMMUNITY PRESENTATIONS. SMMC SPIRITUAL CARE & MISSION, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND FAITHHEALTH APPALACHIA PRESENTED THE "BECOMING THE HEALING AGENTS OF SOCIAL ISOLATION" WEBINAR ON AUGUST 30, 2022. HIMG, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, PROVIDED FREE COVID-19 VACCINES TO THE COMMUNITY. THROUGH MARCH 31, 2023, THE VACCINE CLINIC HAS PROVIDED 4,524 VACCINATIONS. SMMC ALSO PARTNERED WITH CABELL HUNTINGTON HOSPITAL AND THE CABELL-HUNTINGTON HEALTH DEPARTMENT TO ASSIST WITH THE COVID-19 VACCINE CENTER IN BARBOURSVILLE, WEST VIRGINIA. SMMC PROVIDED VOLUNTEERS AND MARKETING OF THE SITE, WHICH PROVIDED 56,355 VACCINES, UNTIL ITS CLOSURE IN MARCH 2022. COMMUNITY FLU SHOT CLINICS: SMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC SATURDAY, OCT. 16 IN HUNTINGTON AND IN HURRICANE. 500 TOTAL VACCINES WERE GIVEN IN HUNTINGTON AND HURRICANE. FREE WOMEN'S HEALTH SCREENINGS: ST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING, WHICH INCLUDED A BREAST EXAM AND A COUPON FOR A DISCOUNTED MAMMOGRAM AND A FREE CERVICAL CANCER SCREENING, WHICH INCLUDED A PAP TEST. NINE WOMEN PARTICIPATED IN THE OCTOBER BREAST SCREENING, WHILE 10 WOMEN PARTICIPATED IN THE APRIL CERVICAL CANCER SCREENING. COMMUNITY WELLNESS BLOOD PROFILES: SMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF MARCH, APRIL AND SEPTEMBER 2022. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 1,155 PROFILES. SUPPORT GROUPS: SMMC OFFERS FOUR FREE SUPPORT GROUPS TO THE COMMUNITY EACH MONTH: . BREAST CANCER . CANCER SUPPORT GROUP . HEART TO HEART (FOR HEART SURGERY PATIENTS) . WEIGHT LOSS SURGERY SMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. AMERICAN RED CROSS BLOOD DRIVES: TO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED COMMUNITY BLOOD DRIVES AT THE MEDICAL CENTER THROUGHOUT THE YEAR. AMERICAN HEART ASSOCIATION HUNTINGTON HEART WALK VIRTUAL EXPERIENCE: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2022 HUNTINGTON HEART WALK, APRIL 23. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS. HUNTINGTON'S KITCHEN: HUNTINGTON'S KITCHEN, A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL, IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. FACING HUNGER FOODBANK: SMMC TEAMED UP WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO CLINIC PATIENTS THROUGHOUT THE YEAR. THE CLINIC PROVIDES FREE HEALTH CARE TO MEMBERS OF THE COMMUNITY WHO MEET FEDERAL POVERTY GUIDELINES. HIMG FACEBOOK LIVE: HIMG'S FACEBOOK PAGE HOSTED MONTHLY FACEBOOK LIVE EVENTS FOCUSING ON A NUMBER OF HEALTH TOPICS OF IMPORTANCE TO THE COMMUNITY. TOPICS INCLUDED: HEART HEALTH, LUNG CANCER AND BREAST CANCER. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT): PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. COMPASS PROGRAM: THE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTER: THE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 369 PEOPLE IN FY 2022. SMOKING CESSATION COUNSELING: SMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,469 PEOPLE RECEIVED COUNSELING IN FY 2022. VOLUNTEER SERVICE ON COMMUNITY BOARDS: SMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON A NUMBER OF NON-PROFIT BOARDS INCLUDING: HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER. COMMUNITY GIVING: SMMC EMPLOYEES PARTICIPATED IN A NUMBER OF COMMUNITY GIVING OPPORTUNITIES THROUGHOUT THE YEAR, INCLUDING PROVIDING FOOD AND WINTER ACCESSORIES FOR THE RIVERVIEW EAST HIGH-RISE IN GUYANDOTTE, WEST VIRGINIA. THE MEN AND WOMEN AT THE HIGH-RISE LIVE ON LIMITED INCOMES AND HAVE NO FOOD SERVICE IN THEIR BUILDING. COMMUNITY HEALTH SCREENINGS: . SKIN CANCER SCREENING-SMMC OFFERED A FREE SKIN CANCER SCREENING IN APRIL 2022. 44 PEOPLE WERE SCREENED. . SMMC MEDICAL CAMPUS IRONTON ANNIVERSARY-SMMC'S IRONTON CAMPUS CELEBRATED ITS 10TH ANNIVERSARY WITH A COMMUNITY EVENT, IN CONJUNCTION WITH THE IRONTON-LAWRENCE COUNTY COMMUNITY ACTION ORGANIZATION, WHICH FEATURED THE DISTRIBUTION OF HEALTH INFORMATION, IN ADDITION TO FUN ACTIVITIES. . SMMC PARTNERED WITH CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH, APPALACHIAN REGIONAL HEALTHCARE AND WORLD CENTRAL KITCHEN TO PROVIDE A FREE MOBILE HEALTH CLINIC, SUPPLIES AND MEALS TO THE PEOPLE OF KNOTT COUNTY, KENTUCKY, WHO WERE AFFECTED BY FLOODING. 485427573 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 73 0 4011 true false false false false false false false false false false false false X 9 8 false true false false true true true true true false false true true true true true true true true true true X X ANGELA COBURN CPA 3045261580 2900 FIRST AVENUE HUNTINGTON WV 25702 MATTHEW WERTHAMMER MD PHYSICIAN 45.0 0.0 X 1878522 0 42625 DWIGHT SAULLE MD PHYSICIAN 45.0 0.0 X 1748189 0 42338 NEPAL CHOWDHURY MD PHYSICIAN 45.0 0.0 X 1622743 0 42062 MICHAEL MULLINS FORMER PRESIDENT & CEO MHN 0.0 45.0 X 0 877966 431479 BENJAMIN MOOSAVI MD PHYSICIAN 45.0 0.0 X 1209532 0 40396 AVINDER BIR MD PHYSICIAN 45.0 0.0 X 1094276 0 40899 TODD CAMPBELL FORMER PRESIDENT/CEO 45.0 0.0 X 693343 0 115906 ANGELA D SWEARINGEN COO 45.0 0.0 X 554310 0 108790 KEVIN YINGLING PRESIDENT AND CEO MHN 0.0 0.0 X 0 371558 0 VERA ROSE MD VICE PRESIDENT 45.0 0.0 X 342300 0 19220 SUSAN BETH ROBINSON VICE PRESIDENT 45.0 0.0 X 315180 0 39185 MARK MORGAN VICE PRESIDENT 45.0 0.0 X 307423 0 39168 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 45.0 0.0 X 275623 0 28148 REGINA CAMPBELL VICE PRESIDENT 45.0 0.0 X 266647 0 27859 DAVID SHEILS VICE PRESIDENT 45.0 0.0 X 205343 0 26533 AARON BLEVINS VICE-PRESIDENT 45.0 0.0 X 194642 0 36059 ROBERT KACZMARCZYK VICE-PRESIDENT 45.0 0.0 X 149580 0 34608 JOSEPH TRADER VICE PRESIDENT 45.0 0.0 X 142326 0 24504 SISTER MARY GRACE BARILE SECRETARY/DIRECTOR 2.0 0.0 X X 112984 0 13405 DAVID FOX PRESIDENT/DIRECTOR 2.0 0.0 X X 0 0 0 FLOYD HARLOW TREASURER/DIRECTOR 2.0 0.0 X X 0 0 0 CAROLYN BAGBY DIRECTOR 1.0 0.0 X 0 0 0 TIM MILNE DIRECTOR 0.0 0.0 X 0 0 0 JEFF LEABERRY MD VICE PRESIDENT/DIRECTOR 2.0 0.0 X X 0 0 0 VICKIE SMITH DIRECTOR 1.0 0.0 X 0 0 0 MATT MILLER DIRECTOR 1.0 0.0 X 0 0 0 DEV RELLAN MD DIRECTOR 1.0 0.0 X 0 0 0 11112963 1249524 1153184 350 true true false UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE SUITE B5 HUNTINGTON WV 25701 MEDICAL 5969210 NORTHSTAR ANESTHESIA RIVER CITIES PO BOX 515 BARBOURSVILLE WV 25504 MEDICAL 4427577 CERNER HEALTH SERVICES INC PO BOX 959168 ST LOUIS MO 63195 INFO TECHNOLOGY 3724879 QUALIVIS PO BOX 123847 DEPT 3847 DALLAS TX 75312 MEDICAL 7259809 FRESENIUS MEDICAL CARE 16343 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL 2433266 72 54304 5085098 4653 5139402 PATIENT SERVICE REVENUE 621400 562052267 562052267 SCHOOL OF NURSING 611600 2513248 2513248 PURCHASE REBATES 900099 2257903 2257903 PHARMACY REVENUE 446110 15563287 15563287 OTHER PROGRAM SERVICE REVENUE 900099 158933 158933 582545638 -2095425 -2095425 0 0 1236300 246485 989815 0 989815 989815 5496996 300 5496996 300 5497296 5497296 0 0 0 0 0 0 2186198 1864892 321306 CAFETERIA SALES 722100 2519056 2519056 OTHER AFFILIATED ENTITIES 900099 -9003653 -9003653 ALL OTHER REVENUE 900099 14951077 14951077 8466480 600864512 592001933 0 3401871 326376 326376 0 0 0 4324811 2940871 1383940 0 209037524 142145516 66892008 118981 80907 38074 67365128 45808287 21556841 14511922 9868107 4643815 792240 792240 1280359 1280359 399091 399091 0 0 0 73279704 60382476 12897228 338443 230141 108302 14959969 10172779 4787190 5398971 3671300 1727671 0 11150038 7582026 3568012 162741 110664 52077 0 0 3410553 2319176 1091377 0 16072235 10929120 5143115 6251711 4251163 2000548 MEDICAL SUPPLIES 137151375 137151375 BAD DEBTS 22024063 22024063 REPAIRS & MAINTENANCE 14770177 10043720 4726457 PROVIDER TAX 13792742 13792742 2348183 1596764 751419 619267337 485427573 133839764 0 4176889 2749135 16247305 15468978 0 0 123735390 112180224 0 0 0 0 0 0 13602566 14031618 2529799 1381406 262330962 65417230 194443501 196913732 112142519 57805321 0 0 7835585 8265494 2705592 2705592 59626344 64311509 537045490 475813009 112155131 141497974 0 0 51368616 7926277 0 0 0 0 0 0 0 0 0 0 238876361 205229936 402400108 354654187 X 134315162 119285071 330220 1873751 134645382 121158822 537045490 475813009 X -18402825 -18713686 23629951 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 45372 45372 false Part IIB, Line 1, Lobbying Activities: PART II-B, LINE 1, LOBBYING ACTIVITIES: The Hospital is a member of the West Virginia Hospital Association (WVHA), The Catholic Health Association of the United States (CHA), and the American Hospital Association (AHA), which engage in lobbying on behalf of its members. A portion of the dues paid to WVHA, CHA, and AHA have been allocated to lobbying activities which totaled $45,372. Specific information regarding the advocacy agendas of the associations can be viewed on their websites, WVHA.org, CHAUSA.org, and AHA.org. 9826586 9826586 165047993 28075639 136972354 79375297 36942539 42432758 8081086 399052 7682034 196913732 RIGHT-OF-USE ASSETS 39528620 OTHER RECEIVABLES 10813893 ESTIMATED THIRD-PARTY SETTLEME 7615553 OTHER ASSETS 6353443 64311509 0 ACCRUED PENSION COSTS 65016102 DEFERRED SALARIES AND WAGES 4029277 GENERAL RESERVES 12117000 DUE TO AFFILIATE HOSPITAL 79427739 LEASE OBLIGATIONS 44639818 205229936 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2022 AND 2021. true true X true X true X true true false false 6247 1078058 1078058 0.00180 30320 99170860 89125613 10045247 0.01680 36567 100248918 89125613 11123305 0.01860 4 11121200 3617579 7503621 0.01260 2 479 258859 258859 0.00040 6 479 11380059 3617579 7762480 0.01300 6 37046 111628977 92743192 18885785 0.03160 false 6259217 1251843 96494287 99871650 -3377363 X true true THREE GABLES SURGERY OUTPATIENT HEALTH CARE 0.5234 0.4756 1 1 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 X X X X X URGENT CARE ST MARY'S MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true false true X See Part VI Supplemental Information X true 22 true See Part VI Supplemental Information false true X 100 200. X X X X X true true X X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X true X false X X X X true X false false PART V Part V, Section A: This facility includes a school of nursing, school of respiratory therapy, a school of medical imaging and a clinical pastoral education program. Interns and residents from Marshall University School of Medicine are also assigned at the hospital for their clinical rotations as are students in community based Practical nursing programs. St. Mary's Medical Center (SMMC): Part V, Section B, Line 5: In conducting the Community Health Needs Assessment for SMMC, the medical center took into account input from representatives of the community served by the medical center, including those with special knowledge of or expertise in public health. The CHNA was done in collaboration with Cabell Huntington Hospital and the local health department of the service areas identified. A third party specialist, the Center for Entrepreneurial Studies and Development, Inc. located in Morgantown, WV was engaged to assist in the planning and development process. SMMC established a core planning team consisting of representative members of the medical center management: Director of Provider Relations, VP of Mission Integration, Sr. VP & COO, VP of Support Services, Planning & Development, and the VP of Finance & CFO. Part V, Section B, Line 6a: The hospital facility's CHNA was conducted with Cabell Huntington Hospital, Inc. St. Mary's Medical Center: Part V, Section B, Line 11: The SMMC action plan focused upon three overarching goals: building a network of collaboration, enhancing education and awareness activities, and tailoring interventions for specific demographic groups with an emphasis on senior awareness. Each priority was evaluated to determine if SMMC currently was addressing that need, able to adapt current programs or develop new programs to meet the need, provide an agency that is currently addressing the needed financial support, or if there were insufficient resources (financial or personal), to address the need without collaboration with other agencies. Priorities that were deemed to be outside the scope of SMMC and addressed by other resources in the community were not included in the action plan. St. Mary's Medical Center Part V, line 16a, FAP website: https://www.st-marys.org/patients-and-visitors/financial-assistance-policy / St. Mary's Medical Center Part V, line 16b, FAP Application website: https://www.st-marys.org/assets/SMMC/Documents/FAP/Financial-Assistance-Ap plication.pdf ST. Mary's Medical Center Part V, line 16c, FAP Plain Language Summary Website: https://www.st-marys.org/assets/SMMC/Documents/FAP/Appendix-B-Plain-Langua ge-Summary-Financial-Assistance-Policy.pdf 8 ST MARY'S FAMILY CARE 147 WILLOW TREE WAY HURRICANE WV 25526 OUTPATIENT CLINIC HIMG Ear Nose and Throat 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC St Marys Family Care 1408 Campbell Drive Ironton OH 45638 OUTPATIENT CLINIC HIMG-Audiology 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC Ultimate Plastics and Reconstructive 5170 US Route 60 East Huntington WV 25705 OUTPATIENT CLINIC St Marys HIMG LLC 1290 Montgomery Ave Suite 1 Ashland KY 41101 OUTPATIENT CLINIC St Marys Medical Management 38 Hospital Drive Suite G-B Logan WV 25601 OUTPATIENT CLINIC St Marys Medical Management 414 Greenway Ave Suite 100 South Charleston WV 25309 OUTPATIENT CLINIC SCHEDULE H PART VI PART I, LINE 3C: ELIGIBILITY IS DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES FOR FINANCIAL INDIGENCE, A RATIO OF TOTAL MEDICAL EXPENSES TO ANNUAL DISPOSABLE INCOME FOR MEDICAL INDIGENCE. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES. FINANCIALLY INDIGENT: UNCOMPENSATED CARE SHALL INCLUDE UNREIMBURSED SERVICES TO THE FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SHALL MEAN UNINSURED OR UNDERINSURED PATIENTS ACCEPTED FOR CARE WITH NO OBLIGATION OR A DISCOUNTED OBLIGATION TO PAY FOR SERVICES RENDERED BASED ON THE MEDICAL CENTER'S ELIGIBILITY SYSTEM WHICH MAY INCLUDE: (A) INCOME LEVELS AND MEANS TESTING OR OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY; OR B) OTHER CRITERIA FOR DETERMINING A PATIENT'S INABILITY TO PAY THAT ARE CONSISTENT WITH THE MEDICAL CENTER'S MISSION AND ESTABLISHED POLICY. THE FEDERAL POVERTY LEVEL SHALL SERVE AS AN INDEX FOR THE THRESHOLD BELOW WHICH PATIENTS RECEIVING CARE AT ST. MARY'S MEDICAL CENTER ARE DEEMED FINANCIALLY INDIGENT. FINANCIALLY INDIGENT SERVICES INCLUDE NONCOVERED SERVICES FOR PATIENTS ELIGIBLE FOR THE MEDICAID PROGRAM, SERVICES 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. PART I, LINE 7: THE COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE COMMUNITY BENEFIT EXPENSES FOR FINANCIAL ASSISTANCE AT COST AND MEDICAID. THE AMOUNT OF CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY GROUPS WAS OBTAINED FROM THE HOSPITAL'S ACCOUNTING RECORDS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $22,024,063. PART II, COMMUNITY BUILDING ACTIVITIES: ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2022 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. SOME OF THESE ARE AS FOLLOWS: COVID-19 RESOURCES: SMMC PROVIDED A NUMBER OF RESOURCES TO HELP THE COMMUNITY DURING THE COVID-19 PANDEMIC. EDUCATIONAL RESOURCES WERE PROVIDED IN A NUMBER OF WAYS, INCLUDING THROUGH THE WEBSITE, SOCIAL MEDIA, LOCAL MEDIA OUTLETS AND PARTICIPATION IN COMMUNITY PRESENTATIONS. SMMC SPIRITUAL CARE & MISSION, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND FAITHHEALTH APPALACHIA PRESENTED THE "BECOMING THE HEALING AGENTS OF SOCIAL ISOLATION" WEBINAR ON AUGUST 30, 2022. HIMG, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, PROVIDED FREE COVID-19 VACCINES TO THE COMMUNITY. THROUGH MARCH 31, 2023, THE VACCINE CLINIC HAS PROVIDED 4,524 VACCINATIONS. SMMC ALSO PARTNERED WITH CABELL HUNTINGTON HOSPITAL AND THE CABELL-HUNTINGTON HEALTH DEPARTMENT TO ASSIST WITH THE COVID-19 VACCINE CENTER IN BARBOURSVILLE, WEST VIRGINIA. SMMC PROVIDED VOLUNTEERS AND MARKETING OF THE SITE, WHICH PROVIDED 56,355 VACCINES, UNTIL ITS CLOSURE IN MARCH 2022. COMMUNITY FLU SHOT CLINICS: SMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC SATURDAY, OCT. 16 IN HUNTINGTON AND IN HURRICANE. 500 TOTAL VACCINES WERE GIVEN IN HUNTINGTON AND HURRICANE. FREE WOMEN'S HEALTH SCREENINGS: ST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING, WHICH INCLUDED A BREAST EXAM AND A COUPON FOR A DISCOUNTED MAMMOGRAM AND A FREE CERVICAL CANCER SCREENING, WHICH INCLUDED A PAP TEST. NINE WOMEN PARTICIPATED IN THE OCTOBER BREAST SCREENING, WHILE 10 WOMEN PARTICIPATED IN THE APRIL CERVICAL CANCER SCREENING. COMMUNITY WELLNESS BLOOD PROFILES: SMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF MARCH, APRIL AND SEPTEMBER 2022. BLOOD PROFILES INCLUDED 29 DIFFERENT TESTS, SUCH AS GLUCOSE, CHOLESTEROL AND CALCIUM, WITH OPTIONAL TESTING AVAILABLE AT AN ADDITIONAL COST FOR HEMOGLOBIN A1C, THYROID-STIMULATING HORMONE (TSH), VITAMIN D AND PROSTATE-SPECIFIC ANTIGEN (PSA). THE PROFILES WERE AVAILABLE BY APPOINTMENT AT THE SMMC CONFERENCE CENTER, HIMG AND THE SMMC IRONTON CAMPUS. SMMC'S FACILITIES PROVIDED 1,155 PROFILES. SUPPORT GROUPS: SMMC OFFERS FOUR FREE SUPPORT GROUPS TO THE COMMUNITY EACH MONTH: . BREAST CANCER . CANCER SUPPORT GROUP . HEART TO HEART (FOR HEART SURGERY PATIENTS) . WEIGHT LOSS SURGERY SMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. AMERICAN RED CROSS BLOOD DRIVES: TO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED COMMUNITY BLOOD DRIVES AT THE MEDICAL CENTER THROUGHOUT THE YEAR. AMERICAN HEART ASSOCIATION HUNTINGTON HEART WALK VIRTUAL EXPERIENCE: SMMC REGIONAL HEART INSTITUTE PARTNERED WITH THE AMERICAN HEART ASSOCIATION, THE LARGEST VOLUNTARY HEALTH ORGANIZATION WORKING TO PREVENT, TREAT AND DEFEAT HEART DISEASE, STROKE AND OTHER CARDIOVASCULAR DISEASES, FOR THE 2022 HUNTINGTON HEART WALK, APRIL 23. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS. HUNTINGTON'S KITCHEN: HUNTINGTON'S KITCHEN, A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL, IS A COMMUNITY FOOD CENTER WHERE PEOPLE COME TO LEARN, COOK AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. SMMC PARTNERED WITH HUNTINGTON'S KITCHEN THROUGHOUT THE YEAR TO PROVIDE SPEAKERS FOR TWO FREE MONTHLY COMMUNITY EVENTS: DINING WITH A DOC, WHICH OFFERS AN EVENING OF HEALTH INFORMATION AND COOKING WITH A PHYSICIAN, AND SENIOR FOCUS FRIDAY, A PROGRAM FOR PEOPLE 50 AND OLDER. TOPICS INCLUDED: DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. FACING HUNGER FOODBANK: SMMC TEAMED UP WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO CLINIC PATIENTS THROUGHOUT THE YEAR. THE CLINIC PROVIDES FREE HEALTH CARE TO MEMBERS OF THE COMMUNITY WHO MEET FEDERAL POVERTY GUIDELINES. HIMG FACEBOOK LIVE: HIMG'S FACEBOOK PAGE HOSTED MONTHLY FACEBOOK LIVE EVENTS FOCUSING ON A NUMBER OF HEALTH TOPICS OF IMPORTANCE TO THE COMMUNITY. TOPICS INCLUDED: HEART HEALTH, LUNG CANCER AND BREAST CANCER. PROACT (PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT): PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE SMMC, CABELL HUNTINGTON HOSPITAL, MARSHALL HEALTH AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. SMMC PROVIDES A FULL-TIME CHAPLAIN. COMPASS PROGRAM: THE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTER: THE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 369 PEOPLE IN FY 2022. SMOKING CESSATION COUNSELING: SMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,469 PEOP true HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 530372921 501(c)(3) 15000 SPONSOR ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 501(c)(3) 125500 SPONSOR EBENEZER MEDICAL OUTREACH 1448 TENTH AVE SUITE 100 HTGN WV 25701 550745033 501(c)(3) 25000 WELLNESS HUNTINGTON YMCA 935 10TH AVENUE HUNTINGTON WV 25701 550397261 501(c)(3) 22500 WELLNESS MARSHALL ARTIST SERIES ONE JOHN MARSHALL DRIVE HTGN WV 25755 556000789 501(C)(3) 13575 SPONSOR SHEPHERD'S HOUSE PO BOX 2521 HUNTINGTON WV 25726 611574360 501(C)(3) 7500 MENTAL HEALTH PROACT 800 20TH STREET HUNTINGTON WV 25701 832100850 501(C)(3) 70316 OTHER PERSONNEL-PASTORAL MENTAL HEALTH FAITHHEALTH APPALACHIA PO BOX 881 HUNTINGTON WV 25712 842045651 501(C)(3) 26000 WELLNESS 8 0 PART i, LINE 2: TO ENSURE PROPER USE OF FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES. WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHER AUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. X X true true X X X true true false false false false false false false ANGELA D SWEARINGEN COO 534861 19449 77779 31011 663100 TODD CAMPBELL FORMER PRESIDENT/CEO 664149 29194 95108 20798 809249 JOSEPH TRADER VICE PRESIDENT 136427 5899 4270 20234 166830 VERA ROSE MD VICE PRESIDENT 342300 8700 10520 361520 SUSAN BETH ROBINSON VICE PRESIDENT 302070 13110 8700 30485 354365 ELIZABETH BOSLEY DNP RN VICE PRESIDENT 264058 11565 8269 19879 303771 DAVID SHEILS VICE PRESIDENT 196813 8530 6160 20373 231876 NEPAL CHOWDHURY MD PHYSICIAN 1622743 8700 33362 1664805 MATTHEW WERTHAMMER MD PHYSICIAN 1878522 8700 33925 1921147 DWIGHT SAULLE MD PHYSICIAN 1748189 8700 33638 1790527 REGINA CAMPBELL VICE PRESIDENT 262210 4437 7999 19860 294506 MARK MORGAN VICE PRESIDENT 294808 12615 8700 30468 346591 KEVIN YINGLING PRESIDENT AND CEO MHN 331558 40000 371558 AARON BLEVINS VICE-PRESIDENT 191385 3257 5839 30220 230701 ROBERT KACZMARCZYK VICE-PRESIDENT 146973 2607 4487 30121 184188 BENJAMIN MOOSAVI MD PHYSICIAN 1209532 8700 31696 1249928 AVINDER BIR MD PHYSICIAN 1094276 8700 32199 1135175 MICHAEL MULLINS FORMER PRESIDENT & CEO MHN 873351 4615 413350 18129 1309445 PART I, LINE 3: ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE ST. MARY'S MEDICAL CENTER, INC. BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S CEO 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 THE CEO POSITION WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS, AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED. FORM 990, PART VI, SECTION A, LINE 3 IN MAY 2018, CABELL HUNTINGTON HOSPITAL, INC. BECAME THE SOLE MEMBER OF ST. MARY'S MEDICAL CENTER, A FULL SERVICE ACUTE CARE HOSPITAL LOCATED IN HUNTINGTON, WEST VIRGINIA. AT THAT TIME, MOUNTAIN HEALTH NETWORK, INC.(MHN) BEGAN PROVIDING MANAGEMENT SERVICES TO CABELL HUNTINGTON HOSPITAL, INC. AS WELL AS ST. MARY'S MEDICAL CENTER. MHN IS COMPRISED OF EXPERIENCED HEALTH CARE PROFESSIONALS, PERSONS WITH EXTENSIVE FINANCIAL AND BUSINESS EXPERTISE, CLINICIANS WITH EXTENSIVE MEDICAL EXPERIENCE AND EXPERIENCED HOSPITAL BOARD MEMBERS. MHN WILL BE RETAINED TO FORMULATE AND IMPLEMENT APPROPRIATE MEASURES FOR THE INTEGRATION OF CERTAIN PROGRAMS AND SERVICES AT BOTH HOSPITALS AS WELL AS PROVIDE CONTINUED MANAGEMENT, STRATEGIC PLANNING AND OPERATIONAL SUPERVISION. FORM 990, PART VI, SECTION A, LINE 6 The organization is a membership (not a stock) corporation under West Virginia state law. Effective May 1, 2018, under agreement, the organization's sole corporate member was transferred to Cabell Huntington Hospital, Inc., a related not-for-profit organization from the previous sole corporate member, Pallottine Health Services. FORM 990, PART VI, SECTION A, LINE 7A Effective May 1, 2018, 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 Cabell Huntington Hospital, Inc. board of directors. FORM 990, PART VI, SECTION A, LINE 7B As a result of the ownership change effective May 1, 2018 Cabell Huntington Hospital, Inc., as the sole corporate member, also has the right to approve or ratify significant decisions of the organization's governing body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. FORM 990, PART VI, SECTION B, LINE 11B: 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. The Form 990 is reviewed by the CFO, finance/audit committee, and the board of directors. FORM 990, PART VI, SECTION B, 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. FORM 990, PART VI, SECTION B, LINE 15: On an annual basis, the organization provides documentation to the executive compensation committee of the St. Mary's Medical Center, Inc. board of directors for evaluation of compensation of the organization's officers and key employees for review and approval. Such information includes comparable data from similar size tax-exempt organizations in the Huntington, West Virginia community as well as compensation for these positions (as disclosed on form 990) with other organizations in the health care industry that are of similar size, demographics, and geography. Review and approval of the compensation arrangement by the officers/executive committee is documented. FORM 990, PART VI, SECTION C, LINE 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. 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 advisers does include a review to determine the following: 1) the impact of the arrangement under applicable federal and state law 2) whether the arrangement will jeopardize the organization's exempt status as a Section 501(c)(3) charitable organization-hospital. 3) whether the arrangement will result in any unrelated business taxable income 4) the impact of the arrangement on any existing contractual agreements or other business relationships and 5) whether the arrangement will result in any conflicts of interest. If there are any concerns with respect to any of the above matters, the organization will take appropriate steps to ensure that, if the joint venture is pursued, the arrangement will be in compliance with applicable federal and state law and to safeguard the organization's tax-exempt status. A formal written policy and procedure has been approved. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS Transfers to/from Affiliates, net $ 75,165 Changes in pension fund status 20,620,409 457b Plan adjustment 1,390,846 Change in donor restrictions 143,531 Grant for long-term purposes 1,400,000 Total $ 23,629,951 FORM 990, PART XII, LINE 2C THE FINANCE/AUDIT COMMITTEE SHALL REVIEW THE RESULTS OF THE ANNUAL AUDIT AND ALL OTHER REPORTS FROM INDEPENDENT EXTERNAL AUDITORS AND SHALL ARRANGE FOR THOSE REPORTS, TOGETHER WITH ANY RECOMMENDATIONS FROM THE FINANCE/AUDIT COMMITTEE, TO BE PRESENTED TO THE BOARD OF DIRECTORS AT SUCH A TIME AS THE BOARD OF DIRECTORS MAY SCHEDULE FOR THAT PURPOSE. FORM 990 PART IX LINE 11G DESCRIPTION:HEALTHCARE FEES TOTAL FEES:22212534 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:48482233 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:1104687 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:1480250 ST MARY'S MEDICAL MANAGEMENT LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 208017790 MED PRACTICE WV -5705541 41146237 SMMC ST MARY'S HOSPITALIST SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 270662169 MED PRACTICE WV -4682391 403790 SMMC ST MARY'S HIMG LLC 2900 FIRST AVENUE HUNTINGTON WV 25702 852017234 MED PRACTICE WV -1616495 32184742 SMMC ST MARY'S MEDICAL CENTER FOUNDATION 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FOUNDATION WV 501(C)(3) LINE 12b,II SMMC true CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 550675666 PARENT WV 501(C)(3) LINE 3 NA false MOUNTAIN HEALTH NETWORK PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SV WV 501(C)(3) LINE 12A,I CHH INC false PROACT INC 800 20TH STREET HUNTINGTON WV 25701 832100850 ADDICTION REC WV 501(C)(3) LINE 7 CHH INC false CLAIRE FRANCES 200 MALL RD ASHLAND KY 41101 311517507 MEDICAL SERVI KY N/A RELATED -148968 920279 false false 0.33000 IRONTON MED CAMPUS 1408 CAMPBELL DR IRONTON OH 45638 471141289 REAL ESTATE OH N/A RELATED 513559 9907511 false false 0.65000 THREE GABLES SURG 5897 ST RTE 7 PROCTORVILLE OH 45669 870648900 OUTPATIENT CA OH N/A RELATED -590988 4781733 false true 0.52340 TRI-STATE MPSLLC 2900 FIRST AVE HTGN WV 25702 824513003 BILLINGS/COLL WV NA RELATED 71222 128560 false false 0.60000 HIMG FMC LLC 5170 US ROUTE 60 EAST HUNTINGTON WV 25705 273919638 INVEST DIALYS WV SMMC RELATED 316263 637898 false true 0.80000 MHC ACCOUNT CARE 5183 US ROUTE 60 EAST HUNTINGTON WV 25705 821639032 ACCOUNTABLE C WV SMMC RELATED -161467 112385 false true 0.50000 VANGUARD FINANCIAL SERVICES 2900 FIRST AVENUE HUNTINGTON WV 25702 450496141 COLLECTION AG WV ST MARYS MED C CORP -81637 168139 1.00000 true false true true false false true false false false false false false true false true true true false true ST MARY'S MEDICAL CENTER FOUNDATION c 356928 INTERNAL ACCTG ST MARY'S MEDICAL CENTER FOUNDATION b 125500 INTERNAL ACCTG THREE GABLES SURGERY CENTER O 274308 INTERNAL ACCTG THREE GABLES SURGERY CENTER Q 60791 INTERNAL ACCTG THREE GABLES SURGERY CENTER S 446666 INTERNAL ACCTG TRI-STATE MPS LLC M 1041735 INTERNAL ACCTG VANGUARD FINANCIAL SERVICES M 782259 INTERNAL ACCTG HIMG FMC LLC F 424000 INTERNAL ACCTG