ST MARYS MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST MARYS MEDICAL CENTER INC (EIN 55-0357050)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202542279349303094
Schema version: 2023v6.0
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T13:42:53-05:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550538163	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTLE & STALNAKER PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	501 5TH AVENUE SUITE 1	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25701	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	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)
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	COO	PersonTitleTxt
Phone	3045268931	PhoneNum
Signature	2025-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WADE NEWELL CPA	PreparerPersonNm
PTIN	P01051041	PTIN
Phone	3045250301	PhoneNum
Preparation	2025-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$717,207,137	GrossReceiptsAmt
Group Return For Affiliates	0	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4522	TotalEmployeeCnt
Total Volunteers	107	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$615,044	PYContributionsGrantsAmt
CY Contributions Grants	$16,077,414	CYContributionsGrantsAmt
PY Program Service Revenue	$624,865,495	PYProgramServiceRevenueAmt
CY Program Service Revenue	$679,480,167	CYProgramServiceRevenueAmt
PY Investment Income	$3,634,913	PYInvestmentIncomeAmt
CY Investment Income	$1,540,431	CYInvestmentIncomeAmt
PY Other Revenue	$30,599,297	PYOtherRevenueAmt
CY Other Revenue	$18,479,353	CYOtherRevenueAmt
PY Total Revenue	$659,714,749	PYTotalRevenueAmt
CY Total Revenue	$715,577,365	CYTotalRevenueAmt
PY Grants And Similar Paid	$978,026	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,091,042	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$336,600,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$341,874,094	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$358,157,645	PYOtherExpensesAmt
CY Other Expenses	$389,788,442	CYOtherExpensesAmt
PY Total Expenses	$695,735,821	PYTotalExpensesAmt
CY Total Expenses	$732,753,578	CYTotalExpensesAmt
PY Revenues Less Expenses	-$36,021,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$17,176,213	CYRevenuesLessExpensesAmt
Total Assets BOY	$437,317,799	TotalAssetsBOYAmt
Total Assets EOY	$488,603,034	TotalAssetsEOYAmt
Total Liabilities BOY	$335,720,859	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$406,032,554	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$101,596,940	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$82,570,480	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$557,882,120	ExpenseAmt
Grant	$114,589	GrantAmt
Revenue	$695,694,802	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, 2024, ST. MARY'S MEDICAL CENTER PROVIDED 98,555 DAYS OF INPATIENT DAYS OF CARE AND TREATED AN ADDITIONAL 394,521 PATIENTS IN THE EMERGENCY AND OUTPATIENT SETTINGS. APPROXIMATELY 80% 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, 2024, THE HOSPITAL PROVIDED APPROXIMATELY $2.0 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	$2,408,398	ExpenseAmt
Grant	$976,453	GrantAmt
Revenue	$2,082,551	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, 2024, THE AUXILIARY CONTRIBUTED APPROXIMATELY $450,000 TO ST. MARY'S. IN ADDITION, VOLUNTEERS PROVIDED OVER 16,000 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)
Desc	ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES DURING FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE.COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. 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 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: 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 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN 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: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. 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. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$560,290,518	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	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	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	Yes (1)	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	159	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4522	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANGELA COBURN CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3045261580	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 (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SISTER MARY GRACE BARILE
SECRETARY/DIRECTOR	1.00	Yes (X)	$129,055	$0	$15,940
JEFF LEABERRY MD
CHAIR/DIRECTOR	2.00	Yes (X)	$0	$0	$0	Yes (X)
VICKIE SMITH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DEV RELLAN MD
DIRECTOR	1.00	Yes (X)	$0	$64,404	$3,849
MARIE REDD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
TODD CAMPBELL
TREASURER/DIRECTOR	2.00	Yes (X)	$0	$0	$0	Yes (X)
SISTER DANUTA PRZYBYLEK
DIRECTOR	1.00	Yes (X)	$6,694	$0	$276
AUDY PERRY
VICE CHAIR/DIRECTOR	2.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL MISITI
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GEOFF SHEILS
SECRETARY/DIRECTOR	2.00	Yes (X)	$0	$0	$0	Yes (X)
ANGELA D SWEARINGEN
VICE PRESIDENT/COO	45.00		$562,664	$0	$77,063	Yes (X)
DAVID M WARD
SENIOR VP & CFO	0.00		$0	$928,179	$34,973	Yes (X)	45.00
KEVIN YINGLING
PRESIDENT & CEO	0.00		$0	$865,245	$168,499	Yes (X)	45.00
HOYT J BURDICK
VP CMO	0.00		$0	$508,206	$43,433	Yes (X)	45.00
PAUL E SMITH
CHIEF ADMIN OFFICER	0.00		$0	$433,194	$45,194	Yes (X)	45.00
BRADLEY BURCK
VP CORP FND & DNR PHIL	0.00		$0	$263,077	$46,408	Yes (X)	45.00
VERA ROSE MD
VICE PRESIDENT/RETIRED	45.00		$198,398	$0	$13,262			Yes (X)
SUSAN BETH ROBINSON
VICE PRESIDENT	0.00		$0	$356,742	$55,127		45.00	Yes (X)
MARK MORGAN
VICE PRESIDENT	0.00		$0	$358,442	$55,127		45.00	Yes (X)
REGINA CAMPBELL
VICE PRESIDENT	0.00		$0	$341,453	$68,176		45.00	Yes (X)
DAVID SHEILS
VICE PRESIDENT	45.00		$235,670	$0	$31,913			Yes (X)
AARON BLEVINS
VICE PRESIDENT	0.00		$0	$259,489	$60,316		45.00	Yes (X)
ROBERT KACZMARCZYK
VICE PRESIDENT	45.00		$261,390	$0	$45,461			Yes (X)
ANDY MULLINS
VICE PRESIDENT	45.00		$257,546	$0	$44,341			Yes (X)
LARRY HUTCHISON
VICE PRESIDENT	45.00		$294,089	$0	$46,514			Yes (X)
LARRY D DIAL
CHIEF CLINICAL OFFICER CT	0.00		$0	$544,214	$19,800		45.00	Yes (X)
LISA C STUMP
SYSTEM VP & CSO	0.00		$0	$488,887	$39,199		45.00	Yes (X)
MELISSA E LEASURE
SYSTEM VP & GEN COUNSEL	0.00		$0	$351,722	$55,127		45.00	Yes (X)
EDUARDO PINO
CMIO	0.00		$0	$312,399	$37,959		45.00	Yes (X)
FAREED AZIZ
VP OF REVENUE CYCLE MGMT	0.00		$0	$260,477	$52,745		45.00	Yes (X)
JOHN K FIFE
VP SUPPLY CHAIN OPERATIONS	0.00		$0	$181,458	$43,961		45.00	Yes (X)
THOMAS A HEFNER
VP FINANCE	0.00		$0	$175,196	$33,026		45.00	Yes (X)
MATTHEW WERTHAMMER MD
PHYSICIAN	45.00		$1,687,526	$0	$51,107				Yes (X)
DWIGHT SAULLE MD
PHYSICIAN	45.00		$2,113,905	$0	$51,049				Yes (X)
NEPAL CHOWDHURY MD
PHYSICIAN	45.00		$2,396,885	$0	$51,671				Yes (X)
DAMIAN SILBERMINS MD
PHYSICIAN	45.00		$1,425,601	$0	$49,534				Yes (X)
LUIS BOLANO MD
PHYSICIAN	45.00		$1,688,540	$0	$37,861				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,257,963	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,692,784	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,378,911	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	525	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
QUALIVIS
PO BOX 123847 DEPT 3847	DALLAS	TX	75312	MEDICAL	$20,571,789
RIVER CITIES ANESTHESIA
PO BOX 515	BARBOURSVILLE	WV	25504	MEDICAL	$7,461,608
UNIVERSITY PHYSICIANS AND SURGEONS
1600 MEDICAL CENTER DRIVE SUITE B5	HUNTINGTON	WV	25701	MEDICAL	$7,202,797
CERNER HEALTH SERVICES INC
PO BOX 959168	ST LOUIS	MO	63195	COMPUTER	$2,928,533
AMERGIS HEALTHCARE STAFFING
7227 LEE DEFOREST DR	COLUMBIA	MD	21046	MEDICAL	$2,775,048

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	61	CntrctRcvdGreaterThan100KCnt
Government Grants	$16,051,842	GovernmentGrantsAmt
All Other Contributions	$25,572	AllOtherContributionsAmt
Noncash Contributions	$158,575	NoncashContributionsAmt
Total Contributions	$16,077,414	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621990	$648,204,889	$648,204,889
PHARMACY REVENUE	456110	$25,001,762	$25,001,762
PURCHASE REBATES	900099	$3,116,750	$3,116,750
SCHOOL OF NURSING	611600	$2,764,924	$2,764,924
OTHER PROGRAM SERVICE REVENUE	900099	$391,842	$391,842

Field	Value	IRS element (for citing)
Total Program Service Revenue	$679,480,167	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,271,896	TotalRevenueColumnAmt
Exclusion	$1,271,896	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,328,313	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$258,906	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,069,407	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,069,407	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,069,407	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$268,535	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$268,535	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$268,535	TotalRevenueColumnAmt
Exclusion	$268,535	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$461,410	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$279,243	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$182,167	TotalRevenueColumnAmt
Exclusion	$182,167	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,863,865	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,091,623	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$772,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$772,242	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ALL OTHER REVENUE	900099	$11,075,538	$11,075,538
CAFETERIA SALES	722100	$3,411,302	$3,411,302
OTHER AFFILIATED ENTITIES	900099	$1,968,697	$1,968,697

Field	Value	IRS element (for citing)
Other Revenue Total	$16,455,537	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$715,577,365	TotalRevenueColumnAmt
Related Or Exempt Func Income	$697,777,353	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,722,598	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,091,042	TotalAmt
Program Services	$1,091,042	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,435,078	TotalAmt
Program Services	$1,655,853	ProgramServicesAmt
Management And General	$779,225	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$273,374,448	TotalAmt
Program Services	$185,894,625	ProgramServicesAmt
Management And General	$87,479,823	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,475,397	TotalAmt
Program Services	$3,043,270	ProgramServicesAmt
Management And General	$1,432,127	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,854,342	TotalAmt
Program Services	$29,820,953	ProgramServicesAmt
Management And General	$14,033,389	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,734,829	TotalAmt
Program Services	$12,059,684	ProgramServicesAmt
Management And General	$5,675,145	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,378,433	TotalAmt
Management And General	$22,378,433	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,949,649	TotalAmt
Management And General	$1,949,649	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$501,408	TotalAmt
Management And General	$501,408	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,353,900	TotalAmt
Program Services	$60,443,614	ProgramServicesAmt
Management And General	$12,910,286	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$223,568	TotalAmt
Program Services	$152,026	ProgramServicesAmt
Management And General	$71,542	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,734,994	TotalAmt
Program Services	$3,219,796	ProgramServicesAmt
Management And General	$1,515,198	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,084,490	TotalAmt
Program Services	$2,097,453	ProgramServicesAmt
Management And General	$987,037	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$29,627,248	TotalAmt
Program Services	$20,146,529	ProgramServicesAmt
Management And General	$9,480,719	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$284,927	TotalAmt
Program Services	$193,750	ProgramServicesAmt
Management And General	$91,177	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,120,659	TotalAmt
Program Services	$2,122,048	ProgramServicesAmt
Management And General	$998,611	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,579,638	TotalAmt
Program Services	$13,994,154	ProgramServicesAmt
Management And General	$6,585,484	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,432,873	TotalAmt
Program Services	$3,014,354	ProgramServicesAmt
Management And General	$1,418,519	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$166,865,803	$166,865,803
BAD DEBTS	$28,093,784	$28,093,784
PROVIDER TAX	$17,509,292	$17,509,292

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,047,776	TotalAmt
Program Services	$8,872,488	ProgramServicesAmt
Management And General	$4,175,288	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$732,753,578	TotalAmt
Program Services	$560,290,518	ProgramServicesAmt
Management And General	$172,463,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$302,099	BOYAmt
EOY	$266,631	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,825,800	BOYAmt
EOY	$23,590,945	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$92,097,930	BOYAmt
EOY	$102,222,454	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,676,284	BOYAmt
EOY	$16,908,452	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,823,954	BOYAmt
EOY	$4,078,201	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$325,889,786	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$99,724,612	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$206,593,324	BOYAmt
EOY	$226,165,174	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$19,197,730	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,676,046	BOYAmt
EOY	$10,254,030	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,419,040	BOYAmt
EOY	$102,411,555	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$437,317,799	BOYAmt
EOY	$488,603,034	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$148,660,027	BOYAmt
EOY	$188,820,115	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$542,184	BOYAmt
EOY	-$711,471	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$187,603,016	BOYAmt
EOY	$217,923,910	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$335,720,859	BOYAmt
EOY	$406,032,554	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	$101,123,189	BOYAmt
EOY	$82,570,480	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$473,751	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$101,596,940	BOYAmt
EOY	$82,570,480	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$437,317,799	BOYAmt
EOY	$488,603,034	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$17,176,213	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$836,485	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,686,732	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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)
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	$59,099	OtherActivitiesAmt
Total Lobbying Expenditures	$59,099	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	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 $59,099. 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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,826,586	OtherCostOrOtherBasisAmt
Book Value	$9,826,586	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,506,102	OtherCostOrOtherBasisAmt
Depreciation	$40,934,861	DepreciationAmt
Book Value	$125,571,241	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,994,416	OtherCostOrOtherBasisAmt
Depreciation	$58,085,637	DepreciationAmt
Book Value	$57,908,779	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,562,682	OtherCostOrOtherBasisAmt
Depreciation	$704,114	DepreciationAmt
Book Value	$32,858,568	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$226,165,174	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RIGHT-OF-USE ASSETS	$35,798,599
OTHER RECEIVABLE	$29,320,126
ESTIMATED THIRD-PARTY SETTLEMENTS	$9,798,029
OTHER ASSETS	$27,494,801

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$102,411,555	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$38,467,976
DEFERRED SALARIES AND WAGES	$3,768,359
GENERAL RESERVES	$32,770,001
DUE TO AFFILIATE HOSPITAL	$100,074,609
LEASE OBLIGATIONS	$42,842,965

Field	Value	IRS element (for citing)
Total Liability	$217,923,910	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, 2024 AND 2023.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FUNDRAISING	Event1Nm
Gross Receipts Event1	$461,410	GrossReceiptsEvent1Amt
Gross Revenue Event1	$461,410	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$279,243	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$461,410	GrossReceiptsTotalAmt
Gross Revenue Total Events	$461,410	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$279,243	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$279,243	DirectExpenseSummaryEventsAmt
Net Income Summary	$182,167	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	7216	PersonsServedCnt
Total Community Benefit Expns	$546,604	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$546,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	23184	PersonsServedCnt
Total Community Benefit Expns	$102,856,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,587,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,268,712	NetCommunityBenefitExpnsAmt
Total Expense	0.02770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	30400	PersonsServedCnt
Total Community Benefit Expns	$103,403,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,587,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,815,316	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,352,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,656,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,696,414	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	328	PersonsServedCnt
Total Community Benefit Expns	$178,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,103	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	328	PersonsServedCnt
Total Community Benefit Expns	$14,530,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,656,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,874,517	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	30728	PersonsServedCnt
Total Community Benefit Expns	$117,933,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,243,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,689,833	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$7,394,593	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,478,919	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$87,283,987	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,798,966	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,514,979	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 THREE GABLES SURGERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT HEALTH CARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.53270	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.46730	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)
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	23	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.ST-MARYS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ST-MARYS.ORG	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	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	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 (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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ST-MARYS.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/FINANCIAL-ASSISTANCE-AP	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ST-MARYS.ORG/ASSETS/SMMC/DOCUMENTS/FAP/APPENDIX-B-PLAIN-LANGUA	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
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
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	PART V, SECTION B, LINE 5: IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, ST. MARY'S MEDICAL CENTER (SMMC) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SMMC CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS:A.D. LEWIS COMMUNITY CENTERAMERICAN HEART ASSOCIATIONAUTISM SERVICE CENTERBIG BROTHERS BIG SISTERS OF THE TRI-STATEBUCKSKIN COUNCILCABELL COUNTY PUBLIC LIBRARYCABELL HOME HEALTHCABELL HUNTINGTON HOSPITALCABELL HUNTINGTON HOSPITAL HOME CARE MEDICINECABELL-HUNTINGTON COALITION FOR THE HOMELESSCARVERCENTER FOR HEALTHY AGINGCENTRAL UNITED METHODIST CHURCHCHRIST EPISCOPAL CHURCHCITY OF HUNTINGTONCITY OF HUNTINGTON FIRE DEPARTMENTCOX LANDING & SUNRISE UNITED METHODIST CHURCHESEDUCATION ALLIANCEEDWARDS COMPREHENSIVE CANCER CENTERFACING HUNGER FOODBANKFAITHHEALTH APPALACHIAGRACE CHRISTIAN FELLOWSHIPHOSPICE OF HUNTINGTONHUNTINGTON 1ST CHURCH OF THE NAZARENEHUNTINGTON CITY COUNCILHUNTINGTON CITY MISSIONHUNTINGTON INTERNAL MEDICINE GROUPINTERVENTIONAL RADIOLOGYIRONTON IN BLOOMKANAWHA-CHARLESTON HEALTH DEPARTMENTKINDRED COMMUNICATIONSLAWRENCE COUNTY CHAMBER OF COMMERCELAWRENCE ECONOMIC DEVELOPMENT CORPORATIONMARSHALL HEALTH AND MARSHALL UNIVERSITY SCHOOL OF MEDICINEMARSHALL HEALTHMARSHALL HEALTH DIVISION OF ADDICTION SCIENCE IN FAMILY AND COMMUNITY MEDICINE-PROACT/PROJECT HOPEMARSHALL UNIVERSITYMARSHALL UNIVERSITY BEHAVIORAL HEALTH CLINICMARSHALL UNIVERSITY OB/GYNMARSHALL UNIVERSITY PEDIATRICSMARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE FAMILY MEDICINEMARSHALL UNIVERSITY SCHOOL OF PHARMACYMARTIN COUNTY HEALTH DEPARTMENTMILDRED MITCHELL BATEMAN HOSPITALMOUNTAIN HEALTH NETWORKMIDLAND BEHAVIORAL HEALTHPATHWAYS, INC.PROACTQUALITY INSIGHTSRADIOLOGY, INC.ROME PRESBYTERIAN CHURCHSOUTHERN WV HEALTH SYSTEMSST. MARY'S MEDICAL CENTERTEAM FOR WEST VIRGINIA CHILDRENTENTH AVENUE CHURCH OF GODTHE CAUSE, INC.THE CENTER - YOUTH OPPORTUNITY HUBTHE HIGHLAWN COMMUNITY ALLIANCETRANSFORMATION COMMUNITY CHURCHTRI-STATE STEM+M EARLY COLLEGE HIGH SCHOOLUNITED WAY OF THE RIVER CITIESVERTICAL HEALTHCAREWV DEPARTMENT OF HEALTH AND HUMAN RESOURCES/BUREAU OF BEHAVIORAL HEALTHWOMEN INFANTS AND CHILDRENWV FREEYMCA OF HUNTINGTON THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEOS, CFOS, DIRECTORS OF FACILITIES, PASTORS, AND OTHER CITIZENS OF THE SERVICE AREA.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED ALONG WITH CABELL HUNTINGTON HOSPITAL, INC. BOTH HOSPITALS ARE LOCATED IN HUNTINGTON, WEST VIRGINIA.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: COMMUNITY-BUILDING ACTIVITIESA THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HAS BEEN DEVELOPED TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS OUR SERVICE AREA. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING A CHANGING HEALTH CARE ENVIRONMENT AND THE IMPACT OF THE COVID-19 PANDEMIC. CHIP SEEKS TO ADDRESS NOT ONLY PRIORITY AREAS IDENTIFIED IN THE PAST ASSESSMENTS BUT ALSO TO INCLUDE DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE. THIS IS CONSISTENT WITH A HEALTH EQUITY APPROACH TO LOOK BEYOND THE HEALTH CARE SYSTEM TO BUILD HEALTHIER COMMUNITIES FOR ALL PEOPLE. PRIORITY AREAS FOR CHIP INCLUDE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AGING POPULATION, AND FOOD INSECURITY. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER:THE GOAL IS TO SUPPORT SUBSTANCE USE DISORDER (SUD) EFFORTS AND IMPROVED OUTCOMES IN OUR COMMUNITY FOR PEOPLE WITH A BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDER AND THEIR FAMILIES, INCLUDING INFANTS WITH NEONATAL ABSTINENCE SYNDROME (NAS). CONTINUING STRATEGIES: - PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT (PROACT) PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE CHH, ST. MARY'S MEDICAL CENTER, 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. - HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER (CAC) THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CHH OPENED THE CAC TO OFFER CHILDREN AND FAMILIES COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE. - HOOPS FAMILY CHILDREN'S HOSPITAL MATERNAL OPIOID MEDICAL SUPPORT (MOMS) PROGRAMTHE MOMS PROGRAM PROVIDES ADDICTION TREATMENT SERVICES FOR MOTHERS WHILE THEIR BABIES RECOVER FROM NEONATAL ABSTINENCE SYNDROME (NAS) IN THE NEONATAL THERAPEUTIC UNIT (NTU). SERVICES PROVIDED INCLUDE MEDICATION-ASSISTED THERAPY, WOMEN'S HEALTH, CONTRACEPTION, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT AND PASTORAL CARE. - NEONATAL THERAPEUTIC UNIT (NTU)THE NTU AT CHH PROVIDES CARE FOR BABIES BORN PRENATALLY EXPOSED TO SUBSTANCES THAT CAN CAUSE SYMPTOMS OF WITHDRAWAL AFTER BIRTH. THE UNIT IS DEDICATED TO CARING FOR THE ENTIRE FAMILY BY PROVIDING TREATMENT, EDUCATION, AND SUPPORT IN A NON-JUDGMENTAL ENVIRONMENT. THE NTU IS THE FIRST OF ITS KIND IN THE STATE OF WV AND ONE OF THE FIRST IN THE US IN WHICH NEWBORNS EXPERIENCE THE BENEFIT OF QUIET, SUPPORTIVE HOSPITAL SETTING INVOLVING THE PARENTS AND EXTENDED FAMILY IN FORMING HEALTHY HABITS. - PROJECT HOPE FOR WOMEN AND CHILDREN THIS PROGRAM IS LED BY HEALTHY CONNECTIONS, THE HFCH MOMS PROGRAM, AND MARSHALL HEALTH'S MATERNAL ADDICTION RECOVERY CENTER TO SUPPORT MOTHERS AND THEIR FAMILIES ON THE ROAD TO ADDICTION RECOVERY. AS A COMPREHENSIVE TREATMENT FACILITY, PROJECT HOPE PROVIDES ONSITE PEER AND RESIDENTIAL SUPPORT, LIFE SKILLS TRAINING, MENTAL HEALTH SERVICES, EDUCATIONAL SUPPORT SERVICES, CAREER DEVELOPMENT, NUTRITION, EXERCISE SUPPORT, PARENTING, RELATIONSHIP COURSES, SPIRITUAL CARE, AND FINANCIAL EDUCATION. IT CAN HOUSE UP TO 18 FAMILIES AT A TIME IN SINGLE FAMILY UNITS AVERAGING A SIX MONTH STAY. - LILY'S PLACELILY'S PLACE CARES FOR DRUG EXPOSED NEWBORNS AND THEIR FAMILIES. MEDICAL CARE IS PROVIDED TO INFANTS SUFFERING FROM NAS. THEY PROVIDE SUPPORT, EDUCATION, AND COUNSELING SERVICES TO FAMILIES AND CAREGIVERS. DURING THEIR SHORT-TERM CARE, THEY CONNECT FAMILIES WITH RECOVERY GROUPS. TWO FOLLOW-UP CLINICS EACH MONTH, WITH A PEDIATRIC NEUROLOGIST AND SOCIAL WORKER, ARE CONDUCTED FOR PARENTS AND INFANTS WHO GRADUATE FROM THE PROGRAM. - PRESTERA CENTER FOR MENTAL HEALTH SERVICESCHH COORDINATES SERVICES WITH PRESTERA CENTER, WHICH IS A REGIONAL PROVIDER OF SUPPORT AND SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS. PRESTERA CENTER SPECIALIZES IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS FOR MENTAL HEALTH AND SUBSTANCE USE NEEDS. - PROJECT ENGAGETHIS IS A PROGRAM FOR PATIENTS WHO SEEK TREATMENT THROUGH CHH EMERGENCY DEPARTMENT OR ARE ADMITTED AS AN INPATIENT OR TO MOTHER/BABY UNIT. PROJECT ENGAGE IS A PROGRAM THAT UNIFIES POLICIES AND PROTOCOLS TO INCREASE THE LIKELIHOOD THAT PATIENTS WITH SUB WILL BE PREPARED FOR AND CHOOSE LONG-TERM TREATMENT UPON DISCHARGE. - PERINATAL BEREAVEMENT SUPPORT GROUPS A SUPPORT GROUP FOR BEHAVIORAL HEALTH CONDITIONS AND/OR SUBSTANCE USE DISORDERS. MONTHLY PERINATAL BEREAVEMENT SUPPORT GROUPS WERE HELD WITH 25 PARTICIPANTS THIS FISCAL YEAR.- FAITHHEALTH APPALACHIA (FHA)BASED ON THE FAITHHEALTH MODEL FIRST DEPLOYED BY THE WAKE FOREST BAPTIST MEDICAL CENTER'S FAITHHEALTH PROGRAM, FAITHHEALTH APPALACHIA'S MISSION IS TO "BE THE BRIDGE," A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT ARE BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. CHH SUPPORTS THE MISSION OF FHA AS A MODEL TO INCREASE ACCESS TO MEDICAL CARE AND OTHER RESOURCES TO LOCAL CONGREGATIONS AND EMPLOYS ITS EXECUTIVE DIRECTOR IN THE CHH PASTORAL CARE/CHAPLAINCY DEPARTMENT. - CABELL-HUNTINGTON HEALTH DEPARTMENT HARM REDUCTION PROGRAM (HRP)CHH, IN CONJUNCTION WITH MARSHALL HEALTH AND ST. MARY'S MEDICAL CENTER, SUPPORTS THE 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.- REVERSE THE CYCLE PROJECTTHE HOSPITAL ER, IN CONJUNCTION WITH MOSAIC CONSULTING AND MARSHALL HEALTH ADDICTION MEDICINE DIVISION PROVIDE: A. SCREENING FOR SUBSTANCE ABUSE DISORDER IN ER VISITS WITH PEER RECOVERY SPECIALIST FOLLOW-UP. B. PEER RECOVERY SPECIALIST OUTREACH TO OVERDOSE SURVIVORS.C. PRESCRIBING OR PROVIDING OUTPATIENT NARCAN TO ER PATIENTS PRESENTING WITH OVERDOSE.- HEALTH CONNECTIONSA COALITION OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS DEDICATED TO EVIDENCE BASED AND INTER-AGENCY PROGRAMMING FOR THE TREATMENT OF PREGNANT AND PARENTING FAMILIES WHO ARE STRUGGLING WITH SUD.NEW STRATEGIES:- INCREASE THE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES AND SUD BY COLLABORATING WITH COMMUNITY PARTNERS TO SOLICIT FEEDBACK FROM PEOPLE WITH LIVED EXPERIENCE AND THEIR FAMILIES FOR BOTH BEHAVIORAL HEALTH AND SUD SERVICES GAP ANALYSIS. - PROVIDE THE NAVIGATING GRIEF SUPPORT GROUPS, WHICH WAS PREVIOUSLY OFFERED BEFORE COVID. - PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES AND SUD BY: A. EXPLORING PARTNERSHIPS WITH ARTS AND CULTURAL VENUES TO PROVIDE YOUTH ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.C. DEVELOPING ARRANGEMENTS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE SOCIAL ENGAGEMENT AND SELF-MANAGEMENT SKILLS FOR PEOPLE WITH CHRONIC CONDITIONS, CHRONIC PAIN, OR ADVANCING ILLNESS. - IMPROVE ACCESS TO BEHAVIORAL HEALTH AND SUD SERVICES BY SUPPORTING EFFORTS TO EXPAND TELEHEALTH APPLICATIONS. - INCREASE AWARENESS OF SUD TO REDUCE STIGMA AND FEAR OF SEEKING TREATMENT BY PROVIDING SUD AWARENESS SENSITIVITY TRAINING TO EMPLOYEES. - IMPROVE ACCESS TO SUD TREATMENT AND RECOVERY SERVICES BY: A. EXPLORING MOBILE UNIT OUTREACH FOR SERVICES SUCH AS MOBILE MEDICATION ASSISTED TREATMENT (MAT) AND NARCAN DISTRIBUTIONS.B. EXPLORING COMMUNITY PARTNERSHIPS TO ENHANCE TRANSPORTATION OPTIONS FOR SUD TREATMENT AND RECOVERY SERVICES CLIENTS.CHRONIC DISEASE PREVENTION AND MANAGEMENT:THE GOAL FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IS TO REDUCE THE BURDEN OF CHRONIC DISEASE THROUGH PREVENTION, DETECTION, AND TREATMENT OF RISK FACTORS, AND IMPROVE QUALITY OF LIFE FOR PEOPLE LIVING WITH CHRONIC DISEASE. EMPHASIS WILL BE GIVEN TO OBESITY/DIABETES, HEART DISEASE, AND TOBACCO USE/LUNG DISEASE. HIGH PRIORITY IS THE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: CONTINUING STRATEGIES- VARIOUS SUPPORT GROUPS AND EDUCATIONAL SEMINARS THESE ARE OFFERED FREE AND IN-PERSON MONTHLY. THE FOLLOWING SUPPORT GROUPS WERE OFFERED IN THE THIS FISCAL YEAR:A. BREASTFEEDING SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 8 ATTENDEES.B. CHILD BIRTH SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 182 PARTICIPANTS.C. ECCC SISTERS OF HOPE SUPPORT GROUP WAS OFFERED 11 TIMES WITH 107 PARTICIPANTS.D. CENTER FOR SURGICAL WEIGHT CONTROL SUPPORT GROUP WAS AVAILABLE 7 TIMES AND 117 ATTENDEES WERE PRESENT.E. CENTER FOR SURGICAL WEIGHT CONTROL COMMUNITY EDUCATION SEMINAR WAS OFFERED MONTHLY AND 470 PARTICIPANTS ATTENDED. -HOME HEALTH CARE CHH HOME CARE MEDICINE, IN PARTNERSHIP WITH MARSHALL HEALTH, PROVIDES PRE- AND POST-ACUTE CARE FOR HOME-BOUND PATIENTS AGES 18 AND OLDER, THROUGHOUT THE TRI-STATE. A PHYSICIAN REFERRAL IS NOT NECESSARY TO RECEIVE SERVICES. CHH HOME CARE MEDICINE OFFERS: PHYSICAL EXAMINATIONS, DISEASE MANAGEMENT, MEDICATION MANAGEMENT, COORDINATION OF LAB AND X-RAY SERVICES AND COORDINATION OF CARE (HOSPICE, HOME HEALTH, AND HOSPITALIZATION). - HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY CENTER, WHERE PEOPLE COME TO LEARN, COOK, AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. THE FACILITY BOASTS A FULLY EQUIPPED KITCHEN THAT ACCOMMODATES UP TO 16 COOKING STUDENTS WHILE THE CLASSROOM CAN HOLD 75 STUDENTS. THE MISSION OF HUNTINGTON'S KITCHEN IS SIMPLE: TO HELP PREVENT AND REDUCE DIET-RELATED DISEASE THROUGH EDUCATION ABOUT HEALTHY FOOD AND HEALTHY COOKING. OUR GOAL IS TO SHARE INFORMATION WITH EVERYONE, REGARDLESS OF COOKING EXPERIENCE. CLASSES TYPICALLY FEATURE ACTIVITIES RELATED TO COOKING BASICS, RECIPES AND INGREDIENTS, NUTRITION BASICS, USING LOCAL AND SEASONAL FOOD, AND SHOPPING ON A BUDGET.HUNTINGTON'S KITCHEN IS A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL. THE KITCHEN IS THE HOME OF MARSHALL UNIVERSITY'S DEPARTMENT OF DIETETICS AND ALSO PARTNERS WITH THE WEST VIRGINIA EXTENSION OFFICE, THE CABELL COUNTY DRUG REHABILITATION COURT, AND FACING HUNGER FOODBANK TO TEACH COMMUNITY MEMBERS HOW TO PREPARE HEALTHY MEALS USING FRESH PRODUCE AND CANNED GOODS TYPICALLY DISTRIBUTED THROUGH FOOD BANKS. THE KITCHEN ALSO PROVIDES HEALTHY COOKING CLASSES FOR COMMUNITY ORGANIZATIONS AND CHILDREN OVER THE AGE OF 12. DURING THE FIRST HALF OF THIS FISCAL YEAR, HUNTINGTON'S KITCHEN HAD 623 IN-PERSON PARTICIPANTS AND 3,736 IN-PERSON COMMUNITY OUTREACH ENCOUNTERS.- CHERTOW DIABETES CENTER CHH COLLABORATES WITH THE CHERTOW DIABETES CENTER AT MARSHALL UNIVERSITY TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR DIABETIC PATIENTS. THE CENTER, WHICH IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION, IS STAFFED BY A COMPLETE TEAM OF ENDOCRINOLOGISTS, DIABETES EDUCATORS, AND SPECIALTY PERSONNEL WHO TREAT AND MANAGE DIABETES. - COMMUNITY HEALTH SCREENINGSCHH PARTICIPATED IN DISCOUNTED HEALTH SCREENINGS FOR HEALTH ISSUES, SUCH AS CHOLESTEROL, BLOOD SUGAR, DIABETIC FOOT SCREENINGS, AND OSTEOPOROSIS. EDUCATION ABOUT STROKE, JOINT REPLACEMENT SURGERY, AND RISK FACTORS FOR DIABETES AND OTHER HEALTH ISSUES WAS ALSO PROVIDED. CHH ALSO PROVIDED FREE FLU SHOT CLINICS TO THE COMMUNITY.- YOUTH AND SENIOR OPPORTUNITIESA. CHH HELPS PROVIDE YOUTH OPPORTUNITIES FOR PHYSICAL ACTIVITY AND HEALTH EDUCATION THROUGH SUPPORT OF LOCAL PARKS, PLAYGROUNDS, FUN RUNS, AND COMMUNITY ORGANIZATIONS.B. UNITED WAY OF THE RIVER CITIES ENVISIONS A COMMUNITY WHERE EVERYONE HAS THE TOOLS AND OPPORTUNITY TO THRIVE BY CONNECTING OUR COMMUNITY WITH RESOURCES TO REDUCE POVERTY AND IMPROVE LIVES. C. YMCA OF HUNTINGTON OFFERS SENIOR GROUP FITNESS CLASSES, PERSONAL TRAINERS FOR LIGHT-WEIGHTED WORKOUTS, YOGA, AND ZUMBA.D. DEVELOPMENTAL THERAPY CENTER (DTC) ENHANCES THE QUALITY OF LIFE FOR CHILDREN AND ADULTS WITH DISABILITIES IN OUR COMMUNITY REGARDLESS OF AGE, INCOME, OR GEOGRAPHIC LOCATION. THEY PROVIDE ACCESS TO OCCUPATIONAL, PHYSICAL, SPEECH-LANGUAGE THERAPY, AND SPECIAL INSTRUCTIONS SERVICES TO MAXIMIZE DAILY LIVING SKILLS.- EBENEZER MEDICAL OUTREACH (EMO)CHH SUPPORTS THE EFFORTS OF THE FULL-SERVICE MEDICAL CLINIC, EBENEZER MEDICAL OUTREACH WHICH PROVIDES ACCESS TO FREE, COMPREHENSIVE HEALTH CARE, PREVENTATIVE CARE, AND PHARMACEUTICALS TO FINANCIALLY ELIGIBLE CLIENTS SUCH AS THE FAIRFIELD WEST COMMUNITY OF HUNTINGTON AND THE SURROUNDING AREAS. NEW STRATEGIES- REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES AND PROMOTE HEALTH EQUITY BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY MHN CENTERS OF EXCELLENCE IN CARDIOVASCULAR AND PEDIATRICS. B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, TRANSPORTATION NEEDS, HEALTH LITERACY, ACCESS TO CARE, DIFFICULTIES IN PAYING FOR CARE AND MEDICATIONS, AND PERSONAL SAFETY.C. SUPPORTING EARLY HEALTH EDUCATION OPPORTUNITIES FOR YOUTH IN PARTNERSHIP WITH AFTERSCHOOL PROGRAMMING AND SCHOOL DISTRICTS. D. PROVIDING LUNG NODULE SCREENINGS FOR EARLIER DETECTION OF LUNG CANCER.- INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTH CARE BY: A. EXPANDING NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION. B. PARTNERING WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.C. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. D. EXPLORING PARTNERSHIPS WITH CHURCHES, COMMUNITY CENTERS, AND MOBILE DELIVERY OPTIONS TO BRING HEALTH AND SOCIAL SERVICES TO RURAL COMMUNITIES. E. WORKING WITH PRIMARY CARE OFFICES TO ENCOURAGE AND SCHEDULE INDIVIDUALS WHO DELAYED PREVENTIVE CARE DURING THE PANDEMIC. F. SUPPORTING BROADBAND EFFORTS TO PROVIDE ACCESS TO UNSERVED POPULATIONS.AGING POPULATIONTHE GOAL IS TO ACHIEVE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE AGED 65+ YEARS BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH. INCLUDING THE IMPROVEMENT TO ACCESS TO HEALTH CARE SERVICES.NEW STRATEGIES- PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDERS, AND CHRONIC HEALTH ISSUES BY: A. EXPLORING PARTNERSHIP WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDE OLDER ADULT ENGAGEMENT, SOCIAL CONNECTIVITY OPPORTUNITIES, BEHAVIORAL HEALTH SERVICES AND SUPPORTS, AND WELLNESS AND SENIOR VITALITY PROGRAMS. B. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. C. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION. - REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY THE CENTER FOR HEALTHY AGING.B. EXPLORING AGE-FRIENDLY HEALTH SYSTEMS AND AARP LIVEABLE COMMUNITIES CRITERIA TO ADDRESS THE UNIQUE CARE NEEDS OF OLDER ADULTS.-FOOD INSECURITYTHE GOAL IS TO ENHANCE FOOD SECURITY AND ENCOURAGE AND INCREASE HEALTHY EATING BEHAVIORS ACROSS ALL AGE GROUPS IN THE COMMUNITY.CONTINUING STRATEGIES- EDWARDS COMPREHENSIVE CANCER CENTER (ECCC)ONE OF OUR EMPLOYEES, A REGISTERED DIETITIAN AND NUTRITIONIST, PROVIDES INFORMATION TO COMMUNITY MEMBERS REGARDING NUTRITION AND EDUCATION FOR CANCER PATIENTS AND THEIR FAMILIES. SHE HOSTS A MONTHLY EDUCATIONAL CLASS, OPEN TO THE PUBLIC, CALLED COOKING WITH CANCER (HOSTED AT HUNTINGTON'S KITCHEN). AS A CERTIFIED DIABETES EDUCATOR, SHE ALSO HOLDS NUTRITIONAL CLASSES FOR PATIENTS AND THEIR FAMILIES ON HOW TO PREPARE HEALTHY DIABETIC MEALS.NEW STRATEGIES- INCREASE ACCESS TO HEALTHY FOODS BY:A. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF PATIENTS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION.B. EXPAND AND ENHANCE USE OF MEDICALLY TAILORED FOOD BOXES AND READY-TO-EAT MEALS WITH FACING HUNGER FOODBANK AND RETAIL FOOD STORES. C. SUPPORTING FARMERS MARKETS AND OTHER FOOD ACCESS INITIATIVES THAT PROVIDE FRESH, LOCALLY GROWN PRODUCE FOR LOW TO MODERATE INCOME UNDERSERVED POPULATIONS.
ST. MARY'S MEDICAL CENTER	PART V, SECTION B, LINE 11: D. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, AND ACCESS TO HEALTHY FOODS.E. EXPLORING PARTNERSHIPS WITH GROCERY STORES AND CORPORATIONS TO INCREASE FOOD SUPPLY, HEALTHIER OPTIONS, AND REDUCE FOOD DESSERTS.F. ENCOURAGING MOBILE FOOD DRIVES.G. ENGAGING IN DEMONSTRATION PROJECTS WITH OTHER PROVIDERS AND PAYERS TO DEVELOP INNOVATIVE WAYS TO ADDRESS FOOD INSECURITY THROUGH INCENTIVES AND SUPPLEMENTAL PROGRAMS.H. STRENGTHENING AND SUPPORTING OPPORTUNITIES FOR HEALTHY LIFESTYLES INCLUDING COMMUNITY GARDENS AND COMMUNITY WALKABILITY.I. EXPLORING COMMUNITY ACTIVITIES THAT FOCUS ON GETTING FAMILIES TOGETHER TO LEARN HOW TO IMPROVE QUALITY OF FOOD AND ACTIVITY. J. SUPPORTING WELLNESS AND NUTRITION EDUCATION EVENTS IN PARTNERSHIP WITH COMMUNITY PARTNERS.K. COLLABORATING WITH NUTRITION AND DIETARY RESOURCES WITHIN THE SYSTEM AND IN THE COMMUNITY TO INTEGRATE NUTRITION EDUCATION INTO CHRONIC DISEASE MANAGEMENT PROGRAMS INCLUDING TELE-NUTRITION PROGRAMS.L. PARTNERING WITH COMMUNITY ORGANIZATIONS TO ADDRESS UNDERLYING DRIVERS OF HEALTH DISPARITIES THROUGH EDUCATION, OUTREACH, AND CHRONIC DISEASE MANAGEMENT PROGRAMS. -VOLUNTEER SERVICE ON COMMUNITY BOARDSCHH LEADERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON A NUMBER OF COMMUNITY BOARDS INCLUDING: DIGNITY HOSPICE, SART (SEXUAL ASSAULT RESPONSE TEAM), STOP (DOMESTIC VIOLENCE RESPONSE), VAB (VICTIM ADVISORY BOARD), MDIT (MULTIDISCIPLINARY INVESTIGATIVE TEAM) CABELL & WAYNE COUNTY, GENERATION HUNTINGTON, HUNTINGTON REGIONAL CHAMBER OF COMMERCE, LAWRENCE COUNTY OHIO CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, FACING HUNGER FOODBANK, GOODWILL FAMILY SERVICES BOARD, KODA DONATE LIFE EVENTS, AND LITTLE VICTORIES ANIMAL RESCUE, TO NAME A FEW.

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 FAMILY CARE
147 WILLOW TREE WAY	HURRICANE	WV	25526	OUPATIENT CLINIC
2 - HIMG EAR NOSE AND THROAT
5170 US ROUTE 60 EAST	HUNTINGTON	WV	25705	OUPATIENT CLINIC
3 - ST MARY'S FAMILY CARE
1408 CAMPBELL DRIVE	IRONTON	OH	45638	OUPATIENT CLINIC
4 - HIMG-AUDIOLOGY
5170 US ROUTE 60 EAST	HUNTINGTON	WV	25705	OUPATIENT CLINIC
5 - ULTIMATE PLASTICS AND RECONSTRUCTIVE
5170 US ROUTE 60 EAST	HUNTINGTON	WV	25705	OUPATIENT CLINIC
6 - ST MARY'S HIMG LLC
1290 MONTGOMERY AVE SUITE 1	ASHLAND	KY	41101	OUPATIENT CLINIC
7 - ST MARY'S MEDICAL MANAGEMENT
38 HOSPITAL DRIVE SUITE G-B	LOGAN	WV	25601	OUPATIENT CLINIC
8 - ST MARY'S MEDICAL MANAGEMENT
414 GREENWAY AVE SUITE 100	SOUTH CHARLESTON	WV	25309	OUPATIENT CLINIC
9 - SCOTT ORTHOPEDIC CENTER
2828 FIRST AVE SUITE 400	HUNTINGTON	WV	25702	OUPATIENT CLINIC
10 - ST MARY'S MEDICAL MANAGEMENT
2420 JEFFERSON AVE SUITE 100	POINT PLEASANT	WV	25550	OUPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. NARY'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 DETER14INING 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.
PART III, LINE 2:	BAD DEBT EXPENSE WAS ESTIMATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 3:	BASED ON HISTORICAL INFORMATION, APPROXIMATELY 20% OF BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART II AND PART VI, LINE 5	COMMUNITY BUILDING ACTIVITIES:ST. MARY'S MEDICAL CENTER (SMMC) PARTICIPATED IN NUMEROUS COMMUNITY-BUILDING ACTIVITIES THROUGHOUT FY 2024 THAT PROMOTED WELLNESS AND HELPED ENRICH THE LIVES OF PEOPLE IN THE TRI-STATE. THESE INCLUDED:COMMUNITY FLU SHOT CLINICSSMMC, IN CONJUNCTION WITH THE CABELL-HUNTINGTON HEALTH DEPARTMENT, OFFERED FREE DRIVE-THRU FLU SHOT CLINICS SATURDAY, OCT. 12, 2024, IN HUNTINGTON AND IN HURRICANE. A TOTAL OF 254 TOTAL VACCINES WERE GIVEN AT BOTH LOCATIONS.FREE WOMEN'S HEALTH SCREENINGSST. MARY'S BREAST CENTER OFFERED TWO FREE WOMEN'S HEALTH SCREENINGS TO THE COMMUNITY: A FREE BREAST SCREENING AND CERVICAL CANCER SCREENING ON 4.20.24, 42 PARTICIPATED. SKIN SCREENING ON 5.17.24, 38 PARTICIPATED AND A BREAST CANCER SCREENING ON 10.25.23, 10 PARTICIPATED. COMMUNITY WELLNESS BLOOD PROFILESSMMC, IN CONJUNCTION WITH CABELL HUNTINGTON HOSPITAL AND HIMG, PROVIDED LOW-COST WELLNESS BLOOD PROFILES TO THE COMMUNITY DURING THE MONTHS OF OCTOBER, NOVEMBER, FEBRUARY, APRIL, JUNE, AUGUST 2023-2024. 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 2,554 PROFILES. SUPPORT GROUPSSMMC OFFERS FREE SUPPORT GROUPS AND NUTRITION COUNSELING TO THE COMMUNITY:" BREAST CANCER, 11 SUPPORT GROUPS HELD, 127 PARTICIPANTS." NUTRITION COUNSELING, 14 EVENTS, 1,400 PARTICIPANTSSMMC ALSO OFFERS NAVIGATING GRIEF, A FREE QUARTERLY FOUR-WEEK COURSE, TO HELP COMMUNITY MEMBERS WHO ARE STRUGGLING WITH LOSS. EIGHTEEN SUPPORT GROUPS WERE HELD, 417 PARTICIPANTS. AMERICAN RED CROSS BLOOD DRIVESTO ASSIST WITH THE BLOOD SHORTAGE, SMMC HOSTED TWO COMMUNITY BLOOD DRIVES WITH 175 PARTICIPANTS BETWEEN THE MEDICAL CENTER AND THE CENTER FOR EDUCATION. AMERICAN HEART ASSOCIATION EVENTSHUNTINGTON HEART WALK: 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 2024 HUNTINGTON HEART WALK, APRIL 20, 2024. THE WALK RAISED FUNDS AND AWARENESS FOR THE AMERICAN HEART ASSOCIATION AND HAD APPROXIMATELY 200 PARTICIPANTS. SMMC STAFF MEMBERS PROVIDED FREE BLOOD PRESSURE SCREENINGS TO WALKERS.GO RED MINI HEALTH FAIR: AS PART OF NATIONAL WEAR RED DAY, THIS FREE EVENT OFFERED FREE BLOOD PRESSURE, BLOOD SUGAR AND CHOLESTEROL SCREENINGS, AS WELL AS INFORMATION ON SLEEP DISORDERS, SMOKING CESSATION, STROKE RISK AND NUTRITION TO 175 ATTENDEES. HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN 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: MENTAL HEALTH, DIABETES MANAGEMENT, THE IMPORTANCE OF A PRIMARY CARE PROVIDER AND HEART CARE. A TOTAL OF 12 GROUPS WERE HELD WITH 112 PARTICIPANTS. FACING HUNGER FOODBANKSMMC PARTNERED WITH FACING HUNGER FOODBANK TO DISTRIBUTE MEDICALLY INDICATED FOOD BOXES TO OVER 1,300 CLINIC PATIENTS THROUGHOUT THE YEAR. 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. 2,459 PATIENTS SUPPORTED BY A SMMC FULL-TIME CHAPLAIN. 6,914 CLIENTS ASSISTED BY PROACT.COMPASS PROGRAMTHE COMPASS PROGRAM PROVIDES TRAINING, CLASSES AND A WELLNESS CENTER TO HELP FIRST RESPONDERS IN HUNTINGTON IMPROVE THEIR MENTAL HEALTH. SMMC PROVIDES SPIRITUAL CARE AND EMPLOYMENT ASSISTANCE PROGRAM (EAP) SERVICES AS PART OF THE PROGRAM. JOSLIN DIABETES CENTERTHE JOSLIN DIABETES CENTER EDUCATION AFFILIATE AT SMMC OFFERS NUTRITION EDUCATION AND COUNSELING, IN PARTNERSHIP WITH THE RENOWNED JOSLIN DIABETES CENTER IN BOSTON, MASSACHUSETTS. JOSLIN WORKED WITH 769 PEOPLE IN 2024.SMOKING CESSATION COUNSELINGSMMC PULMONARY REHABILITATION OFFERS ONE-ON-ONE SMOKING CESSATION COUNSELING BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. 1,344 PEOPLE RECEIVED COUNSELING IN 2024.CANCER SURVIVOR RECEPTIONSFREE EVENTS HELD AT ST. MARY'S CENTER FOR EDUCATION FOR CANCER SURVIVORS AND THEIR FAMILY MEMBERS WITH 55 PARTICIPANTS. COMMUNITY GIVINGWE SUPPORT PROJECTS THAT PROMOTE HEALTHY LIVING, NUTRITION, PHYSICAL ACTIVITY, WELLNESS, AND THE PREVENTION AND MANAGEMENT OF DISEASE. FUNDED INITIATIVES MUST ALIGN WITH PRIORITIES IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).VOLUNTEER SERVICE ON COMMUNITY BOARDSSMMC MANAGERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON MANY NON-PROFIT BOARDS INCLUDING HUNTINGTON REGIONAL CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, BIG BROTHERS/BIG SISTERS, FACING HUNGER FOODBANK, GOODWILL, HOSPICE OF HUNTINGTON AND THE KEITH-ALBEE PERFORMING ARTS CENTER TO NAME A FEW.
PART III, LINE 4:	THE TEXT OF THE FOOTNOTE READS AS FOLLOWS: "THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUES OR PATIENT ACCOUNTS RECEIVABLE (NOTE 4)." THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2024 OR 2023.
PART III, LINE 8:	MEDICARE COSTS WERE OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT.
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.
PART VI, LINE 2:	SMMC TAKES STEPS TO DETERMINE WHAT THE MOST PRESSING NEEDS ARE IN ORDER TO PROVIDE SERVICES TO ADDRESS THEM. THE HOSPITAL REGULARLY ASSESSES THE NEEDS OF THE COMMUNITY. PERIODIC NEEDS ASSESSMENTS ARE CONDUCTED IN PARTNERSHIP WITH OUR LOCAL HEALTH DEPARTMENT. ADDITIONALLY, WE MONITOR COUNTY, STATE, AND NATIONAL HEALTH INDICATORS AND WORK IN PARTNERSHIP WITH SERVICE AGENCIES IN THE COMMUNITIES WE SERVE TO MEET IDENTIFIED NEEDS.
PART VI, LINE 3:	SMMC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE, INCLUDING:* FINANCIAL ASSISTANCE POSTERS ARE DISPLAYED IN ALL EMERGENCY, ADMITTING, OUTPATIENT, AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING.* HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS.* THE HOSPITAL EMPLOYS TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR CHARITY CARE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS. THE HOSPITAL PUBLISHES FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE FAP POLICY, ON THE INTERNET HOME PAGE.
PART VI, LINE 4:	ST. MARY'S MEDICAL CENTER SERVES THE GREATER HUNTINGTON, WEST VIRGINIA COMMUNITY WITH A PRIMARY SERVICE AREA THAT INCLUDES CABELL, WAYNE, MASON, PUTNAM AND LINCOLN COUNTIES IN WEST VIRGINIA AND LAWRENCE COUNTY IN OHIO. ST. MARY'S ALSO SERVES A MUCH WIDER SERVICE AREA BECAUSE OF SPECIALTY MEDICAL SERVICES INCLUDING ADVANCED EMERGENCY TRAUMA CARE, ADVANCED STROKE CARE, ADVANCED SPINE CARE, ADVANCED HEART CARE, ADVANCED CANCER CARE, AND ADVANCED ORTHOPEDIC CARE. THAT SECONDARY SERVICE AREA INCLUDES LOGAN AND MINGO COUNTIES IN WEST VIRGINIA, AS WELL AS BOYD, GREENUP, CARTER, LAWRENCE, JOHNSON, FLOYD AND PIKE COUNTIES IN KENTUCKY AND SCIOTO AND GALLIA COUNTIES IN OHIO.COMPETITORS WITHIN OUR PRIMARY SERVICE AREA ARE CAMC TEAYS VALLEY (PUTNAM COUNTY) AND KING'S DAUGHTERS HEALTH SYSTEM (ASHLAND, KY). THE MOST RECENT STATISTICS FROM THE U.S. CENSUS BUREAU SHOW THAT THE HIGH SCHOOL GRADUATION RATE (AGE 25+) FOR HUNTINGTON IS 89.2%. THE PERCENTAGE OF HUNTINGTON RESIDENTS LIVING BELOW THAT FEDERAL POVERTY LEVEL IS 27.4%. CABELL COUNTY BIRTH RATES FOR 15 TO 19 YEAR-OLDS IS 13.9 PER 1000 FEMALES.
PART VI, LINE 5:	ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AS WELL AS SISTERS FROM THE PALLOTTINE MISSIONARY SISTERS. ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL.ST. MARY'S ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS: PHYSICIANS, NURSES, MEDICAL IMAGING TECH, RESPIRATORY TECHS, AND CHAPLAINS; AND PARTICIPATES IN MEDICARE, MEDICAID, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. MARY'S ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT."COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTH CARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION, AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS.THE ST. MARY'S FOUNDATION IS A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH MEDICAL CENTER PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY.WHEN ST. MARY'S HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THAT WE WILL BE HERE TO CARE FOR FUTURE GENERATIONS.
PART VI, LINE 6:	THE HOSPITAL IS CONTROLLED BY THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK INC. MARSHALL HEALTH NETWORK, INC IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING: CABELL HUNTINGTON HOSPITAL, INC., PLEASANT VALLEY HOSPITAL, INC. DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS, INC DBA MARSHALL HEALTH. THE MARSHALL HEALTH NETWORK AFFILIATED HEALTH CARE SYSTEM IS COMPRISED OF MULTIPLE RELATED HOSPITALS, PHYSICIAN PRACTICES, AMBULATORY FACILITIES, AND CLINICS THAT OPERATE AS SEPARATE LEGAL ENTITIES BUT ARE COORDINATED UNDER A UNIFIED MISSION. MARSHALL HEALTH NETWORK OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATIONS IT CONTROLS. THESE PURPOSES INCLUDE PROMOTING THE HEALTH OF THE COMMUNITIES SERVED THROUGH COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT ALONG WITH SUPPORTING OTHER ORGANIZATIONS IN THEIR MISSIONS AS WELL. THE MISSION OF MARSHALL HEALTH NETWORK AND ALL ITS AFFILIATED ENTITIES, INCLUDING ST. MARY'S MEDICAL CENTER, INC., IS TO "ADVANCE HEALTH, INSPIRE HOPE, AND SERVE YOU". THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OVER ONE MILLION CHILDREN AND ADULTS IN 38 COUNTIES ACROSS WEST VIRGINIA, SOUTHERN OHIO, AND EASTERN KENTUCKY THROUGH HIGH QUALITY COMPASSIONATE CARE, EDUCATION, AND RESEARCH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ST MARY'S MEDICAL CENTER FOUNDATION
2900 FIRST AVENUE	HUNTINGTON	WV	25702	141887211	501(C)(3)	$9,500	$0	SPONSOR
EBENEZER MEDICAL OUTREACH
1448 TENTH AVE SUITE 100	HUNTINGTON	WV	25701	550745033	501(C)(3)	$25,000	$0	WELLNESS
BIG GREEN SCHOLARSHIP FOUNDATION
PO BOX 1360	HUNTINGTON	WV	25715	550631935	501(C)(3)	$7,750	$0	SPONSOR
PROACT
800 20TH STREET	HUNTINGTON	WV	25701	832100850	501(C)(3)	$0	$73,398	MENTAL HEALTH	OTHER	PERSONNEL-PASTORAL
MARSHALL HEALTH NETWORK INC
1340 HAL GREER BLVD	HUNTINGTON	WV	25701	320573122	501(C)(3)	$98,500	$0	SUPPORT SERVICES
WV MEDICAL PROF HEALTH PROG
4013 BUCKHANNON PIKE	MOUNT CLARE	WV	26408	743226821	501(C)(3)	$25,000	$0	PHYSICIAN WELLNESS
HUNTINGTON AREA DEVELOPMENT COUNCIL
916 FIFTH AVE SUITE 400	HUNTINGTON	WV	25701	550714570	501(C)(3)	$12,500	$0	ECONOMIC GROWTH & DEVELOPMENT

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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (27 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
NEPAL CHOWDHURY MD
PHYSICIAN	$2,396,885	$0	$0	$0	$0	$0	$10,350	$0	$41,321	$0	$2,448,556	$0	$0	$0
DWIGHT SAULLE MD
PHYSICIAN	$2,113,905	$0	$0	$0	$0	$0	$10,350	$0	$40,699	$0	$2,164,954	$0	$0	$0
MATTHEW WERTHAMMER MD
PHYSICIAN	$1,687,526	$0	$0	$0	$0	$0	$10,350	$0	$40,757	$0	$1,738,633	$0	$0	$0
LUIS BOLANO MD
PHYSICIAN	$1,688,540	$0	$0	$0	$0	$0	$10,350	$0	$27,511	$0	$1,726,401	$0	$0	$0
DAMIAN SILBERMINS MD
PHYSICIAN	$1,425,601	$0	$0	$0	$0	$0	$10,350	$0	$39,184	$0	$1,475,135	$0	$0	$0
KEVIN YINGLING
PRESIDENT & CEO	$0	$846,387	$0	$0	$0	$18,858	$0	$139,800	$0	$28,699	$0	$1,033,744	$0	$0
DAVID M WARD
SENIOR VP & CFO	$0	$570,143	$0	$343,513	$0	$14,523	$0	$20,623	$0	$14,350	$0	$963,152	$0	$0
ANGELA D SWEARINGEN
VICE PRESIDENT/COO	$562,259	$0	$0	$0	$405	$0	$36,623	$0	$40,440	$0	$639,727	$0	$0	$0
LARRY D DIAL
CHIEF CLINICAL OFFICER CT	$0	$493,805	$0	$50,409	$0	$0	$0	$19,800	$0	$0	$0	$564,014	$0	$0
HOYT J BURDICK
VP CMO	$0	$500,568	$0	$0	$0	$7,638	$0	$15,738	$0	$27,695	$0	$551,639	$0	$0
LISA C STUMP
SYSTEM VP & CSO	$0	$381,398	$0	$105,467	$0	$2,022	$0	$10,500	$0	$28,699	$0	$528,086	$0	$0
PAUL E SMITH
CHIEF ADMIN OFFICER	$0	$425,556	$0	$0	$0	$7,638	$0	$16,495	$0	$28,699	$0	$478,388	$0	$0
MARK MORGAN
VICE PRESIDENT	$0	$350,503	$0	$6,697	$0	$1,242	$0	$10,500	$0	$44,627	$0	$413,569	$0	$0
SUSAN BETH ROBINSON
VICE PRESIDENT	$0	$353,178	$0	$0	$0	$3,564	$0	$10,500	$0	$44,627	$0	$411,869	$0	$0
REGINA CAMPBELL
VICE PRESIDENT	$0	$334,595	$0	$0	$0	$6,858	$0	$20,375	$0	$47,801	$0	$409,629	$0	$0
MELISSA E LEASURE
SYSTEM VP & GEN COUNSEL	$0	$350,444	$0	$0	$0	$1,278	$0	$10,500	$0	$44,627	$0	$406,849	$0	$0
EDUARDO PINO
CMIO	$0	$305,541	$0	$0	$0	$6,858	$0	$9,260	$0	$28,699	$0	$350,358	$0	$0
LARRY HUTCHISON
VICE PRESIDENT	$294,089	$0	$0	$0	$0	$0	$8,823	$0	$37,691	$0	$340,603	$0	$0	$0
AARON BLEVINS
VICE PRESIDENT	$0	$248,815	$0	$9,865	$0	$809	$0	$15,689	$0	$44,627	$0	$319,805	$0	$0
FAREED AZIZ
VP OF REVENUE CYCLE MGMT	$0	$259,937	$0	$0	$0	$540	$0	$8,118	$0	$44,627	$0	$313,222	$0	$0
BRADLEY BURCK
VP CORP FND & DNR PHIL	$0	$221,535	$0	$39,624	$0	$1,918	$0	$7,946	$0	$38,462	$0	$309,485	$0	$0
ROBERT KACZMARCZYK
VICE PRESIDENT	$261,390	$0	$0	$0	$0	$0	$7,842	$0	$37,619	$0	$306,851	$0	$0	$0
ANDY MULLINS
VICE PRESIDENT	$257,546	$0	$0	$0	$0	$0	$7,726	$0	$36,615	$0	$301,887	$0	$0	$0
DAVID SHEILS
VICE PRESIDENT	$235,670	$0	$0	$0	$0	$0	$7,070	$0	$24,843	$0	$267,583	$0	$0	$0
JOHN K FIFE
VP SUPPLY CHAIN OPERATIONS	$0	$180,586	$0	$0	$0	$872	$0	$5,499	$0	$38,462	$0	$225,419	$0	$0
VERA ROSE MD
VICE PRESIDENT/RETIRED	$198,398	$0	$0	$0	$0	$0	$5,952	$0	$7,310	$0	$211,660	$0	$0	$0
THOMAS A HEFNER
VP FINANCE	$0	$173,973	$0	$0	$0	$1,223	$0	$5,331	$0	$27,695	$0	$208,222	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

WE PAY GUYAN DUES FOR MARK MORGAN. ANGIE SWEARINGEN, COO, IS ALLOWED A COUPLE OF TRIPS PER YEAR WITH SPOUSE.

PART I, LINE 3

THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JEFFREY BURDICK
FAMILY MEMBER	$41,349	REPORTABLE COMPENSATION	0
PAUL SMITH
OFFICER		OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC	0
DAVID M WARD
OFFICER		DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC	0
FAREED AZIZ
KEY EMPLOYEE	$1,051,402	MHN AND RELATED ORGANIZATIONS USE FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR CONSULTING	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$158,575	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	MARSHALL HEALTH NETWORK,INC (MHN)HAS BECOME THE SOLE CORPORATE MEMBER OF ST. MARY'S MEDICAL CENTER, INC ("CORPORATION"). IT IS ALSO THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC, PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH. MARSHALL HEALTH NETWORK INC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISION OF ANY FUTURE INTERNAL REVENUE LAWS, AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE, THE PURPOSE OF WHICH IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATION THAT IT IS NOW THE SOLE CORPORATE MEMBER OF ABOVE.
FORM 990, PART VI, SECTION A, LINE 4	GOVERNING DOCUMENTS WERE AMENDED TO INCLUDE ONE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK. THE NUMBER OF VOTING BOARD MEMBERS WAS CHANGED TO NINE AND ONE NON-VOTING BOARD MEMBER WAS ADDED. THE STIPULATIONS FOR WHO SHOULD BE A BOARD MEMBER, THE BOARD MEMBER TERMS TO BE SERVICED, AND BOARD MEMBER DUTIES WERE CHANGED AS WELL. THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED SO THAT ONLY THE CORPORATE MEMBER CAN AMEND THE ARTICLES OF INCORPORATION AND BYLAWS. THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK WAS GIVEN OTHER RESERVED POWERS AND FINAL APPROVAL OF BOARD OF DIRECTORS INITIATED ACTIONS.
FORM 990, PART VI, SECTION A, LINE 6	MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER THAT HAS RESERVED POWER TO APPOINT THE BOARD OF DIRECTORS FOLLOWING THE STIPULATIONS IN THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	MARSHALL HEALTH NETWORK, AS SOLE CORPORATE MEMBER, HAS RESERVED POWERS TO CHANGE THE PURPOSES OF THE CORPORATION, AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS, DISSOLVE THE CORPORATION, CONSOLIDATE/AFFILIATE THIS CORPORATION WITH OTHER ORGANIZATIONS. IN ADDITION, MHN WILL MANAGE ACTIONS INITIATED BY THE CORPORATION'S BOARD OF DIRECTIONS FOR THE FOLLOWING ITEMS: ADOPTION OF STRATEGIC AND BUSINESS PLANS, ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS, APPROVAL OF ANY CHANGES TO THE CAPITAL DEBT, THE CREATION OR ACQUISITION OF ADDITIONAL AFFILIATED ORGANIZATIONS AND JOINT VENTURES, ADOPTION OR CHANGES TO MASTER CLINICAL COMPENSATION AND BENEFIT PLANS, MANAGE THE ASSETS, MANAGE CLINICAL FACULTY CHANGES, FINAL APPROVAL OVER THE VARIOUS PRACTICES OF MEDICINE, APPOINTMENT OF A PRESIDENT TO SERVE AS CEO, APPROVE UNBUDGETED EXPENDITURES INCLUDING DEBT, AND APPROVAL OF CERTAIN CONTRACTS.
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 CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING.
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	THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR.
FORM 990, PART VI, SECTION C, LINE 18	THE 990 IS PUBLISHED ON GUIDESTAR.
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 IX, LINE 11G	HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 26,089,415. MANAGEMENT AND GENERAL EXPENSES 5,572,497. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,661,912. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,062,867. MANAGEMENT AND GENERAL EXPENSES 6,848,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,911,246. OTHER FEES: PROGRAM SERVICE EXPENSES 2,291,332. MANAGEMENT AND GENERAL EXPENSES 489,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,780,742.
FORM 990, PART XI, LINE 9:	CHANGES IN PENSION FUND STATUS -1,944,131. 457B PLAN ADJUSTMENT -347,546. TRANSFERS TO/FROM AFFILIATES, NET -395,055.
FORM 990, PART XII, LINE 2C	THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO ENGAGE. DURING THE YEAR AUDITORS MEET THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.
FORM 990, PART VI, LINE 16B	THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS FOR ANALYZING ANY SUCH ARRANGEMENTS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501(C)(3) CHARITABLE ORGANIZATION-HOSPITAL. 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE 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.

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	-$10,234,496	$57,319,520	SMMC
ST MARY'S HOSPITALIST SERVICES
2900 FIRST AVENUE	HUNTINGTON	WV	25702	270662169	MED PRACTICE	WV	-$7,000,400	$639,455	SMMC
ST MARY'S HIMG LLC
2900 FIRST AVENUE	HUNTINGTON	WV	25702	852017234	MED PRACTICE	WV	-$3,572,381	$29,416,163	SMMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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	Direct Controlling NADirectControllingNACd
ST MARY'S MEDICAL CENTER FOUNDATION
2900 FIRST AVENUE	HUNTINGTON	WV	25702	141887211	FOUNDATION	WV	501(C)(3)	LINE 12B, II	SMMC	Yes (1)
CABELL HUNTINGTON HOSPITAL INC
1340 HAL GREER BOULEVARD	HUNTINGTON	WV	25701	550675666	HEALTH SERVICES	WV	501(C)(3)	LINE 3	MHN	0
PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH
2420 VALLEY DRIVE	POINT PLEASANT	WV	25550	550440086	HEALTH SERVICES	WV	501(C)(3)	LINE 3	MHN	0
MARSHALL HEALTH NETWORK INC
1340 HAL GREER BOULEVARD	HUNTINGTON	WV	25701	320573122	SUPPORT SERVICES	WV	501(C)(3)	LINE 12C		0	N/A
UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH
1001 TENTH AVENUE	HUNTINGTON	WV	25701	550564945	HEALTH SERVICES	WV	501(C)(3)	LINE 7, 509(A)(1)	MHN	0
CABELL HUNTINGTON HOSPITAL FOUNDATION INC
1340 HAL GREER BOULEVARD	HUNTINGTON	WV	25701	311096222	FUNDRAISING	WV	501(C)(3)	LINE 12B, II	CHH INC	0
AUXILIARY TO STMARY'S MEDICAL CENTER
2900 FIRST AVENUE	HUNTINGTON	WV	25701	556021771	FUNDRAISING	WV	501(C)(3)	LINE 12A, I	SMMC	Yes (1)

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 SERVICES	KY	N/A	RELATED	-$715,550	$355,852	0	0	0.33000
IRONTON MED CAMPUS
1408 CAMPBELL DR	IRONTON	OH	45638	471141289	REAL ESTATE	OH	N/A	RELATED	$680,602	$10,874,518	0	0	0.65000
THREE GABLES SURG
5897 ST RTE 7	PROCTORVILLE	OH	45669	870648900	OUTPATIENT CA	OH	N/A	RELATED	-$20,676	$4,020,650	0	Yes (1)	0.53270
TRI-STATE MPS LLC
2900 FIRST AVE	HUNTINGTON	WV	25702	824513003	BILLING/COLL	WV	N/A	RELATED	-$121,225	$11,492	0	0	0.60000
HIMG FMC LLC
5170 US ROUTE 60 EAST	HUNTINGTON	WV	25705	273919638	INVEST DIALYS	WV		RELATED	$350,090	$821,202	0	Yes (1)	0.80000	SMMC
MHC ACCOUNTABLE CARE LLC
5183 US ROUTE 60 EAST	HUNTINGTON	WV	25705	821639032	MHC ACCOUNTABLE CARE LLC	WV		RELATED	$591,470	$1,008,487	0	Yes (1)	0.50000	SMMC
HUNTINGTON AREA MRI CLOSED
2900 FIRST AVE	HUNTINGTON	WV	25702	261877332	MEDICAL SERVICES	WV	N/A	RELATED			0	Yes (1)	0.49000
IRONTON MEDICAL CAMP CLOSED
1408 CAMPBELL DR	IRONTON	OH	45638	471637912	REAL ESTATE	OH	N/A	RELATED			0	0	0.65000

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	SMMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$15,890	ShareOfTotalIncomeAmt
Share Of EOY Assets	$196,589	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	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	Yes (1)	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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	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	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST MARY'S MEDICAL CENTER FOUNDATION INC
C	$158,575	FMV
THREE GABLES SURGERY CENTER
O	$299,111	INTERNAL ACCTG
THREE GABLES SURGERY CENTER
Q	$62,814	INTERNAL ACCTG
THREE GABLES SURGERY CENTER
S	$281,664	INTERNAL ACCTG
TRI-STATE MPS LLC
M	$910,700	INTERNAL ACCTG
VANGUARD FINANCIAL SERVICES
M	$986,217	INTERNAL ACCTG
HIMG FMC LLC
F	$148,000	INTERNAL ACCTG
CABELL HUNTINGTON HOSPITAL INC
P	$0	INTERNAL ACCTG
CABELL HUNTINGTON HOSPITAL INC
Q	$0	INTERNAL ACCTG
ST MARY'S MEDICAL CENTER FOUNDATION INC
C	$2,181,562	INTERNAL ACCTG
MARSHALL HEALTH NETWORK INC
B	$98,500	CASH
MARSHALL HEALTH NETWORK INC
P	$8,847,124	CASH
MARSHALL HEALTH NETWORK INC
M	$13,291,451	CASH
MARSHALL HEALTH NETWORK INC
E	$20,564,370	CASH
UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH
Q		CASH
CABELL HUNTINGTON HOSPITAL INC
E	$27,538,456	CASH
ST MARY'S MEDICAL CENTER FOUNDATION INC
C	$534,032	FMV
ST MARY'S MEDICAL CENTER FOUNDATION INC
D	$344,388	CASH
UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH
P	$11,309,119	CASH
UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH
Q	$38,446	CASH