ST MARYS HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HEALTHCARE (EIN 14-1347719)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-12
IRS object ID: 202231329349301108
Schema version: 2020v4.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-12T08:33:00-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	160765486	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	LUMSDEN & MCCORMICK LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	369 FRANKLIN STREET	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141347719	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	5188421900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	427 GUY PARK AVENUE	AddressLine1Txt
City	AMSTERDAM	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEITH WATERS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	5187707583	PhoneNum
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KEITH	PersonFirstNm
Person Last	WATERS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JILL M JOHNSON CPA	PreparerPersonNm
PTIN	P01701478	PTIN
Phone	7168563300	PhoneNum
Preparation	2022-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

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	SCOTT BRUCE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	427 GUY PARK AVENUE	AddressLine1Txt
City	AMSTERDAM	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$169,582,851	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SMHA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1922	TotalEmployeeCnt
Total Volunteers	175	TotalVolunteersCnt
Total Gross UBI	$652,381	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,440,610	PYContributionsGrantsAmt
CY Contributions Grants	$5,214,549	CYContributionsGrantsAmt
PY Program Service Revenue	$156,756,613	PYProgramServiceRevenueAmt
CY Program Service Revenue	$163,161,450	CYProgramServiceRevenueAmt
PY Investment Income	-$724,489	PYInvestmentIncomeAmt
CY Investment Income	$504,508	CYInvestmentIncomeAmt
PY Other Revenue	$699,333	PYOtherRevenueAmt
CY Other Revenue	$702,344	CYOtherRevenueAmt
PY Total Revenue	$179,172,067	PYTotalRevenueAmt
CY Total Revenue	$169,582,851	CYTotalRevenueAmt
PY Grants And Similar Paid	$68,239	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$47,238	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$109,212,381	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$112,214,778	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$76,477,326	PYOtherExpensesAmt
CY Other Expenses	$62,810,008	CYOtherExpensesAmt
PY Total Expenses	$185,757,946	PYTotalExpensesAmt
CY Total Expenses	$175,072,024	CYTotalExpensesAmt
PY Revenues Less Expenses	-$6,585,879	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,489,173	CYRevenuesLessExpensesAmt
Total Assets BOY	$177,910,616	TotalAssetsBOYAmt
Total Assets EOY	$202,756,138	TotalAssetsEOYAmt
Total Liabilities BOY	$83,019,028	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$44,693,771	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$94,891,588	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$158,062,367	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$139,014,504	ExpenseAmt
Grant	$47,238	GrantAmt
Revenue	$162,712,053	RevenueAmt
Desc	ST. MARY'S HEALTHCARE IS A 290-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2021, ST. MARY'S HEALTHCARE TREATED 4,831 ADULTS AND CHILDREN FOR A TOTAL OF 68,002 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 444,974 OUTPATIENT VISITS, WHICH INCLUDED 5,372 OUTPATIENT SURGERIES AND 21,961 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. AS PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY, THE HOSPITAL SERVED IN SUPPORT OF ASCENSION'S COMMITMENT TO BOTH CARE FOR PATIENTS AND COMMUNITIES AND SUPPORT CAREGIVERS AND OTHER ASSOCIATES THROUGH THE CHALLENGES OF THE COVID-19 GLOBAL PANDEMIC IN FY21.	Desc
Total Program Service Expenses	$139,014,504	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	150	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1922	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEITH WATERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5188421900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	427 GUY PARK AVENUE	AddressLine1Txt
City	AMSTERDAM	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12010	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SR MARY HANNE HEENAN CSJ
CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
RONALD MARSH MD
VICE-CHAIRMAN	50.00	Yes (X)	Yes (X)	$810,708	$0	$80,323
MICHAEL PEPE
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
MOHAMMAD R GHAZI MD
SECRETARY	50.00	Yes (X)	Yes (X)	$594,126	$0	$75,383
GREGORY ABBATTISTI
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SCOTT BRUCE
DIRECTOR/PRESIDENT & CEO EFFECTIVE JULY 2020	50.00	Yes (X)	Yes (X)	$439,247	$0	$79,290	1.00
THOMAS CICHY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JOHN DALY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SUSAN DAVIS ED D
DIRECTOR	1.00	Yes (X)		$0	$0	$0
EMILY ETZKORN MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ANDREW HECK
DIRECTOR	1.00	Yes (X)		$0	$0	$0
REV ROBERT LONGOBUCCO
DIRECTOR	1.00	Yes (X)		$0	$0	$0
VICTOR F GIULIANELLI
DIRECTOR/PRESIDENT & CEO THROUGH JULY 2020	50.00	Yes (X)	Yes (X)	$369,912	$0	$3,368	1.00
FREDERICK E HENZE JR
CHIEF FINANCIAL OFFICER	50.00	Yes (X)	Yes (X)	$242,527	$0	$37,092	1.00
WILLIAM MAYER
CMO	50.00		Yes (X)	$452,942	$0	$65,527
PATRICIA SANDERS
CNO	50.00		Yes (X)	$146,079	$0	$34,267
DUANE MILLER
VP, BEHAVIORAL HEALTH	50.00		Yes (X)	$220,986	$0	$47,124
JAMES CHARLAND MD
PHYSICIAN	50.00			$636,135	$0	$81,510		Yes (X)
MICHAEL FINNEGAN MD
PHYSICIAN	50.00			$648,067	$0	$79,701		Yes (X)
ALBERT FRASER MD
PHYSICIAN	50.00			$597,209	$0	$83,154		Yes (X)
JAMES IZZANO MD
PHYSICIAN	50.00			$603,750	$0	$91,577		Yes (X)
GARY SINENSKY MD
PHYSICIAN	50.00			$632,299	$0	$71,562		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,393,987	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$829,878	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	165	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ATLANTIC PROFESSIONAL SERVICES OF RI
307 S EVERGREEN AVE	WOODBURY	NJ	08096	HOSPITALIST	$3,244,283
ARUP LABORATORIES
500 S CHIPETA WAY	SALT LAKE CITY	UT	84108	LABORATORY SERVICES	$1,417,172
ST PETERS HEALTH PARTNERS MED ASSOC PC
PO BOX 12070	ALBANY	NY	12212	MEDICAL SERVICES	$1,001,745
SYNTHES USA SALES LLC
1302 WRIGHTS LN E	WEST CHESTER	PA	19380	MEDICAL SERVICES	$383,476
MEDSPEED LLC
140 INDUSTRIAL DR	ELMHURST	NY	60126	COURIER SERVICES	$360,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,072	RelatedOrganizationsAmt
Government Grants	$5,207,477	GovernmentGrantsAmt
Total Contributions	$5,214,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$154,214,631	$153,618,232	$596,399
PHARMACY REVNEUE	446110	$7,568,946	$7,568,946
CONTRACTED SERVICES REVENUE	900099	$887,927	$872,618	$15,309
SERVICES TO AFFILIATES	561000	$441,622	$441,622
SPORTS MEDICINE REVENUE	621990	$48,324	$7,651	$40,673

Field	Value	IRS element (for citing)
Total Program Service Revenue	$163,161,450	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,822	TotalRevenueColumnAmt
Exclusion	$70,822	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$428,878	SecuritiesAmt
Other	$4,808	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$428,878	SecuritiesAmt
Other	$4,808	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$433,686	TotalRevenueColumnAmt
Exclusion	$433,686	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING REVENUE	722514	$484,445	$484,445
MISCELLANEOUS	900099	$190,831		$190,831
MEDICAL RECORDS FEES	900099	$14,915	$14,915

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,153	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,153	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$702,344	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$169,582,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$162,712,053	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$652,381	UnrelatedBusinessRevenueAmt
Exclusion	$1,003,868	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$47,238	TotalAmt
Program Services	$47,238	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,698,901	TotalAmt
Program Services	$1,901,044	ProgramServicesAmt
Management And General	$1,797,857	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,782,476	TotalAmt
Program Services	$77,033,105	ProgramServicesAmt
Management And General	$11,749,371	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,124,785	TotalAmt
Program Services	$3,578,916	ProgramServicesAmt
Management And General	$545,869	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,695,748	TotalAmt
Program Services	$7,544,963	ProgramServicesAmt
Management And General	$1,150,785	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,912,868	TotalAmt
Program Services	$5,925,556	ProgramServicesAmt
Management And General	$987,312	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$232,341	TotalAmt
Management And General	$232,341	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$85,682	TotalAmt
Management And General	$85,682	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,006,143	TotalAmt
Program Services	$5,391,010	ProgramServicesAmt
Management And General	$615,133	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$269,051	TotalAmt
Program Services	$200,076	ProgramServicesAmt
Management And General	$68,975	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,211,355	TotalAmt
Program Services	$1,895,524	ProgramServicesAmt
Management And General	$315,831	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$89,983	TotalAmt
Program Services	$66,398	ProgramServicesAmt
Management And General	$23,585	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,673,747	TotalAmt
Program Services	$1,052,130	ProgramServicesAmt
Management And General	$621,617	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$47,060	TotalAmt
Management And General	$47,060	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,235,348	TotalAmt
Program Services	$6,201,979	ProgramServicesAmt
Management And General	$1,033,369	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,362,627	TotalAmt
Program Services	$308,232	ProgramServicesAmt
Management And General	$1,054,395	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$25,020,227	$24,648,841	$371,386
PURCHASED SERVICES	$13,332,147		$13,332,147
OTHER	$4,050,663	$2,025,858	$2,024,805
PROVIDER TAX	$1,193,634	$1,193,634

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$175,072,024	TotalAmt
Program Services	$139,014,504	ProgramServicesAmt
Management And General	$36,057,520	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,235	BOYAmt
EOY	$4,285	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$459,275	BOYAmt
EOY	$9,374,866	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$802,797	BOYAmt
EOY	$338,652	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,736,311	BOYAmt
EOY	$16,659,072	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,556,730	BOYAmt
EOY	$3,069,089	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$83,348	BOYAmt
EOY	$679,749	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$141,679,980	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$83,995,690	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,327,627	BOYAmt
EOY	$57,684,290	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,153,260	BOYAmt
EOY	$676,251	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$105,787,033	BOYAmt
EOY	$114,269,884	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$177,910,616	BOYAmt
EOY	$202,756,138	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,540,008	BOYAmt
EOY	$23,362,982	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$556,833	BOYAmt
EOY	$635,375	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$97,551	BOYAmt
EOY	$107,978	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$942,080	BOYAmt
EOY	$603,388	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,882,556	BOYAmt
EOY	$19,984,048	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,019,028	BOYAmt
EOY	$44,693,771	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	$82,796,171	BOYAmt
EOY	$141,831,246	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,095,417	BOYAmt
EOY	$16,231,121	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$94,891,588	BOYAmt
EOY	$158,062,367	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$177,910,616	BOYAmt
EOY	$202,756,138	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,489,173	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,360,373	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$53,299,579	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$25,377	OtherActivitiesAmt
Total Lobbying Expenditures	$25,377	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. ST. MARY'S HEALTHCARE DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,943,367	BeginningYearBalanceAmt
Contributions	$600	ContributionsAmt
Investment Earnings Or Losses	$2,004,494	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,857	OtherExpendituresAmt
End Year Balance	$12,940,604	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,807,409	BeginningYearBalanceAmt
Contributions	$1,051	ContributionsAmt
Investment Earnings Or Losses	$149,763	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,856	OtherExpendituresAmt
End Year Balance	$10,943,367	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,093,103	BeginningYearBalanceAmt
Contributions	$100	ContributionsAmt
Investment Earnings Or Losses	$794,106	InvestmentEarningsOrLossesAmt
Other Expenditures	$79,900	OtherExpendituresAmt
End Year Balance	$10,807,409	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,104,949	BeginningYearBalanceAmt
Contributions	$25	ContributionsAmt
Investment Earnings Or Losses	$1,076,429	InvestmentEarningsOrLossesAmt
Other Expenditures	$88,300	OtherExpendituresAmt
End Year Balance	$10,093,103	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,423,426	BeginningYearBalanceAmt
Contributions	$225	ContributionsAmt
Investment Earnings Or Losses	$950,998	InvestmentEarningsOrLossesAmt
Other Expenditures	$269,700	OtherExpendituresAmt
End Year Balance	$9,104,949	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.50290	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.49710	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,591,798	OtherCostOrOtherBasisAmt
Book Value	$7,591,798	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,525,981	OtherCostOrOtherBasisAmt
Depreciation	$41,873,548	DepreciationAmt
Book Value	$35,652,433	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,208	OtherCostOrOtherBasisAmt
Depreciation	$85,210	DepreciationAmt
Book Value	$311,998	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,755,842	OtherCostOrOtherBasisAmt
Depreciation	$40,479,749	DepreciationAmt
Book Value	$9,276,093	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,409,151	OtherCostOrOtherBasisAmt
Depreciation	$1,557,183	DepreciationAmt
Book Value	$4,851,968	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,684,290	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$887,338
OTHER RECEIVABLES	$17,620,234
BENEFICIAL INTEREST IN THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC.	$16,191,379
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$1,014,000
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	$77,956,279
RIGHT OF USE OPERATING LEASE	$600,654

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$114,269,884	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$1,500,000
OTHER LIABILITIES	$3,894,848
VALUATION GUARANTEE	$286,775
PENSION LIABILITY	$1,227,927
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS	$1,319,002
RECOVERY TAIL LIABILITY	$464,687
MEDICARE ADVANCE PAYMENTS	$11,290,809

Field	Value	IRS element (for citing)
Total Liability	$19,984,048	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE INTENDED USE OF THE ENDOWMENT FUND IS TO ASSIST ST. MARY'S HEALTHCARE TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY.
FORM 990, SCHEDULE D, PART IV, LINE 2B	THE HOSPITAL MAINTAINS ACCOUNTS FOR RESIDENTS OF THE SKILLED NURSING FACILITY.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	0	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$853,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$739,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,775,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,725,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,050,543	NetCommunityBenefitExpnsAmt
Total Expense	0.08030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,629,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,838,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,790,272	NetCommunityBenefitExpnsAmt
Total Expense	0.08450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,400,858	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,400,858	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$274,073	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$274,073	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,581,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,480,802	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,100,218	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,718	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,718	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,446,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,480,802	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,965,867	NetCommunityBenefitExpnsAmt
Total Expense	0.03410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,075,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,319,678	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,756,139	NetCommunityBenefitExpnsAmt
Total Expense	0.11860	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,854,251	BadDebtExpenseAmt
Reimbursed By Medicare	$66,627,954	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,322,490	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,694,536	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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 HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	427 GUY PARK AVENUE	AddressLine1Txt
City	AMSTERDAM	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	120101054	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.SMHA.ORG/	WebsiteAddressTxt
State License	2801001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.SMHA.ORG/LEGACY-OF-CARE/CONTINUOUS-IMPROVEMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.SMHA.ORG/ST-MARYS/FINANCIAL-ASSISTANCE/GENERAL-INFORMATION	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 Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	ST. MARY'S HEALTHCARE CONSISTS OF TWO LICENSED FACILITIES, NAMELY, THE HOSPITAL AND THE WILKINSON RESIDENTIAL HEALTH CARE FACILITY, WHICH IS A SKILLED NURSING FACILITY. THE HOSPITAL HAS SEVERAL LOCATIONS, INCLUDING TWO OUTPATIENT ALCOHOL REHABILITATION CLINICS, ONE DIAGNOSTIC SERVICE CENTER, AND SEVEN PRIMARY CARE CENTERS.
ST. MARY'S HEALTHCARE	PART V, SECTION B, LINE 5: (FROM 2019 COMMUNITY SERVICE PLAN & COMMUNITY HEALTH IMPROVEMENT PLAN) AS PART OF THE COMMUNITY HEALTH ASSESSMENT, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN THE SPRING OF 2018 TO THE FALL OF 2018 FOR THE REPORTING PERIOD OF 2018-2020. A RANDOM SURVEY OF 750 INDIVIDUALS 18 AND OLDER IN ST. MARY'S HEALTHCARE SERVICE AREA WERE INTERVIEWED BY TELEPHONE. AN ONLINE SURVEY WAS ALSO CONDUCTED TO SOLICIT INPUT FROM KEY INFORMANTS. ST. MARY'S HEALTHCARE SUPPLIED A LIST OF RECOMMENDED PARTICIPANTS INCLUDING PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF COMMUNITY LEADERS. THE COMMUNITY LEADERS INCLUDE THOSE WHO WORK WITH LOW-INCOME MINORITY POPULATIONS AND MEDICALLY UNDERSERVED POPULATIONS.ST. MARY'S HEALTHCARE USES RELIABLE, THIRD-PARTY RESOURCES, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTHCARE NEEDS FOR THE COMMUNITY IT SERVES: FULTON AND MONTGOMERY COUNTIES IN NEW YORK STATE. THESE REPORTS INCLUDE VITAL INFORMATION REGARDING KEY HEALTH STATUS, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE, BUT ARE NOT LIMITED TO, REPORTS FROM: CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, FULMONT COMMUNITY ACTION AGENCY, FULTON COUNTY DEPARTMENT OF PUBLIC HEALTH, FULTON COUNTY OFFICE FOR THE AGING, FULTON COUNTY YMCA, HFM (HAMILTON, FULTON AND MONTGOMERY) PREVENTION COUNCIL, MONTGOMERY COUNTY DEPARTMENT OF PUBLIC HEALTH, MONTGOMERY COUNTY OFFICE FOR THE AGING, US CENSUS BUREAU, ETC. TO ACCESS A COMPLETE LISTING OF RESOURCES, PLEASE REFER TO THE ST. MARY'S HEALTHCARE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. ST. MARY'S HEALTHCARE UTILIZES THESE RESOURCES TO HELP GUIDE COMMUNITY EDUCATION PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, ST. MARY'S HEALTHCARE CONSIDERS THE HEALTHCARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND POPULATIONS WHICH ARE UNDERSERVED, LOW-INCOME, MINORITY AND/OR WITH CHRONIC DISEASE NEEDS WERE INCLUDED THROUGH RANDOMIZED PHONE SURVEYS AND AN EMAILED KEY INFORMANT SURVEY.
ST. MARY'S HEALTHCARE	PART V, SECTION B, LINE 6A: ST. MARY'S HEALTHCARE CONDUCTED ITS CHNA WITH THE FOLLOWING OTHER HOSPITAL FACILITY: ST. MARY'S HOSPITAL.
ST. MARY'S HEALTHCARE	PART V, SECTION B, LINE 11: THE CHNA STEERING COMMITTEE MET ON FEBRUARY 12, 2019 TO DETERMINE THE HEALTH NEEDS TO BE PRIORITIZED FOR ACTION. THE AREAS OF OPPORTUNITY WERE PRIORITIZED BY THE COMMITTEE AS FOLLOWS: NUTRITION/PHYSICAL ACTIVITY/WEIGHT MANAGEMENT-SPECIFICALLY DIABETES PREVENTION AND MENTAL HEALTH/SUBSTANCE ABUSE. ST. MARY'S HEALTHCARE IS CONTINUALLY WORKING TO MEET THE GOALS SET FORTH IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY FY 2020-2022. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT (SPECIFICALLY DIABETES PREVENTION): ST. MARY'S HAS ESTABLISHED A TEACHING KITCHEN TO HOST COOKING CLASSES AND DEMONSTRATIONS FOR PATIENTS IN TARGETED POPULATIONS. PRIMARY CARE PROVIDERS AND THEIR STAFF DISCUSS NUTRITIONAL CONCERNS WITH PATIENTS AND PROVIDE REFERRALS FOR NUTRITIONAL COUNSELING AS NECESSARY. ST. MARY'S HAS A DIABETES AND NUTRITION EDUCATION CENTER TO PROVIDE NUTRITIONAL COUNSELING TO THE COMMUNITY, AND THE PREGNANCY CARE CENTER. ST. MARY'S HAS ESTABLISHED 6 OFF-SITE AND ON CAMPUS "MISSION CUPBOARDS," WHICH SERVE AS EMERGENCY FOOD PANTRIES FOR PATIENTS IN NEED. A DOCUMENT LISTING ALL COMMUNITY MEALS AND FOOD PANTRIES HAS BEEN CREATED AND SHARED AS A RESOURCE FOR PROVIDERS AND STAFF. A TASK FORCE HAS BEEN ESTABLISHED TO INCLUDE COMMUNITY PARTNERS. ST. MARY'S HAS ESTABLISHED A REFERRAL PROCESS TO INCREASE ENROLLMENT IN AN EVIDENCE-BASED DIABETES PREVENTION LIFESTYLE CHANGE PROGRAM (DIABETES PREVENTION PROGRAM-DPP) THE CLASS IS OFFERED TO PEOPLE WHO ARE AT HIGH RISK FOR TYPE 2 DIABETES THAT CAN PREVENT OR DELAY THE DISEASE BY LOSING A MODEST AMOUNT OF WEIGHT THROUGH LIFESTYLE CHANGES (DIETARY CHANGES AND INCREASED PHYSICAL ACTIVITY) THE CANCER PEER EDUCATION TEAM HAS DEVELOPED AN INDOOR "FUN AND FREE WALKING PROGRAM" FOR THE COMMUNITY TO EXERCISE DURING THE WINTER MONTHS. HEALTHY FOOD AND BEVERAGE CHOICES ARE ALSO DISCUSSED AT THIS WEEKLY PROGRAM. ST. MARY'S HAS PARTNERED WITH CATHOLIC CHARITIES TO ESTABLISH A FOOD FARMACY AT THE MEMORIAL CAMPUS TO PROVIDE LOW-INCOME, FOOD INSECURE PATIENTS WITH CHRONIC HEALTH CONDITIONS, TEMPORARY ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION WITH AN ON-SITE DIETITIAN. MENTAL HEALTH/SUBSTANCE ABUSE: ST. MARY'S HEALTHCARE HAS JOINED WITH COMMUNITY PARTNERS, PUBLIC HEALTH, AND PROVIDERS TO FORM AN OVERDOSE TASK FORCE. THE TASK FORCE WILL INCREASE AVAILABILITY AND ACCESS TO MEDICATION-ASSISTED TREATMENT AND OVERDOSE REVERSAL. ST. MARY'S HEALTHCARE ALSO CONTINUES TO PARTICIPATE AS A MEMBER OF THE FULTON MONTGOMERY SUICIDE PREVENTION TASK FORCE. THE HOSPITAL IS AVAILABLE TO PROVIDE EDUCATIONAL MATERIALS AND RESOURCES TO SCHOOLS IN FULTON AND MONTGOMERY COUNTIES. ST. MARY'S HAS EXPANDED COLLABORATION TO BECOME A TRAUMA-INFORMED COMMUNITY TO PROVIDE CARE TO THOSE AFFECTED BY MENTAL, EMOTIONAL, AND BEHAVIORAL DISORDERS. THIS WILL ALSO EXPAND CRISIS TRAINING TO CLINICAL CAREGIVERS. ST. MARY'S HAS ADOPTED A COLLABORATIVE CARE APPROACH FOR BEHAVIORAL HEALTH AT THE AMSTERDAM AND JOHNSTOWN FAMILY HEALTH CENTERS. BEHAVIOR HEALTH CARE MANAGERS HELP TO COORDINATE BEHAVIORAL HEALTH APPOINTMENTS AND COMMUNICATE PATIENT NEEDS TO PRIMARY CARE PROVIDERS TO ENSURE THAT PATIENTS' PHYSICAL AND BEHAVIORAL HEALTH NEEDS ARE BEING MET. THE SOCIAL DETERMINANTS OF HEALTH (SDOH), PHQ-2 AND PHQ-9 SCREENING TOOLS HAVE BEEN INCORPORATED INTO PRIMARY CARE CLINICS WORKFLOW TO BETTER ADDRESS PATIENTS' MENTAL HEALTH NEEDS. PATIENTS ARE ASKED THE SDOH QUESTIONNAIRE AT INITIAL APPOINTMENTS, WHEREAS PH-2 AND PHQ-9 SCREENING OCCURRING AT EVERY VISIT. ST. MARY'S WALK-IN OUTPATIENT DETOX PROGRAM LOCATED IN THE MEMORIAL CAMPUS HAS HELPED TO INCREASE THE ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) AND OVERDOSE REVERSAL (NALOXONE). THIS OUTPATIENT DETOX PROGRAM HAS ALSO INCREASED THE AVAILABILITY OF/ACCESS TO OVERDOSE REVERSAL TRAINING TO PRESCRIBERS, PHARMACISTS, AND CONSUMERS. OTHER NEEDS: PRENATAL NUTRITION COUNSELING IS OFFERED TO PROVIDE PATIENTS WITHIN THE OB CLINIC WITH INFORMATION RELATED TO HEALTHY EATING AND HEALTHY WEIGHT GAIN THROUGHOUT THEIR PREGNANCY. MEDICAL PROVIDERS AT PRIMARY CARE CENTERS ASSESS PATIENTS FOR TOBACCO USE AND PROVIDE COUNSELING. PATIENTS ARE ALSO OFFERED "BUTT STOPS HERE" CLASSES TO ENCOURAGE SMOKING CESSATION. ST. MARY'S PROVIDES FREE FLU SHOTS TO THE LOCAL COLLEGE AND BOCES'S STUDENTS IN THE CNA, LPN, AND RN NURSING CLASSES AND TO OUR MIGRANT FARM WORKERS IN THE RURAL SECTIONS OF MONTGOMERY COUNTY. THE HOSPITAL PARTNERS WITH LOCAL PHYSICIANS AND MEDICAL PROVIDERS TO OFFER EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. WE HAVE A PARTNERSHIP WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER "JOINT SCHOOL" WHICH EDUCATES CANDIDATES FOR JOINT REPLACEMENT ON SURGERY, TREATMENT, CARE, AND MANAGEMENT OF BONE AND JOINT TISSUES. ST. MARY'S CURRENTLY AUDITS PATIENT RECORDS TO ENSURE THAT ALL DIABETICS ARE RECEIVING THE CARE THEY NEED TO PREVENT RENAL DISEASE AS A RESULT OF COMPLICATIONS FROM THEIR DIABETES. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, ST. MARY'S HEALTHCARE DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE FOLLOWING IDENTIFIED NEEDS ARE NOT BEING ADDRESSED BY CHNA: * ACCESS TO HEALTHCARE SERVICES: AS EVIDENCED BY THE CHNA, WE HAVE FEWER PRIMARY CARE PROVIDERS THAN MOST OF NYS. HOWEVER, WE ARE OUTPERFORMING MOST AREAS WHEN IT COMES TO ADULTS AND CHILDREN ATTENDING WELLNESS VISITS. ONLY 5.5% OF PEOPLE IN OUR SERVICE AREA UNINSURED. SMH EMPLOYS A FULL-TIME HEALTH INSURANCE ENROLLER AND SIX CERTIFIED APPLICATION COUNSELORS TO PROVIDE INDIVIDUALS WITH APPROPRIATE HEALTH INSURANCE. IN ADDITION, WE HAVE A FULL-TIME PHYSICIAN RECRUITER WHO IS FOCUSING ON INCREASING PROVIDERS IN OUR AREA. * RESPIRATORY DISEASES: AS PART OF SMH'S COLLABORATION WITH THE ALLIANCE FOR BETTER HEALTH, A PART OF DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM) OF NEW YORK STATE, PROJECT 4.B.I. ACTIONS WERE COMPLETED IN 2018 TO ADDRESS RESPIRATORY DISEASES. PRIMARY CARE PATIENTS ARE SCREENED FOR TOBACCO USE USING THE "5 A'S" MODEL AND REFERRALS TO THE NYS SMOKER'S QUITLINE ARE BUILT INTO THE EMR. PRIMARY CARE SITES HAVE BEEN SUPPLIED WITH SPIROMETERS AND SMH EMPLOYS AN ASTHMA EDUCATOR. INJURY AND VIOLENCE: ACCORDING TO THE CHNA, OUR SERVICE AREA'S MORTALITY RATE DUE TO UNINTENTIONAL INJURY IS SIMILAR TO THE HEALTHY PEOPLE 2020 GOAL AND LOWER THAN THE NATIONAL AVERAGE. THE RATE OF VIOLENT CRIMES IN OUR SERVICE AREA HAS REMAINED STATISTICALLY UNCHANGED. POTENTIALLY DISABLING CONDITIONS: SMH CONTINUOUSLY PARTNERS WITH LOCAL PHYSICIAN AND MEDICAL PROVIDERS TO OFFER FREE OF CHARGE EDUCATIONAL PROGRAMS ON JOINT, BONE AND BACK HEALTH. ADDITIONALLY, AN SMH INTERDISCIPLINARY TEAM PARTNERS WITH A LOCAL ORTHOPEDIC PRACTICE TO OFFER A "JOINT SCHOOL", WHICH IDENTIFIES CANDIDATES FOR JOINT REPLACEMENT.
ST. MARY'S HEALTHCARE	PART V, SECTION B, LINE 16J: INDIVIDUAL LETTERS ARE MAILED TO ALL UNINSURED PATIENTS INFORMING THEM OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE.
ST. MARY'S HEALTHCARE	PART V, SECTION B, LINE 20E: THE BILLING AND COLLECTIONS POLICY OF ST. MARY'S HEALTHCARE DOES NOT ALLOW A HOSPITAL TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THE ORGANIZATION MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS TAKEN INCLUDE BUT ARE NOT LIMITED TO:- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION.- NOTIFYING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY ON BILLING STATEMENTS THROUGHOUT THE BILLING CYCLE.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS WERE VOTED ON AND PRIORITIZED BY A COMMITTEE OF APPROXIMATELY 60 COMMUNITY STAKEHOLDERS, CONSISTING OF CLINICIANS, BUSINESS LEADERS, HEALTH EDUCATORS, SOCIAL WORKERS, ETC. THE PRIORITIZED HEALTH NEEDS ARE AS FOLLOWS: SUBSTANCE ABUSE/MENTAL HEALTH, NUTRITION/OBESITY/WEIGHT MANAGEMENT-SPECIFICALLY DIABETES PREVENTION. THE IMPLEMENTATION STRATEGY WAS DEVELOPED AFTER THE NEEDS WERE IDENTIFIED AND PRIORITIZED BASED ON SCOPE AND SEVERITY, AND THE PROGRAMS/SERVICES OF THE IMPLEMENTATION PLAN REFLECT THOSE TOP HEALTH PRIORITIES.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D	THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS IS BASED ON THE UNINSURED DISCOUNT, WHICH IS REVIEWED AND UPDATED ANNUALLY, AS APPLICABLE. UNINSURED PATIENTS WITH THE ABILITY TO PAY WILL BE PROVIDED A DISCOUNT BASED ON THE DISCOUNT PROVIDED TO THE HIGHEST-PAYING PAYER THAT ACCOUNTS FOR AT LEAST THREE PERCENT OF THE HOSPITAL'S VOLUME OR GROSS PATIENT REVENUES. IN FY21, THE HOSPITAL PROVIDED DISCOUNTS TO THE UNINSURED EQUAL TO 38% OF CHARGES FOR INPATIENTS AND 47% OF CHARGES FOR OUTPATIENTS.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ST MARY'S HEALTHCARE
4988 STATE HIGHWAY 30	AMSTERDAM	NY	12010	DIAGNOSTIC CARE, PRIMARY CARE, CANCER MEDICINE, IP PHYSICAL REHAB, MH
2 - WILKINSON RESIDENTIAL HEALTHCARE FACILIT
4988 STATE HIGHWAY 30	AMSTERDAM	NY	12010	RESIDENTIAL HEALTH CARE FACILITY
3 - FULTON COUNTY AMH AND ADDICTION CLINIC
73 NORTH MAIN STREET	GLOVERSVILLE	NY	12078	MENTAL HEALTH AND ADDICTION SERVICES
4 - CANAJOHARIE FAMILY HEALTH CENTER
48 ERIE BOULEVARD	CANAJOHARIE	NY	13317	FAMILY HEALTH CENTER
5 - JOHNSTOWN FAMILY HEALTH CENTER
700 S PERRY STREET	JOHNSTOWN	NY	12095	FAMILY HEALTH CENTER
6 - GLOVERSVILLE FAMILY HEALTH CENTER
84 E STATE STREET	GLOVERSVILLE	NY	12078	FAMILY HEALTH CENTER
7 - CARONDELET FAMILY HEALTH CENTER
380 GUY PARK AVENUE	AMSTERDAM	NY	12010	FAMILY HEALTH CENTER
8 - DIAGNOSTIC SERVICE CENTER
110 HOLLAND CIRCLE DRIVE	AMSTERDAM	NY	12010	DIAGNOSTIC CARE CENTER
9 - NORTHVILLE FAMILY HEALTH CENTER
331 BRIDGE STREET	NORTHVILLE	NY	12134	FAMILY HEALTH CENTER
10 - PODIATRY HEALTH CENTER
446A GUY PARK AVENUE	AMSTERDAM	NY	12010	SPECIALTY CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	PATIENTS WITH DEMONSTRATED FINANCIAL NEEDS WITH INCOME GREATER THAN 400% OF THE FPL MAY BE ELIGIBLE FOR CONSIDERATION UNDER A "MEANS TEST" FOR SOME DISCOUNT OF THEIR CHARGES FOR SERVICES FROM THE ORGANIZATION BASED ON A SUBSTANTIVE ASSESSMENT OF THEIR ABILITY TO PAY. PATIENTS WILL BE REQUIRED TO COMPLETE THE ORGANIZATIONS MEANS TEST APPLICATION WHICH REQUIRES DISCLOSURE OF DETAILED INFORMATION REGARDING DEBT AND INCOME TO DETERMINE ELIGIBILITY FOR A MEANS TEST DISCOUNT. A PATIENT ELIGIBLE FOR THE "MEANS TEST" DISCOUNT WILL NOT BE CHARGED MORE THAN THE CALCULATED AGB CHARGES.
PART III, LINE 2:	AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTIONS EFFORTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST TO CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2021 WAS $5,042,055 AT CHARGES ($1,854,251 AT COST).
PART III, LINE 3:	ST. MARY'S HEALTHCARE FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 4:	THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE IS LOCATED ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS.
FORM 990, SCHEDULE I, PART III, LINE 3	ST. MARY'S HEALTHCARE HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
PART VI, LINE 2:	IN ADDITION TO THE CHNA PROCESS DESCRIBED IN SCHEDULE H PART V, THE HOSPITAL SOUGHT INPUT FROM ITS BOARD OF TRUSTEES, MEDICAL EXECUTIVE COMMITTEE, LEADERSHIP STAFF AND COMMUNITY PARTNERS WHEN COMPLETING ITS ANNUAL INTEGRATED STRATEGIC, OPERATIONAL, AND FINANCIAL PLAN (ISOFP). THE ISOFP USES PERTINENT DATA AND COMPREHENSIVE FEEDBACK TO OUTLINE CURRENT AND FUTURE CRITICAL HEALTHCARE NEEDS FOR THE HOSPITAL'S SERVICE AREA, AS WELL AS THE RESOURCES NEEDED TO ADDRESS THE IDENTIFIED ISSUES.
PART VI, LINE 3:	ST. MARY'S HEALTHCARE STRIVES TO MAINTAIN A BALANCE BETWEEN PROVIDING CARE OF THE POOR WITH THE ABILITY OF THE HOSPITAL TO MAINTAIN QUALITY HEALTH CARE FOR THE COMMUNITY IT SERVES. AS PART OF ITS FINANCIAL ASSISTANCE POLICIES, THE HOSPITAL OFFERS A SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS AS A PERCENTAGE OFF THE STANDARD CHARGE; THE DISCOUNTS WERE SET AT 38% FOR INPATIENT SERVICES AND 47% FOR OUTPATIENT SERVICES. FOR THE TWELVE-MONTH PERIOD (JULY 2020-JUNE 2021), THE DISCOUNTS PROVIDED TO THE UNINSURED WERE $2,382,945. THE CARONDELET CARE ASSISTANCE PROGRAM IS THE NEXT LEVEL OF FINANCIAL ASSISTANCE AVAILABLE TO THE HOSPITAL'S PATIENTS. THIS PROGRAM IS AVAILABLE TO ALL PATIENTS WHO CAN DEMONSTRATE A FINANCIAL BURDEN ASSOCIATED WITH THEIR PATIENT RESPONSIBILITY. FINANCIAL ASSISTANCE IS PROVIDED THROUGH COLLABORATION BETWEEN THE HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE STAFF. ALTHOUGH THE TWO DEPARTMENTS OFFER DIFFERENT FINANCIAL ASSISTANCE SERVICES, THE ENROLLMENT STAFF IS TRAINED TO HELP THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR ANY GOVERNMENT SPONSORED PROGRAMS TO ACCESS THE CARONDELET CARE ASSISTANCE PROGRAM. SIMILARLY, THE FINANCIAL COUNSELORS OFTEN REFER PATIENTS IN NEED OF INSURANCE TO OUR ENROLLMENT SPECIALIST. THE ENROLLMENT STAFF IS AVAILABLE TO MEET WITH COMMUNITY MEMBERS AT THE MAIN HOSPITAL, THE MEMORIAL CAMPUS AND AT ALL SEVEN OF THE OFF-SITE FAMILY HEALTH CENTERS. STAFF IS ALSO TRAINED TO REFER INDIVIDUALS TO FREE OR LOW-COST HEALTH CARE PROGRAMS WITHIN THE COMMUNITY IF NO OTHER OPTIONS ARE IMMEDIATELY AVAILABLE. THE HOSPITAL ENROLLER WORKS COLLABORATIVELY WITH COMMUNITY AGENCIES TO FURTHER EXPAND ITS OUTREACH. LARGE POSTERS DESCRIBING THE HOSPITAL'S WILLINGNESS TO HELP PATIENTS WITH FINANCIAL ASSISTANCE ARE DISPLAYED IN ALL MAIN ENTRANCES TO THE HOSPITAL AND THE OFF-SITE LOCATIONS, AS WELL AS IN OUR MULTIPLE REGISTRATION SITES AND WAITING ROOMS. THE INFORMATIONAL POSTERS ARE IN ENGLISH AND SPANISH AND URGE PATIENTS TO CALL IF THEY ARE CONCERNED ABOUT BILL PAYMENT. TRANSLATION SERVICES ARE ALSO AVAILABLE AS NEEDED VIA LANGUAGE LINE TELEPHONES AND IPAD VIDEO APPLICATION. BROCHURES IN ENGLISH AND SPANISH ARE AVAILABLE AT ALL SERVICE SITES AND OFFER DETAILED INFORMATION ABOUT THE VARIOUS LEVELS OF ASSISTANCE. IN ADDITION TO OFFERING DISCOUNTS, ST. MARY'S OFFERS OPTIONS FOR PAYMENT PLANS AND PAYMENT SCHEDULES. THE ENGLISH AND SPANISH BROCHURES ARE ALSO AVAILABLE ON THE HOSPITAL WEB SITE. INFORMATION ON FINANCIAL ASSISTANCE IS ALSO CONTAINED IN THE PATIENT INFORMATION GUIDE GIVEN TO ALL INPATIENTS AT ST. MARY'S HEALTHCARE.
PART VI, LINE 4:	THE PSA REPRESENTS ONE OF THE OLDEST REGIONS IN NYS. ESTIMATES INDICATE THAT THE 65 AND OLDER POPULATION WILL CONTINUE TO GROW. ACCORDING TO SG2 HEALTHCARE ANALYTICS, THE LARGEST PROJECTED SEGMENT OF OUR POPULATION SHOWING GROWTH OVER THE NEXT 5 YEARS IS THE 60+, WITH AN AVERAGE GROWTH RATE OF 11.8%. IN FACT, WITHIN THIS SEGMENT, 67-69+ SHOWS AN 18.3% PROJECTED INCREASE. OVER THE PAST YEAR THE ST. MARY'S SERVICE AREA HAS SEEN AN INCREASE IN THE UNEMPLOYMENT RATE, FULTON COUNTY INCREASED FROM 4.7% TO 13% AND MONTGOMERY INCREASED FROM 5% TO 13.6% KEEPING BOTH COUNTIES LOWER THAN THE STATE AVERAGE OF 16%. THERE ARE MANY FACTORS THAT CONTRIBUTE TO THE COMMUNITY'S POVERTY LEVELS, INCLUDING THE HIGH SCHOOL DROPOUT RATE IN BOTH COUNTIES. REPORTS INDICATE AN AVERAGE DROPOUT RATE OF 10% IN FULTON COUNTY AND 9% IN MONTGOMERY COUNTY WITH OUR TWO LARGEST SCHOOL DISTRICTS AVERAGING AN 11.5% DROPOUT RATE. THE LACK OF EDUCATION AFFECTS THE WORKFORCE, CONTRIBUTES TO HIGHER UNEMPLOYMENT AND GREATER RISK OF WORKING WITHOUT HEALTH INSURANCE. IN THE PSA OF FULTON AND MONTGOMERY COUNTIES THE MEDIAN POVERTY RATE IS 17.8% WHICH IS 2.7% HIGHER THAN THE STATE AVERAGE. RESEARCH INDICATES A DECLINE IN THE CAUCASIAN POPULATION, WHICH IS A CONSISTENT TREND OVER SEVERAL YEARS. THE HISPANIC COMMUNITY IS OUR LARGEST MINORITY COMMUNITY, WITH THE LARGEST CONCENTRATION WITHIN THE CITY OF AMSTERDAM. US CENSUS 2017 ESTIMATES INDICATE THAT 30.2% OF THE RESIDENTS OF AMSTERDAM ARE IDENTIFIED AS HISPANIC WHICH IS MORE THAN 11.7% HIGHER THAN THE NATIONAL AVERAGE. THE HOSPITAL EMPLOYS BILINGUAL AND BICULTURAL HEALTHCARE PROFESSIONALS TO MEET THE NEEDS OF THE HISPANIC COMMUNITY.HEALTH STATISTICS RELEVANT TO THE COMMUNITY'S HEALTH STATUS ARE AS FOLLOWS: OVER 71.3% OF THE ST. MARY'S HEALTHCARE SERVICE AREA ADULTS ARE OVERWEIGHT. ESPECIALLY ALARMING IS THAT 37.2% OF OUR CHILDREN ARE OVERWEIGHT. THE RELATIONSHIP OF BEING OVERWEIGHT WITH OTHER HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, CHRONIC DEPRESSION, ARTHRITIS AND DIABETES ARE SIGNIFICANT. POOR NUTRITIONAL HABITS AND LACK OF PHYSICAL ACTIVITY ARE SIGNIFICANT CONTRIBUTING FACTORS TO THE OVERWEIGHT STATUS OF OUR COMMUNITY. ACCESS TO QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR INCREASING THE QUALITY OF LIFE FOR EVERYONE. IT IMPACTS OVERALL PHYSICAL, SOCIAL AND MENTAL HEALTH STATUS; THE PREVENTION OF DISEASE AND DISABILITY; QUALITY OF LIFE; PREVENTABLE DEATH AND LIFE EXPECTANCY. UNINSURED INDIVIDUALS COMPRISE 5.5% OF THE POPULATION IN FULTON AND MONTGOMERY COUNTIES. OF THE TOTAL RESPONDENTS, 4% OF THOSE WITH LOW-INCOME WENT WITHOUT SOME TYPE OF COVERAGE THE PAST YEAR. THE LARGEST SEGMENT IN OUR SERVICE AREA REPORTING A LACK OF HEALTHCARE INSURANCE COVERAGE ARE MEN AND WOMEN AGED 18 TO 39. ADDITIONALLY, OVER 43% OF RESPONDENTS REPORTED SOME TYPE OF DIFFICULTY OR DELAYS IN RECEIVING NEEDED HEALTH CARE IN THE PAST YEAR, WITH THOSE WHO ARE UNINSURED MUCH MORE LIKELY TO REPORT BARRIERS WHEN COMPARED TO THE INSURED POPULATION.
PART VI, LINE 5:	ST. MARY'S HEALTHCARE'S GOVERNING BODY CONSISTS OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ST. MARY'S HEALTHCARE'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. MANY SURPLUS FUNDS FIND THEIR WAY TO MISSION TRIPS IN THIRD WORLD COUNTRIES OR STAY HERE FOR THE MEDICAL MISSION AT HOME EVENTS. ST. MARY'S HEALTHCARE PROMOTES THE HEALTH OF ITS COMMUNITY THROUGH VARIOUS ACTIVITIES, INCLUDING THE FOLLOWING: DURING JULY 2020-JUNE 2021, COMMUNITY EDUCATION WAS PROVIDED ON TOPICS SUCH AS DIABETES EDUCATION, NUTRITION AND PHYSICAL ACTIVITY, MENTAL HEALTH, BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS, HEALTH INSURANCE, CHILDBIRTH EDUCATION, DIABETES PREVENTION, BONE AND JOINT HEALTH, BRAIN INJURY AWARENESS, HEART HEALTH, INFANT CPR, LACTATION SUPPORT SUICIDE PREVENTION, HEALTH CARE PROXYS, GENERAL MENTAL WELL-BEING, GASTROENTEROLOGY, SKIN CANCER PREVENTION, AND OTHER WELLNESS AREAS. HOSTED THREE AMERICAN RED CROSS BLOOD DRIVES TO ADDRESS THE CRITICAL NEED FOR BLOOD IN OUR SERVICE AREA. PROVIDED HEALING TOUCH TREATMENTS TO WOMEN WHO HAVE BREAST CANCER OR WHO ARE BREAST CANCER SURVIVORS, CLIENTS OF PROS PROGRAM AND WILKINSON RESIDENTS. FROM JULY 2020 JUNE 2021, ST. MARY'S ASSOCIATES GAVE OVER 500 HOURS BACK TO THEIR COMMUNITY SERVING ON VARIOUS BOARDS INCLUDING MINORITY HEALTH TASK FORCE, ROTARY, DANIELLE'S HOUSE, COMMUNITY HEALTH CENTER (CHC) , GREATER AMSTERDAM VOLUNTEER AMBULANCE CORP (GAVAC), NEW DIMENSIONS IN HEALTH CARE, HEALTHY ALLIANCE IPA, HABITAT FOR HUMANITY, MONTGOMERY COUNTY EMS, ALBANY MEDICAL CENTER TRAUMA, ADIRONDACK - APPALACHIAN REGIONAL EMERGENCY MEDICAL SERVICES (AAERMS), FULTON MONTGOMERY CHAMBER OF COMMERCE, LEXINGTON FINANCE, FULTON MONTGOMERY COMMUNITY COLLEGE (FMCC), INNOVATIVE HEALTH ALLIANCE OF NEW YORK (IHANY), CATHOLIC CHARITIES OF FULTON AND MONTGOMERY COUNTIES, COMMUNITY FOOD ASSISTANCE NETWORK FROM JULY 2020 THROUGH JUNE 2021, THE HOSPITAL SUPPORTED THE WORK OF MANY COMMUNITY GROUPS INCLUDING THE LIBERTY FOUNDATION, MAKE A WISH FOUNDATION, MONTGOMERY COUNTY OFFICE FOR AGING, CITY OF AMSTERDAM, FULTON MONTGOMERY COMMUNITY COLLEGE, FULMONT COMMUNITY ACTION AGENCY, FULTON MONTGOMERY REGIONAL CHAMBER OF COMMERCE, DANIELLE'S HOUSE, ROTARY CLUBS, INTERFAITH PARTNERSHIP FOR THE HOMELESS, UNITED WAY, AND NUMEROUS SCHOOL CLUBS, SPORT TEAMS AND COMMUNITY GROUPS THROUGH ITS FISCAL DONATIONS. ST. MARY'S HAS A PARTNERSHIP WITH PALMER'S PHARMACY IN JOHNSTOWN. IF PATIENTS NEED MEDICATION AND CANNOT EITHER PAY FOR IT OR PICK UP THEIR PRESCRIPTIONS, PALMER'S WILL DELIVER TO THE HOSPITAL, THEIR HOME, OR HAVE IT READY FOR PICK-UP FOR THE PATIENT. ST. MARY'S CONTINUED TO BE A LEADER AND COLLABORATOR WITH A GROUP OF PARTNERS FROM LOCAL HEALTH CARE ENTITIES AND COMMUNITY AGENCIES WHOSE MISSION IS TO IMPROVE THE HEALTH STATUS FOR ALL WE SERVE. DURING 2020-2021, WE CONTINUED TO CARRY OUT THE WORK WE COMMITTED TO IN OUR IMPLEMENTATION STRATEGY AND COMMUNITY SERVICE PLAN. IN FY21, WE CONTINUED OUR SEVENTEENTH YEAR OF DISTRIBUTING EDUCATIONAL INFORMATION ON INSURANCE ELIGIBILITY FOR CHILDREN THROUGH THE SCHOOL SYSTEM, PUBLIC SERVICE ANNOUNCEMENTS, ADVERTISING AND APPEARANCES AT "BACK TO SCHOOL" EVENTS SUCH AS PTA MEETINGS AND OPEN HOUSES. ENROLLED 712 INDIVIDUALS IN STATE-SPONSORED INSURANCE PROGRAMS AND PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH MARKETPLACE. PROVIDED 247 LIFE-SAVING CANCER SCREENINGS TO UNINSURED INDIVIDUALS THROUGH THE CANCER SERVICES PROGRAM. SUPPORTED A PROMOTOR WHO PROVIDED OUTREACH EDUCATION, REFERRAL, FOLLOW-UP, CASE MANAGEMENT AND ADVOCACY SERVICES TO OUR LATINO AND MIGRANT COMMUNITY. THE GOAL OF THE PROGRAM IS TO PROMOTE NEEDED PRIMARY HEALTH SERVICES AND PREVENTION EFFORTS IN A CULTURALLY APPROPRIATE MANNER. MAINTAINED THE IMPORTANCE OF CULTURALLY SENSITIVE AND ACCURATE COMMUNICATION WITH LATINO PATIENTS AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY THROUGH THE USE OF TRANSLATION SERVICES WHICH INCLUDE PROFESSIONAL PHONE AND VIDEO TRANSLATION SERVICES AND THE TRANSLATION OF KEY DOCUMENTS. ENGLISH AND SPANISH ARE THE MOST PROMINENT LANGUAGES SPOKEN IN THE COMMUNITY, AND ALL SIGNAGE IS POSTED IN BOTH ENGLISH AND SPANISH THROUGHOUT THE ORGANIZATION. THE IPAD VIDEO SERVICES ALSO SERVE THOSE IN NEED OF SIGN LANGUAGE SERVICES. ST. MARY'S HEALTHCARE HOSTS SEVERAL COMMUNITY SUPPORT GROUPS INCLUDING MONTHLY GROUPS FOR BRAIN INJURY, CANCER, AND NEW MOMMY MEET UP A MAJORITY OF THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL ESTABLISHED THE CARONDELET COMMUNITY FUND, WHICH PROVIDES MODEST ASSISTANCE TO LOCAL PROGRAMS AND AGENCIES WHOSE VALUES AND MISSION ALIGN WITH THE VALUES OF ST. MARY'S HEALTHCARE. GRANTS FROM THE FUND ARE MADE TO ELIGIBLE NON-PROFIT COMMUNITY AGENCIES WHICH ARE LOCATED WITHIN THE SERVICE AREA OF ST. MARY'S HEALTHCARE AND WHICH SHARE THE VALUES OF ST. MARY'S WITH AN EMPHASIS ON SERVICE TO THE POOR AND VULNERABLE, AND HOLISTIC CARE. TWELVE LOCAL NOT-FOR-PROFIT AGENCIES SERVING OUR COMMUNITY WERE ONCE AGAIN AWARDED GRANT FUNDING AS PART OF ST. MARY'S CARONDELET COMMUNITY FUND PROGRAM OF 2021. FUNDS WERE ALLOCATED TO JOHNSTOWN COUNCIL OF CHURCHES FOOD PANTRY-ST. JOHN'S EPISCOPAL CHURCH, NEW DIMENSIONS IN HEALTH CARE, HFM PREVENTION COUNCIL-CREATIVE CONNECTIONS CLUBHOUSE, FORT PLAIN REFORMED CHURCH, COMFORT ZONE-TRINITY LUTHERAN CHURCH, CATHOLIC CHARITIES OF FULTON AND MONT COUNTIES, MONTGOMERY COUNTY OFFICE FOR AGING, BROADALBIN-PERTH LIONS FOUNDATION, GROW AMSTERDAM, CENTRO CIVICO, HAVEN OF HOPE, THE ARC LEXINGTON.
PART VI, LINE 6:	THROUGH AUGUST 31, 2020, ST. MARY'S HEALTHCARE (THE HOSPITAL) WAS A MEMBER OF ASCENSION HEALTH. IN DECEMBER 2011, ASCENSION HEALTH ALLIANCE BECAME THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC, NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTH CARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION HEALTH ALLIANCE IS SPONSORED BY ASCENSION HEALTH MINISTRIES, A PUBLIC JURIDICAL PERSON.THE HOSPITAL, LOCATED IN AMSTERDAM, NEW YORK, IS A NONPROFIT ACUTE CARE HOSPITAL. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE HOSPITAL, MEDICAL SERVICES ENHANCEMENT, INC. (MSE), CARONDELET REGIONAL MEDICAL, P.C., AND THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC. (FOUNDATION). MSE OPERATES A MEDICAL OFFICE BUILDING TO RETAIN AND ATTRACT PHYSICIAN SPECIALISTS TO BETTER SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY. CARONDELET REGIONAL MEDICAL, P.C IS A MULTISPECIALTY PHYSICIAN PRACTICE. THE FOUNDATION'S PRIMARY PURPOSE IS TO ASSIST THE HOSPITAL TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY BY PROVIDING A FOCAL POINT AS THE RECIPIENT FOR PHILANTHROPIC SUPPORT AND BY TRANSFERRING FUNDS TO THE HOSPITAL.THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR THE RESIDENTS OF MONTGOMERY, FULTON, AND HAMILTON COUNTIES. THE HOSPITAL ALSO PROVIDES AN ARRAY OF BEHAVIORAL HEALTH SERVICES INCLUDING INPATIENT MENTAL HEALTH AND ALCOHOL REHABILITATION PLUS OUTPATIENT MENTAL HEALTH AND ALCOHOL RELATED SERVICES. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. ADDITIONALLY, THE HOSPITAL OPERATES A 160-BED SKILLED NURSING FACILITY WHICH PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO RESIDENTS WHO ARE SEVERELY LIMITED IN THEIR ABILITY TO CARE FOR THEMSELVES DUE TO ILLNESS AND/OR DISABILITY, AND A MEDICAL ADULT DAY CARE PROGRAM. THE HOSPITAL IS RELATED TO ASCENSION HEALTH'S OTHER SPONSORED ORGANIZATIONS THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF ASCENSION HEALTH AND ITS SPONSORED ORGANIZATIONS ARE RELATED TO PROVIDING HEALTH CARE SERVICES.ASCENSION HEALTH ALLIANCE DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH ALLIANCE'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASCENSION HEALTH ALLIANCE USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS.- TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED.- UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS.- COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COST OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME.- COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS.DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS IN THE ACUTE CARE FACILITY, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS CALCULATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY BOTH THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE INTERNAL REVENUE SERVICE (IRS).THE AMOUNT OF TRADITIONAL CHARITY CARE PROVIDED, DETERMINED ON THE BASIS OF COST, EXCLUDING THE PROVISION FOR BAD DEBT EXPENSE WAS APPROXIMATELY $740,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2021 AND $1,042,000 FOR THE TWELVE MONTHS ENDED JUNE 30, 2020. THE AMOUNT OF UNPAID COST OF PUBLIC PROGRAMS, COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, AND COMMUNITY BENEFIT COST ARE REPORTED IN THE ACCOMPANYING OTHER FINANCIAL INFORMATION.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FAMILY CARE - ENTITLEMENT PROVIDER	3	$10,800
FAMILY CARE - ENTITLEMENT RESIDENT	9	$16,705
TCM FULTON RECIPIENTS	260	$10,096
TCM MONTGOMERY RECIPIENTS	389	$9,637

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE GRANT FUNDS AWARDED ARE TO CLIENTS OF THE FAMILY CARE, INTENSIVE CASE MANAGEMENT, AND SUPPORTIVE CASE MANAGEMENT PROGRAMS WHICH ARE ADMINISTERED THROUGH THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES DIVISION. THE AMOUNTS ARE DETERMINED BASED ON EVALUATION OF CLIENT NEEDS AS DETERMINED BY THEIR INDIVIDUAL CASE MANAGERS. ALL AMOUNTS ARE PROCESSED IN ACCORDANCE WITH THE HOSPITAL'S DISBURSEMENTS PRACTICES WHICH REQUIRE EVIDENCE OF SUPPORTING DOCUMENTATION FOR ALL REQUIRED APPROVALS. THE USAGE OF FUNDING FOR FAMILY CARE AND CASE MANAGEMENT ARE IN ACCORDANCE WITH THE OFFICE OF MENTAL HEALTH PROCEDURAL GUIDELINES BY PROGRAM CODE AND FUNDING SCORE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD MARSH MD
VICE-CHAIRMAN	$619,799	$0	$150,642	$0	$40,267	$0	$54,024	$0	$26,299	$0	$891,031	$0	$0	$0
MOHAMMAD R GHAZI MD
SECRETARY	$476,997	$0	$81,145	$0	$35,984	$0	$54,050	$0	$21,333	$0	$669,509	$0	$0	$0
SCOTT BRUCE
DIRECTOR/PRESIDENT & CEO EFFECTIVE J	$369,870	$0	$30,221	$0	$39,156	$0	$52,163	$0	$27,127	$0	$518,537	$0	$0	$0
VICTOR F GIULIANELLI
DIRECTOR/PRESIDENT & CEO THROUGH JUL	$13,803	$0	$332,591	$0	$23,518	$0	$2,077	$0	$1,291	$0	$373,280	$0	$0	$0
FREDERICK E HENZE JR
CHIEF FINANCIAL OFFICER	$209,374	$0	$22,410	$0	$10,743	$0	$31,329	$0	$5,763	$0	$279,619	$0	$0	$0
WILLIAM MAYER
CMO	$373,002	$0	$38,480	$0	$41,460	$0	$53,234	$0	$12,293	$0	$518,469	$0	$0	$0
PATRICIA SANDERS
CNO	$141,973	$0	$3,475	$0	$631	$0	$8,663	$0	$25,604	$0	$180,346	$0	$0	$0
DUANE MILLER
VP, BEHAVIORAL HEALTH	$180,905	$0	$21,440	$0	$18,641	$0	$24,783	$0	$22,341	$0	$268,110	$0	$0	$0
JAMES CHARLAND MD
PHYSICIAN	$547,334	$0	$52,071	$0	$36,730	$0	$54,050	$0	$27,460	$0	$717,645	$0	$0	$0
MICHAEL FINNEGAN MD
PHYSICIAN	$510,941	$0	$133,168	$0	$3,958	$0	$50,514	$0	$29,187	$0	$727,768	$0	$0	$0
ALBERT FRASER MD
PHYSICIAN	$497,290	$0	$76,970	$0	$22,949	$0	$54,050	$0	$29,104	$0	$680,363	$0	$0	$0
JAMES IZZANO MD
PHYSICIAN	$362,850	$0	$183,186	$0	$57,714	$0	$46,000	$0	$45,577	$0	$695,327	$0	$0	$0
GARY SINENSKY MD
PHYSICIAN	$517,027	$0	$73,236	$0	$42,036	$0	$52,163	$0	$19,399	$0	$703,861	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.

FORM 990, SCHEDULE J, PART I, LINE 4B

ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DESCRIBE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DESIGNATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO THE PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN NET ASSETS OF FOUNDATION 4,128,631. TRANSFERS TO SPONSOR AND OTHER AFFILIATES 48,680,000. OTHER 490,948.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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
CARONDELET REGIONAL MEDICAL PC
427 GUY PARK AVENUE	AMSTERDAM	NY	12010	814769136	GENERAL PRACTICE CLINIC	NY	501(C)(3)	LINE 3	ST MARY'S HEALTHCARE	0
MEDICAL SERVICES ENHANCEMENT INC
425 GUY PARK AVENUE	AMSTERDAM	NY	12010	141776546	MEDICAL OFFICE BUILDING	NY	501(C)(25)		ST MARY'S HEALTHCARE	0
THE FOUNDATION OF ST MARY'S HEALTHCARE INC
427 GUY PARK AVENUE	AMSTERDAM	NY	12010	133254655	FOUNDATION	NY	501(C)(3)	LINE 12C		0
ASCENSION HEALTH
PO BOX 45998	ST LOUIS	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(C)(3)	LINE 12A, I	ASCENSION HEALTH ALLIANCE	0
ALEXIAN BROTHERS HEALTH SYSTEM
PO BOX 45998	ST LOUIS	MO	63145	363260459	SUPPORTS HEALTHCARE SERVICES FOR RELATED CORPORATIONS	IL	501(C)(3)	LINE 12C, III-FI	ASCENSION HEALTH	0
ASCENSION ARIZONA
PO BOX 45998	ST LOUIS	MO	63145	860455920	HOSPITAL	AZ	501(C)(3)	LINE 3	ASCENSION HEALTH	0
ASCENSION DEPAUL HOLDINGS OF EL PASO
PO BOX 45998	ST LOUIS	MO	63145	742734755	SUPPORTING ORGANIZATION	MO	501(C)(3)	LINE 12A, I	ASCENSION HEALTH	0
ASCENSION HEALTH SENIOR CARE
PO BOX 45998	ST LOUIS	MO	63145	431227406	PARENT COMPANY	MO	501(C)(3)	LINE 12B, II	ASCENSION HEALTH	0
ASCENSION TEXAS
PO BOX 45998	ST LOUIS	MO	63145	454364243	DELIVERY OF HEALTH CARE SERVICES	TX	501(C)(3)	LINE 12A, I		0
MINISTRY HEALTH CARE INC
PO BOX 45998	ST LOUIS	MO	63145	391490371	PARENT CORPORATION	WI	501(C)(3)	LINE 12A, I	ASCENSION HEALTH	0
OUR LADY OF LOURDES HOSPITAL AT PASCO
PO BOX 45998	ST LOUIS	MO	63145	910349750	HEALTHECARE	WA	501(C)(3)	LINE 3	ASCENSION HEALTH	0
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
PO BOX 45998	ST LOUIS	MO	63145	150532221	HOSPITAL	NY	501(C)(3)	LINE 3	ASCENSION HEALTH	0
PROVIDENCE HOSPITAL
PO BOX 45998	ST LOUIS	MO	63145	530196636	HOSPITAL	DC	501(C)(3)	LINE 3	ASCENSION HEALTH	0
SAINT THOMAS HEALTH
PO BOX 45998	ST LOUIS	MO	63145	581716804	SYSTEM PARENT	TN	501(C)(3)	LINE 12B, II	ASCENSION HEALTH	0
SJRMC INC
PO BOX 45998	ST LOUIS	MO	63145	820204264	HOSPITAL	ID	501(C)(3)	LINE 3	ASCENSION HEALTH	0
ST AGNES HEALTHCARE INC
PO BOX 45998	ST LOUIS	MO	63145	520591657	HOSPITAL	MD	501(C)(3)	LINE 3	ASCENSION HEALTH	0
ST JOHN HEALTH SYSTEM INC
PO BOX 45998	ST LOUIS	MO	63145	731215174	SYSTEM PARENT	OK	501(C)(3)	LINE 12A, I	ASCENSION HEALTH	0
ST VINCENT HEALTH INC
PO BOX 45998	ST LOUIS	MO	63145	352052591	PARENT COMPANY	IN	501(C)(3)	LINE 12C, III-FI	ASCENSION HEALTH	0
ST VINCENT'S HEALTH SYSTEM
PO BOX 45998	ST LOUIS	MO	63145	630931008	HEALTH SYSTEM	AL	501(C)(3)	LINE 12C, III-FI	ASCENSION HEALTH	0
ST VINCENT'S HEALTH SYSTEM INC
PO BOX 45998	ST LOUIS	MO	63145	593650609	PARENT ENTITY	FL	501(C)(3)	LINE 12B, II	ASCENSION HEALTH	0
ST VINCENT'S MEDICAL CENTER
PO BOX 45998	ST LOUIS	MO	63145	060646886	HOSPITAL AND SYSTEM PARENT	CT	501(C)(3)	LINE 3	ASCENSION HEALTH	0
WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INC
PO BOX 45998	ST LOUIS	MO	63145	391568865	PARENT CORPORATION	IL	501(C)(3)	LINE 12A, I	ASCENSION HEALTH	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd