ST MARYS MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ST MARYS MEDICAL CENTER INC (EIN 55-0357050)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-09
IRS object ID: 202222219349302077
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-09T16:50:36-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SOMERVILLE & COMPANY PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	501 5TH AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25701	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550357050	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANGELA COBURN CPA	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	3045268931	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 FIRST AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	257021271	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Angela Swearingen	PersonNm
Person Title	Chief Operating Off	PersonTitleTxt
Phone	3045268931	PhoneNum
Signature	2022-07-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Angela	PersonFirstNm
Person Last	Swearingen	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WADE S C NEWELL CPA	PreparerPersonNm
PTIN	P01051041	PTIN
Phone	3045250301	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANGELA SWEARINGEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 FIRST AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	257021271	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$574,892,117	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.st-marys.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1924	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3723	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$25,662,436	PYContributionsGrantsAmt
CY Contributions Grants	$977,493	CYContributionsGrantsAmt
PY Program Service Revenue	$415,653,735	PYProgramServiceRevenueAmt
CY Program Service Revenue	$552,927,873	CYProgramServiceRevenueAmt
PY Investment Income	$4,283,808	PYInvestmentIncomeAmt
CY Investment Income	$9,861,376	CYInvestmentIncomeAmt
PY Other Revenue	-$1,355,341	PYOtherRevenueAmt
CY Other Revenue	$9,095,193	CYOtherRevenueAmt
PY Total Revenue	$444,244,638	PYTotalRevenueAmt
CY Total Revenue	$572,861,935	CYTotalRevenueAmt
PY Grants And Similar Paid	$600,218	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$369,878	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$213,095,427	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$276,264,500	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$220,951,782	PYOtherExpensesAmt
CY Other Expenses	$301,750,637	CYOtherExpensesAmt
PY Total Expenses	$434,647,427	PYTotalExpensesAmt
CY Total Expenses	$578,385,015	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,597,211	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,523,080	CYRevenuesLessExpensesAmt
Total Assets BOY	$489,498,363	TotalAssetsBOYAmt
Total Assets EOY	$537,045,490	TotalAssetsEOYAmt
Total Liabilities BOY	$371,985,185	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$402,400,108	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$117,513,178	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$134,645,382	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$454,670,074	ExpenseAmt
Revenue	$550,960,797	RevenueAmt
Desc	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, 2021, St. Mary's Medical Center provided 105,698 days of inpatient days of care and treated an additional 310,627 patients in the emergency and outpatient settings. Approximately 77% 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, 2021, the hospital provided approximately $4.4 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,823,520	ExpenseAmt
Grant	$443,973	GrantAmt
Revenue	$1,967,076	RevenueAmt
Desc	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, 2021, the auxiliary contributed approximately $300,000 to St. Mary's Foundation and SMMC awarded grants to various organizations in the amount of $322,995. In addition, volunteers provided over 9,544 hours of service valuable to promoting the mission and activities of the hospital. .	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$369	ExpenseAmt
Desc	Although programs were strongly affected by the COVID-19 pandemic, St. Mary's Medical Center (SMMC) participated in a number of community-building activities during FY 2021 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 and SMMC Mental Health Counseling presented Facebook Lives on a number of topics, including "Navigating Grief in the Midst of a Pandemic"Sleepless in a Pandemic: Ways to Overcome Insomnia"Building Emotional Resilience." HIMG, in conjunction with the Cabell-Huntington Health Department, provided free COVID-19 vaccines to the community. From May-September 2021, 1,602 vaccines were provided. 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 51,161 vaccines during the year. Community Flu Shot Clinics: SMMC, in conjunction with the Cabell-Huntington Health Department, offered a free drive-thru flu shot clinic Saturday, Oct. 12 in Huntington and in Hurricane. 508 vaccines were given in Huntington and Hurricane total. St. Mary's ER Ironton, in conjunction with the Lawrence County Health Department, offered a free drive-thru flu shot clinic Friday, Oct. 23 in Ironton, Ohio. 125 vaccines were given. 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. Eight 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 month of July. 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 702 profiles. Community Job Fair: The SMMC Diversity Committee, in conjunction with the Cabell Huntington Hospital Diversity Committee and Mountain Health Network (MHN) Human Resources, hosted a Community Job Fair Saturday, April 17 at the A.D. Lewis Community Center in Huntington. HR representatives from all MHN facilities accepted resumes and discussed open support staff positions. The job fair was an outreach to our minority communities to target job candidates who have been traditionally underrepresented in the workforce. Support Groups: SMMC offers four free support groups to the community each month: . Breast Cancer . CAN-CERvive (for all cancers) . Families Motivating Recovery (for loved ones of people struggling with substance use disorder) . Weight Loss Surgery SMMC also offers Navigating Grief, a free quarterly four-week course, to help community members who are struggling with loss. The groups did not meet October 2020-March 2021 due to the pandemic. American Red Cross Blood Drives: During 2020 and 2021, the American Red Cross faced a severe blood shortage due to the COVID-19 pandemic. SMMC hosted community blood drives at the medical center and HIMG in February, June and July. 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 2021 Huntington Heart Walk. The walk was held virtually on Thursday, June 24. Participants and teams were encouraged to "walk wherever they are." The walk raised funds and awareness for the American Heart Association. 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 COVID-19 vaccines. No classes were held October 2020-March 2021 due to the pandemic. Facing Hunger Foodbank: SMMC teamed up with Facing Hunger Foodbank to distribute 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, urology and COVID-19 vaccines. 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. Cabell-Huntington Health Department Harm Reduction Program: SMMC, in conjunction with Cabell Huntington Hospital and Marshall Health supports the Cabell-Huntington Health Department Harm Reduction Program (HRP). The HRP provides sterile syringes, collects non-sterile (used) syringes, offers Naloxone and rescue breathing training, and acts as points of access to prevention, testing and treatment for blood-borne diseases as well as providing family planning and referrals to medical treatment, social services, mental health and substance use disorder services for Cabell County residents. Volunteer Service on Community Boards: SMMC managers volunteered their time to their communities through service on a number of non-profit boards including: Lawrence County (Ohio) Chamber of Commerce, Huntington Regional Chamber of Commerce, United Way of the River Cities, Big Brothers/Big Sisters, Facing Hunger Foodbank 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: Prior to the pandemic, SMMC participated in health fairs throughout its service area. These events provided free screenings for health issues, such as cholesterol, blood sugar, HDL, and osteoporosis. Education about stroke, joint replacement surgery, and risk factors for diabetes and other health issues was also provided.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$456,493,963	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	147	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3723	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANGELA COBURN CPA	PersonNm
Phone	3045268931	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 FIRST AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25702	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
NEPAL CHOWDHURY MD
PHYSICIAN	45.0	0.0	Yes (X)	$1,818,120	$0	$36,301
MATTHEW WERTHAMMER MD
PHYSICIAN	45.0	0.0	Yes (X)	$1,704,269	$0	$36,050
DWIGHT SAULLE MD
PHYSICIAN	45.0	0.0	Yes (X)	$1,480,519	$0	$35,558
ESAM BARYUN MD
PHYSICIAN	45.0	0.0	Yes (X)	$1,117,794	$0	$34,193
MICHAEL G SELLARDS
FORMER PRESIDENT/CEO	0.0	0.0		$818,417	$0	$144,380	Yes (X)
TODD CAMPBELL
PRESIDENT/CEO	45.0	0.0		$714,303	$0	$116,118		Yes (X)
ANGELA D SWEARINGEN
VICE PRESIDENT/CFO	45.0	0.0		$571,711	$0	$99,311		Yes (X)
VERA ROSE MD
VICE PRESIDENT	45.0	0.0		$358,345	$0	$33,089			Yes (X)
MATTHEW HOFELDT MD
PHYSICIAN	45.0	0.0	Yes (X)	$365,840	$0	$17,616
SUSAN BETH ROBINSON
VICE PRESIDENT	45.0	0.0		$292,244	$0	$32,944			Yes (X)
ELIZABETH BOSLEY DNP RN
VICE PRESIDENT	45.0	0.0		$274,519	$0	$24,373			Yes (X)
REGINA CAMPBELL
VICE PRESIDENT	45.0	0.0		$250,202	$0	$23,590			Yes (X)
DAVID SHEILS
VICE PRESIDENT	45.0	0.0		$214,205	$0	$23,204			Yes (X)
JOSEPH TRADER
VICE PRESIDENT	45.0	0.0		$131,528	$0	$20,542			Yes (X)
SISTER MARY GRACE BARILE
SECRETARY/DIRECTOR	45.0	0.0		$82,237	$0	$10,561		Yes (X)		Yes (X)
DAVID FOX
PRESIDENT/DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
FLOYD HARLOW
TREASURER/DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
CAROLYN BAGBY
DIRECTOR	1.0	0.0		$0	$0	$0				Yes (X)
TIM MILNE
DIRECTOR	1.0	0.0		$0	$0	$0				Yes (X)
JEFF LEABERRY
VICE PRESIDENT/DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)		Yes (X)
VICKIE SMITH
DIRECTOR	1.0	0.0		$0	$0	$0				Yes (X)
MATT MILLER
DIRECTOR	1.0	0.0		$0	$0	$0				Yes (X)
DEV RELLAN MD
DIRECTOR	1.0	0.0		$0	$0	$0				Yes (X)
KEVIN YINGLING
PRESIDENT AND CEO MHN	0.0	45.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,194,253	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$687,830	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	274	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY PHYSICIANS AND SURGEONS
1600 MEDICAL CENTER DRIVE SUITE B5	HUNTINGTON	WV	25701	MEDICAL	$5,952,350
RIVER CITIES ANESTHESIA
PO BOX 515	BARBOURSVILLE	WV	25504	MEDICAL	$4,380,264
CERNER HEALTH SERVICES INC
PO BOX 959168	ST LOUIS	MO	63195	INFO TECHNOLOGY	$3,976,114
ULTIMATE HEALTH SERVICES
1115 20TH ST	HUNTINGTON	WV	25703	MEDICAL	$2,593,597
AMERICAN RED CROSS
4 CHASE METROTECH CENTER 7TH FLOOR	BROOKLYN	NY	11245	MEDICAL	$2,272,283

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	70	CntrctRcvdGreaterThan100KCnt
Related Organizations	$107,600	RelatedOrganizationsAmt
Government Grants	$869,893	GovernmentGrantsAmt
Noncash Contributions	$152,427	NoncashContributionsAmt
Total Contributions	$977,493	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$538,893,168	$538,893,168
SCHOOL OF NURSING	611600	$2,252,626	$2,252,626
PURCHASE REBATES	900099	$2,090,885	$2,090,885
PHARMACY REVENUE	446110	$9,530,511	$9,530,511
OTHER PROGRAM SERVICE REVENUE	900099	$160,683	$160,683

Field	Value	IRS element (for citing)
Total Program Service Revenue	$552,927,873	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,585,809	TotalRevenueColumnAmt
Exclusion	$5,585,809	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,220,959	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$251,051	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$969,908	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$969,908	TotalRevenueColumnAmt
Related Or Exempt Func Income	$969,908	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,338,540	SecuritiesAmt
Other	-$62,973	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,338,540	SecuritiesAmt
Other	-$62,973	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,275,567	TotalRevenueColumnAmt
Exclusion	$4,275,567	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,970,351	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,779,131	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$191,220	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722100	$2,138,126	$2,138,126
OTHER AFFILIATED ENTITIES	900099	-$9,442,150	-$9,442,150
ALL OTHER REVENUE	900099	$15,238,089	$15,238,089

Field	Value	IRS element (for citing)
Other Revenue Total	$7,934,065	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$572,861,935	TotalRevenueColumnAmt
Related Or Exempt Func Income	$561,831,846	RelatedOrExemptFuncIncomeAmt
Exclusion	$9,861,376	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$369,878	TotalAmt
Program Services	$369,878	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,275,877	TotalAmt
Program Services	$2,907,596	ProgramServicesAmt
Management And General	$1,368,281	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$199,014,421	TotalAmt
Program Services	$135,329,806	ProgramServicesAmt
Management And General	$63,684,615	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,746,667	TotalAmt
Program Services	$1,187,734	ProgramServicesAmt
Management And General	$558,933	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$57,456,466	TotalAmt
Program Services	$39,070,397	ProgramServicesAmt
Management And General	$18,386,069	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,771,069	TotalAmt
Program Services	$9,364,327	ProgramServicesAmt
Management And General	$4,406,742	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$792,240	TotalAmt
Management And General	$792,240	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,402,252	TotalAmt
Management And General	$1,402,252	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$405,457	TotalAmt
Management And General	$405,457	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,481,126	TotalAmt
Program Services	$41,596,447	ProgramServicesAmt
Management And General	$8,884,679	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$651,854	TotalAmt
Program Services	$443,261	ProgramServicesAmt
Management And General	$208,593	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,760,420	TotalAmt
Program Services	$9,357,086	ProgramServicesAmt
Management And General	$4,403,334	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,735,451	TotalAmt
Program Services	$3,220,107	ProgramServicesAmt
Management And General	$1,515,344	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,065,201	TotalAmt
Program Services	$7,524,337	ProgramServicesAmt
Management And General	$3,540,864	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$127,206	TotalAmt
Program Services	$86,500	ProgramServicesAmt
Management And General	$40,706	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,511,148	TotalAmt
Program Services	$2,387,581	ProgramServicesAmt
Management And General	$1,123,567	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,314,295	TotalAmt
Program Services	$10,413,721	ProgramServicesAmt
Management And General	$4,900,574	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,671,130	TotalAmt
Program Services	$2,496,368	ProgramServicesAmt
Management And General	$1,174,762	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$133,810,622	$133,810,622
BAD DEBTS	$32,067,146	$32,067,146
REPAIRS & MAINTENANCE	$13,991,857	$9,514,463	$4,477,394
PROVIDER TAX	$14,036,213	$14,036,213

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,927,019	TotalAmt
Program Services	$1,310,373	ProgramServicesAmt
Management And General	$616,646	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$578,385,015	TotalAmt
Program Services	$456,493,963	ProgramServicesAmt
Management And General	$121,891,052	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$661,617	BOYAmt
EOY	$4,176,889	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,651,536	BOYAmt
EOY	$16,247,305	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,064,233	BOYAmt
EOY	$123,735,390	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,903,523	BOYAmt
EOY	$13,602,566	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,677,221	BOYAmt
EOY	$2,529,799	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$243,740,159	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$49,296,658	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$200,281,250	BOYAmt
EOY	$194,443,501	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$133,789,669	BOYAmt
EOY	$112,142,519	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,527,486	BOYAmt
EOY	$7,835,585	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,528,423	BOYAmt
EOY	$2,705,592	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,413,405	BOYAmt
EOY	$59,626,344	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$489,498,363	BOYAmt
EOY	$537,045,490	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$80,661,267	BOYAmt
EOY	$112,155,131	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$56,299,519	BOYAmt
EOY	$51,368,616	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,508	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$235,005,891	BOYAmt
EOY	$238,876,361	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$371,985,185	BOYAmt
EOY	$402,400,108	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$117,188,093	BOYAmt
EOY	$134,315,162	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$325,085	BOYAmt
EOY	$330,220	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$117,513,178	BOYAmt
EOY	$134,645,382	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$489,498,363	BOYAmt
EOY	$537,045,490	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,523,080	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,947,459	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$1,858,533	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$16,566,358	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$52,948	OtherActivitiesAmt
Total Lobbying Expenditures	$52,948	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IIB, Line 1, Lobbying Activities:	FormAndLineReferenceDesc
Explanation	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 $52,948. Specific information regarding the advocacy agendas of the associations can be viewed on their websites, WVHA.org, CHAUSA.org, and AHA.org.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,474,586	OtherCostOrOtherBasisAmt
Book Value	$10,474,586	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$163,351,431	OtherCostOrOtherBasisAmt
Depreciation	$21,413,457	DepreciationAmt
Book Value	$141,937,974	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,279,361	OtherCostOrOtherBasisAmt
Depreciation	$27,609,501	DepreciationAmt
Book Value	$38,669,860	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,634,781	OtherCostOrOtherBasisAmt
Depreciation	$273,700	DepreciationAmt
Book Value	$3,361,081	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$194,443,501	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RIGHT-OF-USE ASSETS	$41,605,118
OTHER RECEIVABLES	$8,165,956
ESTIMATED THIRD-PARTY SETTLEME	$4,781,827
OTHER ASSETS	$5,073,443

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$59,626,344	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$96,931,565
DEFERRED SALARIES AND WAGES	$9,560,606
GENERAL RESERVES	$9,501,000
DUE TO AFFILIATE HOSPITAL	$79,427,739
LEASE OBLIGATIONS	$43,455,451

Field	Value	IRS element (for citing)
Total Liability	$238,876,361	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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, 2021 AND 2020.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	5821	PersonsServedCnt
Total Community Benefit Expns	$1,232,156	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,232,156	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	28231	PersonsServedCnt
Total Community Benefit Expns	$93,337,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,899,138	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,438,082	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	34052	PersonsServedCnt
Total Community Benefit Expns	$94,569,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,899,138	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,670,238	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,859,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,482,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,377,327	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	398	PersonsServedCnt
Total Community Benefit Expns	$406,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$406,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	398	PersonsServedCnt
Total Community Benefit Expns	$11,266,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,482,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,783,624	NetCommunityBenefitExpnsAmt
Total Expense	0.01880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	34450	PersonsServedCnt
Total Community Benefit Expns	$105,835,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,381,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,453,862	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$369	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$369	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$369	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$369	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,974,949	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,794,990	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$101,319,146	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$103,355,990	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,036,844	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	THREE GABLES SURGERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT HEALTH CARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5234	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4756	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 FIRST AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25702	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	URGENT CARE	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part VI Supplemental Information	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part VI Supplemental Information	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V	FormAndLineReferenceDesc
Explanation	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 St. Mary's Medical Center Part V, line 16b, FAP Application website: https://www.st-marys.org/assets/SMMC/Documents/Billing/FAP/Financial-Assis tance-Application.pdf ST. Mary's Medical Center Part V, line 16c, FAP Plain Language Summary Website: http://www.st-marys.org/patients-and-visitors/billing/	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST MARY'S FAMILY CARE
147 WILLOW TREE WAY	HURRICANE	WV	25526	OUTPATIENT CLINIC
ST MARY'S FAMILY CARE
6475 FARMDALE ROAD	BARBOURSVILLE	WV	25504	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H PART VI	FormAndLineReferenceDesc
Explanation	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 $32,067,146. PART II, COMMUNITY BUILDING ACTIVITIES: ALTHOUGH PROGRAMS WERE STRONGLY AFFECTED BY THE COVID-19 PANDEMIC, ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN A NUMBER OF COMMUNITY-BUILDING ACTIVITIES DURING FY 2021 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 AND SMMC MENTAL HEALTH COUNSELING PRESENTED FACEBOOK LIVES ON A NUMBER OF TOPICS, INCLUDING "NAVIGATING GRIEF IN THE MIDST OF A PANDEMIC"SLEEPLESS IN A PANDEMIC: WAYS TO OVERCOME INSOMNIA"BUILDING EMOTIONAL RESILIENCE." HIMG, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, PROVIDED FREE COVID-19 VACCINES TO THE COMMUNITY. FROM MAY-SEPTEMBER 2021, 1,602 VACCINES WERE PROVIDED. 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 51,161 VACCINES DURING THE YEAR. COMMUNITY FLU SHOT CLINICS: SMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC SATURDAY, OCTOBER 12 IN HUNTINGTON AND IN HURRICANE. 508 VACCINES WERE GIVEN IN HUNTINGTON AND HURRICANE TOTAL. ST. MARY'S ER IRONTON, IN CONJUNCTION WITH THE LAWRENCE COUNTY HEALTH DEPARTMENT, OFFERED A FREE DRIVE-THRU FLU SHOT CLINIC FRIDAY, OCTOBER 23 IN IRONTON, OHIO. 125 VACCINES WERE GIVEN. 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. EIGHT 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 MONTH OF JULY. 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 702 PROFILES. COMMUNITY JOB FAIR: THE SMMC DIVERSITY COMMITTEE, IN CONJUNCTION WITH THE CABELL HUNTINGTON HOSPITAL DIVERSITY COMMITTEE AND MOUNTAIN HEALTH NETWORK (MHN) HUMAN RESOURCES, HOSTED A COMMUNITY JOB FAIR SATURDAY, APRIL 17 AT THE A.D. LEWIS COMMUNITY CENTER IN HUNTINGTON. HR REPRESENTATIVES FROM ALL MHN FACILITIES ACCEPTED RESUMES AND DISCUSSED OPEN SUPPORT STAFF POSITIONS. THE JOB FAIR WAS AN OUTREACH TO OUR MINORITY COMMUNITIES TO TARGET JOB CANDIDATES WHO HAVE BEEN TRADITIONALLY UNDERREPRESENTED IN THE WORKFORCE. SUPPORT GROUPS: SMMC OFFERS FOUR FREE SUPPORT GROUPS TO THE COMMUNITY EACH MONTH: . BREAST CANCER . CAN-CERVIVE (FOR ALL CANCERS) . FAMILIES MOTIVATING RECOVERY (FOR LOVED ONES OF PEOPLE STRUGGLING WITH SUBSTANCE USE DISORDER) . WEIGHT LOSS SURGERY SMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. THE GROUPS DID NOT MEET OCTOBER 2020-MARCH 2021 DUE TO THE PANDEMIC. AMERICAN RED CROSS BLOOD DRIVES: DURING 2020 AND 2021, THE AMERICAN RED CROSS FACED A SEVERE BLOOD SHORTAGE DUE TO THE COVID-19 PANDEMIC. SMMC HOSTED COMMUNITY BLOOD DRIVES AT THE MEDICAL CENTER AND HIMG IN FEBRUARY, JUNE AND JULY. 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 2021 HUNTINGTON HEART WALK. THE WALK WAS HELD VIRTUALLY ON THURSDAY, JUNE 24. PARTICIPANTS AND TEAMS WERE ENCOURAGED TO "WALK WHEREVER THEY ARE." THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION. 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 COVID-19 VACCINES. NO CLASSES WERE HELD OCTOBER 2020-MARCH 2021 DUE TO THE PANDEMIC. FACING HUNGER FOODBANK: SMMC TEAMED UP WITH FACING HUNGER FOODBANK TO DISTRIBUTE 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, UROLOGY AND COVID-19 VACCINES. 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, CAB	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt
HUNTINGTON MUSEUM OF ART
2033 MCCOY ROAD	HUNTINGTON	WV	25701	530372921	501(c)(3)	$7,500	SPONSOR
ST MARY'S MEDICAL CENTER FOUNDATION
2900 FIRST AVENUE	HUNTINGTON	WV	25702	141887211	501(c)(3)	$10,000	SPONSOR
HUNTINGTON AREA DEVELOPMENT COUNCIL
916 FIFTH AVE	HUNTINGTON	WV	25701	550714570	501(c)(3)	$25,000	WELLNESS
EBENEZER MEDICAL OUTREACH
1448 TENTH AVE SUITE 100	HTGN	WV	25701	550745033	501(c)(3)	$31,250	HEALTH
MARSHALL UNIVERSITY FOUNDATION
ONE JOHN MARSHALL DRIVE	HTGN	WV	25755	556011111	501(c)(3)	$20,500	SPONSOR
HUNTINGTON YMCA
935 10TH AVENUE	HUNTINGTON	WV	25701	550397261	501(c)(3)	$10,000	WELLNESS
FACING HUNGER FOOD BANK
1327 7TH AVENUE	HUNTINGTON	WV	25701	550625915	501(c)(3)	$10,000	WELLNESS
MARSHALL ARTIST SERIES
ONE JOHN MARSHALL DRIVE	HTGN	WV	25755	556000789	501(C)(3)	$42,500	SPONSOR
HERITAGE FARM MUSEUMVILLAGE
3300 HARVEY ROAD	HUNTINGTON	WV	25704	237427617	501(C)(3)	$10,000	SPONSOR
UNITED WAY OF THE RIVER CITIES
820 MADISON AVENUE	HUNTINGTON	WV	25704	550384704	501(C)(3)	$15,000	SPONSOR
EDUCATION ALLIANCE
803 QUARRIER STREET	CHARLESTON	WV	25301	550630914	501(C)(3)	$7,500	SPONSOR
KEITH ALBEE PERFORMING ARTS CENTER
418 11TH STREET	HUNTINGTON	WV	25701	205132843	501(C)(3)	$15,000	SPONSOR
COALFIELD DEVELOPMENT CORP
PO BOX 1133	WAYNE	WV	25570	263836207	501(C)(3)	$15,000	SPONSOR
SHEPHERD'S HOUSE
PO BOX 2521	HUNTINGTON	WV	25726	611574360	501(C)(3)	$7,500	MENTAL HEALTH
HOSPICE OF HUNTINGTON
PO BOX 464	HUNTINGTON	WV	25709	311040619	501(C)(3)	$8,000	HEALTH
PROACT
800 20TH STREET	HUNTINGTON	WV	25701	832100850	501(C)(3)		MENTAL HEALTH	$73,245

Field	Value	IRS element (for citing)
Total501c3 Org	16	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART i, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
MICHAEL G SELLARDS
FORMER PRESIDENT/CEO	$818,417	$141,230	$3,150	$962,797
ANGELA D SWEARINGEN
VICE PRESIDENT/CFO	$535,186	$74,302	$25,009	$671,022	$36,525
TODD CAMPBELL
PRESIDENT/CEO	$659,478	$90,796	$25,322	$830,421	$54,825
JOSEPH TRADER
VICE PRESIDENT	$121,835	$3,946	$16,596	$152,070	$9,693
VERA ROSE MD
VICE PRESIDENT	$331,194	$8,550	$24,539	$391,434	$27,151
SUSAN BETH ROBINSON
VICE PRESIDENT	$269,966	$8,550	$24,394	$325,188	$22,278
ELIZABETH BOSLEY DNP RN
VICE PRESIDENT	$252,800	$8,236	$16,137	$298,892	$21,719
DAVID SHEILS
VICE PRESIDENT	$198,186	$6,426	$16,778	$237,409	$16,019
NEPAL CHOWDHURY MD
PHYSICIAN	$1,818,120	$8,550	$27,751	$1,854,421
MATTHEW WERTHAMMER MD
PHYSICIAN	$1,704,269	$8,550	$27,500	$1,740,319
DWIGHT SAULLE MD
PHYSICIAN	$1,480,519	$8,550	$27,008	$1,516,077
ESAM BARYUN MD
PHYSICIAN	$1,117,794	$8,550	$25,643	$1,151,987
REGINA CAMPBELL
VICE PRESIDENT	$241,869	$7,506	$16,084	$273,792	$8,333
MATTHEW HOFELDT MD
PHYSICIAN	$365,840	$8,550	$9,066	$383,456

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$152,427	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 will be 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 $ (5,812) Changes in pension fund status 18,571,078 457b Plan adjustment (2,004,043) Change in donor restrictions 5,135 Total $ 16,566,358
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST MARY'S MEDICAL MANAGEMENT LLC
2900 FIRST AVENUE	HUNTINGTON	WV	25702	208017790	MED PRACTICE	WV	-$5,673,431	$32,550,628	SMMC
ST MARY'S HOSPITALIST SERVICES
2900 FIRST AVENUE	HUNTINGTON	WV	25702	270662169	MED PRACTICE	WV	-$4,307,221	$387,017	SMMC
ST MARY'S HIMG LLC
2900 FIRST AVENUE	HUNTINGTON	WV	25702	852017234	MED PRACTICE	WV	-$577,082	$35,158,035	SMMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST MARY'S MEDICAL CENTER FOUNDATION
2900 FIRST AVENUE	HUNTINGTON	WV	25702	141887211	FOUNDATION	WV	501(C)(3)	LINE 12b,II	SMMC	Yes (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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CLAIRE FRANCES
200 MALL RD	ASHLAND	KY	41101	311517507	MEDICAL SERVI	KY	N/A	RELATED	-$49,746	$805,984	false	false	0.33000
HUNTINGTON AREA MRI
2900 FIRST AVE	HTGN	WV	25702	261877332	MEDICAL SERVI	WV	N/A	RELATED	$113,072	$58,719	false	Yes (true)	0.49000
IRONTON MED CAMPUS
1408 CAMPBELL DR	IRONTON	OH	45638	471141289	REAL ESTATE	OH	N/A	RELATED	$112,088	$7,990,757	false	false	0.65000
IRONTON MED CAMPUS
1408 CAMPBELL DR	IRONTON	OH	45638	471637912	REAL ESTATE	OH	N/A	RELATED	$229,851	$2,050,682	false	false	0.65000
THREE GABLES SURG
5897 ST RTE 7	PROCTORVILLE	OH	45669	870648900	OUTPATIENT CA	OH	N/A	RELATED	$54,258	$1,939,415	false	Yes (true)	0.52340
TRI-STATE MPSLLC
2900 FIRST AVE	HTGN	WV	25702	824513003	BILLINGS/COLL	WV		RELATED	$39,250	$6,556	false	false	0.60000	NA
HIMG FMC LLC
5170 US ROUTE 60 EAST	HUNTINGTON	WV	25705	273919638	INVEST DIALYS	WV		RELATED	$214,189	$585,635	false	Yes (true)	0.80000	SMMC
MHC ACCOUNT CARE
5183 US ROUTE 60 EAST	HUNTINGTON	WV	25705	821639032	ACCOUNTABLE C	WV		RELATED	-$138,177	$118,901	false	Yes (true)	0.50000	SMMC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VANGUARD FINANCIAL SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 FIRST AVENUE	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25702	ZIPCd

Field	Value	IRS element (for citing)
EIN	450496141	EIN
Primary Activities	COLLECTION AG	PrimaryActivitiesTxt
Legal Domicile State	WV	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS MED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	-$577,082	ShareOfTotalIncomeAmt
Share Of EOY Assets	$35,158,035	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (true)	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST MARY'S MEDICAL CENTER FOUNDATION
c	$156,472	INTERNAL ACCTG
ST MARY'S MEDICAL CENTER FOUNDATION
b	$10,000	INTERNAL ACCTG
HUNTINGTON AREA MRI
F	$57,625	INTERNAL ACCTG
THREE GABLES SURGERY CENTER
O	$288,477	INTERNAL ACCTG
THREE GABLES SURGERY CENTER
Q	$47,808	INTERNAL ACCTG
THREE GABLES SURGERY CENTER
S	$446,666	INTERNAL ACCTG